WQ0009267_Monitoring - 01-2020_20200316

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0009267
Facility Name: Jacksonville WWTF
County: Onslow
Month: January
Year: 2020
PPI: 00,
Flow Measuring Point: ❑Influent ❑Effluent ❑No flow generated
Parameter Monitoring Point: EInfluent ❑Effluent ❑Groundwater Lowering []surface water
Parameter Code b
50050
p
m
>
I m
U
O
c
O
m
U N
X
O
24-hr
hrs
GPD
1
3,800,000
2
4,300,000
3
4,200,000
4
4,600,000
5
4,200,000
6
4,200,000
7
4,200,000
8
4,200,000
9
4,200,000
10
4,100,000
11
4,500,000
12
3,800,000
13
4,100,000
14
4,100, 000
15
4,100,000
16
4,100,000
17
4,100, 000
18
4,300,000
19
3,900,000
20
3,900,000
21
4,100, 000
Irk
22
4,000,000
23
3,800,000
24
4,000,000
251
4,500,000
26
3,900,000
27
4,000,000
28
4,000,000
29
4,100,000
30
3,900,000
31
4,700,000
Average:
4,125,806
Daily Maximum:
4,700,000
Daily Minimum:
3,800,000
Sampling Type:
Recorder
Monthly Limit:
9,000,000
Daily Limit:
Sample Frequency:
Continuous

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: W00009267
Facility Name: Jacksonville WWTF
County: Onslow
Month: January
Year: 2020
PPI: 002
Flow Measuring Point: ❑Influent ❑Effluent []No flow generated
Parameter Monitoring Point: ❑Influent [2]Effluent []Groundwater Lowering ❑Surface water
Parameter Code 0.
01002
00310
01022
01027
00916
00680
00940
50060
01034
31616
00094
01042
01051
00927
01055
>.
0
Q I=
U
0
c
O
E .+
~
O
tll
•-
rn
0
m
c
O
_�
E
V
t0
V
c
c76
0 '°
oU
F
O
t
U
c
p 0
F- N L
�U
E
O`
U '=
lL
r
3
'O
o
U
y
C.
O
N
J
E
N
C
m
m
cc
of
R
24-hr
hrs
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
#1100 mL
PO
mg/L
mg/L
mg/L
mg/L
1
2
06:00
8
0.64
3
06:00
8
0.52
4
0.6
5
61
06:00
8
0.79
7
1 06:00
8
0.29
8
06:00
8
0.57
1
9
06:00
8
0.75
10
06:00
8
1.03
11
0.23
12
13
06:00
8
0.56
14
06:00
8
0.16
15
06:00
8
1.09
16
06:00
8
39.4
0.2
17
06:00
8
0.33
18
0.27
19
20
0.58
21
06:00
8
0.15
22
06:00
8
231
06:00
8
24
06:00
8
0.19
25
0.6
26
27
06:00
8
0.45
28
06:00
8
0.23
29
06:00
8
0.12
30
06:00
8
44.5
0.6
<1
37
06:00
8
0.5
Average:
41.95
0.48
1.00
Daily Maximum:
44.50
1.09
1.00
Daily Minimum:
39.40
0.12
1.00
Sampling Type:
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
60
200
Daily Limit:
Sample Frequency:
Annually
2 X month
Annually
Annually
Quarterly
Quarterly
Quarterly
5 X week
Annually
Quarterly
2 X month I
Quarterly I
Annually I
Annually
Quaterly
Quaterly

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0009267
Facility Name: Jacksonville WWTF
County: Onslow
Month: January
Year: 2020
PPI: 002
Flow Measuring Point: ❑Influent [:]Effluent [:]No flow generated
Parameter Monitoring Point: ❑Infuent ❑Effluent ❑Groundwater Lowering ❑Surface Water
Parameter Code 0
71900
01067
00610
00625
00620
00600
01092
00665
00937
70300
01077
00929
00530
00945
50050
00400
7
d
U~
Oo_
C
D
E 4;
~
of
O
°'
y
Y
Z
C
O
E
a
t
2 N
N rn
Y o
o Z
�
0
2
N
m C�
0
Z
V
N
N
3
p
m L
N
a
E
3
'y
`°
a°
> N
R 'O
~ N fn
o
N
v%
E
O
N
m e 'O
h O
:3
cn
a;
m
'
N
3
t°
Z
24-hr
hrs
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
GPD
su
1
0
2
06:00
8
7,500,000
8.03
3
06:00
8
6,100,000
7.71
4
4,900,000
7.29
5
0
6
06:00
8
6,200,000
7.89
7
06:00
8
5,700,000
8.17
8
06:00
8
28.7
14
<0.02
14.4
2.62
22.5
6,400,000
8.05
9
06:00
8
5,700,000
8.15
10
06:00
8
5,000,000
7.47
11
5,700,000
7.84
12
0
13
06:00
8
5,900,000
7.83
14
06:00
8
4,200,000
7.59
15
06:00
8
2,300,000
7.78
16
06:00
8
5,700,000
7.41
171
06:00 1
8
3,000,000
7.95
18
5,900,000
7.94
19
0
20
3,800,000
8.8
21
06:00
8
5,100,000
8A2
22
06:00
8
0
23
06:00
8
1,600,000
24
06:00
8
6,200,000
7.99
25
6,400,000
7.9
26
0
27
06:00
8
5,900,000
7.96
28
06:00
8
4,900,000
7.76
29
06:00
8
5,700,000
7.77
30
06:00
8
28.3
30.4
3.84
34.9
3.21
26
6,200,000
8.5
31
06:00
8
5,300,000
7.86
Average:
28.50
22.20
1.92
24.65
2.92
24.25
4,235,484
Daily Maximum:
28,70
30.40
3.84
34.90
3.21
26.00
7,500,000
9
Daily Minimum:
28.30
14.00
0.02
14.40
2.62
22.50
0
7
Sampling Type:
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab I
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
90
Daily Limit:
Sample Frequency:
Annually
Annually
2 X Month
2 X month
2 X Month
2 X month
Annually
2 X month
Quarterly
Quarterly
Annually I
Quarterly 1
2 X month
Quarterly
5x Week

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0009267
Facility Name: Jacksonville WWTF
County: Onslow
Month: January
Year: 2020
PPI: 003
Flow Measuring Point: ❑Influent ❑Effluent [_]No Flow generated
Parameter Monitoring Point: ❑Influent ❑Effluent ❑Groundwater Lowering ElSurface Water
Parameter Code 0
00940
00340
31616
00094
00300
00600
00400
00665
70295 1
00945
O
°'
U~
O
c
w
O
a
L
U
U
f6 0
U �0
LL O
U
c
U
> rn
O
y x
p 0
;° rn
O
~
Z
=
N
:° r
~ O
a
> °
O
~ y N
O
ca
"-
24-hr
hrs
mg/L
mg/L
#/100 mL
PQ
mg/L
mg/L
su
mg/L
mg/L
mg/L
1
2
1405
74
87
9.44
1, 3
7.28
3
13:13
34
210
8.11
0,7
7.83
4
5
6
14:16
42
70
9.97
0.7
7.74
7
08:38
36
64
9.19
0.7
7.17
8
09:50
89
70
9.79
1.3
7.31
9
12:00
49
107
9.8
1
7.41
10
12:07
45
70
10.62
0.7
7.06
11
12
13
11:30
55
290
8.26
1.1
7.2
_
14
09:38
122
250
7.13
1.8
7.7
15
12:26
65
270
7.58
1.1
6.61
16
12:19
61
360
7.54
1.8
6.76
17
12:54
55
230
9.06
1.4
7.06
18
19
20
21
13:27
51
67
11.14
1.1
7.1
22
10:27
45
57
11.32
0.6
7.21
231
15:16
48
22
11.62
1.7
7.19
24
11:44
41
39
10.96
1
7.26
25
26
27
13:34
33
220
10.55
1.3
7.42
28
12A1
35
380
10.68
1,6
7.42
29
08:32
43
90
9.99
1.1
7.27
30
12:30
41
230
11.15
0.8
7.41
31
13:11
48
64
11.37
<0.5
7.35
Average:
52.95
116.62
9.77
1.09
Daily Maximum:
122.00
380.00
11.62
1.80
7.83
Daily Minimum:
33.00
22.00
7.13
0.50
6.61
Sampling Type:
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
Daily Limit:
Sample Frequency:
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Permit No.: W00009267
Facility Name: Jacksonville WWTF
County: Onslow
Month: January
Year: 2020
PPI: 004
Flow Measuring Point: ❑Influent ❑Effluent ❑No flow generated
Parameter Monitoring Point: ❑Influent ❑Effluent ❑Groundwater Lowering (]Surface water
Parameter Code 0
00940
00340
31616
00094
00300
00600
00400
00665
70295
00945
o
0
m
v
E
U
>
0
y
o o
c
z
a
Cn
5
y
<n
24-hr
hrs
mg/L
mg/L
#/100 mL
pQ
mg/L
mg/L
su
mg/L
mg/L
mg/L
1
2
13:50
55
260
9.29
0.8
7.79
3
12:26
51
94
8.63
0.8
7.59
4
5
6
14:00
65
210
9.9
0.8
8.22
7
08:21
46
189
9.9
1.1
7.55
8
08:48
91
210
7.71
1.5
7.6
9
11:14
66
300
10.07
1.2
7.68
101
11:22
61
250
10.28
1.2
7.4
11
12
13
10:23
69
230
7.29
1.5
7.46
14
08:54
44
730
7.35
0.8
7.3
15
12:11
75
450
7.16
1.1
6.82
161
11:56
74
380
7.15
2.4
7.02
17
12:38
64
270
8.59
1.6
7.41
18
19
20
21
13:10
59
230
10.98
<0.5
7.5
221
10:11
54
80
11.82
<0.5
7.43
23
15:03
125
150
11.58
1
7.66
24
11:27
67
107
10.69
1.3
7.48
25
26
27
13:16
58
117
9.73
1.4
7.87
28
12:22
101
90
9.92
1.4
7.65
29
08:49
54
130
9.94
1
7.31
30
11:30
56
114
9.98
1.6
7.46
31
12:58
65
174
10.92
2
7.56
Average:
66.67
192.60
9.47
1.17
Daily Maximum:
125.00
730.00
11.82
2.40
8.22
Daily Minimum:
44.00
80.00
7.15
0.50
6.82
Sampling Type:
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
Daily Limit:
Sample Frequency:
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: W00009267
Facility Name: Jacksonville WWTF
County: Onslow
Month: January
Year: 2020
PPI: 005
Flow Measuring Point: ❑Influent ❑Effluent [:]No flow generated
Parameter Monitoring Point: ❑Infuent ❑Effluent [-]Groundwater Lowering ❑Surface water
Parameter Code 11.
00940
00340
31616
00094
00300
00600
00400
00665
70295
00945
�+
0
f6
'
N
Q
L)~
0
O
0
N
E N
V
0
d
V
O
V
p
Q
U
E
U
N
LL 75
Y
_
3
o
U
N C
>�
O T
H x
p O
C'E
w a1
O O
H Z
2
G
N
jC t
0 O_
H O
a
N
E> -00
H O
~ N a)
p
ad+
w
O
24-hr
hrs
mg/L
mg/L
#/100 mL
po
mg/L
mg/L
su
mg/L
mg/L
mg/L
1
2
14:45
89
29
8.51
1
7.06
3
14:18
86
144
7.61
2.9
7.03
4
5
6
14:34
116
84
8.91
2.9
6.94
7
08:54
115
70
9.36
1.7
6.88
8
11:00
101
80
9.44
3.9
7.05
9
12:44
112
17
9.62
1.9
7.91
101
12:30
115
34
9.03
1.7
6.74
11
12
13
12:15
108
157
7.16
4.8
6.89
14
10:41
123
290
7.44
1.5
6.8
15
12:43
129
72
7.34
0.8
6.51
161
13:01
127
230
7.29
1
6.45
17
13:26
121
230
9.23
0.9
6.63
18
19
20
21
13:45
116
67
10.57
0.7
6.97
22
10:45
104
114
10.77
1.4
6.82
23
15:33
55
70
10.02
1.2
6.87
24
12:11
113
104
9.43
1.4
6.83
25
26
27
13:53
116
220
9.35
2
7.03
28
13:00
64
160
9.5
1.5
7.11
29
08:10
97
74
10.21
1
7.23
30
13:20
102
117
9.94
1.4
7.24
31
13:30
81
80
9.67
10.3
7.2
Average:
104.29
93.90
9.07
2.19
Daily Maximum:
129.00
290.00
10.77
10.30
7.91
Daily Minimum:
55.00
17.00
7.16
0.70
6.45
Sampling Type:
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
Daily Limit:
Sample Frequency:
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Permit No.: W00009267
Facility Name: Jacksonville WWTF
County: Onslow
Month: January
Year: 2020
PPI: 006
Flow Measuring Point: ❑Influent [_]Effluent ❑No flow generated
Parameter Monitoring Point: ❑Influent ❑Effluent ❑Groundwater Lowering ❑Surface water
Parameter Code 101
00940
00340
31616
00094
00300
00600
00400
00665
70295
00945
cc
O
FU
>
L
~
O
O
E m
U
O
CDE
°
V
0
U
Tv p
U.0
>
0
y
_>
W 0
o
c
m rn
~ Z
N
m t>-0
~ p
a
m
~ N (n
m
24-hr
hrs
mg/L
mg/L
#/100 mL
NS2
mg/L
mg/L
su
mg/L
mg/L
mg/L
1
2
15:12
70
187
9.22
<0.5
7.51
3
14:55
68
249
8.81
0.9
7.49
4
5
6
14:53
62
340
8.83
0.9
7.24
7
09:12
64
520
8.91
1.2
7.1
8
11:29
56
250
9.16
1.4
7.29
9
13:05
70
144
10.21
1.8
7.91
10
13:08
61
230
9.56
1.4
7.18
11
12
13
12:45
66
390
6.69
1.3
7.17
14
11:19
73
400
6.98
1.1
7.02
15
13:00
92
410
6.68
1.4
6.84
16
13:21
104
320
6.71
1.3
6.86
17
14:01
66
320
7.57
<0.5
7.03
18
19
20
21
14:07
87
220
9.58
1.6
7.26
22
11:09
66
330
10.6
1.2
7.34
23
16:04
66
124
10.86
1.2
7.28
241
12:32
60
147
10.07
1.9
7.32
25
26
27
14:14
60
220
8.95
1.9
7.38
28
13:39
84
270
8.96
1
7.4
29
07 47
52
660
9.35
1
7.64
301
13:45
73
390
9.73
1.3
7.54
311
13:51 1
60
220
9.49
1.7
7.46
Average:
69.52
277.19
8.90
1.21
Daily Maximum:
104.00
660.00
10.86
1.90
7.91
Daily Minimum:
52.00
124.00
6.68
0.50
6.84
Sampling Type:
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
Daily Limit:
Sample Frequency:
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: W00009267
Facility Name: Jacksonville WWTF
County: Onslow
Month: January
Year: 2020
PPI: 007
Flow Measuring Point: ❑Influent []Effluent ❑No flow generated
Parameter Monitoring Point: ❑Influent -]Effluent❑Groundwater Lowering (]Su face Water
Parameter Code 10
00940
00340
31616
00094
00300
00600
00400
00665
70295
00945
>
Q E
U~
O
E y
~
w
O
y
o
L
0
O
E
R o
LL p
U
u
V
v
6
o>
N x
a
=
« rn
o oCL
=
L
y o
a
N
a
a
Y> a
6 y .o
o
y
7
coo
24-hr
hrs
mg/L
mg/L
#/100 mL
po
mg/L
mg/L
su
mg/L
mg/L
mg/L
1
2
15:01
86
1100
8.92
1.4
7.17
3
14:39
84
270
8.53
1.7
6.89
4
5
6
14:46
87
320
9.51
1.7
7.13
7
09:05
104
600
9.71
1.5
7.7
8
11:16
85
600
9.98
1.9
7.23
9
1254
108
500
10.01
2.1
7.73
101
12:51
81
179
9.04
1.8
7.06
11
12
13
12:28
107
350
7.37
1.1
7.11
14
11:09
70
700
7.9
1.5
6.91
15
12:53
122
230
7.77
1.6
6.68
161
13:12
102
550
7.71
1
6.75
17
13:52
137
460
9.26
1.5
6.95
18
19
20
21
1157
80
410
10.23
1.7
7.21
221
11:02
67
130
10.45
2.6
7.16
23
15:56
74
210
9.34
1.2
7.15
24
12:24
73
540
8.62
1.1
7.12
25
26
27
14:06
79
420
9.19
2.6
7.31
28
13:16
66
510
9.14
1.4
7.24
29
08:00
81
260
9.45
1.6
7.55
30
13:34
72
390
10.02
5.4
7.36
31
13:42
69
960
9.73
3.6
7.48
Average:
87.33
404.29
9.14
1.90
Daily Maximum:
137.00
1,100.00
10.45
5.40
7.73
Daily Minimum:
66.00
130.00
7.37
1.00
6.68
Sampling Type:
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
Daily Limit:
Sample Frequency:1
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) 11 Certified Laboratories
Name:
Plant Operators
Name:
City of Jacksonville, #128
Name:
Plant Operators
Name:
Environmental Chemists, #94
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? RICompliant ❑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.
Emergency irrigation continued through Jan 2020. Samples taken in accordance with permit. No irrigation Jan 1, 5, 12, 19, 22, 26, so no pH or Cl2. Jan 23 shutdown at 30 minutes, no pH or Cl2.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: William E. Brown
Permittee: Wally Hansen
Certification No.: SI 29103, WW1 25755
Signing Official: Wally Hansen
Grade: SI, WW1 Phone Number: 910-938-5322
Signing Officials Title: Public Services Director
Has the ORC changed since the previous NDMR? []Yes ❑� No
Phone Number: 910-938-5322 Permit Expiration: 4/30/2022
` ;?Id a
z// 3 6
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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

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Jan-20

• FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
Permit No.: W00009267
Facility Name: Jacksonville WWTF
County: Onslow
Mon.: January
Year: 2020
Did irrigation occur
at this facility?
❑� YES ONO
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
Area (acres):
106.15
Area (acres):
51.26
Area (acres):
117.37
Area (acres):
45.21
Cover Crop:Lobloll
pine
Y P
Cover Crop:
P�
Lobloll me
Y p�
Cover Cro P�
Lobloll ine
Y p
Cover Cro P�
Lobloll pine
Y P�
Hourly Rate (in):
0.12
Hourly Rate (in):
0.12
Hourly Rate (in):
0.12
Hourly Rate (in):
0.12
Annual Rate (in):
49.06
Annual Rate (in):
59.08
Annual Rate (in):
51.86
Annual Rate (in):
47.53
Weather
Freeboard
Field Irrigated?
OYES [-]NO
Field Irrigated?
❑� YES ENO
Field Irrigated?
EYES ONO
Field Irrigated?
PIYES ENO
A
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in
in
in
in
ft
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
C
37
0
0
0
0
13.2
11.2
14.8
2
CL
39
0
0
0
0
13.3
10.8
14.8
3
C
55
0.27
0.25
0.31
0.31
13.3
11.2
14.7
4
R
73
0.15
0.15
0.19
0.19
13.3
11.3
14.6
575,098
270
0.29
0.06
304,931
270
0.32
0.07
5
C
39
0
0
0
0
13.3
10.6
14.9
6
C
35
0
0
0
0
13.3
10.9
14.9
739,411
270
0.37
0.08
382,054
270
0.40
0.09
663,579 1
270
0.27
0.06
197,354
1 270
0.26
0.06
7
C
33
0
0
0
0
13.3
11.2
14.9
476,648 1
270
0.28
0.06
219,218
270
0.29
0.06
8
C
32
0
0
0
0
13.3
11.4
15.1
9
C
33
0
0
0
0
13.3
11.6
15.1
10
PC
42
0
0
0
0
13.3
11.71
15
527,138
270
0.26
0.06
280,957
270
0.29
0.06
656,177
270
0.27
0.06
199,507
270
0.26
0.06
11
CL
62
0.38
0.33
0.4
0.4
13.2
11.7
14.9
588,828
270
0.29
0.07
288,280
270
0.32
0.07
605,184
270
0.31
0.07
222,855
270
0.29
0.07
121
C
1 58
0
0
0
0
13.2
12.1
14.8
13
CL
63
0.42
0.41
0.41
0.41
13.2
11.2
14.7
14
CL
62
0
0
0
0
13.2
11.4
14.7
15
PC
61
0
0
0
0
13.2
11.3
14.8
16
PC
59
0
0
0
0
13.2
11.2
14.8
610,993
270
0.30
0.07
325,621
270
0.34
0.08
483,101
270
0.25
0.05
177,899
270
0.23
0.05
17
C
44
0
0
0
0
13.2
11.6
15
699,314
270
0.29
0.06
213,516
270
0.28
0.06
181
C
1 34
0.11
0.1
0.12
0.12
13.2
11.3
15.1
19
R
62
0
0
0
0
13.2
11.5
14.9
20
PC
31
0
0
0
0
13.2
11.2
15.2
21
PC
28
0
0
0
0
13.2
11.2
15.3
505,093
270
0.25
0.06
269,207
270
0.28
0.06
626,105
270
0.26
0.06
191,164
270
0.25
0.06
22
C
29
0
0
0
0
13.2
11.5
15.3
23
C
32
0
0
0
0
13.2
11
15.2
202,906
30
0.10
0.10
108,146
30
0.11
0.11
251,519
30
0.10
0.10
76,794
30
0.10
0.10
241
CL
1 46
0.4
0.31
0.34
0.34
13.2
10.8
14.9
588,957
270
0.29
0.07
313,906
270
0.33
0.07
730,061
270
0.30
0.07
222,904
270
0.29
0.07
25
R
1 61
0
0
0
0
13.2
11.2
14.8
26
C
37
0
0
0
0
13.2
11.6
15
27
PC
39
0.1
0.08
0.11
0.11
13.2
11.1
14.9
28
C
40
0
0
0
0
13.2
11.3
15
505,093
270
0.25
0.06
269,207
270
0.28
0.06
626,105
270
0.26
0.06
191,164
270
0.25
0.06
29
PC
30
0
0
0
0
13.2
11.4
15.1
563,997
270
0.28
0.06
302,490
270
0.31
0.07
695,727
270
0.29
0.06
212,719
270
0.28
0.06
30
PC
41
0
0
0
13.2
11.7
15
31
PC
36
1.26
1.26
1.32
1.32
13.21
11.9
15.2
Monthly Loading:
5,407,514
2.69
2,844,799
2.97
6,513,520
2.88
2,125,094
2.80
12 Month Floating Total (in):
45.73
51.51
42.85
41.04

- FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: W00009267
Facility Name: Jacksonville WWTF
County: Onslow
Mon.: January
Year: 2020
Did irrigation occur
at this facility?
❑✓ YES ❑NO
Field Name:
5
Field Name:
6
Field Name:
7
Field Name:
8
--'--•-'-
Area (acres):
77.33
Area (acres):
53.79
Area (acres):
--
90.2
Area (acres):
96.91
Cover Crop:Lobloll
pine
Y p
Cover Crop:
p�
Lobloll me
Y p�
Cover Crop:
p�
Lobloll pine
Y p
Cover Crop:
p�
Lobloll pine
Y p�
Hourly Rate (in):
0.12
Hourly Rate (in):
0.12
Hourly Rate (in):
0.12
Hourly Rate (in):
0.12
Annual Rate (in):
41.85
Annual Rate (in):
45.92
Annual Rate (in):
54.19
Annual Rate (in):
59.61
Weather
Freeboard
Field Irrigated?
EYES [:]NO
Field Irrigated?
❑✓ YES ENO
Field Irrigated?
EYES ❑NO
Field Irrigated?
EYES ❑NO
A
O
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y
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0 'C
x M
x o
J
°F
in
in
in
in
ft
ft
ft
gal
min
in
in
gal
I min
in
in
gal
min
in
in
gal
min
in
in
1
C
37
0
0
0
0
13.2
11.2
14.8
2
CL
39
0
0
0
0
13.3
10.8
14.8
704,476
270
0.36
0.08
700,947
270
0.38
0.09
3
C
55
0.31
0.31
0.27
0.27
13.3
11.2
14.7
4
R
73
0.19
0.19
1 0.15
0.15
13.3
11.3
14.6
5
C
39
0
0
0
0
1 13.31
10.6
14.9
6
C
35
0
0
0
0
13.3
10.9
14.9
359,401
270
0.23
0.05
192,827
270
0.25
0.06
542,270
270
0.28
0.06
411,003
270
0.30
0.07
7
C
33
0
0
0
0
13.3
11.2
14.9
399,218
270
0.26
0.06
286,592
270
0.27
0.06
602,346
270
0.31
0.07
456,536
270
0.33
0.07
8
C
32
0
0
0
0
13.3
11.4
15.1
9
C
33
0
0
0
0
13.3
11.6
15.1
10
PC
42
0
0
1 0
0
13.3
11.7
15
363,323
270
0.23
0.05
260,824
270
0.25
0.06
11
CL
62
0.4
0.4
0.38
0.38
13.21
11.7
14.91
325,082
1 270
0.25
0.06
291,347
270
0.28
1 0.06
595,713
270
0.31
0.07
308,299
270
0.35
0.08
12
C
58
0
0
0
0
13.2
12.1
14.8
13
CL
63
0.41
0.41
0.42
0.42
13.2
11.2
14.7
748,750
270
0.38
0.09
387,500
270
0.44
0.10
14
CL
62
0
0
0
0
13.2
11.4
14.7
15
PC
61
0
0
0
0
13.2
11.3
14.8
16
PC
59
0 1
0
1 0
0
13.2
11.2
14.8
323,971
270
0.21
0.05
232,574
270
0.22
0.05
488,813
270
0.25
0.06
483,101
270
0.27
0.06
17
C
44
0
0
0
0
13.21
11.6
15
1 388,834
270
0.25
0.06
279,138
270
0.27
0.06
586,680
270
0.30
0.07
579,824
270
0.32
0.07
181
C
1 34
0.12
0.12
0.11
0.11
13.2
11.3
15.1
19
R
62
0
0
0
0
13.2
11.5
14.9
20
PC
31
0
0
0
0
13.2
11.2
15.2
21
PC
28
0
0
0
0
13.2
11.2
15.3
348,128
270
0.22
0.05
249,916
270
0.24
0.05
22
C
29
0
0 1
0
0
13.2
11.5
15.3
23
C
32
0
0
0
0
13.21
11
15.21
139,850
30
0.09
0.09
100,396
30
0.10
0.10
24
CL
46
0.34
0.34
0.4
0.4
13.2
10.8
14.9
405,930
30
0.26
0.26
291,411
270
0.28
0.06
25
R
61
0
0
0
0
13.2
11.2
14.8
26
C
37
0
0
0
0
13.2
11.6
15
27
PC
39
0.11
0.11
0.1
0.1
13.2
11.1
14.9
28
C
40
0
0
0
0
13.2
11.3
15
348,128
270
0.22
0.05
249,916
270
0.24
0.05
29
PC
30
0
0
0
0
13.21
11.4
15.1
387,382
270
0.25
0.06
278,096
270
0.27
0.06
495,773
270
0.25
0.06
489,979
270
0.27
0.06
301
PC 1
41
0
0
13.2
11.7
15
607,624
270
0.31
0.07
600,524
270
0.33
0.07
31
PC
36
1.32
1.32
1.26
1.26
13.2
11.9
15.2
Monthly Loading:
3,789,247
2.47
2,713,037
2.67
5,372,445
M
2.76
4,417,713
3.00
12 Month Floating Total (in):
36.52
38.21
F Z
35.51
39.53

-FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: W00009267
Facility Name: Jacksonville WWTF
County: Onslow
Mon.: January
Year: 2020
Did irrigation occur
at this facility?
❑� YES ❑NO
Field Name:
9
Field Name:
10
Field Name:
11
Field Name:
12
Area (acres):
34.65
Area (acres):
88.55
Area (acres):
76.78
Area (acres):
100.32
Cover Crop:Lobloll
pine
Y p
Cover Crop:
P�
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Y P�
Cover Crop:
p�
Lobloll pine
Y P
Cover Crop:
P:
Lobloll pine
Y p�
Hourly Rate (in):
0.12
Hourly Rate (in):
0.12
Hourly Rate (in):
0.12
Hourly Rate (in):
0.12
Annual Rate (in):
62.64
Annual Rate (in):
48.3
Annual Rate (in):
55.41
Annual Rate (in):
58.31
Weather
Freeboard
Field Irrigated?
E]YES []NO
Field Irrigated?
❑� YES ❑NO
Field Irrigated?
YES ❑NO
Field Irrigated?
❑✓ YES [-]NO
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1
C
37
0
0
0
0
13.2
11.2
14.8
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CL
39
0
0
0
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303,430
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0.40
0.09
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0.25
0.25
0.23
0.23
13.3
11.2
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0.15
0.151
0
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11.3
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338,702
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0.29
0.06
534,374
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0.31
0.07
725,080
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0.32
0.07
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233,565
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0.31
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435,474
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0.38
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687,052
270
0.40
0.09
932,245
270
0.41
0.09
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0
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11.2
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259,441
270
0.34
0.08
8
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0
0
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11.4
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33
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0
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11.6
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472,967
270
0.28
0.06
641,758
270
0.28
0.06
10
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42
0
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312,073
270
0.27
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214,891
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0,41
0.09
850,219
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0.34
0.07
11
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62
0.33
0.33
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256,584
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0.34
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1 270
0.32
1 0.07
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0.41
0.41
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322,500
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0.42
0.09
14
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62
0
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15
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61
0
0
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16
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59
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0
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210,541
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570,685
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0.33
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0.34
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17
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252,693
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0.27
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JFloating
Monthly Loading:
12,314,007
3.02
3,942,241
2.79
3,429,790
2.29
5,977,692
2.61
12 Month Total (in):
37.87
45.21
47.30
46.56

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: W00009267
Facility Name: Jacksonville WWTF
County: Onslow
Mon.: January
Year: 2020
Did irrigation occur
at this facility?
P]YES ❑NO
Field Name:
13
-
Field Name:
14
Field Name:
15
Field Name:
16
Area (acres):
64.68
Area (acres):
74.14
Area (acres):
76.56
Area (acres):
68.09
Cover Crop:Lobloll
pine
Y P�
Cover Crop:
p:
Lobloll pine
Y P�
Cover Crop:
P�
Lobloll me
Y P
Cover Crop:
p�
Lobloll pine
Y P�
Hourly Rate (in):
0.12
Hourly Rate (in):
0.12
Hourly Rate (in):
0.12
Hourly Rate (in):
0.12
Annual Rate (in):
59.53
Annual Rate (in):
52.84
Annual Rate (in):
43.65
Annual Rate (in):
52.32
Weather
Freeboard
Field Irrigated?
DYES [:]NO
Field Irrigated?
DYES [-]NO
Field Irrigated?
[AYES []NO
Field Irrigated?
AYES [:]NO
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0.29
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0.21
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346,263
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251,601
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5
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101
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270
0.34
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11
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62
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0.53
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12
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58
0
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63
0.38
0.37
0.37
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14
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62
0
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220,665
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15
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267,121
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161
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452,879
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270
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h
41
0
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318,780
270
0.28
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249,952
270
0.26
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291,611
270
0.26
0.06
Monthly Loading:
3,ass,o81
2.68
2,848,228
3.17
z,aso,s7s
2.94
3,117,986
2.99
12 Month Floating Total (in):
48.50
53.80
46.73
51.51

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: WQ0009267
Facility Name: Jacksonville WWTF
County: Onslow
Mon.: January
Year: 2020
Did irrigation occur
at this facility?
❑YES ONO
Field Name:
17
Field Name:
18
Field Name:
19
Field Name:
20
Area (acres):
78.76
Area (acres):
73.04
Area (acres):
78.1
Area (acres):
84.7
Cover Crop:Lobloll
pine
Y p
Cover Crop:
p�
Lobloll pine
Y P
Cover Crop:
p�
Lobloll pine
Y P
Cover Cro p�
Lobloll pine
Y P�
Hourly Rate (in):
0.12
Hourly Rate (in):
0.12
Hourly Rate (in):
0.12
Hourly Rate (in):
0.12
Annual Rate (in):
52.56
Annual Rate (in):
62.04
Annual Rate (in):
52.78
Annual Rate (in):
57.08
Weather
Freeboard
Field Irrigated?
DYES ONO
Field Irrigated?
❑� YES ONO
Field Irrigated?
DYES ONO
Field Irrigated?
DYES ONO
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270
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352,419
270
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270
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564,975
270
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391,997
270
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386,840
270
0.31
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633,385
270
0.32
0.07
10
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42
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11
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62
0.55
0.55
0.55
0.41
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12
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58
0
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12.1
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13
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63
0.37
0.37
0.37
0.29
13.2
11.2
14.7
484,737
270
0.25
0.06
14
CL
62
0
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13.2
11.4
14.7
393,675
270
0.30
0.07
268,321
270
0.35
0.08
384,351
270
0.31
0.07
452,004
270
0.36
0.08
151
PC
61
0
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13.2
11.3
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476,554
270
0.37
0.08
324,809
270
0.42
0.09
465,267
270
0.38
0.08
16
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59
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18
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0.1
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352,823
270
0.28
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223,925
270
0.31
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349,059
270
0.29
0.06
571,102
270
0.30
0.07
19
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62
0
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11.5
14.9
20
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478,831
270
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303,898
270
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473,723
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775,067
270
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0.31
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14.9
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365,423
270
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361,526
270
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591,499
270
0.31
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26
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11.6
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453,629
270
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287,903
270
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448,790
270
0.37
0.08
734,274
270
0.38
0.08
28
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0
0
0
13.2
11.3
15
29
PC
30
0
0
0
0
13.2
11.4
15.1
30
PC
41
0
0
0
0
13.2
11.7
15
1
1
484,475
270
0.25
0.06
31
PC
36
1.25
1.25
1.25
1 1.14
13.2
11.9
15.2
339,609
270
0.27
0.06
364,061
270
0.30
0.07
335,987
270
0.27
0.06
677,066
270
.35
E3.
0.08
Monthly Loading:
4,334,007
3.48
3,644,365
3.96
a,246,597
3.59
6,978,821
86
12 Month Floating Total (in):
48.02
57.46
52.01
40.60

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: W00009267
Facility Name: Jacksonville WWTF
County: Onslow
Mon.: January
Year: 2020
Did irrigation occur
at this facility?
AYES ❑NO
Field Name:
21
Field Name:
22
Field Name:
23
Field Name:
24
Area (acres):
90.42
Area (acres):
121.44
Area (acres):
102.85
Area (acres):
95.81
Cover Crop:Lobloll
pine
Y p
Cover Crop:
P�
Lobloll pine
Y P
Cover Crop:
P�
Lobloll pine
Y p�
Cover Crop:
P�
Lobloll pine
Y p�
Hourly Rate (in):
0.12
Hourly Rate (in):
0.12
Hourly Rate (in):
0.12
Hourly Rate (in):
0.12
Annual Rate (in):
59.49
Annual Rate (in):
56.63
Annual Rate (in):
55.96
Annual Rate (in):
50.17
Weather
Freeboard
Field Irrigated?
❑YES ONO
Field Irrigated?
❑� YES ONO
Field Irrigated?
DYES [-]NO
Field Irrigated?
RIYES [:]NO
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1
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37
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0
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11.2
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39
0
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14.8
694,521
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0.31
0.07
815,680
270
0.30
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557,143
270
0.30
0.07
601,027
270
0.27
0.06
3
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55
0.31
0.31
0.32
0.32
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11.2
14.7
794,388
270
0.36
0.08
932,970
270
0.34
0.08
635,074
270
0.34
0.08
677,631
270
0.31
0.07
4
R
73
0.21
0.21
1 0.21
0.21
13.3
11.3
14.6
5
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39
0
0
0
0
1 13.3
10.61
14.9
6
C
35
0
0
0
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10.9
14.9
7
C
33
0
0
0
0
13.3
11.2
14.9
515,348
270
0.27
0.06
440,083
270
0.27
0.06
8
C
32
0
0
0
0
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11.4
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661,591
270
0.30
0.07
786,732
270
0.29
0.06
604,342
270
0.32
0.07
298,018
270
0.32
0.07
9
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33
0
0
0
0
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11.6
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739,637
270
0.34
0.08
880,963
270
0.32
0.07
10
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42
0
0
0
0
13.3
11.7
15
11
CL
62
0.41
0.41
0.46
0.46
13.2
11.7
14.9
578,807
270
0.31
0.07
490,295
270
0.30
0.07
12
C
58
0
0
0
0
13.2
12.1
14.8
13
CL
63
0.29
0.29
0.31
0.31
13.2
11.2
14.7
566,053
270
0.26
0,06
530,526
270
0.25
0.06
727,500
270
0.39
0.09
771,250
270
0.36
0.08
14
CL
62
0
0
0
0
13.2
11.4
14.7
374,264
270
0.35
0.08
744,086
270
0.35
0.08
15
PC
61
0
0
0
0
13.2
11.3
14.8
16
PC
59
0
0
0
0
13.2
11.2
14.8
17
C
44
0
0
0
0
13.2
11.6
15
18
C
34
0.1
0.1
0.08
0.08
13.2
11.3
15.1
672,716
270
0.31
0.07
630,376
270
0.30
0.07
712,841
270
0.38
0.08
755,709
270
0.35
0.08
19
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62
0
0
0
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11.5
14.9
20
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31
0
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11.2
15.2
912,970
270
0.42
0.09
855,511
270
0.40
0.09
21
PC
28
0
0
0
0
13.2
11.2
15.3
22
C
29
0
0
0
0
13.2
11.5
15.3
23
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32
0
0
0
0
13.2
11
15.2
24
CL
46
0.34
0.34
0.33
0.33
13.2
10.8
14.9
534,865
270
0.28
0.06
567,030
270
0.26
0.06
251
R
1 61
0
0
0
0
13.2
11.2
14.8
696,741
270
0.32
0.07
652,890
270
0.31
0.07
585,009
270
0.31
0.07
620,190
270
0.29
0.06
26
C
37
0
0
0
0
13.2
11.6
15
27
PC
39
0.1
0.1
0.11
0.11
13.2
11.1
14.9
864,919
270
0.40
0.09
810,484
270
0.38
0.08
28
C
40
0
0
0
0
13.2
11.3
15
29
PC
30
0
0
01.4
15.1
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PC
41
0
0
Al
13.2
11.7
15
439,779
270
0.26
0.06
680,021
270
0.25
0.06
464,521
270
0.25
0.05
492,456
270
0.23
0.05
31
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36
1.14
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13.2
11.9
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621,772
270
0.37
0.08
959,177
270
0.35
0.08
133,156
270
0.33
0.07
463,790
270
0.32
0.07
Monthly Loading:
8,039,351No
3.99
9,279,416
3.83
3.47
6,177,479
3.29
12 Month Floating Total (in):
47.54
43.78
EMs,oas,sos
43.49
40.46

s FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page
Permit No.: W00009267
Facility Name: Jacksonville WWTF
County: Onslow
Mon.: January
Year: 2020
Did irrigation occur
at this facility?
AYES [-]NO
Field Name:
25
Field Name:
26
Field Name:
27
Field Name:
28
Area (acres):
89.87
Area (acres):
70.29
Area (acres):
107.36
Area (acres):
117.04
Cover Crop:Lobloll
pine
Y P
Cover Crop:
p�
Lobloll pine
Y P�
Cover Cro p�
Lobloll pine
Y p
Cover Cro P�
Lobloll pine
Y P�
Hourly Rate (in):
0.12
Hourly Rate (in):
0.12
Hourly Rate (in):
0.12
Hourly Rate (in):
0.12
Annual Rate (in):
56.71
Annual Rate (in):
49.85
Annual Rate (in):
53.85
Annual Rate (in):
56.14
Weather
Freeboard
Field Irrigated?
❑YES ONO
Field Irrigated?
AYES ONO
Field Irrigated?
❑YES [:]NO
Field Irrigated?
❑✓ YES ONO
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645,866
270
0.30
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128,193
270
0.27
0.06
851,486
270
0.35
0.08
911,467
270
0.36
0.08
3
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55
0.32
0.29
0.29
0.29
13.3
11.2
14.7
735,464
270
0.34
0.08
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73
0.21
0.25
0.25
0.25
13.3
11.3
14.6
5
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0
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13.3
11.2
14.9
596,812
270
0.28
0.06
120,425
270
0.25
0.06
641,086
270
0.27
0.06
686,246
270
0.27
0.06
8
C
32
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0
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13.3
11.4
15.1
699,874
270
0.33
0.07
141,221
270
0.30
0.07
751,794
270
0.31
0.07
804,751
270
0.32
0.07
9
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33
0
0
0
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13.3
11.6
15.1
10
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42
0
0
1 0
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13.3
11.7
15
11
CL
62
0.46
0.481
0.48
0.48
13.2
11.7
14.9
670,302
270
0.31
0.07
12
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58
0
0
1 0
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13.2
12.1
14.8
13
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63
0.31
0.3
0.3
0.3
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11.21
14.7
842,500
270
0.39
0.09
86,053
270
0.18
0.04
432,632
270
0.24
0.05
14
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62
0
0
0
0
13.2
11.4
14.7
121,053
270
0.25
0.06
608,595
270
0.34
0.08
15
PC
61
0
0
0
0
13.2
11.3
14.8
16
PC
59
0
0
0
0
13.2
11.2
14.8
17
C
44
0
0
0
0
13.2
11.6
15
18
C
34
0.08
0.07
0.07
0.07
13.2
11.3
15.1
826,748
270
0,39
0.09
133,505
270
0.28
0.06
671,197
270
0.38
0.08
19
R
62
0
0
0
0
13.2
11.5
14.9
20
PC
31
0
0
0
0
13.2
11.2
15.2
21
PC
28
0
0
0
0
13.2
11.2
15.3
221
C
1 29
0
0
0
0
13.2
11.5
15.3
23
C
32
0
0
0
0
13.2
11
15.2
38,397
30
0.08
0.08
255,042
30
0.11
0.11
273,007
30
0.11
0.11
24
CL
46
0.33
0.31
0.31
0.31
13.2
10.8
14.9
620,333
270
0.29
0.06
100,172
270
0.21
0.05
665,365
270
0.28
0.06
712,234
270
0.29
0.06
25
R
61
0
0
0
0
13.2
11.2
14.8
678,489
270
0.32
0.07
109,563
270
0.23
0.05
727,743
270
0.30
0.07
779,006
270
0.31
0.07
26
C
37
0
0
0
0
13.2
11.6
15
27
PC
39
0.11
0.1
0.1
0.1
13.2
11.1
14.9
28
C
40
0
0
0
0
13.2
11.3
15
29
PC
30
0
0
0
0
13.2
11.4
15.1
1
360,035
270
0.24
0.05
599,231
270
0.25
0.06
641,443
270
0.26
0.06
30
PC
41
0
0
T 0
0
1 13.2
11.7
15
5358,7149
270
0.25
0.06
109,555
270
0.23
0.05
734,424
270
0.31
0.07
786,158
270
0.31
0.07
31
PC
36
1
1.12
1.12
1.12
13.2
11.9
15.2
545,038
270
0.35
0.08
Monthly Loading:
7,400,175
3.55
1,448,172
2.53
6,938,595
3.14
5,594,312
2.24
Ird38.41
12 Month Floating Total (in):
43.88
35.16
40.12

. FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit? ❑Compliant E36n-Compliant
s .y
I compliant ❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? IQCompliant ❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Ocompliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Q'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.
Emergency irrigation continued through January 2020. Emergency irrigation samples were collected in accordance with our permit.
We have exceeded the application rate limits in Attachment B of our permit. Emergency irrigation to handle excessive flow from Hurricane Florence and to maintain
freeboard level has increased our twelve month floating application rates. In addition, wet field conditions from excessive rainfall during 2018 and emergency irrigation
2018/2019 resulted in a decrease in nozzle count which reduced the available application field acreage. This reduced field acreage increased daily loading (inches
applied) at the site during 2019, increasing our twelve month floating application rates. NCDEQ has been continuously notified about our status.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: William E. Brown
Permittee:
Wally Hansen
Certification No.: SI 29103, WW1 25755
Signing Official: Wally Hansen
Grade: SI, WW1 Phone Number: 910-938-5322
Signing Officials Title: Public Services Director
Has the ORC changed since the previous NDAR-1? El Yes EINo
Phone Number: 910-938-5260 Permit Exp.: 4/30/22
xu�,�,,,h a6 -01
.,
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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617