WQ0014306_Monitoring - 11-2022_20230125

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
Report Information
WQ0014306
EAGLE CREEK WWTP
Type *
Revised - 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 5.66MB
Amended 11-2022.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
1 /25/2023
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: 1/31/2023

FORM: N MR 03-12 NON -DISCHARGE MONITORING REPORT (N _ ) Page of

FORM: NOMR 03-12 NON -DISCHARGE ONITQ IPA REPORT NDMR) Page of

FORD NDIVIR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Nana: Michelle Pharr Name: Environmental Chemist
Name; Michael Chapman lame:
Does all monitoring data and sampling frequencies neat the requirements in Attachment A of yourpermit? [21 compliant E]neon-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) ref the non-compliance and describe the corrective
acfirinfsl taken Attach cl�,o_+, i€-------- _
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: David Pharr - Permittee: Sandier Utilities
Certification lo.; 26526 Signing Official: Daniel Sears
Grade: WW4 Phone Number: 252-725-3471 Signing Official's "title: Compliance Manager
Has the ORC changers since the previous NDMR? El Yes F11 No Phone Number: 984-365-9155 Permit Expiration: 01/01 /2027
,e
I e _` 1 /25/2023
Signature Date -
Signature Date
By this signature, I certify that thhis report is accurrate and Complete to the hest of my knr ied e -
5 I certify, under penalty of Iaev, that this document and all attachments were prepared under my direction or supervision in
accordance with a system resigned 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.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, Mirth Carolina 27699-1617

FORM: NDAR-2 10-13 NON -DISCHARGE APPLl 'I REPORT" ( A -) Page of

FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NIAA R-2) Page _ of
Did the application rates exceed the limits in Attachment B of your permit-i
If not a basin, were the sites kept free of vegetation and raked?
If not a basin, were there any instances of effluent ponding in or runoff from the sites?
4 a basin, were there any instances of breakout from the berms?
lea an(! 0
EA! Compliant El Non -Compliant
Llj Compliant Ej Nan -Compliant
F_ Compliant E] Non -Compliant
D Compliant Non -Compliant
F_"_j , Compli anit
L, Ll Nan -Corunpilint
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:
SANDLER 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 NOAR.2? Yes EVI No Phone Number- 984-365-9155 Permit Exp.: 1/1/27
1/25/2023
Signature Qa Signature Date
By this signature, I 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 attachment's 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 these Persons directly responsible for gathering the information, the
Information submitted Is, to the best of my knowledge and holief, true, accurate, and complete. I am aware that there are significant
-1 pei fc.r 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
Raleigh, North Carolina 27699-1617