HomeMy WebLinkAboutWQ0003765_Monitoring - 08-2020_20200929FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of 7
Permit No.: WQ0003765
Facility Name: New Bern Seven Water Reclamation Facility
County: Craven
Month: August
Year: 2020
Did irrigation
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
occur
Area (acres):
14.4
Area (acres):
13
Area (acres):
13
Area (acres):
13.8
at this faCl I It
4 '
Cover Crop:
P�
Bermuda/Hardwood
Cover Crop:
p�
Bermuda/Hardwood
Cover Crop:
p�
Bermuda/Hardwood
Cover Crop:
p�
Bermuda/Hardwood
�j�
❑YESII�o` r lid
ourly Rate (in):
N/A
Hourly Rate (in):
N/A
Hourly Rate (in):
N/A
Hourly Rate (in):
N/A
�FQ
Annual Rate (in):
52.1
Annual Rate (in):
65.2
Annual Rate (in):
65.2
Annual Rate (in):
65.2
Weather
Freeboard
Field Irrigated?
❑YES ❑NO
Field Irrigated?
❑✓ YES ❑NO
Field Irrigated?
❑YES ❑NO
Field Irrigated?
❑YES ❑NO
>'
CD
'0
O
U
m
RN
3
@
Q
o
•af6+
L].
i
d
LA
O
N
N.0
O- U
a a.
m Q
0
y 70
E °'
0 CL
o a
Q
7
N .a)
E
=
rn
T C
16
o o
J
E �
3 L C
X 0 M
m x o
M J
CD -a
E °i
= CL
o a
Q
a
d d
E =�
_
rn
>. C
f9
o o
J
E rn
7` C
X 0 1
m x o
J
m o
E D
�'
o a
�! Q
o
(D y
E�
�_ •�
rn
�+ C
C6 f6
o o
J
E rn
7` C
X O f0
x 0
J
m -a
E 2
7 Q'
o a
Q
o
N
CU
E�
_
rn
@ f0
o o
J
E a�
X p@
m x 0
2 J
�
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
C
77
0.2
4.2
2.8
60,059
120
0.15
0.08
56,688
120
0.16
0.08
61,284
120
0.17
0.09
61,284
120
0.16
0.08
2
PC
74
4
2.8
60,059
120
0.15
0.08
56,688
120
0.16
0.08
61,284
120
0.17
0.09
61,284
120
0.16
0.08
3
PC
74
4
2.8
60,059
120
0.15
0.08
56,688
120
0.16
0.08
61,284
120
0.17
0.09
61,284
120
0.16
0.08
4
PC
73
1.2
3.9
2.7
5
PC
74
3.8
2.7
60,059
120
0.15
0.08
56,688
120
0.16
0.08
61,284
120
0.17
0.09
61,284
120
0.16
0.08
6
PC
73
0.02
3.9
2.7
60,059
120
0.15
0.08
56,688
120
0.16
0.08
61,284
120
0.17
0.09
61,284
120
0.16
0.08
7
PC
73
0.19
3.9
2.6
60,059
120
0.15
0.08
56,688
120
0.16
0.08
61,284
120
0.17
0.09
61,284
120
0.16
0.08
8
PC
72
0.02
4
2.6
60,059
120
0.15
0.08
56,688
120
0.16
0.08
61,284
120
0.17
0,09
61,284
120
0.16
0.08
9
PC
71
4.1
2.6
60,059
120
0.15
0.08
56,688
120
0.16
0.08
61,284
120
0.17
0.09
61,284
120
0.16
0.08
101
PC
72
4.1
2.6
60,059
120
0.15
0.08
56,688
120
0.16
0.08
61,284
120
0.17
0.09
61,284
120
0.16
0.08
11
C
72
0.01
4.1
2.6
12
PC
72
0.04
4.1
2.6
60,059
120
0.15
0.08
56,688
120
0.16
0.08
61,284
120
0.17
0.09
61,284
120
0.16
0.08
13
PC
74
0.21
4.2
2.6
45,044
90
0.12
0.08
42,516
90
0.12
0.08
45,963
90
0.13
0.09
45,963
90
0.12
0.08
14
PC
75
0.25
4.3
2.6
15
R
75
0.9
4.3
2.6
16
PC
75
0.39
4.3
2.6
17
C
72
0.02
4.3
2.6
60,059
120
0.15
0.08
56,688
120
0.16
0.08
61,284
120
0.17
0.09
61,284
120
0.16
0.08
18
C
69
4.4
2.6
60,059
120
0.15
0.08
56,688
120
0.16
0.08
61,284
120
0.17
0.09
61,284
120
0.16
0.08
19
PC
71
4.5
2.6
20
PC
70
0.09
4.5
2.6
60,059
120
0.15
0.08
56,688
120
0.16
0.08
61,284
120
0.17
0.09
61,284
120
0.16
0.08
21
PC
69
4.6
2.6
60,059
120
0.15
0.08
56,688
120
0.16
0.08
61,284
120
0.17
0.09
61,284
120
0.16
0.08
22
PC
71
4.7
2.6
60,059
120
0.15
0.08
56,688
120
0.16
0.08
61,284
120
0.17
0.09
61,284
120
0.16
0.08
23
C
73
4.7
2.7
60,059
120
0.15
0.08
56,688
120
0.16
0.08
61,284
120
0.17
0.09
61,284
120
0.16
0.08
24
PC
72
0.02
4.7
2.8
60,059
120
0.15
0.08
56,688
120
0.16
0.08
61,284
120
0.17
0.09
61,284
120
0.16
0.08
25
PC
75
0.36
4.8
2.8
60,059
120
0.15
0.08
56,688
120
0.16
0.08
61,284
120
0.17
0.09
61,284
120
0.16
0.08
26
C
73
4.8
2.8
60,059
120
0.15
0.08
56,688
120
0.16
0.08
61,284
120
0.17
0.09
61,284
120
0.16
0.08
27
C
69
4.9
2.8
28
C
77
0.01
4.9
2.8
29
C
79
4.9
2.8
60,059
120
0.15
0.08
56,688
120
0.16
0.08
61,284
120
0.17
0.09
61,284
120
0.16
0.08
30
PC
76
0.19
4.9
2.8
60,059
120
0.15
0.08
56,688
120
0.16
0.08
61,284
120
0.17
0.09
61,284
120
0.16
0.08
31
PC
72
5
2.9
60,059
120
0.15
0.08
56,688
120
0.16
0.08
61,284
120
0.17
0.09
61,284
120
0.16
0.08
1,366,338
3.49
1,289,652
3.65
1,394,211
3 .95
1,394,211
3.72
12 Month Floating Total (in):
39.62
41.51
48.15
42.56
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) a
Did the application rates exceed the limits in Attachment B of your permit?
Ecompliant
❑Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
QCompliant
❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
QCompliant
❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
Elcompliant
❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
QCompliant
❑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: John Timothy Scott
Permittee:
Mark Stevens (City Manager) City of New Bern
Certification No.: 993732
Signing Official: Jordan Hughes
Grade: IV Phone Number: (252)639-7556
Signing Official's Title:
Has the ORC changed since the previous NDAR-1? ❑yes ONo
Phone Number: (252) 639-7526 Permit Exp.: 7/31/22
9/22/2
9/23/20
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
Raleigh, North Carolina 27699-1617
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2 of 7
Permit No.: WQ0003765
Facility Name: New Bern Seven Water Reclamation Facility
County: Craven
Month: August
Year: 2020
Did irrigation
Field Name:
5
Field Name:
6-A
Field Name:
6-C
Field Name:
7-A
occur
Area (acres):
11
Area (acres):
1.18
Area (acres):
9.64
Area (acres):
2.82
at this facility?
Cover Crop:Bermuda/Hardwood
Cover Crop:
p�
Bermuda/Hardwood
Cover Crop:
P�
Bermuda/Hardwood
Cover Crop:
p�
Bermuda/Hardwood
❑✓ YES ❑No
Hourly Rate (in):
N/A
Hourly Rate (in):
N/A
Hourly Rate (in):
N/A
Hourly Rate (in):
N/A
Annual Rate (in):
52.1
Annual Rate (in):
31.7
Annual Rate (in):
52.1
Annual Rate (in):
31.7
Weather
Freeboard
Field Irrigated?
❑YES [:]NO
Field Irrigated?
❑YES ❑No
Field Irrigated?
DYES [:]NO
Field Irrigated?
❑YES ❑No
>
❑
m
o
o
U
`m
.L.
m
m
a
E
d
F
c
2
}q
y
a
m
°�
m
O
fn
d'm
w�
a m
V
ma
❑ R
v
E m
a
oa
i Q
V
m w
i= m
F-°1
M
c
,_
= :o
00
J
M
T c
E -o
�=o
J
m o
E m
°Q
i Q
a
a;
E
i"°�
�
_
rn
c
o
00
J
E a�
= T c
E 0
mio
J
y
3
oG
Q
a
�;
E
F°�
�
_
rn
c
T v
❑0
J
E rn
3 c
E 3 v
R=0
J
m o
oa
i
a
E
i-°�
L
rn
c
o
00
E rn
c
E 3 is
�=0
J
�
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
C
77
0.23
4.2
2.8
2
PC
74
0
4
2.8
3
PC
74
0
4
2.8
32,436
120
0.11
0.05
41,062
120
0.16
0.08
5,881
120
0.08
0.04
4
PC
73
1.2
3.9
2.7
5
PC
74
0
3.8
2.7
32,436
120
0.11
0.05
41,062
120
0.16
0.08
5,881
120
0.08
0.04
6
PC
73
0.02
3.9
2.7
7
PC
1 73
1 0.19
3.9
2.6
32,436
120
0.11
0.05
41,062
120
1 0.16
0.08
5,881
120
0.08
0.04
8
PC
72
0.02
4
2.6
9
PC
71
0
4.1
2.6
10
PC
72
0
4.1
2.6
32,436
120
0.11
0.05
41,062
120
0.16
0.08
5,881
120
0.08 1
0.04
11
C
72
0.01
4.1
1 2.6
1 32,436
120
0.11
0.05
41,062
120
0.16
0.08
5,881
120
0.08
0.04
121
PC
72
0.04
4.1
2.6
32,436
120
0.11
0.05
41,062
120
0.16 1
0.08
5,881
120
0.08
0.04
131
PC 1
74
1 0.21
4.2
2.6
32,436
120
0.11
0.05
41,062
120
0.16
0.08
5,881
120
0.08
0.04
141
PC 1
75
1 0.25
4.3
2.6
32,436
120
0.11
0.05
1
41,062
120
0.16
0.08
5,881
120
0.08
0.04
151
R 1
75 1
0.9
4.3
2.6
16
PC
75
0.39
4.3
2.6
32,436
120
0.11
0.05
41,062
120
0.16
0.08
5,881
120
0.08
0.04
17
C
72
0.02
4.3 1
2.6 1
32,436
120
0.11
0.05
41,062
120
0.16
0.08
5,881
120
0.08
0.04
18
C
69
0
4.4
2.6
32,436
120
0.11
0.05
41,062
120
0.16
0.08
5,881
120
0.08
0.04
19
PC
71
0
4.5
2.6
32,436
120
0.11
0.05
41,062
120
0.16
0.08
5,881
120
0.08
0.04
20
PC
70
0.09
4.5
2.6
32,436
120
0.11
0.05
1
1
41,062
120
0.16
0.08
5,881
120
0.08
0.04
211
PC
69 1
0
4.6
2.6
32,436
120
0.11
0.05
41,062
120
0.16
0.08
5,881
120
0.08
0.04
22
PC
71
0
4.7
2.6
23
C
73
0
4.7 1
2.7
24
PC
72
0.02
4.7
2.8
32,436
120
0.11
0.05
41,062
120
0.16
0.08
5,881
120
0.08
0.04
25
PC
75
0.36
4.8
2.8
32,436
120
0.11
0.05
41,062
120
0.16
0.08
5,881
120
0.08
0.04
26
C
73
0
4.8
2.8
32,436
120
0.11
0.05
41,062
120
0.16
0.08
5,881
120
0.08
0.04
271
C
1 69
1 0
4.9
2.8
32,436
120
0.11
0.05
1
41,062
1 120
0.16
0.08
5,881
120
0.08
0.04
28
C
77
0.01
4.9
2.8
32,436 1
120
0.11
1 0.05
41,062
120
0.16
0.08
5,881
120
0.08
0.04
29
C
79
0
4.9
2.8
30
PC
76
0.19
4.9 1
2.8
31
PC
72
0 1
5
2.9
j
Monthly Loading:
616,284
2.06
0
0.00
780,170
2.98
111,738
1.46
12 Month Floating Total (in):
r/
MM
24.87
0.00
36.21
18.22
FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
OCompliant
❑Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
OCompliant
❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
OCompliant
[]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?
OCompliant
❑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: John Timothy Scott
Permittee:
Mark Stevens (City Manager) City of New Bern
Certification No.: 993732
Signing Official: Jordan Hughes
Grade: IV Phone Number: (252)639-7556
Signing Official's Title:
Has the ORC changed since the previous NDAR-1? ❑yes ONO
Phone Number: (252) 639-7526 Permit Exp.: 7/31/22
0A4n=—_ �_1242�T
9/22/20
/4' l' 9/23/20
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
Raleigh, North Carolina 27699-1617
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 3 of 7
Permit No.: WQ0003765
Facility Name: New Bern Seven Water Reclamation Facility
County: Craven
Month: August
Year: 2020
Did irrigation
Field Name:
7-13
Field Name:
7-C
Field Name:
8-13
Field Name:
8-C
occur
Area (acres):
0.61
Area (acres):
9.34
Area (acres):
-
1.91
Area (acres):
10.9
at this facility?
Cover Crop:Bermuda/Hardwood
Cover Crop:
p�
Bermuda/Hardwood
Cover Crop:
p�
Bermuda/Hardwood
Cover Crop:
p�
Bermuda/Hardwood
❑(ES ❑NO
Hourly Rate (in):
N/A
Hourly Rate (in):
N/A
Hourly Rate (in):
N/A
Hourly Rate (in):
N/A
Annual Rate (in):
65.2
Annual Rate (in):
52.1
Annual Rate (in):
65.2
Annual Rate (in):
52.1
Weather
Freeboard
Field Irrigated?
DYES ❑NO
Field Irrigated?
❑� YES ❑No
Field Irrigated?
DES ❑No
Field Irrigated?
DES ❑No
a
R
❑
y
o
O
U
t
m
d
E
N
c
y
_
G
•v
d
d
M
R
O
fn
m m
N M
G M
>, O.
N G
❑ R
d o
E. d
=
O a
iQ
a
d w
E ca
W
H '�
_
rn
_ v
f6
Cl p
J
E T rn
O C
E 3 a
t6
M= 0
2 J
m'a
E. 2
7 L].
O C
iQ
a
m «
E
C7
I- '�
_
rn
C
_T._
a
O R
❑ O
J
E> °'
7 C
E a
f6
R= 0
2 J
d 'a
E. y
_o
Q'
O C
� Q
m .O.
E
01
F •`
_
rn
C
T._
v
R /6
❑ p
J
E T rn
7 C
E B
R
R= 0
J
d o
E. d
7
_ O-
O O.
� Q
m .O.
E m
m
F '�
_
rn
C
_T._
o
O N
❑ O
J
E T rn
3 c
_
E
O 1E
txC 2 0
J
°F
in
ft
I ft
gal
min
in
in
gal
min
in
I in
gal
min
in
I in
gal
min
in
in
1
C
77
0.23
4.2
2.8
2
PC
74
0
4
2.8
3
PC
74
0
4
2.8
1,176
120
0.07
0.04
37,982
120
0.15
0.07
6,785
120
0.13
0.07
38,453
120
0.13
0.06
4
PC
73
1.2
3.9
2.7
5
PC
74
0
3.8
2.7
1,176
120
0.07
0.04
37,982
120
0.15
0.07
6,785
120
0.13
0.07
38,453
120
0.13
0.06
6
PC
73
0.02
3.9
2.7
7
PC
1 73
0.19
3.9
2.6
1,176
120
0.07
0.04
37,982
120
0.15 1
0.07
6,785
120
0.13
0.07
38,453
120 1
0.13
0.06
8
PC
72
0.02
4
2.6
9
PC
71
0
4.1
2.6
10
PC
72
0
4.1
2.6
1,176
120
0.07
0.04
37,982
120
0.15
0.07
6,785
120
0.13
0.07
38,453
120
0.13
0.06
11
C
72
0.01
1 4.1
1 2.6
1,176
120
0.07
0.04
37,982
120
0.15
0.07
6,785
120
0.13
0.07
38,453
120
0.13
0.06
12
PC
72
0.04
4.1
2.6
1,176
120
1 0.07
0.04
37,982
120
0.15
0.07
6,785
120
1 0.13
0.07
38,453
120
0.13
0.06
13
PC
74
0.21
4.2
2.6
1,176
120
0.07
0.04
37,982
120
0.15
0.07
6,785
120
0.13
0.07
38,453
120
0.13
0.06
14
PC
75
0.25
4.3
2.6
1,176
120
0.07
0.04
37,982
120
0.15
0.07
6,785
120
0.13
0.07
38,453
120
0.13
0.06
15
R
75
0.9
4.3
2.6
16
PC
75
1 0.39
4.3
2.6
1,176
120
0.07
0.04
37,982
120
0.15
0.07
6,785
120
0.13
0.07
38,453
120
0.13
0.06
17
C
72
0.02
1 4.3
2.6
1,176
120
0.07
0.04
37,982
120
0.15
0.07
6,785
120
0.13
0.07
38,453
120
0.13
0.06
18
C
69
0
4.4
2.6
1,176
120
0.07
0.04
37,982
120
0.15
1 0.07
6,785
120
0.13
0.07
38,453
120
0.13
0.06
19
1 PC
71
0
4.5
2.6
1,176
120
0.07
0.04
37,982
120
0.15
0.07
6,785
120
0.13
0.07
38,453
120
0.13
0.06
20
PC
70
0.09
4.5
2.6
1,176
120
0.07
0.04
37,982
120
0.15
0.07
6,785
120
0.13
0.07
38,453
120
0.13
0.06
21
PC
69
0
4.6
2.6
1,176
120
0.07
0.04
37,982
120
0.15
0.07
6,785
120
0.13
0.07
38,453
120
0.13
0.06
22
PC
71
0
4.7
2.6
23
C
73
1 0
1 4.7
2.7
24
PC
72
0.02
4.7
2.8
1,176
120
0.07
0.04
37,982
120
0.15
0.07
6,785
1 120
0.13
0.07
38,453
120
0.13
0.06
25
PC
75
0.36
4.8
2.8
1,176
120
0.07
0.04
37,982
120
0.15
0.07
6,785
120
0.13
0.07
38,453
120
0.13
0.06
26
C
73
0
4.8
2.8
1,176
120
0.07
0.04
37,982
120
0.15
0.07
6,785
120
0.13
0.07
38,453
120
0.13
0.06
27
C
69
0
4.9
2.8
1,176
120
0.07
0.04
37,982
120
0.15
0.07
6,785
120
0.13
0.07
38,453
120
0.13
0.06
28
C
77
0.01
4.9
2.8
1,176
120
0.07
0.04
37,982
120
0.15
0.07
6,785
120
0.13
0.07
38,453
120
0.13
0.06
29
C
1 79
1 0
4.9 1
2.8
301
PC
1 76
0.19
4.9
2.8
311
PC
1 72
1 0
5
2.9
1.35
2.85
128,911
2.49
730,603
2.47
12 Month Floating Total (in):
j344
17.06
I,VA36.09
j721,666
32.83
30.75
FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
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?
OCompliant
❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
QCompliant
❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
QCompliant
❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
QCompliant
❑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: John Timothy Scott
Permittee:
Mark Stevens (City Manager) City of New Bern
Certification No.: 993732
Signing Official: Jordan Hughes
Grade: IV Phone Number: (252)639-7556
Signing Official's Title:
Has the ORC changed since the previous NDAR-1? ❑Yes ONO
Phone Number: (252) 639-7526 Permit Exp.: 7/31/22
9/22/20
9/23/20
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
Raleigh, North Carolina 27699-1617
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 4 of 7
Permit No.: WQ0003765
Facility Name: New Bern Seven Water Reclamation Facility
County: Craven
Month: August
Year: 2020
Did irrigation occur
Field Name:
9-13
Field Name:
9-C
Field Name:
SBF-1
Field Name:
SBF-2
this facility?
Area (acres):
1 A8
Area (acres):
8.43
Area (acres):
0.72
Area (acres):
0.72
at
Cover Crop:
Bermuda/Hardwood
Cover Crop:
Bermuda/Hardwood
Cover Crop:
Bermuda
Cover Crop:
Bermuda
EYES ❑NO
Hourly Rate (in):
N/A
Hourly Rate (in):
N/A
Hourly Rate (in):
0.57
Hourly Rate (in):
0.57
Annual Rate (in):
65.2
Annual Rate (in):
52.1
Annual Rate (in):
N/A
Annual Rate (in):
N/A
Weather
Freeboard
Field Irrigated?
❑YES ❑NO
Field Irrigated?
EYES [:]NO
Field Irrigated?
DES [7]NO
Field Irrigated?
❑YES ENO
m
p
m
o
Lm
t
2
f0
G
a
0
•�.+
.a
u
2
m
N
0
N
y m
aM
7 V
>% CL
m Q
0 M
c� a
E 2
Q'
o a
� Q
d d
E�
m
-
C
T C
o
N
o 0
J
E Trn
7- C
Ego
'K 0 M
0
=J
d�
E y
Q.
o a
>Q
n
y y;
Em
2
-
m
>, C
o
IC N
p o
J
E Trn
3` C
E3is
•% 0 m
0
�=J
ma
E �'
a
0 0.
>Q
a
G7 w
E�
M
,
>+ C
-
R a
0 0
J
E �a
�- C
E�:6
x 0 0
f0=J
d a
E °'
&
0 a
>Q
a
d .�,
Era
L
rn
� C
tC o
p m
J
E am
7 -` C
Ewa
x 0 �0
fES J
OF
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
I min
in
in
gal
I min
in
in
1
C
77
0.23
4.2
2.8
2
PC
74
0
4
2.8
3
PC
74
0
4
2.8
7,691
120
0.19
0.10
37,548
120
0.16
0.08
4
PC
73
1.2
3.9
2.7
5
PC
74
0
3.8
2.7
7,691
120
0.19
0.10
37,548
120
0.16
0.08
6
1 PC
73
0.02
3.9
2.7
7
PC
73
0.19
3.9
2.6
7,691
120
0.19
0.10
37,548
120
0.16
0.08
8
PC
72
0.02
4
2.6
9
PC
71
0
4.1
2.6
10
PC
72
0
4.1
2.6
7,691
120
0.19
0.10
37,548
120
0.16
0.08
11
C
72
0.01
4.1
2.6
7,691
120
0.19
0.10
37,548
120
0.16
0.08
121
PC
72
0.04
4.1
2.6
7,691
120
0.19
0.10
37,548
120
0.16
0.08
13
PC
74
0.21
4.2
2.6
7,691
120
0.19
0.10
37,548
120
0.16
0.08
14
PC
75
0.25
4.3
2.6
7,691
120
0.19
0.10
37,548
120
0.16
0.08
15
R
75
1 0.9
4.3
2.6
16
PC
75
0.39
4.3
2.6
7,691
120
0.19
0.10
37,548
120
0.16
0.08
17
C
72
0.02
4.3
2.6
7,691
120
0.19
0.10
37,548
120
0.16
0.08
181
C
69
0
4.4
2.6
7,691
120
0.19
0.10
37,548
120
0.16
0.08
19
PC
71
0
4.5
2.6
7,691
120
0.19
0.10
37,548
120
0.16
0.08
20
PC
70
0.09
4.5
2.6
7,691
120
0.19
0.10
37,548
120
0.16
0.08
21
PC
69
0
4.6
2.6
7,691
120
0.19
0.10
37,548
120
0.16 1
0.08
22
PC
71 1
0
4.7
2.6
23
C
73
0
4.7
2.7
241
PC
72
0.02
4.7
2.8
7,691 1
120
0.19
0.10
37,548 1
120
0.16
0.08
25
PC
75
0.36
4.8
2.8
7,691
120
0.19
0.10
37,548
120
0.16
0.08
26
C
73
0
4.8
2.8
7,691
120
0.19
0.10
37,548
120
0.16
0.08
27
C
69
0
4.9
2.8
7,691
120
0.19
0.10
37,548
120
0.16
0.08
28
C
77 1
0.01 1
4.9
2.8
7,691
120
0.19
0.10
37,548
120
0.16
0.08
29
C
79
0
4.9
2.8
30
PC
76
0.19
4.9
2.8
31
PC
72
0
5
2.9
Monthly Loading:
146,127
t48.67
713,412
3.12
0
0
0
0
12 Month Floating Total (in):
41.29
FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
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? OCompliant ❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? QCompliant ❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? QCompliant ❑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: John Timothy Scott
Permittee:
Mark Stevens (City Manager) City of New Bern
Certification No.: 993732
Signing Official: Jordan Hughes
Grade: IV Phone Number: (252)639-7556
Signing Official's Title:
Has the ORC changed since the previous NDAR-1? ❑yes ❑✓ No
Phone Number: (252) 639-7526 Permit Exp.: 7/31 /22
v 9/22/20
9/23/20
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
Raleigh, North Carolina 27699-1617
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 5 of 7
Permit No.: WQ0003765
Facility Name: New Bern Seven Water Reclamation Facility
County: Craven
Month: August
Year: 2020
Did irrigation occur
at this facility?
❑✓YES ❑NO
Field Name:
SBF-3
Field Name:
SBF-4
Field Name:
SBF-5
Field Name:
SBF-6
Area (acres):
0.72
Area (acres):
0.72
Area (acres):
1.62
Area (acres):
1.62
Cover Crop:
Bermuda
Cover Crop:
Bermuda
Cover Crop:
Bermuda
Cover Crop:
Bermuda
Hourly Rate (in):
0.57
Hourly Rate (in):
0.57
Hourly Rate (in):
0.57
Hourly Rate (in):
0.57
Annual Rate (in):
N/A
Annual Rate (in):
N/A
Annual Rate (in):
N/A
Annual Rate (in):
N/A
Weather
Freeboard
Field Irrigated?
DES ❑NO
Field Irrigated?
OYES ONO
Field Irrigated?
❑YES [ZNO
Field Irrigated?
❑YES EINO
>
p
y
G
ta
yr
2
d
c
a
o
n
t m
a m
NccLL
❑ ip
ui :c
dv
Ed
o °.
>
m 2
F
_
c
o
J
E
c
o
O C
>
m
_
R
mxo
O
J
E
=
E
O
J
c
%
a
_
❑ o
E
2 c
o
B
3c
i
mii°
_rn
R
O
J
E F
3E°
E
T oV
o acaa
J
°F
in
ft
ft
gal
min
in
in
gal
min
in
I in
gal
min
in
in
gal
min
in
in
1
C
77
0.23
4.2
2.8
2
PC
74
0
4
2.8
3
PC
74
0
4
2.8
4
PC
73
1.2
3.9
2.7
5
PC
74
0
3.8
2.7
6
PC
73
0.02
3.9
2.7
7
PC
73
0.19
3.9
2.6
8
1 PC
72
0.02
4
2.6
9
PC
71
0
4.1
2.6
10
PC
72
0
4.1
2.6
11
C
72
0.01
4.1
2.6
12
PC
72
0.04
4.1
2.6
13
PC
74
0.21
4.2
2.6
141
PC
75
1 0.25
4.3
2.6
15
R
75
0.9
4.3
2.6
16
PC
75
0.39
4.3
2.6
17
C
72
0.02
4.3
2.6
18
C
69
1 0
1 4.4
1 2.6
19 PC 71 0 4.5 2.6
20 PC 70 0.09 4.5 2.6
21 PC 69 0 4.6 2.6
22 PC 71 0 4.7 2.6
23 C 73 0 4.7 2.7
241 PC 72 0.02 4.7 2.8
25
PC
1 75
1 0.36
4.8
1 2.8
26
C
73
0
4.8
2.8
27
C
69
0
4.9
2.8
28
C
77
0.01
4.9
2.8
29
C
79
0
4.9
2.8
30
PC
76
0.19
4.9
2.8
FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
QCompliant
❑Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
QCompliant
❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
OCompliant
❑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?
QCompliant
❑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: John Timothy Scott
Permittee:
Mark Stevens (City Manager) City of New Bern
Certification No.: 993732
Signing Official: Jordan Hughes
Grade: IV Phone Number: (252)639-7556
Signing Official's Title:
Has the ORC changed since the previous NDAR-1? ❑yes ONo
Phone Number: (252) 639-7526 Permit Exp.: 7/31/22
9/22/20
9/23/20
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
Raleigh, North Carolina 27699-1617
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 6 of 7
Permit No.: WQ0003765
Facility Name: New Bern Seven Water Reclamation Facility
County: Craven
Month: August
Year: 2020
Did irrigation
Field Name:
SBF-7
Field Name:
SBF-8
Field Name:
SF-1
Field Name:
SF-2
occur
Area (acres):
1.62
Area (acres):
1.62
Area (acres):
2.12
Area (acres):
2.16
at this facility?
Cover Crop:
Bermuda
Cover Crop:
Bermuda
Cover Crop:
Bermuda
Cover Crop:
Bermuda
❑✓ YES ❑NO
Hourly Rate (in):
0.57
Hourly Rate (in):
0.57
Hourly Rate (in):
0.57
Hourly Rate (in):
0.57
Annual Rate (in):
N/A
Annual Rate (in):
N/A
Annual Rate (in):
N/A
Annual Rate (in):
NA
Weather
Freeboard
Field Irrigated?
[_]YES [INO
Field Irrigated?
[]YES E]NO
Field Irrigated?
❑YES 2NO
Field Irrigated?
DES 2]NO
y
af6i
2
o-
N
F_
a
a
m
w a
CL
V
oa
,o
"
arn
a
d �
'U
0a
J
7
E
Q
J
EG
O 0.
iQ
_o
rn
j0'C
p
E
E
M 2
J
E
i
E
_
.
0
J
Eo
E
° 0
J
O
iQ
d
E
_
>.
0
3EC
E
m �°` a0
J
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
I in
j gal
I min
in
I in
1
C
77
0.23
4.2
2.8
2
PC
74
0
4.0
2.8
3
PC
74
0
4.0
2.8
4
PC
73
1.2
3.9
2.7
5
PC
74
0
3.8
2.7
6
PC
73
0.02
3.9
2.7
7
PC
73
0.19
3.9
2.6
8
PC
72
0.02
4.0
2.6
9
PC
71
0
4.1
2.6
10
PC
72
0
4.1
2.6
11
C
72
0.01
4.1
2.6
12
PC
72
0.04
4.1
2.6
13
PC
74
0.21
4.2
2.6
14
PC
75
0.25
4.3
2.6
15
R
75
0.9
4.3
2.6
16
PC
75
0.39
4.3
2.6
171
C
72
0.02
4.3
2.6
181
C
69
0
4.4
2.6
191
PC
1 71
1 0
4.5
2.6
201
PC
1 70
1 0.09
4.5
2.6
21
PC
69
0
4.6
2.6
22
PC
71
0
4.7 1
2.6
23
C
73
0
4.7
2.7
24
PC
72
0.02
4.7
2.8
25
PC
75
0.36
4.8
2.8
261
C
1 73
1 0
4.8
2.8
271
C
1 69
1 0
4.9
2.8
28
C
77
0.01
4.9
2.8
29
C
79
0 1
4.9 1
2.8
30
PC
76
0.19
4.9
2.8
31
PC
72
0
5.0
2.9
Monthly Loading:
12 Month Floating Total (in):
0
0
0
0
0
0
0
0
FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit? Qcompliant ❑Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Ocompliant ❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? Ocompliant ❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Qcompliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 21compliant ❑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: John Timothy Scott
Permittee:
Mark Stevens (City Manager) City of New Bern
Certification No.: 993732
Signing Official: Jordan Hughes
Grade: IV Phone Number: (252)639-7556
Signing Official's Title:
Has the ORC changed since the previous NDAR-1? ❑yes ❑✓ No
Phone Number: (252) 639-7526 Permit Exp.: 7/31/22
�r
9/22/20
9/23/20
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
Raleigh, North Carolina 27699-1617
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 7 of 7
Permit No.: Q111 •
Bern Seven Water Reclamation•
August
1 1
• irrigation OCCUr
Area (acres):1
•
1Area
(acres):
at this facility?
III ••
..
-
• ••
:- ��.
..
- .-
[JJYES F�NO
Hourly Rate (in�.
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
Annual Rate (in):
Annual Rate (in�.
Annual Rate (in):
....
•.
■ ■�Field
Irrigated?■
■.Field
Irrigated?■
■.
■ o•
FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
2compliant
❑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?
QCompliant
❑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: John Timothy Scott
Permittee: Mark Stevens (City Manager) City of New Bern
Certification No.: 993732
Signing Official: Jordan Hughes
Grade: IV Phone Number: (252)639-7556
Signing Official's Title:
Has the ORC changed since the previous NDAR-1? Dyes ❑✓ No
Phone Number: (252) 639-7526 Permit Exp.: 7/31/22
9/22/20
9/23/20
C7— 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: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 1
Permit No.: WQ0003765
Facility Name: New Bern Seven Water Reclamation
County: Craven
Month: August
Year: 2020
PPI: 001
Flow Measuring Point: ❑Influent ❑Effluent ❑No flow generated
Parameter Monitoring Point: ❑Influent ElEffluent ❑Groundwater Lowering ❑Surface water
Parameter Code 11
50050
00310
00940
50060
31616
00610
00625
00620
00600
00400
00665
00076
70300
00530
E
O
«
O E
O
W
O
L
L)
:
i
io
o�0
EQ.
Q
° CC
wD
cc~
arnC
z
et
o
a
yo
FQ
oy
�M
cd
o QNm
�Q
24-hr
hrs
Y/NIB
GPD
mg/L
mg/L
mg/L
#1100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
NTU
mg/L
mg/L
1
06:10
5:50
Y
382,000
3.13
2
05:43
7:02
N
580,000
5.64
3
06:36
5:09
Y
386,000
1.0
6.79
1.91
4
00:00
12:15
Y
431,000
1.8
6.81
3.49
5
07:12
6:18
Y
489,000
0.8
6.77
1.79
6
06:32
6:28
Y
303,000
0.6
6.86
1.93
7
06:00
6:00
Y
561,000
1.3
6.67
2.98
8
05:50
7:10
N
308,000
1.37
9
06:15
8:00
N
312,000
1.78
10
06:30
6:00
Y
315,000
7.3
1.0
<1.0
<0.5
1.18
33.9
35.08
6.80
4.71
5.30
3.3
11
06:20
7:00
Y
500,000
1.3
6.70
2.26
12
06:35
5:40
Y
358,000
1
3.5
1
1
6.84 1
1.84
13
06:23
6:07
Y
281,000
2.3
6.84
1.01
14
06:28
6:02
Y
279,000
0.7
6.82
<1
15
05:50
7:40
N
307,000
1.82
16
05:50
7:40
N
523,000
4.02
17
06:51
6:09
Y
485,000
0.7
6.80
3.21
18
06:38
7:02
Y
359,000
3.1
6.83
<1
19
06:29
6:16
Y
1 294,000
7.4
1 10
4.2
<1.0
<0.5
1.48
33.5
34.98
6.86 1
3.91
<1
1357
3.4
201
06:18
6:57
Y
366,000
0.9
6.85
1.10
21
06:28
5:17
Y
382,000
3.4
6.81
1.25
22
05:30
6:30
N
340,000
2.83
23
06:10
6:50
N
317,000
2.61
24
06:24
6:36
Y
360,000
0.9
6.74
3.05
25
07:12
6:18
Y
409,000
0.9
6.77
3.50
261
06:39
5:51
Y
267,000
0.8
6.78 1
2.35
27
06:28
6:02
Y
321,000
1.9
6.78
1.46
28
06:25
7:05
Y
225,000
0.9
6.70
1.15
29
06:15
7:45
N
99,000
7.25
30
07:06
5:24
Y
195,000
4.15
31
06:15 1
6:15
Y
219,000
1.6
6.94
1.29
Average:
353,323
7.4
10
1.60
1.00
0
1.30
33.7
35.0
1
4.30
2.40
1,357
3.4
Daily Maximum:
580,000
7.4
10
4.20
0tComposite
1.48
33.9
35.1
6.9
4,71
7.25
1,357
3.4
Daily Minimum:
99,000
7.3
10
0.60
01.18
33.5
35.0
6.7
3.91
0
1,357
3.3
Sampling Type:
Recorder
Composite
Composite
Grab
GraComposite
Composite
Composite
Grab
Composite
Recorder
Composite
Composite
Monthly Avg. Limit:
499362
10
14
5
Daily Limit:
115200015
25
10
10
Sample Frequency:
Continuous
2 X Month
3 X Year
5 X Week
2 X M2
X Month
2 X Month
2 X Month 1
5 X Week
2 X Month
Continuous
3 X Year
2 X Month
FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Sampling Person(s) Certified Laboratories
Name: Tony Hawkins/John Tim Scott/ Operator on Duty Name: New Bern WWTP
Name: Lab Personnel Name: Environment 1
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? compliant ❑ Non-com pliant
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: John Timothy Scott
Permittee: Mark Stephen City Manager
Certification No.: 993732
Signing Official: Jordan Hughes
Grade: IV Phone Number: 252-639-7556
Signing Officials Title: City Engineer
Has the ORC changed since the previous NDMR? ❑Yes [2]No
Phone Number: 252-639-7526 Permit Expiration: 7/31/2022
9/22/202
�— 9/23/2020
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