WQ0022224_Monitoring - 01-2024_20240618

Monitoring Report Submittal
.....................................................
Permit Number#* WQ0022224
Name of Facility:* Sam's Branch Water Reclamation Facility
Month: * January Year: * 2024
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Upload Document*
NDMR January 2024.pdf 1.17MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
David White
Reviewer: Wanda.Gerald
6/18/2024
This will be filled in automatically

Is the project number correct?* W00022224
Is the monitoring report accepted?* Yes NO
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 6/18/2024

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page ) of 3
Permit No.: WQ0022224
Facility Name: Sam's Branch WRF
County: Johnston
Month: January
Year: 2024
PPI: 001
Flow Measuring Point: Influent Effluent No flow generated
Parameter Monitoring Point: Influent Effluent Groundwater Lowering Surface Water
Parameter Code —s
00310
31616
00610
00530
00076
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24-hr
hrs
mg/L
#/100 mL
mg/L
mg/L
NTU
1
09:30
3
2
07:30
8
3
07:30
8
4
07:30
8
5
07:30
8
6
08:00
2
7
08:00
2
8
07:30
8
9
1 07:30
8
10
07:30
8
11
07:30
8
12
07:30
8
13
09:30
6
14
09:00
2
151
09:00
2
16
07:30
8
17
07:30
8
18
07:30
8
19
07:30
8
20
08:00
2
21
08:15
2
22
07:30
8
23
07:30
8
24
07:30
8
25
07:30
8
26
07:30
8
271
08:30
2
28
08:30
2
29
07:30
8
30
07:30
8
31
07:30
8
Average:
Daily Maximum:
Daily Minimum:
Sampling Type:
Composite
Grab
Composite
Composite
Recorder
Monthly Avg. Limit:
10
14
1 4
5
Daily Limit:
15
25
1 6
10
10
Sample Frequency:
2 x Week
Monthly
1 2 x Week
2 x Week
Continuous

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of 3
Permit No.: W00022224
Facility Name: Sam's Branch WRF
County: Johnston
Month: January
Year: 2024
PPI: 002
Flow Measuring Point: Influent Effluent No How generated
Parameter Monitoring Point: Influent Effluent Groundwater Lowering Surface water
Parameter Code 10
WQ01
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d
Q E
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c
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m
F N
O
v v
d
A
2
O
24-hr
hrs
gallons
1
09:30
3
2
07:30
8
3
07:30
8
4
07:30
8
5
07:30
8
6
08:00
2
7
08:00
2
8
07:30
8
9
07:30
8
v
a�
10
07:30
8
111
07:30
8
12
07:30
8
C
13
09:30
6
14
09:00
2
3
15
09:00
2
v
v
16
07:30
8
E
171
07:30
8
18
07:30
1 8
19
07:30
8
L_
20
08:00
2
c
O
21
08:15
2
2
22
07:30
8
f0
0
231
07:30
8
E'
24
07:30
8
25
07:30
8
26
07:30
8
27
08:30
2
28
08:30
2
29
07:30
8
301
07:30
8
311
07:30 1
8
Average:
Daily Maximum:
0.00
Daily Minimum:
Sampling Type:
Estimate
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:
Monthly

FORM NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 3 of E
Sampling Person(s) Certified Laboratories
Name: David White, Salvador Valdiviezo, Ilona Williams, Brian Gay Name: Town of Clayton
Name: Stephen Smith, Patrick Baker, Kyle Baker, Jason Faison Name: Waypoint Analytical
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.
No reclaimed water was discharged during the month of January 2024 so no monitoring data was reported.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: David White
Permittee: Town of Clayton, Sam's Branch WRF
Certification No.: 10011005
Signing Official: James Blalock
Grade: IV Phone Number: 919-594-0417
Signing Official's Title: Assistant Water Resources Director
,,V
Has the ORC changed since the previous NDMR? I'Aes I we
'A
Phone Number: 919-553-1530 X 6530 Permit Expiration: 10/31/2026
/
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