WQ0001284_Monitoring - 07-2023_20230817

Monitoring Report Submittal
Permit Number#* WQ0001284
Name of Facility:* TOWN OF CONWAY
Month: * July Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR WW 0820023.pdf 744.78KB
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: 8/17/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* W00001284
Is the monitoring report accepted?* Yes NO
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 8/31/2023

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page r of f
Did the application rates exceed the limits in Attachment IS of your permit? ©Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? X❑ Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? xC]. Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Z Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? EDCompliant ❑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
08-16-2023
08-16-2023
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

FORM. NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page_ j of/

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page i of _i
).23

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ t- _ of it
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? xO 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
ORC: Jeffrey Long
Certification No.: 992044
Grade: Wastewater 1 Phone Number: 252-308-2984
Has the ORC changed since the previous NDMR? ❑ Yes ❑x No
08-16-2023
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee: Town of Conway
Signing Official: Jeffrey Long
Signing Official's Title: ORC
Phone Number: 252-585-0488
Permit Expiration: 08-31-20ZI
08-16-2023
/ Signature Dg
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 Unit
1617 Mail Service Center