WQ0020248_Monitoring - 09-2022_20221025

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * September
Report Information
WQ0020248
Big Buffalo WWTP
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
2022 09 NDMR BB.pdf 1 AMB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Scott Siletzky
Reviewer: Gerald, Wanda
10/25/2022
This will be filled in automatically

Is the project number correct?* WQ0020248
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 10/25/2022

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page I of
Permit No.: 1i11 1 4:
: • Buffalo Waste Water Treatment--
Month: SeptemberFlow
Measuring Point: F� influent F,-/] Effluent F-1 No flow generated
Parameter Monitoring Point. influent Effluent Groundwater Lowering Surface water
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _-r), of
Sampling Person(s)
Name: Dale Deaton
Name: Joseph Lynch
Name: Environment 1
Name: Meritech
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑ 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.
A Operator is at the facility 24 hours a day! The ORC time is based on how long the ORC is here during the day.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Scott A Siletzky
Permittee: City of Sanford
Certification No.: 24383
Signing Official: Victor Czar
Grade: WW-4 Phone Number: 919-777-1781
Signing Official's Title: Public Works Director
Has the ORC changed since the previous NDMR? ❑ Yes ❑� No
Phone Number: [phone] Permit Expiration: 12/31/2026
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�Sfg 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 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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617