WQ0033325_Monitoring - 09-2024_20241004

Monitoring Report Submittal
.....................................................
Permit Number#* WQ0033325
Name of Facility:* Bladen County Water District - Tobermory
Month: * September Year: * 2024
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Upload Document*
NDMR Tobermory September 2024.pdf 594.89KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Alan Edge
�lar 6 S�' *
Reviewer: Wanda.Gerald
10/4/2024
This will be filled in automatically

Is the project number correct?* WQ0033325
Is the monitoring report accepted?* Yes No
Regional Office* Fayetteville
Reviewer: _anonymous
Review Date: 10/16/2024

FORM: NOMR 03-12 NON -DI BARGE MOWTO1 ING R2POR a (NDM R) Page of.17,
Sampling Person(s)
Narne:
Name: 11(ewlu
Mama:
Certified Laboratories
00es all monitoring data and ssmpHng frequencies ➢neet the requ.uireu ants in Attachment A of your permit?
E3 Nan -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facil"Ity 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.
-- I
Operator in Responsible Charge (ORC) Certification
� Permittee Certification
a _
ORC: 414,j -
Permitfee: 814l6e Cou)e,+L r
,l Certification No.:
�i Signing Official:
Grade:-,0s53`i3> SS40,0 Phone Number: p �l�E'G7�/�
Ci a Signing Official's Title:
Has the ORC changed since the previous NDMR? -7 ya` `% �6�r 0 6
Phone Number: �
� Permit Expiration:
f Signature Date -
Signature Date
it By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certify, fy 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 offines and imprisonment for knowing violations.
Mail Original and Tvvo Copies to:
Division Of Water Resources
Information Processing Unit
1617 Mail Sep vice Center
Raleigh, North Carolina 27699-' W

JRM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page l 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 [INon-Compliant
RL//.mpliant C Nan -Compliant
MI,CCompliant ❑ Non -Compliant
L`1Compliant ❑ Non -Compliant
dCompliant ❑ Nan -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: ��� Q�4
Permittee: a .
Certification No.: �T �Z��.G�
Signing Official: A�
Grade: x4- ,d Phone Number: {IID
Signing Official's Title: � t
Has the ORC changed since the previous NDAR-1? ❑ Yes IJ'No
Phone Number: ?b9 O 6 2-^ 6ft6 Permit Ex p.:
S
.� �.
Signature Hate
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 drection 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: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page '.7, of -7—