HomeMy WebLinkAboutWQ0016165_Monitoring - 05-2022_20220622 n ..
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DWR - NonDischarge Monitoring Report Submittal
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NORTH CAROLINA
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Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0016165
Name of Facility:* Lexington Regional WWTP
Month:* May Year:* 2022
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR SWT122062201510.pdf 441.9KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2,NDMLR,GW-59).
Confirmation Email Address:* JDWalser@LexingtonNC.gov
Name of Submitter:* Jeff Walser
Signature: p
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Date of submittal: 6/22/2022
This will be filled in automatically
Initial Review
.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Gerald,Wanda
Is the project number correct?* WQ0016165
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 7/12/2022
FORM:NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page at
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Permit No.: WQ0016165 Facility Name: Lexington Regional WWTP County: Davidson Month: May Year: 2022
Field Name:i 1 I Field Name:1 Field Name:I Field Name:1
Did irrigation occur [ ,
Area(acres): 3.84 I Area(acres): Area(acres): 1 Area(acres):
at this facility? 1 .
Cover Crop:I Trees I Cover Crop: Cover Crop: I Cover Crop:1
2 YES 0 NO Hourly Rate(in): 0.3 Hourly Rate(in): Hourly Rate(in):111111 Hourly Rate(in):
Annual Rate(in): 30 Annual Rate(in). 111===111=111111 Annual Rate(in):1 E
Weather Freeboard =CCM 2 YE, l'NO Field Irrigated?' 0 YES 0 No Field Irrigated? E YES 0 NO Field Irrigated? 0 YES 0 NO
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FORM:NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit? 2 Compliant 0 Non-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Er Compliant 0 Non-compiont
Was a suitable vegetative cover maintained on all sites as specified in your permit? Ri Compliant 121 Non-Complint
Were all setbacks listed in your permit maintained for every application to each permitted site? F=2 Compiant NoniCornothnt
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 2 compuant Non-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.
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: Jeff Walser Permittee:
Tom Johnson
Certification No.: 1000476 Signing Official: Tom Johnson
Grade: VVVV4 Phone Number: 336-357-5090 Signing Officials Title: Water Resouces Director
Has the ORC changed since the previous NDAR-1? 1:(Yes 0 No Phone Number: 336-'73 -5090 Permit Exp.: 7/31/22
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Signature Date Signature Date
By this signature, certify that this report is acourrate and compete to the best of my knowledge, I certify,under penal, w,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 property g Whaled and evaluated the Information submitted.Based on my
inquiry of the person or persons who manage the system,or those persons directly responsible be gathering the informefion,the
Information submitted is,to the best or iny knowledge and ballet,true,accurate,and crimple.I am aware that there are significant
penalties for submitting false information,ircluding the poss min/of fines and imprisonment for knowing vidations
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
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FORM:NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Eglantina Minerali Name: Lexington Regional WVVTP Lab-Certification Lab#43
Name: a Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Et Compliant 0 N.-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
adion(s)taken.Attach additional sheets if necessary.
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: Jeff Walser Permittee: Tom Johnson
Certification No.: 1000476 Signing Official: Tom Johnson
Grade: WVV4 Phone Number: 336-357-5090 Signing Official's Title: Water Resources director
0 No
Has the ORC changed since the previous NDMR? 0 Yen Phone Number: 336-357-5000 Permit Expiration: 7/31/2022
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Signature Date Signature Date
fay Ms signature.I cenify Mat Iles mean is accurrate and cornplete to the best nosy knowledge. leer-Sly under penalty of law,tat this document and all attachments were prepared under my direction or supervision in
accordance yilth a system designed to album Mat all qualified personnel properly gathered and evaluated the information
submitted.eased corny Inquiry al the person.persons who manage the system or those persona directly rosponsitie for
gathering line information,Me information submitted is,to the best of my knowledge and belief,true.accurate,and compete,lam
ewe re Orel there are evenednt penalties for subnriting raise informal.,inducting the possibility of fines end imprisonment For
knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh,North Carolina 27699-1617