WQ0001664_Monitoring - 01-2021_20210223

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0001664
Name of Facility:* Belvedere Plantations
Month:* January Year:* 2021
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR January 20 Belvedere 12.37MB
plantations DMR.pdf
IPDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter:* Greg Spillman
Signature:
�feq Sp{Ili
Date of submittal: 2/23/2021
This will be filled in autorratically
Initial Review
Reviewer: Williams, Kendall

Is the project number correct?* WQ0001664
Is the monitoring report t: Yes r No
accepted?*
Regional Office* Wilmington
Accepted Date: 2/23/2021

FORM: NDMR 05-16
NON -DISCHARGE MONITORING REPORT (NDMR) Pace of

f-WrAK NON -DISCHARGE MONITORING REPORT (NDMR) Pang of

FORM. NDMfR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) page

FORM. NDMR 05-16
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Sampling Person(s) Certified Laboratories
Name: Greg Spillman Name: Enviromental Chernists, Inc. DW # 94
Name. Name: Carolina Water Services Inc. - Eastern Region Certificate # 5162
vwa all linvnitonng oata antra sampling trequencles meet the requirements in Attachment A of your permit? ✓Compliant Non-Corral-iiant
if the facility is non-cornpliant, 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
actionW taken Attars, arirliti—I cho fir if -
iYlffi
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Greg Spillman Pennittee: cwsae
Certification No.: 1004824 Signing Official: -1). � - 11 ll
Grade: 4 Phone Number: 252-241-0661 Signing Official's Title: iS
j 3Z&
�
Has the ORC changed since the previous NDMR? l� Yes (a; No Phone Number: asZ z b, ZS 4 q Permit Expiration: — �133/ 2. $
Signature Date
BY this signature, 1 cerltty that this report is ac:currate and cornplete to the best of my knewdedyje
_f q -z f
Signature Date
i Gently, under penalty of law, that this docrrment and all atlachmenis Ware prepared under my direclim of supervision in
accordance with a system designed to assure trust all qualified personnel prc4aor4y gathered and evaluated the Infor'matiwr
submitted, Based on my inquiry of the person or peWxas who rn.�nage the system, or those persons directly responsible for
gathering the information, the infonnation submitted is, to the best of my krwwledge and ballet true, w=ufaw and complete, I am
aware that there are significant penalties fof submliting false infortnalion, including the posslbdity 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-I6 NON -DISCHARGE MONITORING REPORT {NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Greg Spillman Name: Enviromentai Chemists, Inc. DW # 94
Name:
Name: Carolina Water Services Inc. - Eastern Region Certificate # 5162
Goes all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? a Unipliant F-] won-Comphant
If the facility is non -compliant, phrase 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
ORC: Greg Spillman
Certification No.: 1004824
Grade: 4 Phone Number: 252-241-0661
Has the ORC changed since the previous NDMR? (_-] yes if; No
` Signature Date
By this signature, I certify that this retort is ar:Cunate and complete to the best of my knowtedcgo.
Permittee: C L, SN c
Signing Official: -D. - - 0:
Signing Official's Title: —!--)- <<f�
Phone Number: Z ; Z
Permittee Certification
3 51 zc.
Permit Expiration: 2(1_._
_._ Z
Signature Date
I certify, under penalty (N taw, that this document and aN ,afiachmtnls were prepared under my dfiwfitxi or supe,vision in
wc:ordarrao with a system designed to assure that all qualified personnei properly gathered and evaluated the l
Submitted, Based on my ingtilry of it*) person or persons who manage the system, or those persons dirarnronnatiarttry responsible for gathering the information, the information Swbmitted is, to the best of ny.krowledge and Wiief, true: accurate. and nompiete. I ana aware that there are significant penalties for submritfng fate a infnnnalion, inciWing the possiNifty of fines and imprisonment for
knowing vininticns.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699.1617

, + rm. l,4LJjvjK L)O-Jt)
NON -DISCHARGE MONITORING REPORT (NDMR)
Page_____ c)f
Sampling Person(s)
Name: Greg Spillman
Certified Laboratories
Name: Enviromental Chemists, Inc. DW # 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? i cornpliarlt I'l Noll :nrapjiart
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 (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? I Yes No
Signature Date
By this signature. I certify that ttlis report is a=M10 and complete to ltre best of my kjloMsdgft,
Permittee Certification
Parriliftee: / Ws Iq
Signing official: � ­ — N: I I
Signing Official's Title: -:D.— ., 2 6r.)
3-91 .:2 I -
Phone Number: 2 5 a Permit Expiration: —1-131/2-02G­
Signature
Date
certify, under penalty of Irw, that this dcolnent and all attedW10146 were prepared under my direction or sAjperW sioinIC001dance -th a system designed to assure- that all qoa1;fiwj persoln9l property gathered and
evaluated tile'ft"natiorl submitted. Based oil my lnqt4ry of tire person or persons who manage the ayetern. of those r
gathering the information. the information submitted is, to the persons directly responsible for
best Of MY knowledge arid belief, lfu84 Rcalral(). and coniplet, ,%VaMl that there are sigrifficant penalties for $uba)jtt1rl0 false infolarlatio), i , I all)
knowing violations MiUding the possibility of fines end ImPri5onment for
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
Permit No.: W00001664
Facility Name: Belvedere Plantation WWTF
county: Pender
Month: January
Year: 2021
Did infiltration occur at
Site Name:
A
Site Name:
B
Site Name:
C
Site Name:
this facility?
Area (acres):
0.27
Area (acres):
0.27
Area (acres):
0.27
Area (acres):
- YFS NO
Rate (GPD/ft):
8.55
Rate (GPD/ft):
8.55
Rate (GPD/ft):
--
8.55
Rate (GPD/ft):
Weather
Freeboard
Site Infiltrated?
YES No
Site Infiltrated?
YES [I NO
Site Infiltrated?
[; YES [] NO
Site Infiltrated?
❑ YES NO
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ft
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gal
min
GPD/ftZ
ft
gal
min
GPD/ft2
ft
gal
I min
GPD/ftZ
ft
1
CL
1
22,623
1410
1.92
0.00
61,442
1410
5.22
0
45,758
1410
3.89
0.00
2
CL
25,600
1410
2.18
0.00
69,773
1410
5.93
0
88,781
1410
7.55
0,00
3
CL
25,600
1410
2.18
0.00
69,773
1410
5.93
0
88,781
1410
7.55
0.00
4
C
49
0.8
25,600
1410
2.18
0.00
69,773
1410
5.93
0
88,781
1410
7.55
0.00
5
C
39
0
3'4"
14
27,618
1560
2.35
0.00
72,238
1560
6.14
0
59,034
1560
5.02
0.00
6
CL
40
0
21,904
1440
1.86
0.00
57,967
1440
4.93
1 47,684
1440
4.05
0.00
7
CL
37
0
25,396
1440
2.16
0.00
69,498
1440
5.91
0
56,902
1440
4.84
0.00
8
C
47
0.7
37,547
1440
3.19
0.00
80,439
1440
6.84
0
63,333
1440
5.38
0.00
9
CL
41,517
1440
3.53
0.00
65,768
1440
5.59
0
51,742
1440
4.40
0.00
10
CL
41,517
1440
3.53
1 0.00
65,768
1440
5.59
0
51,742
1440
4.40
0.00
11
PC
36
0
3'4"
14
41,517
1440
3.53
0.00
65,768
1440
5.59
0
51,742
1440
4.40
0.00
12
R
45
0.7
40,323
1500
3.43
0.00
67,420
1500
5.73
0
49,023
1500
4.17
0.00
13
CL
43
0
30,253
1380
2.57
0,00
45,207
1380
3.84
0
39,044
1380
3.32
0.00
141
C
43
0.2
0
1980
0.00
0.00
0
1980
0.00
0
0
1980
0.00
0.00
1.51
CL
53
0
0
1,980
0.00
0.00
0
1,980
0.00
0
0
1,980
0,00
0.00
161
R
42,549
1,350
3.62
0.00
39,740
1,350
3.38
0
9,059
1,350
0.77
0.00
17
C
42,549
1,350
3.62
0.00
39,740
1,350
3.38
0
9,059
1,350
0.77
0.00
18
CL
0.3
3'4'
14
42,549
1,350
3.62
0.00
39,740
1,350
3.38
0
9,059
1,350
0,77
0.00
19
C
35
0
42,549
1350
3.62
0.00
39,740
1350
3.38
0
9,059
1350
0.77
0.00
20
CL
57
0
62,820
1500
5.34
0.00
65836
1 1500
5.60
0
61405
1500
5.22
0.00
21
C
47
0
47569
1560
4.04
0.00
51233
1 1560
4,36
0
50444
1560
4.29
0.00
22
C
53
0
43,595
1440
3.71
0.00
47,721
1440
4.06
0
47,302
1440
4.02
0.00
23
C
44,020
1420
3.74
0.00
48,905
1420
4.16
0
51,267
1420
4.36
0.00
24
CL
44,020
1420
3.74
0.00
48,905
1420
4,16
0
51,267
1420
4.36
0.00
25
R
44
0
3'4"
14
44,020
1420
3.74
0.00
48,905
1420
4.16
0
51,267
1420
4.36
0.00
26
R
51
0.8
44,105
1500
3.75
0.00
47,104
1500
4.01
0
50,213
1500
4.27
0.00
27
R
53
0A
46,673
1560
3.97
0.00
51,430
1560
4.37
0
55,532
1560
4.72
0.00
28
C
37
0.4
51,766
1320
4.40
0.00
57,330
1320
4.87
0
63,419
1320
5.39
0.00
291
CL 1
29 1
0
50,488
1440
4.29
0.00
54,048
1440
4.60
0
60,214
1440
5.12
0.00
301
CL
53,718
1440
4.57
0.00
56,780
1440
4,83
0 1
61,845
1440
5,26
0.00
311
C I
I
I
1
�.z,
53718
1440
4.57
0,00
56780
1440
4.83
0 1
61845
1440
5.26
0.00

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
El Non-comaiant
If not a basin, were the sites kept free of vegetation and raked?
(l] t on,plrant
Non -Compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites?
[ f Cofnpliant
L_� Non-Com0ont
If a basin, were there any instances of breakout from the berms?
Compliant
C] Non-Compiant
Was the onsite automatically activated standby power source tested and operational?
r>> Compliant
n Non-Compltant
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 -cornpliarice and describe the corrective
action(s) taken. Attach additional sheets if necessafv
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Greg Spillman
Permittee:
Carolina Water Service, Inc N.C.
Certification No.: 1004824
Signing Official: Dana Hill
Grade: 4 Phone Number: 252-241-0661
signing Official's Title: Director of Operations
Has the ORC changed since the previous NDAR-2? (,:__) Yes = No
Phone Number: 800-348-2383 Permit Exp.: iCW)W 3/31 /26
Dpdally signed by Dana Hill
DN
1he N0 CN=Dana Hill E=tlana nill@arolinawate se icenc com
I m
Reason. am tl1e n,C,or If tors doanent
Dana Hill Date' 2021 02.19 10.24 45-05'00'
- - F-1PnyourPDF V lopbon nere
Foxit PnanbmPDF Version 10 1 1
Signature Date
Signature Date
By this signature. I certify that this report Is accarrrate 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 pefsonnel properly gathered and evaluated the infomlation
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 IMDrmationincluding the possibility of tines 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