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Home My WebLink AboutWQ0021289_Monitoring - 12-2016_20170203FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Pagel of0 Permit No.: 111 :• Facility Name: Town of - • • WWTP County:'- • Decernberil2016 Flow Measuring Point: Drifluent �ffluent 2No flow generated • Daily FORM- NDMR 08-11 g1nr1_n1Qr`us0r_G MnAnTnt?IMr_ D=or*.DT fnlrinnp► Paae 2 - of $ F Y Sampling Person(s) Certified Laboratories Name: Operators Name: Environment 1, Inc. Name: Name: Town of Hertford WWTP Laboratory s all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑✓Compliant ❑Non -Compliant 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 act taKen. Auacn aaanional sneets It Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Charles A. Jones, Jr. Permittee: Town of Hertford Certification No.: 985305 / 993143 Signing Official: Brandon Shoaf Grade: IV/ SI Phone Number: 252.333.6948 Signing Official's Title: Town Manager Has the ORC changed since the previous NDMR? Des ONO Phone Number: 252.426.1969 Permit Expiration: 12/19/2014 i Siguature 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 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page J of Permit No.: X11 '• Facility Name: Town of • • - • December / irrigation occur at this facility? Field Name. Area (acres): Area jacres): Area - 1 Cover Crop: Civer Crop: Cover Crop: E]YES NO Hourly Rate (i I 111111111:5VIETAV.1rWITI Hourly Rate (In):� Hourly Rate Annual Rate (in)M�Mmz=��U Annual Rate(iny.�� Annual Rate (in): 11"M - •. -• v •. •• v • .. -. v • •. •• v • . r m===== MWAWM AMWV/� ENEIAMEMMIN Monthly ... . • • • • - �%//!/////� ''//////%///'////%%%�"///%%///ji'///%////%/�%�/////�%//%/%/;''///////%//ice///.%/� 1 1 1 %� �}�•J///� 1 1 1 f!//f/�/ � �//f/ 1 , 1 %/%/%% �/////%'%////%%/%//%///�''///////%% � ///// i/. • 1 1 FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of -0, 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? Rcompliant []Non -Compliant 2Compliant ❑Non -Compliant Rcompliant ❑Non -Compliant 2Compliant ❑Non -Compliant Rcompliant ❑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 acuon(s) [aKen. Auacn aaaluonal Sneeis a Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Charles A. Jones, Jr Permittee: Town ofil Fertofrd Certification No.: 985305 / 993143 signing Official: Brandon Shoaf Grade: IV/ SI Phone Number: 252.333.6948 Signing Official's Title: Town Manager Has the ORC changed since the previous NDAR-1? Des ONO Phone Number: 252.426.1969 Permit Exp.: 12/19/14 lavt4 0, -i k7 c Z 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 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Permit No.: X11 :• Facility Name: Town of - • • WWTF County: Perquimans Month:December— - - •- 1 • irrigation occur Field Field Name. Field Name: Area (acres) - Area Area f acres): at this facility? Cover .. ..Cover Crop:F-1 YES.. 0N • Hourly'.te (in): M . T r ri VA '.1 r4 ( M Hourly '. 1 • '. 1 Annual Rate (in): MUTMWIN OUXURI Annual natefin)- MIT mum ITRM - -•... Field. Irrigated? 0 • - . •. -• 0 • Field lrrigated 0 • - •. •. •. Q • miiiii SII ��i�7li ■�l�l1�i/IIA �� Monthly 12 M • %%%///ice%/////// FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Co ofS-, „ Did the application rates exceed the limits in Attachment B of your permit? gCompliant ❑Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 2Compliant E]Non-Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? R�ompliant QNon-Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? ®Compliant E]Non-Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ®Compliant QNon-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 taKen. Hn:acn aaamonal Sneets IT necessa Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Charles A. Jones, Jr Permittee` Town of Hertofrd Certification No.: 985305 / 993143 Signing Official: Brandon Shoaf Grade: IV/ SI Phone Number: 252.333.6948 Signing Officials Title: Town Manager Has the ORC changed since the previous NDAR-1? Des ❑/ No Phone Number:. :252.426.1969 Permit Exp.: 12/19/14 7 ,� -A -2-,_'Zvl, 7 ignature r Date Signatu a 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 property 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. 1 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 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-'I) Page Z of S Permit No.: 111 '• Facility Name: Town of - • • - • December1 • irrigation • this facility? Crop:at Cover .. .. .. r_JYES F,'JN0 Hourly Rate (in): Annual Rate (in):/UT-11gellum --... . Field Irrigated?I� • - . .. - • - • •. •. • • •. -.. • t E3■■■■■ viii �� i�� m ■■■ ■■ UWAMML'7IM ■ BMW k'MMVI WA 0=11M ME MIMNMMME m■■■■■ �� r■ ��■■ �� MMMM ME 12 M . .. //////V////////� /M %//I/%l l//i%/moi%i%//,;%�/%�/ ////i/;�%/%////i /%///// ///i// ■■ //%/ FORM: NDAR4 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Pages -of-8, Did the application rates exceed the limits in. Attachment B of your permit? ®compliant ❑Non -Compliant - Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Rompliant QNon-compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? [jcompliant QNon-Compliant Were all setbacks listed in your permit maintained for every application to each permitted site?' ✓Ocompliant [:]Non-compliant Were all freeboards maintained in accordance with the specified freeboard heighta'in your permit? vRCompliant �QNon-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: Charles A. Jones, Jr Permittee: Town of Hertofrd Certification No.: 985305 / 993143 Signing Official: Brandon Shoaf Grade: IV / SI Phone Number: 252.333.6948 Signing Official's Title: Town Manager Has the ORC changed since the previous NDAR-1? Des ONO -i Phone Number: 252.426.1969 Permit Exp.: .12/19114 r- 21- 46*4 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