HomeMy WebLinkAboutWQ0003090_Monitoring - 07-2023_20230830Monitoring Report Submittal
.....................................................
Permit Number#* WQ0003090
Name of Facility:* TOWN OF LIBERTY WWTP
Month: * July
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
G W-59
Year:* 2023
Upload Document*
JULY 2023.pdf 3.89MB
PDF Only
MW REPORT JULY 2023.pdf 3.01 MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * tfike@townoflibertync.org
Name of Submitter: * Elix Fike
Signature:
Date of submittal: 8/30/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald
Is the project number correct?* WQ0003090
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 9/13/2023
FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page _1_of_1_
Permit No.: WQ0003090
Facility Name:
Town Of Liberty - Wastewater
County:
Randolph
Month:
July
Year: 2023
PPI:
002
Flow Measuring Point: ❑✓ Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point:
❑ influent
❑✓ Effluent
❑ Groundwater Lowering
❑ Surface water
Parameter Code —►
00400
L
00610
31613
00625
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50060
70300
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10:00
2
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10:00
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7:00
8
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8
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10:00
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Average:Wlw
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#REF!
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Daily Maximum:
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10.90
2,420.00
#REF!
s=
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, t
0.04
Daily Minimum:
$ ''
6.99
9.70
2,420.00
#REF!
0.12
Sampling Type:
Grab
Grab
Grab
Grab
Grab
Grab
x
Monthly Avg. Limit;"
Daily Limit:
Sample Frequency:
x mo
2x month
weekly
f3x
year
�2x
month
� ,ram
a� �
FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR)
Sampling Person(s) Certified Laboratories
Name: GLENN PRICE Name: PACE ANALYTICAL
Name: GARRETT DREYER Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? [Z 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: Elix Tremaine Fike
Permittee: Scott Kidd
Certification No.: 989290
Signing Official:
Grade: SI Phone Number: 336 622 2990
Signing Officials Title: Town Manager
Has the ORC changed since the previous NDMR? Yes No
Phone Number: 336 622 4276 Permit Expiration: 8/31 /2024
R,
Sigi1at.re 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
Laboratory Report
Tremaine Fike
Town of Liberty
PO Box 1006
Liberty, NC 27298
Project: Town of Liberty
Pace Project No.: 92676088
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
(704)977-0981
Page 1 of 1
Report Date: 07/07/2023
Date Received: 07/07/2023
Sample: Effluent Lab ID: 92676088001 Collected: 07/07/23 08:29 Matrix: Water
Method Parameters Results Units Report Limit Analyzed Qualifiers
Performed by PACE 07/07/23 08:29
Collected By Glenn Price 07/07/23 08:29
Collected Date 07/07/23 07/07/23 08:29
Collected Time 0829 07/07/23 08:29
pH 7.34 Std. Units 07/07/23 08:29
Chlorine, Total Residual 0.67 mg/L 07/07/23 08:29
Reviewed by:
Stephanie Knott
704-977-0981
stephanie.knott@pacelabs.com
Page 1 of 2
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AI -OF-CUSTODY I Analytical
The Chain -of -Custody is a LEGAL DOCUMENT_ All re
t
Submitting
a sampe via this chain of custody constitutes acknowledgment and acceptance of the Pace Terms and Condit ionsfoul
Section A
Section B
Section C
92677239
Required Client Information:
Required Project Information:
Invoice Information:
ra e : 1 Of
ampany: Town of Libe
eport TO: Tremaine Pike
ttention:
,om To
omoany Name:
"be . NC 27298 dress:
R "
mail: 11ik towrnof#ibe .c.0 Urchase Order #' ace Qu0te�
hone {336W622-4276 Fax: roject Name: Town of Libe - Every 2 Weeks ace Project Manager,, stephame.knott labs, m,
Sfaae i Loeation
aquastPd Due Date: rOjeOf #: ace Profile #: 13077
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%IV$ —$a W I V I _VVU-V VV $—I W-i A opv%. 04111plu 1-u I iu I Lool I
ace Upon Receipt
Eff octive Date: 05/102022
Laboratory receiving samples-
Asfiev lie Eden LJ Greenwood L_J Huntersville LJ Raleighn MechanicsvilteE] Atlantao Kernersv111eL-J,-
Carrier Tracking Number:
Custody Seal Present? []Yes [Sa<o Seals Intact? ]Yes No
Packing Material: [Rubble Wrap ElHubble Bags UNone Other
Thermometer: D� C) ?--, —
EJ IR Gun I Type of lew Wet ] Blue
.00ler Tenip J*C Correclion Factor. Add / Subtract ('C)
Corrected Cooler Temp (*C )--
USDA Regulated Soil (E] N/A, water sample)
Old samples Dor VInate in a quarantine zone within the United States: CA, NY, or SC (check maps)? yes ,
00
Dat'llnitials Person Examining Contents-tv—
Biological Tissue Frozen?
[JYes [:]No JaWA
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Temp should be above freezing to 6*C
[JSamples out of temp criteria. Samples on Ice, cooling prate
hasbegun
Did samples originate from 0 foreign source (intern pally,
nally,
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Comments/Discrepancy:
Chain of Custody Present?
Ly-
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17- Yes
EJNo ON/A
2,
Short Hold Time Analysis (02 hr.)?
Ely-
E]No ®N/A
3.
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Elyes
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4.
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-Includes Date/Tl!ne/10/Analysis Matrix:
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Trip Blank Custody Seals Present?
——
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Temp Loiil: Temp must be maintained
at <6 C during login, record temp
every 20 minutes,
Time opened., Temp:
Time: put In cooler
Time: Temp:
Person Contacted:
Project Manager SCURF Review:
Project Manager SRF Review:
Oualtrax Document ID70677
WEMMEBEEMEL0=00
Lot ID of split containers:
CLIENT NOTIFICATION/RESOLUTION
Date/Time:
Date,
Date:
Page 1 of 2
Page 3 of 4
2aceAnalyfick
Document Name:
Bottle Identification Form
Document No,;
F•CAR•CS•041-Rev.O1
*Check mark top half of box if pH and/or dechlorination is Project #
verified and within the acceptance range for preservation
samples.
Exceptions: VOA, Coliform, TOC, Oil and Grease, DRO/8015 (water) DOC, ltHg
**Bottom half of box is to list number of bottles
Document issued: November 15, 2021
Pape 1 of 1
Issuing Authority;
Pace Carolinas Quality Office
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Sample ID Type of Preservative pH upon receipt hate preservation adjusted Time preservation Amount of Preservative t.ot a
adjusted �- - —added
Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will tie sent to the North Carolina DEHNR Certification Office ji.e.
Out of hold, incorrect preservative, out of temp, incorrect containers.
Page 4 of 4
Tremaine Fike
Town of Liberty
PO Box 1006
Liberty, NC 27298
Project: Town of Liberty - Effluent
Pace Project No.: 92677762
Sample: Effluent
Method
SM 2540C-2015
SM 254OD-2015
EPA 353.2 Rev 2.0 1993
EPA 353.2 Rev 2.0 1993
EPA 353.2 Rev 2.0 1993
SM 5210E-2016
Colilert-18
TKN+NO3+NO2
Calculation
EPA 300.0 Rev 2.1 1993
EPA 350.1 Rev 2.0 1993
EPA 351.2 Rev 2.0 1993
EPA 365.1 Rev 2.0 1993
Laboratory Report
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
(704)977-0981
Page 1 of 1
Report Date: 07/31 /2023
Date Received: 07/18/2023
Parameters
Lab ID: 92677762001 Collected: 07/18/23 09:13 Matrix:
Results Units Report Limit
Water
Analyzed
Total Dissolved Solids
198
mg/L
25.0
07/18/23 16:39
Total Suspended Solids
15.8
mg/L
6.6
07/19/23 08:56
Nitrogen, NO2 plus NO3
ND
mg/L
0.040
07/18/23 16:55
Nitrogen, Nitrate
ND
mg/L
0.040
07/18/23 16:55
Nitrogen, Nitrite
ND
mg/L
0.040
07/18/23 16:55
BOD, 5 day
11.6
mg/L
2.0
07/24/23 10:19
Fecal Coliforms
2420
MPN/100ml-
1.0
07/19/23 09:22
Performed by
PACE
07/18/23 09:13
Collected By
Glenn Price
07/18/23 09:13
Collected Date
07/18/23
07/18/23 09:13
Collected Time
0913
07/18/23 09:13
pH
7.66
Std. Units
07/18/23 09:13
Chlorine, Total Residual
0.14
mg/L
07/18/23 09:13
Total Nitrogen
15.8
mg/L
0.040
07/28/23 12:46
Chloride
27.9
mg/L
1.0
07/20/2316:22
Nitrogen, Ammonia
9.7
mg/L
0.10
07/28/23 10:52
Nitrogen, Kjeldahl, Total
15.8
mg/L
0.50
07/26/23 04:09
Phosphorus
2.5
mg/L
0,050
07/31/2311:35
ANALYTE QUALIFIERS
El Reported value should be considered a minimum estimate since it is the maximum reportable number for this method
based on the sample volume used. The true value is likely greater than the value reported.
Reviewed by:
Stephanie Knott
704-977-0981
stephanie.knott@pacelabs.com
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
North Carolina Drinking Water Certification #: 37712
North Carolina Wastewater Certification #: 40
Pace Analytical Services Eden
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
South Carolina Laboratory ID: 99030
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
VirginiaNELAP Certification #: 460025
I
Qualifiers
Page 1 of 3
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Document Name:
Bottle Identification Form (BIF)
Document Issued; November 15, 2021
Page I of I
Document No.:
F-CAR-CS-043-Rev.01
-
issuing Authority:
Pace Carolinas Quality Office
*Check mark top half of box if pH and/or dechlorination is Project
verified and within the acceptance range for preservation
samples,
Exceptions: VOA, Coliform, TOC, Oil and Grease, DRO/8015 (water) DOC, LLHg
**Bottom half of box is to list number of bottles
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pH Adjustment Log for Pr rved Samples
Type of Preservative adjusted Time preservation Amount ----Lot—M
Sample ID I- I adjusted added F
Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEI-INR Certification Office (i,e.
Out of hold, incorrect preservative, out of temp, incorrect containers.
Page 3 of 3
Laboratory Report
Tremaine Fike
Town of Liberty
PO Box 1006
Liberty, NC 27298
Project: Liberty WWTP
Pace Project No.: 92679537
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
(704)977-0981
Page 1 of 1
Report Date: 07/27/2023
Date Received: 07/27/2023
Sample: Effluent
Method Parameters
Lab ID: 92679537001 Collected: 07/27/23 12:10 Matrix:
Results Units Report Limit
Water
Analyzed Qualifiers
Performed by
PACE
07/27/23 12:10
Collected By
Garrett
07/27/23 12:10
Dreyer
Collected Date
07/27/23
07/27/23 12:10
Collected Time
1210
07/27/23 12:10
pH
7.13 Std. Units
07/27/23 12:10
Chlorine, Total Residual
0.33 mg/L
07/27/23 12:10
Ck�111-u
Reviewed by:
Stephanie Knott
704-977-0981
stephanie.knott@pacelabs.com
Page 1 of 2
Z'PYI z
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fJ31L
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
July 2023
Liberty N.C.W.W.T.F
Freeboard Lagoon Inches
3 1 /2 R 0.7
3 1/2
3
3 3/4
4 1/4
5
5 3/4
6 1 /2 R 0.4
6 1 /4 R 0.5
5
4 1/4
5
5 1/2
6
6 1/2
7
7 1/4
7
7 1 /2
8
8 1/2
8 3/4
9 R 0.2
9
9 1/2
9 1/4
9 3/4
10
10 1/2
11
10 3/4
TOTAL 1.8
FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _1_ of —2—
FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
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? ❑✓ Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑✓ Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Q Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑ Compliant 21 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.
CAUSE OF I&I RAINFALL
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Elix Tremaine Fike
Permittee:
Scott Kidd
Certification No.: 989290
Signing Official:
Grade: SI Phone Number: 336 622 2990
Signing Official's Title: Town Manager
Has the ORC changed since the previous NDAR-1? ❑ Yes El No
Phone Number: 336 622 4276 Permit Exp.: 8/31/24
IZ
Z3
Signature Da e
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-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _2_ of —2—
FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit? ❑✓ Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 2 Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? El Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 0 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.
FREEBOARD IS AT 0 IN
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Elix Tremaine Fike
Permittee:
Scott Kidd
Certification No.: 989290
Signing Official:
Grade: SI Phone Number: 336 622 2990
Signing Official's Title: Town Manager
Has the ORC changed since the previous NDAR-1? ❑ Yes [21 No
Phone Number: 336 622 4276 Permit Exp.: 8/31/24
Fl, 71,� 21
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