WQ0012796_Monitoring - 09-2023_20231012

Monitoring Report Submittal
Permit Number#* wg0012796
Name of Facility:* HM ALLIANCE, LA GRANGE WWTF
Month: * September Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR SEPT 23 MR.pdf 5.84MB
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: * FREDERICK WEST
Signature:
fROOX,,' AICST
Date of submittal: 10/12/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* wg0012796
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 10/12/2023

r%JT%M; 114"K W-1Z NON -DISC HARGE MON ITORIN G REPORT (NOMR) Page A- of

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t-UMFW NLqWK U;J-1 2 NON -DISCHARGE MONITORING REPORT (NDMR) Page —3— of A—
Samilling Person(s) tie Laboratories
Na mw FREDERICKWEST Name: PLANT SHUTDOWN NO DISCHARGE
Name: DAVIN SINGLETON Name:
Does all monitoring data and Sampling frequencies meet the requirements in Attachment A of your permit? COT Dfiall
If the faci,"Ay is ron- cornpij.'ent, Manse oxpiain !n The space be!�aw the Tea$on(s)the fac-41kywas not In clompkiante. Provide in' YOUreXpla(tajjor
�aken, Afthaddlinnw sheets if necessaN_ the da iO(S� Of tC10 n end! d'a scrit)e th 0 correclivia acivon (�3)
Operator In RespoineWs Charge (ORC) CoMeation
ORC. FREDERICK WEST
Certffication No.: 1010718
Gracle; IV Phone Number: 252-646-2244
Has the ORC changed SIWA the Previous NDMR? [:]Yes E] ft
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HM ALLIANCE - JOSE LUIS MARTINEZ TENORIO
signing official: JOSE LUIS MARTINEZ TENORIO
signing official's Title: PRESID
Phom Number 9,1 Bp-i4oll -1 Permit Expiration: 6,23128
Date
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Ma Orlqinal and Two Copies tom
Division of Water Resources
Information Proce"ing Unit
1617 it Service Center
Raleigh, North Carolina 270W1617

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VURM: ND 10-13 NON-DISCHARGIE MASS LOADING REPORT (NDMLR) Page —q— of -,T-

1-UHM.'NDWR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page

FORK NXCR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) page —fp--,of —q—
Did the mass loading rates exceed the limits in Attachment 8 of your pen-olt?
If the facHity is nonconipfw nt, piense explain In the space Wow the reason(s) the fadrdy voos not in com liance. P a in ydawur a 1 nafian t1ri d
Operator In Responsible ClWrVe 4ORC) Cortiftation
Oftc, FREDERICKWEST
C4011ficallon Number- 1010718
Grade. tv Phone Number: 2526462244
Has Itte ORC 11 since "M prious NDMPR? El Yes G] No
signature
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Mail Original and Two Copies to
Division of Water Resourcvs
information Processing! ljnk
1617 Mail Service Center
R8101911, Worth CSr*llna 2TOW1647

FORM; PMAR-1 10-13 NON -DISCHARGE APPLICA77ON REPORT (NDAn-1) Page -7 of -9

FORM: I -1 10-13 NON-VISCHARGE APPUCATION REPORT (Ni AR-) Page 2L of

FORM,- NDAR-1 10-13 NON -DISC HARGE APPLICATION REPORT (IN DAR-1 j Page 1— &
Did the application rates exceed the limits in Attachment B of your permit?
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Were adequate measures taken to prevent effluent ponding In or runoff from the sites?
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Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
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Were all freeboards maintained In accordancewith the specified freeboard iheights in your permit? [DC=w"v't [:J''401'ccm "*ant
If the faefity is non-corrVliant, weaso expiain In the Space betow the reason(s) the facnity was not in comp,iarrce, Pmwde ,n your axpJanation the daWa) of the nor-comoarce ar,a descdbe the coradioe action(o
taken. Allach a4dilional sheets rf necr.,ssa?v
Operator In Respomilble Charge (ORCI Certification Pormifte Certification
Oftc: FREDERICK WEST Permthoo:
H M ALLIAN CE, LLC - JOSE LU IS MARTIN EZ TEN ORtO
Certification No,-, 1010718 181gning Oftfal: JOSE LUIS MARTINEZ TENORIO
Grade: IV Phone Number 2526462244 Signing Officlars 'ntio: PRESIDENT
Has the ORC changed since ft Previous NDAR-1 yes E]m Phone Number. 9198892901 ofmit Exp.: WWI$
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Mail Original and Two Copies to;
Division of Water Resources
Information Processing unit
1617 all Service Center
Raleigh, No Carolina 27699-1617