WQ0031030_Monitoring - 08-2016_20161004

FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page ) of�
Pgrmit No.: WQ0031030
Facility Name:
North Elementary
School
1 County: Curdtuck
Month:
August
1 .
Site Name:
1
Site Name
Site Name:
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FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (14DAR-2)
Page of
Did the application rates exceed the limits,in Attachment B of your permit?
pcompliant ❑Non Compliant
If not a basin; were the sites keptfree of vegetation and raked?
(]compliant ❑Non -Compliant
If not a -basin, -were there any instance&ofvffluent:ponding in or runoff#rom the sites?
(]compliant -❑Non-compliant
If a basin, were there any instances of. breakout from. the berms?
pcompfiant ❑Non Compliant
Was the onsite automatically:activated standby power:source.tested and operational? ❑p 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: Randall Marrs Permittee:
Michael Warren
Certification No.: 993714 Signing Official: - William G. Freed
Grade: WW2 PhonwNumber: 252-340.4586. Signing Official's Title: President; Envirotech
Has the ORC since the previous NDAR-2? ❑Yes ONo Phone Number: 252-207-5853 Permit Exp.:12/1%15
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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 andbelief,true, accurate, and complete. I am aware that there are significant
penalties for submitting false Information, including the possibilityof 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