WQ0004910_Monitoring - 02-2020_20200326

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Permit N
County: Northampton
Flow Measuring ' • ■ ■ No flow generated
• • • ' • .Groundwater Lowering . Surface Water
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Sampling Type:
MonthlyDaily
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Sampling Person(s)
Certified Laboratories
Name Mr E- Lc�s�•fG/`
Nanie r—vgWo-on m emI' /
Nan-e
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Ej "'' 0Nor '
if the '.7i ''ry is nun compliant please explain o the space below the reason(s) the fac'itry was not in compliance Provide in your explanation the date(s) of the non 7,,mpliance and describe the corrective attic
Attach addt0onal sheets it necessary
Operator in Responsible Charge (ORC) Certification II
� Permittee Certification
ORC M F— rer-
Cerlitication No U,1,94 14-"7 /9G ti
Grade !, Phone Number: a32 -- v 7r71
Has the ORC changed since the previous NDMR7 ❑ .1
s
�J h
Signalure Dale
Hy Ines signature certify inat mn s accurraie and com;eie 'o the trsi ui mr • .✓e-.qe
Pe fm iti ee: TOW V, D,p U/00C { GL�
Signing Official /1, E. 1,r'
Signing Otfictal's Trtle: 6 R6-
Phone Number 71al Permrt Expiration: 9 30' ;
Signature D<
^'rr ��^7e' C<ra'^r of law that Ihis dc!�menl and all arlachm.e^is + ,e prepared unoei '-r="K.liun or supehnKin s
�I•�e^ a srsiem des ;^ed to assure In,1t an o�aiir�ed personnel pioce My Via!^er Cd and evaluale'7 •^e ntormallon suoromrl
^ e ce•s;n pr Poisons _no '-arage e system or �r.cse :e'so•,. d�re<IN ,ese•.r s : � �>. qal errnq Ine n'r.
to the Cesl of ^•+4tiL)e and reile' a ac—'ale and a.+a`Mal al ine'r r
a es s.pr•+n„`q I"'ie r •-at,un ,rc luJ�n�� rre ::ss C r or r.nes anu _ r..j -"a.
Malt Original and Iwo Copies to
Division of ,^laier Quality
Information Processing Unit
1617 Mail Serv,ce Center
Paletgh North Carnitrla 27699 1611

PermitNo.: w+�oo0yyl�
Did irrigation OCCUr
9
at this facility?
FacilityNarne'
Field Name:
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county: Northampton
ty
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p Month:
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Cover Crop:
Hourly Rate (in):
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Cover Crop:
Hourly Rate (in):
Annual Rate (in):
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Cover Crop:
-
Hourly Rate (in
---
Hourly Rate (in):
Yts ; 1. ; No
Annual Rate (in):
i Annual Rate (in):
Annual Rate (in):
Field Irrigated?
L- rEs L_I NO
Field Irrigated?
YE5 l l No
Field Irrigated?
Yes LINO
Weather
Freeboard
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Did the application rates exceed the limits in Attachment B of your permit? �Compl ant ❑Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? compliant ElNon -compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? n Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? yJComphant ❑Non-Comphant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? /Compliant ❑ Non-Comphant
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 Permittee Certification
0 RC: n''e, L a 5S5 -te-t '
Certification No.: iC ¢'q� /,�,o 7 40
Grade: Phone Number:
c,s� 597- 741
Has the ORC changed since the previous NDAR-1? [yes ZN.
-
Permittee: T-owtil OF Wei
Signing Official: N%.,&, 4,1-55t
Signing Official's Title: 0, Ac-
7/(i
Phone Number: 027
1.4 /1 -�
Permit Exp.: 9 -30 `4L
9-/l --zo
Signature Date Signature Date
By this signature I certify that this report is aCCurrate and complete 10 Me best of my know!edge ^.'y under pena'ty of law tnal Lnis document and all attachments were prepared under my direction or supervision in accordance
�n a sys!em designed to assure trial all quarried personnel properly gathered and evaluated the information submitted Based on my
w inquiry of the person or persons who manage the system, or those persons directly responsible for gathenng 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 submdling false information, including the possibility of fines and Impnsonment 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

Permit No.: VVQ000 yw r Facility Name:
Field Name:
Did Irrigation occur - Area (ages):
at this facility?
y Cover Crop:
Hourly Rate (in):
---
Annual Rate (in):
Ttjw � O
_ _
3
--- -
Field Name:
a
6
county: Northampton
Field Name:
Month:
Vt.!
Field Name:
- --
Year: Z 2
---
5
[] YES au
Area (acres):
5,3
Area (acres):
_
5�3
-- —
Area (acres):
—
Cover Crop:
Cover Crop:
----
Cover Crop:
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Field Irrigated?
! _; Yes L ] No
Field Irrigated?
L 1 Yes [..1 No
Field Irrigated?
Weather
Freeboard
Field Irrigated?
_ YLs [ ! No
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Did the application rates exceed the limits in Attachment B of your permit? `_ Compliant 0V•r/N�o(7nn--Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? U Compliant ❑ Non Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? e1Co111pliant El Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Compliant ElNon-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? z 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 I
0RC: N, le
r-�
A.
Certification No.: j�j 7 �/
Grade: ,r Phone Number:
Has the ORC changed since the previous NDAR-1? yes ?_5'No
Permittee: T( Air. d (2
Signing Official: M,
Signing Official's Title:
Phone Number: asa S-57' 74 Permit Exp.: 7 + 3D 9-1
Signature Date iSignature Date
By his signature I cendy that this report is aCCurrate and complete to the best of my knowledge Ce "'y under penally of law that Inis document and all attachments were prepared under my direction or supervision in accordance
n 'n a system des,gned 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 sigr,,fican!
penalties for submdtiny false information, including the possibility of tines 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

Permit No.: WQOOOyyrL
Facility Name: O.�'4
a
County: Northampton
Month: FC �W
Year:zOZO
Did Irrigation occur
at this IS fa c l l lty?
Field Name:
Field Name:
1—
Field Name:
Field Name:
-_
-
--
Area (acres):
Cover Crop:
-- _
2
Area (acres):
3
Area (acres):
Area (acres):
FcScuL
Cover Crop:
Hourly Rate (in):
Cover Crop:
Hourly Rate (in):
- - _
Cover Crop:
Hourly Rate (in):
_
Hourly Rate (in):
i
Annual Rate (in):
Annual Rate (in):
-
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
L_1 YEs NO
Field Irrigated?
,_] YE5 l_ ] No
Field Irrigated?
L.] rEs L_] No
Field Irrigated?
9
❑ YES L i No
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12 Month Floating Total (in):
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I Iv I. -v Iv vI — — " — I "I —I IVI• I\Lr Vr I ti`I LJH r\- I I
Did the application rates exceed the limits in Attachment B of your permit? Compliant L. ❑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? Z Compliant ElNon-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
ORC 1 6 . ,F, ) ,&me
Certification No.:,2o,,;t5V / 4,6r7
Grade: f Phone Number:
Has the ORC changed since the previous NDAR-1? yes U No
Y-910
Signature Date
By this signature I certdy that this report is accurrale and complete to the best of my knowledge
Permittee Certification
Permittee: Town &P /vIajp
Signing Official: M/ �[f� I —r
Signing Official's Title: �C,
Phone Number: 3-17 - 714 Permit Exp.
i
Signature
9,3a- °Z !
Date
ce •.ry under penalty of la+ thal tnis document and all attachments were prepared under my direction or supervision in accordance
N ,-I a system designed to ass.,re trial all qualified personnel properly gathered and evaluated the information submitted Based on my
I -I 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 rives 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

Environment 1, Inc. CHAIN OF CUSTODY RECORD
P.O. Box 7085. 114 Oakmont 1)r. Page _ i of _i_
Greem illc, NC 27858
enviromment I inc.com
DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
Phone (252) 756-ti208 • Fax [phone]
CIILOIitNr:
CLIENT: 254 Week: 11
UV
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<
pH CHECK (LAB)
P
P
P
P
P
P
P
P
P
P
P
P
CONTAINER TYPE,P/G
OWN OF WOODLAND
❑ NONF
.O. BOX 297
CHEMICALPRESERVATION
IOODLAND NC 27897
A
G
A
C
C
C
A
A
C
C
A
A
A -NONE D-NAOH
o
Ff
52) 587-7161
LL L
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17 B- HNO, E- HCL
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C- H,SO, F- ZINC ACETATE/NAOH
w
COLLECTION
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G NATHIOSULFATE
SAMPLE LOCATION
DATE
TIME
l ' 5
1
`1"
-
qq
%
CLASSIFICATION:
Effluent
.Z(�
7�!
?
/J
WASTEWATER (NPDES)
DRINKINGWATER
Well # I
/
Q
G
6
�' ^
�i'cll #3
�Q U`
l�G
6
�/
Well #6
il:
6
❑ DWR/GW
o
SOLID WASTE SECTION
�C'
G'
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVERY
V N
SAMPLES COLLECTED BY:
(Please Print)
. l= let -
SAMPLES RECEIVED IN LAB AT °C
RE0Q IS D (SIG.) (SAM ER)
�j DATErrIME
RECEIVED (SIG.)
DATE/TIME
COMMENTS:
RELINQUISHED BY (SIG.)
DATE/TIME
RE IV BY (SIG.)
DATE/TIME
RELINQUISHED BY (SIG.)
DATEMME
RECEIVED BY (SIG.)
DATEMME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for
FORM #5 Grab sample in the blocks above for each parameter requested. N o 373461

Eiowuhimu(M Flo hmpumbd
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
TOWN OF WOODLAND
P.O. BOX 297
WOODLAND ,NC 27897
PHONE [phone]
FAX [phone]
ID#: 254
DATE COLLECTED: 02/11/20
DATE REPORTED : 02/21/20
REVIEWED BY:
Effluent
Well #1
Well #3
Well #6
Well #8
Analvsis
Method
PARAMETERS
Date
Analyst
Code
BOD, mg/I
24
02/11/20
TMR
521OB-I1
Fecal Coliform (MF), /100 MIS
6
< 1
< 1
< 1
< 1
02/11/20
HJO
9222D-06
Total Suspended Residue, mg/1
58
02/12/20
HJO
2540D-11
Ammonia Nitrogen as N, mg/I
0.98
<0.04
<0.04
<0.04
0.06
02/12/20
BLD
350.1 112-93
Total Kjeldahl Nitrogen as N,mg/l
9.05
02/14/20
BLD
351.2 R2-93
Nitrate -Nitrite as N, mg/I (talc)
0.57
353.2 R2-93
Nitrate Nitrogen as N, mg/1
0.06
0.39
0.06
0.17
<0.04
02/11/20
BLD
353.2 112-93
Nitrite Nitrogen as N, mg/I
0.51
02/12/20
DTL
353.2 112-93
Total Phosphorus as P, mg/1
2.27
<0.04
<0.04
<0.04
<0.04
02/14/20
TLH
365.4-74
Total Organic Carbon, mg/1
< 1.00
< 1.00
< 1.00
< 1.00
02/20/20
SEJ
531OC-11
Chloride, mg/I
780
26
39
53
12
02/17/20
KDS
4500CLB-11
Total Dissolved Residue, mg/1
1400
02/18/20
HJO
2540C-11
Total Dissolved Residue, mg/1
84
97
137
106
02/13/20
HJO
2540C-11
Total Nitrogen, mg/I (talc)
9.62

Elmdo ilffn[W Flo hmpumbd
114 UMMMVN I UNIVL
GREENVILLE, N.C. 27858
TOWN OF WOODLAND
P.O. BOX 297
WOODLAND ,NC 27897
Well #9
PARAMETERS
Analysis Method
Date Analyst Code
Fecal Coliform (MIT), /100 Mls
< 1
02/11/20
HJO
9222D-06
Ammonia Nitrogen as N, mg/l
<0.04
02/12/20
BLD
350.1 R2-93
Nitrate Nitrogen as N, mg/l
0.09
02/11/20
BLD
353.2 112-93
Total Phosphorus as P, mg/1
0.04
02/14/20
TLH
365.4-74
Total Organic Carbon, mg/l
< 1.00
02/20/20
SEJ
531OC-11
Chloride, mg/l
02/17/20
KDS
4500CLB-11
Total Dissolved Residue, mg/l
lt9
02/13/20
HJO
254OC-11
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ID#: 254
DATE COLLECTED: 02/11/20
DATE REPORTED : 02/21/20
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