WQ0031030_Monitoring - 07-2023_20230831

Monitoring Report Submittal
.....................................................
Permit Number#* WQ0031030
Name of Facility:* Shawboro Elementary School (North)
Month: * July Year: * 2023
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Upload Document*
Sawboro Elementary School August 23 1.97MB
Repoorts.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Daniel Sears
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Reviewer: Wanda.Gerald
8/31 /2023
This will be filled in automatically

Is the project number correct?* W00031030
Is the monitoring report accepted?* Yes NO
Regional Office* Washington
Reviewer: _anonymous
Review Date: 8/31/2023

FORM: NDAR-2 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page L__ of

FORM: NDAR-2 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page '__ 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 from the sites?
ZTCompliant R Non -Compliant
XCompliant F-J Non -Compliant
K Compliant Ll Non Compliant
If a basin, were there any instances of breakout from the berms? K Compliant A Non -Compliant
Was the onsite automatically activated standby power source tested and operational? D Compliant ❑ Non-Compl,anl
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: David Pharr
Permittee:
Currituck County BOE
Certification No.: 26526
Signing Official: Daniel Sears
Grade: WW3 Phone Number: 252-725-3471
Signing Officials Title: Compliance Manager
Has the ORC changed since the previous NDAR-29 — Yes 0 No
Phone Number: 984-365-9155 Permit Exp.: 6/3/27
8/30/2023
Signature Date
Signature Date
By this signature, I certify that this report is accunate 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 property 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

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page - of
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FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1±__ of
Sampling Person(s)
Name: Jonathan Pharr
Name:
Name: Environmental Chemist
Name:
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Q Compliant ❑ No, -Compliant
If the facility is non-oompliant, 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: David Pharr Permittee: Currituck County BOE
Certification No.: 26526 Signing Official: Daniel Sears
Grade: WW4 Phone Number: 252-725-3471 Signing Official's Title: Compliance Manager
Has the ORC changed since the previous NDMR? ❑ Yes Ql No Phone Number: 252-235-4900 Permit Expiration: 3/6/2027
Signature Date
By this signature. I certify that this report is accurrate and complete to the best of my knowledge.
8/30/2023
Signature Date
! certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
aocordance with a system designed to assure that all qualified personnel property 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