WQ0007283_Monitoring - 02-2020_20200401

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 1
Permit No.: WQ0007283
Facility Name: TOWN of POLLOCKSVILLE
County: Jones
Month: February
Year: 2020
PPI: 002
Flow Measuring Point: O Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ influent 2 Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code _11�
60050
00940
00353
00353
00600
0
Tp
8
O``
a
m
o U)
0
o,y
O E
P
d
rn
O
o
o
U.
a
o
t
C.)
z
m R
�
z o
z
z
m i°
�o
Z
oa
z
a=i
F-`o
z
D
24-hr
hrs
*Y/NIBIH
GPD
#N/A
mg/I
mg/1
mg/I
UG/L
1
10:50
2.0
Y
82,000
2
11:00
1.0
Y
68,000
3
9:22
2.0
Y
61,000
4
09:45
3.0
Y
51,000
5
09:40
4.0
Y
36,000
6
09:20
3.0
Y
42,000
7
1 09:00
8.0
Y
571,000-
8
09:27
3.0
Y
44,000
9
11:15
1.0
Y
86,000
R cr
10
09:20
6.0
Y
63,000
11
09:40
3.0
Y
50,000
-
12
08:45
4.0
Y
51,000
d I
';r
13
09:00
1 5.0
Y
56,000
0.12
0.14
84726
14
10:00
3.0
Y
64,000
15
09:55
2.5
Y
65,000
16
09:30
1.5
Y
63,000
17
09:10
2.0
Y
62,000
18
09:57
3.5
Y
70,000
19
09:45
2.0
Y
43,000
20
10:00
4.5
Y
75,000
21
10:10
5.5
Y
244,000
22
10:25
3.0
Y
109,000
23
09:48
1.0
Y
91,000
241
10:00
4.0
Y
77,000
25
09:30
2.5
Y
74.000
26
09;10
4.0
Y
80,000
27
10:10
3.0
Y
99,000
28
09:45
2.0
Y
93,000
29
11:00
2.0 1
Y
78,000
30
31
Average:
91,310
22
0.81
<1
0.29
<0.04
33
2.00
58618
0.0
60730
Daily Maximum:
571,000
22
0.81
<1
0.29
<0.04
33.0
2.00
58618
1
0.0
60730
Daily Minimum:
36,000
22
0.81
<1
0,29
<0.04
33.0
2.00
58618
0.0
60730
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
102,000
Daily Limit:
N/A
Sample Frequency:
Continuous
Mar,Jul,Nov
per Event
'(Y)ES. (N)0. (B)ACK UP ORC, (H)OLIDAY

FUKM: NDMR 03-1L
NON -DISCHARGE MONITORING REPORT (NDMR)
FAF
Sampling Person(s) Certified Laboratories
Name: Operator on Duty Name: Environment 1
Name: Johnnie J. Chadwick/ORC Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 9 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
taKen. Attacn aaamona1 sneets It
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: JOHNNIE J. CHADWICK
Permittee: Town of Pollocksville
Certification No.: SS-11861/WW2-9579
Signing Official: James Bender Jr.
Grade: SS/WW-2 Phone Number: 252-617-1692
Signing Official's Title: Mayor
Has the ORC changed since the previous NDMR? ❑ yes O No
Phone Number: 52-224-9831 Permit Expiration: JULY 31,2021
P/a
3/26/2020
Si nature Date
Signature Date
By this signs re. I rtify 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

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 1
Permit No.: W00007283
Facility Name: TOWN of POLLOCKSVILLE
County: Jones
Month: February
Year: 2020
PPI: 002
Flow Measuring Point: 2 Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent ❑ Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code
60050
00310
00665
31616
00610
00620
00400
70300
00530 i
00931
00916
00626
00927
50060
0
O
Q
w,
am
O E
.2
O
W
O
3
O
N
O
N
p
O
o
s
LL
N
O
U
R
E
E
Q
Z
?
N
20
p
O _'0
~ y
E -02
R
CIO_
Q
UE
O V
tY
E
O
CO
ii c
O H
>E
V
N
24-hr
hrs
*YINIB/H
GPD
mg/L
#NIA
#/100 mL
mg/L
mg/L
su
mg/L
mg/L
mg/L
#NIA
mg/L
mg/L
m IL
ug/L
1
10:50
2.0
Y
82,000
2
11:00
1.0
Y
68,000
3
9:22
2.0
Y
61,000
4
09:45
3.0
Y
51,000
5
09:40
4.0
Y
36,000
6
09:20
3.0
Y
42,000
71
09:00
1 8.0
Y
571,000
8
09:27
3.0
Y
44,000
9
11:15
1.0
Y
86,000
10
09:20
6.0
Y
63,000
11
09:40
3.0
Y
50,000
12
08:45
4.0
Y
51,000
131
09:00
1 5.0
Y
56,000
1 47
3.41
1 lab error
14.48
0.26
70
1.50
28.42
9171
54710
14
10:00
3.0
Y
64,000
15
09:55
2.5
Y
65,000
16
09:30
1.5
Y
63,000
17
09:10
2.0
Y
62,000
18
09:57
3.5
Y
70,000
19
09:45
1 2.0
Y
43,000
20
10:00
4.5
Y
75,000
21
10:10
5.5
Y
244,000
22
10:25
3.0
Y
109,000
23
09:48
1.0
Y
91,000
241
10:00
4.0
Y
77,000
25
09:30
2.5
Y
74,000
27000
26
09;10
4.0
Y
80,000
27
10:10
3.0
Y
99,000
28
09:45
2.0
Y
93,000
29
11:00
2.0
Y
78,000
30
31
Average:
91,310
22
0.81
<1
0.29
<0.04
33
2.00
58618
28.42
9171
0.0
60730
Daily Maximum:
571,000
22
0.81
<1
0.29
<0.04
33.0
2.00
58618
28.42
9171
0.0
60730
Daily Minimum:
36,000
22
0.81
<1
0.29
<0.04
33.0
2.00
58618
28.42
9171
&0
60730
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
102,000
Daily Limit:
N/A
Sample Frequency:
Continuous
llVlar,Jul,Nt11
per Event
-(Y)ES, (N)O, (B)ACK UP ORC. (H)OLIDAY

fURM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Sampling Person(s) Certified Laboratories
Name: Operator on Duty Name: Environment 1
Name: Johnnie J. Chadwick/ORC Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? o 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
1dRe11. r-utdcn damuvndi sheets a necessdiy.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: JOHNNIE J. CHADWICK
Permittee: Town of Pollocksville
Certification No.: SS-11861/WW2-9579
Signing Official: James Bender Jr.
Grade: SS/WW-2 Phone Number: 252-617-1692
Signing Official's Title: Mayor
Has the ORC changed since the previous NDMR? ❑ yes 123 No
Phone Number: 224-9831 Permit Expiration: JULY 31,2021
' 3/26/2020
Signature Date
Signature Date
By this sig ure, 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

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Permit No.: WQ0007283
Facility Name:
TOWN of POLLOCKSVILLE
County: Jones
Mont
Did irrigation occur
at this facility?
❑ YES E NO
Field Name:
ONE
Field Name:
TWO
Field Name:
THREE
Area (acres):
3.5
Area (acres):
3.5
Area (acres):
4
Cover Crop:
Bermuda/Rye
Cover Crop:
Bermuda/Rye
Cover Crop:
_
Bermuda/Rye
Hourly Rate (in):
0.7
Hourly Rate (in):
0.7
Hourly Rate (in):
0.7
Annual Rate (in):
92.56
Annual Rate (in):
92.56
Annual Rate (in):
92.56
Weather
Freeboard
Field Irrigated?
❑ YES E NO
Field Irrigated?
❑ YES E NO
Field Irrigated?
❑ YES E No
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°F
in
ft
ft
gal
I min
in
in
gal
min
in
in
gal
min
in
in
3
13
®_
_
�mmME
h: February
Year: 2020
Field Name:
FOUR
Area (acres):
4
Cover Crop:
Bermuda/Rye
Hourly Rate (in):
0.7
Annual Rate (in):
92.56
❑ YES E NO
rn E rn
C ? c
'5 E 7
❑ J M = J
in in
Field Irrigated?
d a
E D
7 Q.�
Q
v
~
gal
min
12 Month Floating Total (in):
33.61
u � g , i -00
..���3.3
� 13.30

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
ED Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
p Compliant
❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
ID Compliant
❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
o Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
o 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
ar.uw qo� as ncn. ruaun auuuvuoauccw n nca.caamy.
i Feb. 7,2020the Town of Pollocksville had a full commericql power outage for 20 hours.The liftstation were on generator power during this event,but the influent flow miter device was without power
areading after the event shoed 571,000 gallons of influentintothe plat which is incorrect. The flow reading for the influent wasreading correctly and has continued to read correctly. The flow device at the
due to be recalibrated ASAP . On 2-21-2020 the influent wasagin high for the day but we had a huge rain event where the plant recieved 4 inches of rain and the flow device reflexs that amount of rain.
Operator in Responsible Charge (ORC) Certification 11 Permittee Certification
ORC: JOHNNIE J. CHADWICK
Certification No.: SS-11861/WVV2-9579
Grade: SS/WW2 Phone Number. [phone]
Has the ORC changed since the previous NDAR4? ❑ Yes O No
e
Permittee:
Town of Pollocksville
Signing Official: James Bender Jr.
Signing Official's Title: Mayor
Phone Num#w4­-, [phone] PermitExp.: JULY 31,2021
/ �tgnature 1�j Date / Signature Date
By this signature, I �6k/n fy that this report is accurrate and complete to the best of my knowledge. 1 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 property 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 befief, 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

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Permit No.: WQ0007283
Facility Name: TOWN of POLLOCKSVILLE
County: Jones
Month: February
Year: 2020
Did irrigation
Field Name:
FIVE
Field Name:
SIX
Field Name:
Field Name:
occur'
Area (acres):
4
Area (acres):
4.2
Area (acres):
Area (acres):
at this facility?
Cover Crop:Bermuda/Rye
Y a
Cover Crop:
p:
Bermuda/Rye
Cover Crop:
P�
Cover Crop:
P:
YES P1 NO
Hourly Rate (in):
0.7
Hourly Rate (in):
0.7
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
92.56
Annual Rate (in):
92.56
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
El YES El No
Field Irrigated?
❑YES O No
Field Irrigated?
❑YES NO
Field Irrigated?
0 YES O NO
>.
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°F
in
ft
ft
gal
min
in
I in
gal
min
in
in
gal
min
in
in
gal
I min
I in
in
1
R
46
1.3
3
2
C
46
0.0
3
3
C
54
0.0
3
4
PC
60
0.0
3
5
R
58
0.1
3
6
CL
52
0.0
3
7
R
61
4.0
3
8
C
41
0.0
2.8
9
C
48
0.0
2.5
10
CL
52
0.0
2.5
11
CL
67
0.0
2.5
12
R
53
0.2
2.5
13
PC
72
0.0
2.5
14
R
48
0.2
2.5
15
C
37
0.0
2.5
16
CL
47
0.0
2.5
171
CL
48
0.4
2.5
18
CL
49
0.0
2.5
19
R
53
0.2
2.5
20
R
44
0.2
2.5
21
SN
33
1.5
2.5
22
C
38
0.0
2.5
231
C
42
0.0
2.5
24
CL 1
50 1
0.0
2.5
25
CL
49
0.3
2.5
26
CL
58
0.0
2.5
27
C
48
0.0
2.5
28
C
41
0.0
2.5
291
C
41
0.0
2.5
30
31
Monthly Loading:
0
0.00
0.00
0.00
0
0.00
12 Month Floating Total (in):
35.42
34.70
0.00
0
0.00

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
O Compliant
❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
El Compliant
❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
E Compliant
❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
O Compliant
❑ Non-Compiiant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
121 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
­., .. 1.n. a I a...a „...
i Feb. 7,20Z0the Town of Nollocksville had a full commencgl power outage for 20 hours.The liftstation were on generator power during this event,but the influent flow mter device was without power
Breading after the event shoed 571,000 gallons of influentintothe plat which is incorrect. The flow reading for the influent wasreading correctly and has continued to read correctly. The flow device at the
due to be recalibrated ASAP . On 2-21-2020 the influent wasagin high for the day but we had a huge rain event where the plant recieved 4 inches of rain and the flow device reflexs that amount of rain.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: JOHNNIE J. CHADWICK
Permittee:
Town of Pollocksville
Certification No.: SS-11861/VVW2-9579
Signing Official: James Bender Jr.
Grade: SS/WW2 Phone Number: [phone]
Signing Official's Title: Mayor
Has the ORC changed since the previous NDAR-1? p yes El No
Phone Nu [phone] Permit Exp.: JULY 31,2021
P,,A"
3/26/20
/,/;,
Signature Date
Signature Date
By lhi ignature, 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

E10AMME&M Flo lumpumd
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
ID#: 319
PHONE [phone]
FAX [phone]
TOWN OF POLLOCKSVILLE (EFFLUENT)
ATTN: JAMES BENDER, JR.,
P.O. BOX 97 IMAR
1 1 ND130394 DATE COLLECTED: 02/13/20
POLLOCKSVILLE ,NC 28573 i DATE REPORTED : 03/09/20
BY-6 ....................... REVIEWED BY:
./:,
Effluent
Analysis
Method
PARAMETERS
Date
Analyst
Code
BOD, mg/l
47
02/13/20
TMR
521OB-11
Fecal Coliform (1VMF), /100 Mls
Lab Error
Total Suspended Residue, mg/l
70
02/14/20
MAR
2540D-11
Ammonia Nitrogen as N, mg/l
14.48
02/17/20
BLD
350.1 R2-93
Total Kjeldahl Nitrogen as N,mg/l
28.42
02/21/20
BLD
351.2 112-93
Nitrate -Nitrite as N, mg/l (calc)
0.26
353.2 R2-93
Nitrate Nitrogen as N, mg/l
0.12
02/14/20
AKS
353.2 R2-93
Nitrite Nitrogen as N, mg/l
0.14
02/14/20
AKS
353.2 R2-93
Total Phosphorus as P, mg/1
3.41
02/21/20
AKS
365.4-74
Calcium, ug/l
84726
02/25/20
LFJ
EPA200.7
Magnesium, ug/l
9171
02/29/20
LFJ
EPA200.7
Sodium, ug/l
54710
03/05/20
NAB
3111B-11
Sodium Adsorption Ratio (calc)
1.5
Total Nitrogen, mg/l (calc)
28.68

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114 OAKMONT DRIV'
GREENVILLE, N.C. 27858
TOWN OF POLLOCKSVILLE (EFFLUENT)
ATTN: JAMES BENDER, JR.
P.O. BOX 97
POLLOCKSVILLE ,NC 28573
Effluent Analysis Method
PARAMETERS Date Analyst Code
Fecal Coliform (NW), /100 Mls 27000 02/25/20 HJO 9222D-06
-; Drinking Water ID: 37715
Wastewater ID: 10
PHONE [phone]
FAX [phone]
ID#: 319 A
DATE COLLECTED: 02/25/20
DATE REPORTED : 02/27/20
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REVIEWED BY: ✓/�
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MAR 3 0 2Q0
BY: .......................

Enviironment 1, Inc. CHAIN F CUSTODY RECORD
P•0�x 7CI85. 114 Oakmont Dr.
Greenville, NC 27858
environmerntlinc.com d:�
INEON
Phone [phone] • Fax [phone]
CLIENT: 319 Week:9
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T01YN OF POLLOCKSVILLE (EFFLUENT) ❑NONE
ATTIC: JAMES BENDER, JR. P P P P P P P P P P
P.O. BOX 97
POLLOCKSVILLE NC 28573
-252) 224-9831
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RM #5 PLEASE READ Instructions for completing this form on the reverse side.
uMI U I IIVIC COMMENTS:
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CHLORINE NEUTRALIZED AT COLLECTION
pH CHECK (LAB)
TYPE, P/G
CHFMICAL PRESERVATION
.Cn A -NONE D-NAOH
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B-HNO, E-HCL
w C - H2SO, F -ZINC ACETATE/NAOH
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a G - NA TH IOSULFATE
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CLASSIFICATION:
U(WASTEWATER(NPDES)
❑ DRINKING WATER
j DWR/GW
❑ SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVERY
Y N
SAMPLES COL ED BY: C
(Please Printl
SAMPLES RECEIVED IN LAB AT °C
Sampler must place a "C" for composite sample or a " T for
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