WQ0033325_Monitoring - 04-2024_20240501

Monitoring Report Submittal
Permit Number#* wg0033325
Name of Facility:* Bladen county water district - Tobermory Road
Month: * April Year: * 2024
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR TOBERMORY NDMR MAY 2024.pdf 627.24KB
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: * Alan Edge
Signature:
0/�
Date of submittal: 5/1/2024
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* wg0033325
Is the monitoring report accepted?* Yes NO
Regional Office* Fayetteville
Reviewer: _anonymous
Review Date: 6/3/2024

FORM: NDMR C3-92 NON -DISCHARGE MON➢TOR➢NG REPORT (NDMR) Page of-9-
Sampling Person(s) Certified Laboratories
Name: Name:
Name: .S f �� Name:
03np.'> n110 irtrBnfr ifn,vinry rnln$p grnA cnrrttnrrnRinr)r TimmnRimTnff-nrsc rrnasrs$ NkH a ..E,........__..Y:srY OmDliant 0 Non -Compliant
.... a — - --u -- ---- ——---- —�Y �•••�•••�••�� ... •—v Yv II Vu ■Y...;
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) ofthe non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
j Operator in Responsible Charge (ORC) Certification Permittee Certification
Oi:G: A14"j J Permittee:/314deA Co. e, GU/SfiZ1 �.'�
Certification No.: 17 2,d3 Signing Official: 041i44)
Grade:—�����o �$ part Phone ivumber: �(� _ NZ— tV" Signing Official's Title:
j Has the ORC changed since the previous NDMR? El Yes "•" Phone Number: 7I c) OWN, Permit Expiration:
I
i
Signature Date Signature
Date
1 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 accordant
With a system designed to assure that all qualified personnel properly gathered and evaluated the informatlon 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 affines 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

-ORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page t of 2-
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?
5e/.nipiiant ❑ Non -Compliant
9&mpliant ❑ Non -Compliant
MICCompliant ❑ Non -Compliant
`L 7Compliant ❑ Non -Compliant
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
Perm ittee Certification
ORC: �1�� C0�45-
Permittee: 64kw� 00
Certification No.: g762_�,r
Signing Official: J
95—w&L�
Grade: 4 - &;, a Phone Number: g{® - ��� - 04�6
Signing Official's Title: 44�
- eft--E;41t
Has the ORC changed since the previous NDAR-1? El Yes
Yes No
46z.- 49M
Phone Number: permit Exp.:
.01
Signature Date
Signature Date
By this signature, I certify that this report is accurate 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. eased 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 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-'I) 4 Page A of �
Permit No.:�� �
Facility Name:
County: Month:
Year-
Did irrigation occur
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