WQ0035049_Monitoring - 02-2021_20210325

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0035049
Name of Facility:* Maple Hill WWTF
Month:* February
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
February2021 _NDMR_NDA... 1.42MB
FDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
[e-mail]
Kenny Keel
Reviewer: Williams, Kendall
3/25/2021
This will be filled in automatically

Is the project number correct? * WQ0035049
Is the monitoring report r Yes r No
accepted?*
Regional Office * Wilmington
Accepted Date: 3/25/2021

FORM: NDMR 10-13
NON -DISCHARGE MONITORING REPORT (NDMR)
Permit No.: W00035049 C Facility Name: Maple Hill WWTF
County: Pen.
PPI: 001
Flow Measuring Point: o influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point:
Parameter Code --b-
50060
00400
00310
00610
00620
00625
31616
0�06+0rn+0
00665
aE
~
O
O
=i
Uc
LL
c
_
o
E
Z
IL
U
,
Z
rm
Nm
1
09:00
hrs
4
GPD
18,507
Su
7.9
g
mg/L24-hr
m~ g/L
1 #/100 mL
mglL
mgalL
2
09:00
6
8,212
7.9
3
09:00
5
6,879
_ 7.9
4
09:00
4
2,750
7.6
-
5
6
09:00
5
3,475
4,248
7.8
_
5
<2.8
9.6
5.09
9.2
<1
5.23
0.36
7
12,279
8
09:00
4
4,931
9
09:00
5
4,557
_7,9
10
09:00
5
4,672
7.7
11
09:00
4
4,046
7.5
12
09:00
6
37,425
7.8
13
37,708
_
14
39,757
_
15
09:00
5
13,999
7.7
16
09:00
5
18,051
7.8
17
08:30
4
3,690
7.8
18
09:00
4
32,683
7.6
19
09:00
6
6,334
7.8
20
5,532
_
21
5,007
22
12:00
4
4,357
7.1
23
09:00
5
4,624
7.5
24
09:00
4
3,632
7.3
25
08:00
4
3,194
7,2
26
09:00
6
3,289
7.3
271
2,547
28
2,138
29
30
31
Average:
Daily Maximum:
Daily Minimum:
Sampling Type:
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:1
10,662
39,757
2,138
Recorder
42,000
n/a
Continous
7.90
7.10
_Grab
n/a
6 to 9
5);WK
5.00
5.00
5,00
Composite
30
n/a
Weekly
0.00
2.80
2.80
Composite
30
n/a
Weekly
9.60
9.60
9.60
Composite
15
n/a
Weekly
5.09
5.09
5.09
Composite
n/a
n/a
Weekly
9.20
9.20
9.20
Composite
n/a
n/a
Weekly
1.00
1,00
1,00 1
Grab
200
n/a
Weekly
5.23
5.23
5.23
Composite
n/a
n/a
Monthly
0.36
0.36
0.36
Grab i
n/a
n/a
Montly
Page _1_ of _2_
ier Month: February Year: 2021
❑ Influent F1 Effluent ED Groundwater Lowering ❑ Surface Water
00940
70300
a
U
13
N
O
mg/L
mglL
39
424

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page _2— of _2_
Name:
Name:
Sampling Person(s)
Samples were collected by the Certified Laboratory
Certified Laboratories
Name: Environmental Chemists, Inc.
Name: Jay Baker
uves an monitoring aata ana sampling frequencies meet the requirements in Attachment A of your permit? PI 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 additinnA chPPtc if noroccani
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Christopher K. Pickett
Permittee: Pender County Utilities
Certification No.: 995432
Signing official: Kenneth Keel
Grade: WW2 Phone Number: 910-259-1570
Signing Official's Title: Director
❑ Yes o No
Phone Number: 910-259-1570 Permit Expiration:
r �
-"- y-;2e
W(P
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 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. 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
Raleigh, North Carolina 27699-1617

F""" - 0
Environmental Chemists, Inca
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab e 910.392.4424 Far:
tiA 710 Bowsertown Road, Manteo, NC 27954 u 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 e 910.347.5843 Lab/Fw,
ANALYTICAL & CONSULTING CHEMISTS [e-mail]
Pender County Utility Operations
Date of Report: Feb 18, 2021
Post Office Box 995
Customer PO #:
Burgaw NC 28425
Customer ID: 08100095
Attention: Chris Pickett, ORC
Report #: 2021-02012
Project ID: Maple Hill WWTP
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
21-04980 Site:
2/5/2021 9:05 AM Water Walker Diab
Test
Method
Results Date Analyzed
Ammonia Nitrogen EPA 3501
Ammonia nitrogen and TKN are within Limits of uncertainty.
9.6 mg/L
02/15/2021
Total Kjeldahl Nitrogen (TKN)
EPA 3512
9.2 mg/L
02/12/2021
Total Dissolved Solids (TDS)
SM 2540 C
424 mg/L
02/08/2021
Residue Suspended (TSS)
SM 2540 D
<2.8 mg/L
02/05/2021
Chloride
SM 4500 CI E
39 mg/L
02/15/2021
BOD
SM 5210 B
5 mg/L
02/05/2021
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2
0.14 mg/L
02/05/2021
Nitrate+Nitrite-Nitrogen
EPA 353 2
5.23 mg/L
02/1512021
Nitrate Nitrogen
Subtraction Method
5.09 mg/L
02/18/2021
Lab ID Sample ID:
Collect Date/Time
Matrix Sampled by
21-04981 Site: Effluent - Grab
2/5/2021 9:07 AM
Water Walker Diab
Test
Method
Results Date Analyzed
Fecal Coliform
Idexx Colilert-16
<1 MPN/100ml
02/05/2021
Temperature
SM 2550 B
10.6 C
02/05/2021
pH
SM 4500 H B
8.8 units
02/05/2021
Total Phosphorus
SM 4500 P F
0.36 mg/L
02/11/2021
Comment:
Reviewed by:
..
Report #.: 2021-02012
Page 1 of 1

grti ication # 9a
Date: �/ Facility Name: ��Z� � �1 +� �{
Anal}st: Permit #: �lX V 0 0 `rt
P11 r_
Reference Method SM4500 H+B -2011 Instrument ID L: 1r'71�
Calibration Time
Cal Buffer 4.4 s u
Cat Buffer 10 fl s u
Check Buffer 7.0 s u Comments
j
*pH check buffer must read within ± 0 1 pH units of the buffer's true value
4 su buffer Lot#/: Ricca 2001 B20 Exp 1/2022
7 su buffer Lot#'
Ricca 2008993 Exp 72022 10 su buffer Lot#' Ricca 1001791 7/2021
Sample location
Sample Collection
Sample Analysis
pH Result 11Post-analysis Buffer
Time
Time +
s u Check value s u Comments Data Qualifiers
► Post analysis buffer check is required when performing analyses at multiple samphng locations and must be nnhin± 0 1 units of the buffer's true Natue
Ail pH values in pH units (i e , s u ) Record all data to the nearest 0 01 s u and report to the nearest 0 1 s u
Total Residual Chlorine (TRC)
Reference Method: SM 4500 Cl-G2011: Hach 8167 HR ( Please circle a licable Method Instrument iD
Post -analysis Daily Check Time check Sample Sample
Standard Result Check Std Sample TRC Result CommenisfData Qualifiers
Standard Collection Analysts pg L or mg L
L or m 'L (when analyzing Location Time TimeF 1
ug g at multiple sites) Analyzed
TRC Daily Check Standard true value µg/L or mg/L acceptance range µg/L or mg/L
Check standards must recover within ±10%of the check standard's true value
Annual Calibration Curve Verification Date: LOT # Exp. Date:
Reagent Blank Value: When applicable. Analyze and document a reagent blank when standards, sample dilutions or PT Samples are prepared)
Dissolved Oxygen (DO)
Reference Method.SM 4500 O G,-2011 Instrument ID
Calibration/ Post -analysis calibrationbration� Calibration variable Meter reading ceri(ication (when necessary)Verification or % efficiency
Comments
Time Barometric after calibration Theoretical Calculated
Temperature
pressure Value mp-I Value me/L
I I I I I I I Use this raw when performing a verification instead of I
Sample Location Sample Collection *Sample Analysis DO reading Time Time mg/L CommentsData Qualifiers
....�. yam. tut t,-'s mtuapxa at muutpic tucau uns, me meter must oe recatibratea at each site be tore analysis or a post -analysis calibration %crfication must be performed
* If sample is measured directh, in the stream and/or onsite, only time analyzed would be recorded Ni ith a note that they are measured in situ or immediately
Temperature
Reference Method SM 2550 B-2010 Instrument ID.
1 Sample 'Sample Temperaturep
Sample Location Collection Analysis C Comments'Data Qualifiers
Time Time
' If sample is measured directly in the stream and/or on site, only time analyzed
Annual Verification Date
Field Personnel Note:
with a note that they are measured in situ or immediately
QA.001
Rev 9-2020

Environmental Chemist, Inc., Wilmington, NC Lab #94
Sample Receipt Checklist
Client: Pal DE. L-- � U-0 L. Date: 0-1 Report Number:OZ
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Receipt of sample:
ECHEM Pickup
Client Delivery ❑
JUPS ❑ FeclEx ❑ Other ❑
❑ YES
❑ NO
fA N/A
If
'Were custody seals present on the cooler?
❑ YES
❑ NO
N/A
2.
If custody seals were present, were they intact/unbroken?
Original temperature upon receipt
°C Corrected temperature upon receipt °C
How temperature taken:
❑ Temperature Blank Against Bottles
in uun ru: i nomas I raceawe 5/N 1y1511b5/ IK Gun Correction Factor `C: 0.0
❑ YES
10
NO
1 3. if temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
YES
❑
NO
4. Were proper custody procedures (relinquished/received) followed?
YES
❑
NO
5. Were sample ID's listed on the COC?
YES
❑
NO
6. Were samples ID's listed on sample containers?
YES
ID
NO
1 7. Were collection date and time listed on the COC?
YES
❑
NO
8. Were tests to be performed listed on the COC?
YES
❑
NO
9. Did samples arrive in proper containers for each test?
YES
❑
NO
110, Did samples arrive in good condition for each test?
YES
❑
NO
111. Was adequate sample volume availableT
YES
10
NO
112. Were samples received within proper holding time for requested tests?
YES
I0
NO
113. Were acid preserved samples received at a pH of <2?
❑ YES
10
NO
114. Were cyanide samples received at a pH >12?
❑ YES
10
NO
115. Were sulfide samples received at a pH >9?
YES
❑
NO
116. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? **
YES
❑
NO
117. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
ZI YES
❑
NO
118. Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatiies are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet
Sample Preservation: (Must be completed for any samples) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): H2SO4 HNO3 HCI NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
notify the state tab if directed to analyzed by the customer. who was notified, date and time:
Volatiies Sample(s) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1

44W ENVIRONMENTAL CHEMISTS, INC 6602WindmillWayWilmington,NC28405
OFFICE: 910-392-0223 FAX [phone]
Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 [e-mail]
COLLECTION AND CHAIN OF cuSTnnv
Client: Pender County Utilities (Wastewater)
ADDRESS:
PROJECT NAME: Maple Hill WWTP (PPI 001)
CONTACT NAME:
REPORT NO:
PO NO:
PHONE/FAX:
REPORT TO: ORC
COPY TO:
email:
Sampled By:
APD
TYPE:
o a
o '
P
I = Influent,
r E
"
t
E
Uj
m
g
0-rgo
= Effluent,
PRESERVATION
W = Well, ST = Stream,
SO = Soil, SL = Sludge, Other:
ANALYSIS REQUESTED
SAMPLE
=
2 a a
c
Sample Identification
Collection
Date
Time
TempU
z
z
X
X
_
N
_
o
=
0
Z
0
Q
WWTP PPI 001 (compositE
C
BOD, TSS, NO2
P
C
X
NO3, NH3, TKN
P
(triannuals)
C
Chloride, TDS (March, July, Nov)
P
C
G
G
WWTP Effluent (grab)
G, v�
pH (field):
�
X
X
Fecal Coliform, Total P
lollG
C
P
G
G
C P
G G
C P
Samples due 1/month G G
C P
G G
limits: BOD 30 mg/L, TSS 30 mg/L, NH3 15 mg/L, fecal 200 colonies/100 ml
Transfer Relinquished By: Dat /Time Received By: Date/Time
2.
Temperature when Rpr-pivarl- \ A A . h
,I Rejected: Resample Requested:
Delivered By: ��/b Received By:_ Ia^Q Date: Time: f Z r
Comments
TURNAROUND:

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page _1_ of _4_
Permit No.: WQ035049
Facility Name: Maple Hill WWTF
County: Pender
Month: February
Year: 2021
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
Did irrigation occur
Area (acres):
1.72
Area (acres):
1.72
Area (acres):
1.72
Area (acres):
1.72
at this facility?
Cover Crop:Bermuda
Cover Crop:
p:
Bermuda
Cover Cr op:
Bermuda
Cover Crop:
p:
Bermuda
El YES ❑ NO
Hourly Rate (in):
0.41
Hourly Rate (in):
0.41
Hourly Rate (in):
0.41
Hourly Rate (in):
0.41
Annual Rate (in):
29.71
Annual Rate (in):
29.71
Annual Rate (in):
29.71
Annual Rate (in):
29.71
Weather
Freeboard
Field Irrigated?
O YES ❑ NO
Field Irrigated?
O YES ❑ NO
Field Irrigated?
10 YES ❑ NO
Field Irrigated?
o YES ❑ NO
>'
p
v
O
v
r
�,,
m
L
o
E
N
°
.
C.
U
y
E
C
-
!n
m °'
Q m
u=
M.
�.a
m Q.
m
m
E
C
o a
�+Q
m i+ '
E
Q�
i=�
a�
T C
R rs
o
- J
E a�
z 2_1
L .�
E a=
-�
mx
g, J
m y
E 01
g.
o a
>6
o
G1 d
Y
E m
p�
=
0i
T C
a
R m
0 0
J
E a)
7 �'
L •r
E 0=
X 0
mx 0
J
m .-
E Gl -
O
o a
�'Q
a
m
E
Im
~
CM
>. C
i6 o
0 0
J
E w
7 .0 C
E
C
ms
g J
m -o
E 0i
0-
Q.
°°
>Q
v
0 r
E m
p)
r'�
=
rn
"T C
V
m m
o 0
J=J
E rn
7 �` C
L .�
E o
K O m
0
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
In
gal
min
in
in
0.9
4.7
0
4.7
12,420
30
0.27
0.27
12,660
30
0.27
0.27
12,570
30
0.27
0.27
12,540
30
0.27
0.27
Va
0
4.7
0
4.7
0
4.7
11,160
30
0.24
0.24
11,160
30
0.24
0.24
11,160
30
0.24
0.24
11,010
30
0.24
0.24
7
8
C
41
0.6
4.7
9
CL
54
0
4.7
10
CL
50
0
4.7
11,940
30
0.26
0.26
11,850
30
0.25
0.25
11,790
30
0.25
0.25
11,760
30
0.25
0.25
11
CL
48
0
4.7
12
CL
41
0
4.7
13
14
15
CL
41
3
4.8
16
C
63
0.8
4.8
17
C
40
0
4.8
18
CL
37
0
4.8
14,880
40
0.32
0.32
19
R
36
2.9
4.8
20
21
22
R
54
0.5
4.8
14,520
40
0.31
0.31
14,920
40
0.32
0.32
15,040
40
0.32
0.32
23
C
46
0.1
4.8
24
C
55
0
4.8
15,800
40
0.34
0.34
15,680
40
0.34
0.34
15,680
40
0.34
0,34
15,640
40
0.33
0.33
25
C
50
0
4.8
26
CL
54
0
4.8
27
28
29
30
L
31
Monthly Loading:
12 Month Floating Total (in):
66,200
1.42
2.70
711
65,870
:,,,_; : "_
±`"
i_ _
1.41
2.74
20
1.42
2.75
65,990
1.41
2.49

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _2_ of _4_
Permit No.: WQ035049
Facility Name: Maple Hill WWTF
County: Pender
Month: February
Year: 2021
Did irrigation occur
Field Name:
5
Field Name:
6
Field Name:
7
Field Name:
8
this facility?
Area (acres):
1.72
Area (acres):
1.72
Area (acres):
1.74
Area (acres):
1.71
at
Cover Crop:Bermuda
Cover Crop:
P�
Bermuda
Cover Crop:
p�
Bermuda
Cover Crop:
p:
Bermuda
O YES ❑ NO
Hourly Rate (in):
- 0.41
Hourly Rate (in):
0.41
Hourly Rate (in):
0.41
Hourly Rate (in):
0.41
Annual Rate (in):
, 29.71
Annual Rate (in):
29.71
Annual Rate (in):
29.71
Annual Rate (in):
29.71
Weather
Freeboard
Field Irrigated?
2 YES o No
Field Irrigated?
O YES ❑ No
Field Irrigated?
❑ YES 1 ❑ No
Field Irrigated?
Z YES ❑ NO
c
3
l6
1
m
Nm
°'
a
aa
v1
0)
E _
f
. .m
�E
E
>
0
-g
E -�
E =
i
J
3 ,
i
°io
=E
E
Q
..
_d
o
Q
oa
M�
0E M
n
E'
xo�aCa'
M2 JwC
7
°F
in
ft
ft
gal
min
in
In
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
CL
37
0.9
4.7
2
CL
38
0
4.7
3
CL
37
0
4.7
12,390
30
0.27
0.27
13,080
30
0.28
0.28
13,140
30
0.28
028
12,900
30
0.28
0.28
4
C
38
0
4.7
5
CL
54
0
4.7
6
7
8
C
41
0.6
4.7
11,070
30
0.24
0.24
11,520
30
0.25
0.25
11,610
30
0.25
0.25
11.160
30
0.24
0.24
9
CL
54
0
4.7
10
CL
50
0
4.7
11
CL
48
0
4.7
12
CL
41
0
4.7
13
14
15
CL
41
3
4.8
16
C
63
0.8
4.8
17
C
40
0
4.8
11,460
30
0.25
0.25
12,330
30
0.26
0.26
12,270
30
0.26
0.26
11,940
30
0.26
0.26
18
CL
37
0
4.8
_
19
R
36
2.9
4.8
20
21
22
R
54
0.5
4.8
23
C
46
0.1
4.8
14,440
40
0.31
0.31
15,480
40
0.33
0.33
15,320
40
0,32
0.32
14,800
40
0.32
0.32
24
C
55
0
4.8
25
C
50
0
4.8
261
CL
54
0
4.8
16,280
40
0,34
0.34
271
2.19
28
29
30
1311
r49,360
1.06
2.19
��52,41
Monthly Loading:
12 Month Floating Total (in):,
0
_
1.12
223
68,620
_ L
� _ .2��,
1.45
2.56
50,800
1.09

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _3_ of _4_
Permit No.: Q035049
Facility Name: Maple Hill WWTF
County: Pender
Month: February
Year: 2021
Did irrigation occur
Field Name:
9
Field Name:
10
Field Name:
11
Field Name:
at this facility?
Area (acres):
1 75
Area (acres):
1.77
Area (acres):
1.72
Area (acres):
Cover Crop:
Bermuda
Cover Crop:
Bermuda
Cover Crop:
Bermuda
Cover Crop:
o YES ❑ NO
0
Hourly Rate (in):
0A1
Hourly Rate (in):
0.41
Hourly Rate (in):
0.41
Hourly Rate (in):
Annual Rate (in):
29.71
Annual Rate (in):
29.71
Annual Rate (in):
- 29.71
Annual Rate (in):
Weather
Freeboard
w
Field Irrigated?
O YES ❑ NO
Field Irrigated?
El YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
Y.
10
❑
O
ci
3
16
I
0
_
a
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i
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> a
9
Gr y
E�
i=•e
_
0
�. C
'o
a C
E Cl
O C
Eaa
tieT 0
or
i in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
In
in
gal
min
in
in
11
CL
37
1 0.9
4.7
21
CL
38
0
4.7
3
CL
37
0
4.7
12,180
30
0.26
0.26
11,970
30
0.25
0.25
11,190
30
0.24
0.24
4
C
38
0
4.7
5
CL
54
0
4.7
6
7
81
C
41
0.6
4.7
11,370
30
0.24
0.24
11,190
30
0.23
0.23
10,320
30
0.22
0.22
9
CL
54
0
4.7
10
CL
50
0
4.7
11
CL
48
0
4.7
12
CL
41
0
4.7
13
14
15
CL
41
3
4.8
16
C
63
0.8
4.8
17
C
40
0
4.8
12,330
30
026
0.26
12,090
30
0.25
0.25
11,280
30
0.24
0.24
181
CL
37
0
4.8
191
R
36
2.9
4.8
20
21
22
R
54
0.5
4.8
23
C
46
0.1
4.8
15,000
40
0.32
0.32
14,920
40
0.31
0.31
13,640
40
0.29
0.29
24
C
55 1
0 1
4.8
25
C
50
0
4.8
26
CL
54
0
4.8
27
28
29
30
31
E1.0j4E46,43012
Monthly Loading:
Month Floating Total (in)
50,880
1.07
2.72
50,170

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _4—of_4_
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?
121 Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
O Compliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 0 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: James Proctor Permittee:
Pender County Utilities
Certification No.: 29132 Signing Official: Kenneth Keel
Grade: WW-SI Phone Number: 910-259-1570 Signing Official's Title: Director
Has the ORC changed since the previous NDAR-1? ❑ Yes 0 No Phone Number: 910-259-1570 Permit Ex
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 Resources
Information Processing Unit
1617 Mail Service Center