WQ0031030_Monitoring - 10-2022_20221130

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * October
Report Information
WQ0031030
Shawboro Elementary School (North)
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
Shawboro North 2.98MB
E I e m. W Q0031030-10-2022
sr.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Daniel Sears
11 /30/2022
This will be filled in automatically

Reviewer:
Gerald, Wanda
Is the project number correct?*
WQ0031030
Is the monitoring report accepted?*
Yes No
Regional Office*
Washington
Reviewer: _anonymous
Review Date: 12/13/2022

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of

FORM: NDMR05-16 NON -DISCHARGE MONITORING REPORT (N MR)
Page of
sampling Person(s)
Name; Michelle Pharr Name: Environmental Chemist
Name:
Name:
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit a Compliant F-I Non-cor pliant
If the facility is non -compliant, please explain in the space below the reason(s) a) othe facility r (s) taken. cwas notach in compliance.
sheets if iees yy
dour explanation the date(s) of the non-com pliar Ice and describe the corrective
Operator in Responsible Charge (ORC) Certification
permittee Certification
ORC. David Pharr
Permittee: Currituck County BOE
Certification No.: 26526
Signing Official: mantel Sears
Grade: WW3 Phone Number: 252-72 -3471
Signing Official's Title: Compliance Manager
Has the CRC changed since the previous NDMR°? E Yes El No
Phone Number: 252-23 -49€t0 permit Expiration: 06/03/2027
r�
1
f F
11 /30/22
Signature
Date Signature
8y this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Date
I certify, under penalty of law, that this document and all attachments were prepared under my direction tar supervision In
acre -dance with a system designed to assure that all aualified personnel properly gathered and evaluated the inforrr:atlon
submitted. Based on nay inquiry of the person or persons who manage the system. or those persons directly responsidle for
gathering the information, the i^forrnalten submitted is, to the hest 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 imprryrnment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Knit
1617 Mail service Center
Raleigh, North Carolina 27699-1617

FORM: DAR-2 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page of

FORM: NDAR-2 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page _ __ of
Did the application rates exceed the limits in Attachment B of your permit? fj Compliant F-1 Non-Ccrmphdrit
If not a basin, were the sites kept free of vegetation and raked' ✓i compliant ID Von -compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites? E�] compliant El pion -Compliant
If a basin, were there any instances of breakout from theberms? 17�1 Compliant I[] loon -Compliant
Was the onsite automatically activated standby power source tested and operational? 0 Compliant Ll 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
aivti©n(sj taken. Attach additionalsheets it necessarv.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: David' Pharr
Permittee:
Currituck County 130E
Certification No.: 26526
Signing Official:. Daniel Sears
Grade: W 3 Phone Number: 252-725-3471
'Signing Official's Title: Compliance Manager
Has the ORC changed since the previous NDAR-2? 0 Yes E] No
Phone lumber: 984-365-9155 Permit li 6/3/27
/ I�_
t
i
!
11 /30/22
_
Si ature
Date` Signature Date
�y this signature, I ceriif that this report is aecurra€� and eom eke to the best of m knowledge.
9 y f p e complete y g certify, under penalty of lays, 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 imprisonmcrt for knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27599-1617