WQ0004823_Monitoring - 03-2020_20200511 (2)

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page i_ of I
Permit No.: W00004823
Facility Name: Pine Island-Currituck Club WWTP
County: Currituck
Month: March
Year: 2020
Field Name:
GC
Field Name:
Field Name:
Field Name:
Did irrigation occur
Area (acres):
66
Area (acres):
Area (acres):
Area (acres):
at this facility?
Cover Crop:Cover
Crop:
P�
Cover Crop:
p�
Cover Crop:
P:
o YES o No
Hourly Rate (in):
0.4
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
101.4
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
YES No
Field Irrigated?
YES No
Field Irrigated?
YES F, No
Field Irrigated?
YES o NO
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°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
C
58
0
0
0
0.00
0.00
2
C
62
0
0
0
0.00
0.00
3
PC
54
0
0
0
0.00
0.00
4
C
56
0
0
0
0.00
0.00
5
CL
50
0
0
0
1 0.00
0.00
6
R
50
0.75
0
0
0.00
0.00
7
R
43
0.3
0
0
0.00
0.00
8
C
46
0
0
0
0.00
0.00
9
C
60
0
0
0
0.00
0.00
10
CL
60
0
0
0
0.00
0.00
11
CL
60
0
0
0
0.00
0.00
12
C
62
0
0
0
0.00
0.00
13
CL
64
0
0
0
0.00
0.00
14
C
62
0
0
0
0.00
0.00
15
CL
50
0
0
0
0.00
0.00
ES
161
CL
48
0
0
0
0.00
0.00
171
C
1 50
0
0
0
0.00
0.00
18
C
48
0
0
0
0.00
0.00
19
CL
56
0.2
0
0
0.00
0.00
20
C
70
0
0
0
0.00
0.00
21
CL
64
0
0
0
0.00
0.00
22
CL
48
0
0
0
0.00
0.00
23
R
60
0.6
0
0
0.00
0.00
24
C
55
0.5
0
0
0.00
0.00
25
R
50
1.5
0
0
0.00
0.00
26
C
46
0
0
0
0.00
0.00
27
C
62
0
_
0
0
0.00
0.00
28
C
74
0
0
0
0.00
0.00
291
C
80
0
0
0.00
0.00
30 CL 54
FO
8
CL 748
Monthly Loading:
0
0
0.00
0.0031I
0
0
0_. 0.00
0.00
0.00
11166M
0.00
0
0.00
0
0.00
12 Month Floating Total (in):

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
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?
m Compliant 0 Non -Compliant
® Compliant 0 Non -Compliant
m Compliant 0 Non -Compliant
® Compliant 0 Non -Compliant
® Compliant 0 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.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Jimmy Bliven
Permittee: Rolf Blizzard
Certification No.: 28243
Signing Official: William G Freed by Authority
Grade: SI Phone Number: 2524915277
Signing Official's Title: President of Envirotech
Has the ORC changed since the previous NDAR-1? o Yes 0 No
Phone Number: 252-491-5277 Permit Exp.: 4/30/24
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

FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2)
Page I of
Permit No.: W00004823
Facility Name: Pine Isla nd-Currituck Club WWTP
County: Currituck
Month: March
Year: 2020
Did infiltration occur at
Site Name:
IP
Site Name:
SB
Site Name:
RWSP
Site Name:
this facility?
Area (acres):
0.39
Area (acres):
0.19
Area (acres):
5.5
Area (acres):
� YES o NO
Rate (GPD/ft2):
7
Rate (GPD/ft):
7
Rate (GPD/ft2):
7
Rate (GPD/ft):
Weather
Freeboard
Site Infiltrated?
YES NO
Site Infiltrated?
YES o NO
Site Infiltrated?
YES NO
Site Infiltrated?
YES No
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C
'�O
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y C
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LL m
°F
in
ft
ft
gal
min
GPD/ft2
ft
gal
min
GPD/ft2
ft
gal
min
GPD/ft2
ft
gal
min
GPD/ftZ
ft
1
C
58
0
0
0
0.00
0
0
0.00
48,650
228
0.20
2
C
62
0
0
0
0.00
0
0
0.00
35,990
174
0.15
3
PC
54
0
0
0
0.00
0
0
0.00
48,370
228
0.20
4
C
56
0
0
0
0.00
0
0
0.00
47,950
222
0.20
5
CL
50
0
0
0
0.00
14,007
54
1.69
40,103
204
0.17
6
R
50
0.75
0
0
0.00
0
0
0.00
49,740
204
0.21
7
R
43
0.3
0
0
0.00
0
0
0.00
84,830
330
0.35
8
C
46
0
0
0
0.00
0
0
0.00
71,100
276
0.30
9
C
60
0
0
0
0.00
0
0
0.00
72,700
282
0.30
101
CL
1 60
0
0
0
0.00
0
0
0.00
74,200
288
0.31
11
CL
60
0
0
0
0.00
0
0
0.00
85,300
324
0.36
12
C
62
0
0
0
0.00
60,700
234
7.33
0
0
0.00
13
CL
64
0
0
0
0.00
0
0
0.00
82,370
342
0.34
14
C
62
0
0
0
0.00
0
0
0.00
92,070
378
0.38
15
CL
50
0
0
0
0.00
0
0
0.00
74,880
312
0.31
16
CL
48
0
0
0
0.00
0
0
0.00
79,850
330
0.33
17
C
50
0
0
0
0.00
0
0
0.00
51,960
216
0.22
18
C
48
0
0
0
0.00
0
0
0.00
53,050
222
0.22
19
CL
56
0.2
0
0
0.00
0
0
0.00
59,700
252
0.25
20
C
70
0
0
0
0.00
0
0
0.00
70,150
288
0.29
211
CL
1 64
0
0
0
0.00
0
0
0.00
59,490
252
0.25
22
CL
48
0
0
0
0.00
0
0
0.00
77,040
318
0.32
23
R
60
0.6
0
0
0.00
0
0
0.00
44,680
180
0.19
24
C
55
0.5
0
�0
0
0.00
0
0
0.00
56,800
192
0.24
25
R
50
1.5
0
0.00
0
0
0.00
57,390
216
0.24
26
C
46
0
0
0
0
0
0.00
0
0
0.00
_
55,260
210
0.23
271
C
62
0
0.00
0
0
0.00
53,340
198
0.22
28
C
74
0
0
0
0.00
0
0
0.00
51,310
198
0.21
29
C
80
0
0
0
0.00
0
0
0.00
50,710
192
0.21
30
CL
54
0
0
0
0.00
0
0
0.00
45,930
174
0.19
31
CL
48
0
0
0
0.00
0
0
0.00
47,600
198
0.20
Monthly Loading (GPD/ft2)
tt��>
07_,�
!°�
���;
0.29
;� ��;�
0.25
�✓"�
%
#DIV/0!
_
Year to Date Loading GPD/ft2

FORM: NDAR-2 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-2)
Page of
Did 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?
m Compliant 0 Non -Compliant
m Compliant 0 Non -Compliant
m Compliant o Non -Compliant
m Compliant a Non -Compliant
0 Compliant 0 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.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Jimmy Bliven
Permittee: Rolf Blizzard
Certification No.: 28243
Signing Official: William G Freed by Authority
Grade: SI 2524915277
Signing Officials Title: President of Envirotech
Has the ORC changed since the previous NDAR-2? Yes No
Phone Numbe : 252-49 -5277 Permit Exp.: 4/30/24
c
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

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of Z
Permit No.: W00004823
Facility Name: Pine Island-Currituck Club WWTP
County: Currituck
Month: March
Year: 2020
PPI: 001
Flow Measuring Point: Influent ® Effluent o No Flow generated
Parameter Monitoring Point: ❑ Influent m Effluent Groundwater Lowering o surface water
Parameter Code —Pp.
50050
00310
00940
31616
00610
00625
00620
00600
00400
00665
70300
00530
00076
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' N ND
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,n~N
p
'6O
(n
'
15 QoF
n
:3
t-
24-hr
hrs
GPD
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
mg/L
NTU
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
#DIV/0!
_-
Average:
Daily Maximum:
0
Daily Minimum:
0
Sampling Type:
Recorder
600,000
Composite
Composite
Grab
Composite
4
6
Composite
Composite
Composite
Grab
Composite
Composite
Composite
Recorder
Monthly Avg. Limit:
10
14
Daily Limit:
15
25
10
10
Sample Frequency:
Continuous
2 x Week
3 x Year
2 x Week
2 x Week
2 x Week
2 x Week
2 x Week
5 x Week
2 x Week
3 x Year
2 x Week
Continuous

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Jimmy Bliven Name: Universal Labs
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ° Compliant 0 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.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Jimmy Bliven
Permittee: Rolf Blizzard
Certification No.: 991879
Signing Official: William G Freed by Authority
Grade: 4
Signing Official's Title: President of Envirotech
Has the ORC changed since the previous NDMR? Yes m No
Phone Num er: 252-491-5277 Permit Expiration: 4/30/2024
A-6
Lt
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

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of
Permit No.: W00004823
Facility Name: Pine Island/Currituck Club WWTP
County: Currituck
Month: March
Year: 2020
PPI: 002
Flow Measuring Point: o influent ® Effluent 11 No flow generated
Parameter Monitoring Point: 0 influent m Effluent o Groundwater Lowering Surface water
Parameter Code -►
50050
00310
00940
31616
00610
00625
00620
00600
00400
00665
70300
00530
00076
m
0
C
Ear
o
°
p
o
L
U
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U
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7
24-hr
hrs
GPD
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
mg/L
NTU
1
00:00
0
48,650
3.53
2
11:50
1
35,990
6.33
1.81
3
10:00
2
48,370
6.56
2.2
4
00:00
0
47,950
6.63
1.55
5
09:30
2
64,110
6.44
1.2
6
09:15
2
49,740
6.55
3.35
7
00:00
0
84,830
1.32
8
00:00
0
71,100
2.86
9
10:20
2
72,700
6.53
2.67
10
09:00
2
74,200
4
<1
1.47
2 7
13.6
15.48
6.45
3.76
1 1
3.6
11
09:10
2
85,300
6.55 1
1
3.86
12
10:50
2
60,700
6.71
3.35
13
09:20
2
82.370
6.68
3.05
14
09:00
1
92,070
2.79
_
151
09:50
1
74,880
2.43
161
10:00
2
79,580
7.02
2.34
171
09:50
2
51,960
6.61
2.47
18
13:00
2
53,030
6.56
1.08
19
09:20
2
59,700
2
154.3
<1
<0.2
1
14.6
15.37
6.71
3.99
412
1.5
1.29
20
10:00
2
70,150
6.57
1.36
21
00:00
0
59,490
0.91
22
00:00
0
77,040
1.07
23
10:15
2
44,680
6.86
1.18
24
10:45
2
56,800
6.89
0.59
25
11:00
2
57,390
7.14
1.46
26
09:45
2
55,260
7.11
1.44
27
10:15
2
53,340
6.68
1.36
28
00:00
0
51,310
0.73
29
00:00
0
50,710
3.00
154.30
1.00
_
0.74
I
1.85
_ -
_ _ -
-
_ 0.8
30
11:50
2
45,930
6.83
0.39
31
10:00
2
47,600
61,514
14.10
_
6.94
_ _
3.88
_
412.00
0.08
Average:
15.43
1.30
1.87
Daily Maximum:
92,070
4.00
154.30
1.00
1.47
2.70
14.60
15.48
7.14
3.99
412.00
1.50
3.86
Daily Minimum:
35,990
2.00
154.30
1.00
0.20
1.00
13.60
15.37
6.33
3.76
412.00
1.10
0.08
Sampling Type:
Recorder
Composite
10
Composite
Grab
Composite
Composite
Composite
Composite
Grab
Composite
Composite
Composite
Recorder
Monthly Avg. Limit:
500,000
14
4
5
Daily Limit:
15
25
6
-
10
10
Sample Frequency:
Continuous
2 x Month
3 x Year
2 x Month
2 x Month
2 x Month
2 x Month
2 x Month
5 x Week
2 x Month
3 x Year
2 x Month
Continuous

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Jimmy Bliven Name: Universal Labs
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ° Compliant c 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 dates) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Jimmy Bliven
Permittee: Rolf Blizzard
Certification No.: 991879
Signing Official: William G Freed by Authority
Grade: 4
Signing Officials Title: President of Envirotech
Has the ORC changed since the previous NDMR? E3 Yes ® No
Phone Number- 252- 1-5277 Permit Expiration: 4/30/2024
dmow �6� y ztT-r.;1
zo
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