WQ0001664_Monitoring - 05-2020_20200630

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ of _
Permit No.: W00001664
IFacility Na": Belvedere Plantation WWiF
ICounty: Pander
Month: May
Year: 2020
PPI: 001
Flow Measuring Point: ❑mMent AEfflueot ❑No row 9erw2Rtl
Parameter Monitoring Point: ❑Ibluem A Ski ❑ Gmunbwaterloxeaiq ❑Surtaa?Vhter
Parameter Cotle ti
50050
00310
009"
50060
31616
00610
W625
00820
90600
00400
W665
70300
00530
00076
2
m
E°
C m
O
a
o
e
n
'
'e
A
Z
2
,
°
F -Nq=
S cp
F0
N
nT
F
24=hr
him
GPO
mall
malL.
m9/L
#1100 ml
mg/L
mg/L
mgfL
mgfL
Su
mg/L
mall
mglL
NTU
1
01:00
1
76,100
0.37
755
145
2
25,900
<l0
3
25,900
110
4
06:W
1
26,900
<2
1 0,27
<2
<02
0.5
375
4.3
745
0.83
<2.6
448
6
11:05
1
58300
<2
0,25
sl
<02
i
2.93
3.9
757
1,23
<2.5
174
6
1225
1
33i200
0.19
761
4.42
T
09:10
1
17,4pp
0.14
7.48
3.96
8
11:00
1 1
1 4,000
>220
7.81
15fi
9
73,200
<10
10
73,200
"0
11
0755
1
73,200
12
0,34
12
<02
4.3
449
8.8
]]4
2,24
<2.5
1.5
12
08:10
1
]4,600
<2
0.17
<2
<02
09
2.83
3.]
] ]9
1.77
Q5
1.73
13
08:30
i
79,6W
0.34
7.61
2.72
14
09:45
1
80 400M11
7.68
2,57
15
12:06
1
75]00
8.12
214
16
67700
s10
17
6]70D
<10
18
07:W
1
67.700
<1
<0.2
1.5
3.6
5,1
772
2,13
<26
1A4
19
08:10
1
40400
<i
0.6
-09
O.62
2,3
759
2,18
<2.5
0,98
20
11:10
1
68.900
7.65
1.27
21
07:35
1
89,800
7.58
1.82
22
11:25
1
116,600
7.57
1.1
23
33,950
<10
24
33 950-
<10
25
33,950
<10
26
08:55
1
33,950
<1
0.5
14
2.37
38
769
1
<25
102
27
08:00
1
25,800
<1
<0.2
09
1.67
2.6
768
1.28
<2,5
2.89
28
09:30
1
55,800
>220
7.95
304
29
01.45
1
W,000
>220
].83
134
30
67
<10
31
67
<10
Average:
CIAO
0.20
100
0,14
1,53
2.78
431d74
000
1.30
Gaily Maximum:5no
2.00
0]20604.30
4.49
8.80
2.50
10.00
Daily Minimum:0
154,459
2.00
013
L00
120
O10
0.52
230
250
098
Sampling Type:eer
Composite
ComGmb
Composte
C°mpesil
CornPOSA.
COmpasitsCCompoa0e
H0.83
Rectortler
Limit:oo
104
7.5
Daily Limit
15
25
6
10Sample
Frequency:
uous
2X Week
3XYear.
5XWeek
2X Week
2X Week
2XWeek
2XVV k
2XWeek
22X
Week
Contnuous

FORM NOMR e5.16 NON -DISCHARGE MONITORING REPORT tNDMRI page —of —
Sampling Person(s) Cedifletl Labommries
Name: Greg Spillman
Name: Enviromental Chemists, Inc. DW # 94
hum' Chris Edwards
Name: Carolina Water Services Inc. - Pastern Region Certificate if 5162
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Mos,iest ❑ 4.tnn xear lithe facility is non -complain, phase explain in the space belm flue reason(s) the facility wee nt in cram liana. Provide in your
P Yo Ypanahon the dates) of the nn-wmpNanw and describe the cpneclive
aHion(s) taken. Attach etldhionl sheets "d necessary.
1 Oitar+ror in ResponciWe Clurga (ORC) CerliBcaaon
�ONU Greg Spillman Spillman
CeRmnation No.: 1OD4824
Grade: 4 Phone Number: 252-241-0681
Has the ORC changed since the previous NDMR7 ❑ r. p ae
tN ®a slmaum, l way ma role nave K auvmlr ao wapue m ma aar w mr Kmwaa>.
Parmidee cand cafltm
signing of ichv:' _ 1%: tt
signing Official- Title: of- lD. -1_-
Phone Number. c4i v- , tsve
P`"mg6a1gae0m 11312020
L� s1.2'e
� aaday. e�erYanmravv,.lnalmiseocumemaaali enamriwnmrere oreaemaamermY�eumnara„Yemsmn;n rms.aresed ;m oarsmmemheea me naameosM n vegsIn i emembgelmmtlaMeo nnol me .n mmn submllle6 ten,svnmyeekeseMURY h pebme'dk ma beo0 gemegsle and deesa
9 aB. messe'0me Npemkn r.seyKb end, it'nes,1 1mms .ESJier,hv seeon ndwvmtlek�l em mmmemameq�wvnYpemNe: rwrvbnlag fineeinbemaLvn, Imlmma nepoaaauymemeaigvnpnYveaambr
KmririB eialtllms.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mall Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR OS16 NON -DISCHARGE MONITORING REPORT (NDMR) Page_ of
�_mc��■ww�w�w®www�www
©�iw�w��wwww�w®w_w�wow
©wi�■w�ww�w�w_w�w�w�®w
o�o���w®w_w�www�wwwww
©�oo�ww®w_w®w®www_w
0
oo�ww�wwww�www®w®w
o�o■w�ow�www®wow®w®w
n
�o��®www®w■ww�w®�_w
n����wwrw®w®wwwwwww
m�oo��w�www�w�w®w®w
m�ooiw_wwwww_w�w_w®w
moo
�®wow®w®w�ww�www
m�oaF�ww�w®www
wwwww
m�o��ww_w�w®w�wwwwww
m�oo�ww�w®w�ww�ww�www
m®oo
m�oo�®w�w�wwwww
w®w
m��®�ww�■w�w®w®w�ii�®w
mmmrriw���®w�www®w�wwwww
m
�ow■i��wrw�w�www�w�w
m�oa�®www�w�w�w�w�ww
m�o■��®w�w_w®w�ww��w
m
��w���w�wwww®w®w■ww®w
®����®ww■�wwww�w®ww�w
���■ww�w�ww�w�w®�_w
���_ww■�ww�w_w��ww
��w�®wwiwww�w�w�w�w

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ rn_
Sampling Paraon(s) Certified Laboratories
Name: Greg Spillman Name: Envircamertal Chemists, Inc. DW # 94
Name: Chris Edwards 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? MO aset Drknmmeuam
If the facirtty is nonwmPliant, please explain in the space below the mason(s) the facility was net in Compliance. Provide in yourexplanaaon the late(s) dNe nomwinglance and describe tM cormoti s
actionfs) lakes AOach adtlaianal sheets Nneceasary.
Operator in Responsbh Charge (ORO) Certification Pmailitee O diNcatlon
ORC: David Hughes Panama.:
CmfffiwOon No.: 29114 loosooLp Signing OMclal:
Grads: SI Phone Number: 252-241-0661 Signing Omciars Tga: Ra ii•-••t+'
Has the ORC Charged since the previous NOMR? ❑v. pav Phone Number. 1Gr, "r 'S"' Permit Expired=: 1131/2020
signaWre Data I Signature
Byahatymace. l any thel am eapm is avules6mnaYY tanesadwheasahB. IMry. uWrrpwXyagw. W ..b-, Maedall Wedm
xaneaexNlaaySren a:yned m.su lnal Al nuYilledy
.emoted. Nrwmn my lryu onhaeers urpen .h. too
as." ton lMamauan IN.W.e.- sudmmed ls, m me bert oI
are Nal Nerea lnif d .N. 01 swONlg lase in so
Mnwnne vml'•
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699.1617
i.ze .ae
Doh

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ of
Permit No.:
Facility Name: Belvedere Plantation W W F County: Fender
Month: May
Year: 2020
PPI: 003
Flow Measuring Point: ❑ Imuent 17) Efflr M ❑ N. now generated
Parameter Monitoring Point: ❑ mnuert ❑ EMuere L: ❑surface Water
Parameter Corte
0060
00990
31616
- 00610
00620
00400
00885
70300
00600
50060
00880
Vhrl._vo>m`mE`a
GPO'
mg/L
#1100 mL
mglL
mg/L
su
m L
mg/L
mg/L
mglL
min
1
10A0
1
410,119
2
367,900
3
; $67,900
4
10:29
1
367,900
<1
<02
0.2
7,71
<0.04
1
0
5
08:17
1
:326,667
"
6
08:09
7
`.358,764
7
07:54
1
339,988
8
07:10
1
350,912
9
361,046
10
361,046
11
08:41
1
3611048
a2
<0.2
0.15
7.58
1 0-Q4
5
0
12
0726
1
328,592
13
06:53
1
335,874
14
0700
1
343,316
-
- -
16
06:55
1
336,720
18
:7
334229
334,229
18
07:09
1
334,229
<1
<02
0.17
768
<0.04
1.2
0
19
07:17
1
335,961
20
0656
1
336,56g
21
0715
1
3681572
22
U7.15
1
439.885
23
438,614
24
438.814
25
439,814
26
06:42
1
43$,614
<1
<0.2
0.12
7.85
�004
0.9
0
27
0718
1
444,655
28
08:30
1
447,237
29
07:15
1
1
444,195
30
445,420
31
445,429
Average:
30,11
Daily Maximum:
447,237.
Daily Minimum:
326,667
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Gmb
Grab
Grab
Monthly Limit.
568218
250
1.5
10
500
Daily Limit
6.5-8.5
Sample Frequency:
Continuous
3XYear
Weekly
Weekly
Weekly
weekly
Weekly
axYear

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) pow —
of -
Sampling Persons)
certified Uboorhows
Name: Greg Spillman
Noma: Enviromenal Chemists, Inc. DW#94
xeme: Chris Edwards
Name: Carolina Water Services Inc. - Fasten Region Certificate # 5162
Does all monitoring data and sampling frequencies meet the requirements in Attachment of your permit? 0cgmwmt ❑ em 2 Pmm
Wife facility is noncompliant, please explain in the space below the amsap(s) the facility was not in cornpilance. Provide in yaurerplanation the date(s) Mike noniomplianca and dascribethe correc6va
actions) Taken. Aeach atltlitianal sheets if rleressery.
Opa ator in Responsible Charge (ORC) Certffmaaon
ORC: Greg Spillman
Cerxfica im No.: 1004824
tirade: 4 Phone Numbor.
252-241-0661
Has the ORC awngetlaince the previous NDMR? ❑yes O+Ne
eyna wastes. lwtp 9mldmmanrlratmm ead wnPmmeebeNaf naagate�e.
Parmelee Certification
Penalties:
Signing ogww: -.�>.t 'AA
Signing Official's Tins or, -N_ls.
Phone Number 21 a. "I a.Svv Permit Eapfmfiom 1131P2020
—Bigrl.!me �m _ —
IaMpyantlerPe 1,&W. net M ocomentanaa,allaNmenta canrepnpsctl... mY mrectianasuprvisgnm
.m .Min asyabm ftylpmaaam&A&1q-.W Peraenml Pmmny9sheso mE unhand he Nfcma4M slamep.8isepM nryupiilynitllepMpnor PersnngwM ma jelM eysl¢m.0rlM1rea pBlaryis Sr¢dlyresptndpleb WmeM9 Ve FfmmWkn.Neielmmagm NMlAky lS mNa bwlMmyNmlyy9eapbW. We.eminle.ad[wlPbm.lwn ex+e ores llrem ae ebni9caq pma'tlea M eiN,nitlln9 fMm Infamab'�n. inluNig aw Pasaalrly of OM aM rnryisomrpM br
MPvdg WOWIiMc
Mail Original and Two Copses to:
Division 01 Water Resources
Informa8on Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-210-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page of
Permit No.: W00001664
Facility Name: Belvedere Plantation W WTF
County: Pender
Month: May
year: 2020
Did infiltration occur at
Site Name:
A
Sim Name:
B
Site Name:
C
she Name:
this facility?
Area (acres):
0.27
A.(.am):
0.27
Area (acres):
027
A. (acres):
AYEs ❑x0
Rat¢(GPDW)
8.55
Raw ppohl):
8.55
Rate lGP6Ht°I:
8,55
Ratg(GPpryt'):
Weather
Fraeboartl
Site In9ltratetl?
L9 YES ❑ x0
Site InflltraIN
[EYES ❑ no
Site InnWabd3
❑TES ❑ x0
Sale IMiBrarod7
❑ xa ❑ NO
o
S
5
Y
E
d
F
g
a
g
6
_
�'
mw
t_
S_
A
�W
E�.a.
$QG$Bv
a
-•v
gg
E&
LLN�
a'_m
is
^
FE_
TC
°a
n°m
tq�
LLm
a
>°a.
F"c
'=a
°�
p"
s°G
LLa
m
a
>a'
E@
��_
a$
.,
LL. 0
°F
In
R
R
am
Nam
Gpoffe
I ft
gal
min
GPDat2
R
941..
Nam
GPDM2
1t
gal
min
GPDHl2
R
1
PC
65
0
107,056
549
9,10
OAO
32,492
549
276
:0 '
14,396
549
1.22
000
2
C
95.147
502
809
0.00
29,421
502
250
0
17,588
502
150
'0.00
3
C
95,147
502
809
0.0
29,421
502
2.50
0
17,589
502
1.50
0,00
4
CL
71
0
3'2"
14
W147
502
809
0.00
29,421
502
2.50
0
1],589
502
1:50
0.00
5
PC
64
0.3
T7595
619
6.60
0.00
24,812
619
2.11
0
11,646
619
099
000
6
R
86
0.7
90464
523
769
0.00
28,978
523
2.46
0
10.572
523
0.90
am
7
CL
W
0.1
96,525
397
821
000
28,988
397
2.46
0
13,257
397
1.13
009
8
CL
54
0
0,786
510
789
600
26,772
510
2.28
0
9,439
510
0.80
0,00
9
PC
97,734
481
8.31
000
26,602
481
2.26
0
10,773
481
002
0.00
10
PC
97734
481
8,31
0.00
26a02
181
226
0
10.773
481
0,92
0.00
11
CL
74
0
3'2"
16
97,739
481
8.31
0.00
26,602
481
2.26
0
10T13
481
0.00
12
CL
43
0
81,448
474
6,93
0.SO
24,009
474
2.04
- 0
20,668
474
_0.92
1,76
000
13
C
52
0
W.OW
535
749
000
24,309
535
2.07
0
16,110
535
1.37
0.00
14
C
54
0
89,005
404
7,57
0.00
24,535
404
2,09
0
15,028
404
1.28
0.00
16
CL
77
0
73,489
494
625
0.00
20,089
494
1.71
0
15,572
494
1.32
0.00
16
C
92.168
440
7.84
0.00
24,657
MO
2.10
0
20,041
440
1,70
0.00
17
CL
92,168
"0
-7.84
0.00
24,657
440
2AO
0
20040
440
1.70
0.00
18
R
70
0.3
3'4"
14
92.169
MO
7.84
0.00
24,657
MO
2.10
0
20,040
440
170
0.00
19
R
BB
1
888W
457
'- 756
0.00
24,020
457
2.04
0
11,499
457
0,98
0,00
20
C
72
0.6
107,230
im
1112
0.00
27914
692
2.36
0
23935
692
2.04
0.00
21
R
70
4
104793
519
8.91
0.00
31721
519
2.70
0
298W
519
254
0.00
22
C
95
1
161 992
1029
1377
0.00
37,524
1029
3.19
0
20,437
1029
174
0.90
23
PC
138,788
527
11.a0
000
32,693
527
278
0
10250
527
1.64
000
24
R
138788
52]
11.80
0.00
32,693
527
2,78
0
19,250
527
104
0.00
26
PC
PA
0.1
3'3"
14
1387813
527
11.80
0.90
32,693
527
278
0
19,250
527
1.64
000
26
C
a/
0
138788
527
11 On
0.00
32,693
527
278
0
19250
527
1.64
0.00
27
PC
72
0
99,763
538
BAN
0,00
25,040
538
2.13
0
13,834
538
1.18
0,00
28
C
77
0.1
97720
536
8.31
0.00
23,696
536
2.01
0
13,064
536
1911
000
29
C
82
0
88,519
45]
7,53
0.00
22,143
457
188
0
117]4
457
1,00
0,00
W
R
92,053
542 7.83
0.00
23,514
542
200
0
13.995
542
1A9
000
31 C
MOMEN Leadin GPD/
Year to Date Leadin GPDHtr :
U053
542 7183
861
16.52
p,00
23514 542
200 1
2.32
15.68
0 1
13995
542
1.19

FORM: HDAR�210-1 a NON -DISCHARGE APPLICATION REPORT (NDA114) Page _ w
Dill 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?
If the facility [anon oompliant please explain in the spars below the mason(s) me facility was not in astonishes. Pmyide in we
a Inane. ❑rvpmrnnwaa
ommprmn ownr o a
21 m ❑noammwem
gcmwhm ❑Nw M,A k
B7 phm ❑Rw{wnphm
tlate(s) of Me seen-ampliance and descnbe the corrective
erator in Responsible charge (OM) cent a ss
Permhhe cone catien
n
Pormitfee:
Carolina Water Service, Inc N.C.
0g4824
r4ph..
signing Ottawa: -�...� Wki
Phorm Numbo.. 252-241-0661
alanin90fbciel'sTale:aaathe
Previous 1111-2? ❑,w prm
Phone Number. 800-3482383 Perritaop.: 1131)20
B1,109S &
—JJ I, z1.0
slgralure Oalo
Signature peg
erhsatPwwaluq,umwervsmaeemnmremmnp•murooawwmrrmaasee.
imnirr.swpswnvalew.ewer.eawmenm,ealaaw,meow-.nwoorep.aaumwmvmmnnn,nrw.vshnip
.avarca.im a ayeww aeaanm m pwaa wt ell aaaia.a p.srnnei pspwq eNnerea ww mhww u. wsesms
sawkwhoa
ugnesse.ln
e�amwainew a. Men
b a9�a.k.,aw 1pe Me
awd,elLanMeaezlpr4mnl PenednMwWYligM Pen"W" cheese
.Ikewax Was
a Wudna MepmlG9ba6mmW IwPlvmweN
ew,wankn,
Nnwar6*daaam.
Mail Original and Two Copies in:
Division of water Reaources
Information Processing Unit
1617 Mail Service Center
Raleigh, North, Carolina 27699-1617