WQ0003090_Monitoring - 03-2020_20200420

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page_l_of_1_ 14
Permit No.: WQ0003090
Facility Name: Town Of Liberty - Wastewater
County: Randolph
Month: March
Year: 2020
PPI:
Flow Measuring Point: E Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent [21 Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code -►
50050
00400
00310
00610
00630
31613
00620
00625
00665
50060
00600
70300
00940
00630
m
c
O
E m
3
LL
=
G
p
ro
o
a
m
c
f
r
E
o
U
R
Z
r
c
rn
Y
�
_
9=
ao
m
m '�
In t
U
c
w
-
z0
y
i°
In 0
r
o
m
tW
U
+
Z£
z
24-hr
hrs
I GPD
su
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
1
375,000
2
7:00
8
343,000
3
7:00
8
380,000
7.17
13.7
9.85
16.8
>2420
0.068
15.2
2.15
1.09
15.3
163
22.5
0.08
4
7:00
8
434,000
5
7:00
8
389,000
6
7:00
8
1 361,000
7
404,000
8
295,000
9
7:00
8
301,000
10
7:00
8
333,000
11
7:00
8
329,000
12
7:00
8
308,000
13
7:00
8
303,000
141
10:00
2
350,000
15
10:00
2
281,000
jF
16
7:00
8
268,000
17
7:00
8
291,000
18
7:00
8
277,000
19
7:00
8
1 299,000
20
7:00
8
266,000
21
9:00
2
306,000
22
9:00
2
319,000
23
7:00
8
279,000
24
7:00
8
429,000
25
7:00
8
966,000
26
7:00
8
1,049,000
27
7:00
8
535,000
28
436,000
29
384,000
30
7:00
8
320,000
31
7:00
8
332,000
Average:
385,226
13.70
9.85
16.80
1.00
0.07
15.20
2.15
1.09
15.30
163.00
22.50
0.08
Daily Maximum:
1,049,000
7.17
13.70
9.85
16.80
0.00
0.07
15.20
1 2.15
1.09
15.30
163.00
22.50
0.08
Daily Minimum:
266,000
7.17
13.70
9,85
16.80
0.00
0.07
15.20
2.15
1.09
15.30
163.00
1 22.50
0.08
Sampling Type:
Recorder
Monthly Avg. Limit:
Daily Limit:
550,000
Sample Frequency:
Daily
3xYr
3xYr
3xYr
3xYr
3xYr
I 3xYr
3xYr
3xYr
3xYr

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR)
Sampling Person(s) Certified Laboratories
Name: glenn price Name: research & analytical labs, inc.
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? El compliant P1 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.
non compliant on the dates of 3/25 and 3/26
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC:
Elix Tremaine Fike
Permittee: William Doerfer
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 NDMR? ❑ Yes El No
Phone Number: 336 622 4276 Permit Expiration: 8/31 /2024
Signature Date
ure Date
Si/sdocument
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 t 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

011
InRESEARCh & ANA1yTiCAL
LA ORATORIESF INC.
For: Town of Liberty
P.O. Box 1006
Liberty, NC 27298
Attn: Tremaine Fike
Client Sample ID: Effluent
Site: Town of Liberty
Parameter
,Ammonia Nitrogen A
BOD-5
Chloride
Dissolved Solids
Fecal Coliform QT
Nitrate + Nitrite
Nitrate Nitrogen
pH
Total Kjedjahl Nitrogen
Total Nitrogen
Total Phosphorous
Total Suspended Solids
Method
SM 4500 NH3 D-2011
SM 5210 B-2011
SM 4500 CI B-2011
SM 2540 C-2011
Colilert 18
SM 4500 NO3 E-2011
(SM 4500 NO3 E-2011)-(SM
4500 NO2 B-2011)
SM 4500 H+13-2011
Hach10242
Calc
SM 4500 P E-2011
SM 2450 D-2011
Result
9.85
13.7
22.5
163
>2420
0.080
0.068
7.17
15.2
15.3
2.15
16.8
Report of Analysis
3/11/2020
r�srrrurp��i
o
a t� NC#34 N
s NC #37701
Lab Sample ID:
79199-01
Collection Date:
3/3/2020 10:40
Units
Rep Limit Anal st Analysis Date/Time
mg/L
0.1
FK 3/4/2020
mg/L
2
SK 3/5/2020 0950
mg/L
1
EE 3/4/2020
mg/L
25
AW 3/3/2020
MPN/100ml
1
BJ 3/3/2020 1404
mg/L
0.05
DW 3/3/2020 1240
mg/L
0.05
DW 3/3/2020 1240
Std. Units
3/3/2020 1040
mg/L
1
FK 3/10/2020
mg/L
1
mg/L
0.05
BJ 3/6/2020
mg/L
5
AW 3/4/2020
NA = not analyzed
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randatabs.com Page 1

Research & Analytical
Laboratories, Inc.
Lt{`��•-t�"--.''a=i Analytical / Process Consultations
Phone [phone]
CHAIN OF CUSTODY RECORD
lVater
/ Wastewater
Misc.
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Sampler Signature
"umber
DaIe
Tinre
Comp
Grab
"Kemp
Res.
Chlorine
Removed
V or N
Sample
Matrix
S or W)
Sample Location / I.U.
C_
Requested Anal�'sis
3
M O
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w
1sllluent
4
3
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BOU, TSS, NH3N, `.Coll
NO3-N, TKN, 1'. Plros
T.Nit, CI-, TDS
TRC:
'linqui-Im y
/ ate/'Time
Received By
Remarks:
'linquished BN
Date/rime
J Received By
On Ice'
Sample Temperature at receipt �� - < "('

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _1_ of _2_
Permit No.: WQ0003090
Facility Name: Town of Liberty - Wastewater
County: Randolph
Month: March
Year: 2020
Did irrigation occur
at this facility?
F�] YES [_1 NO
Field Name:
Field Name:
Field Name:
Field Name:
Area (acres):
Area (acres):
Area (acres):
Area (acres):
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Field Irrigated?
Field Irrigated?
Field Irrigated?
Field Irrigated?
SUITI IBM
12 Month Floating Total (in):

' FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit? El 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? ❑O Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ❑✓ 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.
IS NON COMPLIANT CAUSE OF RAINFALL AND I&L.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC:
Elix Tremaine Fike
Permittee:
William Doerfer
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 2 No
Phone Number: 336 622 4276 Permit Exp.: 8/31 /24
/
Signature Date
Signatu 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_
Permit No.: WQ0003090
Facility Name: Town of Liberty - Wastewater
County: Randolph
Month: March
Year: 2020
Did irrigation occur
at this facility?
F�] YES [_1 NO
Field Name:
Field Name:
Field Name:
Field Name:
Area (acres):
Area (acres):
Area (acres):
Area (acres):
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
=111 11M
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Field Irrigated?
Field Irrigated?
Field Irrigated?
Field Irrigated?
WITITI Me
WITITI Me
WITITI Me
BVITITI Me
BVITITI Me
BVITITI Me
Me
10
12 Month Floating Total (in):

FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
❑� Compliant
❑ Non -Compliant
❑� Compliant
❑ Non -Compliant
❑✓ Compliant
❑ Non -Compliant
❑� Compliant
❑ Non -Compliant
❑ Compliant
i] 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.
HE LAGOON FREEBOARD IS NON COMPLIANT CAUSE OF RAINFALL AND I
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC:
Elix Tremaine Fike
Permittee:
William Doerfer
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 0 No
Phone Number: 336 622 4276 Permit Exp.: 8/31 /24
Signature Date
ignature 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

DATE
1
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
0
0
0
0
0
0
0
0
0
1
2
3
4
3 1 /2
4
4 1 /2
5 1 /4
5 1 /2
6 1 /4
6 1 /2
7 1 /4
7 3/4
7 3/4
6 1 /2
3
1
2
3
3 1 /2
4
5 1 /2
March 2020
Liberty N.C.W.W.T.F.
Freeboard Lagoon Inches
R 0.2
R 0.2
R 0.3
R 0.3
R 0.3
TOTAL RAIN 1.3

jan
feb
march
april
may
june
july
august
sept
Oct
nov
dec
total
1 2 3 4 5 6 7 8
4.49
4.33
2.12
4.41
4.38
3.8
4.43
4.03
3.85
3.71
2.91
3.86
3.17
3.82
3.8
2.55
4.93
4.84
2.52
4.93
4.38
4.92
4.31
4.16
4.95
5.59
2.14
3.49
2.75
3.38
3.63
2.17
4.77
4.2
0.6
3.04
3.61
3.03
4.81
1.17
3.7
3.08
2.84
3.38
3.22
0
0
3.72
0.57
0.56
2.68
3.03
2.21
3.11
3
3.57
3.57
3.77
0
1.88
1.86
4.4
3.63
1.11
4.21
4.37
0.59
2.41
1.82
2.43
3
1.12
0
0
2.62
3.31
4.14
1.85
1.47
3.75
0
0
1.2
3.7
2.77
3.85
3.49
2.46
3.07
4.49
1.92
2.62
3.47
3.1
3.66
2.51
38.11 40.94 22.14 40.06 37.78 37.69 39.23 32.32