WQ0035049_Monitoring - 04-2022_20220526

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DWR - NonDischarge Monitoring Report Submittal
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NORTH CAROLINA
&Mr...1M Qua(ily
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0035049
Name of Facility:* Maple Hill WWTP
Month:* April Year:* 2022
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR April2022_NDMR_NDAR1_... 7.22MB
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 Keel
Signature:
Date of submittal: 5/26/2022
This will be filled in automatically
Initial Review
.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Gerald,Wanda

Is the project number correct?* WQ0035049
Is the monitoring report accepted?* Yes No
Regional Office* Wilmington
Accepted Date: 6/18/2022

FORM:Pil?MR 10-13 NON-DISCHARGE MONITORING REPORT(NDMR) Page 1 of�2_
Permit No.: WQ0035049 1 Facility Name: Maple Hill WWTF County: Fender Month: April Year: 2022
PPI: 001 [Flow Measuring Point: «2 Influent 0 Effluent ❑No flow generated Parameter Monitoring Point: �Influent v Effluent 0 Groundwater Lowering ❑Surfxe Water
- e
Parameter Code 00400 00310 00530 00610 ' 00620 00626 31616 00600 00665 00940 70300
a p oct � in
� �
a 4 E Vr g S 0 3 C ºa i4 e cry � e
t° � �o ~ � � a � � �� � Y .á �� t f 2� w v
� � LLa i c � �
Ó � r � � z ts z áo in® h I-
24-hr hrs GPO su mg/L mg/L mg/L mg/L mg/L. #1100 mL mg/L mg/L mg/L mg/L
1 08:00 6 11,802 > 7.4
2 08:00 2 8,422
3 08:00 2 9,613
4 08:00 7 9,475 7.3
5 08:00 6 18,884 7.2
6 08:00 6 14,401 7.2
7 08:00 5 10.810 7.3
8 08:00 4 8,529 7.3
la 08:00 MIEMI 9,462 11111111
10 08:00 10,435
11' 08:00 10,557 ; 7.3
12 08:00 . 12,013' 7.2
13' 08:00 . 9,443 7.2
08:00 6 9,510 7.4 monnua
;
08:00 7 i1�,399 7.5 9 4,1 4.7 202
08:00 2 10,625
08:00__ 2 11,663
: 08:00 6 11,038 _ 7.5
08:00 5 7,535 7.4 ill
20 08:00 6 9,058 OEMWM
!� 111
illi
08:00 7 8,336 7.4 !
08:00 7 9,728 7.5 1m~ _ ___ milli
08:00 2 8,419
09:00 2 11,318 � MN _ 1111.1111.11111111
III 08:00 6 EMI 7.6 IIIIINN- IIIIIIM _ IIII
26 08:00 6 9,957 7,8 � NM 27 08:00 7 9,982 7.8 �
28' 08:00 7 8,944 7.4
29 08:00 5 8.273 7.4
30 08:00 8,603
31
Average: 10.197, 9.00 9.10 4.10 19.30 4.70 1.00 20.20 ` 3.83 549.00
Daily Maximum: 18.884 7.80 9,00 9.10 4.10 19.30 4.70 2.00 20.20 3.83 549.00
Daily minimum:�: 7,535 .-. ...7.20 9.01.7 9.10 4.10 19.30 470 2.00 20.20 . 3.83 548.00
Sampling Type: Recorder Grab Composite Composite Composite Composite Composite Grab Composite Grab Composite Composite
Monthly Avg.Limit: 42,000 n/a 30 30 n/a We 200 nla n/a n/a Ma
Daily Limit:. ` 6 tº 9 MEMINIMEIMMEME~MINIMZEI nla !WM nla 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 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? E Compliant [7_, 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: 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
El Yes E No Phone Number: 910-259-1570 Permit Expiration: 8/31/2026
if -=
5IZ
Signature Date Signature Date
By this signature, 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 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,l 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

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''"'iliwiii;,:l'i',...„'L.LI tilniu16,11L mittlit
it'14 'lle:i Awl ,orn Nil, 6602 Windmill Way,Wiliningion,NC 28405 '"' 910,3910223 Lab 5 930,392.4471 Fax
10 Howseriown Road, Manted 181C 27954 '1" 252,473 5702 Lab/Fax
255.A Wilnkingi on ilighladby,Jacksonville,NC 28540 5 910,347,5843 1,abiRiX
ANALYTICAL&CONSULTING CHEMISTS infoax environnicmakhenbsts coin
Ponder County Utility Operations Date of Report: Apr 28, 2022
Post Office Box 995 Customer PO#:
Burgaw NC 28425 Customer ID: 08100095
Attention: Chris Pickett Report#: 2022-06921
Project ID: Maple Hill lArlAfTP
-
Lab ID Sample ID: Collect Date/Time atrix Sampled by
22-16750 Site: Effluent 4/15/2022 8:30 AM Water Chris House
Test Method Results Date Analyzed
Ammonia Nitrogen EPA 350,1,Rev.2.0,1993 4.1 mg/L 04/25/2022
Total Kjeldahl Nitrogen (TKN) EPA 351.2,Rev,2.0,1993 4.7 mg/L 04/26/2022
Total Dissolved Solids (TDS) SM 2540 C-2015 549 mg/L 04/18/2022
Residue Suspended (TSS) SM 2540 D-2015 9.1 mg/L 04/18/2022
BOD Skit 5210 13-2016 9 mg/L 04/15/2022
Chloride SM4500 CI E.2011 61 mg/L 04/19/2022
Nitrate Nitrogen (Cale)
Nitrite Nitrogen EPA 353.2,Rev.2.0,1993 0.87 mg/L 04/15/2022
Nitrate+Nitrite-Nitrogen EPA 353 2,Rev.2.0,1993 20,2 mg/L 04/19/2022
Nitrate Nitrogen Subtraction Method 19,3 mg/L 04/27/2022
..
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-16751 Site: Effluent-Grab 4/15/2022 8:30 AM Water Chris House
Test Method Results Date Analyzed
Fecal Coliform idexx Co8ert.18 <2 MPNI/100ml 04/15/2022
Temperature SM 2550 B-20'10 20.2 C 04/15/2022
pH SM 4500 H B-2011 8,1 units 04/15/2022
Total Phosphorus SM 4500 P(F-H)-2011 3.83 mg/L 04/25/2022
Comment, ,
Reviewed by: 1 ' rn( ' ei
IMINMIMMINIfifil.121.11.111.1WIRIMIMMIMIIIIMIMMIMMAMOMM mil mummo.onmumm
RPnrert il 9n7).11gq91

A
Date: i � ttjfica on# 94
K. ✓-I Facility Name:_�`�1( % �r
Analyst: 2......
ftoi&' __
I—Permit : 0/ 7 L
PH
Reference Method.SM4500 H+B-2011 Instrument ID:
Calibration Time Cal Buffer 4.0 s u. Cal Buffer 10.0 s.u. Check Buffer 7.0 s.u, Comments
D5k Lizo. Pi)
114&_Ez,-)„.....0 9 c.)._..."
"pH check buffer must read within±0.1 pH units of the buffer's true value.
4 su buffer Lotrl: Ricca 4112869 Exp 1 I/22 7 su buffer Lot`f: Ricca 2112A38 Exp.12/23 10 su buffer Lolr: RICCA 2112750 Exa.5123
Sample location Sample Collection Sample Analysis pH Result >Post-analysis Buffer
Time• Time• s.0 Check value s.u. I Comments/Data Qualifiers
og
>Post analysis buffer check ís required when performing analyses at multiple sampling locations and must be within±0.1 units of the buffer's true value
All pH values in pH units(i.e.,s.u.).Record all data to the nearest 0.01 s.u.and report to the nearest 0.1 s.u.
Total Residual Chlorine(TRC)
Reference Method:SM 4500 CI-G201 I: Hach 8167 HR: Please circle as Method Instrument ID:
Post-analysis
' Daily Check Time check Sample Sample
Check Std. Sample
Standard Result Standard p Collection Analysis TRC Result Comments`Data Qualifiers
t or ma L (when analyzing Location Irg/1.or mg.1
Pg Analyzed Time Time -
at multiple sites) .
I
TRC Daily Check Standard true value L or mo L acceptance range _�__ _�
pJ -1 p � .11gLormeL
Check standards must recover within-10%)of the check standard's true value
Annual Calibration Curve Verification Date: LOT# IDEXX 2109792 Exp.Date: 08/31/22
Reagent Blank Value: (When applicable.Analyze and document a reagent blank when standards,sample dilutions or PT Samples are prepared)
Dissolved Oxygen(DO)
Reference Method:5M 4500 O G,-201 I Instrument ID:
Calibration a iltbaauun v enable Meter«reading
•P"•st analvs.i�calihrztir,n
Verification c verification(when necessary.)
or Q efficiency Comments
Time Barometric after calibration Theoretical Calculated
Temperature pressure Value mg/ Value mg/L
I.se thi4 runs svlien performing a verification instead of
calibration
Sample Location Sample Collection 'Sample Analysis DO reading
Time Time mg/L Comments/Data Qualifiers
•When performing analyses at multiple locations,the meter must be recalibrated at each site before analysis or a post-analysis calibration verification must be performed
If.airplc es measured dirccrly in the;tram and or nn;ne.only Lime anal_.nti«said he retarded ss rth a note that they arc measured to situ or cameliatels
Temperature
Reference Method:SM 2550 B-2010 Instrument ID:
Sample `Sample Temperature
Sample Location Collection Analysis °C Comments/Data Qualifiers
Time Time
tA-k&INJ 0530 ®$3) Z0r1
'>1f>ample is mea;ur_d Jr r':e•;t-ea. and 'r.n.,:tee Mk. line_truly/ed us old be recorded.`.s id-,a rote that the..are recast:red in;:mt:or immediate) 1
Annual Verification Date --ZZ
Field Personnel Note:
Q,L001
Rev 1-Zl77

^ ^
Environmental Chemist, Inc., Wilmington, NC Lab#94 6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Sample Receipt Checklist
Client: Date: L4 U 1u� 22 ReportNunnbec �� -� ~- �—��~C� �� �
L�^ � � ' v -- -- -- .
� ' �� ` T�� x �
Receipt ofsample: Echem Pick u'pK Client Delivery[] UPSO PedEx13 Other El �
[] � [� NO �
. YES °1�~ ,� l. Were custody seals present on the cooler?
[I YES 13 NO �I N/A 2. |f custody seals were present, were they intact/unbmoken? '
Original temperature upon receipt 7"c> "C Corrected temperature upon receipt ^C
How temperature taken: [] Temperature Blank 15 Against Bottles
|R Gun ID:Thomas Traceable 5/N1935116S7 |R Gun Correction Factor^C:O.O
[] YES [] NO 3. /f temperature of cooler exceeded 6^C, was Project KAgr./QAnot|fied?
YES [] NO 4' Were proper custody procedures(re|inquished/received) followed?
YES [] NO S. Were sample |O's|isted on the COC7 '
zn YES [] NO G. Were samples|D's listed on sample containers?
m6
YES 13 NO 7' Were collection date and time listed on the COC?
BÓ YES [] NO 8. Were tests tobe performed listed on the [O[?
�Ó YES [] NO 9. Did samples arrive in proper containers for each test?
08 YES [] NO 10. Did samples arrive in good condition for each test?
Eq YES [] NO 11. Was adequate sample volume avaDab|e?'
m� �
`� YES [] NO 12. Were samples received within proper holding time for requested tests?
fin YES .[J NO 13. VVeneacid preserved sannp|esreceived atapHof<27*
[] YES [] NO 14. Were cyanide samples received atapH>12?
[] YES [] NO . 16. Were sulfide samples received at pH >9?
119 YES [] NO 16. Were NH3/TKN/Pheno| received ata chlorine residual of<O.Smn/L?
VV **
[] YES [] NO 17. �re6u|fide/[yanidereceivedatach/orineres�dua�o�«O.5m/--?
[J YES [] NO 18. Were orthophosphate samples filtered in field within 1Sminutes?
* TOC/Vo|ati|es 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): HzSCL HNO3 HONaQH |
Time ofpreservation: /f more than one preservative is needed, notate in comments below
Note:Notify customer service immediately for incorrectly preserved samples.Obtain a new sample u,
notify the state lab if directed to analyzed by the customer.Who was notified,date and time: �
Vo|ati|esSamp|e(s) were received with headspace
COMMENTS:
/
|
(
DOCI\AJJOZ Rev 1 �
'

6602 Windmill Way Wilmington,NC 28405
E I " TC I , IC nvil*elfArni. L T OFFICE:910-392-0223 FAX [phone]
Analytical&Consulting Chemists
;,1,-
NCDENR:DWQ CERTIFICATION#94 NCDHHS:DLS CERTIFICATION#37729 [e-mail]
COLLECTION AND CHAIN OF CUSTODY
Client:Pender County Utilities(Wastewater) PROJECT NAME: Maple Hill WWTP(PP! 001) REPORT NO: ZZ,,-bt;g Z.1
ADDRESS: CONTACT NAME: Chris Pickett,ORC PO NO:
REPORT TO: ORC PHONE/FAX:
1 COPY TO: email:
Sampled By: r.-OW-4.- SAMPLE TYPE:I=Influent,E=Effluent,W=Welt,ST=Stream,SO=Soil,SL=Sludge,Other:
Collection P , PRESERVATION
I a, ... I"s•Sample Identification pl
_ ANALYSIS REQUESTED
1.15>'-' g 19 13 °- 3 1 5 2 2 <1 1 M 1` 1 fl
Date Time Temp u _
11/1-72,Í OW C P
WWTP PPI 001 (composil 147)1)x BOD,TSS, NO2
C P
1-0.5 X 4.7, NO3, NH3,TKN
WWTP PPI 001 VI,77 Oa>) C P
(composite) Triannuals -1..) -uu X Chloride,TDS (March, July, Nov)
C P
G G
WWTP Effluent(grab) 1 G tbr . X Total Phos
C P
pH (field): adl v 7,02f
G G X Fecal Coliform
-
C P
G G
C P
Samples due 1/month G G
C P
G G
limits:BOD 30 mglL,TSS 30 mg!L,NH3 IS mglL,Fecal 200 colonles1100 ml
Transfer Relinquished By: Date/Time Received By: Date/Time
,..
1.
2.
Temperature when Received: 7,...OD Accepted: Rejected: Resample Requested:
Delivered By: 2/11-0-)."4(z.„. Received By: C,...A.kat."-le-- Date: /-/5--2.Z.," Time:
T RNAROUND:
Comments:

FORM:NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page_1_of_4_
Permit No.: WQ0035049 Facility Name: Maple Hill WWTF 1 County: Fender Month: April Year: 2022
Field Name: 1 Field Name: 2 Field Name: 3 Field Name: 4
Did irrigation occur Area(acres): 1.72 � Area(acres): 1.72 ArSaiacres}:; 1.72 Area(acres): 1.72
at this facility? Cover Crop: Bermuda Cover Crop: Bermuda Cover Crop: Bermuda Cover Crop: Bermuda
YES ��� Hourly Rate(in): 0.41 Hourly Rate(in): 0.41 1 Hourly Rate(In):� 0.41 � Hourly Rate(in): 0.41
Annual Rate(in): 29.71 Annual Rate(in): 29.71 f Annual Rate(In): 29.71 Annual Rate(in): 29.71
_
Weather Freeboard Field Irrigated? -0 YES 9 NO Field Irrigated? E YES o N0 Field Irrigated?, f2 YES 2 NO Field Irrigated? :=3 YES '21 NO
4) �
ºó m � l 9+� E ! m 5i 10 E i C E t io� 11 01 A a) PE
g E Eis E Ea43 E3t , a a � xt = °) > o Op °IXL
� a th
°F in ft ft gal min in In gal min in in . gal rein in In gal min in in
1 CL 68 1 4
2
� - -
3 (
4 C 43 0 4 �
5 C 48 0 4
6 PC 67 1.5 3.1
7 CL 65 0 3.1 �
8 PC 59 0 3.1
9
10
11 C 50 0 3.1 � - �
12 CL 63 0 3.1
13 C 66 0 3.1
-- - P- - - -
14 CL 69 0 3.1
15 C 65 0 3.1 :
- . t
16- - �
17
18 R 57 0 3.1 -
19 C 45 0.5 3.1
20 C 46 0 3.1 -
21 C 53 0 3.1
- � - ---_
22 C 53 0 3.1 MINIUMEME
23
25 C 62 0 3.1
.l - - • -_ - .__ - - : • :----- -- - ---- -- . - -- - -- --- . - ..
26 C 63 0 3.1
27 C 55 0 3.1 S
• �. . ., - -
28 C 54 0 3.1 ,
29 C 60 0 3.1 -
30
�
31
Monthly Loading: 0 0.00 0 0.00 = 0 0{iti 0 _ 0.00
' =
• • '
12 Month Floating Total(in) _ 9.21 _ 9.67 „,,: Í 9.62 �� � ., �_ _- 9.35 = _

FORM:NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page_2�of_4_
Permit No.: W00035049 Facility Name: Maple Hill WWTF [ County: Pender Month: April Year: 2022
Field Name: 5 Field Name: 6 F3eld Name:£ 7 , Field Name: 8
Did irrigation occur Area(ac ):> 1.72 Area(acres): 1.72 Area(acres): 1.74 Area(acres): 1.71
at this facility? cover Cro . Bermuda CoverBermuda CoverCrop: Bermuda
p, Crop: � Crop: Bermuda Cover
E YES `N4 Hourly Rate(in):I 0.41 Hourly Rate(in): 4.41 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
> i
Weather Freeboard Field irrtgated74: 0 YES C7 NO Field Irrigated? ❑YES E Na Field Irrigated? 0 YES 0 NO Field Irrigated? E.YES E NO
m � ° � ��.
E cE � � 1, s � § � 0 � m2 ª, cx . Lca Ú � � �% � �º � 1 � › c> g_ gt a m3 ?, u g 4...E E2 � 2 �lE �� E ER It E 15 t i � e i ! .
cáE . � á c o -�� oa t- 2 : óº. i= •º aá � _ 2 z �> d t -1 > Q � .i z ..1 >
6t CI R
o
1 �- 4. v}
. � ,
°F in ft ft gal . min . in in gal min in in gal Min . in in ` gal min in in
1 CL 68 1 . .
4
2 -
. - - ; _ J
3 - -
r - r
4 C 43 0 4 .
-- - =- -
5 C 48 0 4
6 PC 67 1.5 3.1
7 . CL 65 0 3.1 = � 1
8 PC 59 0 3.1 ' � - , - -
' ' .1)
9
10 .
11 C 50 ` 0 3.1 : �- = '
' ; ¡
12 CL 63 0 3.1
.
13 C 66 0 3.1 , ,
14 CL 69 • 0 3.1
-�- -
15 C 65 0 3.1
16
3
17
18 R 57 0 3.1 . � -
_
-
19 C 45 0.5 ` 3,1
� - - - ,
` -- % -_- - �
20 C 46 0 3.1 , [
�
1 - -
21 C 53 0 3.1
. � - , - __�� i � �
r
22 C 53 0 3.1 -- -
�
�� .
� � ^- - ---_- - __-__._ - _- __ -F . _. ._ . . __._ - € .
24f _ � i ,
25 C > 62 0 3.1
• - - - - -._-_é_ . - - . - _ - � - . .._--.- ._ . . ‘.. ______-- _.
26 C 63 0 3.1 t _ . . _ . �
27 C 55 0 3.1 -, °
. � ,
2$ C T 54 0 3.1 ` -
29 C 60 0 3.1 `
-, - - - _.
30
31 �� '
Monthly Loading 0 0.00 0 0 00 0 t�00 0 = 0,00
, V .. ._ Yq� i+�; �R�_4 - -._
12 Month Floating Total(in):1 ' AA ` /,__ ` 8.75 _ ' 9.65 � ,_._ , ' '- 10.04 '- = 10.18 = _

FORM:NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page_3_of_4_
Permit Na.: WQ0035049 1 Facility Name: MAPLE HILLWWTF County: Pander [ Month: April Year: 2022
Field Name: 9 � Field Name: 10 Field Name:1 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:, Be muca Cover Crop
:
1 YES 3 NO Hourly Rate(in): 0,41 Hourly Rate(in): 0.41 Hourly Rate(irt), 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 3 NO I Field Irrigated? E YES ^NO Field Irrigated?' 0 Yes O NO Field irrigated? ❑YEs Z NO
`..
m� « r
H
ma2 a 8 � � � ; s� P E �*e ar 11 �- a =r E ? �a g 3 . 1 - ,r 12.-.E.� Fa . 71 > ar E � a
., U apa a „� �,,- á � . E m � . is � c �aoi � iE z +r � av ' óQ =l .� � . ie � � 11 E = sas � � Em ip -a E ° ,_mti cr> > S - 1t3 � z3 > ¢ = 3 gz3 > +t � t . .� 3 . > Q l= � 1 g = 31.- a
°F in ft ft : gal min in in gal min in in gal min in . in gal min in in
. _ _ ,a.
I CL 68 1 4 .
2 . - - - � ,
t. - , -
3
� - --- -
4 C 43 0 4 ,
5 C 48 0 4 1111 .
6 PC 67 1.5 3.1 �
7 � CL - 65 0 3.1 � _ - ' 4
8 PC 59 0 3.1 �
9'
�
, - - . -
10 ' �
MI 11 C 50 0 3.1 - .1 -
12 CL 63 0 3.1 , allill NM !
13
C 66 0 3.1 1~ . MIME (
14 CL 69 0 _ 31 _
15 C 65 0 3.1 `
16 ...
- - [
18 R 57 0 3.1 �
- - - .
19 C 45 0.5 . 3.1
, .
20 C 46 0 3.1 ` ��
_ ,'- e
21 C 53 0 3.1
ER -22 C 53 0 3.1 ,- - , , -� �- ,
23
- - .
24 ~MIRE - -
25 C 62 0 3.1 ��
'26 C 63 0 3.1
27 C 55 0 3.1 MEE
28 C 54 0 3.1111111
29 C 60 0 3.1 [
30 Ell111.111 r -
'
31 �
Monthly Loading:. 0 ; 0.00 _: i i t« 0 O OE3 imm. - 0 Oo
12 Month Floating Total(in) _ 8.81 _ - 9 68 r •= ; _ 9.27 :_ r_ __ _EMI'- __

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? E-72, Compliant El Non-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? E Compliant Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? E Compliant EI Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 2 Compliant E Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? E 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.
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: Christopher Pickett Permittee:
Pender County Utilities
Certification No.: 1010919 signing Official: Kenneth Keel
Grade: VVVV-SI Phone Number: 910-259-1570 Signing Official's Title: Director
Has the ORC changed since the previous NDAR-1? n Ye-5 2 No Phone Number: 910-259-1570 Permit Exp.: 8/31/26
LIIIVt
51 ,
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 at 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,tree,accurate,and complete, 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