WQ0006254_Monitoring - 03-2021_20210504 (2)

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0006254
Name of Facility:*
Month:* March
Report Information
Corolla Light WWTP #1
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
CL NDMR and NDAR-2 7.97MB
Reports MAR21 Signed.pdf
IPDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Travis Tucker
p�" 11 �'Y, 9ut
Reviewer: Williams, Kendall N
4/30/2021
This will be filled in automatically

Is the project number correct?* WQ0006254
Is the monitoring report t: Yes r No
accepted?*
Regional Office* Washington
Accepted Date: 5/4/2021

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Permit No.: WQ0006254 —T—Facility
Name: Corolla Light WWTP #1
County: Currituck
Month: March
Year: 2021
P PI: 001
Flow Measuring Point: Ej Influent [Z Effluent 0 No flow generated
T
- -
Parameter Monitoring Point: [I Influent ❑ Effluent E Groundwater Lowering El Surface water
Parameter Code 01
50050
00310
00680
00940
60060
31616
00610
00625
00620
00600
00400-
00666
70300
00530
'ru
.2:
E
0
0
E
P
0
0
0-2
0
C
T:
0
E
Ii
Li 0
0
E
E
tm
0
15 :L'
z
0
2
M
2
0
15 2
z
X
0-
0
;1,
CL
0)
0
CL
i th 0
M4
0
ID
M
0 CL 0
(n
24-hr
hrs
GPD
mg/L
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg[L
mg/L
1
2
3
4
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
261
261
1
271
28
29
30
31
Average:
#DIV/O!
Daily Maximum:
0
Daily Minimum:
0
Sam piing Type:
Monthly Limit:
Recorder lComposite
160,600
10
Composite
Composite
Grab
Grab
14
Composite
4
Composite
Composite
Composite
Grab
Composite
Composite,
Composite
20
Daily Limit:
43
6-9
Sample Frequency:
Continuous I
See Permit
3 X Year
3 X Year
5 X Week
See Permit
See Permit
See Permit
See Permit
See Permit
5 X Week
See Permit
X Year
See Permit

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) 11 Certified Laboratories
Name: Travis Tucker Name: Environmental Chemists Inc. - Lab Certification #37729; DWQ #94
Name: Name: Carolina Water Service of NC Inc. Eastern Region #5162
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? [21 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.
On September21, 2020 at 12:25, all flow started being redirected to Monteray Shores WWTP (WQ0009772). In October 2020, wastewater
cleaned tanks. Main power disconnected on October 27, 2020 and the last day operations staff was onsite was October 28, 2020.
to
Operator in Responsible Charge (ORC) Certification
Perm ittee Certification
ORC: Travis Tucker
Permittee: Carolina Water Service of North Carolina Inc.
Certification No.: 1002180
Signing Official: Dana Hill
Grade: 4 Phone Number: 252-256-1190
Signing Official's Title: Regional Manager
Has the ORC changed since the previous ? ❑ Yes [Z No
Phone Number: 252-269-2540 Permit Expiration: 10/31/2021
�.
Digitally signed by Dana ill
E=d n8:hill@caroling ateserrvicenc.�ll,
Reason 1 am the author of this document
Dana Hill co
Location: your signing location here
2021.04.30 13.01.49-04 00
Foxit PhantomPDF Version: 10.1.3
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
Raleigh, North Carolina 27699-1617

FORM: NDAR-2 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page of
Permit No.: WQ0006254
Facility Name: Corolla Light WWTP #1
County: Currituck
Month: March
Year: 2021
Did infiltration occur at
Site Name:
Rotary 1
Site Name:
Rotary 2
Site Name:
SPRAY
Site Name:
LPP
this facility?
❑
Area '(acre s):._
0.18
Area (acres):
0.18
Area (acres):
0.18
Area (acres):
0.18
ves 0 No
Rate (GPD/ft):
5.09
Rate (GPD/ft):
5.09
Rate (GPD/ftz):
5.09
Rate (GPD/ft):
` 5.09
Weather
Freeboard
Site Infiltrated?
❑ YES 7 NO
Site Infiltrated?
❑ YES El No
Site Infiltrated?
❑ YES Q NO
Site Infiltrated?
❑ YES 0 No
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in
ft
ft
gal
min
GPD/ftx
ft
gal
min
GPD/ft2
ft
gal
min
GPD/ftx
ft
gal
min
GPD/ft2
ft
1
2
3
4
5
-
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
#DI!lJOL
7:08
#DIV/01
7.08
#DIVlOi
0.00
#DIV/01
9.70
Monthly Loading (GPD/ft):
Year to Date Loadin GPD/ft2 :

FORM: NDAR-2 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page of
Did the application rates exceed the limits in Attachment B of your permit?
Q Compliant
❑ Non -Compliant
If not a basin, were the sites kept free of vegetation and raked?
D Compliant
❑ Non -Compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites?
E Compliant
❑ Non -Compliant
If a basin, were there any instances of breakout from the berms?
El Compliant
❑ Non -Compliant
Was the onsite automatically activated standby power source tested and operational?
[Z 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
PL.NVI k.j LGrLGI,. I'ILI0L I a VI ICE J ICGW 11 IICt,t::bZodIy.
Operator in Responsible Charge (ORC) Certification
E ORC: Travis Tucker
Certification No.: 1002180
Grade: 4 Phone Number: 252-256-1190
Has the ORC changed since the previous NDAR-2?
❑ Yes 0 No
Signature
By this signature, 1 certify that this report is accurrate and complete to the best of my knowledge.
Perm ittee Certification
Perm ittee:
Carolina Water Service of North Carolina, Inc.
Signing Official: Dana Hill
Signing Official's Title: Regional Manager
Phone Number: 252-269-2540
DlgtalRyslgnE R;banaHill 10/31/21
/
Dana Hill
DN: C=US, O=CWSNC, CN=Dana Hill,
E=dana com
Reason I am the author of this document
Location your signing location here
g location
:your signing ion h re
1
Date: 2021.04.30 13:02:09-04'00'
Foxit PhantomPDF Version: 10.1.3
Signature Date
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