HomeMy WebLinkAboutWQ0000798_Monitoring - 11-2022_20221221Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
Report Information
WQ0000798
Shallotte WWTF
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
GW-59
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Year:* 2022
Upload Document*
Shallotte DMR November 1.05MB
2022.pdf
PDF Only
Shallotte MW November 1.81MB
2022.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
matthew.henry@brunswickcountync.gov
Matthew Henry
17W
12/21 /2022
This will be filled in automatically
Initial Review
Reviewer: Gerald, Wanda
Is the project number correct?* WQ0000798
Is the monitoring report accepted?* Yes No
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 1/11/2023
O_ -0, NON-DISCHARGEa- REPORT ■,
it 1 T�F� f- •11717 11, p a'. 1 i ems"'
I' I I ITIT I ��� I' I' F I IT I, ; : - -
I.. - I - I I l[to I 1 1 i :
FORM: AMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ of _ m
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ of
��ORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page — of
,nampling Person(s) Certified Laboratories
Name: Operators I
Name, 11 Name: Enviromental Chemist
r.I Trr 1�11
Fri =$I r0=1 a TI��111
I -La 0-1111L741ir-1111i i Fn ITT,=
Lj 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) ofthe non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Christian Coddington Permittee: Brunswick County
Certification No.: 1010988 Signing Official: Donald Dixon
Grade: III Phone Number: (239)438-6939 Signing Official's Title: Deputy Director
Has the ORC changed since the previous NDMR? Yes � No Phone Number: 910-253-2657 Perm it Expiration: 12/31/2024
Z_ z
Signature Date Signature Date
By this signature- I certify that this report is accurrate and complete to the best of my knowledge I cerft 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 property 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 Owe 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 Resources
Information Processing Unit
1617 Mail Service Center
Aaleiah. North Carolina 27699-1617
FORM: NDAR-11 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-11) Page _ of
Did the application rates exceed the limits in Attachment B of your permit?
Compliant Nort-Compliant
Were adequate to preventeffluentf is • f in ♦ frunoff from
additional
Operator in Responsible Charge (OC) Certification Permittee Certification
ORC: Christian Coddington Permi
Brunswick County
Certification o.: 1010627 Signing Official: Donald Dixon
Grade: SI Phone Number: (239)438-6939 Signing Official's Title: Deputy Director
Has the OC changed since the previous NA-1? ® Yes [2] No Phone Number: 910-253-2657 Permit Exp.: 12/31 /24
— _ /Z- Z_
Signature Date Signature ate
By this signature. I certify that this report is acourrate 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 property 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,
iiiail Original