WQ0001284_Monitoring - 09-2023_20231025

Monitoring Report Submittal
Permit Number#* WQ0001284
Name of Facility:* TOWN OF CONWAY
Month: * September Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR jeff sept 2.pdf 356.09KB
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: 10/25/2023
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: 10/30/2023

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page i_ of �I

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page_ I of
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? Z 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 Permittee 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
1 Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee: Town of Conway
Signing official: Jeffrey Long
Signing Official's Title: ORC
Phone Number: 252-585-0488
Permit Expiration: 08-31-20Z 7
10-16-2023
Signature D2
I certify, under penalty of taw, 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