WQ0034386_Monitoring - 03-2023_20230425

Monitoring Report Submittal
...................................................
Permit Number#* WQ0034386
Name of Facility:* Town of La Grange
Month: * March
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Revised - NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2023
Upload Document*
Form NDAR Mar 23.pdf 411.92KB
PDF Only
NDMR Mar 23.pdf 401.56KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * james w sutton
Signature:
0 VVC51-1`0w
Date of submittal: 4/25/2023
This will be filled in automatically
Initial Review

Reviewer: Wanda.Gerald
Is the project number correct?* WQ0034386
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 6/16/2023

FORM:♦R
NON-DISCHARGE APPLICATION REPORT ,1•
Page
of
Permit No.: •GrangeCounty.
Lenoir
irrigation occur
Area (acres):
Area (acres):
Area (acres):
Area (acres):
at this facility?
CoverDid
• •
Cover• •
Cover• •
Cover• •
F-1 YES Fil NO
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
1
1
1
1
Loading:
MonthMonthly
12 • • Total.:�

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? ❑✓ compliant ❑ Non -compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑✓ compliant ❑ Non -compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑✓ compliant ❑ Non -compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ❑✓ compliant ❑ Non -compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑� 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.
no application this month
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: James W Sutton
Permittee:
Town of LaGrange
Certification No.: 25209
Signing Official: John P Craft
Grade: 4 Phone Number: 252-566-3295
Signing Official's Title: Town Manager
Has the ORC changed since the previous NDAR-1? ❑ yes ❑ No
Phone Number: 252-566-3186 Permit Exp.: Feb 29,2028
a% li7:) aet�".fl 4/25/2023ge%
to ae,-4 4/25/202*13
Signature Date
Signature Date
Bythis 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