WQ0000948_Monitoring - 12-2022_20230130

FORM: NDMR 05-16
r-
NON -DISCHARGE MONITORING REPORT (NDMR)
Page 1 of
Permit No.: W00000948
Facility Name: Town of Jackson WWTF
County: Northampton
PPI: 001
Flow Measuring Point: ❑Influent QEffh,ent ]Va flow generafedF'� "
Parameter Monitoring Point: [3Init.,en: [/]Effluent i` jGroundwater Lowering Msurrace Water
Parameter Code —o-
50050
00310
00940
50060
31616
00610
00626
00620
00600
00400
00665 1 70300
00530
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2
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C
y
~ `
ACO
aa)
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24-1ir
hrs
GPD
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
Su
mg IL
mg/L
mg/L
1
c,
1 ?
2
$
e(
3
0 1I
4
a3
5
415
6
f
7
55
t
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6
vo
c'.
8
'Ci�
ll
9
d1
101
1
12
1. G'O
7
4,cl
C)
13
26
-
14
',)C
1b
16
17
!.
18
19
/
20
. D
e
. /
21
M
,G$
.'1*
22
/(060
.O X
15
G
23
j C)
, 05
.19
24
26
;L
26
//-50
f I
27
1565
og
Il
281
j &4Z
r 08
. /0
c`
' l
30
,
31
• 4
�?
Average:
&
^ '� . i
t i ''
Daily Maximum:
Daily Minimum:
Sampling Type:
Recorder I
Grab
Grab
Grab
Grab
Grab
Grab
Grab I
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
203,000
Daily Limit:
_
Sample Frequency:
Continuous 1 1ro^:^ y
3 X Yea- ?e- Eve__ X4oW— Vo^;^ y
mon:,ly _ b;o_":- y__
mon:^ly Pe- =ve--. I
Mon'.:,ly I 3 X Yea•
MonNy`

I _ FORM: NDMR 03-92
NON -DISCHARGE MONITORING REPORT (NOMR)
Page / of /
r Sampling Person(s) Certified Laboratories
Name: Z-C W Nl yout4er
Name: Name:
Does ai66 monitoring data and sampling i egtuencies meet %(he rreq u6rei rents in Attenchment Az of yo u6' perotn16t? Llc6m-pllant U Non•Compllant
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 ..�m.� Permittee Certification
ORC: 30KN � Iv V'4t4r Permittee: O Wti G 361c,�604
Certification No.: 4,3 jZ Signing Official: 5C i yLp (� '
Grade: >r Phone Number: :2 5� — ' Signing Official's Title: 4 12AU
Has the ORC changed since the previous NDMR7 ❑ Yes No Phone Number: -�2 5� -5� -4 — J 9/ / Permit Enpiration: .1-43
2!L p a 3
S' na Date Signature Date
By this signature, certify that this report Is accurrate and complete to the best of my knowledge. I certify, under penally 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 ant
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 ro:
Division of Water Quality
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
Permit No.: WQ0000948
Facility Name: Town of Jackson WWTF
County: Northampton
..
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.cam
...
Area
Area
Area (acres):
Area (acres):,
at this facility?
Cover_Crop:-
Hourly Rate (in):
MM

• FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No. w111194:
Facility Name: Town of •n WWTF
Countyi Northampton■
Month
��
Did irrigation
Field Name.
Fielc!_Name-�
Field Name:
occur
at this facility?
�YES ONO
i Area (acres).,
Area (acres):
Area (acres):�'
Area (acres).,
■�■
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....
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a ■ •
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.` r-UKIVI: NUAK-1 Ud-11 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,el Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ,El Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 0Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ecompliant ❑ 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 nenessary
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Tot m N) Y ov 1v "{
Permittee: TO j,(N 14 _50N
Certification No.: 1� 31 Q I
Signing Official: J u PVJ�5 )eux
Grade: ( (�,of1<1e-ifoijPhone Number: 45„?-S.34"139/1
Signing Official's Title:kv#)A
Has the ORC changed since the previous NDARA? ❑ Yes 5�No
Phone Number: ul -Jr - 3 00l / Permit Exp.:
'
l Sign ture ate
Signature Date
By this signature, I certify that this report is accurrale and complete to the best of my knowledge,
I certify, under penally 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. 1 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617