WQ0004823_Monitoring - 12-2020_20210202

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0004823
Name of Facility:* Pine Island CC
Month:* December
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2020
Upload Document*
PICC Binder.pdf 368.84KB
FDF only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
[e-mail]
Rebecca Manning
Reviewer: Williams, Kendall
2/2/2021
This will be filled in automatically

Is the project number correct? * WQ0004823
Is the monitoring report r Yes r No
accepted?*
Regional Office * Washington
Accepted Date: 2/2/2021

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: Q0004:
- • •
December•
-
• irrigation occur
at this facility?
YES NO
..
..
..
..
�Om___��
• •
• •
------------

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
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? ❑ Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑ 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: John Pruitt
Permittee:
Pine Island Country Club
Certification No.: 26021
Signing Official:
Grade: WW4 Phone Number: 252-245-6632
Signing Official's Title:
Has the ORC changed since the previous NDAR-1? ❑ Yes ❑ No
Phone Number: 252-235-4900 Permit Exp.: 4/30/24
1-29-2021
1-29-2021
Signature 61 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: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: W00004823
Facility Name: Pine Island-Currituck Club WWTP
County: Currituck
Month: December
Year: 2020
PPI: 001
138600 ❑ Influent ❑ Effluent ❑ No Flow generated
Parameter Monitoring Point: El Influent ❑Effluent ❑Groundwater Lowering ❑Surface Water
Parameter Code 10
50050
00310
00940
31616
00610
00625
00620
00600
00400
00665
70300
00530
00076
R
•i
QE
V F
O
O
N
N
O
°
M
LO
O
m
°
L
U
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LL p
U
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E
Q
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y
Y 2
=
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N
Z
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*L''
z
G
V1
LO
o CL
d
N y
o v°, o
y (n
0
'p y
o a o
~ y fn
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•'
7
F
24-hr
hrs
GPD
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
mg/L
NTU
1
08:00
3
54,220
2
08:00
3
61,920
3
08:00
3
60,210
4
08:00
2
75,260
5
75,260
6
75,260
7
08:00
3
70,520
8
08:00
2
58,590
9
08:00
3
74,810
10
08:00
4
58,440
11
08:00
3
71,830
12
08:00
1
63,830
13
08:00
1
73,620
14
08:00
4
52,460
15
08:00
4
54,340
16
08:00
1
49,160
17
08:00
4
73,520
18
08:00
1
70,720
19
62,010
20
62,010
21
08:00
3
62,010
221
08:00
2
7,700
23
08:00
3
73,160
24
08:00
1
115,520
25
08:00
1
114,120
26
120,695
27
120,695
28
08:00
1
85,200
29
08:00
1
157,730
30
08:00
1
144,600
31
08:00
1
142,610
Average:
78,775
Daily Maximum:
157,730
Daily Minimum:
7,700
Sampling Type:
Recorder
Composite
Composite
Grab
Composite
Composite
Composite
Composite
Grab
Composite
ComIYear
Composite
Recorder
Monthly Avg. Limit:
600,000
10
14
4
5
Daily Limit:
15
25
6
10
10
Sample Frequency:
Continuous
2 x Week
3 x Year
2 x Week
2 x Week
2 x Week
2 x Week
2 x Week
5 x Week
2 x Week
3 x
2 x Week
Continuous

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: W00004823
Facility Name: Pine Island/Currituck Club WWTP
County: Currituck
Month: December
Year: 2020
PPI: 002
Flow Measuring Point: Influent ❑EfFluent ❑ No Flow generated
Parameter Monitoring Point: El Influent Effluent ❑Groundwater Lowering ❑Surface Water
Parameter Code 10
50050
00310
00940
31616
00610
00625
00620
00600
00400
00665
70300
00530
00076
T
p
fC
•i
Q E
U
O
C'
N
E_ t_
F N
O
LL
�
m
L
L
U
R O
G w
LL p
U
W
•�
O
Q
t
N
y
N
Y D
:° z
N
i
Z
y
+�+ a1
F O
z
2
G
N
LO
+�+
~ O
d
•p
+�+ > 'G
O
F y N
0
'G
N
~ N fA
N
7
H
24-hr
hrs
GPD
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
mg/L
NTU
1
08:00
3
0
6.7
7.34
2
08:00
3
0
6.7
6.84
3
08:00
3
0
6.7
6.9
4
08:00
2
0
6.7
6.92
5
0
6.9
6
0
6.9
7
08:00
3
0
6.7
7.3
8
08:00
2
0
6.7
6.97
9
08:00
3
0
6.7
7.3
10
08:00
4
0
6.7
7.2
11
08:00
3
0
6.7
5.83
12
08:00
1
0
6.7
7.33
13
08:00
1
0
6.7
6.94
14
08:00
4
0
6.7
6.43
15
08:00
4
0
<2.0
<1.0
2.9
1.5
10
11.7
6.7
3.85
3.8
5.4
16
08:00
1
0
6.7
9.3
17
08:00
4
0
6.7
9.3
18
08:00
1
0
6.3
9.6
19
0
9
20
0
9
21
08:00
3
0
6.8
9.3
221
08:00
2
0
6.8
9.7
23
08:00
3
0
6.8
8.48
24
08:00
1
0
6.7
7.5
25
08:00
1
0
6.7
6.8
26
0
6
27
0
6
28
08:00
1
0
4
28
2.3
20.7
18
20.7
6.9
4.47
17.8
6.9
29
08:00
1
0
6.9
7.3
30
08:00
1
0
6.8
7.1
31
08:00
1
6.7
5.2
Average:
0
2.00
5.29
2.60
11.10
14.00
16.20
4.16
10.80
7.39
Daily Maximum:
0
4.00
28.00
2.90
20.70
18.00
20.70
6.90
4.47
17.80
9.70
Daily Minimum:
0
2.00
1.00
2.30
1.50
10.00
11.70
6.30
3.85
3.80
5.20
Sampling Type:
Recorder
Composite
Composite
Grab
Composite
Composite
Composite
Composite
Grab
Composite
Composite
Composite
Recorder
Monthly Avg. Limit:
500,000
10
14
4
5
Daily Limit:
15
25
6
10
10
Sample Frequency:
Continuous
2 x Month
3 x Year
2 x Month
2 x Month
2 x Month
2 x Month
2 x Month
5 x Week
2 x Month
3 x Year
2 x Month
Continuous

FORM: NDMR 03-12 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? ❑ 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 Pruitt
Permittee: Pine Island Country Club
Certification No.: 26021
Signing Official:
Grade: WW4 Phone Number: 252-245-6632
Signing Official's Title:
Has the ORC changed since the previous NDMR? ❑ Yes ❑ No
Phone Number: 252-235-4900 Permit Expiration: 4/30/2024
1-29-2021
'Lo
1-29-2021
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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page of
Did the application rates exceed the limits in Attachment B of your permit? ❑ Compliant ❑ Non -Compliant
If not a basin, were the sites kept free of vegetation and raked? ❑ Compliant ❑ Non -Compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites? ❑ Compliant ❑ Non -Compliant
If a basin, were there any instances of breakout from the berms? ❑ Compliant ❑ Non -Compliant
Was the onsite automatically activated standby power source tested and operational? ❑ 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 Pruitt
Permittee:
Pine Island Country Club
Certification No.: 26021
Signing Official:
Grade: WW4 Phone Number: 252-245-6632
Signing Official's Title:
Has the ORC changed since the previous NDAR-2? ❑ Yes ❑ No
Phone Number: Permit Exp.: 4/30/24
1-29-2021
1-29-2021
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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617