WQ0001664_Monitoring - 12-2021_20220112

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * December
Report Information
WQ0001664
Belvedere Plantations
Year:* 2021
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR Belvedere WWTP December 9.03MB
2021 DMR.pdf
PDF 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: * Greg Spillman
Signature:
t-1
Date of submittal: 1/12/2022
This will be filled in automatically
Initial Review
Reviewer: Plummer, Lauren

Is the project number correct?* WQ0001664
Is the monitoring report accepted?* - Yes NO
Regional Office* Wilmington
Accepted Date: 1/19/2022

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Permit No.: WQ0001664
Facility Name: Belvedere Plantation WWTF
county: Pender
Month December
Year: 2021
PPI. 001
Flow Measuring Point:
00940
....... ..... ..T......
50060 31616
yo Ilcwti w1elated
Parameter
Monitoring
Point:
1.4hent
ffh em
❑ Groundwater
towering
A Surface
water
Parameter Code ►
��
_
00310
00610 00625
00620
006t� �
00400
00665
70300
60530
00076
�_._. __._.._.._.
_
......... __
o r'i
_ __
__._..___..
qt
Q
to
©
E XCL
o.
0 in 0
mg/L 11100 mL
mglL m IL
mgrt.
24-hr
hrs
OPO
mg1L
m
m l
Su
n1 L
rng1L
mglL
NTU
1
0215
1
1,300
8.48
1,48
1 _
1,300
1,1300
> 1
__.
�
8.39
0.98
3
11:20
_..
831 _
t
2
<10
a
1.667
�.
<10
5
1
1 667
0.7
6
04:15
1 fi67
<2
0.02 <1
0.17
t i3 9
8.17
0.04
9.2
2
7
01:55
1
300
<2
0.031 1
08
0.7T„
1?5
-$.22
O.i4
__._.5
2.01
_
8
1
1,900
0.02 i
8.5
j
2
9
i
3.000
0.11
_ T
$ 42
(
1.97
10
1156
1
1'000
0.15
845
1.6
11
1.567
_
......... _ __
1 0 .
131
1240
1
1
1,567
1,400
?
- _ ......4
.". <1
0 02 1 <1
<0 2 <0.5
__� ; __ .
02 j <0.5
0.56
-
021
0,6
-
<0.5
836
8 29
<0.04
<0.04
<2 5
<2.5
062
2
14
01.45
15
1030
1
3,700
0.09
7.97
2.01
16
11.20
1
1
56.300
0.02
-
7785
$
i.
1.47
2.01
17
0400
57.400
0.02 TTro
-m -
18
85.600
<10
19
8a 600
t
<10
20
12:30
1
85 600
0.06 jj <1
<0 2 1 0.6
0.23
0.9
8 12
005
<2.5
2.01
21
11.45
1
___..
75:8C?0
`_.'__._...
`
>2.20 <1
�0 2 - 0.7
0.67
14
8 2
17
t <2.5
2.01
-
-
22
12:30
1
94,400
>2.20,
8 47
1
2
23
24
10.10
1
72.200
28,660
0.i3 �
._.._
8,19
i
2.01
<10
25
261
27
28
29
1105
1 1:55
1
1
20;660
28,660
28,660
28>660
13,600
<2
<2
0 0,5 <1
0, 02 <1
_
t 1
0 7
--
_
<10
<10 ....
<10
0.94
0.95
1.9
1.7
8 33
$ 41
1._... 0.11
0,12
<2.5
;2.5
t
2
--
30
09:50
1
45 000
i
0.14
`
832
2.01
_ ._.
31
08.50
_
1
� 3,100
0.71
..
..
8.2
_.._
201
- Average:
29,445
0.09 1 00
056
0.55
1.11
008
1.03
1.23
Daily Maximum
94,400
i
:
0.71 1-00
i1 9.04
0.95
1.90
8 50
0.17
5 00
10 00
Daily Minimum:
300
0.02 1.00
0.20 0.50
0. i 7
0.50
7,85
0.04
2.50
0.62
Sampling Type:
Recondw
Grab
Composite Composite
4
Composite
_ 10
camix3$ito
7
Grab
Cvnatr3sle
3
Composite
--
Composite
15
Recorder
Monthly Limit:
300,000
14
i
Daisy Limit:
6.9
10
-
Sample Frequency'
Coribnooi s
a X Yeal
ti .'.: 2 X Week
2 X Week 2 X Week
2 X Wee
2 X We*k
5 X ,,r
2 X Week
3 X Yea,
2 X Week
Continuous

FORM NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NOMR) Page of
Sampling Person(s) 11 Certified Laboratories
Name: Greg Spillman Name: Enviromental Chemists, Inc. DW # 94
Name: Name: Carolina Water Services Inc. - Eastern Region Certificate # 5162
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? [ 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: Greg Spillman
Permittee: CWSNC
Certification No.. 1004824
Signing Official: Dana Hill
Grade: 4 Phone Number: 252-241-0661
Signing Official's Title: Director of Operations
Has the ORC changed since the previous NDMR? Yes No
Phone Number: 252-269-2540 Pppr�i�� ation: 3/31/2026
Digitally rtd'FIIA
siX y
DN: C=US. O=CWSNC, CN=Dana Hill,
dana om
Reason I am the author of this document
Dana Hill E ratio hilloucargning
........_.._. _____�._._r__-___................._.
lace ion here
Location your signing localion here
4 11.0.1 '
Date 2DF Editor Version
Foxit PDF Editor Version: 11.0.1
Signature Date
Signature Date
By this signature. I certify that this report is accurrate and complete to the best of my knowledge
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 aryl
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 NDMR 05-113 NON -DISCHARGE MONITORING REPORT (NDMR)
...... -.
281
09:33
1 1
0 <`
29
10:18
�1
_
0
30
08:36
1
0
31
0823
1
0
Average:
0
Daily Maximum:
0
Daily Minimum:
0
Sampling Type:
Eslirnali
Monthly Limit:
Daily limit:
Sample Frequency:
k1t ly

FORM. NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page .. ------ of _
Sampling Person(s) Certified Laboratories
Name: Greg Spillman Narne: Enviromental Chemists, Inc. DW # 94
Name: Name: Carolina Water Services Inc. - Eastern Region Certificate # 5162
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Compliant Non-Compbant
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: Greg Spillman
Certification No,: 1004824
Grade: 4
Phone Number
Has the ORC changed since the previous NDMR?
252-241-0661
Yes"
t-I,'L�
Signature Date
By this signature. I certify that this report is accurrate and complete to the best of my knowledge.
Permittee: CWSNC
Signing Official: Dana Hill
Signing Official's Title: Director of Operations
Phone Number 252-269-2540
Permit Expiration: 3/31/2026
Digitally signed by Dana Hill
■
DN. C=US. O=CWSNC, CN=Dana Hill,
E dana cenc coin
Dana
Hill
Reason: I am the author of this document
cationhyour
sroning to ation
Location. your sigNng location here
Date: 2022.01.12 15:56.0&05'00'
Foxit PDF Editor Version: 11.0,1
Signature Date
I rectify, 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 files 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

­R'M Nf MR f S 16
NON -DISCHARGE MONITORING REPORT (NDMR)
Permit No.: WQOOO 1664 77-f
Facility Name: Belvedere Plantation WWTF
County: P e n d7e,
—T—F
Month: Decernbe,
Year: 2021
PPI: 003
Flow Measuring Point: lf"i"i'M H"Nent 'N' flow Q
Parameter Monitoring Point:
Parameter Code
6.
0
W60
00940
31616 11
00610
'E
0(X20
00400
00665
70300
00600
50060
00680
C
E a
at
i6
0
> V
0
M
0
LU 0
E
E
0 0
0
0 0
10
0
U
z
X 0
0
0
0
1­ i
...... .
......
24-hr
hrs
GPID
mg/L
100 ml.
m911-
mg/L
SU
mg1L
mg,11-
m9lL
I"gii- I
mg/L
1
2
3
4
5
01 32
12:33
10.24
1
1
443,942
447,000
447.000
447,000
....... .......
0115
837
<0,04
6
. ..........
........
— ----------------
. .. .... . ..
'a
61
10:25 1
1
1
447,wo
448,000
<1
7
09:19
8
9
1243
08:29
i
1
446,893
446,000
...... .. ...
10
1
448,000
11
449,000
-
- - - ---- - ---------
1 2
+2
449.00t)
1 3
3
10,_25+
1
449,000
<1
<0 2
0,29
8 19
<0, 04
<0, 5
0
114
16
[4
0913
0907
1
1
449,006
448.87e
16
08.51
1
447697
48.002
448,000
..........
. ... ...
- — —
------
17
18
0938
19
Q-
448,0W
20
11:01
44$.000
447,000
<1"o
0.28
829
<0 04
0
21
10.13
—1
1
22
09:51
1
449,804
. . ......... .
-- -- --
23
09-29
1
448,000
......... .
449,800
24
25
449.8W,
1 1
<0 2
036
842
0.04
1
0
r
26
1
449,800
449B00
27
TS
9 33
29
1018
1
447.000
30
08:36
1
448,000
311
08:23
1
447,000
Average:
448,042
1,00
O O
0.27
0101
0.88
0,00
Daily Maximum:
449,804
1 00
020
0,36
842
0.04
1.80
0,00
Daily Minimum:
443,942
1.00
0201
1 0,15
819
0.04
0,50
0.00
Sampling Type:
Monthly Limit:
i3ftorder
568,218
Grab
250
Grab
Grat
1.5
Grab
10
Grali
...... ......
Grab
Grab
500
Daily Li
6 5 8 5
__S,mpl, Frq,,,;cy.
rit�ju,.s
3 X Ye',
weekly
P e. K!,
we"
3 X Year
... . .......

FORM NOMR05-t6 NON -DISCHARGE MONITORING REPORT (NDMR) Page.......__.___
Sampling Person(s) Certified Laboratories
Name: Greg Spillman Name: Enviromental Chemists.. Inc. DW # 94
Name: Name: Carolina Water Services Inc. - Eastern Region Certificate # 5162
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? on,pnant, Nc,n-C:omplant
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
dLAl4nty) tdrnen. nndWl duunrwlldt snetnt, n
Operator in Responsible Charge (ORC) Certification Perm ittee Certification l
ORC: Greg Spillman
Certification No.: 1004824
I Grade: 4
Phone Number
Has the ORC changed since the previous NDMR?
252-241-0661
Yes No
Signature Date
By this signature. i certity that this report is accuirate and complete to the best of my knowledge.
Permittee: CWSNC
Signing Official: Dana Hill
Signing Official's Title:
Director of Operations
Phone Number: 252-269-2540
Dana
Hill
Digitally gened by D�na'H�Ilatlon: 3/31 /2026
DNt C=US, O=CWSNC, CN=Dana Hill,
dana cenccom
Reason I am the author of this document
Eocatio hyour
sroning to anon
Location your signing location here
Date 2022.01.12 15. 56.34-05'00'
Foxit PDF Editor Version 11.0.1
Signature Date
I certify under penalty of law, that this document and ail 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 irly knowledge and beket, 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 wolalions.
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 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page , of
Permit No.: WQ0001664
Facility Name: Belvedere Plantation WWT."
cokjntyPender
Month: December
yeal 2021
Did infiltration occur at
Site Name.
A
Site Name:
Site Name:
C
Site Name
this facility?
—Area (acres):
0,27
Area (acres):
Area (acres):
.
0,27
Area (acres)t
-- ------- -
Rate (GPDfft):
8,55
- - -
Rate (GpD/ft):
— --------- ........ . ...
8.55
.. ....
Rate fGPDIW):,
855
Rate (G
Weather
Freeboard
Site Infiltrated?
YES NO
Site Infiltrated?
T_'
AYES NO
Site Infiltrated?
YES NO
Site Infiltrated?
4) V
Lj YES E] NO
V r
0
0
E 2 1
0 C)
0
E M
�6 0
.2
o CL a
E 2
M 7)
C3
E _-
2 .- -
0
M 4
0
CL
OL
0 a
>
> C
,,
> p
21
OD
U.
ca
LL
F
in
tt
ft
I" gal
"n
Gpo/ft,
ft
gal
min
GPD/ft' ft
gal
min
GP6W
ft
gal
. ......... .
min
GPD/ft'
ft
I
CL
53
0
0
82.279
1620
1 7.00
0,00
71.616
1620
609 0
93.551
1
7,95
000
2
CL
60
0
0
69,064
138c,
5,87
000
59,908
1380
0
78,302
13
"�66
0
3
CL
54
0
73.774—
1320
�6 2
U0
60.717
1320
516 1 0 79,831
1320 1
6, 79
000 'R
4
C
76,382
1 �4()
1540
6,49
0,00
62,076
1540
5,28 1 0 82:935
— t__­1_______'__
1540
705
__
0 00
—
........... .
5
C
76,382
1w)
6,49
000
62,076
1540
5,28 0 82.935
1540
7.05
0100
—6-
EL_
_71
0
0
4'5"
14
76.382
154ci
6,49 1
0,00
62,076
1540
528 0
82.935
154()
7,05
_000
— -
--------
7
CL,
60
0
0
77,324
1320
6�57 �_70,00
58.293
1320
496 0
78 197
1320 1
6,67
00
8
R
52
0
0 8
96.8%
138(,1
8.24
000
67,334
1380
5.73 0
94,561
1380
8.04
0.00
9
C
39
0
66.190
1080.
5-63
0,00
45.069
1080
_77,
3,81, 0
64.582
1080
5.49
10
R
63
0
0
96.750
1740
823
000
69,715
1740
5.91 0
93.109
1740
_9
792
0,00
11
0
81 .711
1420
6.95 1
0.0c)
57.418
1420
488 0
78.684
1420
6M
0,00
12
CL
81.711
1420
6,95
0.00
57,418
1420
4.88 0
78,684
1420
6169
0.00
13
1 3
CL
43
041
0A
4'5"
14
81,711
142(11
6. 95
(5.144
0.00
000
57,418
55.058
1420
1620
4,88 0
4.68_ 1 0
78.684
77.365
142
1620
6'61�
6,58
000
0,00
14
4
CL
63
0
0
81,589
162C
5
15
CL
52
0
0
83,712
1.260
712
coo
58,700
260
4.99 0
78,938
1,260
6
6,93
00
0.00
16
6
CL
52
0
85.521
1,440
7,27
0,00
58,027
1,440
1 4.93_ 0
81,474
1,440
i
17
7
CL
65
0
88,716
1,380
T54
0,00
60.800
1,38()
1 5.1-7 0
85,289
1,380
7,26
0.00
18
8 9
19
C
CL
86.763
86.763
1,480
1480
7,38
7,38
0 00
0,00
58.056
58,056
1748T]74_�9­
1486
0
T 4 94 0
82.637
82,637
1,480
1480,11,11,
7,03
T03
0 Ot
000
2 0
20
CL
_�5_
0-4
4-5"
14
864763
148()
7,38
000
58056
1480
494
82637
1480
7.03
0100
1
1
21
2
C
46
0
79563
1380
6,76
0,00
52821
1380
4.49 i 0
75565
1380
1 6,42
0 00
22
22
C
49
0.7
82,774
150C
7,04
OJX)
54,390
1 1500
4.621 1 0
77,226
1500
1 6,57
0�00
23
2�
CL.
37
0
82.940
132C
706
G.00
56,379
1320
9
4.79 0
78,861
1320
6_71
0001
- 2
24
CL
85,769
1452
7,29
0.70
58.462
1452
4,97 0
80.395
1452
6.84
000
...... . ...
25
R
85,769
1452
7,29
000
58.462
1452
4.97 0
80,395
1452
6,84
000
2 . 6
C
85,769
i452
729
000
58,462
1452
4.97 0
80.395
1452
r_7 _84
0 00
27
CL
74
0
4'5"
14
85,769
1452
7,29
om
58,462
1452
4.97 1 0
80,395
1452
6, e,4
0.00
28
CL
66
0
86.769
1452
729
0,00
58,462
1452
4.97 0
80:395
1452
f> 84
...... 2,011_
29
CL
69
0
8T863
150(�
747
000
59,297
1500
504 0
83,256
15)
'708
0 0
Cj 0
68 0
79215
T 1260
6,74
0.06.
1 52,601
1 1260
447 0
75,895
6 �5
000
6-4 —0
84280
[ 1380
7 17
57359
1 1380
4,88
80888
1380
6.88
Monthly Loading (GPD/ft')
-- - - -_--_-1
0:1
1 5,00
a"
­11
#DIV/O
Year to Date Loading (GPDIft2
4 q

FORM NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page _— of
Did the application rates exceed the limits in Attachment B of your permit? Compliant [_ Non -Compliant
If not a basin, were the sites kept free of vegetation and raked? Compliant Non -compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites? C, Compliant .' Nat-canpiani
If a basin, were there any instances of breakout from the berms? 0Complianr Natcat,wiant
Was the onsite automatically activated standby power source tested and operational? r comoanl i Non -Compliant
if the facility is non -compliant, please explain in the space: below the feason(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
I Permittee Certification
ORC: Greg Spillman
Permittee:
Carolina Water Service, Inc N C
Certification No.: 1004824
Signing Official:
Grade: 4 Phone Number: 252-241-0661
Signing Official's Title:
Has the ORC changed since the previous NDAR-2? yes i' No
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Phone Number: $00 34$-2383 Dg alnyl5gnedx6ybana Him 3/31/26
■ DN. C=US. O=CWSNC. CN=Dana Hill,
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Reason. I am the author of this document
Location. your signing location here
Dana Hill F=tl na Location
Date. 2022.01.1215.57-..06-05'00'
Foxft PDF Etlilor Version. 11.0.1
Signature Date
Signature Date
By this signature, i certify that e1j5 report is aCcurrate and complete to the best of my knowiedw
ertify. under penalty of law, that this document arxt all attachments ware prepared under my direction or supervision in
awl*. ordance with a system designed to assure that ail qualified personnel properly gathered and evaluated the :reformation
submitted Based on my inquiry of the person or persons who manage the systern. or those persons directiv responsible for
gathering the information, the information submitted is. to the best of my knowledge and belief, true, accurate, and complete. I a!1:
aware that there are significant penalties for submittiN. false information, including the possibility of fines and Imprisonmen? ?:
knowitrci voiahons
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617