WQ0033325_Monitoring - 08-2024_20240904

Monitoring Report Submittal
Permit Number#* WQ0033325
Name of Facility:* BLADEN COUNTY WATER DISTRICT - TOBERMORY
Month: * August Year: * 2024
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR NDMR TOBERMORY AUGUST 2024.pdf 644.7KB
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:
Date of submittal: 9/4/2024
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* W00033325
Is the monitoring report accepted?* Yes NO
Regional Office* Fayetteville
Reviewer: _anonymous
Review Date: 9/26/2024

FORM: NDMR 03-12
Sampling Person(s)
Marne: Al.4,)
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Name: Zl(dF"VA/t/ j�cs7,-c/L
NCN-DISCHARGE MOMT®RING RSPORT (NDMR)
Name:
Certified Laboratories
Page __�_ of
Does all mcni toring date and zarnp inlgl frequencies meet the requirements in Attachment A off your permit? ompliant o Non-comprant
If the facility is non -compliant, please exp:ain 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
r
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
ORC: 414--1 J C
Certification Nd.: g�g zg3~
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f
Grade: R`,0;3%A) hLl+i Oe$ Phone Number: Ql _ p/Z� deaf
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Has the O RC charged since the previous NDMR? Y s do
Signature Date
By this signature, i certify that this report is accurrate, and complete to the best of my knowledge.
Permittee Certification
Permittee: /314d cv. U)-q+eV-
Signing official: 041A't) e-015e G�
Signing Official's Title:
Phone Number: Permit Expiration:
o,ynarwfc Date
certify, under penalty of law, that this document and ail 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
ny 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
Raieigh, north Carolina 27699-1617

7r'JRM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 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?
,R�/eCompliant El Non -Compliant
I�Compliant 0 Non -Compliant
9� .mpliant ❑ Non -Compliant
L'1 Compliant ❑ Non -Compliant
IJ 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 nPOPssary
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: 414AI Permittee: �� ('� • 4j 2
Certification No.: 011762.9.? Signing Officiaf:
0 -w QJV
Grade: .4. Phone Number: Signing Official's Title:
Has the ORC changed since the previous NDAR-1? ElYes 3� <N Phone Number: ite ^ 16 z_ 6Qg6 Permit Ex p.:
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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
Raleigh, North Carolina 27699-1617

FORM: tVDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) PS rTF pz a