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HomeMy WebLinkAboutWQ0014785_Monitoring - 04-2024_20240528Monitoring Report Submittal Permit Number#* WQ0014785 Name of Facility:* Midway Middle School Month: * April Year: * 2024 Report Information Type* Upload Document* NDMR, NDAR-1, NDAR-2, NDMLR Wastewater Reports April.pdf 4.27MB PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). Confirmation Email Address: * jelmore@sampson.k12.nc.us Name of Submitter: * Robert Carroll Signature: Roped cC3,4roll Date of submittal: 5/28/2024 This will be filled in automatically Initial Review Reviewer: Wanda.Gerald Is the project number correct?* W00014785 Is the monitoring report accepted?* Yes NO Regional Office* Fayetteville Reviewer: _anonymous Review Date: 6/21/2024 FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Permit No.: VV00014785 Facility Name: Midway Middle School County: Sampson Month: April Year: 2024 Did irrigation occur Field Name: 1 Field Name: 2 Field Name: 3 Field Name: 4 this facility? Area (acres): 0.435 Area (acres): 0.435 Area (acres): 0.435 Area (acres): 0.435 at Cover Crop: Cover Crop: Cover Crop: Cover Crop: DYES El NO Hourly Rate (in): 0.16 Hourly Rate (in): 0.16 Hourly Rate (in): 0.16 Hourly Rate (in): 0.16 Annual Rate (in): 39 Annual Rate (in): 39 Annual Rate (in): 39 Annual Rate (in): 39 Weather Freeboard Field Irrigated? [AYES L 'No Field Irrigated? DYES El NO Field Irrigated? ❑YES El NO Field Irrigated? DYES El NO T p o O L N c Ip 41 E F o f6 'Q d d Q1 0 v7 m °' N Q N J U N a N o E y 7 a Q 0 N Y E ~CL ` rn o M O J >, 'cp 0 E cn 7` C 7 V f0 2 J a N E._ O p• Q v N .0, _E N H •� _ rn a (9 O J .m E 7` 7 = p J d 0 E._ 7 a O Q. Q N N E@ F- •� _ rn M O J 7 >` C ,E 7 X O Q = J d 0 E. 7 Q O O. > Q d E H .� _ rn M J 0 7 T 7 'O EQ. X O O M= J °F in ft ft gal min in in gal min in in gal min in in gal min in in 1 PC 83 5 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 2 PC 81 5 1,250 20 0.11 0.11 11250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 3 CL 68 5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 4 C 63 5 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 5 C 62 5 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0,11 1,250 20 0.11 0.11 6 C 73 5.5 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 7 C 73 5.5 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0,11 8 C 70 5.5 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 11250 20 0.11 0.11 9 PC 61 5.5 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 10 PC 71 5.5 1,250 20 0.11 0.11 1,250 1 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0,11 11 CL 66 5.5 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 121 PC 78 5.5 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0,11 0.11 1,250 20 0.11 0.11 13 PC 76 5.5 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 14 C 64 6 1,250 20 0.11 0.11 1.250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 15 C 78 6 1,250 20 0.11 0.11. 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 16 C 81 6 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 17 PC 84 6 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 18 C 87 6 1,250 20 0.11 0.11 11250 20 0.11 0.11 1,250 20 0.11 0.11 1.250 20 0.11 0.11 19 PC 85 6 1,250 20 0.11 0.11 1,250 20 0.11 0,11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 20 PC 78 6 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 21 CL 65 6 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 1 0.11 22 6.5 0 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 23 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 24 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 25 0 0 1 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 26 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 27 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 28 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 291 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 30 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 11 0 0 0.00 0.00 311 1 1 1 #REF' Monthly Loading: 25,000 2.12 25,000 2.12 25,000 2.12 1 25,000 2.12 12 Month Floating Total (in): 9.84 9.84 9.84 9.84 FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Did the application rates exceed the limits in Attachment B of your permit? 121 Compliant ❑ Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 2Compliant ❑Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? 11Compliant ❑Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? OCompliant El Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? P1Compliant ❑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 Permittee Certification ORC: Robert Carroll Permittee: SAMPSON COUNTY SCHOOLS Certification No.: 26341 Signing Official: Robert Carroll Grade: SI Phone Number: 910-385-6116 Signing Official's Title: ORC Has the ORC changed since the previous NDAR-1? El Yes CNo Phone Number: 910-385-6116 Permit Exp.: 10/31/28 /117 5/28/24 f4/ / 5/28/24 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 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 jngwry 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 FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Permit No.: WQ0014785 Facility Name: 0 County: Sampson Month: April Year: 2024 Field Name: 5 Field Name: 6 Field Name: 7 Field Name: 8 Did irrigation occur Area (acres): 0.435 Area (acres): 0.435 Area (acres): 0.436 Area (acres): 0.435 at this facility? Cover Crop:Cover Crop: p� Cover Crop: P� Cover Crop: P: MYES rI NO Hourly Rate (in): 0.16 Hourly Rate (in): 0,16 Hourly Rate (in): 0.16 Hourly Rate (in): 0.16 Annual Rate (in): 39 Annual Rate (in): 39 Annual Rate (in): 39 Annual Rate (in): 39 Weather Freeboard Field Irrigated? FIYES El NO Field Irrigated? :7YES ❑NO Field Irrigated? OYES ❑NO Field Irrigated? OYES ❑NO >' o a) -0 ° U t a) 2 c o. E c ° .� .n. d ° `` (n - ° Q N u >, .Q fC {y N L y° E d 0 ° Q i Q 0 d +�- E@ F- •Q1 _ c � O J A N E rn a C E 3 c m ° O = J m a ,47 0 ° a J Q n N N E 0 F- •°1 _ c �O J T M 0 E m > >' C £ 7 O " ° O = J ° a E .� 7 ° a � Q a N .�, E@ O1 c o �O 0 T f0 0 E rn > >' C E 7 x ° O = J d o E '� 7 ° °- > Q a d .� E m i- •C _ c �O 0 1 M 0 E 0n > >' C E " ° O 2 2 J °F in ft ft gal min in in gal min in in gal min in in gal min in in 1 PC 83 5 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 20 20 0.11 0.11 2 PC 81 5 1.250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 0,11 0.11 3 CL 68 5 4 C 63 5 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 0.11 0.11 5 C 62 5 1.250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0,11 1,250 20 0.11 0.11 6 C 73 5.5 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 1 0.11 0.11 1,250 20 0.11 0.11 7 C 73 5.5 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 8 C 70 5.5 1,250 20 0.11 0,11 1,250 20 0.11 0.11 1,250 20 0.11 0,11 1,250 20 0.11 0.11 9 PC 61 5.5 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 10 PC 71 5.5 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0,11 0.11 11 CL 66 5.5 1,250 20 0,11 0.11 1,250 20 0A1 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 12 PC 78 5.5 1,250 20 0.11 011 1,250 20 0.11 0.11 1,250 20 1 0.11 0.11 1,250 20 0.11 0.11 13 C 76 5.5 1,250 20 0.11 0.11 1.250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 14 C 64 6 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 15 C 78 6 1,250 20 0.11 0,11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 16 C 81 6 1,250 20 0,11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 17 PC 84 6 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 18 C 87 6 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 19 PC 85 6 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 20 PC 78 6 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0,11 0.11 1,250 20 0.11 21 CL 65 6.5 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 20 0.11 0.11 1,250 1 20 0.11 22 #REF! 23 #REF! 24 #REF! #REF! L Monthly Loading: 25,000 2.12 25,000 2.12 25,000 2.11 25,000 2.12 12 Month Floating Total (in): 9.84 9.84 9.84 9.84 FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of 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? Compliant ❑ Non -Compliant O Compliant ❑ Non -Compliant O Compliant ❑ Non -Compliant 0 Compliant ❑ Non -Compliant O 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 Permittee Certification ORC: RobertCarroll Permittee: SAMPSON COUNTY SCHOOLS Certification No.: 26341 Signing Official: Robert Carroll Grade: SI Phone Number: 910-385-6116 Signing Official's Title: ORC Has the ORC changed since the previous NDARA? ❑ Yes o No Phone Number: 910-385-4915 Permit Exp.: 10/31/28 5/28/24 5/28/24 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 Quality Information Processing Unit 1617 Mail Service Center FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page Permit No.: W00014785 Facility Name: Midway Middle School County: Sampson Month: April Year: 2024 Field Name: 1 Field Name: 2 Field Name: 3 Field Name: 4 Field Name: 5 Area (acres): 0.435 Area (acres): 0.435 Area (acres): 0.435 Area (acres): 0.435 Area (acres): 0.435 Cover Crop: Cover Crop: Cover Crop: Cover Crop: Cover Crop: Load Type: PAN Load Type: PAN Load Type: PAN Load Type: PAN Load Type: PAN Field Loaded? ❑ YES Ll No Field Loaded? ❑ YES n No Field Loaded? ❑YES 11 No Field Loaded? ❑ YES D NO Field Loaded? ❑ YES ENO N Z z Q d z c z ¢ Z C z Q 1 Z z Q T Z= z Q .a Q a p (I m Q d d .a a Q p a.% Q d d •a Q a p d t` Q d d •Q a. Q p d W Q d d .Q °- Q p d Q a d y Q d ,D a > Q �, > cu Q °' .D iv > a cv Q .� ? m -o M Q .a a ca j a me m o m o �, o�c M N v s o R o �, arc t o m o me R d t o 12 o arc t o m 0 @ E m J c J 5 E y U J c J E +-' J c J 3 E y= +-� J c J E U J c J o Q c0 o ¢ V z o Q �j 2 o Q 2 o Q E 0 > U > U > U > Lj U > �j U Month gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac May June July August September October November December January February March April 25,000 9.29 4,5 4.5 25,000 9.29 4.5 25,000 9.29 4.5 4.5 25,000 9.29 4.5 4.5 12 Month Floating PAN Load 4.5 4.5 4.5 4.5 (Ibs/ac/yr): 1�5"004.5 Annual PAN Load Limit 15.7 15.70 15.70 15.70 (Ibs/ac/yr): FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of Did the mass loading rates exceed the limits in Attachment B of your permit? OCompliant ❑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 Permittee Certification ORC: Robert Carroll Permittee: SAMPSON COUNTY SCHOOLS Certification Number: 26341 Signing Official: Robert Carroll Grade: SI Phone Number: 910-385-6116 Signing Official's Title: ORC Has the ORC changed since the previous NDMLR? ❑Yes a No Phone No.: 910-385-6116 Permit Exp.: 10/31/28 0 Signature By this signature, I certify that this report is accurrate and complete to the best of my knowledge. 5/28/24 5/28/24 Date 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 Quality Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page Permit No.: W00014785 Facility Name: Midway Middle School County: Sampson Month: April Year: 2024 Field Name: 6 Field Name: 7 Field Name: 8 Field Name: Field Name: Area (acres): 0.435 Area (acres): 0.435 Area (acres): 0.435 Area (acres): Area (acres): Cover Crop: Cover Crop: Cover Crop: Cover Crop: Cover Crop: Load Type: PAN Load Type: PAN Load Type: PAN Load Type: Load Type: Field Loaded? ❑ YES O NO Field Loaded? ❑ YES ❑ NO Field Loaded? ❑ YES O NO Field Loaded? ❑ YES ❑ NO Field Loaded? ❑ YES 0 NO a D o a 2 oQ z az o @ T o Mz do QM¢ a. 0. a n- a 0) 15 o J „ > 'a a ° 0 o J >a a) Q Q T fa Q OQ A U aL-. J J E @ V — J J E N U L-� J J E > V L E —� E > V '= E J E ° a) C C ° 3 ° d C C ° 3 E > N C > C ° 7 E ° Q c c 7 0 Q C C ° 0 > o Q E > ° Q U o Q U o U ° U j 0 U 2 U U U >° U >0 U >° Month gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibslac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibslac May June July August September October November December January February March April 25,000 9.29 4.5 4.5 25,000 9.29 4.5 4.5 25.000 9.29 4.5 4.5 12 Month Floating PAN Load 4.5 4.5 4.5 (Ibs/ac/yr): Annual PAN Load Limit 15.7 15.70 15.70 (Ibslac/yr): FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of Did the mass loading rates exceed the limits in Attachment B of your permit? OCompliant El 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 Permittee Certification ORC: Robert Carroll Permittee: SAMPSON COUNTY SCHOOLS Certification Number: 26341 Signing Official: Robert Carroll Grade: SI Phone Number: 910-385-6116 Signing Official's Title: ORC Has the ORC changed since the previous NDMLR? ❑Yes CINo Phone No.: 910-385-6116 Permit Exp.: 10/31/28 Signature By this signature, I certify that this report is accurrale and complete to the best of my knowledge. s dl- 5/28/24 Date 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 Quality Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: WQ0014785 Facility Name: Midway Middle School County: Sampson Month: April Year: 2024 PPI: 0017Flow Measuring Point: A Influent Ll Effluent ❑ No flow generated Parameter Monitoring Point: ❑ Influent D Effluent ❑ Groundwater Lowering O Surface Water Parameter Code o 50050 00400 00625 00310 00610 00530 31616 00665 00620 WQ09 00940 00600 70300 O O O O =a2 a Y 2 z F O E Q m O E ut_ —O U O a " c _� O a- a z d U c O z y OE O N OC N co 24-hr hrs GPD su mg/L mg/L mg/L mg/L #/100 mL mg/L mg/L mg/L mg/L mg/L mg/L 1 14 7.99 2 14 8.02 3 14 4 14 8.4 5 14 8.7 6 14 8 7 14 7.91 8 2,386 7.89 9 2,386 7.93 10 2,386 7.92 11 2,386 7.9 12 2,386 7.89 13 2,386 7.91 14 2,386 7.88 15j 2,350 7.92 16 2,350 8.04 171 2,350 8.05 181 2,350 8.04 19 2,350 8.01 201 2,350 8.05 21 2,350 8.01 22 2,160 23 2,160 24 2,160 25 2.160 26 2,160 271 2,160 28 2,160 29 1,500 30 1,500 31 Average: 1,712 Daily Maximum: 2,386 8.70 Daily Minimum: 14 7.88 Sampling Type: Monthly Limit: 30,000 Daily Limit: FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Sampling Person(s) Certified Laboratories Name: Name: Name: Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 3Compliant ❑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 Permittee Certification ORC: Robert Carroll Permittee: Sampson County Schools Certification No.: 26341 Signing Official: Robert Carroll Grade: S Phone Number: 910-385-6116 Signing Official's Title: ORC Has the ORC changed since the previous NDMR? ❑ Yes 21 No Phone Number: 910-385-6116 Permit Expiration: 10/31/2028 Signature By this signature, I certify that this report is accurrate and complete to the best of my knowledge. 5/28/2024 5/28/2024 Date 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 property 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