WQ0031506_Monitoring - 09-2022_20221031

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * September
Report Information
WQ0031506
Mason Farm WWTP
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2022
Upload Document*
September 2022 Ndmr.pdf
PDF Only
1.29M B
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter: * Wilmer Lawson
Signature:
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Date of submittal: 10/31/2022
This will be filled in automatically
Initial Review
Reviewer: Gerald, Wanda

Is the project number correct?* WQ0031506
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 1 o1-3-
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Pagc _ or,�
Sampling Persona) Certified Laboratories
Name: Jennifer Hunter Name: OWASA
Name: Wilmer Anthony Lawson Name: PACE Analytical, LLC
Does all monitoring data and sampling frequencies meet the requirements In Attachment A of your permit? campliant Non-compnant
It 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.
Operator in Responsible Charge (ORC) Certification
Permittes Certification
ORC: Wilmer Anthony Lawson
Permittee: Orange Water and Sewer Authority
Certification No.: 996021
Signing Official: Wilmer Anthony Lawson
Grade: IV Phone Number: 919-537-4351
Signing Officlars Title: Wastewater Treatment & Biosolids Recycling Manager
Has the ORC changed since the previous NDMR? ❑ yes [ rto
Phone Number: 919-537-4351 Permit Expiration: 11/30/2027
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Signature Date
Signature Date
By this signature, I certify that this report is acamaie and complete to the best of my knowledge.
I certify, under penally of law, that this document and oil attachments were prepared under my direction or suparvisbn in accordance
with a system designed to assure that all qualified personnel property gathered and evaluated as information submitted. Baxd on my
Inquiry of the peraon or persons who manage Me system, or those persona directly responsible for gadw irg bar Infbinatt n, Me
Information submitted is, to the best of my knowledge and belief. We, accurate, and complete. I am aware Mat there are significant
penall for submitgng few inkmtation. including the possibility of eras and imprisonment for im,,,ng vbiaaons.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699.1617