WQ0029653_Monitoring - 11-2020_20210108

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0029653
Facility Name: Scotch Hall Preserve WWTP
County: Bertie
Month: November
Year: 2020
PPI: 001
Flow Measuring Point: F-7 Influent ❑ Effluent ❑ No Flow generated
Parameter Monitoring Point: Influent ,_'; Effluent ❑ Groundwater Lowering ❑ Surface water
Parameter Code 10
50050
00310
00940
50060
31616
00610
00625
00620
00600
00400
00665
70300
00530
�oU
ii
>
O
C
0
=
ix
O
1n
O
m
'O
y
C
0
0 L
R U
F
[
LL O
U
C
E
Q
=
c
y
Z
0
G1
Z
c
y
o
2
N
0
L
N
) y
0
N
0
o
MU 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
3,775
2
07:00
1
3,775
3
3,775
4
3,775
5
07:00
1
3,775
6
07:00
2
27,728
7
27,728
8
27,728
9
07:00
3
27,728
10
27,728
11
27,728
121
07:00
1
27,728
13
07:00
3
11,263
14
11,263
15
11,263
16
07:00
5
11,263
<2
85
0.15
<1
4.4
11
0.16
11.2
7.3
2.96
396
24
17
11.263
181
11,263
19
11.263
20
07:00
2
7,641
21
7,641
22
7,641
23
07:00
1
7,641
241
7,641
25
7,641
26
7,641
27
07:00
2
7,253
28
7,253
29
7,253
301
07:00
1
7,253
31
Average:
12,477
0.00
85.00
0.15
1.00
4.40
11.00
0.16
11.20
2.96
396.00
24.00
Daily Maximum:
27,728
2.00
85.00
0.15
1.00
4.40
11.00
0.16
11.20
7.30
2.96
396.00
24.00
Daily Minimum:
3,775
2.00
85.00
0.15
1.00
4.40
11.00
0.16
11.20
7.30
2.96
396.00
24.00
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
4 X Year
4 X Year
4 X Year
4 X Year 1
4 X Year
Per Event
4 X Year
3 X Year
4 X Year

i
FORM: NDMR 05-16
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Sampling Person(s) Certified Laboratories
Name: TOM BEASLEY Name: ENVIRONMENTAL CHEMISTS, INC.
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? C 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? j Yes 0 No
Phone Number: 919-300-9316 Permit Expiration: 2/28/2026
ature 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

Cevirochem
No —
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 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]
Scotch Hall Preserve
Date of Report:
Dec 01, 2020
105 Scotch Hall Court
Manteo Report #:
20M-2062
Merry Hill NC
27957 Report #:
2020-19516
Attention: Brian Jernigan
Customer ID: 17050011
Project ID: Wastewater
Lab ID Sample ID:
Collect Date/Time Matrix
Sampled by
20-49647 Site: Effluent
11/16/2020 8:40 AM Water
Tom Beasley
Test
Method Results
Date Analyzed
Ammonia Nitrogen
EPA 350 1
4.4 mg/L 11 /20/2020
Chlorine
Hach8167
0.150 mg/L 11/16/2020
Temperature
SM 2550 B
19.9 C 11/16/2020
pH
SM 4500 H B
7.3 units 11/16/2020
Total Phosphorus
SM 4500 P F
2.96 mq/L 11 /24/2020
Total Nitrogen (Calc)
Total Kjeldahl Nitrogen (TKN)
EPA351.2
11.0 mg/L 11/24/2020
Nitrate+Nitrite-Nitrogen
EPA353.2
0.16 mg/L 11/23/2020
Total Nitrogen
Total Nitrogen
11.2 mg/L 11/30/2020
Lab ID Sample ID:
Collect Date/Time
Matrix Sampled by
20-49648 Site: Effluent - Triannual
11/16/2020 8:45 AM
Water Tom Beasley
Test
Method
Results Date Analyzed
Total Dissolved Solids (TDS) SM 2540 c 396 mg/L 11 /18/2020
Chloride SM 4500 Cl E 85 mg/L 11 /24/2020
Lab ID Sample ID: W3597 Collect Date/Time Matrix Sampled by
20-49649 Site: Effluent 11/16/2020 8:40 AM Water Tom Beasley
Test Method Results Date Analyzed
Fecal Coliform IdexxColilert-18 <1 MPN/100ml 11/16/2020
Residue Suspended (TSS) SM 2540 0 24.0 mg/L 11/19/2020
BOD SM 5210 B-2011 <2 mg/L 11 /18/2020
All OC requirements for DO depletion not met. Result estimated.
Comment
Reviewed by:
Report #::2020-19516 Page 1 of 1

Date: �'— + ( —Z0 45Z
-� u
94
Facility Name: -&
Analtst: 1
Permit ,
PH
Reference Method SSl45CO H-B -2311 Instrument ID Ph 00 4 Caitrnon Ttme Cal Buffer 4.0 s u Cal Buffer to 0 s u Check Buffer 7 0 s u
Comment
(�)
I0. di7 ¢ f )
f) ,
'pi check butter must read within ± 0 1 pH units of ti:e buffer's true %a!ue
4 su buffer Lot --'.-.Ricca 2001B20 Erp 1 /2022 7 St: buffer Lot=': Ricca 2008993 Exit. 7 2022
10 su buffer Low _ Ricca I001791 7 20? 1 _
Sample Collection San, ,
Sample location I i pl: Arai:sis pH Resl!t ►Post-anaJ�;t; Blffer I
Time• + Time♦ s u Check ta'ue s u ComrrerLs Data Quahtiars
-7 Z 10 7 2 7. Z6 1 o
M t,1 i O Tz I o Z
FF D844) 7. ',II 7,0S
► Post ana4 si; but; r check i; required %then performing anal%ses at multiple sampling locations and rrast be with n = D 1 unit; C.--the ba(fer's i-1_ %a!ue
N pH values in pit uric; (i e . s u ) Record all data to the nearest 0 GI s u and report to the nearest G I s t.
Total Residual Chlorine (TRC)
Reference Nfethe S. 14500 CI-G2 11- iach 8167 FIR 7 (Alease circle a licabie Siethod . 1ns:rumens iD C'I 00 y
Da !% Check i Post-ana • ��
ime the
Sta•td_r.l Re,u'! ! Sample Sample
Check lv z Standard i C'olle ptinn A atop,!; TRC Re�
l z r mz L hen anahzing I I I Loca;ior. j Cor-.mar.L< Data Qua!:i er;
at multile si!esi 4nalyzed Time 1 T,me I N= I. me 1.
E yo I o T I O���
TRC Daily Check Standard true value o
Check standtrd, mwt mcti%cr udhin =l0°a oftht heck orridard'sacc paance range 1�-�i_ to 1. r nie'I.
An.-ual Calibration Cune Verification Datd. (•- 202-0 LOT t?
R.agert Blank Value C� b3�Z E:xp. Dat: 3 G APIZ ZOZ I
_ _ _ _(When applicable Analyze and document a reagent blank %then stand ids. sample dilution; or PT Sample; arc prepandi —
Dissolved Oxygen (DO) + Reterar,ca Method SNI 4360 0 G.-?3; I ins;runer,t !D,7. rfZC 00 L
i
Cal o a:,or, Ca'tbra:r.rr, %a.abte •Post-ana!}siscalibrauar
I :tic!e; rtad:n� I
or °, efficiency I e-, (, ton ihhen necessa.•y
fTemperature Baro;trc after calibrwior. I Con a:ents
i Theoretical I Calculated I
ressure i Va!ue me L I Value me L I
I i
I -se this ruts it hen performin.- a %er!ricatit) n instead of
Sar.,p;a Laca!ion Sample Col!ectior. 'Sample Anal%sis DO reading
Time Time mg L I Comments D3t1 Qtmi!f,er;
• t�'`e" pe enir g a tat: se; at mul:tP!C Ioca:iors. fh% m:t:r mus: be reca!;bra:ed a: each s:ta before a.ah;;s or a post-aralt;s cal;bn:+or. %er'ficanon mum— be
' 1r sarrp e ,; reeas:rre j 3•recd% in the s ream aat! or onsrte,
or.!%
rerfor-_:
time ana;%zed %%ou!d be recorded wta a rote !;a that ax measur-e' it sits ur immed ale'%
Temperature
5amptection.
'Sample
Reference Slethod SM 2i30 8.2010 Instrument ID P h C) O
Sartip'e L,2:; �r
Colle
f Aralt;is
T.m rature
I Time
I Time
Commert Dxa QLa! t er;
i
M+v -3
' 75Z
�DrZ
Mw
z
: 01ZV I
2c7, a
C-IfF '
D gqv
i qq~J
!' sar^pie is measured d:r.cth
Annua! l'ent;ca!tun Date----�
is 'h�e �stream 3r.0 ot1 on site, gnat time 3nah zed xeuid he recordeC- a ah 3 note :hat :he% zre
I
maas:ued ,r. st!� or immediate'%
- •
Fietd Persunne! Note:
Q t,.UUI
Rev 9-20?0

Environmental Chemist, Inc., Wilmington, NC Lab #94
Sample Receipt Checklist
6602 Windmill.Wa
Wilmington, NC 2840
910.392.022.
Client: �c� � 4PL L Date: � VJ 20 Report Number: ` (D � 0� S `
Receipt of sample: ECHEM Pickup ❑ Client Delivery ❑ JUPSg FedEx ❑ Other ❑
❑ YES ❑ NO N/A 1. Were custody seals present on the cooler?
❑ YES
❑
NO
N/A 2. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt . "C Corrected 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
❑ YES 10
NO
13. If temperature of cooler exceeded 6'C, was Project Mgr./QA notified?
YES 10
NO
1 4. Were proper custody procedures (relinquished/received) followed?
YES 10
NO
5. Were sample ID's listed on the COC?
YES 10
NO
6. Were samples ID's listed on sample containers?
YES I
❑
NO
7. Were collection date and time listed on the COC?
YES 10
NO
8. Were tests to be performed listed on the COC?
YES 10
NO
1 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 available?'
YES I0
NO
112. Were samples received within proper holding time for requested tests?
YES I0
NO
113. Were acid preserved samples received at a pH of <2?
❑ YES ID
NO
114. Were cyanide samples received at a pH >12?
❑ YES ID
NO
115. Were sulfide samples received at a pH >9?
YES ❑
NO 116.
Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? **
❑ YES ❑
NO
17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
❑ YES ❑
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: (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
Sample(s)
adding (circle one): H2S0, HNO3 HCI NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
notify the state lab if directed to analyzed by the customer. Who was notified, date and time: _
Volatiles Samples) were received with headspace
COMMENTS:
DOC_ QA.002 Rev 1
'C

1NC1112
dmillW
Way
ENVIRONMENTAL CHEMISTS, INC OFFI EIn910-392-02 3i1FAX9910'3922-44245
Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 [e-mail]
Client:Scotch Hall Preserve
— —�- .v v, urn• vl vvv 1 V41 1
PROJECT NAME: Wastewater (lagoon) effluent
REPORT NO:
ADDRESS:
CONTACT NAME:
PO NO:
REPORT TO: Brian Jernigan
PHONE/FAX: [phone]
COPY TO: Rick Harrel
email:
adrrluleu dv: v /'I� r)
CARA01 C YWMIT. 1 — —LL.—
Sample Identification
Collection
a
-- ----•
Y
°` A
-- ..
"`
C
U
_. .............
E
"
m
mc
- �, —I-ks •. - ♦.c11, J 1 - JU C41I1,
PRESERVATION
JV - JVII, JL = aiuuge, viner:
ANALYSIS REQUESTED
Time
Temp
o
Zn
o
=Date
og
iE
Effluent
C
P
X
BCD, TSS
G
G
H (field): T 3
Quarterly
Lri D�
a
!'9
C
P
`1(�:
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)
(March, July, November)
C
P
X
TOS, Chloride
. 0
G
C
G
P
G
G
C
P
G
G
C
P
G
G
Transfer
Relinquished By:
Date/Time
Received By:
Date/Time
Tamnara+lira when Rarniv
rl �(`• 1. __1.
_.-
Delivered By: Received By:
Comments:
r%esampi eques[ea:
Date: l---T 20Time:
TURNAROUND:

1
-,FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page
Permit No.: 011 ••53
Facility Name: Scotch Hall Preserve WWTP
Month:• - •-
1
D irrigation
• occur
facility?
Area (acres).
Area (acres -):-
at this
YES NO
Cover Crop:
Cover Crop:
Hourly Rate (in):
Hourly Rate (in):
L
Annual Rate
Annual Rate (in):
IRON
11
MM
...
Monthly Loading:_
o
, ••
• •:
o
• ,•
o
• •-
12 Month Floating To.

FORM: NDAR-1 05-16 Page of
NON -DISCHARGE APPLICATION REPORT (NDAR-1) 9
Permit No.: WQ0029653
Facility Name: Scotch Hall Preserve WWTP
County: Bete
Month: November
Did irrigation occur
• i
■�
:.
this facility?
Area (acres):
�.,
YES El NO
Hourly Rate (in):
0-GrEXT M- mf���
IIIIIIBWINTVIVM���
Annual Rate (in):
An ual Rate (in):'
Annual Rate (in):
Field Irrigated?
11
Field Irrigated?
Field Irrigated?
o
Loading:at
Monthly
o
•.,
o
„•
o
•••
•••

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.:1111 ••
:: Scotch Hall Preserve VVWTP
Month:• -
1 1
Did irrigation occur
this facility?
Area (acres):
at
YES NO
Cover Crop:
Cover Crop:'
Hourly Rate (in):
Hourly Rate (in):
Hou
W_TirjTFFl I ;Fir-Wl
Annual Rate (in):
Annual Rate (in):
:•.•. •
. •. :.
•
. .. :.
•
• a M .. :. w
Field .. ••
•
Monthly Loading.
1 •/
/ //
;O
/ 11
1 1/

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?
❑ 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? Q 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? 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 7 No
Phone Number: 919-300-9316 Permit Exp.: 2/28/26
6-a -
:, /2, -D moo"
gnature 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