WQ0005426_Monitoring - 11-2022_20221219

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
Report Information
WQ0005426
Falls Lake - Holly Point WWTF
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
Holly Point Signed November 1.76MB
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]
Stephen Donaldson
C51--'e 01--1
Reviewer: Gerald, Wanda
12/19/2022
This will be filled in automatically

Is the project number correct?* WQ0005426
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 12/20/2022

FOW A -1 10-13 NON -DISCHARGE PPLI ATI N REPORT (N R® Page of IJ.
Permit No-: �I�IIwgUi �n
Did irrigation occur
HollyCo
Field Name. UPR 'Field 1)
ll
aer
Field Nam
..
Cover Crop�
Ho
_�nnual Rate (in):
33.8
Annual Rate fin)L
t
r.
x.
t a
s �,f.. .
+F
3
�a
£
• •a
Field Irrigated?
s
.
YES
No
s
-
•'
s
xx s �::z _ a
-
-
i a
.
Field Irrigated?
a '� �
L] YES El N 0
a. �.
s
as
x.
} E
in
- a:
in
413.0
3.0/27
3.0/10
Monthly 3 . t - a
�__12
f#r9ry;/,ji�
`!/a�',e�€f�1
Month Floating Total (in) -

FORM; NAR-1 1 0-13
Page — of i
Did the application rates exceed the limits in Attachment B of your r permit? Compliant ton -Compliant
Were adequate measures taken to prevent effluent p nding in or runoff from the sites? Lfj Compliant Ncin-Cam:)tant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ` Compliant ; pion -Compliant
Were all setbacks listed in year permit maintained for every application to each permitted site? 7 Compliant E, Non-Cornpliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? I Compliant � Non-cornpliarit
If the facility is nron-compliant, please explain in the space below the reason(s) the facility was not in compliance, Provide in your explanation the date(si cif the non-compiiance and describe the corrective
action(s) teen. Attach additional sheets if necessary.
..._.--.- .
Operator in Responsible Charge (ORG) Certification
Perrnittee Certification
ORG: Joel Valentine
Permittee:
NC DNCR ,' PR r Falls Lake Dolly Point WW F
Certification No.: SI1012362
signing Official: David Mumf rd
Grade: SI Phone Numbers 984-867-8000
signing Official's Title: Party Superintendent
Has the CRC than ed since the pervious Nt?A11R-1? r
E tone umber: 9 4- 67-8000 Rer [t p,; 11130126
Signai gate
mature Date
By rt;€s signature:. t cerhify that this report is acctrlraie and complete to 'he best of my knowledge.
'.. i certify, under penalty -of €a,vthat document and all attachments were prepared under my 6recucin or supervision in accordance '..
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based or.. my
inquiry of the person or persons who tranage 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 - >. am aware that there are significant
penalties for subm.-It€no false inmanatior €ncludrng the possibility of fines and irnpnsonment for knnv4ng viotatrons-
Mail Original : Two Copies to
NorthDivision of Water Resources
Information Processing Unit
1617 Mail service Center

FORD NDM 03-12 NON -DISCHARGE MONITORING REPORT ([ MR) Page of
_. lPermit No,: W00005426 Facifity Name: Falls Lake SRA - Holly Point VVWTF unty: lllw.�_ �.
rift November
e
i
$36
-
1,272
MAverage:
! !
4
! ¢.
i
-
wily
ly Minimum:
Sampling Type:
Monthly Avg- Limit:

FORM NDMR 03-1 NON -DISCHARGE MONITORING REPORT N M) Page of
Sampling Person(s) Certified Laboratories
Name: Anthony Branch Marne: Statesville Analytical f Fnvirolink
Name:
Name:
'C. S
DoeI monitoring aa Ltd sampling frc�'�i meet thereq
uirements i Attachment ,� of your permit? 4"-i Compliant Non -Compliant-
J the facility is non compliant, please explain in the space below the reasontsl the facility was not in compliance. Provida in your explanation the dates of the non-compliance and describe the corrective
action(s) takers, Attach additional shuts if necessary.
Operator in Responsible Charge (oRC) Certification permittee Certification,
oRC: ,noel Valentine permitteev DN I DPR i Falls Lake - Holly Point VUW F
Certification No.: S11012362 Signing official: David Murnford
t
Crane: sl Phone Number: 4•- 6 1 -8000 ` Signing official's Title: Park Superintendent
•¢ -, Has the oRC chari since the previous NDMR? yes t,4�. Phone Number: 9 4- i - 000 Permit Expiration: 1102
F I {
4— iv
s
I �
h� -_. e - -
-a
Signature bate Signature Date
6y this signature, 1 certify that this report is accurra e and crimptete to the best of ny knowledge. I certify, under penaity of lava that this document and all attachments were prepared under try direction or supervision in
accordance with a s-. t-_m designed to assure that all qualified personnel propedy gathered and evaluated the information
submitted. used on my inquiry of the person or persons who manage the system, or "those persons directly responsible for
gathering the information, th.e information submitted is to the lust of my knowledge and belief, true, accurate, and complete:. i am
aware that there are significant penalties to.r submitting false information, including the possibility of fines and impnsonmant `or
knowing violations
Mail Original and Two Copies to
Division of Water Resources
Information Processing Unit
1617 Mail Service Center I
Xaleigh, North