WQ0005790_Monitoring - 02-2022_20220324

of..
DWR - NonDischarge Monitoring Report Submittal •4 ..
NORTH CAROLINA
Emlranmenlcl QHaffly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0005790
Name of Facility:* Fish Factory Road Treatment Plant
Month:* February Year:* 2022
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR February 2022 NDMRS and 7.72MB
MWS Fish Factory Road.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:* Kenny
Signature:
Date of submittal: 3/24/2022
This will be filled in automatically
Initial Review
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Gerald,Wanda

Is the project number correct?* WQ0005790
Is the monitoring report accepted?* - Yes No
Regional Office* Wilmington
Accepted Date: 4/12/2022

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NON:DISCHARGE APPLIDATtON fiffitPC)RT(NDARel) IIII
III:.
Chhia,Theo oiceriersenn rotors exceed the,ikm its in Attac':hment B of your permit? It
Wthhtett atiehqua to riloas Lk res taken to prevent offine i.it ponding in or runoff from the,,sites? ttat Li
Wes a'euerretio yobeetative cover meintenned on at sites as specified in your permit? :
91
111
IiVege a I% setbacks i„sted:in your porn it II"T)a rItaineO for every application to each permitted site? 'r,Utl,phath , 1 tdhfh(tht,pht,r h h
10
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Itkitete ea freeboards reolotoireord'm accordance with the specified freeboard heights in your permit? rn or'oral!! '1/ri,C01,0,1H! 1
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fil Permittee: P
Town of Oak Island
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!ddendtddzettnn-tn4„ 'SCONCS i i Signing Official: Lisa Stites
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Mall aqinal and'Two Copies the
Division of"ticiohir Resources
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FORM NEW?'I DlYI A NONOISCIIARGE APPLICATION RE.PORT ONT.AR-1) PArje of
Pernatil,No. VV0.00 0579g FacOlity Ramp: 1 0 Factory Reid Water Illleciamation and Treatment FoacIlity County: BrunsANIOk Month: February Year: 2022
F;Id Nan;
Fie ld N ormo 1 IF le ld Name 2 Field Name': 3
irrigationoccur ........„.............._..__a...a...a...a...a„„...„. ...............„„.....„......__............................,...„,.
Area(acrets: 2 2 Area(ac,res A 2 1 Area Aracres) 2 Area lacresA I 2 2 1
atthis fac illty? ....„„.„_..........._________...........a.......... ....._.....a.„„_„.........„„„„......._......„..„„„„„„„„„„„ .„„„.............._............
Covur Croy Cover Crory no Crop:
lEnt..irly Rate Onl: 0 4 Hourly Rote On): 0 4 Nouriy Pate(My 0 4 Hourly Rate Or0: 0 4
Armual F o Or '156 I Annual Rate On): 156 Annual Rale(inl: 156 Annual Rate{inlo 52
Weather Reid Orrigated? ,,.22 ,, Na Field trrOgated? IA;
tt•
a. 7, 0, g er a, r, rn ,„rn a,
- 6 Ty. n i ',...J."'i], 2 2 4) ...A4 E J r.. ' E 011 '' ?" 4''-' a Tc'itti .'rl'-'. ''' ?; 4?2Fi '''d TA'-4 •
,a aa 1,,, ,E. aa,' arP1 a. .a,,,a4 2 51 gl 0E31 ?;la i!.3 4,1 ifg. ta p...,,T ',n' 8 F, r4. 'e3.g 0. ,, ,g1,. .,,-,',. ''-3 c'-'3, 4,,i 3 .,'t F",.. ......„ ri-....., ).,,,,,, t , , ...., )..<
H fl. gal min mu in , gal min in in gal! rnin in In gal min in On
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0 1 4 4 D 0 0 00 0 00 0 0 0 00 00 0 0 0 00 000 0 0 f)00 0 00
0 01
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0 0 0 00 0 0 0 0 00 0 00 0 0 0 00 0 00
, 0 0 0 00 Cl0 00
3 0 I '75 I 0 : ,4 4 0 0 6 00 ., 000 0 0 0,00 CJ 00 0 0 0,00 000 0 0 0 00 000
_ ........._
4'---0 69-I' 0 4 4 0 0 0 00 0 00 0 0 0 00 0 00 ! 0 0 0 00 0 00 0 0 000 000
. _
5 Cl 49. 045 4 4 0, 0 0 00 0 00 , 0 0 0 00 0 00 0 0 0 00 0 00 0 0 0 DO 0 00
....- __,
6 I 0 46 0 4 4 G 0 0 00 0.00! I 0 0 0,00 0 00 0 0 0.00 0.00 0 o o 00 0 Oo
j III0 3 I 4 4 0 0 0 00 00 q 0 0 00 0 00 0 0 0 00 0 00 0 0 0 00 0 00
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6', C,1„ 55 n 4 I 4 0 0 0 00 0 00 0 0 0 00 0 00 0 0 Ci 0 o o 00 o o o oo 0 00
0, 59 0 4 I 4
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10. C 59 0 .. 4 I 4 0 0 0 00 0 00 0 0 1 000 0.00 0 0 0 00 0 00 0 0 0 00 0 00
LIL 0 59 0 4 I 4 0 0 0 DO 000 0 0 0 00 0 00 0 0 0 OD 0 00 0 0 00 0 00
12; C 1 011 0 ' 4 4 0 0 0 DO 0 00 0 0 0.00 0 00 0 0 0 OD 000 0 0 0.00 0 00
53 0 3 4 i 4 0 0 0 00 I 0 00 0 0 000 0 00 0 0 CIOD ' 00o 0 10 0 00 0 00 1.„....
1 r I 43 1 0 :' 4 I .4 0 0 0 00 ' 0 00 0 0'0 00 0 00 0 0 0 OD 0 00 0 0 0 00 ' -0-50- '!
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17') 0 I 4 ! 4 0 0 0 00 0 00 0 0 I 000 000 0 0 0 00 000 • 0 0 00O 00-
tlg: F2 62 i 0:' i 4 4 0 0 0.0C1 , 0 00 0 0 0 00 0 00 0 0 0 00 0 00 0 0 0 00 000
19_ 0 of 1,1 0 ,,' 4 4 I 0 0 . 0 DO 0 00 0 0 Cl 00 0 00 0 0 0 00 0 00 0 0 00 0 06, '
20 C I 49 0 4 4 0 On_. _.0 00 1)00 Q 0 4100 0 oo o 0 0 00 0 00 cl o o0 0011 2 . er.... 2„, ......_...2...22222,2„...,22........2.......___..._.......222,
21, C 5El 0 4 4 0 0 61(1 000 o 0 1400 0 Do 0 0 00(1 000 0 0 o co 0-oo I
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AO 0 ' 4 2 4] 0 j 0 I 2 00 6 c..) 4 0 o oo o oo 0 0 0 00 0 00 0 1 0 00 0 00
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-203: PO 50 I 0 I 4 4 i 2 24 0 DO 0 20 4 0 0 00 0 00 2 0 0 00 , 0 Oa 2 DO
0 0 .......... .... 0....2. _...._2.2.2.2...........2.........2.. _22,,2'/' C Al I 0 4 4 I 0 0 0 00 0 DO 0 0 0 OD 0 00 0 0 0 00 0 OD I 0 DO 0 00
28 C. 56 0 7 4 4 0 0 00 0 DO
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FORM b1DAR,1 05 18
NON-DISCHARGE APPLICATION REPORT'(NDAR-1) Pogo or
PermA Noo WQ000b790 Fac Hit Name l'cOsh FacCory Road Water Reclarnabon and roar:amen(Faolfry County Bruin owe,* . month: February Niar: 22122 1
- 9
Did tion
Field Name: 5 8,5A Field NUM 6 Field Name: 7 F(eId Narrco a irriga occur
Aron(acres), 2 5 Area PGres): 1 25 Area(AG inn) Area(acrocr): 1 55
at this facility? _ . ---""
Covor Crop: C ovAr Crop:
j Covor Amp Cover Crop;
1.1D Q111.1) IC NO Hourly Rate(In): 0 4 Hourly Rate(In); 0 2 j Hourly Rate(Iii) 0 2 Hourly Ralo(1 I) I)2 1
Annual RAW(In); 156 Annual Rate(In): 127 Annual RAW(in): 127 Annual Rate(II) 127' I
I' 1 Weather 1 Freeboard Fleld Irrig(»ted? )11'.); '77P c) Field Arigated? :21)01S 111 NO Field IrOgated? 11QES I:NO Fold Irrigated? coo C2 ru :
4g P g
0.„. ..75 0 if,.15 ,E 13 16 5 a 5 , 76 „F4.63,0 g-a : 1,
,,,go i,- ' a 3 g go 3 ,c7c5.51,i, P.ric 6 3 i,,,,,,, 33 :e e,. io::E_ 0 3 O1
Th 0 4. = in El-3 .13 , .f . . ,q, ,,4,3 ,..i,3 „09 g F. ".6g
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1
1. in 1 ft in 1 gal min
in In ni In Tn In gal min Al in gal min In in
0 , 4 4 0 0 D DO 0 001 4,1164 32 0 12 0 12 5,45r 31 0 12 0 12 . 0 0 0 00 0 00 !
55 0 c 4 4 0 0 8 oo 0 00 4 138 32 0 12 0 12 A385 30 0'12 0 12 1 0 0 ...1. 0 00 0 00
/' 0 I1 4 4 0 0 0 00 0 00 4 181 32 0 12 0 12 5,385 31 0 12 0 12 0 0 0 00 00
4 C 69 0 ) ( 4 0 1 0 0 00 000 4001 32 0 12 0 12 5,367 31 0.12 0,12 0 0 0 00 I 0 00
4 4 8_ 11 U ()OD 0 00 4,133 32 0 12 0 12 5,232 30 0 11 0 11 0 0 0 00 0 00
' 6: ; 4 o ' 4 4 ' 0 0 0 DO 0 00 4 273 32 0 13 0 13 5,385 31 0 12 0 12 0 o 0 00 , 00
7 172 , 49 U 3 4 4 0 0 °°° 0 00 3 924 32 012 012 5,385 30 0 12 0 12 0 0 CI 00 . 0 OD
a 11 1• 55 0 I 4 4 0 0 1100 0 00 4 046 31 0 12 0.12 5,372 31 0112 0.1.2 0, 0 000 UI0
0 ' 4 4 i 0 0 0 00 0 00 4 098 32 0 12 0 12 5„441 al 0 12 0 12 0 0 0 00 C)00
:
10. 2) 55( 0 . 4 4 0 0 0 00 0 00 3,898 31 0 11 0 11 5,419 30 0 12 0.12 I 0 0 0 00 0 00
111 C 59 0 4 ; 4 0 1 1000 0 00 3 854 31 0 11 0,11 5,1197 I 31 0 11 011 0 0 0 00 0 00_— . .
/2. C 62 0 1 .4 I 4 0 0 0 OD 0 00 4,138 31 0 12 0 12 5 393 oo
, 0 12 0 12 1 0 0 0 00 0 00
I 13 R 50 0 3 4 4 0. 0 0 j0 00 0 00 3,963 31 0 12 0.12 5328..._. 30 0 12 0 12 I 0 0 0 OC) 0 Ill
:14 C 49 0 ; 4 4 0 0 I 0 00 0 C/0 4.046 31 0 12 0 12 5,337 I 30 0,02 0.12 0 0 0 00 000
50 0 : 4 4 0 0 0'0 0 00 4,040 31 0 12 0 12 5511 1 G. 0 12 0 12_., 0 0 000 0 00
1161-0 84 0 4 ' 4 0 0 1104 (00 3,937 11 0,12 0 1,1.1 5 Bpi I 3,4 0 13 0 13 I 0 0 0 00 010 ,
c 17 11 32 0 4 4 0 0 0 00 0 00 3 oAo 31 0 12 1 0.12 5,808 33 0 13 0 13 I- 0 0 0 00 Fog 1, . .........
' I 66.Th 62 0 3 4 4 0 G 0 00 0.00 4 030 31 0 12 0 12 5 1.9,P, I 30. , 0,12 0.12 0 0 0 00 0 00........._ - ,
1191 0 61 0 4 4 . 0 21 1101 0 00 3 941 01 1 0 12 0 12 4983 30 0 11 0 71 .1.. 0...,...._ ..,.....,0 ..,....0 00 ...0.0 00_1
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20. 11 41i 0 4 4 0 0 0 00 0 00 3 937 '31 , 0 12 C)12 5 546 35 0 12 0,12 I () 0,.. .........T00 0,C)-0-- .
1 291 0 58 0 4 4 0 0 0 00 0 9101 3 572 '21 I 0 11 0 11 5 661 24 0.12 0 12 0 0 ....._0 07-1 0.56-1,01:
. ;— .
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:22.105,12, 71 0 ; 4 1, 4 0 0 1111 00 0 00 7 874 53 I 6 23 Cl 22 10,721 03 0 23 0 22 0 0 00O 0 00 1.._
:231 C 69 • 0 4 J4 0 0 0 OD 000 4 251 31......I 0 13 0 13 5367 go o'2 1112 0 0 D 00 0 60
,241 17c 0.5 0 . 4 J 4 21 0 0 0 00 0(ITO. 4 Orcr5 ocp , 0 02 0 12 9)332 30 C)12 0 12 ' 0 0 0 00 ,...........jj.0700j.,....
2 c 1 65 0 : 4 4 0 U 0 00 o 00 4 046 20 1112 0 12 5 629 33 0 12 0 12 0 0 0 00 0 OF
2322
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52,222_5
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12 Month Floabog Tata)Onblfilfill. IP' -'60'31: IrlinWrii PIYA 2j 16 .24 '4 4172/112'4/ ; 21 15 lat'4:7411r, 4:1Pi'I diA,_

FORM NDAR,1 05-05 NON-DISCHARGE APPLICATION REPORT(NDAR-1) r.,1,g, of
Reradt No: W00005790 Fab Mt.Name Foh Factory Road Water Redaniahon and Traalment FacilAy County: Brunswick Month: February I Year 2022 1
Fleld NUMB: 9 Field Name:: 10 Field Name: 11 • Field Nae, 12 .
D irrigat occu id ion r 8_888_ m...._ _
Area l'Acre4 1 99 Arra WcresyI 1 75
1 Area(acres): 2 47 Area a.crr..a.s.). 1 62
at this facitity? _.........„„„„.._
covet'6.74cpp 0 over Crop!. Cover Crop.' Cover Crap
.....„... .. _________........Haurly Rate(la(. 0 2 Hourly Rate(lny• 0 2 Hourly Rate Orly 0 2 Hourly Rate 00P: 0 2
2
Aniwal Rate Ony, 427 Annual Rate(irW, 127 -" Annual Rate On): 123 r Annual, at 00.1 127
.,
Weather , Freeboard Field Irrigated? YI:S ,NO Flakillrrigated? ,.'YFS ' NO F1'eld Irrigated? 'ff..6 .No Field I rri,gated7 i i YU, No
22
a
•2 = re . a e.,i, a- ca 2 , cm 0.,
, . 6,6, LE 6 6 7,,,, ,.,E.' pl, T1, g' 10 0) g F, 0 7,..3
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,„'Z,,,. a,- a s,-s' 6 7, a i--? . '...,,,3 J.2 ,2- . 1 0(8 ,00. :,,,c .... ,,i, 04
'F lin ft ft, , cp10 min la In gal mln In in gal l, min in In gal min in in
1 1 C 51 0 4 4 5 2 BA 31 0 90 0 10 10,6+60 62 0 22 0 22 0 0 0 00 0 00 0 0 0 00 0 00
„.....
2,: C 545 0 4 4 5,154 31 010 0 10 10534 61 0 22 0 22 0 0 0 00 0 00 0 0 0 00 0 GO
3 i C 75 0 4 4 114 j I 0 09 0 09 10 617 , 61 0 22 0 22 0 0 0 00 0 00 0 1) 0 00 0 00
........._ . .„2„
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1 4: C 62 • 0 . 4 4 5,071 3'1 D 09 0 09 10,556 62 0,22 0 2 I 0 0 000 0 00 o a o 00 a Oo
49 0 45 4 4 5 OM 31 D 09 0 09 10,460 61 0 22 0 22 D 0 0 00 0 00 0 0 0 OD Or 0
6 C 46 0 4 4 5 253 3? 0 10 010 10 747 61 0 23 0 22 o 0 0 00 0 00 0 0 0 00 (1 q.)0
.... ....... ....„_.......
7. R 409 1 0 3 4 a 5,201 31 Cl0 0 10 10 800 62 0 23 0 22 0 0 0 OD 0 GO , 0 0 0-6 0 00
8 CL 55 Cl 4 • 4 5223 31 610 0 10 10760 62 0 23 0 22 0 0 0 00 0 00 0 l 00 0 00
9- C 59 0 4 4 5223 '31 0,10 0 10 1 0,74 62 0 23 0 22 .1 0 0 0 00 0 00 0 0 0 00 0 00
1
23 0 0 '
110 1 5,9 0 4 4 5 0 22 0,306 31 0.10 0 10 10 635 61 0 00 0 00 0 0 0 00 0 00
1)( C 59 0 4 4 5 114 31 0 09 0 03 10.826 62 0 23 0 22 ! 0 0 0 00 00 C) 0 C)00 0 00
12 0 82 0 .{ 4 4 F:5263 (1 0 10 0 10 10,739 61 0 23 0 22 0 0
, 000 0,00 I 0 0 0 00 0 00
„„....
13' R 53 0 3 4 .4 5,251 31 0 10 010 10,721 62 023 022 0 ' 0 000 000 0 0, 0 00 0 00
,14 C 49 J 0 4 4 5.345 31 0 10 0 10 10,7s7 62 0 2'3 0 22 0 0 0 00 D 00 • 0 0 0 OD 0(..MO
115 0 5C., 0 : 4 4 5332 1 3i 0 10 0 10 10 891 63 0 23 0 22 0 0 0 00 000 1 0 m r,.....0,.., 0 0(7 0(1'1
.16 C 64 0 4 : 4 5 354 31 0 10 0 VD 10 883 63 1123 0 22 ,
0 1 0 0 00 0.00 0 0 0 007 0 00
17 0 ,V3 0 : 4 4 5498 j 2 0 10 0 in 11 048 63 0 2'3 0 22 0 0 000 D 00 ' 0 0 0 00 0 00
2 .....
16' R 62 C' : 4 4 0 J 3i 0 10 1010 10 843 61 0 23 0 22 o 0
, o oo 000 0 o o oo o oo
____ _........ ......... _..... „......._....._.
18 (2, 6 I 0 1 4 4 5 158 31 0 l'O 0'0 , 10,276 62 0 23 0 22 0 0 0 00 D 00 0 0 0 00 0 00 2.,. 2,___ .....„
20 0 4g I 0 1 4 4 5 292 3) 0 1.0 1110 11 201 65 024 , 022 , 010 0 00 0 00 0 0 0 III0 00
....... _2. . ' ___„.............. . . . ...2...
121, C 58 0 4 4 1, 5 171 31 Ci 10 0 10 10 843 62 0 23 0 22 0 I 0 0 00 0 Cl 0 0 0-00 0 00
.........._...„„... .... ...._..„ ___ ....._ „„„........_„....-
7221 CI... 71 0 4 I 4 1 10 556 52 0 20 0 19 21 290 1i 23 0 45 0 22 ! 0 0 -1- 0 00 000 0 0 0 00, 0 00
, _„,..
3' Z'' I, , o I 4 4 ' ",48 i 31 0 0 0 10 in al 2 61 0 23 . 0 2,2 0 0 0 OD 0 00
1_24, C:. 65 7, 0 l 4, 4 5 611 31 0 10 j 0 10 e)030 Oit 622 . (7....,.2 0 0 0 GO 0 00 0 0 000. 02'Ll0___
C.1 6c1 0 4 4 1 5 611 31 0 10 ' 1 10 !!_II(...:,82 Cl _ 0 22 _0 22_ 0 , 0 0 00 0 00 0 0 0 OCT 0 Do
P
_. __...„........._ .6_........ „,...,_
126 O 1
. 0 0 00 0 00 0 0 CY 001 C)" 0-0
I 271 0 51 0 1 4 4 5 0) 3,1,.......0,.19,„„ C) ° ' '1`.'5..13„...22.61 2_6 22 . 0,..22 ..„„ 0 0 0 00 0 00 0 0 0 00 0 00
'.-, , "
8. O. .5b 0 7 I 4 ., 5 C',0.,4 .,,, _ 0 10 0 10,_ :I062,0__61__ ._ 0 j.,..?__ 022 „.,0. ' 0 0 00 0 00 0 7 0 00 0 00
.... _ ,„„„-,.....„,-.. ...—............,,,,,„..,-,
129 1- 1
130 1 .
IViontIlly LpiuNngi, 163 952 2 65 311 i.,,T;•3 11 777-Ifitt# o I'll!iit o oo j'"I ' 0 volyAl:,_„_0.9.cL JN)),„
, 12 Month FloaPing raw oro. , , .44 7? 7P ,Ii /,' 24 8.3 dr. ,Z,Will f' 1}4111iiiiiL".5 92 -J-) mfPihwei ia 7 96 a
1

/
FORM IDDAR-1 05 10 NON,INSCHARGE APPLICATION REPORT(NDAR,1). IN / of
:,2. —aeye 1
Perr7141 NO., WO 00 h Roa
05790 i Facility Nome: F la Factory d 11DateL Reclamation and"la Dormant FarvOry CountyFebruary T 2C}
'
roBnewiek MonTh:
------------....—
Ward Name, 13 1 Reid Nm o:I 14 I Field Noms: GloId Norwer/
OW gation occur .3............ ..,a.,.......1....
Aroa(acres): 1 19 1 Area(acres):• 0 483 Area on Au da Orcres):
at this facility?
overO rel?,
C __„...
1 I Cover Crop:/ Cover Crop/ Cover Crop::
/51515 33 en I Hourly Rare OS 0 2 • Hourly Rate(in): 0 0 Hourly Rare(Ire/
Hourly Rare(io),'
j Anduell Rote do): 127 I Anneal Rate Dr* 127 Annual 182/1)(in)' .eenuril Rote(in)
_
Weather ..._
Freeboard I Field heieeited? I I NI,S Nr ND Field Irrigated? .VLF, I.,. ND Reid tregamdE ;'NNS - 43 Field Irrigated?
-----, - -- ----.. -------
)N ) '
j E 3 47) a 3,a I
2 I
a. /175 Fr F
)4.)) # 7 ..21 72. ! $2-'22 ''' 20 . ?,2 '' 2/',E) 1 '[',''To .1, . ''
2..' t '. 'd 0 N) I a a, 1/3 7.4.2 2F) o. ..a. 'a, a a,' "a 'gli 2 a „. 1".i,,, 23,., •E '5 a, 1 a a „a a 'Fa ra 2
4 „a ,'1 ''1'
ro IN Et, uN I .
"F In 11 'fr of min In / In gal I min in in gal min In In I gal mid in in
--.
1 C 51 1.,. 0 4 I 4 0 0 0 081 I 0 00 I 0 . 0 0 00 0 DO
13 55 0 4 4 0 0 0 00 ' 0 00 I 0 I 0 0 00 0 CO
'I-3 C 75 I 0 4 4 0 0 0 00 0 00 0 0 0 00 0 00
—II
4 21 59 ,1_ 0 4 4 0 0 CI rI0 0 DO 0 0 0 00 0 00
,,1 1 C 49 (I 45 . F 4 0 0 I D DO 0 DO 0 0 0 00 0 00
,
/8 C 1 46 CI 4 7 4 0 0 0 00 0 00 0 0 0 00 0 00
7 a 49 0 3 4 4 0 CI 0 00 ADD 0 0 000 0 00
8 CL 55 [ 0
4 4 0 CI 0//0 0 00 . 0 0 r)00 00 ,
.59 0 4 4 ° 0 0 OD 000 0 0 0 00 0 00
10 C 52 0 , 4 4 0 0 DOFF 0 DO 0 0 0 00 Cl 00
el I 0 L 5,9 0 4 4 0 0 0 OD 0 00 0 0 000 0 00
I
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134 PI°31 53 D 3 1 4 4 D 0 . D 00 0 00 I 0 0 0 00 0 00
OAF C I 4 0 ' 4 4 0 0 D 00 0 00 0 I 0 0 00 00
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16,1 C I 64 di 0 ' 4 4 0 0 0 00 0 00 0 I 0 0 00 0 0()
-, --
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17' CI I 03 I 0 .8 8 0 ' 0 0 OD 0 00 0 I 0 0 00 0 00 '
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181 re I 62 I 0 1 4 i 4 0 0 0 00 0 00 0 I 0 0 00 0 DO I
61 I U I 4 1 4 0 0 op o. 0 00 0 I 0 0 DO 0 00
.0.2.... ..„.. , ...---.—....„-....____ ,
213 I CI I 4.9 I 0 ' 4 4 0 0 0 DO 0 00 0 0 280 00 000
21 I 0 I 50 ' 0 0 4 0 0 0 00 0 00 0 0 0 00 0 00
22, r21, „) ; D A ) 4 I 01 01111 0 0 0 00 ' 0 0 00 00
.,,,,,, .....6....,_,„... ,,,,.„. .0„,„,,,,,.....................
261 0 1 60 ! 0 ! .4 1 4 1 111) 0 0 00 0 OD ! 0 0 0 00 0 00 1
33, ,,,„ ..„„......3„3„„0„,......,...............................
66,01_0 4 1 6 1 0 o 0 00 0 00 ! 4 0 0 00 0 00
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--....................__ ___ ....._ ___
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28: 4 4 0 o .. o 00 0 00 1 0 0 0 00 o co
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,...... __....„_,....._... .....„....

FORM!NONC 2 0 .16 NON-DISCHARGE APPLICATION REPORT'(NDAR-2) fxago! ......_of
Per
Did kinfiltration0d'occur l...D tc iI,ISi Name:
trrS,�a r ICE zt,,1rlt uau I"Silo Name.:
��xG ry r a i�v GouhvB,>11.e�hdirnra)tsvdlr�k , Month!� February....V.Mxnar:' X�_ elr.„ U�
this facility?'
.._. C Lacra4 Are.. mAp. �.. (C1 I r Qacvavwj Area(at res). 111 Area "x(acres): ,Area
Note,4G"PCYl6?') C 5"7 P,6t9ds �PDfPtd Ratetr b C7f1P� Rate (.;PiJIfP J
In 1
'r rt r Sltath�tlftia@r4gkr rr;,, itC "KIRnIIrrPr4Vrrnttmxr'Y r
Weather Freeboard GAa Irrf(IYe�,tct r;.. .rye' ...Site Infiltrated?end?,.,.. -.._ .. ...._.... .. ... ..._ .w.. .. .w.,.... w w._
'ro c,n E.t.1 a. c 0 , ,, as 8 0 °9 a ux a ,,1.'rvro rp C ii c}� . :,,C ex C 1
I ro r1 1 a. a,. .,-E,. = fa. "w'u� a 2 t`t 5.'�. w6'4 fl c 11, ca E P ro'r ,6 r a,�7S. C w: Ti c
E ! c,. m o.. cr. i CJ i a �. b- L1 , a ca. w i„. 0 8r i r, c M u C5 n
�, 4e v'A C n �q c ,,.r �y arc u; �� +n 9 c ..x n0 .an d ,� ,:i
1— rL W!b Gq R tY7 CY7 LW
l r mn tt 1 kt OM min GPGtIN Pt gal ! min GPDIP4 4t real moire GP C1If9' ft {dal min GF@IC ft
c 1 I r •4 1 4 a 00 C 0 0 r-......._
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!+ D 4 4 � C! CI d.._.._.w
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C 1 4f7 O d 1 a !II CH
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C "§ 0 4 P 4 0 0 Q 0"Y -----— _, ._ ...........I 62 C 4 4 0 0 0 C(1 ....._.�. ..—
-
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Monthly r rsarslny i aHIJIIIILL
x n!') �,�p� poly r �1�,_h I` r r +rplrrro rrl! i 7 1, il IsrrlrF a ��
;n / .�° /� A U� /�� r rl �rC 11 � ;�'' �o a"'�� „se f,
i, n MITI

FORM NoAS 2 infii 15 NON-DISCHARGE APPLICAllON REPORT(NDAR-2) Page
Did the appiication rates exceed the limits in Attachment B of your permit?
if not a basin,were the sites kept free of vegetation and raked?
if not•a basin,were there any instances of effluent pending in or runoff from the sites? ill'ollifolli , seller:fee
limes, ' 'fell mem,
if a basin,were there any instances of breakout from the berms?
Was the°smite automatically activated standby power source tested and operational? 'fi elloof CC Nor CarArrV,,,,,;
II the facility in fon-admphast,Pease eauketn In the space below the I eesdnffsh the facility yeas not in somellanse resents In your explanshon the dateasa of the norecornuflance and desSnes the corrective
If
schen;ef taken Attach additional sheets If necessary
----a',1 1
II 1
f
f
f
ll
ll
lli Operator es Ffeseranalbfa Charge fORS)Certification Pei rnittes Certification
li
i
II ORCi Kenneth Von Voigt Rernnuaw
Town of Oak In land
Certfricaffort No: i 006360 Signing Official: Lisa Stitna
Grano: 2 Phone Number 2103521425 Signing Official's Title: Town Clerk
1
i
1 Has the ORS changed since the previous NDAP.2? Phone Number". [phone] Pormit Eup.: 7731/27
.3-,.1) ---.,;,..,6,2 2 -1,) I
-
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''' - ,)D 'd
Sepulture Cain Signature Gain
,
i By iN1,1,IvW.,u,:re,Irly Pa.ill,,npfxt I,,,,,,,,rmr,and r,,,,p1,,, ,1,,,,,,41 of f,y vow/redo .co:14 VANI,1 I,,I,II.My of n that 1,,,,cloclollrYIII ar,0 all alVarArnml,,r,,0 P,,,,INI.Ied IIIWI my(:111,1,1:01,0,timphil,,,I11.1,11,,..,,,,,s:
vean,ti,',.':,,I'l li,,,,,,,M,,,,RSII,Iile IN:,ad.01,3.11fmr,pr,,,,,,,,:,1 p,,,,of'y grll,RN N i'lf,:i r,,,,,di'mf Iholni,A1,,,,,,,IINIII,,I,I0INd'Ha',,,d'ap-,
IN,,,,Iry M I,01;mt..n or po,,,,,,,v,,,,Jr,,,,,No tho,,,,,tran,or th,,,,pen .,11,rli,,ily 1,,,,,,,,,L,N,
fical,mir.11,1terf,,,,r,11,,bfig,of'r:y kno,,,,,,I,jo.or,d bc,10,'0,,r,,,,,,r,tr,a,,r1 cr,,,p,..f,I,,II,impimit,r11:0',o,,,
On I or,,,I:,,,If mg,,,,,a10,,,V,I111011. ,,,,,/,',IN IN,po.fass of f f,,,,,J mi,1 r ni,,,,r,,,,,,,I.knowoq,o1,,,,,,r,— ...
Mat Original and Iwo Copies to;
Division of Water Resources
Information Processing Unit
1617 MaIl Service Center
Raleigh,North Carolina 27699,1617

FORIVI 1811.2MR 05-113 NON-DISCHARGE MONITORING REPC)RT INDIVIEH714
.--...„...—_„...G.
Pernflit No:W00005790 1,515:11Ity rt-P.161111 7 :50 2 5055555 Hood 222552,1552/50,515505 5,2 12:2151551 255 525 I Cow:1:y',. BILY:22020k i Month. 65"1/6200v 1 Y6E6 2022 1
...„---...... —.37,....63.._,...6.PPI: 001 Flow Measuring Polat: „: „wpm 1 i'ewe 25/250 5205.250 Tar on Mr Monaoring OnOil ,
, ,2,660 ,7:tcep 1
„-- .
Parameter Code 2-1,1 60080 I 00310 00640 50050 1.1016 00610 005:25 06823 00604 00400 0060 70100 006130 00 0".?"6
, „„,„,...... ....,.,_„„,.......... ....... .,....„„„,„„,„„„„„„„,„.... . ........... .
Ch 7, ''f ? 'Cg 66
.132: ,5 ,„„ I1' s —41 0 r, „.., .,
,, „„,,,,
,., 3P:43 c 19 6 6 77, c6 li '0 b ',.", 11 a ,...,, 00
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0 0, 0-00 0. U 2 a 1 0- 00 0- 00 0 R CI 0 E
2: Z... .z.la::.t.., „t . Z 2: '' 00
00,
,• 0_
1 Or [ ers GPM mg/L (sygf,_ 01g114. 44100 6)5 ma/L rsig/I: mg/k, rrealt. s LI reg/1„, roe„ mg/L. NTU .......,_ ., c_:
'I I CM 30 I 4 34 400 0 16 7 3 065 I--,_ — —
2 , 07 0 I 4 , 40 900 Di 09 4 2 12
, ..3' 67 30 4 I 65 500 0 5 I / 4 413
,
---. __
4, 0 30 1 4 31,900 [c (1 85 7 4 625 I
5: , 67200 71 78 5 EEE 1 -ID 7 2 093
30 4 . 40 200 cc[c 1 11 7 2 04 I
8 07 20 4 54 400 0 95 I 7 I 641
9' 07 30
4 65,300 3 0 91 1 V 2 2 2 6 1 33 4 5 7 1 16 2 5 1 641
110 07 30 4 56 II r0 65 : 7 ill
[11. 07 01 II 4 53 001 1 C/65 I 1 851
75 00 , : 0 56
2 367
M31 • 61 liDO I 0 81 : IIIM (1 211
14 07 30 4 DO 1300 1 : 0 71 7 4(561
15: 07 30 J 4 1 3 000 0 93 7 3 855
„......„
16, 07,30 4 I 53 600 0 81 : 7 3 131
17; 07 30 4 , 53 400 : 0 81 7 2 2 597
15 I 07 30 4 40 700 • Di 1 I 7 4
ig I 833060 : 0 51 7 2 1 228
2—, —
2D: :: 69 800 , 13 513 7 2 1 851
1, 07'30 4 I 68 300 0 65 7'1 3 015
22' 07 30 4 , 55 3 OP 0 51 7 2 3 914
:23 07'30 A , 37,000 I 2 D7 0 37 1 4 8 Ft 9 III 7 2 7 2 1 31 332 2 a 5 836
24 07 30 8 I 2 900 0 3'f / 0 8'55
30 3/ : 14 000 0 39 1 3 0 619
26 65 900 0 5 7 0 74
05 I 25 6 11 0 4
28 07 30 4 I 62,800 0 7 I 7 t 2 051
29 1 i 0 .1. „31
1 c
On era ge 2 52 286 1 2 OD 51 00 0 72' 1(67 :5(-/0 1---2.215 1 12 2: 2 85 1 24 3 o2 DO 2 50 2 71
Daay Masignum:, He 300 : /CIO 51 Dli 2 00 1 Oil 4 20_5 5 510 I 112 I120 7'30 I 3 I 332 00 2 50 6 84
Dailly Minimum, 3 060 2 00 01(JO ( 09. 1 051 1'15, 2 20 I 5 I 4 510 2 00 : 1 0"ml 1112 00 .....m0 00 ..... ._(14........... I I
2.
,a mphag ryp 11 e: ,K0,,..JoI ( ..111.,..5 7 0 0 1,1! 0 1 CiC'au ,,12.,; I Hc.1),C q, 71101.;.0,,,10 Cc,i,,,,,II. C01,1pr:SrM 0,,b 252202155 1,021151152551 C,Cfp,,,!,,,,..„ r.Z0,,?,,%1:
Monthly Li,g(i1:1 400 0/20 1 -JD I14 II
Dally 4 8.516 I 15 I 25 [ 6 5,9 10 t 0 I :
44m p14 6(1ea11o0)64:'6555,13623[2/9/7852,, 3 1/Yea, [ 5 0 12/58D (1026 1,f,'4 I,.:.,,,?.k'C,.?C,'' S,,5 NO,rnd Sc!.I 110 sop P.,,,a x vveo, Se0 POI'M 1 :.3 X Veal See,15527n2 6,5:635e.y
_ . .2.2 • ,„„ '
0 . XI

00 Mg glantela 55.16 NON-DISCHARGE MONITORING REPORT(NOMR)
,,,,,..... qrov mm4. .„............„,.„,..,...,....„,....,.„„.,„„.,,
.. a...........* ...,.........*
' Penang No.: WO C.,055795 rac fifty'Name, i ,,,,h I 330.32.73.4d 0.33.,Reammt on me I.44.0.4303 I entia County, B
PIPI 002 Flow Measuring Pome 40 107 3i I'10,3.. i go 555.303430341 Parameter IMeratorirm Point.
'Pararneter Code ,---0, wow I I
' 1
..„...............3..._.3_3_3,3._ .................................____
7j.
0 3 I i 1
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,cf., ce 6
24-hr Ors gallons
____I 07 30 j 4 0
...._....................„„„„„„„„„„„„„„„3„„„„„„..3...333_3..............,2 1 C'7 30 .1 4 0 J 1
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7 07 30 If 4
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10 07'410 4
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07 30 tie 3 t .
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17 07 30 4 , 0 I 1
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. _ ____ „........._.____,......
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24 07 30 4 0 I
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25 07 30 4 0
27 . 0
28 07 33 I 4 ,29 I 1. ;
.. _3_33.3_.„„........3........ ______„.„,3„„,
30 f 1 i ,.. ............._ ..................................... .3_33._ ______
31. r i 1 ........._ ..„„,.......,......................., ..,...,,,,,....
. 3_1
Averago( 4100 I J. I I _ , - ---- — -- —
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Ugly Minimern3 0(10 1 ....,
— 4,444
. I
arment...a'Type' :,,,,,,,,,,,33.
I I-- M.033thly Len it,. 325 351 -....._ ..„......„.„3..„______
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83.788138 83.01,808(::8:010 NON-DBSCHARGE, MONI'TORING RE:PORT(NDMR) Page 3.31'
—3-, _3_3_ __,3 ,„, . _ ,,,, :, g 33_ - ----------------------------------33 33.------------3_,
Permit Ng.:alaC0.01)0579() Facility Name, 8338 F333,83 8.383,803:33 I 830 I.83333803 3333,38 County. Bo u n n no c„,c Month Feta.U k ry 38880 2 3g8,2
8388 0833 [Pow-8,888,88188 P0888:: : 43,4. .„,833333 3.3 833,0330808
--------"""----1----'-"---"""7"----7---"--7777"--77n-7---,,,,,,-----„—.7..,„7„„7„77_____,„
Pararned.er MorgtorIng Point. 083,3 03003 333,3833383 0333333 03,I,k ml,
Parametm C-ogle
ir ji Ii8I; I'..; 48 I'P 1
„g; I
83 ,d,.'3II
a.8
0 1
8 0 .
!I 8 03 30 18 4 0 1 ,
0-- I
311 :37 30 I 4 0 1 ,
,
" , I
'14, 3.,330 1 4 0 I 1
i.6.I 37 30 4 o
r! 1/71 07 30 I 4 a ;
la 00 30 I A
891
33
,.. 120
. i
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U8,118 113133
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101hininenn inninnno mmon ISVINOWEVIEN,W,1111CC CCCIII-,,RomOVDff dOM0MCDADM

FORM NOON 05))6 NON DISCHARGE MONITORING REPORT(NDMR) Page Of
—
santrAng Percents) Nestahod Laboratories
Norco: Nenit Von Vcocff Name: Er:moo:1n ntal CheeilfSfS
Norne) Name.
Does ail monitoPng data and sampling frequencies meet the requirements in Attachment A of your permit? ;8;
ft fOO fotchity nt noshoompairtef.oarase es:clam ill the space below the reenonta)Net Goma was eof ill nornphance Ill your expIallation da(B(S)of the no.r.hl"OIl:lllancO Red deem,tho fee onstronot
anaustN)taken Attach additional sheets 6 neice$siary
Operator Le Responsibk:Charge 1.0001 Cerflficatton Perm iftee Certlfication
ORC Kenneth Von Vol: Poirmiitteo: Town of Oak Island
Cortificarlon No.: 1006360 Signing Official: Lisa Stiles
Grade: 2 Phone Number) 9113521435 Signing Official's Title: Town CIerk
Has gm ONC chaexpe since the0reelexue NpNIR? hut arr sh) Phone Number: [phone] Permit Expiration: 7/9112022
222.(2 S
Ssttnotere Nato Sstanhae Date
By B1,Slch5.11,n niat iy, 0,0„0.,00 0100:000,p(*1,*hIll 10,0 1211211 1,00,01000)0 1 000"y 0001*v0,011.0 of 00*0,0 0,000,,ef ,101a'i 0000,0,00,1,0000 10ropal,011,,,d,r'ly CY al a,fa, Y,
aa'alar'aa aII a;al 00 aa,a a"d I IJ.000011,, 00 0,9 000:00,,,0,0 0,0;
1,1r *0000 00,,000,,,11 01'0000 0,0 Ya'a aaa'0'
ww‘a* aaaa maaamm....„„xayawaya ayyramyyawaymmayyya.aaamaaaaayayyyym
Mutt
OrigireN and Two Copfes to:
DivolOkon of Water Reece:mos
Inforrnatlon Pro:A:Holm)Unit
16'17 Mail Service Confer
RoVeigh,North Carollna 27696:1617
mem nomfoomemmosommeroMOIONIEEMER

DEPARTMENT OF E N VI RO N M E NI 8,NAT URAL R E S 0 1.1f8 0 E.'S,,NA,t E.IE
,GROUNDWATER QUALITY .1;ONIkT01*ANG:; (PAL IT V DIVVS VON GRCA818111888ATEIR SECTION 1636
188881 SERVICE CENIER eNtecogh
,COMPLIIANCE REPORT FOR,',',. _ NC 278398.W.836 (98 9)733.,3221
,,,,•,,,,... „ .8.8888,
llEACE.,ITY INFORMATIF)N
0fig.:60,,L.gr:_...0AEJR.L.K.m? PERMIT NUMBER ExpRATKA IA It 7/3 1/2022.
4c0(215H F.g;T-gE.y DL)
Ot4E.ISLAND Ng 44.65 13,E61NSVIECF DOUNT'Y Non-Discharge, 4(4,fc)11200.6171.00,
DAVID EfbILLT if .311....1L45ST22/421Z?
Tlypift,of Permitted OPERATiON BEING MONEITURED
Well Locator/Sim No VVVVER/MW#002 No Welis to be Sampled,4
X Spray Field
[Well Identification Number(From Permit) MVV 002
1
Well Depth 20 ft VVoll Diameter,Pin X Other 6.:01lid febilfrfgibm
:Scire•ened Interval )lfll it To 2.c..ft. ,
Death of VMater Level 7.5E' below measuring point Date sample analyze(2/9/22 throutgb 2/18(227:
liMeasu rag Point(MP)Is 2 it 7).1 above Drib surface Relafive NI Elevation lh ft
l Gallons of water bailed before sargElinst 5 Date sample co•Ilected, 2/912022 Laboratory Name: Eno4ohmerttlyfi Obtobtbortot, Inc
'Efieldi analysis sih 6 7
Temp 18 5, Oder 00324 Aropearence stied!" Certification Number:4E.42#(37'729
PZ•ttRMAETBR.B.M,Samnteist for metals wore sollostea unfiltered Yes No and field accilled Yes No)
COD mg.(F Nitrate(b402)8$N 0,2 mg/1 Ni-Nick& rng/1
- „
Coliforri MB Fecal <31 '10Ortil Nitrate()103)as N '14 3 mg/1 Rh-Lead Foga
- -
Coliforrn MC 'Total 10063 Phosphorus 'Total as I mg(I Zn-Zinc ring/1
• - a
(Note LAO Hoff meltod Ibr 8,8181y ITotpd sentples) OrtetCtphosphate rng/1 Ammonia Nitrogen <2 ingil
—
TDS 396 moll All-Art171106E1 mg/1
ph(when andlyzect) 6 7 unitis Ea-Barium mgll O'lhor
ICC '7 8 had/I Ca-Dals6m rno/1
, rEl WI
Chloride 47 md/1 Cla-Cod Plum rofig/I
Arsenic mg/l C ht Ong urn.Total mgfl
-
Grease and Oils misEl ltlEt-C norm r mgll
Phenol in bn't Es-limn mg/1
ulfate incTfl lag-Mersizy l' N'IN NIS
OI ORGANICS:(GC,GCI ,HPLC)1
_ . ,
Specific Conaustance urtAlrisis N-Potassium mgll (Specify test and method/ Attach lob report.)
Total Ammonia moll Mg•Magi-lemurs, ing/I Report Attracherfitt Yes 20 (1) No 60,1
TEE as IN moll Mn Manctenuse rmatil
1 certify 1(w) to the host of my bnowletrige ancil belief the inlorrstrzion sulsrratted in this report is No, accurate,and complete,and that the laboratory anaiyisal data was
produced using am/braved methods of analysis by the North Cllarulimtt MC Slormerly DI M)berated laboratory I am etwors that there ore sighlf in ant penalties for
ubrrtrign9 falfiva tnferiftalton.my bitiny tlfiestossilbEfty of fines and iitittgEtbstartrgerifTsstknowirra violations
---
GSV-59 Perm Mr tor Authorized A p'...?I'l f j Na'rne arro Igo-Bunt rg.Type Signature of Peri isttee i Or Authorized Agent) Into

___..., .
---- ,DEF,ARTiaN OF ENVIRONMEN a.NATUIR,a1...klES(SuRCIE.5 VJA1ER
GROUNDWATER QUALITY MONITORING: ,QUALITY DIVISION,GkOLJNEMATEI SECIION 1.6361'
nli,IL.SEN VICE CENTER Pakvi,NO
COMPLIANCE REPORT FOR:.1 '27699,11336 (919 ;Q3,3221 i
FACICIITY INFORMATION
TOWN OF OAK ISLAND PERMIT NUMBER EXPIRATION ..L12,2„caZ
4600 IFI'SH FACTORY RD
,OAK ISLAND. NC 28.465 BRUNSWICKco u for Non-Discharge' YVt()(2c2.257.fig,
DAVID KELLY II Ealpa_47-q,72„2„ t
Type of Permitted OPERATION BEING MONITORED
Well Location/Site Name:\IPAr EP L vm#2.g.,, No Vti/ells to be Sampled!4
... . . t X
Spray
riaia
Well identification Number(From Permit), MVV 005
Well Depth 70 ft wet Diameter 7 in ' X Other Rapid Infiltration
Screened tnterval, 10 ft. To ap ft
Depth of Water Level 5 bellow measuring point
Date sample analyzed: 2/9(42 through 2/6/29 — I
Measuring Potnt(MP)is:2 31 fT above land surface Relative MP Elevation in ft:_ _ I
. I
Cations of water hailed before sampling, 5 Date sample collected i 2/9/2022 ILaboratory Name: Environmental Cheintists,tric
Field analysis, ph:4,24
Temp.. 17,1C, batten egg. Appearance clear 'Certification Number: 4.94if37729 I,
PAPAMETER,SJSamples for metals were collected unfiltered Yes No and field accifiert. Yes No)
COD mg/I Nitrate(NO2)as N 0,02 mg/I Ni-Nickel crig.N
.
Coliform:.ME Fecal <1 100711 Nitrate(NO3)as N — 0 12 mg/I Pb-Lead mg/I
Conform MF Total 100m1 Phosphorus;Total as P mg/I Zn-Zinc mg/I
(N,,,,!e use OURS meihrA Tor Nghly turbK15arriples) Orthophosphate mg/I Ammonia Nitrogen, 1.3 my/I
TDS 1240 mgit At-Aluminum mg/I
ph twnen analyzed: 4.24 units Ba-Barium mg/i Other:
50C 7 3 myil Ca-Calcium mg/I mg/I
Chloride — 36 rng/I Cd-Cadmium mg/I ..... -
Arsenio mgAl Chromtum:Total mg/I
. . ,
Grease and Oils mg/II Cu)-Cpooer my/I
... .---:
Phenol mg/I Fe-Iron mg/I
Sulfate mg/I Hy-Mercury rng/I ORGANICS,:(GC,GCIIVIS,HPLC).
Specific Conductance uMhos K-Potassium mg/I (Specify te5t and method# Attach lab report)
Total Ammonia — rngil Mg-Magnesium mg/I Report Attached?Yes ___(1) No (0)
TKN as N mg/I Mn_Manganese ing/I
I certify that,to.the hest of illy knowtedge and belief,the inforrnatIon submitted in this report is true,accurate,and complete,and that the laboratory analyical data was
produced using approved methods of analysts by the North Carolina[IWO(formerly DEM)certified laboratory. I non aware that,there are significant penathes for
sttbmitting false information,incluring te_eSssibililyof fine and irmriscoment for knowirtyylotations
„ ,/r,'I , / 4 4::'"'c ) ' "
--.--- — _.
OW-SO Permittee(or Authorized Agent)Name and"rifle-Print or Type Signature of Pern7be(Cu'Authorized Agent) Date.
I MNONVOMIn YINMIUDYM,

HIF-F-"/FF-t F.MIIF4 F OF. FF.INV II...F N Fo'FF NI ''.w IA Y(4 dia 1 1,1 a(al Haa 1 .
WATER NUAI...1"rY DIA',SION,G Fa U N CANA Oak";tt Ba(;li I
,GROUNDWATER QUALITY MONATOFUNG 11636 MA it.S E.IR VI OE C Ft Ni-EF'.
'. LCOMPLJANCE REPORT FORM 4"'.a'1122]:).NC 27222 T.336_2221L3E2E1
ry INF(.....,R.m77.71(Dr1
,
-..,r.-.,Eyi,,!..roLD EL 12o,,,1518tIP 'PERMI T NI JUR FR EX P RATION DATE Ila jj2Q2,1i
...4ov.1 ['...3ill:./o,..OW,QEzt.,..Fq) 1
NIqq,i..j..5!1,..,!(,.Np f..U'n.tcif. _ QEcNiy,...wc;.,,',.couNr'.1, Nan-Discharge: VAraLreciL)))2,110 Il
NAVIN KEA 1.4'II 0)00).4.07472'2
.JyTaTt Of.,„egy:!otttAat4 OP E RA TIO N BEI rtl C.:.'.,,MON,11-roRED
WO imataitien/W)c Nam e 1,•Mc.X.A No ON to no.Sovo p.le o 4
w ay I'atild
'Welli Inentitination Number dream Parent) NiAlt2/006
11/Veil Damn 2211 %old Dameter Leg X Other:Bightiat)1011.110IM.a.
. T.,
1 ,ppeeped ip.er,,,,EJ 1.g ft in 2.111 . ..--
: Debar of\Natty Level B 6 belong measuring point .Date sample analyzed; 2/91.?2 tjytegegre,211Par
1
Measuring Point(M12)is)) If iTtimitve hand surface Relative MP Elevation in I). f,
i
1: NaaVleris ef wahttr benited before sampling 5 Date sample collected: 2A)0(22 iLaboratray Na lvii(ION/nO))ft Iii n.T,..Ljnc,,
,....., IF eld analysis pn e,i)5
.:. i. remp 1Z,..2,c., Odor rietirt Appearance cMcir i Certification Nornber• 1:4911;',312.?9,
t 1:
"4'1134tAMELELEL S a an plea for mbNil s am re collected tkrIfIltered Yes No and field ossified Yes No)
)! COD mind Nitrate If IN N <02 mgd Ni-NC No) tin ad
Collorm WI'Focal <1 100m1 Nitrate(NO3)as la 0 71 myl Pb-Load mga
- a
Coliforrn MI t Total 1 enrce Phosphorus 'iota I as m gil Zia-Zing mod
(gene USe IC)rq fnrenod POr h f g Illy tu,DKI SarnpIM OrthophospNg.e mghl Ammonia Nitrogen <0 Iit."-' -- rogiq
—.... —
t Ds 347 reall Al-Alunriimen mgri
—
'.! ph(when,,:rialyzeri) N N units Bid-Banum m y Other
TOO il..) rngn Ca Cf.:arc:Awn rn VI mt.:0,
—0
1 Chiba ide 58 mtal Ca-Cadmium moil
, ---- — _
1 Arsenic rng/I Cinittimiurn Total mail
a ---- — ..---0-----
()MK/V.:',,'a rid 011S roo,..p• C u t Opooer m WI
P h o no I rr11#11 Fp-1 o:,.1,1 rn pi]
-----
, !Er,Lefate trigill Mg-Me l'r(../l'ig mr.1/1 ORGANICS.*,(GC,GC/IVI S,HPLC)
— — .---- a...am—.
. S peCI'lln:e()nductarpne UM".i OS K.F,Pre.apourn trigil (Specify test and trattr o III Attach lab ce port).
........ _
Total Ammonia IMO MN-M g o 0 s H.m mill F.,..eport mad)ad?yi)a). Z1) No N))
--- -----i.-----..
f KIN as fit mail Nil A Manganese rog/I
.--------
I certify that,iin tine beta,of my knowledge arid belief,Ma information si,tbatitted P Pis,report is nue,accurate.and COMplete,and that the latitorittery,:/.13KIK cal data was
produced Luang approved naninode of analysis by the North C.:Farr:10d GDWG(for meny DEM)certified laboratory II arn aware that theta are significant ach.gitaita for
submitting Mime infolormgJon, including Me possibility of fines and met 1 semintmli for knowing notations
i i c ' ib ''' tii Meni „, „,„„„„„„,..,....................„......,......,..„,..................a.,„„,,,.,,,,
. , ,, / ,.
GIN-52 Penal itti7de Far no7orpred Kei;;YO Nr;7177,7r7r7 7 Pie-Ned or I/ftCp ongreKpop of Ine4roPtee(Or Anil-Km:mei Agenii tame

----- ' ---- ------ I 0[777.77.77777Nyv7771717 IN-F 777177.7,1,.R.ES(17717C told “i lalVAIIER 0 tiALI LS DIVI SISAL Dila Ol ONIDVailtall Illalla SECTION
'tGROUNDWATER QUALIITY MONIITOREINGt 1636 IMAIL SERVICE NI FEE
lCOMPLAANCE REPORT FORM ,.D a 1.112112,111t 27699-1 ffp l5 (919)
llt.facl..betleYNJO.c1(lISM/E,TIQN
)
itaa'at),)NO OAK a'd[caNia ,•PEtaMI T NUMBER EXPIRATION DA I IS ZSlarlal?,if.P.7.
ff)12i))Eist-i mac-Tata y RD [
.(".:.'...'.'bR- If.:.51 .,.51AN122,2 2ffag§tas BR UNSMON COUNTY 'Non-Discharge. yalcxxxadzt'„')).
' ,)
1ta,..)))),,da51)))„[tty 1 119.11aat:),Z):4222,
I ,Ltdtda,clt pennit p),,d(DPERATION BEING moN11 OREll la
\Nell LocRtifon/Site NartteDaV,XXQ(2fll NA t Wells to be Sampled 4
t X Spray Field li
l,Well(gertficalion ttgattlzer'For l Perrnity MW009
\Nell Depth lag ill Well Capartger 2.in : X C.Xber.Raped lnfittraaon
screen-Ida litteraodI 10 11 1 2c)it ,
li)
Ft:tenth of),Nater I reel 8' below meattering pc(int Date sample analyzed )21talliaLltatdadP1211(:(a(l22.
1
l'aleasol'mg Pont(MP)st, ft above land surface Relative MP Elevatlion in ft
It:agar:ma of Rader taxleg berme sampb,rad 5 Date sample cottlec'bad 229/2o2q Laboratory Name. Lad'IllaLinigaLatgtkrntgliL
,F Hit andlyars ph 5 55
I '
Tema'17 6C, Odor none Aparta)ran I ii ILerafication Number X94 #3"/729
' I
Etft(taxatztEoffEBtfagEogralp(es Nir mettls were collecteci unfiltered Yes Ni and field accifiga Yes Nod
COD mge Manta(NO2jas N 0 02 mgill Ni-Nickel mge
Graddarat Ma Fecal r 7" 1 00m1 Nitrate(NA) (as N 2,77 mg/II PH-Lead rr gil
—ff
Colifoon III R rotal 'I 00m1 Phosphorus lotall as mg/II inn-Zino mg/I
1 decza use.max rne.'',:,od fiDf!,,ghiy Wrb,d,,:,rampies) 0rthophosph,8e rog/1 Ammonm Nitrogen a 2 Pagel
INN 254 int,t111 Al-Aa ddurn Inn mgd
...
ph(when analyzed; 'N5 palls Ba-Baraan mg/I Other
00 5 3 mg/l Ca-Calcium mg/t mg/I
- „
Crag/lee SO rngill lit-cadmium mg/I
Argemo ongil C Inrom um Ing
rata( „.—
/I
Grapate taild Cala rarg/1 Ca-Dpoger mg/I
- ---- —
Phenol in iiiil Fe-Intm algil
-- ,
1 Sulfate mge Ha-Mercury mad ORGANICS:(GC,(CIrosHPL c)
..' s pec if[c C c« d a(a d a co — a IlA a a,:,:t K.Potassigal Mg/I (SpEcii,,,,,test and method X Altztor afitt)(sport)
I°tad Al()mania ril:gil Mg-ro..,:griesitint alga Report Attached'?ales_ „,„„„,,(1) Ni' (CO
IAN r((le N ragil Ma a,Mangar[era mg11
1 oe,gilify tri(dt to IN betat nil nay Ancaalealge aria belted,the dttoorration 30:prat:tea in thaf lepoll ia,true,t(.t((told ate.and complete,dna that the kacffatoly on OHM nO atatt.a
was produced asEtg approved MethOdS of analysis by the North Catorina MAIO(formerly DEM)certified nat)oratttay I am ttrardi'a that!hue dna sqloreant ganagies for
solgraille(9 false information.molar:ludo(II pm ' of fir!tttad(ta,tarirsartrogra for knoottialc plobtraga
. ,
EltHi'alet T',IN rt7tto(or,AtEll7aTriga Agent)N.droe entl lHill,' ,Flonitor I ype Scam:Euro of age rtallee Or,Xauttlerized7genb Era t e