WQ0014046_Monitoring - 07-2022_20220911

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * July
Report Information
WQ0014046
TOWN OF STOVALL WWTF
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
TOWN OF STOVALL- 2.73MB
JULY22.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Dale Mathews
Reviewer: Gerald, Wanda
9/11 /2022
This will be filled in automatically

Is the project number correct?* WQ0014046
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 9/13/2022

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) p, ,o

FORM: NDMR 05-16
Sampling Person(s)
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Name: Dale Mathews Certified Laboratories
Name: Meritech
Name: Andy Mathews
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? �—t n, pliant
Non- Comiant
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 ddescribe the corrective a t on(s) taken.
Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
ORC: Andy Mathews
Certification No.: 993132
Grade: SI Phone Number: 919-939-0232
Has the ORC nged since the previous NDMR?
Yes �✓ No
Signature
Date
By this signature, I certify that this report is accurrate and compete to the best of my knowledge.
Permittee Certification
Permittee: Town Of Stovall
Signing Official: Janet Parrott
Signing Official's Title: Mayor
Phone Numbe • 919-693-4646 Permit Expiration: 10/31/26
Signature Date
I certify, under penalty of law, that this document and all attachments were prepared assure that all qualified personnel properly gathered and evaluated the information submiunder my direction or supervision in accordance with a system
tied. Based ion
my
designed to assinquiry of the person
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 compete. 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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION RFpnRTrtinwo A.

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NnoR-1I

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
Compliant Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Compliant Nan -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
❑i Compliant Non-
Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
❑i Compliant Not -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? El Compliant 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: Andy Mathews Permittee:
Town Of Stovall
Certification No.: 993132 Signing Official: Janet Parrott
Grade: SI Phone Number: 919-939-0232 Signing Official's Title: Mayor
Has the O anged since the previous NDAR-1?R, Yes RNo Phone Number: 919-693-4646 Permit Exp.: 10/31/26
i
p-
Signature Date j
Signature Date
By this signature, I certify that this report is accurrate and complete to the best army 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 offines
and 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