WQ0035049_Monitoring - 04-2021_20210528

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0035049
Name of Facility:* Maple Hill WWTF
Month:* April
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*
April202l_NDMR_NDAR1.pdf 8.51 MB
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 N
5/28/2021
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: 6/2/2021

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page _1_ of 2_
Permit No.: WQ0035049
Facility Name: Maple Hill WWTF
County: Pender
Month:
Year: 2021
PPI: 001
Flow Measuring Point: Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: Influent Effluent 0 Groundwater Lowering Surface Water
Parameter Code 0
50050
00400
00310
00530
00610
00620
00625
31616
00600
00665
00940
70300
> 0
76
U
�O
e
0
U
O
c
m
'o
M c "D
o
Q
L
YO~
o 2
I-
`
o
O
U
a
-
OtoU)
Z
in
aLo
U
_>Q
V0
24-hr
hrs
GPD
su
mg/L
mg/L
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
1
09:00
4
18,624
7.7
2
10:00
4
11.042
7.8
3
10,920
4
11,324
5
01:30
4
9,013
7.9
6
06:00
6
8,066
7.8
7
08:00
5
8,833
7.7
8
08:00
4
8,160
7.4
9
08:00
5
9,210
7.4
101
10,328
ill
1
11,287
12
08:00
4
8,259
7.6
13
08:00
4
10,145
7.7
14
08:00
4
7,485
7.5
15
08:00
6
7,919
7.5
16
08:00
6
8,127
7.4
10
6.2
17.3
1.06
20
<1MPN
0.44
3.65
17
8,234
18
8,378
7.7
19
08:00
5
8,917
7.6
20
08:00
6
8,183
7.7
21
08:00
4
6,084
7.7
221
09:00
4
6,152
7.6
23
09:00
4
3,761
7.7
24
3.328
25
2,504
26
08:00
6
3,050
7.4
27
08:00
5
3,624
7.4
281
08:00
1 4
3,034
7.2
29
10.00
4
3,469
7.3
30
08:00
6
3,574
7.5
31
Average:
7,701
10.00
6.20
17.30
1.06
20.00
1.00
0.44
3.65
Daily Maximum:
18,624
7.90
10.00
6.20
17.30
1.06
20.00
#VALUE!
0.44
3.65
Daily Minimum:
2,504
7.20
10.00
6.20
17.30
1,06
20.00
#VALUE!
0.44
3.05
Sampling Type:
Recorder
Grab
Composite
Composite
Composite
Composite
Composite
Grab
Composite
Grab
Composite
Composite
Monthly Avg. Limit:
42,000
n/a
30
30
15
n/a
n/a
200
n/a
n/a
n/a
n/a
Daily Limit:
n/a
6 to 9
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
Sample Frequency:
Continous
5XWK
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
Monthly
Montly
3XYR
3XYR

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page _2_ of _2_
Sampling Person(s)
Name: Samples were collected by the Certified Laboratory
Name:
Certified Laboratories
Name: Environmental Chemists, Inc.
Name: Jay Baker
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑ Compliant O 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 necessarv.
Having problems with high ammonia I speed up the RBC To cut ammonia down.
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: 8/31/2021
'
52qZ1
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

envirochem
M
ANALYTICAL & CONSULTING CHEMISTS
Pender County Utility Operations
Post Office Box 995
Burgaw NC 28425
Attention: Chris Pickett
Lab ID Sample ID:
21-15434 Site: Effluent
Test
Ammonia Nitrogen
Total Kjeldahl Nitrogen (TKN)
Residue Suspended (TSS)
BOD
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
Nitrate+Nitrite-N i trog e n
Nitrate Nitrogen
Lab ID Sample ID:
21-15435 Site: Effluent - Grab
Test
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 . 910.392.0223 Lab . 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 . 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 . 910.347.5843 Lab/Fax
[e-mail]
Revised Report:
Apr 30, 2021
Original Report Date: Apr 29. 2021
Report #:
2021-06214
Customer ID:
08100095
Project ID:
Maple Hill WWTP
Collect Date/Time Matrix Sampled by
4/16/2021 12:31 PM Water Walker Diab
Method Results Date Analyzed
EPA 350.1 17.3 mg/L
04/22/2021
EPA 351.2 20.5 mg/L
04/21/2021
SM 2540 0 6.2 mg/L
04/16/2021
SM 5210 B 10 mg/L
04/16/2021
EPA 353.2
EPA 353.2
Subtraction Method
Method
Collect Date[Time Matrix
4/16/2021 12:30 PM Water
0.62 mg/L
04/16/2021
1.06 mg/L
04/22/2021
0.44 mg/L
04/26/2021
Sampled by
Walker Diab
Results Date Analyzed
Fecal Coliform Idexx CoNert-18 <1 MPN/100ml 04/16/2021
Temperature SM 2550 B 18.1 C 04/16/2021
pH SM 4500 H B 8.4 units 04/16/2021
Total Phosphorus SM 4500 P F 3.65 mg/L 04/27/2021
Comment: Amended 4/30/21 to report grab sample for TP.
n I
Reviewed by:
Report A.: 2021-06214 Page 1 of I

Date:
Facility Name; Certification e 24
Ana J) st:
Permit{{:
PH
Reference Method, SIvf4500 H-a -2011 frurtrumer; t ID �
L,6 -,
Calibration Time Cal Buffer 4.0 s u
Cal Buffer 10 0 s u Check Buffer 70 s.0 Comments
*pH check buffer must read within -411 pH units ofthe buffer's true value.
4 su buffer Lot:41-,_ Ricca 2001 B20 F.xn 1/2022
7 so buffer Lot;'. Ricca 2008993 ExD, 712022losubu ff er1.ot7,'KC_c2100I79I 7r'021
Sample Collection
sarnple location
location
Time♦
Sample Analysis pl-lResult 1P.Post-an3tysis Buffer
Time# 5.0 Check value s.0 CommentsDate Qualifiers
3c)
) -(" �C) �1. 77. . 'i I WA
> Post analysis buffer check is required when performing analyses at multiple sampling locations and must he %villim r 0,11 units of the buffer's true saluc
All off %afues in PH units (Le, s u ) Record all data to the nearest 0.01 s.u. and report to the nearest 0 1 s.0
Total Residual Chlorine (TRC)
Reference Method SM 4500 CI-G201 I. Hach 8167 HR: Please circle an livable Method Instrument ID
Daily Check Post -analysis Time check- I Sample
d Result Check Sid Standard Sample
(when anal} zing I Location pg L or ma L
st2ndar It Stand Collection a.',* TRC Result Commcnts;'Data Qualifiers
P 'L or mz'L Analyzed i -
g I at multiple'siles) I I Time ASample
Tn�lisili I
TRC Dail} Check Standard true value_
_ acceptariccrange--pe'Lorm.-t-
Check standards must recover %s ithin = 10% of the check standard's true value
Annual Calibration Cune Verification Date: LOT r Esp. Date:
Rea2cnt Blank Value (When applicable, Analyze and document a reagent blank -.0co standards, sample dilutions or PT Samples are prepared)
Dissolved Oxygen (DO)
Reference Nfethod;SNI 4500 0 G,201 I Instrument ID
Cabbrarion I Calibration N ariable Meter readirl! * Posl-analysi5 calibration I I verification (when necessary)V-2rifica6an I or 'a efficiency Comments
Tinre IFaarom»,
rC aftercahbration Theoretical ICalc
ulatedTemperat-le pressure Value mpL Va,e MeL
I I I I I I I Use this row -A hen performing 2 scrification instead of I
L—
ple Location Sample Collection Sample Anahsis DO reading
CommentsDara Qualifiers Sam I Time I Time I m®L I I
kk"hen performing analyses at multiple locations. the meter must be recal brazed at each site before analysis or a post -analysis calibration % erificatior must be performed
If sample is measured directly in the stream and or onsite, only time analyzed would be recorded with a note that they are measured in situ or immcdiatei}
Temperature
Reference Method S11255013-2010 Instrument ID.
ISampleample .5 1 Temper
Sample Location Collection I Analysis Ic
I Time Time
M
Comments Data Qualifiers
* 11'sample is measured directly in the stream and o_r_o_n­site, snip _-time analyzed would be recorded, with a note that they are measured in situ or immediately
Annual Verification Date 2 - Zr
Field Personnel Note:
Q %.00 1

Environmental Chemist, Inc., Wilmington, NC Lab #94
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Sample Receipt Checklist
C6entTIER19,C0 UTI U Date: ' (to :�% Report Number:
Receipt of sample: ECHEM Pickup R Client Delivery ❑ UPS ❑ FeclEx ❑ Other ❑
❑ YES ❑ NO N/A 11. Were custody seals present on the cooler?
❑ YES
❑
NO
IX N/A 2. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt °C Corrected temperature upon receipt_
How temperature taken:
❑ Temperature Blank Against Bottles
IR Gun ID: Thomas Traceable S/N 192511657 IR Gun Correction Factor °C: 0.0
❑ YES
10
NO
1 3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
YES
10
NO
1 4. Were proper custody procedures (relinquished/received) followed?
YES
10
NO
5. Were sample ID's listed on the COC?
YES
J13
NO
6. Were samples ID's listed on sample containers?
YES
10
NO
1 7. Were collection date and time listed on the COC?
YES
10
NO
S. Were tests to be performed listed on the COC?
YES
10
NO
9. Did samples arrive in proper containers for each test?
YES
113
NO
110. Did samples arrive in good condition for each test?
114 YES
10
NO
111. Was adequate sample volume availableT
YES
10
NO
112. Were samples received within proper holding time for requested tests?
YES
❑
NO
113. Were acid preserved samples received at pH of <2?
YES
113
NO
-a
114. Were cyanide samples received at a pH >12?
❑ YES
❑
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?
❑ YES
10
NO 118.
Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatiles 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 sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
Sample
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 lab if directed to analyzed by the customer. Who was notified, date and time:
Volatiles Sample(s) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1
"C

4=ENVIRONMENTAL
CHEMISTS, INC
6602 Windmill Way Wilmington, NC 28405
Analytical & Consulting Chemists
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
OFFICE: 910-392-0223 FAX [phone]
[e-mail]
COLLECTION AND CHAIN OF CUSTODY
Client: Pender County Utilities (Wastewater) PROJECT NAME: Maple Hill WWTP (PPI 001) REPORT NO:
ADDRESS:
CONTACT NAME: PO NO:
REPORT TO: ORC PHONE/FAX:
COPY TO: email:
Sampled By:_
SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Collection p, PRESERVATION
Sample Identification
Eaa M Et E i o 0 0 o W
�'" g'z
T
ANALYSIS REQUESTED
Date
Time Temp $ _ _ i o
C P
WWTP PPI 001 (composit
IC)-11 X
BOD, TSS, NO2
C P
S Z
,Q
X
NO3, NH3, TKN 'a+
" (triannuals)
C P
X
�
Chloride, TDS (March, July, Nov)
C P
G G
WWTP Effluent (grab)
G
P
�`� )3S
X
X
Fecal Coliform, To P
pH (field): ' J
( �f
U/
G
G
C
P
G
G
C
P
Samples due 1/month
G
G
C
P
G
G
limits: BOD 30 mgI, TSS 30 mg/L, NH3 15 mg/L, fecal 200 colonies/100 ml
Transfer lin ished By: DatefTime Received By: Date/Time
2.
Temperature when Received: Vl 07 Accepted: Rejected: Resample Re uested:
Delivered By: a Received By: Date: 1�/t f Time:
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: April
Year: 2021
Did irrigation occur
Field Name:
1
Field Name:
2
Field Name:
5.03
Field Name:
4
at this facility?Cover
Area (acres):
1.72
Area (acres):
1.72
Area (acres):
1.72
Area (acres):
1.72
Crop:
Bermuda
Cover Crop:
Bermuda
Cover Crop:
Bermuda
Cover Crop:
Bermuda
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?
71 YES 7- NO
Field Irrigated?
Ll YES ❑ NO
Field Irrigated?
F, YES ❑ NO
Field Irrigated?
YES NO
p
m
U
N
3
d
m
a
Fes-
c
o
a
•U
d
o
+.'
:.-
�,
a
>, �.
p
6
m -a
E .2
a
O Q
Q
a
m °:
E
F •CL
`
_
> c
p O
J=
E rn
7 c
a
X
J
£ m
Q
O CL
Q
a
m a;
E m
H •°'
c?
o
J=
c
E a
x O N
J
m
3
O G
Q
m m
E m
N .Q'
a c>
o
O3 M
J=
E 3 a
•X O R
J
°' y
0-
� Q
d
E m
rn
~=
> c
a
M
c
E
00 R
J
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
CL
52
1.2
4.6
2
C
42
0
4.6
3
4
5
C
73
0
4.6
6
C
52
0
4.6
14,800
40
0.32
0.32
14,760
40
0.32
0.32
14.840
40
0.32
0.32
14,560
40
0.31
0.31
7
C
63
0
4.6
8
C
61
0
4.6
9
C
64
0
4.6
12,120
30
0.26
0,26
12,000
30
0.26
0.26
11,940
30
0.26
0.26
11,910
30
0.26
0.26
10
11
12
C
64
0.5
4.6
13
C
63
0
4.6
14
C
61
0
4.6
15
PC
66
0
4.6
11,280
30
0.24
0.24
11,070
30
0.24
0.24
10,920
30
0.23
0.23
10,770
30
0.23
0.23
161
C
58
0
4.6
17
18
19
PC
64
0
4.6
12,210
30
0.26
0.26
12,180
1 30
0.26
0.26
12,090
30
0.26
0.26
12,030
30
0.26
0.26
20
PC
48
1 0
1 4.6
21
C
63
0
4.6
221
C
54
0
4.6
23
C
57
0
4.6
24
25
26
C
54
0
4.5
27
C
66
0
4.5
28
C
64
0
4.5
29
C
78
0
4.5
30
C
76
0
4.5
31
Monthly Loading:
70,410
1.08
50.010
49.790
1 07
�•; �;,.
49.270
1.05
12 Month Floating Total (in).
5.23
5 27
5.27
4.99

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: April
Year: 2021
Did irrigation occur
Field Name:
5
Field Name:
6
Field Name:
7
Field Name:
8
at this facility?
Area (acres):
1.72
Area (acres):
1.72
Area (acres):
1.74
Area (acres):
1.71
Cover Crop:
Bermuda
Cover Crop:
Bermuda
Cover Crop:
Bermuda
Cover Crop:
Bermuda
YES -1 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
C YES NO
Field Irrigated?
O YES ❑ No
Field Irrigated?
0 YES E No
Field Irrigated?
El YES No
O
m
a
°
w
m
C
y>
a
N
.
Q
o a
Q
°
Hrno
•7
E
o
J
y
a
E
o
3
<oc0
a)
Q
W
J
=
x o a
=J
N 'QO
2DE
~
E Dc7
E
=J=
1
CL
°F
52
in
1.2
ft
4.6
ft
gal
min
in
in
gal
min
in
in
gal
min
--in--F
in
gal
min
in
in
2
C
42
0
4.6
3
4
5
C
73
0
4.6
6
C
52
0
4.6
14,160
40
0.30
0.30
7
C
63
0
4.6
15,480
40
0.33
0.33
15,120
40
0.32
1 0.32
15,360
40
0.33
j 0.33
8
C
61
0
4.6
9
C
64
0
4.6
11,610
30
0.25
0.25
12,420
30
0.27
0.27
12,330
30
0.26
0.26
12,060
30
0.26
0.26
10
11
12
C
64
0.5
4.6
13
C
63
0
4.6
14
C
61
0
4.6
15
PC
66
0
4.6
10,620
30
0.23
0.23
11.730
30
0.25
0.25
11,520
30
0.24
0.24
11,340
30
0.24
0.24
16
C
58
0
4.6
17
18
19
PC
64
0
4.6
11.550
30
0.25
0.25
12,360
30
0.26
0.26
20
PC
48
0
4.6
12.300
30
0.26
0.26
12,000
30
0.26
0.26
211
C
63
0 1
4.6
221
C
54
0
4.6
231
C
57
0
4.6
24
25
26
C
54
0
4.5
27
C
66
0
4.5
28
C
64
0
4.5
29
C
78
0
4.5
30
C
76
0
4.5
11,130
30
0.24
0.24
11,040
30
0.24
0.24
31
Monthly Loading:
47,940
1.03
51.990
1 11
62.400
1.32
="
61,800
12 Month Floating Total (in):
4.63
4.85
5.36
5.31

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: April
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:
YES NO
Hourly Rate (in):
0.41
Hourly Rate (in):
0.41
Hourly Rate (in):
0.41
Hourly Rate (in):
0
Annual Rate (in):
29.71
Annual Rate (in):
29.71
Annual Rate (in):
29.71
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
O YES C NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES C NO
fC
o
o
U
m
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M
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o.
E
FW
0
0
a
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0 C
70
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a7 d
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H M
T C En
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p p
cn
E �` C
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.x O D
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
CL
52
1.2
4.6
2
C
42
0
4.6
3
4
5
C
73
0
4.6
6
C
52
0
4.6
7
C
63
0
4.6
15,040
40
0,32
0.32
15,040
40
0.31
0.31
13,840
40
0.30
0.30
8
C
61
0
4.6
9
C
64
0
4.6
12,030
30
0.25
0.25
12,090
30
0.25
0.25
11,700
30
0.25
0.25
10
11
121
C
64
0.5
4.6
131
C
63
0
1 4.6
141
C
61
0
4.6
151
PC
66
0
4.6
161
C
58
0
4.6
11,460
30
0.24
0.24
11,310
30
0.24
0.24
10,920
30
0.23
0.23
17
18
19
PC
64
0
4.6
20
PC
48
0
4.6
12,210
30
0.26
0.26
12,300
30
0.26
0.26
11,220
30
0.24
0.24
21
C
63
0
4.6
221
C
54
0
4.6
231
C
57
0
4.6
24
25
26
C
54
0
4.5
27
C
66
0
4.5
28
C
64
0
4.5
29
C
78
0
4.5
30
C
76
0
4.5
11,130
30
0.23
0.23
31
Monthly Loading:
61,870
1.30
50.740
1.06
47,680
1.02
0
7
0.00
12 Month Floating Total (in):11
5.83
4.93
4.76Qa

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?
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?
O Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
El Compliant ❑ Non -Compliant
El 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 O No
Phone Number: 910-259-1570 Permit Exp.: 8/31/26
S
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