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HomeMy WebLinkAboutWQ0014046_Monitoring - 06-2023_20230815Monitoring Report Submittal Permit Number#* Name of Facility:* Month:* June WQ0014046 TOWN OF STOVALL WWTF Report Information Type * NDMR, NDAR-1, NDAR-2, NDMLR Confirmation Email Address: Name of Submitter: * Signature: Date of submittal: Initial Review Year:* 2023 Upload Document* STOVALL-JUNE23.pdf 2.75MB PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). mmwaterservices@yahoo.com Dale Mathews ti✓�i�/ �%fjltC/!At'�IZ Reviewer: Wanda.Gerald 8/15/2023 This will be filled in automatically Is the project number correct?* W00014046 Is the monitoring report accepted?* Yes NO Regional Office* Raleigh Reviewer: _anonymous Review Date: 8/30/2023 FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Sampling Person(s) Certified Laboratories Name: Dale Mathews Name: Meritech Name: Andy Mathews Name: eves all monitoring aata and sampling frequencies meet the requirements in Attachment A of your permit? �i compliant RNon-Compliant If the facility is non -compliant, please explain in the space below the reason(s) the facility was not incompliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Andy Mathews Permittee: Town Of Stovall Certification No.: 993132 Signing Official: Janet Parrott Grade: SI Phone Number: 919-939-0232 Signing Official's Title: Mayor Has the OR nged since the previous NDMR? yes ❑, No Phone Number: 919-693-4646 Permit Expiration: 10/31/26 7-3I13 t _ g 3 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 drectiy 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 FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of z 3OF C I m W m M 0 w s*.rr:.="Ix 1,eeI/ m au 0® ,�+"."..+''.f.!'.a' I 11� .�1 ®�J�r"/ O 4 i! :'" I 1 lI� 1 1 1 FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Monthly Loan 12 Month Floating Total 11111111110 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? ❑i Compliant ®Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Oi Compliant ❑Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? �i Compliant Non -Compliant. Were all setbacks listed in your permit maintained for every application to each permitted site? ❑1 Compliant ® Non Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ElCompliant 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) Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Andy Mathews Permittee: Town Of Stovall Certification No.: 993132 Signing Official: Janet Parrott Grade: SI Phone Number: 919-939-0232 Signing Official's Title: Mayor Has the ORC changed since the previous NDAR-1?❑, yes No Phone Number: 919-693-4646 Permit Exp.: 10/31/26 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 Raleigh, North Carolina 27699-1617