WQ0014046_Monitoring - 11-2022_20230117

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
Report Information
WQ0014046
TOWN OF STOVALL WWTF
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
STOVALL-NOV22.pdf 2.83MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Dale Mathews
Reviewer: Gerald, Wanda
1 /17/2023
This will be filled in automatically

Is the project number correct?* WQ0014046
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 2/7/2023

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page .of

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Dale Mathews Name: Meritech
Name: Andy Mathews Name:
a.. r1wrr1wrmg data and sampling rrequencies meet the requirements in Attachment A of your permit? ❑i Compliant ❑NorrConpliantt
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) taker
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Andy Mathews
Permittee: Town Of Stovall
Certification No.: 993132
Signing Official: Janet Parrott
Grade: SI Phone Number: 919-939-0232
Signing Official's Title: Mayor
Has the ORC ged since the previous NDMR? Yes QNo
Phone Number: 919-693-4646 Permit Expiration: 10/31/26
v IN .- �2
3
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my krowledge.
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 who manage the system, or those persons drect y responsible for gathering the information, the information submitted is, to the best of my
the
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, 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

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
ID Compliant
�Non-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
EDCompliant
Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
�i Compliant
Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
RCompliant
DNorrCompliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
ElCompliantNon-Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not incompliance. Provide in your explanation the date(s) of the non-compliance and describe
the corrective action(s)
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Andy Mathews
Permittee:
Town Of Stovall
Certification No.: 993132
Signing Official: Janet Parrott
Grade: SI Phone Number: 919-939-0232
Signing Official's Title: Mayor
Has the ORC changed since the previous NDAR-1? Dyes ❑ No
Phone Number: 919-693-4646 Permit Exp.: 10/31 /26
Signature Date
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 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
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, North Carolina 27699-1617