WQ0000550_Monitoring - 10-2016_20161130

FORM: NDAR-1.08,11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page -_11- of
October Year: 201.6
Permit No.:
WQ0000550
Facility Name: �
Currit ck County Det
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) .
Permittee Certification
Page of 7
Did thea application f
cation rates exceed the limits in Attachment B o our permit?
Y P
� Compliant
❑ P
Non -
Non Com liant
❑ Compliant
P
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
p Compliant
❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
p compliant .
❑ Non-compliant
Were all setbacks: e backs listed in your permit maintained for every application to each permitted site.
I
❑� Compliant
E] Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
p Compliant
❑ Non -Compliant
If the facility is non-compliant, please explain in the space below the reason(s) the facility was not1n compliance. Provide in your:explanation the date(s) of
the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
gathering the information, the information submitted is, to the best of my knowledge and belief, true, _accurate, and complete. I am
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: William Nash
Permittee:.
County of Currituck
.Certification No.: 998260
Signing Official: William. Nash
Grade: WW4 Phone Numb 2522326062
Signing Official's Title: Utilities Superintendent
Has the ORC changed si a the pre 'o NDAR-1? ❑ Yes - 0 No.
Phone Number: 32 62 Permit Exp.: 12/31/17
Signature Date
Sig ature 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 docriment 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