HomeMy WebLinkAboutWQ0031396_Monitoring - 12-2023_20240312' FORM NDAR-1 10-13
NON-DISCHARGF APPI irenr%Ki _ _
FORM. NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
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?
Page of
DO PM�* I I Nxi-campkant
"lant [ Non -Compliant
M K I_. Non-Comphant
EY C L] Norrcrxnplrant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? {J
[M Cwnplwxt � � 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
Optarator in Responsible Charge (ORC) Certification I I1
Permittee Certification
_
ORC: I larkTcic f�
Certification No.: { �y �0
Grade:�I Phone Number:
)Ia — "D
Has the ORC changed since the previous NDAR-1? 0 yes
Permittee: Lnkf, flo1Hc "iQ
Signing Official: JQ cK M i ►151LA
Signing Offlcial's Title: rYona�ey"
Phone Number:,. 'a -7' _ 53rZ Permit Ex p.:
C l
2/01 /24
Signature Date Signature -------- --
Date
By this signature, I r.t�rlty that this report rs accuratend acomplete to me best d my k
nO Je I certify, under penally of law, that this document and all attachments were prepares under my direction or supervlslon n xuxdame
with a system designed to assure that all qualified personnel r p operty gathered and evaluated the Information submitted Basrxf on my opuiry of the person or persons who manage the system, or those persons do ectly r esponsible for gathering the information. the
informatpe submitted is. to to best of my krtowlwlye and bekel, true. wxurale, and
penalties for submdUng false information. mck the o complete I am aware that Merl. are vrtrxhcant
'd+^9 possib/ty of fines and unpnsonmerx 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. NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Pam
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FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page __---- of
j'�� /`�/ -�� Sampling Person(s) C�ertiifiied` Laboratories
Name: I ► ocrk — I •�(ICiLit Name: f��i��I r� l+ Ii� � 11 r-f 1 I I )✓`�
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? i`� t ompli'llit I I Non cotifxtant
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
ORC:)(
Certification No.: L1 _�3 j
Grade: �'y�' 11 1 Phone Number: �,�,r,//i✓
Has the ORC changed since the previous NDMR? El Yes VM.
( ��% D Permittee Certification
lf� �jr� ,�1,
Permittee: �-a o n o vit P(cper� C l (X 1 �"k�L71ah
Signing Official: Jack 1 riser
Signing Official's Title:
Phone Number: �'� —a" 1 `— 5 t/' o Permit Expiration:
2/01 /24
Signahire v Date Signature Date
by VW,, signalure, I tRNty, that airs report 5 accurrate and winplete to the beSt of my knowAedge. I cer Ufy, tnelef penalty of law, that thrs dnr umenl and all attachments were prepared In def my drrectxxi ry supetv6roo n
:u.cwd".e with a system designed to assure that at qualified personnel property gathered and evaluated the mla ma'vin
Srnbnettea Rased on my inquiry of the person or persons who manage (he system, or Oase persons directly .espr r:..nk• I�i�
gathwwxj the aMormation, the inforrnahori submitted is. to fhe best of my knoVAnrinp and hp-110, fare, act"ate. aclcompk•te I w,
aware that there are sgnif"nt penalbes for submitting Use information tochding the possidMy of limes and impnsal—wit f•n
knowing vwAations
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Monitoring Report Submittal
.....................................................
Permit Number#* WQ0031396
Name of Facility:* Santeetlah Lakeside WWTP
Month: * December
Report Information
Type *
Revised - NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2023
Upload Document*
Santeetlah Lakeside Amended 12-2023.pdf 3.02MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * Environmentalinc@aol.com
Name of Submitter: * Mark Teague
Signature:
i
Date of submittal: 3/12/2024
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald
Is the project number correct?* W00031396
Is the monitoring report accepted?* Yes NO
Regional Office* Asheville
Reviewer: _anonymous
Review Date: 4/16/2024