The URL can be used to link to this page

Home My WebLink AboutWQ0029653_Monitoring - 10-2023_20231130Monitoring Report Submittal ................................................... Permit Number#* WQ0029653 Name of Facility:* SCOTCH HALL PRESERVE WWTP Month: * October 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* doc00982120231130123829.pdf PDF Only 2.56MB Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). bkjshp@gmail.com Brian Jernigan cLJ dill!' C,01hy-9RiY Reviewer: Wanda.Gerald 11 /30/2023 This will be filled in automatically Is the project number correct?* W00029653 Is the monitoring report accepted?* Yes NO Regional Office* Washington Reviewer: _anonymous Review Date: 12/4/2023 FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page Permit No.: WQ0029653 Facility Name: Scotch Hall Preserve WWTP County: Bertie Month: October 11Flow Measuring '• El influent Effluent■ generatedMonitoring•. ■ 0 ElGroundwater. ■ Surface Water •. II J tl 1 It•�1 11.1 11. 1 11. 11. 1 11.11 11.11 11.: 1 It 11 1 • • • 0��►��7��!�IL/lii�'�1�/��r� FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 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? 0 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 non-compliance and describe the corrective action(s) taken. Attach additional sheets if necessary. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: BRIAN JERNIGAN Permittee: SCOTCH HALL PRESERVE WWTP Certification No.: SI 1006435 Signing Official: MIKE PARAH Grade: Phone Number: 252-325-0771 Signing Official's Title: GENERAL MANAGER Has the ORC changed since the previous NDMR? ❑ Yes [21 No Phone Number: 336-410-4761 Permit Expiration: 2/28/2026 /f/S-0 -0. Si tur Date o1z Signature Date By this signature, I certify that this report is accurrate 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 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) Page _. _ of ®, _ FORM: NDAR-1 06-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _ of _ FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page __ of _ 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? Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 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? Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Compliant ❑ Non -Compliant (] Compliant ❑ Non -Compliant Compliant ❑ Non -Compliant Compliant ❑ Non -Compliant L-] 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 non-compliance and describe the corrective arfinn(cl takan Attach nrtditinnal sheets if necessary. I Operator in Responsible Charge (ORC) Certification Perm ittee Certification ORC: BRIAN JERNIGAN Permittee: SCOTCH HALL PRESERVE WWTP Certification No.: SI 1006435 Signing Official: MIKE PARAH Grade: Phone Number: 252-325-0771 Signing Official's Title: GENERAL MANAGER Has the ORC changed since the previous NDAR-1? F] Yes RI No Phone Number: 336-410-4761 rmit Exp.: 2/28/26 natur Date 000, Signature Date By this signature, I certify that this report is accurrate 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 designed to that all properly gathered and evaluated the information submitted. Based on my with a system assure qualified personnel 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