WQ0024003_Monitoring - 04-2022_20220531

DWR - NonDischarge Monitoring Report Submittal •4 ..
NORTH CAROLINA
&Mr...1M Qua(ily
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0024003
Name of Facility:* Harvey Point Defense Testing Activity WWTP
Month:* April Year:* 2022
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR NDMR Scan April 2022.pdf 1.96MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2,NDMLR,GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter:* Dustin B. Combs
Signature:
Date of submittal: 5/31/2022
This will be filled in automatically
Initial Review
.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Gerald,Wanda

Is the project number correct?* WQ0024003
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Accepted Date: 6/21/2022

FORM:NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page I of a
Permit No.: W00024003 I Facility Name: Harvey Point Defense Facility I County: Perquimans Month: April I Year: 2022
PPI: DM Flow Measuring Point: OInfluent DEffluent ONO flow generated Parameter Monitoring Point: Dinfluent OEffluent EGroundwater Lowering OSurface Wafer
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Daily Maximum: 0-1,W, 2.00 1'''N-,-F- 1.00 1 §,0 23.90 >1?,,i-::t!-:, -',, 2.68 .1\--\_\_,--_',: t\VT, 2.50 -41,9_, -., 0.50 . z,43,99,1
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Daily Limit: TpjVIN '"II,
Sample Frequency:Frequency: ''-'0W:tiea Monthly ,,otote Monthly M7tirl«tly;I, Monthly i>,-07*rik4>li Monthly l*NitI, Monthly
: ,

FORM:NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page .- of &
Sampling Person(s) Certified Laboratories
Name: Dustin Combs Name: Environmental Chemists Inc.
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Ecompliant ENon-Compliant
If the facility is non-compliant,please explain in the space below the reason(s)the facility was not in compliance. Provide in your explanation the date(s)of the non-compliance and describe the corrective
action(s)taken.Attach additional sheets if necessary.
I
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: Dustin B.Combs Permittee: Harvey Point Defense Testing Activity
Certification No.: 1003645 Signing Official: Stephen Oltjen
Grade: III Phone Number: 252-562-2684 Signing Official's Title: Enviromental Safety Officer
Has the ORC changed since the previous NDMR? EYes F3No Phone Number: 252-426-4360 Permit Expiration: 3/31/2023
5-ii -A-2
Signature Date Signature Date
By this signature,I certify that this report is accurrafe and complete to the best of my knowledge. I certify,under penalty of law,that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted.Based on my inquiry of the person or persons who manage the system,or those persons directly responsible for
gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete.I am
aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh,North Carolina 27699-1617

FORM: NDAR-1 08-11 NON-ÜISCHARGE APPLICATION REPORT(NDAR-1) Page 1 of 04,
Permit No.: WQ0024003 1 Facility Name: Harvey Point Defense Testing Activity WWTP County: Perquimans I Month: April Year: 2022
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_.. �, r. r � _ -

FORM: NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page of a
Did the application rates exceed the limits in Attachment B of your permit? Incompliant ❑Non-compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? HCompliant ❑Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? incompliant ©Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ❑a compliant ❑Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ElCompliant ONon Compliant
If the facility is non-compliant,please explain in the space below the reason(s)the facility was not in compliance. Provide in your explanation the date(s)of the non-compliance and describe the corrective
action(s)taken.Attach additional sheets if necessary.
I - '
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: Dustin S. Combs Permittee:
Harvey Point Defense Testing Activity
Certification No.: 1007989 Signing Official: Stephan Oltjen
Grade: SI Phone Number: 252-562-2684 Signing Official's Title: Enviromental Safety Officer
Has the ORC changed since the previous NDAR-1? ❑yes ONo Phone Number: 252-426-4250 Permit Exp.: 3/31/23
Signature Date Signature Da e
By this signature,l certify that this report is accurrate and complete to the best of my knowledge. I certify,under penalty of law,that this document and at attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted.Based on my
inquiry of the person or persons who manage the system,or those persons directly responsible for gathering..the information,the
information submitted is,to the best of my knowledge and belief,true,accurate,and complete.I am aware that there are significant
penalties for submitting false information.including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617