WQ0013398_Monitoring - 11-2022_20221229

Monitoring Report Submittal
Permit Number #* WQ0013398
Name of Facility:* 904 Georgetown Treatment Plant. LLC Sandpiper Bay WWTP
Month: * November Year: * 2022
Report Information
..................................................
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR November2022 NDMR 1.12MB
Reports.904 WWTP..pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * Tim Tilma
Signature:
9�aigy C-5z? C
Date of submittal: 12/29/2022
This will be filled in automatically
Initial Review
Reviewer: Gerald, Wanda

Is the project number correct?* WQ0013398
Is the monitoring report accepted?* - Yes NO
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 1/18/2023

FORM: NDMR 16-13 NON -DISCHARGE MONITO € REPORT ( MR) Page _ of

Certified Laboratories
Name: Sunny Wright Naas: Environmental Chemist J Willmington 1M
Marne, Naas:
Does all monitoring data and sampling frequencies meat the requirements in Attachment A of your permit? Compliant _ Not 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 n
i`
Operator in Responsible Charge (ORC) Certification - ermittee Certification
nriy eight Permitted: — -
Certification No.: 28813 SigningOfficial: Timothy ` it a
Grade: 11 Phone Numbei91 0-8d0-4178 Signing Official's Title: General Manager
Has the changed since the previous 1 Phony tier: 9194-rit ExpiJi
4
Signature Date Signature Date
By this s gnature, I certify that this report is accurrate to best of my I certify, under penalty of law, that this document and all attachments were prepared under my
knowledge direction or supervision In accordance with a system designed to assure that all qualified
personnel properly gathered and evaluated the information submitted.
O
� r s
• _ •
3_

FORM: ND MR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ of

Certified Laboratories
Name: Sunny Wright
Name, Environmental Chemist I Willimington NC
Name-,
Name,
Does all monitoring data and sampling frequencies meet the requirements
in Attachment A of your permit? Compliant _X_ Not 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 dateis) of the non-
compliance and describe the corrective action(s) taken. Attach additional sheets if n
Operator in Responsible Charge (ORC) Certification
Parmittes Certification
Sunny Wright
FiermittM
Certification No.: 28813
Signing Officiai:Timothy Tilma
Grade: 11 Phone Numbe910-880-4178
Signing Official's Title: General Manager
Has the ORC changed since th previous NDIVIR? No
Phone due er: 910-4 0-8084 Permit Exp 113112027
Signature Date
gnat Date
By this signature, I certify that this report is aGCurrate to 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 ail qualified
personnel properly gathered and evaluated the information submitted.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center