WQ0014046_Monitoring - 09-2022_20221114

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * September
Report Information
WQ0014046
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*
SMMWATERSER22111422... 2.79MB
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
11 /14/2022
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: 11/15/2022

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR)
Dom....

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Dale Mathews Name: Meritech
Name: Andy Mathews Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Compliant EINorrCompliant
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 98Q changed since the previous NDMR? Yes FNo Phone Number: 919-693-4646
Permit Expiration: 10/31/26
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k C)i_3D12Z t 01 SC)1 2_?-
Signature
Date Signature Date
By this signature, I certify that Ifis report is accrrate and compete to the best of my knowledge. 1 certify, under fy. penalty of law, that this document andall attachments were prepared under my direction a supervision in accadarce with a system
desig ed to assure that ail qualified personnel property gathered and evaluated the information submitted. Based on my inquiry of ttw person a
persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to fhe best of my
knowledge and belief, true, accurate, and complete. I am aware that two are significant penalties for submitting false information, including the
possibility of fines and imprisonment fa 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 REPORT (NDAR-1) pn- . f

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION RFpnRTitinwo ,%

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 F1 Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Compliant M NarCompliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ED Compliant Non- Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
❑i Compliant Non-Compiant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
�t Compliant � Non Compliant
If the facility is non -compliant, please explain in the space below the reasons) 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 changed since the previous NDAR-17 FYes No Phone Number: 919-693-4646 Permit Ex
p.: 10/31 /26
IDI5IZz
Signature Date Signature
Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. 1 certify, under pensty of law, that this document and all attachments were prepared under my direction or supervision in accordance witha 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 ft best of my knowledge
and belief, true, accurate, and complete. 1 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