WQ0001664_Monitoring - 12-2020_20210204

FORM: NDAR-210-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page
Permit No.: W00001664
Facility Name: Belvedere Plantation WWTF
County: Pender
M°mh December
Year: 2020
Did infiltration occur at
Site Name:
A
Site Name:
B
She Name:
C
Site Name:
this facility?
Area Owa.):
0.27
Area(acres):
0,27
Area porea):
027
Am (acres):
21 YES ❑ NO
Rate (GPDife):
8.55
Rate (GPWftr):
8.55
Rate (GPD/fe):
8.55
Rate (GPDMe):
Weather
Freeboard
Sim Infilmnetl9
F]YE5 ❑NO
Site InflNreted?
ElYES El NO
site Infftratetl4
❑YES -1No
Site Intimation?
❑YEs ❑NO
o
D
�'
g
`=
r�6
Nftad
gg
,am
o D
a$@
><
_
=a
°s"mus
�•
°G
in
-
a
J
$m
LL
a -'
>a
E�
c
z•5
D
$Ge
N_
"F
in
tt
min
GPD/ftt
ft
gal
min
GPDfle
it
gel
min
GPD/ft`
fl
gal
min
GPDNIr
It
1
CL
44
0
74,183
60
6.31
ON
36037
60
3.23
0
16,996
60
145
0.00
2
CL
T44
F 0
50,800
0
4.32
0.D0
29,981
0
2.56
0
19.789
0
1.68
ON
3
CL
53
1 0
1
50,750
0
4.32
0.00
29,982
0
2,55
0
19,901
0
1160
am
4
CL
40
0
50,748
60
4.31
0.00
29,981
N
2,55
0
19,6]]
60
16]
0.00
5
CL
61,661
0
&20
0.00
24,802
0
2.11
0
21268
0
1.81
000
S
C
1
61.867
0
5.26
000
24,802
0
2.11
0
21268
0
181
000
7
C
48
0,05
37'
14
61,86]
0
5.26
000
24,802
0
2.11
0
21,268
0
181
0.00
a
CL
34
0
88,419
0
7.52
0.00
24,478
0
2.08
0
28,486
0
2.42
0.00
9
CL
34
0
54,199
120
4.61
0.00
14,521
120
123
0
19531
120
1.66
000
10
CL
4]
0
]6,69]
120
6.52
0,00
21226
120
1.80
0
2040
120
2.38
0.00
it
CL
51
0
69384
0
5.90
0.00
30,333
0
2.58
0
26,139
0
2.22
0.00
12
R
64.052
0
545
0.00
23,670
0
201
0
27,549
0
2.34
0.00
13
C
84,052
0
5.46
000
23,670
0
201
0
29,549
0
2.34
0.00
14
R
81
0.3
37
14
64,052
0
5.45
000
23,670
0
2.01
0
27, 549
0
2.34
D.00
15
C
39
0.2
1 63,100
120
5,37
000
120
1,91
0
31,2DO
120
2.65
9,00
18
R
48
0
74,593
120
6.34
0.00
120
18414,333
999
120
2,04
0.00
17
C
41
1.1
80790
120
6.87
0.00
120
2,1326]
120
1.98
000
18
CL
39
0
75,380
60
641
0.00
60
19604
60
1.39
000
19
CL
64,69]
300
7.20
0M
300
1]i090
300
1'4
0.GO
F.
CL
84,89]
300
].20
0.00
p
300
1 �1090
300
1.54
000
21
R
43
11
3'3"
14..
NB9]-
300
- ]20_
0.00
300
17190
300
1.54
0.00
-
--
-
22
CL
48
0
109,575
0
9,32
000
0
2.05152
0
1.54
0.00
23
C
43
0
65,304
420
5.64
0.DO
420
1.09]93
420
1.00
0.00
24
CL
8],438
456
I43
0.00
456
2.30333
456
2.07
0.00
2a
CL
87,438
456
].43
000
456
2.30333
456
2.07
0,00
26
C
87,438
456
7.43
0.00
2ZW1
456
2.30333
456
2,07
0.00
2]
CL
87.438
456
]43
0.00
2],0]1
4%
230
0
24,333
956
20]
0.00
28
CL
38
04
3'4"
14
87,438
456
].43
0.00
2],0]1
456
2.30
0
24,333
456
2.0]
000
29
GL
40
0
82,161
840
].89
0.00
28,955
890
246
0
30,ID0
640
2.56
0.00
30
CL
35
0
7,401
1"0
063
0.00
20487
1440
174
0
4].233
1440
4.02
0.00
31 C 65 0
M.Ethly Lcaafirg JGPDfftej,
Vearto Date Loatlln GPDI(F:
7941E
1500
6,75
6.13
16.52
0.00
21500
1500
1.83
2.08
1566
48517
1500
4.13
2.06
14.1E
0.00
#Dn'101

FORM: NOAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (MDAR-2) Page of
Did the application rates exceed the limits in Attachment 6 of your permit?
If not a basin, were the sites kept free of vegetation and raked?
If not a basin, were there any instances of effluent ponding in or runoff from the sites?
If a basin, were there any instances of breakout from the berms?
Was the onsite automatically activated standby power source tested and operational?
❑�, Compliant
❑ Non -Compliant
0 Compliant
❑ Non -Compliant
❑� Compliant
❑ Non -Compliant
Compliant
❑ Non -Compliant
�j Compliant
❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reasons) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
actions) taken. Attach additional sheets If necessary.
operator in Responsible Charge (ORC) Certification
Permittee Certification
ORc: Greg Spillman
Permittee:
Carolina Water Service, Inc N.C.
Certification No.: 1004824
signing Official:
Grade- 4 Phone Number: 252-241-0661
Signing Official's Title:
Has the ORC changed since the previous NDAR•2? ❑ Yes ( J N.
Phone Number: 800-348-2383 Permit Exg • 1131/20
Digitally y Dana Hill
signed
■ DN: C=US, O=CWSNC, CN=Dana Hill,
com
Reason: I am the author of this document
Dana Hill E ratio
:your signing
g location
Location: your signing location here
Date. 2021.02.01 10:12:55-05-00'
Foxit PhantomPDF Version: 10.1.1
Signature
Date Signature pate
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penally of law, that this document and all attachments were prepared under my direction or supeNision in
accordance with a system designed Io assure Mat all qua Iifed 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 penalttes 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 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page -of
Permit No.: W00001664
Facility Name: Belvedere Plantation WWTF
County: Fender
Month: December
Year: 2020
PPI: 001
Flow Measuring Point: ❑ lonoem Ej innuent ❑ N. flan gereatea
Parameter Monitoring Point: ❑ Innuem 0' Smuent ❑ amundwater p. eying [] sodas Warty
Pam meter Coyle -
50050
00310
00940
50060
31616
00610
00625
00620
moo
00400
00665
70300
00530
00076
O
'w
O
O
m
s
F
~Z
~�
n
a
s o
SON
v
top
o yip
m
a
T4-M1r
hrs
GPO
mgIL
ni
ni
W100 mL
mglL
m L
mglL
m L
su
m L
mg/L
m91L
NTU
1
08'.05
1
16,500
<2
0.43
ct
02
0.9
0.03
09
7.49
1.14
<2.5
342
2
10:50
42,6D0
0.32
7.45
22
3
6930
8,600
0.3
747
1.8
4
07 M
1
0
12
024
'l
1 <0.2
0.9
3.53
4.4
79
1
12.5
0.35
5
64,300
110
6
64.300
<10
0925
1
64.300
<2
0.31
<1
0.3
0.5
1 77
2.3
7.8
1.04
<2.5
076
8
1017
1
78,300
0.13
7.45
0.59
9
07:50
1
19,800
12
0,15
<1
<0.2
0.5
3.62
4.1
7.41
1.08
2.5
0.55
10
10:07
1
107,700
0.15
743
047
11
0845
1
42,500
021
778
0.57
12
27,100
<10
10
I 27,100
<10
14
0730
1 1
27,100
12
026
<2
<0.2
0.8
214
Z9
7.55
1.35
2.5
159
15
07:30
1 1
75 700
0.13
7.42
1 02
16
07:30
1 1
91,100 1
2
0.15
c1
0.2
1.2
371
4.9
74
1.39
<2.5
1.6
17
07:45
1
93,500
1
0.17
7.3
075
18
W:45
1
40,600
0.1
7.3
0.49
19
65900 1
<10
20
65900 1
<10
21
08:30
1
65,900
<2
0.15
<1
02
0.9
195
2.8
7.45
146
<2.5
065
22
08:15
1
76, 100
12
0.11
<1
<0.2
0.6
2.34
2.9
74
1,32
<2,5
045
20
0915 1
1
100,000
0.12
7.38
0.52
25
24,860
110
28
24,860
<10
27
24,860
<10
28
08,00
1
24,860
0.1
T7
6.61
29
08,00
1
5,700
2
028
2
0.2
1
1.89
2.9
7,66
2.21
<2.5
0.66
00
0800
1
1,800
2
022
a1
<0 2
0.6
078
1.4
73
1 06
<2.5
4.87
91
0800
1
1,700
0.24
745
877
Average:
45,116
0.00
0.20
1.00
0.11
079
2.18
2.95
1.31
000!R�.,d.,
Daily Maximum:
107,700
2.00
0A3
2.00
0,30
1,20
371
4.90
790
2.21
2,W
Deity Minimum:
0
2.00
0.10
100
020
0.50
003
OHO
7.30
1,00
2.50
Sampling Type:
Recorder
Composite
Composite
Gmb
Grab
Composite
Composite
Composite
Composite
Grab
Composite
Composite
Composne000
10
14
4
7
3
5
15
25
6
6-9
10
2XWeek
3X Veer
5X Week
2XWea6
2XWeek
2XWeek
2XWeek
2XWeek
SXWeek
2XWeek
3XYear
2XWeek
s

NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Sampling Person(s)
Name: Greg Spillman
Name
Certified Laboratories
Name: Enviromental Chemists, Inc. DW # 94
Name: Carolina Water Services Inc. - Eastern Region Certificate # 5162
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? n Compliant i] Noncompliant
If the facility is non -compliant, please explain in the space below the reasons) 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
ORC: Greg Spillman
Certification No.: 1004824
Grade: 4
Phone Number: 252_241-0661
Has the ORC changed since the previous NDMR? [f Yes Fj-1j PJo
Signature
Date
By this signature, I certify that this report is accurrafe and complete to the best or my knowledge.
Permittee Certification
Permittee:
Signing official:
Signing Official's Title:
Phone Number:
DigitallySP"IlElpliration: 1/131/2021,
DN: C=US, O=CWSNC, CN=Dana Hill,
E com
Dana
Hill
Reason: I am the author of this document
ratio
:youraignin brattier herec
Location: your signing location here
Date: 2021.02.01 10:14:11-05'00'
Foxit PhantomPDF Version: 10.1.1
Signature Date
l cenify, 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 informalion submitted is, la the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are sign Mica nt penalties for submitting false information, including the possibility of fines and imprisonment for
knowing vlolations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Flow Measuring Point: D Influent 2 Effluent El No How generated
Parameter Monitoring Point: El Irfi-eur El Effluent El Groundwater Ldwaring [:] Surface wader
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FORM; NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Persorl Certified Laboratories
Name: Greg Spillman Name: Enviromentaf Chemists, fnc. DW 4 94
Name: Name: Carolina Water Services Inc. - Eastern Region Certificate # 5162
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? U Comp,lant IJ 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 ehplanation the date(s) of the non-compliance and describe the corrective
actioi taken. Attach additional sheets if necessary
Operator in Responsible Charge (ORC) Certification
I ORC: Greg Spillman
i Certification No.: 1004824
Grade: 4 Phone Number: 252-241-0661
Has the ORC changed since the previous NDMR? ;J Yes ;J No
1 LQ —
Signature Date
8y this signature. I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee:
Signing official:
Signing Official's Title:
Phone Number:
Permit Expiration: 1/31/2020
Digitally signed by Dana Hill
■
DN: C=US, O=CWSNC, CN=Dana Hill,
F nacom
ate
Dana
Hill
Reason: I am the author of this document
ratio he
ion
Location: your signing location here
g location
:your signing
Date: 2021.02.01 10:15:37-05'00'
Foxit PhantomPDF Version: 10.1.1
Signature Date
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 qua lifted personnel property 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 inrorrnalion submitted is, to the best of my knowledge and belief, True, accurate, sad complete. I am
aware that there are sign cant penalties for submilting false information, including the possibitily 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 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permk No.: 'Vq ifiriC 1&4
Family Name: Belvedere Plantation WWTF
county: Pander
Month: December
Year: 2020
PPI: 003
Flow Measuring Point: El influent ElEffnerb El No Pow gererama
Parameter Monitoring Point: ❑:enuenr ❑emaer4 EGrrurdwaterlcu ug ❑%Mee Water
Parameter COCe ti1
50050
00940
31616
00610
00620
00400
00665
70300
00600
50060
00660
e
m
J F
0
0
F in
of
0
a
c
€
g o
o
E
a
=
oL
x
o$
°
u
0 0 0
om
o
z
F a 'o
rc0
W
o�
f
24hr
hrs
GPD
mg/L
#/100 mL
mg/L
mgn.
su
mglL
mg/L
mg]L
mg/L
m L
1
03:05
1
445,134
2
1
443,930
3
1
446,231
4
0903
1
440,730
<1
<0.2
<0.02
j 7.69
0.29
0.5
0
5
441,581
6
441,581
T
0727
1
<41,581
8
11:25
1
243,375
9
11:19
1
376,165
<i
<0.2
<0.02
75
<0.04
0.6
0
10
09:55
1
352,454
11
09:21
1
W3,945
12
428,535
13
428,535
-
14
0650
1
428,535
15
06.53
1
141,015
16
09:19
1
398,062
<1
<0.2
a0.02
746
042
0.6
0
iT
08:58
1
364,718
18
0706
1
3<5,942
19
377,085
20
3]].085
21
W:58
1
377,086
22
1051
1
434,926
<i
0.3
<002
749
e004
0.6
0
23
1
436,053
24
(
404,613
25
<4,813
26
404,813
27
404813
28
02:11
1
404,813
29
07:00
1
381,197
30
1
342,135
et
<02
0,02
7.59
0,75
0.8
0
311
0712 1
1
274.200
Average:
386,964
Daily Maximum.
446231
Daily Minimum:
141,015
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
W8,218
250
15
10
500
Daily Limit:
6.5-8.5
Sample Frequency:
ConOnmus
3 X Year
WeeYJy
Weekly
Weekly
Weekly
Weekly
3 X Year

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Persoo(s)
Name: Greg Spillman
Certified Laboratories
Name: Enviromental Chemists, Inc. ❑W # 94
Name: 11 Name: Carolina Water Services Inc. - Eastern Region Certificate # 5162
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? [Z Compharlt F] 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
actions} taken. Attach additional sheets if necessary.
Operator in Responsible Charge (0RC) Certification Permittee Certification
ORC: Greg Spillman Permittee:
Certification No.: 14D4824 Signing Official:
Grade: 4 Phone Number: 252-241-0661 Signing Official's Title:
Has the ORC changed since the previous NDMR? E] Yes ]rue Phone Number: Permit Ex iration: 1/31/2020
Digitally signed by Dana Hill
■ DN: C=US, O=CWSNC, CN=Dana Hill,
Dana Hill E=dana :your signing
g aterlocation herec com
Reason: I am the author of this document
Location: your signing location here
Date: 2021.02.01 10:17:02-05'00'
Foxit PhantomPDF Version: 10.1.1
Signature Date Signature Date
BY thls signature, I certify that this report is accurrate and complele 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 quakried 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 (here are significant penalties for sub milling False information, including the possibility of fines and imprlsonmant 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