HomeMy WebLinkAboutWQ0000601_Monitoring - 12-2022_20230126Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * December
Report Information
WQ0000601
Hamlet Yard
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
2022_12_WQ0000601 _Ha... 420.82KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
tiffanee.grumbly@arcadis.com
Tiffanee Grumbly
�� e"A V, �
Reviewer: Wanda.Gerald
1 /26/2023
This will be filled in automatically
Is the project number correct?* WQ0000601
Is the monitoring report accepted?* Yes No
Regional Office* Fayetteville
Reviewer: _anonymous
Review Date: 2/15/2023
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of 6
O1111.1
Transportation -
. Richmond
. December1
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 3 of 6
Sampling Person(s) Certified Laboratories
Name: Name:
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0 Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below 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: Michael Gregory
Permittee: CSX Transportation, Inc.
Certification No.: 985463
Signing Official: Samuel Ross
Grade: 2 Phone Number: 910-205-6379
Signing Officials Title: Director Environmental Field Services
Has the ORC changed since the previous NDMR? El Yes 0 No
Phone Number: 904-359-3691 Permit Expiration: 7/31/2023
. e 1/12/2023
1/26/2023
Signa re Date
Signature Date
By this signature, I certify that this report is accurate 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page 4 of 6
Permit No.: WQ0000601
Facility Name: CSX Transportation Hamlet WWTF
Did infiltration occur at
this facility?
E1 YES NO
®®®®®®®®
■Milli
%
%
Milli
%
Milli
%
Milli
%
Milli
%
M11111
%
•
Milli
%
Milli
MIIIO
Milli
11111111111ml
%
FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page 5 of 6
Permit No.: WQ0000601
Facility Name: CSX Transportation Hamlet WWTF
County: Richmond
Month: December
facility?
Area (acres):
Area (acres):
Area (acres):
Area (acres):
®Site
Infiltrated:
■ 0 •Site
Infiltrated:■
■
■ ■ •Site
Infiltrated:■
■ •
FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page 6 of 6
Did the application rates exceed the limits in Attachment B of your permit? ❑� Compliant ❑ Non -Compliant
If not a basin, were the sites kept free of vegetation and raked? N/A El Compliant ❑ Non -Compliant
If not a basin, were there any instances of effluent ponds in or runoff from the sites? N/A El Compliant ❑ Non -Compliant
If a basin, were there any instances of breakout from the berms? 0 Compliant ❑ Non -Compliant
Was this onsite automatically activated standby power source tested and operational? 0 Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) 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: Michael Gregory
Permittee: CSX Transportation, Inc.
Certification No.: 985463
Signing Official: Samuel Ross
Grade: 2 Phone Number: 910-205-6379
Signing Officials Title: Director Environmental Field Services
Has the O C changed since the previous NDAR-2? ❑ Yes 0 No
Phone Number: 904-359-3691 Permit Expiration: 7/31/2023
' t
/• 1 /12/2023
1 /26/2023
Sig76ture Date
Signature Date
By this signature, I certify that this report i ccurat 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.
CX
CORPORATION
February 4, 2021
Mr. Samuel Ross
Director Environmental Field Services
CSX Transportation, Inc.
500 Water Street, J-275
Jacksonville, FL 32202
Dear Mr. Ross,
500 Water Street
Jacksonville, FL 32202
Phone: (904)366-4245
E-Mail: Nathan _Goldmanncsx.com
NATHAN D. GOLDMAN
Executive Vice President &
Chief Legal Officer
You handle matters pertaining to compliance with Federal, State, and local environmental
laws and regulations. One of your responsibilities is preparing permit applications, variance
requests, report forms and certifications, and such other documents and papers as necessary to
assure compliance with environmental laws and regulations.
Accordingly, I hereby authorize you to sign the necessary environmental documents on
behalf of the Company to carry out your work.
effect.
This authorization is in addition to electronic agency permitting submissions currently in
Sincerely,
yzo , 4'
Nathan D. Goldman