WQ0024003_Monitoring - 07-2022_20220907

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * July
Report Information
WQ0024003
Harvey Point Defense Testing Activity
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
G W-59
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
Scan NDMR July 2022-2.pdf 1.95MB
PDF Only
Scan GW-59 July 2022.pdf 1.65MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-7, NDAR-2, NDMLR, GW-59).
[e-mail]
Dustin B. Combs
mdeWr.f'. &AwAo
9/7/2022
This will be filled in automatically

Reviewer: Gerald, Wanda
Is the project number correct?* WQ0024003
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 9/12/2022

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page JL of
Permit No.: WQ0024003
-._-. -...-. .
Facility Name. Harvey Point Defense Facility
County: Perquimans
Month: July Year: 2022
PPI: 001
Flow Measuring Point; ®influent JAEffluent [:]No flow generated
Parameter Monitoring Point; ®Influent ]_]Effluent Groundwater Lowering El Surface Water
Parameter Code 0
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page a of
samplingPerson(s) 11 Certified Laboratories
Name: Dustin Combs Name: Environmental Chemists Inc.
Name: 1� Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Ecompliant MNon-Compliant
If the facility is non-Gompliant, 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
Pennittee Certification
ORC: Dustin B.Combs
Perm iftee: Harvey Point Defense Testing Activity
Certification No.: 1003645
Signing Official: Stephan Oltjen
Grade: III Phone Number: 252-562-2684
Signing Official's Title: Enviromental Safety Officer
Has the RC changed since the previous NDMR? []Yes ENO
Phone Number: 252-426-4360 Permit Expiration: 3/31/2023
z
Signature Date
Signature Date
By this signature, I certify that this report is aGcurrate 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 property gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directty 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 -DISCHARGE APPLICATION REPORT (NDAR-1) Page I of
Permit No.: WQ0024003
Facility Name., Harvey Point Defense Testing ,activity W TP
County:. Pero uir ans Month: July
Year: 2022
Field Name:
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page a of --a—
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
[�]Compliant EINon-Compliant
MCompliant EINon-Compliant
Dcompliant []Non -compliant
i�Compkant ®Non -Compliant
Elcompliant EINcin-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: Dustin B. 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 NDARA? Dyes QNo
Phone Nut e r: 252-426-4250 Permit Exp.: 3/31/23
Signature Date
Signature Date
By this signature, I certify that this report is accurrate 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 property 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

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