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Home My WebLink AboutWQ0001284_Monitoring - 06-2024_20240726FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page_ (_ _of_/ FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page_j of—y 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? Z Compliant © Non -Compliant Z Compliant [1 Non -Compliant Z Compliant ❑ Non -Compliant 19 Compliant ❑ Non -Compliant ❑x 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: Jeffrey Long Permittee' Town of Conway Certification No.: 993135 Signing official: Jeffrey Long Grade: Sprayfield Phone Number: 252-308-2984 Signing Official's Title: ORC Has the ORC changed since the previous NDAR-1? Phone Number: 252-585-0488 Permit Exp.: 08-31-2028 07-24-2024 07-24-2024 / / 'I Si nature Date / / / / Signatur 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: NE)MR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ t of (__ 7 z4 FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page I 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? Q compliant © Non -Comp 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? O Yes 9 No 07-24-2024 Signat re Date By this signature, 1 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: 08-31-20,' 07-24-2024 Signature Dz I certify, under penally 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 Monitoring Report Submittal Permit Number#* Name of Facility:* Month:* June WQ0001284 TOWN OF CONWAY Report Information Type * NDMR, NDAR-1, NDAR-2, NDMLR Confirmation Email Address: Name of Submitter: * Signature: Date of submittal: Initial Review Year:* 2024 Upload Document* NDAR6.pdf 551.34KB PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). JEFFREYLONG267@GMAT L.COM JEFFREY LONG 1-1&1-'jij . -t"� Reviewer: Wanda.Gerald 7/26/2024 This will be filled in automatically Is the project number correct?* W00001284 Is the monitoring report accepted?* Yes NO Regional Office* Raleigh Reviewer: _anonymous Review Date: 7/29/2024