HomeMy WebLinkAboutWQ0033325_Monitoring - 10-2024_20241104Monitoring Report Submittal
Permit Number#* WQ0033325
Name of Facility:* BLADEN COUNTY WATER DISTRICT - TOBERMORY
Month: * October Year: * 2024
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR NDMRTob102024.pdf 1.27MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * BCWATER@BLADENCO.ORG
Name of Submitter: * Alan Edge
Signature:
0/�
Date of submittal: 11/4/2024
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald
Is the project number correct?* WQ0033325
Is the monitoring report accepted?* Yes No
Regional Office* Fayetteville
Reviewer: _anonymous
Review Date: 11/7/2024
FORK NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of.71
Sampling Person(s)
;dame:
Name: lC�ri�y �ESf�2
Certified Laboratories
Name: �i✓(///QO/C//L1 Lr'�it�� [ ��C 0 �j0'Q��,7'��
Name:
Dees al➢ monEllau'umg data and sampfing frequencies meet the requirements in Attachment A of your penult? IP<Ompliant ❑ 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.
i— Operator in Responsible Charge (ORC) Certification II Permittee Certification
ORC: 61A.,jC
Certification No.: ? 76 2,?3
Grade: R—�%iSy/�. %'�iT� oot Phone Number: &?IV ��p/
CADSS— �PG�epp� fJ Tim
Has the ORC changed since the previous NDMR? G Yes """
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee: 1314dl ,,,, CO. Wet+ertr //j� l% e
Signing Official: 141.4.E t�L
dv
Signing Official's Title: 09llpeLioA
Phone Number: Permit Expiration:
Sig
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 propedy 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
Raleigh, North Carolina 27699-1617
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page� of�,
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;-JRM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page t of .7
D�d the application rates exceed the limits in Attachment B of your permit?
?J?Vere adequate measures taken to prevent effluent ponding in or runoff from the sites?
ri_Uas 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
L�Compliant ❑ Non -Compliant
/Compliant ❑ Non -Compliant
& Compliant ❑ Non -Compliant
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:
Permittee:
Certification No.:
Signing Signing Official:
G� s�
Grade:, Phone Number: �� a�� —
Signing Official's Title:
Has the ORC changed since the previous NDAR-1? ❑ Yes NrN.
Phone Number: 169 46 G..— 6K6 Permit Exp.:
73 --
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: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) 2 Page .7, of �
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