WQ0029653_Monitoring - 08-2020_20201006

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Permit No.: W00029653
Facility Name: Scotch Hall Preserve WWTP
County: Bertie
Month: August
Year: 2020
PPI: 001
Flow Measuring Point: Ej:l Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent 0 Effluent ❑ Groundwater Lowering ❑ Surface water
Parameter Code -0
50060
00310
00940
50060
31616
00610
00625
00620
00600
00400
00665
70300
00530
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V N
v_
cfU
24-hr
hrs
GPD
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
mg/L
1
7,080
2
7,080
3
07:00
1
7,080
4
07:00
3
7,080
5
7,080
6
7,080
7
07:00
2
6,997
8
6,997
9
6,997
10
07:00
3
6,997
11
6,997
12
6,997
13
6,997
14
07:00
5
3,969
15
3,969
16
3,969
17
07:00
1
3,969
18
3,969
19
07:00
4
3,969
20
3,969
21
07:00
3
3,688
22
3,688
23
3,688
24
3,688
25
3,688
26
3,688
27
3,688
28
07:00
2
3, 599
29
3,599
30
3,599
31
3,599
Average:
5,144
Daily Maximum:
7,080
Daily Minimum:
3,599
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
16,920
30
200
15
30
Daily Limit:
Sample Frequency:1
Continuous
4 X Year
3 X Year
Per Event
4 X Year
4 X Year 1
4 X Year
4 X Year
4 X Year
Per Event
4 X Year
3 X Year
4 X Year

I
FORM: NDMR 05-16
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Sampling Person(s) Certified Laboratories
Name: Name:
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? E] 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: BRIAN JERNIGAN
Permittee: SCOTCH HALL PRESERVE WWTP
Certification No.: SI 1006435
Signing Official: DANIEL SUMEREL
Grade: Phone Number: 252-325-0771
Signing Official's Title: GENERAL MANAGER
Has the ORC changed since the previous NDMR? ❑ Yes 21 No
Phone Number: 919-300-9316 Permit Expiration: 2/28/2026
v
ure 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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

' 70RW NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: WQ0029653
Facility Name: Scotch Hall Preserve WWTP
County: Bertie
Month: August
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FORM: NDAR-1 05-15 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _ of _
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FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
Q Compliant
❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Q Compliant
❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
21 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: BRIAN JERNIGAN
Permittee:
SCOTCH HALL PRESERVE WWTP
Certification No.: SI 1006435
Signing Official: DANIEL SUMEREL
Grade: Phone Number: 252-325-0771
Signing Official's Title: GENERAL MANAGER
Has the ORC changed since the previous NDAR-1? ❑ Yes 7 No
Phone Number: 919-300-9316 Permit Exp.: 2/28/26
Signature Date
S' re Date
By is 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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617