WQ0021204_Monitoring - 01-2022_20221116

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * January
Report Information
WQ0021204
North Chatham Fire Dept
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
[e-mail]
Randall Jarrell
Reviewer: Gerald, Wanda
Year:* 2022
Upload Document*
NCVFD NDMR 1-22 A.pdf
PDF Only
2.85M B
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
11 /16/2022
This will be filled in automatically

Is the project number correct?* WQ0021204
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 11/18/2022

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page i of S
Permit No.: W00021204
Facility Name: North Chatham Vol. Fire Dept.
County: Chatham
Month: January
Year: 2022
PPI:
Flow Measuring Point: El Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: Influent 0 Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code 0
50050
00400
50060
00310
00610
00530
31616
00620
00600
00625
00665
0
a() H
O
c
O
a)
F
O
o
s
a
�U
O
c
O
W
E
E
Q
'a
n
w
LL O
U
Z
to rn
o
a+
Z
s
M
rn
°
—
oZ
toE
w c
o
M
t
a
24-hr
hrs
GPD
su
mg/L
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
1
62
2
14:20
0.5
62
5.96
1.09
3
57
4
57
5
57
6
57
7
57
8
57
9
57
10
15:05
0.5
57
11
58
121
58
13
58
14
58
15
58
16
58
17
15:10
0.5
58
181
72
19
72
20
72
21
72
22
72
23
11:10
0.5
72
241
65
25
65
26
65
27
65
28
65
29
65
301
65
311
14:15
0.5
65
Average:
63
1.09
Daily Maximum:
72
5.96
1.09
Daily Minimum:
57
5.96
1.09
Sampling Type:
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2- of S
Sampling Person(s)
Name: Randall Jarrell
Name
Certified Laboratories
Name: Eurofins (591)
Name: Wastewater Management, L.L.C. (5038)
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? E 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: Randall Jarrell
Permittee: North Chatham Vol. Fire Dept. (Mark Rigsbee)
Certification No.: 7937, 23925
Signing Official: Randall Jarrell
Grade: WW4, SI Phone Number: 919-210-2500
Signing Official's Title: ORC
Has the ORC changed since the previous NDMR? El Yes No
Phone Number: 919-210-2500 Permit Expiration: 5/31/2027
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1
I � L L-
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(�'� v G%` � � t % t �z
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 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

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page : of 5-
Permit
No.: phi 1• ■Facility Name: North Chatham Vol.Fire Dept. • ,Month: January
Field Name: Field Name:
Did irrigation occur Area (acres): Area (acres): Area (acres) -
at this facility?
7 YES NO 111111B." MR M, Hourly Rate (in):
Annual Rate (in):
- --••. • - • e. -• ■ • • •. -• ■ • - • •. -• ■ •Field •. -• 1 •
Monthly• . • •j�jj�jjj�jj/j�jj/�jj�j��/
Month12 •. • Total

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1i of 5-
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
❑ Non -Compliant
❑ Compliant
❑ Non -Compliant
❑ Compliant
❑ Non -Compliant
Compliant
❑ Non -Compliant
❑J 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: Randall Jarrell
Permittee:
North Chatham Vol. Fire Dept. (Mark Rigsbee)
Certification No.: 7937, 23925
Signing Official: Randall Jarrell
Grade: WW4, SI Phone Number: 919-210-2500
Signing Official's Title: ORC
Has the ORC changed since the previous NDAR-1? ❑ Yes 0 No
Phone Number: 919-210-2500 Permit Exp.: 5/31/27
a
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 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

NCVFD
12 Month Rolling Total Application In Inches
2022
2021
2021 2021
2021
2121
2021
2021
2021
2021
2021
2121
2022
Field Jan
Feb
March April
May
June
July
August
Sept
Oct
Nov
Dec
Total
1 0.84
0.075
0.15 0.13
0.11
0.15
0.15
0.15
0.13
0.11
0.17
0.15
2.32
2 0.63
0.23
0.45 0.39
0.34
0.45
0.45
0.45
0.39
0.34
0.5
0.45
5.07