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Home My WebLink AboutWQ0001284_Monitoring - 11-2023_20231215Monitoring Report Submittal Permit Number#* WQ0001284 Name of Facility:* TOWN OF CONWAY Month: * November Year: * 2023 Report Information Type* Upload Document* NDMR, NDAR-1, NDAR-2, NDMLR NON DISCHARGE NOV 2023.pdf 830.6KB PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). Confirmation Email Address: * jeffreylong267@gmail.com Name of Submitter: * Jeffrey Long Signature: Date of submittal: 12/15/2023 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: 12/18/2023 FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page i off_ FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _ t of I Did the application rates exceed the limits in Attachment B of your permit? ❑X compliant El Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑X compliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑X compliant ❑ Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? ❑X Compliant ❑ Non -compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? X0compliant ❑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 I ORC: Jeffrey Long Certification No.: 993135 Grade: Sprayfield Phone Number: 252-308-2984 Has the ORC changed since the previous NDAR-1? Permittee: Town of Conway Signing Official: Jeffrey Long Signing Official's Title: ORC Phone Number: 252-585-0488 Permittee Certification Permit Exp.: 08-31-2028 12-13-2023 12-13-2023 Signature Date 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 FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page i of 23 FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page # of j_ Sampling Person(s) Certified Laboratories Name: Name: Name: Name: Does all monitoringdata and sampling frequencies meet the requirements in Attachment A of your permit? Z Compliant ❑ Non -Comp p 9 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 ORC: Jeffrey Long Certification No.: 992044 Grade. Wastewater 1 Phone Number: 252-308-2984 Has the ORC changed since the previous NDMR? ❑ yes xO No ' 12-13-2023 Signature Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. Permittee Certification Permittee: Town of Conway Signing Official: Jeffrey Long Signing Official's Title: ORC Phone Number: 252-585-0488 Permit Expiration: 08-31-20Z9 12-13-2023 Signature _ W I certify, under penalty of law, 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 rest 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