WQ0022697_Monitoring - 10-2016_20161121

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDAR-1)
Page 1 of 2
Permit •1122697
Facility Name: Town of Scotland Neck Reclaim Water Generation•
•
• October
1 .
•irrigation
occur
at this facility?
YES NO
• '.
Field Irrigated?
1
•
1
1
• '. 1
• '.
Field Irrigated?
•
• . • •
----------------

FORM: NDAR-01 08 11
NON -DISCHARGE MONITORING REPORT (NDAR-1)
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?
Page 2 of 2
FX
Compliant
F-1
Non-Complian
❑x
Compliant
Grade: 2 Phone Number: 252-826-5540
Non-Complian
Fx
Compliant
El
Non-Complian
Fx
Compliant
F-1
Non -Compliant
❑X Compliant Non-Complian
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 sheet if necessary
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: RickyArtis
Permittee: Town of Scotland Neck
Certification No.: 997714
Signing Official: Gary Stainback
Grade: 2 Phone Number: 252-826-5540
Signing Official's Title Consultant
Has the ORC changed since the previous NDAR-1? Yes
Phone Number: 252-8 - Permit Expiration: 03/31/2013
1�0
ignature Date
L00, Si ature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge,
I certify, andpen ty aw, 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
athering 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