WQ0029653_Monitoring - 03-2021_20210428 (2)

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-FORM: NDMR 05-16 NON-DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0029653 Facility Name: Scotch Hall Preserve WWTP County: Bertie Month: March Year: 2021
PPI: 001 Flow Measuring Point: H Influent Li Effluent Li No flow generated Parameter Monitoring Point: ❑Influent E Effluent ❑Groundwater Lowering ❑Surface Water
Parameter Code -- * 50050 00310 00940 50060 31616 00610 00625 00620 00600 00400 00665 70300 00530
c r w
> 0 a) m m f° 9 c c 2 y m
�_ v 3 p c �_ c o o mrn Cv .-5 cm _ `.3t Vcv
o yy
p U E- H N LT m t H w 2 LL E Y +_ z 1_ = 1--0. o N F- N 0 ~ 0 0
cc 0 U z U U Q 'j Z z t p
p 0 0 a to
24-hr hrs GPD mg/L mg/L mg/L #/100 mL mg/L mg/L mg/L mg/L su mg/L mg/L mg/L_
1 23,835
2 23,835 - 113 23,835
4 23,835
5 07:00 2 8,683
6 8,683
7 8,683
8 8,683
9 8,683
10 8,683
11 06:00 12 8,683 6 48 0.35 <1 3.3 7.3 0.63 7.9 8,9 1.88 287 9.2
12 07:00 2 8,435
13 8,435
14 8,435
15 8,435
16 07:00 1 8,435
17 07:00 1 8,435
18 8,435
19 07:00 2 8,358 RP'°�� `�F„
20 8,358 r
21 8,358 APR 2 8 2O2 i
22 8,358
23 8,358
DWit SECTIOPI-
24 8,358 /t l=CR!ZQTIW PROCESSNG UNIT
25 8,358
26 07:00 2 11,380
27 11,380
28 11,380
29 11,380
30 11,380
31 11,380
Average: 11,031 6.00 48.00 0.35 1.00 3.30 7.30 0.63 7.90 1.88 287.00 9.20
Daily Maximum: 23,835 6.00 48.00 0.35 1.00 3.30 7.30 0.63 7.90 8.90 1.88 287.00 9.20
Daily Minimum: 8,358 6.00 48.00 0.35 1.00 3.30 7.30 0.63 7.90 8.90 1.88 287.00 9.20
Sampling Type: Recorder Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab
Monthly Limit: 16,920 30 200 15 30
Daily Limit:
Sample Frequency: Continuous 4 X Year 3 X Year Per Event 4 X Year 4 X Year 4 X Year 4 X Year 4 X Year Per Event 4 X Year 3 X Year 4 X Year

FORM: NDMR 05-16 NON-DISCHARGE MONITORING REPORT(NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Tom Beasley Name: ENVIRONMENTAL CHEMISTS, INC.
Name: Name:
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: BRIAN JERNIGAN Permittee: SCOTCH HALL PRESERVE WWTP
Certification No.: SI 1006435 Signing Official: DANIEL SUMEREL
Grade: Phone Number: 252-325-0771 Signing Official's Title: GENERAL MANAGER
Has the ORC changed since the previous NDMR? ❑Yes 0 No Phone Number: 919-300-9316 Permit Expiration: 2/28/2026
4021-0q/
A/C_
Signatur Date Signature Date
By this nature,I cert at 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]
Scotch Hall Preserve Date of Report: Mar 26, 2021
105 Scotch Hall Court Customer PO#:
Merry Hill NC 27957 Report#: 2021-04148
Attention: Brian Jernigan Customer ID: 17050011
Project ID: Wastewater
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-10192 Site: Effluent 3/11/2021 8:44 AM Water Tom Beasley
Test Method Results Date Analyzed
Ammonia Nitrogen (EPA 350.1) EPA 350.1 3.3 mg/L 03/17/2021
Chlorine(Free) Hach 8167 0.350 mg/L 03/11/2021
Fecal Coliform Idexx Colilert-18 <1 MPN/100m1 03/11/2021
Total Dissolved Solids(TDS) SM 2540 C 287 mg/L 03/12/2021
Residue Suspended (TSS) SM 2540 D 9.2 mg/L 03/12/2021
Temperature SM 2550 8 14.8 C 03/11/2021
Chloride SM 4500 CIE 48 mg/L 03/15/2021
pH SM 4500 H B 8.9 units 03/22/2021
pH (Field) SM 4500 H B 9.0 units 03/11/2021
Total Phosphorus ( SM 4500 P F) SM 4500 P F 1.88 mg/L 03/24/2021
BOD SM 5210 B-2011 6 mg/L 03/11/2021
Total Nitrogen (Calc)
Total Kjeldahl Nitrogen (TKN) EPA 351 2 7.3 mg/L 03/18/2021
NO3+NO2 Nitrogen EPA 353 2 0.63 mg/L 03/16/2021
Total Nitrogen Total Nitrogen 7.9 mg/L 03/22/2021
Comment: ,
Reviewed by: T 01(/ �
/= /
Report# 2021-04148 Paae 1 of 1

•
envirochem
ENVIRONMENTAL CHEMISTS, INC 6602 Windmill Way Wilmington,OFFICE:910-392-0223 FAX [phone]
Analytical&Consulting Chemists NCDENR:DWQ CERTIFICATION#94 NCDHHS: DLS CERTIFICATION#37729 [e-mail]
COLLECTION AND CHAIN OF CUSTODY Client:Scotch Hall Preserve PROJECT NAME: Wastewater(lagoon)effluent REPORT NO: z' — `I/�
y 3
ADDRESS: CONTACT NAME: PO NO:
REPORT TO: Brian Jernigan PHONE/FAX: [phone]
COPY TO: Rick Harrel email:
Sampled By: SAMPLE TYPE: I=Influent, E= Effluent,W=Well, ST=Stream, SO=Soil, SL=Sludge, Other:
rz
Sample Identification
ANALYSIS REQUESTED
cf) o E z Date Time Temp o
bdi-2,1 OSS &i C
Effluent G 1019 Z x
BOD, TSS
C P C
pH (field): ?, CI , /7 a' G G L ,7 X NH3, Total N(calc), Total P
Quarterly C
CIS -� D. G 3g .
X Fecal
C
G
C •
G
C
Effluent (Triannuals) '5-(f^1-\ (44 G G C X TDS, Chloride go
(March, July, November) C P
G G
C P
G G
C P
G G
Transfer Relinquished y: Date/Time Received By: Date/Time
1.
2. ,/--- 3-0-Z1
Temperature when Received °C: 3 1-1- Accepted: ,.f Rejected: Resample Requested:
Delivered By: `�,,..-, A t.".., Received By: ,. Date: 5-//-2/ Time:
Comments: TURNAROUND:

• "FORM: NDAR-1 05-16 NON-DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: W00029653 I Facility Name: Scotch Hall Preserve WWTP l County: Bertie Month: March Year: 2021
Field Name: 1 Field Name: 2 Field Name: 3 Field Name: 4
Did irrigation occur Area(acres): 11.92 Area(acres): 9.58 Area(acres): 8.62 Area(acres): 9.99
at this facility? Cover Crop: Cover Crop: GRASS Cover Crop: Cover Crop:
❑YES El NO Hourly Rate(in): 0.3 Hourly Rate(in): 0.3 Hourly Rate(in): 0.3 Hourly Rate(in): 0.3
Annual Rate(in): 41.69 Annual Rate(in): 43.45 Annual Rate(in): 13.71 Annual Rate(in): 41.7
Weather Freeboard Field Irrigated? [11 YES NO Field Irrigated? LL YES ❑ NO Field Irrigated? `j YES `]NO Field Irrigated? ❑YES J NO
m d° a c oN m° n m y E a) E ° a, m a m > rn E _` rn . 73 2, 2
E
` rn
c` 6- E E f02' E E E m �r
> '` x o o x _ ° o g o i= g _ :°
m I— 0- o `°
°F in ft ft gal min in in gal min in in gal min in in gal min in in
1
2
3
I 4
5 1.7
6
7
8
9
10
11 C 74 411,241 1050 1.58 0.09
12 2.5
13
14 C
15
16 R
17 0.5
18
19 2.6
20
' 21
22
23
24
25
26 C 0.25 2.6
27
28
29
30
31
Monthly Loading: 0 0.00 ' t 411 241 J 158 0 0.00 a" g,
12 Month Floating Total(in): x �� 9 35 16 , • • ° ,i

r
• 'FORM. NDAR-1 05-16 NON-DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: W00029653 I Facility Name: Scotch Hall Preserve WWTP I County: Bertie Month: March Year: 2021
Field Name: 5 Field Name: 6 Field Name: 7 Field Name: 8
Did irrigation occur Area(acres): 6.28 Area(acres): 8.16 Area(acres): 7.14 Area(acres): 5.36
at this facility? Cover Crop: Cover Crop: Cover Crop: Cover Crop:
[i YES ❑NO Hourly Rate(in): 0.3 Hourly Rate(in): 0.3 Hourly Rate(in): 0.3 Hourly Rate(in): 0.3
Annual Rate(in): 18.18 Annual Rate(in): 14.71 Annual Rate(in): 42.38 Annual Rate(in): 12.54
Weather Freeboard Field Irrigated? 'H YES NO Field Irrigated? [YES 1 NO Field Irrigated? f_I YES NO Field Irrigated? YES ] NO
r-
m
c �-
v �
E r g w v v m E
T° a) 4) y -a a) am a) -0 13 aW) To ; zy y c w 27. c 8 T.'
' E .
(0 ac
: E E rn E •F a E rn s c B. E E
w ° > o o o a cIn C m a o @ m = (8 o a o A o
> � J Q E ma
)
J > Q J J > a _ J E J
°F in ft ft gal min in in gal min in in gal min in in gal min in in
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Monthly Loading: 0 -gv 0 00 0 0,1 0.00 % 0 0.00 ;j 0 0.00
12 Month Floating Total(in): " ��' titx�� y £

• -FORM: NDAR-1 05-16 NON-DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: W00029653 I Facility Name: Scotch Hall Preserve WWTP I County: Bertie Month: March Year: 2021
Field Name: 9 Field Name: Field Name: Field Name:
Did irrigation occur Area(acres): 6.1 Area(acres): Area(acres): Area(acres):
at this facility? Cover Crop: Cover Crop: Cover Crop: Cover Crop:
IL]YES ❑NO Hourly Rate(in): 0.3 Hourly Rate(in): Hourly Rate(in): Hourly Rate(in):
Annual Rate(in): 13.19 Annual Rate(in): Annual Rate(in): Annual Rate(in):
Weather Freeboard Field Irrigated? ❑YES 7 NO Field Irrigated? ❑YES ❑NO Field Irrigated? ❑YES ❑NO Field Irrigated? ❑YES 7 NO
w
e g
° 10 v a) a Ed m > Ew mm 3 __ Ed wd > c E Ed m aE 3 c
p a ° o `' ° ° E a� f° m X o R ° ° E m s X o c E 2' m m x o m ° E a� .(731 x ° m
v „ m �. o d i- 0 ° x = ° o 0- 1- ° g 2 ° o G F . ° t0 2 ° o a I— .` O ° f7 2 °
E y w f6 G > Q �- J J > Q J J > Q J , J 9 Q -J J
(a F- a o .o
N
°F in ft ft gal min in in gal min in in gal min in in gal min in in
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Monthly Loading 0 y,;eiZ0 00 ;,ft 0 0 0.00
iI 0 ifiq.,44 0.00 4 0 0.00
12 Month Floating Total(in) � �� U•; Ulati5 r 5 4V ,

-FORM: NDAR-1 05-16 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit? 2 Compliant ❑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? 0 Compliant ❑Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 2 Compliant ❑Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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.
TO MUCH MI IN FEBRUARY. HAD TO LET SPRAY FIELD DRY SO I COULD SPRAY.WE ARE IN COMPLIANCE AFTER WE SPRAYED.
Operator In Responsible Charge(ORC)Certification Permlttee Certification
ORC: BRIAN JERNIGAN Permittee:
SCOTCH HALL PRESERVE WWTP
Certification No.: SI 1006435 Signing Official: DANIEL SUMEREL
Grade: Phone Number: 252-325-0771 Signing Official's Title: GENERAL MANAGER
Has the ORC changed since the previous NDAR-1? ❑Yes 2 No Phone Number: 919-300-9316 Permit Exp.: 2/28/26
S' at Date ./ f 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
1