WQ0017791_Monitoring - 02-2024_20240328

Monitoring Report Submittal
.................................................
Permit Number#* WQ0017791
Name of Facility:* Goldsboro WRF Reclaimed Water Project
Month: * February Year: * 2024
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR February2024 NDMR.pdf 366.26KB
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: * Tawanda Triplett
Signature:
Date of submittal: 3/28/2024
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* W00017791
Is the monitoring report accepted?* Yes NO
Regional Office* Washington
Reviewer: _anonymous
Review Date: 5/23/2024

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 3

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of 3
Permit No.: W00017791 Facility Name: Goldsboro WRF Reclaimed Water Project County: Wayne Month: February Year: 2024
PPI: 002 Flow Measuring Point: ❑ InFluent E Effluent ❑ No Flow generated Parameter Monitoring Point: ❑ influent ❑✓ Effluent ❑ Groundwater Lowering ❑ Surface Water
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FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 3 of 3
Sampling Person(s)
Name: Operators
Name:
Certified Laboratories
Name: City of Goldsboro WRF Laboratory
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 2] 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
ORC: Justin Bauer
Certification No.: 1012010
Grade: SI Phone Number: [phone]
Has the ORC changed since the previous NDMR? ❑ Yes 0 No
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Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee: Goldsboro Water Reclamation Facility
Signing Official: Robert Sherman
Signing Officials Title: Public Utilities Director
Phone Number: [phone] Permit Expiration: 1/31/2026
Signature Date
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