WQ0006785_Monitoring - 04-2020_20200518

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _j_ of
Permit No.: WQ0006785
Facility Name: Murfreesboro WWTF
County: Hertford
Month: April
Year: 2020
PPI: 001
0 Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent ❑ Effluent E Groundwater Lowering ❑ Surface water
Parameter Code 11'.
50050
>
Q _E
U ~
0
O
c
O
£ .y
V to
of
O
o
M
24-hr
hrs
GPD
1
06:00
8
415,200
2
06:00
8
369,600
3
06:00
8
388,000
4
07:00
1
326,400
5
07:00
1
294,400
6
06:00
8
305,600
7
06:00
8
300,000
8
06:00
8
299,200
9
06:00
8
206,400
10
07:00
1
263,200
11
07:00
1
280,000
12
07:00
1
236,800
13
0600
8
294,400
14
06:00
8
249,600
15
06:00
8
274,400
16
0600
8
245,600
17
06:00
8
279,200
18
08:40
1
288,000
19
07:25
1
244,800
20
06:00
8
491,200
21
06:00
8
357,600
22
0600
8
318,400
23
06:00
8
324,800
24
06:00
8
320,800
25
07:00
1
280,800
26
07:00
1
265,600
27
06:00
8
252,000
28
06:00
8
257,000
29
06:00
8
255,200
30
06:00
8
244,800
31
Average:
297,633
Daily Maximum:
491,200
Daily Minimum:
206,400
Sampling Type:
Recorder
Monthly Avg. Limit:
649,610
Daily Limit:

r ^
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sample F;equency:l Continuous

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
No.: WQ0006785
Facility Name: Murfreesboro WWTF
County: Hertford
Month: April
Year: 2020
PPI: 002
Flow Measuring Point: ❑ Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ influent ❑ Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code to
00310
31616
00610
00625
00620
00400
00665
00530
00600
00940
50060
70300
p
UQ
C
o
W)
o
O
CIO
E
V
LL O
U
f
O
E
r
_cN
Q)
Z
N
O
=E
-
CA
a)
'O n
M C 'OE
.
N
O
Z
U
yZ
W UO
UO)
)O
O -NO
aOa
24-hr
I hrs
mg/L
#/100 mL
mg/L
mg/L
mg/L
su
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
1
06:00
8
7.7
0.2
2
0600
8
7.8
0.21
3
06:00
8
7.7
0.22
4
0700
1
N/A
N/A
5
07:00
1
N/A
N/A
6
06:00
8
7.8
0.19
7
0600
8
7.9
0.21
8
06:00
8
15
<10
12.44
18
0.32
8.1
2.5
18
18.57
N/A
0.41
N/A
9
06:00
8
7.9
0.2
101
07:00
1
N/A
N/A
11
07:00
1
N/A
N/A
12
07:00
1
N/A
N/A
13
0600
8
7.7
0.21
14
06:00
8
7.6
0.18
15
06:00
8
77
0.2
16
06:00
8
8.1
0.17
17
0600
8
8.1
0.22
18
0840
1
N/A
N/A
19
07:25
1
N/A
N/A
20
06:00
8
7.9
0.21
21
0600
8
8
0.19
22
06:00
8
7.9
0.22
23
0600
8
7.9
0.2
24
06:00
8
7.8
0.22
25
07:00
1
N/A
N/A
26
07:00
1
N/A
N/A
27
0600
8
8.4
0.19
28
06:00
8
8.6
0.12
29
06:00
8
8.8
0.39
30
06:00
8
8.4
0.12
31
Average:
15.00
1.00
12.44
18.00
0.32
2.50
18.00
18.57
0.00
0.15
0.00
Daily Maximum:
15.00
10.00
12.44
18.00
0.32
8.80
2.50
18.00
18.57
0-00
0A1
0.00
Daily Minimum:
15.00
10.00
12.44
18.00
0.32
7.60
2.50
18.00
18.57
0.00
0.12
0.00
Sampling Type:
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
Daily Limit:

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sample Frequency: monthly monthly monthly monyhly monthly per event monthly monthly monthly UYEAR pre event UYEAR

��doQo��c��� Flo ��c�oQpoQa�c�d
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
TOWN OF MURFREESBORO
MR. RAYMOND EATON
P.O. BOX 6
MURFREESBORO ,NC 27855
Drinking Water ID: 37715
Wastewater ID: 10'
PHONE [phone]
FAX [phone]
ID#: 110
DATE COLLECTED: 03/04/20
DATE REPORTED : 03/13/20
REVIEWED BY:
Effluent
Well #1
Well #2
Well #4
Well #5
Analysis
Method
PARAMETERS
Date Analyst
Code
BOD, mg/1
7.9
03/04/20
TMR
521OB-11
Fecal Coliform (MF), /100 Mls
< 10
1
< 1
< 1
< 1
03/04/20
HJO
9222D-06
Total Suspended Residue, mg/l
4.0
03/05/20
HJO
2540D-11
Ammonia Nitrogen as N, mg/l
16.68
03/11/20
BLD
350.1 112-93
Ammonia Nitrogen as N, mg/1
0.05
0.06
0.05
0.07
03/05/20
AKS
350.1 112-93
Total Kjeldahl Nitrogen as N,mg/1
17.07
03/11/20
TLH
351.2 112-93
Nitrate -Nitrite as N, mg/l (calc)
0.04
353.2 112-93
Nitrate Nitrogen as N, mg/l
s <0.04
5.89
0.85
3.57
1.43
03/05/20
DTL
353.2 112-93
Nitrite Nitrogen as N, mg/l
0.04
03/05/20
DTL
353.2 112-93
Total Phosphorus as P, mg/1
2.76
<0.04
<0.04
0.08
0.10
03/06/20
AKS
365.4-74
Total Organic Carbon, mg/l
1.88
3.16
3.69
2.20
03/06/20
SEJ
531OC-11
Chloride, mg/l
43
18
8
22
8
03/09/20
KDS
4500CLB-11
Total Dissolved Residue, mg/l
240
111
69
150
73
03/05/20
JMS
2540C-11
Total Nitrogen, mg/l (calc)
17.11
All QC requirements were not met: s Spike data not within established limits.

EflW'DT@1MH(M Flo hmpumho
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
TOWN OF MURFREESBORO
MR. RAYMOND EATON
P.O. BOX 6
MURFREESBORO ,NC 27855
Well #10 Well #11 Well #12
PARAMETERS
Drinking water ID: 37715
Wastewater ID: 10'
PHONE [phone]
FAX [phone]
ID#: 110
DATE COLLECTED: 03/04/20
DATE REPORTED : 03/13/20
REVIEWED BY:
Analysis Method
Date Analyst Code
Fecal Coliform (MF), /100 Mls
< 1
< 1
< 1
03/04/20
HJO
9222D-06
Ammonia Nitrogen as N, mg/1
0.04
0.23
<0.04
03/05/20
AKS
350.1 R2-93
Nitrate Nitrogen as N, mg/l
4.06
0.33
2.45
03/05/20
DTL
353.2 R2-93
Total Phosphorus as P, mg/l
0.25
0.29
0.11
03/06/20
AKS
365.4-74
Total Organic Carbon, mg/l
2.78
8.28
4.36
03/06/20
SEJ
531OC-11
Chloride, mg/l
28
6
34
03/09/20
KDS
4500CLB-11
Total Dissolved Residue, mg/l
207
131
200
03/05/20
JMS
2540C-11
All QC requirements were not met: a Spike data not within established limits.

Environment 1, Inc.
P.O_ BQx�085, 114 Oakmont Dr.
Greenville, NC 27858
environment] inc.com
DISINFECTION
Phone [phone] • Fax [phone]
ILI
CHLORINE
CLIENT: 110 Week:15
UV
TOWN OF MURFREESBORO
MR. RAYMOND EATON
❑NONE
P.O. BOX 6
MURFREESBORO NC 27855
71
[phone]
SAMPLE LOCATION
Effluent
Well #1
Well #2
Well #4
Well #5
Well #10
Well #11
Well #12
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BY (SI ) ( AMPLER) UAI t/ I IMt
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BY (SI .) I DATE/TIME
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CHAIN OF CUSTODY RECORD
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RELINOUISHED BY (SIG.) I DAT i IME I RECEIVED BY (SIG.)
PLEASE READ Instructions for completing this form on the reverse side.
FORM #5
N
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mommull
COMMENTS:
Page 1 of 1
CHLORINE NEUTRALIZED AT COLLECTION
pH CHECK (LAB)
CONTAINER TYPE, P/G
CHEMICAL PRESERVATION
A -NONE D-NAOH
LU
B-HNO, E-HCL
M
w C - H,SO, F -ZINC ACETATE/NAOH
G - NATHIOSULFATE
r
CLASSIFICATION:
Ij WASTEWATER (NPDES)
DRINKING WATER
DWR/GW
SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVERY
( ) N
SAMPLES COLLECTED BY:
(Please Print)
SAMPLES RECEIVED IN LAB AT 3 S °C
Sampler must place a "C" for composite sample or a "G" for
Grab sample in the blocks above for each parameter requested. NO2 372086
COMMENTS:
Page 1 of 1
CHLORINE NEUTRALIZED AT COLLECTION
pH CHECK (LAB)
CONTAINER TYPE, P/G
CHEMICAL PRESERVATION
A -NONE D-NAOH
LU
B-HNO, E-HCL
M
w C - H,SO, F -ZINC ACETATE/NAOH
G - NATHIOSULFATE
r
CLASSIFICATION:
Ij WASTEWATER (NPDES)
DRINKING WATER
DWR/GW
SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVERY
( ) N
SAMPLES COLLECTED BY:
(Please Print)
SAMPLES RECEIVED IN LAB AT 3 S °C
Sampler must place a "C" for composite sample or a "G" for
Grab sample in the blocks above for each parameter requested. NO2 372086

SAMPLING INSTRUCTIONS AND FORM COMPLETION
AILURE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE
TYPES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE
SENSITIVE SAMPLES, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING
REJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE.
1) Samples not falling within the required guidelines will need to be re -collected. The client will be contacted and informed of any
deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses of the current
samples. Any samples analyzed outside of the required guidelines will be "qualified". This means that a note will be included on the
sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the State noting the
deviations.
2) Sample Temperature. Samples for compliance monitoring must be chilled with wet ice to a temperature of 6C or less. Freezing is
not permitted. Samples delivered to the lab shortly after collection may not have had enough time to be chilled below 6C. In this case the
temperature at time of collection must be noted in the space provided. The samples will meet the requirements of the regulation if there
is a temperature drop from the time of collection until received in the lab. Regardless, all samples should be packed in wet ice using as
much ice as will fit in the cooler.
3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The
laboratory will either provide the preservative in the sample bottle, or in the case of 40 ml. Volatiles Vials, provide a bottle of Acid with
detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the
bottle is required for proper chemical preservation. The lab must verify proper chemical preservation upon arrival in the lab and will note
this information in the spaces provided on the front of this form.
4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. The lab will
provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total Kjeldahl Nitrogen
and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the
dechlorinating agent. Therefore, these samples must be de -chlorinated at the time of collection before being placed in our sample bottles.
Sodium Thiosulfate is the chemical of choice to neutralize chlorine. It must be added to your sample and then the sample checked for
Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of measuring Total
Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put his initials in the
"Chlorine Neutralized at Collection" row on the front of this form above the proper parameter. Samples such as Coliforms (which have
Thiosulfate in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. It is also required that you
note the "Total Chlorine at Collection" on the front of this form for any sample locations applicable. This value would be before any
neutralization is performed.
5) A "C" for Composite Sample or a "G" for Grab Sample should be placed in the box for all requested parameters. Grab temperatures
as well as Composite start dates and times can be recorded in the "comments" section.
6) Other information required to be completed by the client are:
Collection Date and Collection Time for each sample location Temperature at Time of Collection
Printed name of person or persons collecting samples Signature, Date, and Time samples are relinquished
Other added sample locations and analyses required Type Of Disinfection
Deletion on the form for any samples which are not needed (example: dry upstream location)
Any other information felt to be pertinent should be included in the "Comments" section
CONSIDERATIONS:
Coliform and Enterococci samples have a holding time of 6 hours from time of collection to time of analysis. Therefore, samples should
be collected as late in the day as possible to allow enough time for transportation, checking in at the lab and analysis.
BOD, Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and MBAS samples have a 48 hour holding time. The lab reserves the
right to establish required sample collection and delivery dates in order to meet the required holding times.
CAUTION
Sample bottles may contain acids or other corrosive and potentially harmful chemicals. Laboratories are required to add these chemicals
for certain analyses in order to comply with EPA preservation requirements. Use extreme care when opening and handling the shipping
container and bottles. If any chemical should get into your eyes, on your skin or on your clothes, flush liberally with water and seek medical
attention. Material Safety Data Sheets (MSDS) are available upon request which specify proper handling and personal protection.

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR)
Page 3 of _3
Sampling Person(s)
Name: Raymond S. Eaton Name: Enviroment 1 Inc
Name:
Name:
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? OComphant []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: Raymond S. Eaton Permittee: Town of Murfreesboro
Certification No.: 1003144 Signing Official: Raymond S. Eaton
Grade: SI Phone Number: (252)-398-7903 Signing Official's Title: Public Works Director/ ORC
Has the ORC changed since the previous NDMR? ❑Yes ONo Phone Number: [phone] Permit Expiration: 4/30/2021
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 wereprepared under m direction or supervision
� P Y Y 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 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) Page of
Permit No.: WQ0006785
Facility Name: Murfreesboro WWTF
County: Hertford
Month: April
Year: 2020
Did irrigation occur
Field
Field
12
Field Name:
13
this facility?
Area (acres):
acrese:
94
(acres):
Areadacrese:
20.97
A
Area (acres):
15.26
Area (acres):
15.87
at
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
0 YES ❑ NO
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Annual Rate (in):
84.6
Annual Rate (in):
48
Annual Rate (in):
60.1
Annual Rate (in):
62.4
Weather
Freeboard
Field Irrigated?
YES ❑ NO
Field Irrigated?
YES NO
Field Irrigated?
YES El NO
Field Irrigated?
0 YES ❑ NO
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min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
CL
33
0.59
2.3
140,000
126
0.55
0.26
2
C
44
0
2.34
225,000
192
0.40
0.12
180,000
126
0.43
0.21
3
PC
44
0
2.42
4
C
43
0
2A
5
C
39
0
2.34
6
C
54
0
2.32
7
PC
50
0.15
2.4
225,000
186
0.54
0,18
225,000
192
0.52
0.16
8
PC
62
0.16
2A2
140,000
138
0.55
0.24
9
C
60
0
2.5
10
PC
46
0.01
2.52
11
PC
35
0
2.4
12
PC
40
0
2.44
13
CL
66
0.02
2.42
14
PC
58
0.35
2.44
225,000
186
0.40
0.13
180,000
150
0.43
0,17
225,000
186
0.52
0.17
151
CL
45
0.06
2.56
140,000
209
0.55
0.16
16
C
38
0.24
2.6
225,000
186
0.54
0.18
225,000
186
0.52
0.17
17
C
37
0
2.7
18
R
62
0.2
2.7
19
C
38
0.45
2.58
20
CL
58
0.12
2.54
140,000
121
0.55
0.27
21
C
48
1.05
2.46
22
C
44
0
2.54
225,000
186
0.54
0.18
225,000
192
0.52
0.16
23
CL
52
0
2.62
225,000
168
0.40
0.14
24
CL
62
0.22
2.68
25
PC
76
0.04
2.68
26
PC
76
0.01
2.24
27
PC
50
0.04
2.5
28
CL
40
0
2.6
225,000
186
0.54
0.18
29
PC
57
0
2.44
225,000
186
0.40
0.13
1
225,000
144
0.52
0.22
30
CL
66
0
2.72
225,000
170
0.54
0.19
311
175,000
150
0.31
0.12
Monthly Loading:
560,000
2.19
1,075,000
1.89
1,485,000
3.58
1,125,000
2.61

FORM:D• 0:NON-DISCHARGE

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ( of
Permit No.: W00006785
Facility Name: Murfreesboro WWTF
County: Hertford
Month: April
Year: 2020
Did irrigation occur
Field Name:
1-2
Field Name:
3-4
Field Name:
5-6
Field Name:
7-8
at this facility?
Area (acres):
13.9
Area (acres):
10.3
Area (acres):
9.6
Area (acres):
14.6
Cover Crop:
p�
Cover p:
Cover p:
CoverCro p:
❑✓ YES ❑ NO
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Annual Rate (in):
105.2
Annual Rate (in):
114.8
Annual Rate (in):
116.2
Annual Rate (in):
86.5
Weather
Freeboard
Field Irrigated?
[21 YES El NO
Field Irrigated?
[21 YES ❑ NO
Field Irrigated?
[21 YES El NO
Field Irrigated?
21 YES ❑ NO
o
mm
E
IL
m
m 01
c
.m
OR
U)
m y
o o.
i
B
rn
E
EED
E °
?c
°
E
o
E
2
E
E
oa
=
a
CL
i
dU
rn
Ra
J
° c
T 'vCDE.
Em
m
2
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
CL
33
0.59
2.3
225,000
204
0.60
0.18
2
C
44
0
2.34
225,000
204
0.57
0.17
3
PC
44
0
2.42
225,000
216
0.60
0.17
200,000
210
0.72
0.20
180,000
174
0.69
0.24
4
C
43
0
2.4
5
C
39
0
2.34
6
C
54
0
2.32
225,000
216
0.60
0.17
200,000
210
0.72
0.20
180,000
174
0,69
0.24
7
PC
50
0.15
2.4
8
1 PC
62
0.16
2.42
225,000
210
0.57
0.16
9
C
60
0
2.5
225,000
216
0.60
0.17
200,000
210
0.72
0.20
180,000
168
0.69
0.25
10
PC
46
0.01
2.52
11
PC
35
0
1 2.4
12
PC
40
0
2.44
13
CL
66
0.02
2.42
200,000
210
0.72
0.20
180,000
192
0.69
0.22
141
PC
58
0.35
2.44
15
CL
45
0.06
2.56
225,000
174
0.60
0.21
225,000
216
0.57
0.16
16
C
38
0.24
2.6
17
C
37
0
2.7
225,000
204
0.60
0.18
200,000
198
0.72
0.22
180,000
180
0.69
0.23
18
R
62
0.2
2.7
19
C
38
0.45
2.58
20
CL
58
0.12
2.54
225,000
216
0.57
0.16
21
C
48
1.05
2.46
225,000
222
0.60
0.16
200,000
210
0.72
0.20
180,000
186
0.69
0.22
22
C
44
0
2.54
23
CL
52
0
2.62
225,000
192
0.57
0.18
24
CL
62
0.22
2.68
225,000
216
0.60
0.17
200,000
210
0.72
0.20
180,000
180
0.69
0.23
25
PC
76
0.04
2.68
26
PC
76
0.01
2.24
27
PC
50
0.04
2.5
225,000
222
0.60
0,16
200,000
210
0.72
0.20
180,000
174
0.69
0.24
28
CL
40
0
2.6
1
225,000
192
0.57
0.18
29
PC
57
0
2.44
30
CL
66 1
0 1
2.72
225,000
190
0.57
0.18
31
Monthly Loading:
7025,000
I=
5.37
1,600,000
5.72
=
-1,440,000
5.52
1,575,000
3.97

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
12 Month Floating Total (in):1mi73.79 110.01 109.61 85.03

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 3 of
Did the application rates exceed the limits in Attachment B of your permit? ❑� 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? ❑✓ 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.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Raymond S. Eaton
Permittee:
Town of Murfreesboro
Certification No.: 1003978
Signing Official: Raymond S. Eaton
Grade: 1 Phone Number: (252)-398-7903
Signing Official's Title: Public Works Director/ ORC
Has the ORC changed since the previous NDAR-1? ❑ yes 2 No
Phone Number: (252)-398-7903 Permit Exp.: 4/30/21
01
5/6/20
f 5/6/20
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