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i F,DRM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 1
Permit No.: WQ0007283
Facility Name: TOWN of POLLOCKSVILLE
County: Jones
Month: September
Year: 2020
PPI: 002
Flow Measuring Point: ❑ influent ❑ Effluent ❑ No Flow generated
Parameter Monitoring Point: ❑ Influent 0 Effluent ❑ Groundwater Lowering ❑ Surface water
Parameter Code
50050
00940
00353
00353
00600
O
m
o£oin
O t
a
2
O
O E
P
2
in
O
o
V
U
2 z
No
z c
o
zz
z
mR
c
z 2
z
B
E
c v
F' o
z
24-hr
hrs
*Y/N/B/H
GPD
#N/A
mg/1
mg/I
mg/I
1
09:30
3.0
Y
75,000
2
9:00
2.5
Y
72,000
3
10:00
2.0
Y
88,000
4
09:30
4.0
Y
90,000
5
08:30
2.0
Y
83,000
6
11:15
2.0
Y
95,000
7
07:00
7.0
Y
64,000
8
10:00
3.0
Y
366,000
9
09:15
3.5
Y
76,000
10
10:00
4.0
Y
65,000
11
10:10
2.0
Y
47,000
121
11:00
1 3.0
Y
51,000
13
07:40
2.0
Y
33,000
14
07:30
4.0
Y
34,000
15
06:30
3.0
Y
48,000
16
09:00
3.0
Y
49,000
0.07
<0.04
16.97
17
07:15
3.0
Y
40,000
18
08:30
2.0
Y
185,000
19
10:00
3.0
Y
80,000
20
07:30
2.0
Y
51,000
21
07:00
4.0
Y
52,000
22
09:30
3.0
Y
64,000
231
09:00
3.5
Y
59,000
24
08:30
2.0
Y
59,000
25
07:30
1.0
Y
52,000
26
B
27
B
28
B
291
B
301
08:30
3.0
Y
31
Average:
79,120
22
0.81
<1
0.29
<0.04
33
2.00
58618
0.0
60730
Daily Maximum:
366,000
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 I
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
`(Y)ES. (N)O.. (B)ACK UP ORC, (H)OLIDAY
t FORM NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 1
Permit No.: W00007283
Facility Name: TOWN of POLLOCKSVILLE
County: Jones
Month: September
Year: 2020
PPI: 002
Flow Measuring Point: 0 Influent ❑ Effluent ❑ No Flow generated
Parameter Monitoring Point: ❑Influent ❑Effluent ❑ Groundwater Lowering El surface Water
Parameter Code 01
50050
00310
00665
31616
00610
00620
00400
70II300o
3v0
00931
0931
0F0916
00625
0�092E7
50i0
6a0
p
6
C`
0
Q
O E
O
U.o
O
m
2
O
I—
0
IL
ty°
�
o�
E
Q
o
E N O
T00ae5
m
O
n
3c0,3
rU
0d
FO aO
E'e
O
oO
00
1
24-hr
09:30
hrs
3.0
*Y/NIB/H
Y
GPD
75,000
mg/L
#N/A
#/100 mL
mg/L
mg/L
su
mg/L
mg/L
mg/L
#N/A
mg/L
mg/L
mg/L
ug/L
2
9:00
2.5
Y
72,000
3
10:00
2.0
Y
88,000
4
09:30
4.0
Y
90,000
5
08:30
2.0
Y
83,000
6
11:15
2.0
Y
95,000
7
07:00
7.0
Y
64,000
8
10:00
3.0
Y
366,000
9
09:15
3.5
Y
76,000
10
10:00
4.0
Y
65,000
11
10:10
2.0
Y
47,000
12
11:00
3.0
Y
51,000
13
07:40
2.0
Y
33,000
14
07:30
4.0
Y
34,000
15
06:30
3.0
Y
48,000
16
17
09:00
07:15
3.0
3.0
Y
Y
49,000
40,000
20
2.38
15000
12.36
0.07
14
1.70
83621
16.9
14829
65408
18
08:30
2.0
Y
185,000
19
10:00
3.0
Y
80,000
20
07:30
2.0
Y
51,000
21
07:00
4.0
Y
52,000
22
09:30
3.0
Y
64,000
23
09:00
3.5
Y
59,000
24
08:30
2.0
Y
59,000
25
07:30
1.0
Y
81,000
26
06:57
1.0
B
55,000
27
07:00
1.0
B
55,000
28
05:21
1.0
B
44,000
29
05:20
1.0
B
110,000
301
08:30
3.0
Y
184,000
31
Average:
81,833
22
0.81
<1
0.29
<0.04
33
2.00
58618
16.90 1
14829
0.0
60730
Daily Maximum:
366,000
22
0.81
<1
0.29
<0.04
1
33.0
2.00
58618
16.90
14829 1
0.0
60730
Daily Minimum:
33,000
22
0.81
<1
0.29 1
<0.04
1
33.0
2.00 158618
16.90
14829
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:
N/A
Sample Frequency:
Continuous
Mar,Jul,Nov
per Event
rVKM: NUMK UJ-12
NON -DISCHARGE MONITORING REPORT (NDMR)
I
E,
Sampling Person(s)
Name: Operator on Duty
Name: Johnnie J. Chadwick/ORC
Name: Environment 1
Name:
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of 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 necessarv.
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 0 No
Phone ber: 252-224-9831 Permit Expiration: JULY 31,2021
i
OCTOBER 26,2020
Signature Date
Signature Date
By this ignature, 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
hUKM: NUMK 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Sampling Person(s)
Name: Operator on Duty
Name: Johnnie J. Chadwick/ORC
Name: Environment 1
Name:
Certified Laboratories
uoes an monitoring clata and sampling frequencies meet the requirements in Attachment A of 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-comDliance and desrrihe the rnrrartivP
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-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 [2] No
Phone ber: 252-224-9831 Permit Expiration: JULY 31,2021
41
C
OCTOBER 26,2020ignature
/ignature,
Date
Signature Date
By thisrtify 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
tURM: NUAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Permit No.: WQ0007283
Facility Name: TOWN of POLLOCKSVILLE County: Jones Month: September Year: 2020
Field Name: ONE Field Name: TWO Field Name: THREE Field Name: FOUR
Did irrigation occur
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
❑ YES El 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
❑YES
No
Annual
Field Irrigated?
Rate (in):
92.56
❑YES
❑ NO
>.
1
2
Weather
Freeboard
Field
Irrigated?
❑ YEs
NO
Field
Iffm.--
0 No
Field
Irrigated?
y
O
U
ram.
PC
m
3
R
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p 0
7 L C
Ed
x 0 M
__j
°F
81
in
0.0
ft
2.7
ft
gal
min
i in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
R
81
0.7
2.7
3
C
88
0.0
2.7
4
C
84
0.0
2.7
5
C
75
0.0
2.7
6
PC
81
0.0
2.8
7
PC
65
0.0
2.8
8
CL
75
0.0
2.8
9
R
75
10
CL
79
0.0
2.8
11
PC
79
0.0
2.8
12
R
77
1.0
2.8
13
CL
70
0.0
2.8
14
CL
73
0.0
2.8
15
R
64
0.5
2.8
16
C
68
0.0
2.8
17
R
72
0.2
2.8
18
R
73
2.0
2.8
19
PC
64
0.0
2.7
20
PC
55
0.0
2.7
21
C
54
0.0
2.7
22
C
57
0.0
2.7
23
PC
55
0.0
2.7
24
C
63
0.0
2.7
25
R
64
3.0
2.8
26
CL
92
0.5
2.7
27
CL
81
0
0J1.55
2.7
28
PC
69
2.7
29
R
72
2.7
30
R
61
2.6
31
jj7j
28.12
0
0.00
21.74
12
Month
Floating
Total
(in):
0
0.00
13.30
NUN-UISGHARGE APPLICATION REPORT (NDAR-1)
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?
E Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
OCompliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
0 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
action(s) taken. Attach additional sheets if naraccary
the non-compliance and describe the corrective
mber 8,2020 wash down of Influent channel, grit chamber and main lift station # 1 HI
> of rain/ reason high influent flow
Operator in Responsible Charge (ORC) Certification
ORC: JOHNNIE J. CHADWICK
Certification No.: SS-11861/WW2-9579
Grade: SS/WW2 Phone Number: (252)617-1692
Has the ORC changed since the previous NDAR-1? ❑ yes 0 No
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
September 29,30, heavy rain /High flow September 17 and 18 Hurricane Sally total
Permittee Certification
Permittee:
Town of Pollocksville
Signing Official: James Bender Jr.
Signing Official's Title: Mayor
Phone Numb�"52) 224-9831 Permit Exp.: JULY 31,2021
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
+URM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Permit No.: W00007283
Facility Name: TOWN of POLLOCKSVILLE
County: Jones Month: September Year: 2020
Field Name: Field Name:
Did irrigation occur
Field Name:
FIVE
Field Name:
SIX
at this facility?
Area (acres):
4
Area (acres):
4.2
Area (acres):
Area (acres):
Cover Crop:
Bermuda/Rye
Cover Crop:
Bermuda/Rye
Cover Crop:
Cover Crop:
❑
YES
R No
AnnualRate
Rate (in):
(in):
92.56
0.7
Hourly
Annual
Rate (in):
Rate (in):
92.56
0.7
Hourly
Annual
Rate (in):
Rate (in):
Hourly
Annual
Rate (in):
Rate (in):
in
1
2
Weather
Freeboardrigated?
❑ YES
El N0
Field
Irrigated?
❑ YES
Q No
Field
Irrigated?
❑ YES
❑ NonE
igated?
❑ YE5
❑ No
d
ci
°
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o
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_"
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E a
0
°F
81
in
0.0
ft
2.7
ftmin
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
R
81
0.7
2.7
3
C
88
0.0
2.7
LIT
4
C
84
0.0
2.7
5
C
75
0.0
2.7
6
PC
81
0.0
2.8
7
PC
65
0.0
2.8
8
CL
75
0.0
2.8
9
R
75
1.1
2.8
10
CL
79
0.0
2.8
11
PC
79
0.0
2.8
12
R
77
1.0
2.8
13
CL
70
0.0
2.8
14
CL
73
0.0
2.8
15
R
64
0.5
2.8
16
C
68
0.0
2.8
17
R
72
0.2
2.8
18
R
73
2.0
2.8
19
PC
64
0.0
2.7
20
PC
55
0.0
2.7
21
C
54
0.0
2.7
22
C
57
0.0
2.7
23
PC
55
0.0
2.7
24
C
63
0.0
2.7
25
R
64
3.0
2.8
26
CL
92
0.5
2.7
27
CL
81
0.0
2.7
28
PC
69
0.0
2.7
29
R
72
0.5
2.7
30
R
61
1.5
2.9
31
Monthly
Loading:
0
0.00
35.42
0.00
34.70
12
Month
Floating
Total
(in):
0,00
0.00
0
0
0.00
0.00
NUN-u15CHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
❑r Compliant
❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
El Compliant
❑ Non-Compiiant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
D Compliant
❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
El 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
��., .+- 1. 1. auW Uvrlal JI IOGW if 11cuub5aly.
fiber 8,2020 wash down of influent channel, grit chamber and main lift station # 1 HIGH Flow
of rain/ reason high influent flow September 29,30, heavy rain /High flow
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: (252)617-1692
Has the ORC changed since the previous NDAR-1?
❑ Yes 0 No
10
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
17
Signing Official's Title: Mayor
Phone Num52) 224-9831 Permit Exp.: JULY 31,2021
total
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)
I
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?
Q Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
0 Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
Q Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
Q 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 necessarv.
fiber 8,2020 wash down of influent channel, grit
of rain/ reason high influent flow
station # 1
September 29,30, heavy rain /High flow
September 1
total of
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: (252)617-1692
Signing Official's Title: Mayor
Has the ORC changed since the previous NDAR-1? ❑ Yes [A No
Phone Numb 52) 224-9831 Permit Exp.: JULY 31,2021
.
10/25/20
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
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PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C' for composite sample or a "G" for
�nar� 09 Grab sample in the blocks above for each parameter requested. N 2 382898
Environment �, I!
Me,
TOWN OF POLLOCKSVILLE (EFFLUENT)
ATTN: JA14ES BENDER, JR.
P.O. BOX 97
POLLOCKSVILLE ,NC 28573
Effluent
Analysis
Method
PARAMETERS
Date
Analyst
Code
BOD, mg/l
20
09/16/20
TMR
521OB-11
Fecal Coliform (MF), /100 Mls
15000
09/16/20
MAR
9222D-06
Total Suspended Residue, mg/I
14
09/17/20
HJO
254OD-11
Ammonia Nitrogen as N, mg/l
12.36
09/16/20
DTL
350.1 112-93
Total Igeldahl Nitrogen as N,mg/l
16.90
09/23/20
ICES
351.2 112-93
Nitrate -Nitrite as N, mg/I (talc)
0.07
353.2 112-93
Nitrate Nitrogen as N, mg/l
<0.04
09/17/20
NO3
353.2 112-93
Nitrite Nitrogen as N, mg/l
0.07
09/16/20
DTL
353.2 112-93
Total Phosphorus as P, mg/I
2.38
09/23/20
TLH
365.4-74
Calcium, ug/l
83621
09/18/20
LET
EPA200.7
Magnesium, ug/l
14829
09/18/20
LET
EPA200.7
Sodium, ug/l
65408
10/19/20
LFJ
EPA200.7
Sodium Adsorption Ratio (talc)
1.7
Total Nitrogen, mg/I (talc)
16.97
ID#: 319
DATE COLLECTED: 09/16/20
DATE REPORTED : 10/21/20
REVIEWED BY: