WQ0001284_Monitoring - 06-2023_20230801

Monitoring Report Submittal
Permit Number#* WQ0001284
Name of Facility:* TOWN OF CONWAY
Month: * June Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR june 2023ww corrected.pdf 759.43KB
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: * Jeffrey Long
Signature:
Date of submittal: 8/1/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0001284
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 8/10/2023

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page _I of _p

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page i of I_
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 -Comp
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 correctiv
taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Jeffrey Long Permittee: Town of Conway
Certification No.: 992044 Signing Official: Jeffrey Long
Grade: Wastewater 1 Phone Number: 252-308-2984 Signing Official's Title: ORC
Has the ORC changed since the previous NDMR? ❑ yes x❑ No Phone Number: 252-585-0488 Permit Expiration: 08-31-20,
07-10-2023
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
07-10-2023
Signature De
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supe
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the it
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly resp
athering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and c
aware that there are significant penalties for submitting false information, including the possibility of fines and impr
knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing knit
1617 Mail Service Center

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page & of i

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I of I
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?
❑X Compliant © Non -Compliant
Z Compliant ❑ Non -Compliant
Z Compliant ❑ Non -Compliant
N Compliant ❑ Non -Compliant
Zx 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: Jeffrey Long
Permittee:
Town of Conway
Certification No.: 993135
Signing Official: Jeffrey Long
Grade: Sprayfield Phone Number: 252-308-2984
Signing Official's Title: ORC
Has the ORC changed since the previous NDAR-1?
Phone Number: 252-585-0488 Permit Exp.: 08-31-2028
07-10-2023
07-10-2023
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 Resources
Information Processing Unit
1617 Mail Service Center