WQ0031030_Monitoring - 11-2022_20221230

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
Report Information
WQ0031030
Shawboro Elementary School (North)
Year:* 2022
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR Shawboro WQ0031030 11- 4.43MB
2022 sg.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: * Daniel Sears
Signature:
Date of submittal: 12/30/2022
This will be filled in automatically
Initial Review
Reviewer: Gerald, Wanda

Is the project number correct?* WQ0031030
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 1/23/2023

FORM: NDMR 05-1 NON -DISCHARGE AR NI` O I REPORT ( ) Page of

FORM: NDMR 05-15
Page
Of
Naive: Michelle Pharr
l
Name: Environmental Chemist
Certified Laboratories
Does
a,, monitoring iC.r',: and sampling frequencies AttachmentA of o. permit?
Compliant
El 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 dates) 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; David Pharr Pormittee. Currituck County BOE
Certification No,: 26526 Signing Official: Daniel Sears
Grade: WW4 Phone Number: 252-72 -3471 Signing Official's Title: Compliance Manager
Has the ORC changed since the previous NDMR? 0 Yes E! lqo Phone Number: 252-235- 900 PermitExpiration: 06/03/2027
l
(L 12/30/2022
Sig ature Date Signature Date
By this signature, 1 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 there 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. Basest 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.
InformationDivision of Water Resources
Processing Unit

FORM: NDAR-2 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page _ of

FORK NDAR-2 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page Of
Did the application rates exceed the limits in Attachment B of your permit? L-_j compliant E] Non -compliant
If not a basin, were the sites kept free of vegetation and raked? LI] Compliant L] Non -Compliant
If not a basin, were there any instances of effluent pending in or runoff from the sites? Ljj_ Compliant -E] Non -Compliant
If a basin, were there any instances of breakout from the berms? 0 compliant [] Non -compliant
Was the onsiter automatically activated standby power source tested and operational? El compliant D 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: David Pharr Permittee: Currittick County 130E
Certification No.: 26526 Signing Official: Daniel Sears
Grade: WW3 Phone Number: 252-725-3471 Signing Official's Title- Compliance Manager
Has the ORC changed since the previous NDAR-27 Yes Ll No Phone Number: 984-365-9155 Permit Exp.: 6/3127
J
12/30/2022
si�nature Date Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. 1 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
€nqurry 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 beiter, true, accurate, and complete. I am aware that there are sigiriiricaqt
penalties for submitting false information, ftluding the possibility of fines and lmprisonmcnt for knowing violations.
Division of Water Resources
Information Processing Unit
1617 Mail Service Center