WQ0038608_Monitoring - 06-20243_20230727

Monitoring Report Submittal
Permit Number#* WQ0038608
Name of Facility:* New Salem Elementary School WWTF
Month:* June Year: 20243
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR New Salem June 2023 NDAR.pdf 385.32KB
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: * Michael D Rivers
Signature:
Date of submittal: 7/27/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0038608
Is the monitoring report accepted?* Yes No
Regional Office* Mooresville
Reviewer: _anonymous
Review Date: 8/8/2023

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of 3
Permit No.: loll :.1'
Facility Name: New Salem Elmentary School VVVVTF
County.•
.
1
• irrigation occur
at this facility?
®i_____®®i
••
••
�®i
••
••
®®i
••
••
�®i
••
••

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page 3 of 3
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?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
]Compliant ]Non -Compliant
]Compliant ]Non -Compliant
]Compliant ]Non -Compliant
]Compliant ]Non -Compliant
]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: Michael Dempsey Rivers
Permittee:
Union County Public Schools
Certification No.: SI991195
Signing Official: Michael Dempsey Rivers
Grade: Phone Number: 704-296-3160
Signing Official's Title: ORC Operator
Has the ORC changed since the previous NDAR-1? ]yes ❑No
Phone Number: 704-296-3160 Permit Exp.: 9/30/28
/ee� 7/27/2023
7/27/2023
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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617