WQ0021204_Monitoring - 12-2022_20230118

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * December
Report Information
WQ0021204
North Chatham Fire Dept
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
[e-mail]
Randall Jarrell
Reviewer: Gerald, Wanda
Year:* 2022
Upload Document*
NCVFD NDMR 12-22.pdf
PDF Only
2.88M B
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
1 /18/2023
This will be filled in automatically

Is the project number correct?* WQ0021204
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 2/8/2023

FORM:
NDMR
03-12
NON -DISCHARGE MONITORING REPORT (NDMR) Page [ of S
North Chatham Vol. Fire Dept. County: Chatham Month: December Year: 2022
❑ Effluent ❑ No flow generated ✓
Parameter Monitoring Point: Influent ❑ Effluent ❑Groundwater Lowering ❑ Surface water
00310 00610 00530 31616 00620 00600 00625 00665
m aa�°L) iE o a
LO a E _ s o2
O pW E y n LL O y
= a+ y
Q tq U Z Z Z '- c
° a
mg/L mg/L mglL #/100 mL mglL mglL mg/L mglL
Permit No.:
WQ0021204
Facility
Name:
PPI:
Flow Measuring
Point:
[21 Influent
Parameter Code
—
0 50050
00400
50060
o
1
L
O
24-hr
_
°
°
O
o
° °
of 0
hrs
GPD
57
su
mg/L
2
57
3
57
4
57
5
15:00
0.5
57
6
69
7
69
8
69
9
69
10
11
12
14:40
0.5
q64
13
14
15
64
16
64
17
64
18
12:50
0.5
64
19
51
20
51
21
51
22
51
23
51
24
51
25
51
26
51
27
16:50
0.5
51
28
41
29
41
30
1
41
31
41
Average:
57
Daily Maximum:
69
Daily Minimum:
41
Sampling
Type:
Monthly Avg.
Limit:
Daily
Limit:
Sample Frequency:

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page 9- of S
Sampling Person(s)
Name: Randall Jarrell
Name:
Certified Laboratories
Name: Eurofins (591)
Name: Wastewater Management, L.L.C. (5038)
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? O 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 Permittee Certification
ORC: Randall Jarrell Permittee: North Chatham Vol. Fire Dept. (Mark Rigsbee)
Certification No.: 7937, 23925 Signing Official: Randall Jarrell
Grade: WW4, SI Phone Number: 919-210-2500 Signing Official's Title: ORC
Has the ORC changed since the previous NDMR? ❑ yes 0 No Phone Number: 919-210-2500 Permit Expiration: 5/31/2027
, ✓'
2,
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

i• •W
IM
• •
• 'i'
•
No.: !II i4
Facility Name: North Chatham
Vol.- Dept.
County: Chatham
A
I - -rea
Cover Crop:
Hourly Rate (in)
Annual Rate ( n
Month:
December
Year: 2
• • • • •
at this facility?
YES NO
Field Na
Field
-
Area (acres
F-Cover
Area (acres):
0
Area (acres
Crop:
Cover Cro
:I
Cover Crop:
Hourly Rate (in
Hourly --te
Hourly -.
Annual Rate i
ate (in):
ate in).
... .
Field Irrigated?
■ .
..
■ ■Field
Irrigated7
rigat d?
■
NONNI
MEMO
INS
NONNI
-___
IWO
11000110001
-_-_
-___
-___
-_
-___
-_-SOON
SOON
110100110001
M
MEN®�®%
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O
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-___
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MINE__
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MI
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INO
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MOSE
MMO
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-_-Es
MINE
IN
m
M__
NO
IN
-___
101
MINE
ON
NO
101

FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page 4 of .5
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Compliant
❑ Non -Compliant
Compliant
❑ Non -Compliant
Compliant
❑ Non -Compliant
[� Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your 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 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: Randall Jarrell Permittee:
North Chatham Vol. Fire Dept. (Mark Rigsbee)
Certification No.: 7937, 23925 Signing Official: Randall Jarrell
Grade: WW4, SI Phone Number: 919-210-2500 Signing Official's Title: ORC
Has the ORC changed since the previous NDARA? ❑ Yes [] No Phone Number: 919-210-2500 Permit Ex p.: 5/31 /27
n �
r j
( L� iz
i,
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

NCVFD
12 Month Rolling Total Application In Inches
2022 2022 2022 2022
2022 2022 2022 2022 2021
2022
2022
2022
2022
Field Jan Feb March April
May June July August Sept
Oct
Nov
Dec
Total
1 0 0 0 0
0 0 0 0 0
0.73
0.7
0.56
1.99
2 0 0 0 0
0 0 0 0 0
0.55
0.53
0.42
1.5