WQ0009267_Monitoring - 10-2022_20221208

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * October
Report Information
WQ0009267
City of Jacksonville WWTF
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
WQ0009267 October 10.58MB
2022.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Amy Palaschak
LW ff
'r i MV644
Reviewer: Gerald, Wanda
12/8/2022
This will be filled in automatically

Is the project number correct?* WQ0009267
Is the monitoring report accepted?* - Yes NO
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 12/19/2022

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
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?
21Compliant ❑Non -Compliant
OCompliant ❑Non -Compliant
[21compliant ❑Non -Compliant
[2]Compliant ❑Non -Compliant
❑✓ 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: Brandon D. Davis Permittee:
City of Jacksonville /Ronald Massey
Certification No.: Sl 1002072, WWI 999355 Signing Official: Wally Hansen
Grade: SI, WWI Phone Number: 910-938-5322 Signing Official's Title: Public Services Director
Has the ORC changed since the previous NDAR-1? ❑Yes [2]No Phone Number: 910-938-5260 Permit Exp.: 7/31129
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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) 11 Certified Laboratories
Name: Plant Operators Name: City of Jacksonville, #128
Name: Plant Operators Name: Environmental Chemists, #94
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ECompliant ❑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: Brandon D. Davis Permittee: City of Jacksonville / Ronald Massey
Certification No.: SI 1002072, WWI 999355 Signing Official: Wally Hansen
Grade: SI, WWI Phone Number: 910-938-5322 Signing Officials Title: Public Services Director
Has the ORC changed since the previous NDMR? (]Yes [DNo Phone Number: 910-938-5322 Permit Expiration: 7/3112029
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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Permit No.: WQ0009267
Facility Name:
Jacksonville WVVTF
County: Onslow
Month:
October
•
•
OEM
Daily Maximu
OEM
flaily Minimum 7
Sampling Type:,
M*nthly Limit:
0 mo 0M

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Permit No.: WQ0009267
Facility Name:
Jacksonville WWTF
Coun
Onslow
Month:
October
•
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Daily Maximum:
Daily Minimum:
Sam�lin�Type:
Monthly Limit:i

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page _ of
Permit No.:
WQ0009267
Facility Name:
Jacksonville WWTF
County: Onslow
Mon.:
October
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FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page _ of
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FORM: NDAR-1 08-11
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Page — of
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FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page _ of
Permit No.:
WQ0009267
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FORM:rA- 18-11
NON -DISCHARGE APPLICATION-•- •
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Permit No.:
WQ0009267
Facility Name:
Jacksonville WWTF
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Conty: Onslow
Mon.:
October
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•0009267
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Jacksonville WVVTF
County:II II • .
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FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page _ of
Permit No.:
110119.
Jacksonville WWTF
County:Onslow I•
October
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facility?
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