WQ0035049_Monitoring - 05-2021_20210625 (2)

DWR - NonDischarge Monitoring Report Submittal
NORTH CAROLINA
Ertrlranmerttat Quaffty
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0035049
Name of Facility:* Maple Hill WWTF
Month:* May Year:* 2021
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR May2021_NDMR NDAR1.pdf 7.81MB
ME Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR,GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter:* Kenny Keel
Signature:
Date of submittal: 6/25/2021
This will be filled in autorratically
Initial Review
Reviewer: Mokashi, Poorva

Is the project number correct?* WQ0035049
Is the monitoring report ( Yes C No
accepted?*
Regional Office* Wilmington
Accepted Date: 7/1/2021

FORM:NDMR 10-13 NON-DISCHARGE MONITORING REPORT(NDMR) Page_1_of_2_
Permit No.: WQ0035049 Facility Name: Maple Hill WWTF County: Pender I Month: May I Year: 2021
PPI: 001 I Flow Measuring Point: 0 Influent ❑ Effluent ❑ No flow generated I Parameter Monitoring Point: ❑Influent 2 Effluent O Groundwater Lowering ❑ Surface Water
Parameter Code 0 50050 00400 00310 00530 00610 00620 00625 31616 00600 00665 00940 70300
c
R 0 v as ast m
> m a N (a a 9 C _ E e 2 m N
E am+ ; = p Ta C :o O A N m O O m l0 ° '� > 9
A a E I- u, ° °- O 0 a a E Y m = o o a 0 O
0 ~ 0 LT m H y cn E Z =' u- O F .- 1- N L F N CO
0 O cr) a o z V Z a V 0
H
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 5,366
2 2,905
3 08:00 5 6,546 7.5
4 08:00 5 7,274 7.3 _
5 09:00 5 7,913 7.3
6 09:00 4 9,650 7.6
7 09:00 6 9,837 7.7
8 10,030
9 10,192
10 09:00 6 8,958 7.6
11 09:00 4 9,393 7.6
12 08:00 4 10,957 7.5
13 09:00 5 10,074 7.6 '
14 08:00 6 9,425 7.6
15 9,842
16 10,093
17 09:00 5 8,782 7.8
18 08:00 5 7,345 7.7
19 08:00 5 9,883 7.6
20 08:00 4 8,775 7.7
21 08:00 6 9,138 7.7
22 9,342
23 10,459
24 08:00 5 8,521 7.6
25 09:00 4 8,583 7.5 8 8.8 9.5 25.8 _ 10.8 >2420 14.6 8.24
26 10:00 6 9,418 7.6
27 08:00 5 9,244 7.5
28 02:00 3 9,467 7.2
29 9,208
30 9,838
31 08:00 4 9,325 7.6
Average: 8,896 8.00 8.80 9.50 25.80 10.80 1.00 14.60 8.24
Daily Maximum: 10,957 7.80 8.00 8.80 9.50 25.80 10.80 0.00 14.60 8.24
Daily Minimum: 2,905 7.20 8.00 8.80 9.50 25.80 10.80 0.00 14.60 8.24
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) Certified Laboratories
Name: Samples were collected by the Certified Laboratory Name: Environmental Chemists, Inc.
Name: Name: Jay Baker
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑compliant E 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.
5/25/2021 =Out of compliance UV system crash it.Got too hot and melted the inlet plugs for my uv light. I had to order some new ones.To replace them along with the lights.
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 E No Phone Number: 910-259-1570 Permit Expiration: 8/31/2026
(22.1/-2.eliddie Lik7 j, 2e2/ (fitti 4)& /c,/
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

Environmental Chemists, Inc.
envirochem 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
ANALYTICAL&CONSULTING CHEMISTS [e-mail]
Pender County Utility Operations Date of Report: Jun 02, 2021
Post Office Box 995 Customer PO#:
Burgaw NC 28425 Customer ID: 08100095
Attention: Chris Pickett Report#: 2021-08431
Project ID: Maple Hill WWTP
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-20887 Site: Effluent 5/25/2021 9:07 AM Water Walker Diab
Test Method Results Date Analyzed
Ammonia Nitrogen EPA 350.1 9.5 mg/L 05/26/2021
Total Kjeldahl Nitrogen (TKN) EPA 351.2 10.8 mg/L 06/01/2021
Residue Suspended (TSS) SM 2540 D 8.8 mg/L 05/26/2021
BOD SM 5210 B 8 mg/L 05/26/2021
Nitrate Nitrogen (Calc)
Nitrite Nitrogen EPA 353.2 11.2 mg/L 05/25/2021
Nitrate+Nitrite-Nitrogen EPA 353.2 14.6 mg/L 05/27/2021
Nitrate Nitrogen Subtraction Method 25.8 mg/L 06/02/2021
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-20888 Site: Effluent-Grab 5/25/2021 9:07 AM Water Walker Diab
Test Method Results Date Analyzed
Fecal Coliform Idexx Colilert-18 >2420 MPN/100m1 05/25/2021
Temperature SM 2550 B 24.7 C 05/25/2021
pH SM 4500 H B 7.9 units 05/25/2021
Total Phosphorus SM 4500 P F 8.24 mg/L 06/01/2021
Comment:
Reviewed by: :5 I-<r ` .'`
12
Report#:: 2021-08431 Page 1 of 1

Da e: 57?c744 . 1, ertillca tion N 94
Facility Name:
Analyst: 1/40 Permit,e: NC. ©O zr ti 2,2.
pH . i
Reference Method SM4500 H-B-2011 Instrument ID Vahineit27
1 Calibration Time Cal Buffer 4.0 s u Cal Buffer 10 0 s u Check Buffer 7.0 s.0 corrif----- im '''—`------
I (",0 ,....,,/
407 (N) ----) tiq (‘) i /1747
"pH check buffer must read It ithin-..:i•0,1 pH units of the buffer's true,.alue
4 su buffer Lotiii: Ricca 2001E320 Ex n 1/20.12 7 su buffer Lot : Ricca 2008993 Exp.7 2022 10 su buffer Lot.: Ricca 1001791 7 2021
Ii • I Semple Collection I Sample Analysis I p•ri Result I 1.Post-analysis Buffer I
Sample location
ta
Time* Time. I a u Check value s.u. 1 Comments Da Qualifiers
ii_41_ 1
I I I I I
—
I — I I
I I I I I
• Post anal}Si5 buffer check is required when performing analyses a:multiple semolina locations and must be within=0 I units of the buffer's tru.INalue
All pH lalues it pH units(i e,Cu) Record all data to the nearest 0 01 s u and report to the nearest 0 I su
Total Residual Chlorine(TRC)
Reference Nlethod SNI 4500 CI-02011, Hach 8167 FIR (Please circle a licable Method Instrument fD
Post-analysis 1 -innn lan_k
I rb,i‘Check I Sample Sample Check SW amnle .. .n .,,,._ TRC Result
S:a.-.dard Resu't Taa,hv,an3la zin2 Stand'ard. 1.5 :. ! Collection A alia Comments-Da:::Quallfiers pa L or ma L ' ". . - Analyzed aca'mn I Time Time ug L or mg L
at multiple sites)
,i
TRC Daily Check Standard true value ppiL or mg.'', acceptance range su L or marl
Cheek standards must recover within /(/`1`.of the check standard's true value
Annual Calibration Curt e Verification Date: LOT A Esp.Date
Reagent Ban Value. 1‘tlien applicable,Analyze and document a reagent blank when standards,sample dilutions or PT Samples are prepared)
Dissolved Oxygen (DO)
Reference Melhod:SM 4500 0 C,-201 1 Instrument ID
----
$
I I i
$' •Post-onalsis calibration
Calrboa:mr,a anab:e meter reading a,,:rincalinn i:athen nan5.537),1
Venfleirion i C or.r,'ii efficieno. omments
, ,
;
T iime 1 _ , I a ron.k.,t6, I after calibration ', Theoretical Calculated
1 ernrerature , 1
i pressure .1. Value mgt. I Value injl. I
I! i I I I li il
f------T-1- ,
1 I I i
I- - ,
I i I I Use this rot.',t'hen performing a scrilication instead of
I
calibration ,
Sample Collection 'Sample Analt sis I DO readiad
Sampe Locaton
Time Time
1 maL Comments Vats Qualifiers
__
o tAlien performing analyses at multiple locations,the meter must be recalibrated at each site before analysis or a peat-analysis calibration v zrification must be performed
'fisample is measured directl in the stream satins-onsite,Otis tune analy zed IA ould be recorded with a note that they are measured in situ or immediately
Temperature
Reference Method SNI 2.550 B-2010 Instrument ID,
Sample. ! 'Sample 1 Temperature
Sample Location ! Collection ! Anal)sia 1 =C J Comments Data Qualifiers
Time i Time i
,cf f TO I 1.13- 1 1 I 7,‘1,1° I 4//1
1 I
! I
,
1-----I' • il
I I
'1'f-sample is measured directh in the stream and or on site,only time analyzed would be recorded,with a note that they are measured in sirs or immediately
Annual Verification Dare '2-2.3
Field Personnel Note:
Q 5001

Environmental Chemist,(nc, Wilmington, NC Lab#94 66OZ Windmill Way
Wilmington, NC 28485
91O392O2Z3
Sample Receipt Checklist
Client: �m��' pw��y � ��^ Date:-5/ ��� -Report ^�� -~�� �� W���
' � ' ~^, `~ �� , -- ^
Receipt ofsample: [CHEK8 Pickup Client Delivery[] UPS [J FedEx[] Other[]
[] YES [] NO N/A ' Were custody seals present on the cooler?
O YES [] NO /�� /�N
/�� - { � 2. /f custody seals were prescn� were they intact/unbnnken? '
Origina/temperatureuponrece/pt ^f "C Corrected temperature upon receipt "C
How temperature taken: [] Temperature Blank r�r Against Bottles
(R Gun ID:Thomas Traceable S/N192S116S7 /R Gun Correction Factor~C: O.O
[] YES [J NO 3. (f temperature of cooler exceeded G~[,was Project&0gr/QAnotified?
YES [] NO 4. Were proper custody procedures(re)inqubhpd/received)followed? '
YES [] NO S. Were sample /D's listed onthe [OC?
YES [] NO 6. Were samples 0's listed on sample containers? '
YES [] NO 7. Were collection date and time listed on the CO[7
YES [] NO 8. Were tests tobe performed hsted�on the CQC?
YES [] NO 9. Did samples arrive in proper containers for each test?
YES 13 NO 1O. Did samples arrive in good condition for each test?
YES [] NO 11. Was adequate sample volume avaibb|e7'
YES [] NO 1Z. Were samples received within proper holding time for requested tests?
`K YES [] NO 1]. Were acid preserved samples received atapHof<J? *
N YES [] NO I4. Were cyanide samples received atapH>1Z?
[] YES [] NO 1S. Were sulfide samples received atapH>B?
vw YES [] NO 16. Were NH3/TKN/Pheno|received ata chlorine residual of<O.Sm/L7**
[J YES [] NO 17. Were Sulfide/Cyanide received ata chlorine residual of<O.Sm/.?
[] YES [] NO 18. Were orthophosphate samples filtered in the 8e|d 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
by adding(circle one): H2SO4 HNO3 HC| NaOH
Time ofpreservation: /f more than one preservative|s 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 uo analyzed hythe customer.Who was notified,date and ume:
Vo/atUesSamp|e(s) were received With headspace
COMyNENTS,
OOC. QA'OOI Rev 1

envirochem: ENVIRONMENTAL CHEMISTS INC 6602 Windmill Way Wilmington,NC 28405
OFFICE:910- 2-0223 FAX 910
Analytical&Consulting Chemists
info@ nvir nmenta chem sts com2 4424
NCDENR: DWQ CERTIFICATION#94 NCDHHS:DLS CERTIFICATION#37729
COLLECTION AND CHAIN OF CUSTODY
Client: Pender County Utilities (Wastewater) PROJECT NAME: Maple Hill WWTP (PPI 001) REPORT NO:a/—08 Y3 )
ADDRESS: CONTACT NAME: Chris Pickett, ORC f
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 2 _ PRESERVATION
Sample Identification a t .o „ = c� o w
E , ao D- ;g m
rn ~ o `o a r E J j a a i o o = ANALYSIS REQUESTED
Date Time Temp u Z z _ = z
S%tp ,:di C P
WWTP PPI 001 (composite �?Q8807 X
BOD, TSS, NO2
C P G Y
<.`� X z..._ NO3, NH3, TKN
WTP PPI 001 C P -
W(composite) Triannuals X Chloride, TDS (March, July, Nov)
C P "
G G
P
WTP Effluent(grab) G ,� 540888 p888 X 2,W
Total Phos
---t p� C p
pH (field): I, O t 1' 7 G G 14
X Fecal Coliform
C P
G G
C P
Samples due 1/month r 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 R
elinquished By: Date/Time Received
1. By: Date/Time
2. /
Temperature when Received: `4.0 C Accepted: f Rejected: Resample Requested:
Delivered By: \A Received By: VII Date: V SV:?::i Time: 1'ZS
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 I County: Pender Month: May 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: 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? o YES ❑ NO Field Irrigated? 0 YES ❑ No Field Irrigated? E YES ❑ NO Field Irrigated? O YES ❑ NO
o ' °o V r•a� e e H O p 7 ` C, o m 2 m y > C, E Em y W .
v ` 2
o 2. u Kc .6; 7,- 5a E 0) •`" K ` 5 E E
L t O `_ wxJ > p x C O 2. co Rxp P •C 00 m2 0
J _IJ2 _I J 2 J
e CI
H d e
N
°F in ft ft gal min in in gal min in in gal min in in gal min in in
1
2
3 C 73 0 4.6
4 C 72 0 4.6
5 C 70 0 4.6
6 CL 66 0 4.6
7 C 63 0 4.6
8
9
10 C 74 0.2 4.6 12,060 30 0.26 0.26 11,970 30 0.26 0.26 11,940 30 0.26 0.26 11,910 30 0.26 0.26
11 C 63 0 4.6
12 R 57 0 4.6
13 C 58 0.8 4.6
14 C 57 0 4.6 11,550 30 0.25 0.25 11,490 30 0.25 0.25 11,520 30 0.25 0.25 11,430 30 0.24 0.24
15
16
17 PC 64 0 4.6
18 PC 66 0 4.6
19 C 64 0 4.6
20 C 54 0 4.6
21 C 68 0 4.6 15,600 40 0.33 0.33 15,400 40 0.33 0.33 15,360 40 0.33 0.33 15,240 40 0.33 0.33
22
23
24 C 86 0 4.6
25 C 79 0 4.6
26 C 70 0 4.6
27 C 78 0 4.6
28 C 76 0 4.6
29
30
31 C 75 0 4.6
Monthly Loading: 39,210 0.84 38,860 0.83 38,820 0.83 38,580 0.83
12 Month Floating Total(in) 6.04 6.07 6.07 5.79

FORM: NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page_2_of_4_
Permit No.: WQ035049 I Facility Name: Maple Hill WWTF I County: Pander Month: May Year: 2021
Field Name: 5 Field Name: 6 Field Name: 7 Field Name: 8
Did irrigation occur
Area(acres): 1.72 Area(acres): 1.72 Area(acres): 1.74 Area(acres): 1.71
at this facility? Cover 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? o YES o NO Field Irrigated? 0 YES ❑NO Field Irrigated? El YES ❑ NO Field Irrigated? El YES ❑ NO
0 c
m m 2 rn E c n o, E E -0
>, o E. c , myda3 >, c 3 , c m y mom ,, cE ` rn eo, m0 ,, c 3n` o my a E . °
p U 4-, 0 a •v ° a E oaE .51 3tE aoa E 51 ° E m :o E `5 '5 ° Eo° > a E 5ar E .3 ° .c o PE o Al = J ot PE ox = ooaPE o x = $ °- P00 2 = 0
d ` NQ Fe J aJ > Q J aJ > Q = J J3 ►- C-
°F in ft ft gal min in _ in gal min in in gal min in in gal min in in
1
2
3 C 73 0 4.6
4 C 72 0 4.6
5 C 70 0 4.6
6 CL 66 0 4.6
7 C 67 0 4.6
8
9
10 C 74 0.2 4.6 11,520 30 0.25 0.25 12,690 30 0.27 0.27 12,630 30 0.27 0.27 12,450 30 0.27 0.27
11 C 63 0 4.6
12 R 57 0 4.6
13 C 58 0.8 4.6
14 C 57 0 4.6 10,680 30 0.23 0.23
15
16
17 PC 64 0 4.6 11,460 30 0.25 0.25 11,820 30 0.25 0.25 11,130 30 0.24 0.24
18 PC 66 0 4.6
19 C 64 0 4.6
20 C 54 0 4.6
21 C 68 0 4.6 14,880 40 0.32 0.32 16,280 40 0.35 0.35
22
23
24 C 86 0 4.6
25 C 79 0 4.6
26 C 70 0 4.6 16,280 40 0.34 0.34 15,920 40 0.34 0.34
27 C 78 0 4.6
28 C 76 0 4.6
29
30
31 C 75 0 4.6
Monthly Loading: 37,080 0.79 40,430 0.87 40,730 0.86 39,500 0.85
12 Month Floating Total(in): 5.39 5.68 6.18 6.12

FORM: NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page_3_of_4_
Permit No.: Q035049 I Facility Name: Maple Hill WWTF I County: Pender Month: May Year: 2021
Field Name: 9 Field Name: 10 Field Name: 11 Field Name:
Did irrigation occur
Area(acres): 1.75 Area(acres): 1.77 Area(acres): 1.72 Area(acres):
at this facility? 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? o YES ❑ NO Field Irrigated? o YES ❑ NO Field Irrigated? 2 YES ❑ NO Field Irrigated? ❑YES ❑ NO
w
c
o c w y � my v rn E Trn m � o' E y rn my v a� E Es) dv o> E o�
a. 0 `o 1° rn am E �' mr >, c 3 c E °' 4, >, c c Ea' mm >, c 3 > c E ' and c gac
0 2 a ° o 73- a °7 o c x c o a E °' 1° m K o 3 ° Ern 'o K 'o a Ern 1-
2 m d to Q R > Q � _ ° > Q •= c J x J > Q F t ° ix !, o F- •_ C co2 C
o.
°F in ft ft gal min in in gal min in in gal min in in gal min in in
1
2
3 C 73 0 4.6
4 C 72 0 4.6
5 C 70 0 4.6
6 CL 66 0 4.6
7 C 63 0 4.6 11,070 30 0.23 0.23 10,650 30 0.23 0.23
8
9
10 C 74 0.2 4.6 12,840 30 0.27 0.27 12,630 30 0.26 0.26 11,790 30 0.25 0.25
11 C 63 0 4.6
12 R 57 0 4.6
13 C 58 0.8 4.6
14 C 57 0 4.6
15
16
17 PC 64 0 4.6 11,400 _ 30 0.24 0.24 11,130 30 0.23 0.23 10,470 30 0.22 0.22
18 PC 66 0 4.6
19 C 64 0 4.6
20 C 54 0 4.6
21 C 68 0 4.6
22
2324 C 86 0 4.6
25 C 79 0 4.6
26 C 70 0 4.6 16,640 40 0.35 0.35 16,280 40 0.34 0.34 15,360 40 0.33 0.33
27 C 78 0 4.6
28 C 76 0 4.6
29
30
31 C 75 0 4.6
Monthly Loading: 40,880 0.86 51,110 1.06 48,270 1.03 0 0.00
12 Month Floating Total(in): 6.65 5.95 5.75 < r

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? O Compliant E Non-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 0 Compliant ❑ Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? p 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? O 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? E Yes o No Phone Number: 910-259-1570 Permit Exp.: 8/31/26
tf14 6 iZ5/zi
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