WQ0000948_Monitoring - 01-2023_20230308

FORM, NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page Z of
Permit No.: W00000948
Facility Name: Town of Jackson WWTF County: Northampton
Month: Tmae
43
PPI: 0.01
Flow Measuring Point: (]influent QQ Effluent No flow generated
Parameter Monitoring Point: ❑1nR.,en: [] ffiuent ❑Groundwater Lowering ❑SuAace Water
Parameter Code —v
50050
00310
00940
50060
31616
00610
00626
00620
00600
00400
00665
70300
00530
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p
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mJ°91
T
a
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oo
av�a
ho-
24-hr
hrs
GPD
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
mg/L
1
Ili 5
0. I!
2
C
.DS
0
3
r5
]5,3
G.O
a
4
O.G
.O
6
®13
8
O
9
O • 1
E1
10
12
o•
,
03
1Y. .
13
14
15
: O
16
D
17
I OG
Ri, l l
oel
18
1605
l `l• y.L
191,53o
20
C 5
s
21
!
3
22
23
h.
d 1;3
24
,d$
..�
26
j
Cy, O
t7
26
28
29
I
30
J e
iD= I I
l S
31
(0,09
Average:
,
Daily Maximum:
, p
Daily Minimum:
Sampling Type:
Recorder Grab
Grab
Grab
Grab
Grab
G.ab
Grab I
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
203,000
Daily Limit:
_
7
—
I
Sample Frequency:
Continuous i Vo^ y
3 X Yea- Pe- Eve-: : 14on:^ly Vo^:^ y
Mon'*
Vo•, ^ Y
Trion',ly '
Pe- Eve-. I
Mon"ly
3 X Yea-
19on:^ly
!

- FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s)
Name: TokgMI4 I OON y
Name:
Certified Laboratories ,r �r
Name: N1%C'R(4Jtl i►K'N f _-TIN0— �R.Y:2� 4" C(Ri, 1 4'
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? �Compiiant ❑ 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
actions) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
ORC: YO8 t,K t4l ypud j
Certification No.: 23 % tk
Grade: I (,12 tome_0A( Phone Number: ;?5Z- 5-34 JYJ�
I Has the ORC changed since the previous NDMR? ❑ Yes U No
©Z- I&D.
ignat Date
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee:
Signing Official: '�OLII, .Q S 'J Y
Signing Official's Title: dU�
Phone Number: ;.? 6---2 - .3
Permit Expiration: ! -
a-07o_A2
Signature Date
1 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 05-15 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page
Permit No.: WQ0000948
Facility Name: Town of Jackson WWTF
County: Nort hampton
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FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page �- of
Permit No.: WQ0000948
Facility Name: Town oi Jackson WWTF
County: N M., I
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PVKNt: IVUHK-1 Utl 11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Pagel of /
Did the application rates eizceed the limits iro Attachment B of your permit? K'Compfiant ❑Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? WCompilant ❑ Non -Compliant
Was a suitable vegetaUve cover maintained on all sites as specified in your permit? ;'con,pllant ❑ Non-Comphant
Were ail setbacks listed in your permit maintained for every application to each permitted site? 'compliant ❑ Non -Compliant
Were ail 'Freeboards maintained In accordance with the specified freeboard heights in your permit? NKompliant ❑ Non-Comphant
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 necessarv.
Operator In Responsible Charge (ORC) Certification
Permittee Certification
ORC: y9U/y
o
P mitt -T-
eree: O )nf ID.� � � OAf
('L 5
Certification No.: a3 « `1
Signing Official:Qh�QS
Grade: 1 4011 .e Off phone Number: 534 - ,3 Y11
Signing Official's Title: �a4rp_
Has the ORC changed since the previous NDAR-1? yes UkNo
Phone Number: 53Permit Exp.: -.30
Sig ature Date
Signature Date
By h,is signature, I certify that [his 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 pgrson or persons who manage the system, or those persons directly responsible for gathering the Inrormallon, 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 fnformallon, including the possibility of lines 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