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Home My WebLink AboutWQ0000948_Monitoring - 06-2022_20220729FJRM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of Permit No.: WQ000094B Facility Name: Town of Jackson WWTF County: Northampton 1 Month: Parameter Monitoring Point: Eiinfloen'. Elsurface Water ••- 11 1 /1 1 11•1 11.1 11. 1 ►1. 11. 1 11.1► 1111 11.. / 11 11 1 • B�® �01�01�01 IMNI�01Nl M��Mll Et��■�� mIMNI my 'ME IMNI m � IN "M., ��IMNIMMI�Nl IM ■MMI �NIIMNI IMMI�� IMNI mffm M r 1 �' IMNI�Nl �MIIMNI�01�� • ' Y Daily:mumA ® • - FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page / of Sampling Person(s) Certified Laboratories , r Name: TAx N) Yo tmj Name: � f (RoNY✓ � � 1 tq C' - 6 Pzkzs 'i Vi'1(z' JV Name: Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 10 Compliant ❑ Mon -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 ORC: 'Thr4r ynutcl Certification No.: � 3 % A y Grade: I i t c l l cc�Y;P t( Phone Number: - 534 - J 9 J/ Has the ORC changed since the previous NDMR? ❑ Yes 0 No Permittee Certification Permittee: l owN d �RCKSCN Signing Official: MCA it k Signing Official's Title: Aatp.R Phone Number: J` - 5 34 - 3 9// Permit Expiration: 4 L— 02 -711 - - - & �� _;2 — 2"r— S ure Date Signature Date this signature, I ceriff that this report is accurate 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 7ORM: NDAR-1 05-1E NON -DISCHARGE APPLICATION REPORT (NDAR-'1) Page of Permit No.: VVQ0000948 Facility Name: Town of Jackson• . - irrigation ' D • ccur oArea (acres): a (a r s): Area (acres): Area (acres):' at this facility? Cover Crop- • Annual Rate (in): Annual Rate (jn):� Annual Rate (iny Field Irrigate0' Field Irrigat M1104 Mt. mR0�1 M.- -m--___ C�.'.IL' C��=Vnlmf N'..�/�/J�� __-_ ____ -__- - -_____FEM WA MOM- L' .. M ____ M- ____ IMMEFAMMA UJIMSIM Monthly Loading:111 ' •_- ' —'— _� //l/f/%�O/% _/�/O� %//a'////%.It�l�//%/0��//,i/��0//:I//D�/%/]�///%OO/iO��/////O%�/D/��%/ �t�:,PRM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 'I of%L Permit No.: WQ0000948 Facility Name: Town ol Jackson WWTF Countyi Northampton Month: Did irrigation occur Area (acres). at this facility? Cover Crop;, Cover Crop: .... I►I ■. .. ■ . ■. .. ■ ■. Iloilo; ��Mm� r�vnlvr IVUHK-1 UtS-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Did the application rates exceed the limits in Attachment B of your permit? E3/campliant ❑ Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? t� Complant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? 2Compliant ❑ Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? I 1 Compllant ❑ Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? YCompliant ❑ 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: �CiZh�h'y YDUNy .-J Permittee: TCt.c:N �� 3 C,K5QN Q Certification No.: 4,3 I1� ? Signing Official: 3-OgR.,5 •X • ;�4K Grade: 0 (P08eCH04 Phone Number: •�5a- �`�'`tf' � �� Signing Official's Title: karR Has the ORC changed since the previous NDAR-1? Elyes 0 No Phone Number: .5�{ — S.��F ' 3 8�� Permit Exp.•--3o-a� t -7 as Date natEre5.c, Signature Date By this ure, I cerify at and complete to the best of my knowledge. I certify, tinder penally 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 submilling 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