WQ0014306_Monitoring - 11-2022_20221230

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
Report Information
WQ0014306
Eagle Creek WWTP
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
Eagle Creek WQ0014306 11- 5.65MB
2022 sg.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Daniel Sears
Reviewer: Gerald, Wanda
12/30/2022
This will be filled in automatically

Is the project number correct?* WQ0014306
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 1/23/2023

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) pAnp �f

FORM: NDMR C)3-12 NON -DISCHARGE MONITORING REPORT (NDMR} Perna of

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR)
Sampling Person(s)
Name: Michelle Pharr Name: Environmental Chemist
Name: Michael Chapman
Name:
Certified Laboratories
Page of
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Q Compliant
❑ 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
Permiftee Certification
ORC; David Pharr Permittee:
Sandler utilities
Certification No.; 226 Signing Official: Daniel Sears
Grade: WW4 Phone Number: 252-725-3471Signing Official's Title:
Compliance Manager
Has the ORC changed since the previous NDMR? ❑ Yes 0 No Phone Number;
084-365-9105 Permit Expiration: 01f01l2027
r'
`t f
- v
A F > 1 12/30/2022
Si tare Dale
Signature Date
By this signature, 1 certify that this report is accurrate and complete to the hest of my knowledge. I certify, under enact of law, that this document and all attachments were prepared ared under nr direction or su '� penalty p p y - � panrlsian In
accorparice 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 vote manage the system, or those persons directly responsible for
gathering the inf l-narbon, 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 fires and irnpnsonment far
knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 flail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT INDARa2)

FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page — of
Did the application rates exceed the limits in Attachment B of your permit? 0 Compliant 0 Non -compliant
If not a basin, were the sites kept free of vegetation and raked? EPI Compliant Non-Compliint
If not a basin, were there any instances Of effluent pending in or runoff from the s I ites? Compliant Non -compliant
If a basin, were there any instances of breakout from the berms? Compliant Non -Compliant
Was the onsite automatically activated standby power source tested and operational? F1 Compliant [] 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
I - — action(s) taken. Attach additional sheets if necessary,
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: David Pharr Perimittee;
CSANDLER UTILITES, INC,
Certification No.: 26526
Signing Official: Daniel Sears
Grade; WW4 Phone Number: 252-725-3471 Signing Official's Title: Compliance Manager
Has the ORC changed since the previous NDARa2? 11 yes P1 No Phone Number; 984-365-9155 Permit Exp.: 1/1/27
12/30/2022
Signature Date Signature Date
By this signature, I certify that this report is accurrale 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 vho manage the system, or those D rscns directly responsible for gathering the information, the
e' accura
information submitted is, to the bast of my knowledge and belief, true, e to, and complete. I am aware that there are significant
s
penalties for submitting false information, including the na5 uility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617