WQ0031030_Monitoring - 06-2023_20230731

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month:* June
Report Information
WQ0031030
Shawboro Elementary School (North)
Year:* 2023
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR Shawboro North Elem. 06-2023 SG.pdf 2MB
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: * Daniel Sears
Signature:
e 4WWVIOmitt!
Date of submittal: 7/31/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0031030
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 8/11/2023

FORM. NDAR-2 05-16
NON -DISCHARGE APPLICATION RF'PnRT nunwn 91

FORM: 105-16
NON -DISCHARGE APPLICATION REPORT (NDAR-2)
Page t/ of �
Did the application rates exceed the limits in Attachment B of your permit?
If not a basin, were the sites kept free of vegetation and raked?
If not a basin, were there any instances of effluent ponding in or runoff fr th
0 CCmpliarrt 0 Noc-Compliant
0 Compliant Ej Nan -Compliant
Om a sites? 2 Compliant [] NonCompfiant
If a basin, were there any instances of breakout from the berms?
Q Compliant ❑Non{ompliant
Was the 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) 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
Oli David Pharr
Certification No.: 26526
Grade: WW3 Phone Number: 252.725_3471
Has the ORC changed since the previous NDAR-2? vrs [] No
z3
Signature '
Date
By this signature. I ceri fy that this report is accurrate and complete to the best of my Ioiowledge.
Permittee Certification
Permittee:
Currituck County BOE
Signing Official: Daniel Sears
Signing Official's Title: Compliance Manager
Phone Number: 984-365-9155 Permit li 6/3/27
--�-- 07/31 /2023
Signature Date
I certffy, under penatty of law, that this document and all attacfxncnts were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel property gathered and evakiaied the information submitted. Based an my
inquiry of the person or persons who manage the system, or those persons directly responsible for gatherng the information, the
information submitted is, to the best of my knwMedge and belief, true, accurate, and complete. I nm aware that fl-*m are significant
penalties for submitting false information, including the possibility or fines and impnsonment for knowing violations.
Wail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM. NDMR 05-15
NON -DISCHARGE MONITOnlMr RFPnOT lIUhJkAM%
A"

FORM: NDMR 05-16
NON -DISCHARGE MONITORING REPORT (NDMR)
Page _�_ of t�
Sampling Person(s)
Certified Laboratories
Name: Michelle Pharr
Name: Environmental Chemist
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 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
ORC: David Pharr
Certification No.: 26526
Grade: WW4 Phone Number:
Has the ORC changed since the previous NDMR?
Permittee Certification
Permittee: Currituck County BOE
Signing Official: Daniel Sears
252-725-3471 Signing Official's Title: Compliance Manager
❑ Yes Q No Phone Number: 252-235-4900 Permit Expiration: 06/03/2027
17
By this signature, I certify that this report is accufrate and complete to the best of my knowledge.
07/31 /2023
Date Signature Date
f tartly, 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 parsurvnel 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 herief, true, accurate, and complete. ! am
aware that them are significant penalties for submi*V false information, including the possibility of tines 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