WQ0007283_Monitoring - 08-2020_20200929

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 1
Permit No.: WQ0007283
Facility Name: TOWN of POLLOCKSVILLE
County: Jones
Month: August
Year: 2020
PPI: 002
Flow Measuring Point: _:i Influent ❑ Effluent C No flow generated
Parameter Monitoring Point: ❑ influent J Effluent 11 Groundwater Lowering ❑ Surface Water
Parameter Code -0,
50050
00310
00665
31616
00610
00620
00400
70300
00530
00931
00916
00625
00927
50060
❑
01
E
«y� iG=
7a
OtO
R 0
c
E
P:
c
O
a
O
3
°
p
O
E
tN
o CL
a
0
m
U
o
E
Q
A
a
o
o
c
Tvv
O
Fa
U)
Eo
a2
V
to
°
COC
Q
E
m o
�
U
2
y
mE
0i c
g
°
1oyc
NE°
0
24-hr
hrs
'Y/N/B/H
GPD
mg/L
#N/A
#1100 mL
mg/L
mg/L
Su
mg/L
mg/L
mg/L
#N/A
mg/L
mg/L
mg/L
ug/L
1
09:00
4.0
Y
171,000
2
10:00
2.0
Y
145,000
3
6:30
4.0
Y
54,000
4
06:00
6.0
Y
77,000
5
10:00
4.0
Y
100,000
6
08:00
6.0
Y
41,000
7
07:00
5.0
Y
33,000
8
10:00
3.0
Y
47,000
9
09:00
2.0
Y
106,000
10
07:00
2.5
Y
49,000
11
08:00
4.0
Y
42,000
12
0830
5.0
Y
134,000
21
2.72
3900
16.4
<0.04
22
1.80
92027
21.88
15895
69350
13
07:15
3.5
Y
49,000
14
09:00
3.0
Y
63,000
15
11:00
2.0
Y
82,000
16
10:30
1.0
Y
92,000
17
08:00
5.0
Y
79,000
18
09:00
3.0
Y
71,000
19
07:30
3.0
Y
60,000
20
09:20
4.0
Y
72,000
Q
�,
21
09:00
3.0
Y
61,000
s
22
10:30
4.0
Y
57,000
23
09:30
1.0
Y
57,000
24
07:30
6.0
Y
52,000
25
09:30
4.0
Y
54,000
26
07:30
5.0
Y
46,000
27
06:40
4.0
Y
38,000
28
07:20
4.5
Y
54,000
29
09:15
3.0
Y
75,000
301
09:50
1.0
Y
60,000
311
09:30 1
5:00
Y
61,000
Average:
70,387
22
0.81
<1
0.29
<0.04
33
2.00
58618
21.88
15895
0.0
60730
Daily Maximum:
171,000
22
0,81
<1
0.29
<0.04
33.0
2.00
58618
21.88
15895
0.0
60730
Daily Minimum:
33,000
22
0.81
<1
0.29
<0.04
33.0
2.00
58618
21.88
15895
0.0 1
60730
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
102,000
Daily Limit:
N/A
Sample Frequency:
Continuous
Mar,Jul,Nov
per Event
(T)r J, (IV)U, (b)AUK UV UKU, url)ULIUAY

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
I
Sampling Person(s) Certified Laboratories
Name: Operator on Duty Name: Environment 1
Name: Johnnie J. Chadwick/ORC Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 2 Compliant J 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: JOHNNIE J. CHADWICK
Permittee: Town of Pollocksville
Certification No.: SS-11861NVW2-9579
Signing Official: James Bender Jr.
Grade: SS/WW-2 Phone Number: 252-617-1692
Signing Official's Title: Mayor
Has the ORC changed since the previous NDMR? ❑ Yes O No
Phon ben 252-22 1 Permit Expiration: JULY 31,2021
1
Sept. 23,2020
Sept. 23,2020
ignature Date
Srtify
Signature Date
By this sjZa, cethat 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 an 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: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 1
Permit No.: W00007283
Facility Name: TOWN of POLLOCKSVILLE
County: Jones
Month: August
Year: 2020
PPI: 002
Flow Measuring Point: El Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent [7 Effluent LJ Groundwater Lowering U Surface Water
Parameter Code --0
50050
00940
00353
00353
00600
Q
OI
CL ?
ot:
a
r
O. 0
0E
P
w
V
z
o
LL
tL.i
y
Z Z = z
z
y
Z .�.,
z
i., M V
z
24-hr
hrs
'Y/N/BIH
GPD
#NIA
MOO
mgil
mg/1
1
09:00
4.0
Y
171,000
2
10:00
2.0
Y
145,000
3
6:30
4.0
Y
54,000
4
06:00
6.0
Y
77,000
5
10:00
4.0
Y
100,000
6
08:00
6.0
Y
41,000
7
07:00
5.0
Y
33,000
8
10:00
3.0
Y
47,000
9
09:00
2.0
Y
106,000
10
07:00
2.5
Y
49,000
0.04
0,04
21.92
11
08:00
4.0
Y
42,000
12
08:30
5.0
Y
134,000
13
07:15
3.5
Y
49,000
14
09:00
3.0
Y
63,000
15
11:00
2.0
Y
82,000
16
1030
1.0
Y
92,000
17
08:00
5.0
Y
79,000
18
09.00
3.0
Y
71,000
191
07:30
3.0
Y
60,000
20
09:20
4.0
Y
72,000
21
09:00
3.0
Y
61,000
22
10:30
4.0
Y
57,000
23
09:30
1.0
Y
57,000
24
07:30
6.0
Y
52,000
261
09:30
4.0
Y
54,000
261
07:30
5.0
Y
46,000
27
06:40
4.0
Y
38,000
28
07:20
4.5
Y
54,000
29
09:15
3.0
Y
75,000
30
09:50
1.0
Y
60,000
31
09:30
5:00
Y
61,000
Average:
70,387
22
0.81
<1
0.29
<0.04
33
2.00
58618
0.0
60730
Daily Maximum:
171,000
22
0.81
<1
0.29
<0.04
33.0
2.00
58618
0.0
60730
Daily Minimum:
33,000
22
0.81
<1
0.29
<0.04
33.0
2.00
58618
0.0
60730
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
102,000
Daily Limit:
NIA
Sample Frequency:
Confinuous
Mar,Jul,Nov
per Event
'(Y)ES, (N)O, (B)ACK UP ORC, (H)OLIDAY

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Sampling Person(s) Certified Laboratories
Name: Operator on Duty Name: Environment 1
i
Name: Johnnie J. Chadwick/ORC Name:
If
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? l., Compliant D 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
taken. rluacn auumonai sneers a necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: JOHNNIE J. CHADWICK
Permittee: Town of Pollocksville
Certification No.: SS-11861/WW2-9579
Signing Official: James Bender Jr.
Grade: SS/WW-2 Phone Number: 252-617-1692
Signing Official's Title: Mayor
Has the ORC changed since the previous NDMR? ❑ Yes No
Phon ber: 252-22 1 Permit Expiration: JULY 31,2021
i
Sept. 23,2020
Sept. 23,2020
Signature Date
Signature Date
By this sZure ceriify 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)
Permit No.: W00007283
Facility Name: TOWN of POLLOCKSVILLE
County: Jones
Month: August
Year: 2020
Did irrigation occur
Field Name:
ONE
Field Name:
TWO
Field Name:
THREE
Field Name:
FOUR
,'
at this facility
Area (acres):
3.5
Area (acres):
3.5
Area (acres):
4
Area (acres):
4
Cover Crop:
Bermuda/Rye
Cover Crop:
Bermuda/Rye
Cover Crop:
Bermuda/Rye
Cover Crop:
Bermuda/Rye
U YES 0 NO
Hourly Rate (in):
0.7
Hourly Rate (in):
0.7
Hourly Rate (in):
0.7
Hourly Rate (in):
0.7
Annual Rate (in):
92.56
Annual Rate (in):
92.56
Annual Rate (in):
92.56
Annual Rate (in):
92.56
Weather
Freeboard
Field Irrigated?
❑ YES El NO
Field Irrigated?
❑ YES ^ NO
Field Irrigated?
❑ YES o NO
Field Irrigated?
0 YES L-1 NO
T
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80
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0.0
ft
1 2.6
ft
gat
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
2
PC
86
0.0
2.6
3
PC
76
0.0
2.7
4
R
71
1.4
2.6
5
CL
77
0.0
2.6
6
C
75
0.0
2.6
7
C
73
0.0
2.6
8
R
75
0.8
2.6
9
C
77
0.0
2.6
10
C
73
0.4
2.6
11
C
75
0.0
2.6
12
R
79
0.8
2.6
13
C
73
0.0
2.6
14
PC
75
0.0
2.6
15
R
82
1.0
2.5
16
R
79
0.5
2.5
17
CL
72
0.0
2.5
18
C
75
0.0
2.5
19
C
73
0.0
2.5
20
CL
70
0.0
2.5
21
PC
75
0.0
2.5
22
PC
82
0.0
2.5
23
PC
79
0.0
2.5
24
CL
73
0.0
2.5
25
PC
79
0.0
2.5
26
C
74
0.0
2.5
27
CL
71
0.0
2.5
C
79
0.0
2.5
K28
29
CL
84
0.0
2.6
30
C
81
0.0
2.6
31
C
82
0.0
2.6
12 Month Floating Total (in):
33.61
28.12
0
0.00
0
E13.3j0
21.74

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
I
Did the application rates exceed the limits in Attachment B of your permit?
17 Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? O Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? i7 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? o Compliant D 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
artinnlcl takon Atf.nh .rlru+i^nn; �ti + i4 ..
8-1 & 2-2020 lift station #4 workin g on float system high influent reading 8 4-2020
Huricane prep 1.4 inches rain
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: JOHNNIE J. CHADWICK
Permittee:
Town of Pollocksville
Certification No.: SS-11861/WW2-9579
Signing Official: James Bender Jr.
Grade: SS/WW2 Phone Number: [phone]
Signing Official's Title: Mayor
Has the ORC changed since the previous NDAR-1? ❑ Yes 0 No
Phone N mb r: [phone] Permit Exp.: JULY 31,2021
Sept. 23,2020
Sept. 23,2020
Signature Date
gnature Date
By th signature, I certify that this report is accurate 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. 1 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)
Permit No.: WQ0007283
Facility Name: TOWN of POLLOCKSVILLE
County: Jones
Month: August
Year: 2020
Did irrigation occur
Field Name:
FIVE
Field Name:
SIX
Field Name:
Field Name:
this facility?
Area (acres):
4
Area (acres):
4.2
Area (acres):
Area (acres):
at
Cover Crop:
Bermuda/Rye
Cover Crop:
Bermuda/Rye
Cover Crop:
Cover Crop:
YES 1�1 NO
Hourly Rate (in):
0.7
Hourly Rate (in):
0.7
Hourly Rate (in):
Hourly Rate (In):
Annual Rate (in):
92.56
Annual Rate (in):
92.56
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
❑ YES D NO
Field Irrigated?
❑ YES E-1 No
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
F-i YES ❑ NO
fT0
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OF
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
I in
gal
I min
in
I in
1
PC
1 80
0.0
2.6
2
PC
86
0.0
2.6
3
PC
76
0.0
2.7
4
R
71
1.4
2.6
5
CL
77
0.0
2.6
6
C
75
0.0
2.6
7
C
73
0.0
2.6
8
R
75
0.8
2.6
9
C
77
1 0.0
2.6
10
C
73
0.4
2.6
11
C
75
0.0
2.6
12
R
79
0.8
2.6
13
C
73
0.0
2.6
14
PC
75
0.0
2.6
15
R
82
1.0
2.5
16
R
1 79 1
0.5
2.5
17
CL 1
72 1
0.0
2.5
18
C 1
75 1
0.0
2.5
19
C 1
73 1
0.0
2.5
20
CL
70
0.0
2.5
21
PC
75
0.0
2.5
22
PC
82
0.0
2.5
23
PC
79
0.0
2.5
24
CL
73
0.0
2.5
25
PC
79
0.0
2.5
261
C 1
74 1
0.0
2.5
271
CL 1
71 1
0.0
2.5
28
C
79
0.0
2.5
29
CL
84
0.0
2.6
30
C
81 1
0.0
2.6
31
C
82
0.0
2.6
Monthly Loading:
0
0.00
0.00
0.00
0
0.00
12 Month Floating Total (in):
35.42
34.70
0.00
0
0.00

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
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?
17 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?
121 Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
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 datelsl of
o Compliant ❑ Non -Compliant
the nnn-r mmplin- ­4 j.e ;Ko *ti
action(s) taken. Attach additional sheets if necessary.
8-1 & 2-2020 lift station #4 workin g on float system high influent reading Huricane prep 1.4 inches rain 8 4-2020
Operator In Responsible Charge (ORC) Certification
ORC: JOHNNIE J. CHADWICK
Certification No.: SS-11861/WW2-9579
Grade: SS/WW2 Phone Number: [phone]
Has the ORC changed since the previous NDAR-1? ❑ Yes o No
Signature Date
By th signature, I certify that this report is accurrats and complete to the best of my knowledge.
Permittee Certification
Permittee:
Town of Pollocksville
Signing official: James Bender Jr.
Signing Offlclai's Title: Mayor
Phone N mb r: [phone] Permit Exp.: JULY 31,2021
/ Sept. 23,2020
gnature Date
I certify, under penalty of law, that this document and at) 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 sign cant 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

L HUMMEOM �o ��c�©Qporra cad
tVastbiater ibs 1Q
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858 PHONE [phone]$
FAX [phone]
TOWN OF POLLOCKSVILLE (EFFLUENT)
ATTN: JAMES BENDER, JR.
P.O. BOX 97
POLLOCKSVILLE ,NC 28573
Effluent
Analysis
Method
PARAMETERS
Date
Analyst
Code
BOD, mg/I
21
08/12/20
GNB
521OB-11
Fecal Coliform (MF), /100 Mls
3900
08/12/20
HJO
9222D-06
Total Suspended Residue, mg/l
22
08/13/20
HJO
2540D-11
Ammonia Nitrogen as N, mg/l
16.40
08/13/20
TCW
350.1 R2-93
Total K,jeldahl Nitrogen as N,mg/l
21.88
08/19/20
KES
351.2 R2-93
Nitrate -Nitrite as N, mg/1 (talc)
0.04
353.2 R2-93
Nitrate Nitrogen as N, mg/I
<0.04
08/12/20
DTL
353.2 R2-93
Nitrite Nitrogen as N, mg/1
0.04
08/12/20
DTL
353.2 R2-93
Total Phosphorus as P, mg/1
2.72
08/19/20
TLH
365.4-74
Calcium, ug/l
92027
08/17/20
LFJ
EPA200.7
Magnesium, ug/1
15895
08/17/20
LFJ
EPA200.7
Sodium, ug/l
69350
09/01/20
NAB
3111B-11
Sodium Adsorption Ratio (talc)
1.8
Total Nitrogen, mg/1 (talc)
21.92
ID#: 319
DATE COLLECTED: 08/12/20
DATE REPORTED : 09/02/20
REVIEWED BY:

�•.wnment 1, Inc.,
P `�085, 114 Oakmont Dr.
G, e nville, NC 27858
en ironmentlinc.com
Pt)n e [phone] - Fax [phone]
C IIENT: 319 Week: 36
TOIN OF POLLOCKSVILLE (EFFLUENT)
AT'L'ti: JAMES BENDER, JR.
p•0- &OX 97
POLZOCKSVILLE NC 28573
=2S2) ;24-9831
SAMPLE LOCATION
Efflaen
BY
tl
BY (SIG.)
COLLECTION
DATE TIME
El
RECEIVED BY
RECEIVED BY
(SIG.)
CHAIN OF CUSTODY RECORD
Page i of 1
CHLORINE NEUTRALIZED AT COLLEC1101
pH CHECK (LAB)
CONTAINER TYPE, P/G
CHEMICAL PRESERVATION
A -NONE
D-NAOH
W
u,
B-HNO,
E-HCL
Cr
"'
C - HzSO,
F - ZINC ACETATE/Nh
G - NATHIOSULFATE
<c
a
CLASSIFICATION:
WASTEWATER (NPDES)
DRINKING WATER
DWR/GW
SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINE
DURIN MENT/DELIVERY
Y N
SAMPLES COLLECTED BY:
(Please pint)
SAMPLES RECEIVED IN LAB AT (12
COMMENTS:
-0mr3M #5 PLEASE READ Instructions for completing this form on the reverse side.
Sampler must place a "C" for composite sample or a "T for
Grab sample in the blocks above for each parameter requested. NO ; R.'i n A