WQ0000601_Monitoring - 06-2021_20210723

Samuel Ross
Director Environmental Field
Services
NC Dept. of Natural Resources
Attn: Information Processing Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Non -Discharge Monitoring Report Submittal
CSX Transportation, Inc. Hamlet
Permit. Number WQ0000601
Dear Sir/Madam,
500 Water Street J-275
Jacksonville,,FL 32202
[phone]
Fax [phone]
[e-mail]
RECEIVED July 23.,2021
AUG 2 2021
WO~ M's
MICE
Attached Attached is the completed self -monitoring report for June 2021 for (he above. referenced location.
lf.you have any questions or comments, please do not hesitate to contact me at (904).359-3691.
Sincerely,
'_' Sam— uel Ross
Attachments

500 water Street
Jacksonvi I le.11. 32202
Phone: [phone]
E-Mail: Nathan Goldmanncsx.com
CORPOPAMON
February 4, 2021
Mr. Samuel Ross
Director Environmental Field Services
CSX Transportation,- Inc.
500 Water. Street, J-275
Jacksonville, FL.32202
Dear Mr. Ross,
NATHAN,D. GOLDIMAN
Executive Vice Aresldent &
Chief Legal Officer
You handle matters pertaining to compliance with Federal, State, and local environmental
laws and regulations. One; of younresponsibilities is preparing permit applications, variance
-requests, report.forms.and certifications; and such -other documents and papers asnecessary to
assure compliance with environmental Iaws andTegulatioris.
Accordingly; I hereby authorize you. to sign the necessary environmental documents on
behalf of the Company to carry out your work.
c
This authorization is in addition to, electronic agency -permitting submissions currently in
effect.
Sincerely,
Nathan D..Goldman
co

FORM: 140MR 05-16 NOWDISCHARGE MONITORING REPORT (NDMR) Page I of 2
Permit No.: WQ0000601 Facility Name: CSXTranspQrla1ionHamI0tWWTF
jr-quhty: Richmond Month: June
IYear: 2021
PPI: 001.
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'FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2_.of 2
Sampling Person(s) Certified Laboratories
Name: Name: Not applicable
Name: Name:
it monitoring data and sampling frequencies meet the requirements in Attachment A.of your permit? m compliant o 'Non-Comptiant
cility is non -compliant, please explain in the space below reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance
a[IU UU5G1t0@ tllt3 UpffeGtfVC dUtIUJIkbJ WNUII. /lttdGu dUUIUVJIC1t btlt:Gtb IIIfgGGbbd,y.
Operator in Responsible Charge (ORC). Certlfication
Permittee Certification
ORC: Michael Gregory
Permittee: CSX.Transportation, Inc.
Certification No,: 985463
Signing Officiate Samuel Ross
Grade: 2 Phone Number: 910-205-6379,
Signing Officials Title: Director Environmental Field Services
Has the ORC clianged since the previous NDMR?
Phone Number: :904-359-3691 -Permit Expiration: 7/31/2023
o Yes o No
. e 7/20/2021
. 07/23/2021
Signa-bire Date
.4,z,f'G?
Signature Date
By this sipnalum, Ic¢rtity Ulal this report L accurate and complete to theft pot of my knmviodgn
I certify;, under penalty of low, that this document end all otlaehmools were prepared under my,d rogon or supervision In
accortlonce xifh e, system designed fq nssurn Ihnl nit quallGed personnel property gathered and evaluated tho'l itormattoa
subntifled, Based on'ary Inquiry of thopgrson; or persons who marlage.thosystem, or those persons directly responsible for
gathering he infam>aliaa, the Inf¢nnatioosuba"nttedis, to' lhebeit of my knoxledge and belles, Irtie, puurote, and complete_ 1
am avmro thal Ih¢r¢ are significant penalties for suhmitting faLgin"nallon, iricluding the possibility of finesand imprisonment.
rni:knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center."
Raleigh,,North Carolina 27699-1617
J

Permit No.: W00000601
Facility Name: CSX Transportation Hamlet WWTF
County; Richmond
IMonth; June
Year: 2021
Did infiltration occur at this
Site Name;
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Area (acres):
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Area (acres):
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Rate' (GPD)
200,000
Rate (GPD):
200,000
Rate (GPD):
200.000
YES NO
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0 YES NO
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Permit No.: WQ0000601
Facility Name:, CSX Transportalion'Hamlet-WWTF
County: Richmond
Month: June
Year: 2421
Did infiltration occur at�5rteNa
this fBClllt)/
a YES o NO
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Did the application rates exceed the limits in Attachment'B of your permit?
oCompliant
a. Non -Compliant
If not a basin, were.the sites kept free. of vegetation and raked?
❑ Compliant
❑Non -compliant
if not'a basin, were there any instances of effluent ponds in or runoff from the sites?
❑ Compliant
❑ Non -Compliant
If a basin, were there any instances of breakout from the berms?
6 compliant
a Non -Compliant
Was this onsite automatically activated,standby,powersource tested and operational?
121 compliant
❑Non -Compliant
If the facility is non -compliant, please explain in the space.below the reason(s) 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 (bRC) Certification
Permittee Certification
ORC: ' Michael Gregory
Permittee: CSX Transportation, Inc.
Certification No.: 985463
Signing Official: Samuel Ross
Grade: 2 Phone Number:. 910-20576379
Signing Officials Title: Director Environmental Field Services
Has the Q C changed since the previous NDAR-2? ❑ Yes to .No
Phone Number: 904-359-369.1. Permit Expiration: 7/31/2023
r
7/20/2i121
07/28/2021
Sig%ture"& IL Date
Signature Date
By this signature. I certify thatthls report t. aural complete to the best of my knowtedge
I certify, under penally of low, that ihis dacument and all attachments were prepared under my direction or supervision In
accordancb: lh a system designed to,assure.thatoll qualified personnelproparly gathered and evaluated the information
subnriged. Based on my inquiry of the.person'ocpersont who manage the system, orthose persons directly. responsible for
gathering the Informailon the informatian submitted is, to the best,of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting fatse.informaiion, including the possibility of lines and imprisonment
for !mowing violations.