WQ0014046_Monitoring - 08-2023_20231003

Monitoring Report Submittal
...................................................
Permit Number#* WQ0014046
Name of Facility:* TOWN OF STOVALL WWTF
Month: * August Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR STOVALL-AUG23.pdf 2.81MB
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: * Dale Mathews
Signature:
,dal" �%X? ellry
Date of submittal: 10/3/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* W00014046
Is the monitoring report accepted?* Yes NO
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 10/4/2023

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) paaa M

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s)
Name: Dale Mathews
Name: Andy Mathews
Name: Meritech
Name:
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? []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 noncompliance and describe the corrective actions) taken.
Attach additional sheets if necessary.
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 O nged since the previous NDMR? Yes QNo Phone Nu 919-693-4646 Permit Expiration: 10/31/26
Signature Date Signature Date
By this signature, I certify that this report is accurrate and compete to the best of my knowledge. I certify, under penalty of law, that this document and all attachments were prepared under m direction or supervision
designed to assure that all qualified personnel Yoin accordance with a system
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

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1)

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Paae nt

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?
�i Compliant NorrCompliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Compliant NonCtxnptiant
Were all setbacks listed in your permit maintained for every application to each permitted site?
❑i Compliant Nor -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? aCompliant �NmCompliant
If the facility is noncompliant, 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: 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
lad,
Signature Date Signature Date
By this signature, I certify that this report is accurrate am complete to the hest of my knowledge_ I certify, under penaltyof law, that this document and all attachments were red under m drection or supervision
deli �� Y pervlsion in accordance with a system
opted to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry ofthe 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 vidations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617