WQ0001664_Monitoring - 12-2022_20230120

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * December
Report Information
WQ0001664
Belvedere Plantations WWTF
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
Belvedere December 2022 7.86MB
WWTP DMR.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Greg Spillman
Reviewer: Wanda.Gerald
t-!�1wew
1 /20/2023
This will be filled in automatically

Is the project number correct?* WQ0001664
Is the monitoring report accepted?* - Yes NO
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 2/13/2023

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Permit No.: WQ0001664
Facility Name: Belvedere Plantation WWTF
county: Pender
Month: December
Year: 2022
PPI: 001
Flow Measuring Point: Influent L Effluent _ No flow generated
Parameter Monitoring Point: Influent, Effluent [ ] Groundwater Lowering Surface Water
Parameter Code
50050
00310
00940
50060
31616
00610
00625
00620
00600
00400
00665
70300
00530
00076
m>
O FUO22
Q E
0
c
F
N
O
v
m e
6
�U
E
o
LL
U
o
E
a
m a
Z
o
Z
a
_
O
a
vO.
m mNLL
!n
To ta
inW
7
24-hr
hrs
1 GPD
mg/L
mg/L
mg/L
#/100 mL
mg/L
ril
mg/L
mg/L
su
mg/L
mg/L
mg/L
NTU
1
08:15
94,200
0.02
7.26
2.12
2
08:35
1
90,800
0.04
7.33
2
3
107,900
<10
4
107,900
<10
5
03:00
1
107,900
<2
0.28
<2
<0.2
1.1
0.27
1.4
7.19
0.1
<2.5
1.38
6
02:20
1
117,300
<2
0.27
<1
<0.2
0.8
3.82
4.6
7.28
0.08
9
2
7
11:00
1
72,500
0.23
7.15
1.99
8
09:10
1
87,100
0.22
7.38
2.01
9
09:50
1
102,000
0.02
7.41
2
101
107.433
<10
ill
107,433
<10
121
01:30
1
107,434
<2
0.12
<1
<0 2
0.8
0.12
0.9
7.07
0.18
<2.5
2.01
131
11:20
1
90,300
<2
0.22
<1
<0.2
0.9
0.28
1.2
7.19
0.38
<2.5
2
141
11:55
1
95,600
0.18
7.28
2
151
10:05
1
87.500
0.2
7.23
2.01
161
08:45
1
106,200
0.16
1
7.4
2
171
106,333
<10
181
106,333
<10
19
10:40
1
106,334
<2
0.28
<2
<0 2
0.6
0.24
0.8
7.29
<0.04
<2.5
2
20
09:25
1
94,600
<2
0.06
<1
<02
0.6
0.16
0.8
7.42
<0.04
<2.5
2.02
21
03:05
1
141,800
0.32
7.84
2.01
22
03:55
1
105.000
0.19
7.41
2
104,280
<10
104,280
<10
104,280
<10
104,280
<10
F
1
104,280
<2
0.18
<1
<0.2
0.7
<0.02
0.7
7.57
<0.04
<2.5
8.72
1
84,800
<2
0.22
<2
<0.2
<0.5
0.12
<0.5
7.64
<0.04
<2.5
2
1
121,000
0.2
7.53
7 85
87,800
0.21
7.41
2
I
131,200
<10
Average:
103,100
0.00
0.18
1.00
0.00
0,69
0.63
1.30
0.09
1.13
1.68
Daily Maximum:
141,800
2.00
0.32
2.00
0.20
1.10
3.82
4.60
7.84
0.38
9,00
10.00
Daily Minimum:
72,500
2.00
0.02
1.00
0.20
0.50
0.02
0.50
7.07
0.04
2.50
1.38
Sampling Type:
Recorder
Composite
Composite
Grab
Grab
Composite
Composite
Composite
Composite
Grab
Composite
Composite
Composite
Recorder
Monthly Limit:
300,000
10
14
4
10
7
3
15
Daily Limit:
6-9
10
Sample Frequency:
Continuous
2 X Week
3 X Year 1
5 X Week
2 X Week
2 X Week
2 X Week
2 X Week
2 X Week
5 X Week
2 X Week
3 X Year
2 X Week
Continuous

FORM: NDMR 05-16
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
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? f :; 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
ORC: Greg Spillman
Certification No.: 1004824
I Grade: 4
Phone Number
Has the ORC changed since the previous NDMR?
252-241-0661
Yes No
►- %y- z
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge
Permittee Certification
Permittee: CWSNC
Signing Official: Tony Konsul
Signing Official's Title: Director of Operations
Phone Number: 704-576-1685 Permit Expiration: 3/31/2026
Digitally signed by Tony Konsul
Did C-US, OU="Director, State Operations", O-Carolina
Tony Ko n s u I Water Tony. ,ice of NC linCN-Tony Konsul
E-Tony. Konsul @carotin awaterservicenc.com
Reason: 1 am approving this document
Location: 5821 Fairview Rd, suite 401 Charlotte NC 28209
Date: 2023.01.20 10:35:20-05'00'
Foxit RDF Editor version: 11.2.3 1/20/2023
Signature Date
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

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Permit No.: WQ0001664
Facility Name: Belvedere Plantation WWTF
County: Pender
Month: December
Year: 2022
PPI: 002
Flow Measuring Point: ❑ influent E Effluent ❑ No flow generated
Parameter Monitoring Point: I Influent ❑Effluent n Groundwater Lowering Surface Water
Parameter Code P
WQ01
�
Q ~
U
0
p
c
O
E
F
U
O
a
E d
U
d
24-hr
hrs
Gallons
1
08:54
1
0
2
0
3
4
5
09:18
1
0
6
08:59
1
0
7
08:55
1
0
8
03:21
1
0
9
10:15
1
0
10
11
12
09:00
1
0
13
09:52
1
0
14
10:09
1
0
15
01:59
1
0
16
07:37
1
0
17
18
191
09:26
1 1
0
20
08:55
1
0
21
10:13
1
0
22
1
0
23
24
25
26
27
09:52
1
0
28
09:24
1
0
29
11:02
1
0
30
07:25
1
0
31
Average:
0
Daily Maximum:
0
Daily Minimum:
0
Sampling Type:
Estimate
Monthly Limit:
Daily Limit:
Sample Frequency:
Monthly

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) 11 Certified Laboratories
Name: Greg Spillman 11 Name: Enviromental Chemists, Inc. DW # 94
Name: II 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? f i 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: Tony Konsul
Grade: 4 Phone Number: 252-241-0661
Signing Officials Title: Director of Operations
Has the ORC changed since the previous NDMR? reps No
Phone Number: 704-576-1685 Permit Expiration: 3/31 /2026
Digitally signed by Tony Konsul
ON: C=US, OU-Director, State Operations', O=Carolina
water Service of NC, IN -Tony Konsul,
Reason: this document
approving this document
Tony Ko n s u I ReTony I am approving
1 l9— 2�
I )JAAA-4.-NA1 titJ
Location: 5ffi1 Fairview Rd, suite 401 Charlotte NC 28209
82
Date: 2DF Editor
Foxlt PDF Editor Version: 11.2.3 1/20/2023
Version 11. .3
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 penally 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

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Permit No.: WQ0001664
Facility Name: Belvedere Plantation WWTF
County: Pender
Month: December
Year: 2022
PPI: 003
Flow Measuring Point: Influent LJ Effluent _! No flow generated
Parameter Monitoring Point: Influent [-]Effluent U Groundwater Lowering [] Surface Water
Parameter Code 0.
50050
00940
31616
00610
00620
00400
00665
70300
00600
50060
00680
@
❑
>
U
O
C
N
~
U
X
0
LL
d
L
U
E
LL 0
U
@
'C
E
E
Q
«
�:
2
a
N
0
F N
o
z
a-
'D
a) N
F 0 0
rn�
0
m
F O
Z
_ N
F N 0
mL
U
U_
C
W C
0@
taU
10
24-hr
hrs
GPD
mg/L
#/100 mL
mg/L
I mg/L
su
I mg/L
mg/L
I mg/L
mg/L
mg/L
1
0854
1
449,000
2
449,000
3
449,000
4
449,000
5
09:18
1
449,000
<1
<0.2
<0.02
7.1
0.08
0.7
0
6
08:59
1
449,000
7
08:55
1
449,000
8
03:21
1
449,000
9
10:15
1
449.000
101
449,000
11
449,000
12
09:00
1
449,000
<1
<0.2
0.22
723
0.54
1.1
0
13
09:52
1
449,000
14
10:09
1
449,000
15
01:59
1
449,000
16
07:37
1
449,000
17
449,000
18
449,000
19
09:26
1
449,000
<1
<0.2
<0.02
7.16
<0.04
<0.5
0
20
08:55
1
449,000
21
10:13
1
449,000
22
1
449,000
23
j
449,000
24
449,000
25
449.000
26
Tk
449,000
27
0952
1
449,000
<1
<0.2
0.44
7 34
<0.04
1.1
0
28
09:24
1
449,000
29
11:02
1
449,000
30
07:25
449,000
311
1
449,000
Average:
449,000
1.00
0.00
0.17
0.16
0.73
0.00
Daily Maximum:
449,000
1.00
0.20
0.44
7.34
0.54
1.10
0.00
Daily Minimum:
449,000
1.00
0.20
0.02
7.10
0.04
050
0.00
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
568,218
250
1.5
10
500
Daily Limit:
6.5-8.5
Sample Frequency:
Continuous
3 X Year
Weekly
Weekly
Weekly
Weekly
Weekly
3 X Year

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) II 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 [ I 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: Tony Konsul
Grade: 4 Phone Number: 252-241-0661
Signing Officials Title: Director of Operations
Has the ORC changed since the previous NDMR? ❑ Yes No
Phone Number: 704-576-1685 Permit Expiration: 3/31/2026
/ - r
Digitally signed by Tony Konsul
ON: C=US, OU-'Director, State Operations', O=Carolina
water Service of INC, CN=Tony Konsul,
Tony Ko n V u l E=Tony. I am apprring this o unueenacom
Reason: 82 approving this document
Location: 3.01 Fairview Rd, suite 401 Charlotte INC 28209
Date: 2023.01 .or Versi0 36on: : 11.2.3
Foxit PDF Editor Version: 11.2.3 1/20/2023
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

FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Pege
Permit No.: WQ0001664
Facility Name: Belvedere Plantation WWTF
County: Pender
Month: December
Year: 2022
Did infiltration occur at
Site Name:
A
Site Name:
B
Site Name:
C
Site Name:
this facility?
Area (acres):
0.27
Area (acres):
0.27
Area (acres):
0.27
Area (acres):
111 YES ❑ NO
Rate (GPD/ft):
8.55
Rate (GPD/ft):
8.55
Rate (GPD/ft):
8.55
Rate (GPD/ft):
Weather
Freeboard
Site Infiltrated?
YES [ l NO
Site Infiltrated?
YES ❑ NO
Site Infiltrated?
', ', YeS NO
Site Infiltrated?
❑ YES No
m
d
c
@
o n>
cc
a
@
°
a
'
0
o°
m e
LL
.2
oCL
� Q
-'
C
o
o@Z@Em
c
lL
o
�R
=a
J
0
CID
o
a
Q
d
@>m
y 0°
00
Rcc
co
°F
in
ft
ft
I gal
min
GPD/ft2
ft
gal
min
GPD/ft2
I ft
gal
min
GPD/ft2
ft
gal
min
GPD/ft2
ft
1
CL
55
0
40,284
0
3.43
0.00
0
0
0.00
0
50,055
0
4.26
0.00
2
CL
40
0
35,629
0
3.03
0.00
0
0
0.00
0
79,869
0
6.79
0.00
3
PC
41,331
0
3.51
0.00
0
0
0.00
0
93.316
0
7.93
0.00
4
CL
41,331
0
3.51
0.00
0
0
0.00
0
93,316
0
7.93
0.00
5
C
58
0
41,331
0
3.51
0.00
0
0
0.00
0
93,316
0
7.93
0.00
6
PC
60
0
10'3"
14
35,931
0
3.06
0.00
0
0
0.00
0
81.477
0
6.93
0.00
7
PC
57
0
36,776
0
3.13
000
0
0
0.00
0
83,451
0
7.10
0.00
8
PC
50
0
49,139
0
4.18
0.00
0
0
0.00
0
111.693
0
9.50
0.00
9
C
53
0
29,665
0
2.52
0.00
0
0
0.00
0
67,155
0
5.71
0.00
101
C
39,330
0
3.34
0,00
0
0
0.00
0
88,651
0
7,54
0.00
ill
C
39,330
0
3.34
0.00
0
0
0.00
0
88,651
0
7.54
0.00
12
PC
51
0
10'3"
14
39,330
0
3.34
0.00
0
0
0.00
0
88,651
0
7.54
0.00
13
PC
53
0
37,960
0
3.23
0.00
0
0
0.00
0
85.363
1 0
7.26
0.00
14
C
52
0
39,765
0
3.38
0.00
0
0
0.00
0
93,013
0
7.91
0.00
15
R
64
0.75
49,439
0
4,20
000
0
0
0.00
0
119,099
0
10.13
0.00
16
C
61
0
26,671
0
2.27
0.00
0
0
0.00
0
63,285
0
5.38
0.00
17
PC
38,582
0
3.28
0.00
0
0
0.00
0
89,592
0
7.62
0.00
18
CL
38,582
0
3.28
0.00
0
0
0.00
0
89.592
0
7.62
0.00
19
PC
52
0
38,582
0
3.28
0.00
0
0
0.00
0
89,592
0
7.62
0.00
20
C
50 1
0
10'3" 1
14
39,048
0
3.32
0.00
0
0
0.00
0
87718
0
7.46
0.00
21
C
48
0
38444
0
3.27
0.00
0
0
0.00
0
86366
0
7.34
0.00
22
R
61
0
47,699
0
4,06
0.00
0
0
0.00
0
109,057
0
9.27
0.00
231
C
1
39,730
0
3.38
0.00
0
0
0.00
0
90,542
0
7.70
0.00
241
CL
39,730
0
3.38
0.00
0
0
0.00
0
90,542
0
7,70
0.00
25
PC
39,730
0
3.38
0.00
0
0
0.00
0
90,542
0
7.70
0.00
26
PC
39,730
0
3.38
0,00
0
0
0.00
0
90,542
0
7.70
0.00
27
CL
40
0.
10'3"
14
39,730
0
3.38
0.00
0
0
0.00
0
90,542
0
7.70
0.00
28
CL
40
0
35,777
0
3.04
0.00
0
0
0,00
0
80,824
0
6.87
0.00
29
CL
56
0
46,542
0
3.96
0.00
0
0
0.00
0 1
106,383
0
9.05
0.00
30
C
55
0
29,372
0
2.50
0.00
0
0
0.00
0
66,557
0
5.66
0.00
31
PC
32548
0
2.77
0.00
0
0
0.00
0
73653
01
6.26
0.00
Monthly Loading (GPD/ft�):
Year to Date Loading GPD/ft2:
3.31
16.52
���
0.00M
15.66
7.44
14.19UP-
#DIV/0!

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?
If not a basin, were the sites kept free of vegetation and raked?
If not a basin, were there any instances of effluent ponding in or runoff from the sites?
If a basin, were there any instances of breakout from the berms?
Was the onsite automatically activated standby power source tested and operational?
❑' Compliant
❑ Non -Compliant
ll Compliant
❑ Non -Compliant
0 Compliant
❑ Non -Compliant
M Compliant
❑ Non -Compliant
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:
Carolina Water Service, Inc N.C.
Certification No.: 1004824
Signing Official: Tony Konsul
Grade: 4 Phone Number: 252-241-0661
Signing Official's Title: Director of Operations
Has the ORC changed since the previous NDAR-2? yes No
Phone Number: 704-576-1685 Permit Exp.: 3/31 /26
Digitally signed by Tony Konsul
DN: C=US, OU="Director, State Operations", O=Carolina
Water Service of NC, CN=Tony Konsul,
com
this document
Reason: 82 approving this document
Tony Ko n s u I ReTony. I am approving
Location: 5821 Fairview Rd, suite 401 Charlotte NC 28209
Date: 2023.01.20 10:37_it:45-0500' 1/20/2023
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 belieftrue. accurate, and complete I am
aware that there are significant penalties for submitting false informationincluding 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