WQ0014306_Monitoring - 10-2022_20230125

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * October
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 5.71MB
Amended 10-2022.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: NDMR 03-12 NON-DISCHARGENON-DISCHARGE MONITORING REPORT (NI MR) Page _ of

FORM: NUMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Wage of

FORM NDMR 03-12 NON -DISCHARGE MNIT RIN REPORT l(N® R)
Page of
Sampling Person(s) Certified Laboratories
Name; Caroline Pharr Name: Environmental Chemist
Name:
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
Compliant ❑ Non -Compliant
If the facility is noncompliant, please explain in the space below the reason(s) the facility was riot in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken Attach addit ^ nal sheets if necss w.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: David Pharr Perrvtittee: Sandler Utilities
Certification 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 NDMR? Yes No Phone Number: 984-365-9155 Permit Expiration: 01101/2027
r
,F
1/25/2023
Signature bate Signature Date
3y this signature, I certify thaf this report is accturate and com etc to the best of m knowledge, e- r
ty y 9 I certify, under penalty of law, that this docurnenf and all attachments were prepared under my direction er supon isipn in
aeeordance with a system designed to assure that all qualified personnel Properly gatherers and evaluated the information
submitted, used 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 =`arse information, inducting 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 2769 -1617

FORM: NDAR-2 90-13 NON -DISCHARGE APPLICATION REPORT ( DAR-2) Page of

li 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?
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?
If a basin, were there any instances of breakout from the berms?
Was the onsite automatically activated stand)kv *%.iver ou -sj-�, 11 .. *­­__.&.1­_11
_r j-,
Compliant
7 j Non -Compliant
Compliant
C Non -Compliant
Compliant
Non -Compliant
Compliant
E] Non-Cornpliant
Complant
7
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 11 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 Nli E! Yes ONO Phone Number: 984-065-9155 Permit Exp.; 1/1/27
1/25/2023
Signature to Signature Date
By this signature, I certify that this report Is accurrate and complete in 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 ;hat all qualified personnel properly gathered and evaluated the information submitted. Based On my
inquiry of the person or personswho 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 aresignificantpenalties for submitting false information, including the possibility of fines and imprisonment lur knowing violations,
Mail Original and Two Copies to-,
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617