HomeMy WebLinkAboutWQ0036766_Monitoring - 12-2016_20170203, FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page 1 of 2
Permit No.: WQ0036766
Facility Name: Cedar Point W
County: Carteret
Month: December Year: 2016
Did infiltration occur at
(WTP
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Site Name: Basin 2itlar,twry
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Site Name:
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Area acres: 0.046
(acres):
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Area (acres)
this facility?
Rate (GPD/ft): 3.75
Rate (GPDlftZ)•
2YES ONO
Weather Freeboard
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Site Infiltrated? OYES ❑NO�.)tIfjtr2ltPdk
t
Site Infiltrated? ❑YES ONO
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FORM: NDAR-210-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page 2 of 2
Did the application rates exceed the limits in Attachment B of your permit? 1
If not a basin, were the sites kept free of vegetation and raked?
If not a basin, were there any instances of effluent ponding in or runoff from the sites?
If a basin, were there any instances of breakout from the berms?
Was the onsite automatically activated standby power source tested and operational?
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
actions) taken. Attach additional sheets If necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certificatlon
ORC: Stanley E. Buck, III
Permittee:
Old North State Water Company
Certification No.: 993396
Signing Official: Micheal Myers
Grade: III Phone Number: 252-235-4900
Signing Official's Title: President
Has the ORC changed since the previous NDAR-2?
Phone Number: 919-971-3469 Permit Exp,: 2/28/19
Signature Date
Signature Date
By this signature, I certify that this report is accufrate 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 quardied 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, adcurate, 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 Mall Service Center
Raleigh, North Carolina 27699-1617
FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 4
Permit No.: WQ0036766
Facility Name: Cedar Point WWTP
County:
Carteret
Monih:
December
Year: 2016
PPI: 001
Flow Measuring Point: ❑Influent
RIEffluent 0 N flow generated
Parameter Monitoring Point:
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BEffluent
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FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 4
Permit No.: WQ0036766
Facility Name: Cedar Point WWTP
County: Carteret
Month: December
Year: 2016
PPI• 001 Flow Measuring Point: ❑Influent
2Effluent ❑No Flow generated
Parameter Monitoring Point:
❑Influent
❑p Effluent ❑Groun?�}dwater Lowering
❑Surfacpe Water
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FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 3 of 4
Permit No.: WQ0036766
Facility Name: Cedar Point WWTP
County: Carteret
Month: December
Year: 2016
PPI: 002 Flow Measuring Point: ❑Influent
2Effluent []No flow generated
Parameter Monitoring Point:
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FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 4 of 4
Sampling Person(s) Certified Laboratories
1
Name: Stanley E. Buck III Name: Environment 1 #10
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 12 Compliant ❑ Non -Compliant
t
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 Ceitification
ORC: Stanley E. Buck III
Permittee: Old North State Water Copany, LLC
Certification No.: 993396
Signing Official: Michael Myers
Grade: III Phone Number: 252-235-4900
Signing Official's Title: President
Has the ORC changed since the previous NDMR? ❑ Yes 2) No
Phone Number: 919-971-3469 i Permit Expiration: 2/2812019
Signature Date
gnature 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 atlachigents 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 Resources
Information Processing Unit
1617 Mail Service Center I ,
Raleigh, North Carolina 27699-1617
1