WQ0013398_Monitoring - 04-2020_20200609

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: W00013398
Facility Name: Sandpiper Bay WWTF
County: Brunswick
Month: April
Year: 2020
PPI: 001
Flow Measuring Point: ❑ influent 171 Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ tnfluent Q Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code - 0
50050
00310
00600
00665
50060
31616
00610
00625
00620
00400
00530
00076
><
N
>
` dLO
E
O
d
Ey
W 0
p
m
C
0O
0
N
=a
ry N
3 L
U
LL
c�
o0
E
E
<
C
R
-6 v
H
i7
G1
WQo
atp
va
24-hr
hrs
GPD
mg/L
mg/L
mg/L
mg/L
#/100 mL
1 m /L
mg/L
%L
su
I mg/L
NTU
1
07:00
1 4
64,000
2
12,7
1,56
0.5
<1
3.1
5
7,71
6.9
7
1
2
07:00
4
71,000
0.5
6.9
1
3
07:00
4
59,000
0,5
6.9
1
4
0700
4
58,000
05
6.9
1
i
5
07:00
4
49,000
0.5
6.9
1
6
07:00
4
48,000
0.5
6.9
- 1"
7
8
07:00
07:00
4
4
53,000
62.000
<2
'�9 5
4.48
05
0.5
<1
2.3
1.1
28.4
6.9
6.9
2.8
1_
1
._
I
9
07:00
4
73,000
0.5
6.9
1
10
07:00
4
67,000
0.5
6.9
1
11
0700
4
68,000
0.5
6.9
1
12
07:00
4
67,000
0.5
1
1 6.9
1
13
0700
4
73,000
0.5
6.9
1
14
07:00
4
59,000
05
6.9
1
y_V
--
15
07:00
4
61,000
-
-
0.5
6.9
1
16
07:00
4
52,000
0.5
6.9
1
_.
17
07:00
4
58,000
i
0,5
6.9
1
�_
18
07:00
4
63,000
0.5
6.9
1
19
07.00
4
67,000
0,5
6.9
1
20
07:00
4
72,000
0,5
6.9
1
21
0700
4
63,000
0.5
6.9
1
22
07:00
4
67,000
1 0.5
6.9
1
23
07:00
4
62,000
05
6.9
1
24
07:00
4
68,000
0.5
6.9 f
1
25
07:00
4
74,000
0.5
6.9
1
26
07:00
4
72,000
0:5
6.9
1
27
07:00
4
70,000
0.5
6.9
1
28
0700
4
68,000
0.5
6.9
1
291
0700
4
56.000
0.5
6.9
1
301
0700
4
65,000
0,05
6.9
1
31
Average:
63,633
1.00
21.10
3.02
0,49
1.00
2,70
3.05
18.06
4.90
1.00
Daily Maximum:
74,000
2,00
29,50
4.48
0,50
1.00
3,10
5.00
28,40
6.90
7,00
1.00
Daily Minimum:
48,000
2.00
12.70
1.56
0.05
1.00
230
1.10 1
7.71
6.90
2.80
1.00
Sampling Type:
Recorder
Composite
Composite
Composite
Grab
Grab
Composite
Composite
Composite
Grab
Composite
Recorder
Monthly Avg. Limit:
150,000
10
1
14
4
Daily Limit: 1
15
25
6
6 to 9
10
10
Sample Frequency:1
Continous
2 X Month
2 X Month
2 X Month 1
5 X week
2 X Month
2 X Month
2 X Month
2 X Month
5 X week
2 X Month
Continous

Certified Laboratories
Name: Sunny Wright Name: Environmental Chemist / Wilimington NC
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Compliant _X_ Not 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 n
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Sunny Wright
Permittee:
Certification No.: 28813
Signing Official: Timothy Tilma
Grade: 11 Phone Numbe1910-880-4178
Signing Official's Title: General Manager
Has the ORC chang/e'd�since t evious NDMR? No
Phone Nu er: 910-470-8084 Permit Exp 5/20/2020
Gf/
Signature Date
Sign re Date
By this signature, I certify that this report is accurrate to best of my
I certify, under penalty of law, that this document and all attachments were prepared under my
knowledge
direction or supervision in accordance with a system designed to assure that all qualified personnel
properly gathered and evaluated the information submitted.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

Ft)RM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: WQ0013398
Facility Name: Sandpiper Bay WWTF
County: Brunswick
Month: April
Year: 2020
Did irrigation occur
Field Name:
B-FW
Field Name:
B-GR
Field Name:
B-PER
Field Name:
B-RGH
Area (acres):
23
Area (acres):
2.5
Area (acres):
5.5
Area (acres):
21
at this facility?
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
2 YES ❑ No
Hourly Rate (in):
1
Hourly Rate (in):
1
Hourly Rate (in):
1
Hourly Rate (in):
1
Annual Rate (in):
51
Annual Rate (in):
51
Annual Rate (in):
51
Annual Rate (in):
51
Weather
Freeboard
Field Irrigated?
0 YES ❑ NO
Field Irrigated?
2 YES ❑ NO
Field Irrigated?
[D YES ❑ NO
Field Irrigated?
❑ YES El NO
o
2
wL°
E
G1
o
A
M1
0-
T
°
a'
c
C.
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LO
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M=
L
°
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9
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cE
°
c
°
E2M'm
o CL
wo
a
�aE
°
o
5'c>
o
o m
o
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
75,000
75
0.12
0.10
10,000
10
0.15
0.15
2
3
15,000
15
0.10
0.10
4
5
PC
86
0.3
4
2.5
10,000
10
0.15
0.15
6
7
C
74
3.8
2.5
8
C
80
3.7
2.5
75,000
75
0.12
0.10
9
C
76
3.8
2.5
10
10,000
10
0.15
0.15
15,000
15
1 0.10
0.10
11
12
131
C
82
1.2
3.4
2.4
75,000
75
0.12
0.10
14
15
10,000
10
0.15
0.15
16
17
C
87
3.7
2.5
75,000
75
0.12
0.10
18
PC
78
3.8
2.5
191
1
10,000
10
0.15
1 0.15
20
C
76
0.55
3.6
2.3
-
21
--
22
75,000
75
0.12
0.10
23
CL
71
3.7
2.4
10,000
10
0.15
0.15
15,000
15
0.10
0.10
24
• ^
'IOSING
251
1
75,000
75
0.12
0.10
ICES
261
PC
1 77
0.6
1 3.8
2.5
11 T
27
10,000
10
0.15
0.15
28
C
74
3.8
65,000
65
0.10
0.10
29
30
65,000
65
0.10
0.10
10,000
10
0.15
0.15
31
Monthly Loading:1
580,000
0.93
80,000
1.18
45,000
0.30
0
0.00-
12 Month Floating Total (in):
13.55
25.03
3.05
0.92

FORM: NDAR-1 08-11 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?
ED Compliant ❑ Non -Compliant
2 Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
EI 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: Wilbur Allen Williams
Permittee:
Timothy P. Tilma
Certification No.: 15664
Signing Official:
Grade: S1 Phone Number: [phone]
Signing Official's Title: General Manager
Has the ORC changed since the previous NDAR-1? ❑ Yes 21 No
Phone Number: [phone] Permit Exp.: 5/31/1
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 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-'I) Page of
Permit No.: W00013398
Facility Name: Sandpiper Bay WWTF
County: Brunswick
Month: April
Year: 2020
®id irrigation
Field Name:
B-TEE
Field Name:
P-1
Field Name:
P-2
Field Name:
P-3
occur
Area (acres):
28
Area (acres):
4.59
Area (acres):
7.82
Area (acres):
1,16
at thissfx'1C1 �9t�9�
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
O YES ❑ NO
Hourly Rate (in):
1
Hourly Rate (in):
1
Hourly Rate (in):
1
Hourly Rate (in):
1
Annual Rate (in):
51
Annual Rate (in):
51
Annual Rate (in):
51
Annual Rate (in):
51
Weather
Freeboard
Field Irrigated?
El YES ❑ NO
Field Irrigated?
❑ YES O NO
Field Irrigated?
❑ YES El NO
Field Irrigated?
❑ YES O NO
p
a
U
?
N
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°
a
a.
cm �°
°
Qo
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:
ac
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O2
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EE
xs eom
°
Up gs 0
a J
9
°F
in-1
ft
I ft
gal
min
in
in
gal
min
in
In
gal
min
in
in
gal
min
in
in
1
2
45,000
45
0.06
0.06
3
4
5
PC
86
0.3
4
2.5
6
7
C
74
3.8
2.5
8
C
80
3.7
2.5
50,000
50
0.07
0.07
9
C
76
3.8
2.5
10
_
11
12
13
C
82
1.2
3.4
2.4
50,000
50
0.07
0,07
14
15
16
17
C
87
3.7
2.5
50,000
50
0.07
0,07
18
PC
78
3.8
2.5
19
20
C
76
0.55
3.6
2.3
21
50,000
50
0.07
0.07
22
23
CL
71
3.7
2.4
24
25
45,000
45
0.06
0.06
26
PC
77
0.6
3.8
2.5
27
28
C
74
3.8
2.5
29
45,000
45
0.06
0.06
30
31
Monthly Loading:
335,000
it r a , ',u
0.44
6 90
J2>F�
.-'Yl' V.�A
0
. ri .. ' #
ti"
� ,�1.
,;
0.00
N s r ,,I
qK `r<'
0
r
rbe
,r'i
0.00
`s�,rrx
0
?� l 1
0.00�y4
12 Month Floating Total (n):1�

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of__
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?
121 Compliant
❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
p Compliant
❑ Non-Compllant
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
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Wilbur Allen Williams Permittee:
Timothy P. Tilma
Certification No.: 15664 Signing Official:
Grade: S1 Phone Number: [phone] Signing Officials Title: General Manager
Has the ORC changed since the previous NDAR-1? ❑ Yes El No Phone Number: [phone] Permit Exp.: 5/31/1,4'k,
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Signature Date
I 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 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) Page
Permit No.: WQ0013398
Facility Name: Sandpiper Bay WWTF
County: Brunswick Month: April
Year: 2020
®ad
Field Name:
P-4
Field Name:
P-5
Field Name:
P-6
Field Name:
P-7
occur
,this
Area (acres):
7.23
Area (acres):
5,39
Area (acres):
2.6
Area (acres):
6.21
facility?
att�IS ��Ci�l�?
Cover Crop:Cover
Crop:
p�
Cover Crop:
P'
P•
Cover Crop:
❑ YES O NO
Hourly Rate (in):
1
Hourly Rate (in):
1
Hourly Rate (in):
1
Hourly Rate (in):
1
Annual Rate (in):
51
Annual Rate (in):
51
Annual Rate (in):
51
Annual Rate (in):
51
Weather
Freeboard
Field Irrigated?
❑ YES O NO
Field Irrigated?
❑ YES 2 NO
Field Irrigated?
❑ YES E No
Field Irrigated?
❑ YES 21 NO
a
W
O
cv
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E
7R
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" C
m
Ox
E m
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O°
ra,
E
A c
K
O
J
OF
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
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
Loading:
12 Month Floatin g Tota! (m)
0
�'�'�
^1 i ,f!.4. ieP
,
�C x
,y� �� ^)
.:. ifU d... f.,
0
gdct�w.(
I 'a1
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P r, s'^..
0
",� 'x.'��u
/r8 t�.� .:-el �i3..
0.00
000eMonthl
r

FORM: NDAR-1 08-11
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?
Page of
O Compliant ❑ Non -Compliant
121 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? 0 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
action(s) taken. Attach additional sheets if necessary.
IOperator in Responsible Charge (ORC) Certification II Permittee Certification I
I ORC: Wilbur Allen Williams
Certification No.: 15664
Grade: S1 Phone Number: [phone]
Has the ORC changed since the previous NDAR-1? ❑ Yes Cl No
Permittee:
Timothy P. Tilma
Signing Official:
Signing Official's Title: General Manager
Phone Number: [phone] Permit Exp.
2 ��XP1
70t_e
5/31 /fit,_
RR
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
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page
Permit No.: W00013398
Facility Name: Sandpiper Bay WWTF
county: Brunswick
Month: April
Year 2020
�Il� irrigation
Field Name:
P-8
Field Name:
P-9
Field Name:
P-DR
Field Name:
S-1
Area (acres):
1.21
Area (acres):
4.97
Area (acres):
4.45
Area (acres):
6.82
facoccility?
¢'A$ til1� faClllty?
Cover Crop:Cover
Crop:
P�
Cover Crop:
P�
Cover Crop:
P:
❑ YES O NO
Hourly Rate (in):
1
Hourly Rate (in):
1
Hourly Rate (in):
1
Hourly Rate (in):
1
Annual Rate (in):
51
Annual Rate (in):
51
Annual Rate (in):
51
Annual Rate (in):
51
Weather
Freeboard
Field Irrigated?
❑ YES O NO
Field Irrigated?
❑ YES O NO
Field Irrigated?
❑ YES O NO
Field Irrigated?
❑ YES 2 NO
U
y
tea,
w
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o
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7, E
:B'oa�
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fxtl S p
J
°F
in
ft
ft
gal
min
in
Ill
gal
min
in
In
gal
min
in
in
gal
min
in
in
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
130
311
Monthly Loading:
0
�,;x„'
0.00
shy f.'
0
0.00
-
0si:
3f
0.00
y��wnk'
0
; ;w.a n
0.00
12 Month Floating Total (in):
N.W.
x

FORM: NDAR-1 08-11 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?
O Compliant ❑ Non -Compliant
121 Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
El 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: Wilbur Allen Williams
Permittee:
Timothy P. Tilma
Certification No.: 15664
Signing Official:
Grade: S1 Phone Number: [phone]
Signing Official's Title: General Manager
Has the ORC changed since the previous NDAR-1? ❑ Yes O No
Phone Number: [phone] Permit Exp.: 5131/1W;6
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 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 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

FARM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page
WQ0013398
Facility Name: Sandpiper Bay WWTF
County: Brunswick
Month: April
Name:PermitNo.:
Field
Name:
Field Name:
Did irrigation occur
at this facility?
El YES El NO
Area (acres):Field
Cover Crop:
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
O Compliant ❑ Non-Compllant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 2 Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? O Compliant ❑ Non-Compllant
Were all setbacks listed in your permit maintained for every application to each permitted site? 21 Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 21 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
I ORC: Wilbur Allen Williams
Certification No.: 15664
Grade: S1 Phone Number: [phone]
Has the ORC changed since the previous NDAR-1? ❑ Yes O No
Signature Date
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee:
Timothy P. Tilma
Signing Official:
Signing Official's Title: General Manager
Phone Number: [phone]
Permit Exp.: 5/31/`14yC
Signature Date
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) Page
.P.: WQ0013398
Sandpiper
•
. April
SINTI 1
Field Name:
R. I o M0,11
-
•irrigationoccur
Area (acres).0
Area (acres):
at this facility?
Cover Crop:
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0 YES 21 NO
Hourly- Rate Cin��
Hourly Kate (in):'
Annual Rate (in):
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of •
Did the application rates exceed the limits in Attachment B of your permit?
0 Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ID 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? O Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? p 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
I ORC: Wilbur Allen Williams
Certification No.: 15664
Grade: S1 Phone Number: [phone]
Has the ORC changed since the previous NDAR-1? ❑ Yes El No
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee:
Timothy P. Tilma
Signing Official:
Signing Officials Title: General Manager
Phone Number: [phone] Permit Exp.: 51311K?v
,/)0/ � 212o
Signature Date
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