WQ0029653_Monitoring - 09-2020_20201104

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: W00029653
Facility Name: Scotch Hall Preserve WWTP
County: Bertie
Month: September
Year: 2020
PPI: 001
Flow Measuring Point: [] influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent ❑ Effluent ❑ Groundwater Lowering ❑ Surface w@tW
Parameter Code -►
50060
00310
00940
50060
31616
00610
00625
00620
00600
00400
00665
70300
00530
❑
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> N
NN
d
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~ Nto
to
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
3,599
2
3,599
3
07:00
2
3,599
4
5,329
5
5.329
6
5,329
7
5,329
8
5,329
9
5,329
10
07:00
1
1 5,329
111
07:00
3
3,704
12
3,704
13
3,704
7
14
3,704
15
3,704
16
3,704
17
3,704
18
07:00
2
2,767
19
2,767
20
2,767
21
2,767
22
2,767
23
2,767
24
2,767
25
07:00
5
6,104
17
0.25
<5
6.7
13.7
<0.02
13.7
9
3.18
20.5
26
6,104
27
6,104
28
07:00
1
6,104
29
6,104
30
07:00
1
6,104
31
Average:
4,334
17.00
0.25
1.00
6.70
13.70
0.00
13.70
3.18
20.50
Daily Maximum:
6,104
17.00
0.25
5.00
6.70
13.70
0,02
13,70
9.00
3.18
20.50
Daily Minimum:
2,767
17.00
0.25
5,00
6.70
13.70
0.02
13.70
9.00
3.18
20.50
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:
Continuous
4 X Year
3 X Year
Per Event 1
4 X Year
4 X Year
4 X Year
4 X Year
4 X Year
Per Event
4 X Year
3 X Year
4 X Year

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: TOM BEASLEY Name: ENVIRONMENTAL CHEMIST, INC.
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 2] 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 No
Phone Number: 919-300-9316 Permit Expiration: 2/28/2026
re 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

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page
Permit No.: W00029653
Facility Name: Scotch Hall Preserve WWTP
County: Bertie
Month: September
Year:
Did irrigation
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
occur
at this facility?
YES ❑ NO
Area (acres):
11.92
Area (acres):
9.58
Area (acres):
8.62
Area (acres):
9,99
Cover Crop:
P'
Cover P'
Cover P�
CoverCro P:
Hourly Rate (in):
0,3
Hourly Rate (in):
0.3
Hourly Rate (in):
0.3
Hourly Rate (in):
0.3
Annual Rate (in):
41.69
Annual Rate (in):
43.45
Annual Rate (in):
13.71
Annual Rate (in):
41.7
Weather
Freeboard
Field Irrigated?
❑ YES J NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES w
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a ac
0
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vc�
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
2
3
4
3.5
5
6
7
8
9
10
1.75
11
0.5
3.4
12
13
14
15
16
17
181
1.25
3.3
19
20
21
22
23
24
25
CL
71
3.4
74,823
180
0.29
0.10
26
27
28
0.5
29
30
1.5
31
0.29
40.56
Monthly Loading:
0
0,00
74,823
0
0.00
0
0.00
12 Month Floating Total (in):

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page
• 1111 ••Facility
Name: Scotch Hall Preserve.
Bertie
Month: SeptemberArea
1 1
Did irrigation occur
at this facility?
YES NO
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(acres):
Cover Crop:
Eff2= WirIt
��
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Annual Rate
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rim �.Field
Irrigated?•
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FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Q11 •.
•
:- -SeptemberDid
i 1
irrigation occur
at this facility.
0 11-12,
:
P] YES NO
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Floating12 Month

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? 2 Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? [D Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑Q Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 0 Compliant ❑ 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 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 0 No
Phone Number: 919-300-9316 Permit Exp.: 2/28/26
F
ab
Signature Date
Date
By t�gnature
.,gn.tue,rtifythat 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

renviroche]m
ANALYTICAL & CONSULTING CHEMISTS
Scotch Hall Preserve
105 Scotch Hall Court
Merry Hill NC
Attention: Brian Jernigan
Lab ID Sample ID:
20-42083 Site: Effluent
Test
Ammonia Nitrogen
Chlorine
Residue Suspended (TSS)
Temperature
pH
Total Phosphorus
BOD
Fecal Coliform
Total Nitrogen (Calc)
Total Kjeldahl Nitrogen (TKN)
Nitrate+Nitrite-Nitrogen
Total Nitrogen
Comment:
Reviewed by:
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab 4 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 ° 910.347.5843 Lab/Fax
[e-mail]
Date of Report: Oct 09, 2020
Customer PO #:
27957 Customer ID: 17050011
Report #: 2020-16431
Project ID: Wastewater
Collect Date/Time Matrix Sampled by
9/25/2020 8:25 AM Water Tom Beasley
Method Results Date Analyzed
EPA 350.1
Hach 8167
SM 2540 D
SM 2550 B
SM 4500 H B
SM 4500 P F
SM 5210 B
SM 9222D MF
EPA 351 2
EPA 353.2
Total Nitrogen
6.7 mg/L
10/05/2020
0.250 mg/L
09/25/2020
20.5 mg/L
09/26/2020
18.7 C
09/25/2020
9.0 units
09/25/2020
3.18 mg/L
10/06/2020
17 mg/L
09/26/2020
<5 Colonies/100mL
09/25/2020
13.7 mg/L
< 0.02 mg/L
13.7 mg/L
10/05/2020
09/29/2020
10/07/2020
Report #.. 2020-16431 Paoe 1 of 1

5 , �, /►�_ Z� Ce i cation4 91
Date: C Facilih Name: cJ CrN4L
Analyst: _ Permit 4: Gw) Yi ie _
pH
Reference Method S 44500 H-B -2011 Instrument iD Ph - 00
Calibration Time Cal Buffer l O s u Cal Buffer l0 0 s u Check Buffer 7 0 s u Comments
Cs
0,D5
.pHcheck buffer must read %y ithin ± 0 I pH units of the buffer's true value
4 su buffer Lots--': Ricca 2001 B20 Exo 1/2022 7 su buffer Loth/ Ricca 2008993 Exo. 7/2022 10 su buffer LoN. Ricca 1001791 7/2021
Sample location Sample Collection Sample Analysis j pH Result ►Post -analysis Buffer
pTime♦ Time• ( s u Check value s u Comments Data Qualifiers
EfF
► Post analysis buffercheck is required when performing analyses at multiple sampling locations and must be vyithm = 0 1 units o£the buffer"s true value
All pH Values in pH units (i e . s u ) Record all data to the nearest 0 01 s u and report to the nearest 0.1 s u
Total Residual Chlorine (TRC)
Reference Method SM 4500 Cl-G201 1 Hach 8167 HR ( Please circle applicable Method Instrument ID C 1 C O -i
Post -analysts
Daily Chock Time check
Check Sid SampleFC1-T
e Sample 'fRC Rcsvit
Standard Result Standard on Anaksis Camment< Data Qualifiersor mg L (ychen anahzmg Anal%zed Location Time µe L a �
t at multiple sites)
�M
TRC Dail% Check Standard true malue or mWL acceptance range 0 --µe'l. or m--'L
Check standards must reco%er a ithin ±10110 of thei Nw.9 standard's true v aloe
Annual Calibration Curie Verification Date: 1 -2020 LOT €t Zy p2'*SZ Exp Date 3 V AQIZ 2-02I
Reagent Blank Value _(When applicable Analyze and document a reagent blank «hen standards. sample dilutions or PT Samples are prepared)
Dissolved Oxygen (DO) I1
Reference Method SM 4500 O G.-201 I Instrument ID Pike 00 2_.
• Post -anal} sis calibration
Calibration Calibration yanabla ,tit�terreadmg verification {}}lien necessan I
Verification or ° efficiency Comments
Time Barometric after calibration Theoretical ! Calculated
Temperature pressure I i Value me L j Value me'L
j Use this row when performing a verification instead of
t- — calibration
Sample Location Sample Collection Sample Analysis DO reading
p Time Time ma 1 Comments Data Qualifiers
• When performing analyses at multiple locations, the meter must be recalrbrated at each site before analysis or a post-anal)sis calibration verfication must be performed
' It sample is measured directly m the stream and or onsne. only time anal} zed could be recorded w ith a note that they are measured in situ or immediately
Temperature
Reference Method SOI 2550 B-2010 Instrument iD P � " o O
Sample 'Sample Temperature
Sample Location Collection Analysis °C Comments Data Qualifiers
Time Time
• If sample is measured directly in the stream and or on site, onl% time anal% zed could be recorded, w ith a note that they are measured in situ or immediately
Annual Verification Date 112n2()
Field Personnel Note:
Rev 9-2020
Q a.001

Environmental Chemist, Inc., Wilmington, NC Lab #94
Sample Receipt Checklist
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Client:_ tkoich t p l L. Date: Z� ZD Report Number: 210 _ I �-I !
Receipt of sample:
Delivered UPS ❑ FedEx ❑ Other ❑
❑ YES
❑ NO
A N/A 1. Were custody seals present on the cooler?
❑ YES
10 NO
N/A 12. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt
°C Cor cted temperature upon receipt_
How temperature taken:
❑ Temperature Blank Against Bottles
IR Gun iD: Thomas Traceable S/N 192511657 IR Gun Correction Factor °C: 0.0
❑ NO
3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
rES
ES
❑ NO
4. Were proper custody procedures (relinquished/received) followed?
ES
❑ NO
5.Were sample ID's listed on the COC?
ES
❑ NO
6. Were samples ID's listed on sample containers?
YES
10 NO
1 7. Were collection date and time listed on the COC?
YES
10 NO
8. Were tests to be performed listed on the COC?
YES
❑ NO
9. Did samples arrive in proper containers for each test?
YES
10 NO 110.
Did samples arrive in good condition for each test?
YES
10 NO Ill.
Was adequate sample volume availableT
YES
10 NO 112.
Were samples received within proper holdin time for re nested tests?
<C
NO
g q
13. Were acid preserved samples received at a pH of <2?
❑
4YES0
NO
14. Were cyanide samples received at a pH >12?
❑
NO
15. Were sulfide samples received at a pH >9?
NO
16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? "
O
YES
❑
NO
17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
❑
YES
10
NO
118. Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
* * Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation:
Sample(s)
by adding (circle one):
(Must be completed for any sample(s) incorrectly preserved or with headspace)
were received incorrectly preserved and were adjusted accordingly
H,SO,. HNO, HCl NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for incorrectly preserved samples. Obta'n a new sample or
notify the state lab if directed to ana'yzed by the customer. Who was not1fed, date and time:
tiles Sample(s)
COMMENTS:
were received with headspace
DOC. QA.002

6602 Windmill Way
on, NC 284
4= min
ENVIRONMENTAL CHEMISTS, IN C OFFICE: 9 0-392-0223'IFAX 910 392-4424
Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 [e-mail]
rnl I PrTInM Alun ruAIKI nc rl IOTnr►v
Client:Scotch Hall Preserve
PROJECT NAME: Wastewater (lagoon) effluent
REPORT NO:
ADDRESS:
CONTACT NAME:
PO NO:
REPORT TO: Brian Jernigan
PHONE/FAX: [phone]
COPY TO: Rick Harrel
email:
5ampieu by: / 0-11 a.., 15 SAMPI F TVPF• I o Infhinnt F v Pffl inn• {A/ — Weld CT — cam....•.., on — e.n ct — I.. -
le Identification
Collection
2Ir
N
°
0
`Sam
m
m
�p
z
PRESERVATION
ANALYSIS REQUESTEDE
Date
Time
I Temp
W
Z
Cn
y
=
0
az
Ww
o
Effluent
2 -zo
GSS2.
t }
C
P
X
BOD, TSS
G
G
.-
pH (field):
Quarterly
C
P..
-
X
,
X
NH3, Total N(calc), Total P
Fecal
G
C
G
P
G
G
C
P
G
G
C
P
G
G
Effluent Triannuals)
C
P
X
JTDS,
Chloride
G
G
(March, July, November)
C
p
G
G
C
P
G
G
C
P
G
G
Transfer
Relinqui hed By:
Date/Time
Received By:
Date/Time
1.
2.
s
. Temperature when Received
Delivered By:
Comments:
1 F • Mw.;GNLcu: � m iecfea: Kesam le Requested:
Received By: , . i �' C. ��_� Date:% ZU Time:
TURNAR UND: