HomeMy WebLinkAboutWQ0023693_Monitoring - 11-2020_20210112FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0023693
Facility Name: West Brunswick Regional WWTP (Plant)
ICounty: Brunswick
Month: November
Year: 2020
PPI: 001
Flow Measuring Point: 0 influent ❑ Effluent ❑ No now generated
Parameter Monitoring Point: ❑ Influent Effluent ❑ Groundwater Lowering ❑ Surface water
Parameter Code -►
$0050
00400
$0060
00310
00810
00630
3 . , .,
00078
00620
00 000
00688
00626
70296
00940
Z
t
z
0
c
O
m
oc
.�
U
a
z
p,
z
U
24-hr
hrs
GPD
su
mg/L
mg/L
mg/L
mg/L
0/100 mL
NTU
m /L
m /L
mg/L
m /L
m /L
I m /L
1
31263,081
0.709
2
07:00
8
3,188,016
7.2
0,85
0,706
3
07:00
8
3,130,559
7.1
0.9
3
123
<2.5
<1
0.714
2.27
4.62
1.86
2.29
4
07:00
8
3,137,600
7.2
1,43
<2
1.32
<2.5
1
0.685
2.58
4.93
1.79
2.26
424
124
5
07:00
8
3,037,782
7.1
1,54
<2
1.49
<2,5
41
0,666
3.14
5.88
1 1.84
2,66
61
07:00
8
3,586,121-1
7.1
0,99
0.854
541,_
7
3,482,197
0.745
8
3,316,630
0.601
9
07:00
8
3,572,660
7.1
1,12
<1
0,615
10
07:00
8
3,244,892
7.1
113
<2
1,45
<2.5
1 <1
0.603
2.68
5.15
1.5
2.39
it
07:00
8
3,223,825
7.3
1,03
<2
1.28
<2.5
0,686
2,58
5.39
1.55
2,76
121
07:00
8
6,731,993
7.1
0.94
<2
1,49
<2,5
<1
0,609
2,5
5.27
1.38
2.68
13
07:00
8
5,722,300
7.1
1,01
5,488
14
4,295,926
1,118
16
4,352,880
0,74
16
07:00
8
4,112,693
7.1
0.68
1.57
17
07:00
8
3,838,701''
6.8
0,8
4
<1.00
10.2
1
0,907
0.93
3.87
1.05
2.94
18
07:00
8
3,566,200
7.3
1,33
<2
<1,00
2.6
<1
0.86
1.26
3.71
0.7
2.35
19
07:00
8
3,548,805
7.1
0.96
<2
1.15
2.8
<1
0.921
1,67
4.03
0.61
2.29
20
07:00
8
3,455,946
7.3
1.26
1
0.791
21
3,847,349
0.662
22
3,909,700''
0713
23
07:00
8
3,875,300
7.1
0.82
3
1.22
1
0,554
1.78
4.95
0,58
3.04
24
07:00
8
3,778,850
7.1
1,02
6
1,54
<1
0,681
1,66
4.58
0,74
2.89
26
07:00
8
4,125,003
7.1
1.37
4
1,86
2
0.798
1,77
4.68
0.77
2.84
1^
26
07:00
8
3,994,137`
7.1
1,08
0,695
27
07:00
8
4,539,400 '
7.1
1.49
1.18
28
4,474,771
1.09
29
4,636,876
0,783
30
07:00
8
5,777,880
7.1
1,5
0,532
31
Average:
3,958,936
1.11
1,67
1,17
1.73
1,06
0.94
2.07
4.76
110
2,62
424.00
124,00
Daily Maximum:
6,731,993
7.30
1,54
6,00
1,86
10.20
2,00
5.49
3.14
5.88
1,86
3.04
424.00
124.00
Daily Minimum:
3,037,782
6.80
048
2,00
1.00
2.50
1.00
0.53
0,93
3.71
0.58
2.26
424.00
124.00
Sampling Type:
Recorder
Grab
Grab
Composite
Composite
Composite
Grab
Recorder
Composite
Composite
I Composite
Grab
Grab
Monthly Avg. Limit:
10
4
5
14
7
3
Daily Limit:
6,0 MGD
6-9
15 1
6
10 1
25
10
Sample Frequency:
5/week I
Vweek I
3x week I
3x week I
3x week I
3x week
Continous
3x week
3x week
3x weak
3 x week
3 x Year
3x year
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) 11 Certified Laboratories
Name: Plant Operators Name: Brunswick County Laboratory
Name: Name: Environmental Chemist Laboratory
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑ compliant El 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.
We exceec We exceeded our TSS daily limit by .20 on 11/17/2020. All other weeks a
limits
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Michael Garrity
Permittee:
Certification No.: 1002810
Signing Official: Donald Dixon
Grade: 4 Phone Number: (910) 253-2889
Signing Official's Title: Deputy Director of Utilities
Has the ORC changed since the previous NDMR? ❑ yes [I No
Phone Number: (910) 253-2485 Permit Expiration: Sept. 30,2017
4 -
— .Z D
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certUy, 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 quallfied 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 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.
Mall Original and Two Copies to:
Division of Water Quality
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.: WQ0023693
Facility Name: West Brunswick Regional WRF (IP GWPS 1)
county: Brunswick
Month: November
Year: 2020
PPI: 002
Flow Measuring Point: L] Influent Lj Effluent [] No now generated
Parameter Monitoring Point: L I Influent [j Effluent Groundwater Lowering [ Surface Water
Parameter Code - 0
50050
00310
00680
00940
50060
31616
00620
00600
00400
00666
70300
�~
o
c
O
U�
0
m
u
U
~rYV
�C)
_
~z
1
a
o
24-hr
hrs
GPD
m /L
m /L
mg/L
mg/L
0/100 mL
m /L
mg/L
au
mg/L
m /L
1
111,642
2
109,784
3
109,210
4
107,537
4
3.9
101
0
<1
0
1.79
6.5
<0.20
297
5
107,923
6
12:00
1
105,975
7
103,981
8
105,469
9
101,616
101
104,442
2
0
<1
0
2.13
6A
<0.20
ill
101,625
12
121,096
13
11:00
1
137,150
14
134,270
15
131,766
16
126,657
17
126,978
18
125,612
<2
0.02
2
0
2.17
6.5
<0.20
19
124,232
20
13:30
1
122,913
21
119,997
221
119,858
23
114,680
<2
0,04
1
0
1.83
8.5
<0.20
24
114,341
25
115,087
26
110,932
27
10:00
1
113,229
28
109,799
29
112,866
30
124,209
31
Average:
115,829
1.50
3,90
101.00
0.02
1.19
0.00
1.98
0.00
297.00
Daily Maximum:
137,150
4.00
3,90
101.00
0.04
2.00
0.00
2.17
6.50
0.20
297.00
Daily Minimum:
101,616
2.00
3,90
101.00
0.00
1.00
0.00
1.79
6,40
0.20
297.00
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
Daily Limit:
415,180
Sample Frequency:l
continuous
Weekly
3 X Year
3 X Year
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
3 X Year
FORM: NDMR 05-18 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No,: WQ0023693
Facility Name: West Brunswick Regional WRF (IP GWPS 2)
county: Brunswick
Month: November
Year: 2020
PPI: 003
Flow Measuring Point: L] Influent F,/1 Effluent L] No flow generated
Parameter Monitoring Point: 1 Influent [_ ] Effluent Groundwater Lowering Surface Water
Parameter Code -►
50050
00310
00680
00940
50060
31616
00620
00600
00400
00666
70300
>
Em
~
O
E°
U N
O
3
o
C
O
c
U
_
���
~ V
C
U. V
=
2
,, a
~
c$
� ti N
O
24•hr
hrs
GPD
m /L
m /L
m /L
mg/L
#/100 mL
m /L
mg/L
su
mg/L
m /L
1
208,927
2
203,510
3
203,358
4
201,998
4
3
86
0
41
0
1.56
6,5
<0.20
268
5
198,931
6
12:00
1
198,394
7
194,282
8
194,651
9
192,479
10
195,228
2
0
<1
0
1.69
6.5
<0.20
ill
193,125
121
215,945
13
11:00
1
227,231
14
233,664
15
236,292
16
235,335
17
231,682
18
226,240
2
0
<1
0
1.68
6.4
<0.20
19
223,820
20
13:30
1
223,581
21
219,230
22
218,112
23
214,473
<2
0.04
<1
0
1.59
6.6
<0.20
24
208,784
25
208,971
26
207,006
27
10:00
1
205,053
28
203,836
29
203,376
30
213,846
31
Average:
211,379
2.00
3.00
86,00
0.01
1.00
0.00
1.63
0.00
268.00
Dally Maximum:
236,292
4.00
3,00
86.00
0.04
1.00
0,00
1.69
6,60
0.20
268.00
Daily Minimum:
192,479
2.00
300
86.00
0.00
1.00
0100
1.56
6.40
0.20
268,00
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
Daily Limlt,l
836,593
Sample Frequency: I
Continuous
Weekly
3 X Year
3 X Year
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
3 X Year
FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No,: WQ0023693
Facility Name: West Brunswick Regional WRF (IP GWPS 3)
county: Brunswick
Month: November
fYear: 2020
PPI: 004
Flow Measuring Point: Influent L,]/ Effluent L] No flow generated
Parameter Monitoring Point: El Influent [_ ] Effluent [] Groundwater Lowering [ surface water
Parameter Code -►
60050
00310
00680
00940
50080
31616
00620
00600
00400
00666
70300
>
4 E
0�
c
p
E
V N
O
o
0
m
u
O
1p
V
9
►-
V
c
F-�41
ro
di
LLU
Z
Z
;9 c
H
a
g
�>
tfo� .a.
H vlrl)
24-hr
hre
GPD
m /L
m /L
m /L
mg/L
#/100 mL
I m /L
mg/L
su
mg/L
mg/L
1
199,114
2
192,590
3
190,276
4
185,015
3
2,7
67
0
9
0
1.1
6.5
<0.20
241
5
183,943
6
12:00
1
182,744
7
181,930
8
181,528
9
181,410
10
179,292
<2
0
<1
0
1.31
6.4
<0.20
11
182,682
121
286,123
13
11:00
1
253,153
14
240,324
15
236,075
16
226,314
17
223,387
18
212,053
<2
0.01
1
0
1.22
6.5
<0.20
19
209,802
20
13:30
1
207,085
21
203,059
22
199,972
23
196,235
<2
0
<1
0
1.83
6.5
<0.20
24
191,097
25
194,419
26
191,619
27
10:00
1
191,736
28
191,675
29
193,574
30
223,528
31
Average:
203,725
0.75
2.70
67.00
0.00
1.73
0.00
1.37
0.00
241.00
Daily Maximum:
286,123
3.00
2.70
67.00
0.01
9.00
0.00
1.83
6.50
0.20
241.00
Daily Minimum:
179,292
2.00
2.70
67.00
0.00
1.00
0.00
1.10
6.40
0.20
241.00
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
Daily Llmlt:
591,249
Sample Frequency:
Continuous
Weekly
3 X Year
3 X Year
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
3 X Year
FORM: NDMR 05.16 NON -DISCHARGE MONITORING REPORT (NDMR) Page
PermitNo.: WQ0023693
Facility Name: West Brunswick Regional WRF (MM GWPS 1)
County: Brunswick
Month: November
Flow Measuring Point: F� Influent [-,J Effluent L_j No now generated
Parameter Monitoring Point: Influent Effluent Groundwater Lowering Surface water
•
•
•
.
1'
c
OEM
Mon
FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0023693
Facility Name: West Brunswick Regional WRF (MM GWPS 2)
1 County: Brunswick
Month: November
11111w=11111111111=49AIM
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•
•
•
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L
x
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FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0023693
Facility Name: West Brunswick Regional WRF (CT GWPS )
County: Brunswick
Month: November
Year: 2020
PPI: 006
Flow Measuring Point: Influent 2] Effluent [ No flow generated
Parameter Monitoring Point: Ll influent [ ] Effluent Groundwater Lowering j Surface water
Parameter Code -P,
50060
00310
00680
00940
$0060
31616
00620
00600
00400
00665
70300
U
O
c
O
~
0:
O
M
106
0
u
�
$
o
�
~UU.
�
°
z
Z
o
0
24-hr
hrs
GPD
m /L
m /L
mg/L
mg/L
#/100 mL
mg/L
mg/L
su
mg/L
mg/L
1
378,293
2
375,500
3
364,945
4
364,848
<2
2.5
32
0
<1
0
0
4.7
<0.20
89
5
359,246
6
13:00
1
358,244
7
357,291
8
354,940
9
352,169
10
349,904
<2
0
<1
0
0
4.6
<0.20
11
349,811
12
381,397
13
12:30
1
479,699
141
485,178
15
471,506
16
458,981
17
450,726
<2
0.04
<1
0
0
4.6
<0.20
18
436,473
19
426,544
201
14:30
1
1 421,090
21
417,038
22
413,724
23
407,764
24
406,678
<2
0.01
<1
0.58
0.58
4.5
<0.20
25
400,137
26
395,449
27
11:30
1
392,951
28
392,237
29
392,871
30
414,474
31
Average:
400,304
0.00
2,50
32,00
0.01
1.00
0.15
0.15
0.00
89.00
Daily Maximum:
485,178
2.00
2.50
32,00
0.04
1.00
0.58
0.58
4,70
0.20
89.00
Daily Minimum:
349,811
2.00
2.50
32.00
0.00
1.00
0.00
0.00
4,50
0.20
89.00
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
Daily Limit:
736,406
Sample Frequency:
Continuous
Weekly
3 X Year
3 X Year
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
3 X Year
FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) II Certified Laboratories
Name: Plant Operators 11 Name: Brunswick County Laboratory
Name: II Name: Environmental Chemist
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: Michael Garrity
Permlttee: County of Brunswick
Certification No.: 1002810
Signing Official: Donald Dixon
Grade: 4 Phone Number: (910) 253-2889
Signing Official's Title: Deputy Director of Utilities
Has the ORC changed since the previous NDMR? ® yes [] No
Phone Number: (910) 253-2485 Permit Expiration: 11 /30/2022
-710 A
Signature Date
Signature ate
By this signature, I certify that this report is accurrete and complete to the beet 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 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 Information submitted Is, to the best of my knowledge and ballet, true, accurate, and complete, 1 am
aware that there are significant penathes for submitting false information, Including the possibility of fines and Imprisonment for
knowing violations.
Mall 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.: WQ0023693
Facility Name: West Brunswick Regional WRF
County: Brunswick
Month: November
Year: 2020
Did irrigation occur
at this facility?
(] YES ❑ No
Field Name:
IP
Field Name:
Field Name:
Field Name:
Area (acres):
50,88
Area (acres):
Area (acres):
Area (acres):
Cover Crop:
36
Cover Crop:
Cover Crop:
Cover Crop:
Hourly Rate (In):
0,2
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (In):
91
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?7
YE5 No
Field Irrigated?
[] Yes [] NO
Field irrigated?
[ YES No
Field Irrigated?
[ YES [ NO
c
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M
E
EE
o
_
SCL
E
i=t„
_1
a
=
E
c
E
$>aa
,
_o
°F
In
ft
ft
gal
min
in
In
gal
min
In
in
gal
min
in
In
gal
min
in
in
1
I C
1 55
0.35
7.8 1
0
0
0.00
0.00
2
1 C
1 55
0
6.8
1
0
0
0.00
0.00
3
1 C
36
0
7
1
0
0
0,00
0.00
4
1 C
41
0
6.9
0
0
0.00
0.00
5
PC
54
0.03
6.4
0
0
0,00
0.00
6
PC
63
0
6,5
0
0
0,00
0.00
7
PC
63
0
6.5
0
0
0.00
0,00
8
PC
67
0
6.7
0
0
0100
0.00
9
PC
67
0.07
6.7
0
0
0.00
0.00
101
C
65
0
7
0
0
0.00
0,00
111
CL
73
0.13
7.1
0
0
0,00
0.00
121
R
73
6.1
6.8
0
0
0.00
0,00
13
CL
64
0
5A
0
0
0.00
0.00
14
C
55
0
4.8
0
0
0,00
0.00
15
CL
57
0.16
4.4
0
0
0.00
0.00
16
PC
56
0
4.1
0
0
1 0.00
0.00
17
C
43
0.01
4,2
0
0
0,00
0.00
181
C
1 42
0
4.3
0
0
0,00
0,00
19
C
34
0
4.3
121,343
300
0,09
0.02
20
C
46
0
4.8
0
0
0.00
0,00
21
C
45
0
4.8
120,50e
300
0.09
0.02
22
PC
53
0
5.4
0
0
0.00
0.00
23
PC
59
0
1 5.4
0
0
0.00
0.00
241
C
39
0
1 5.5
0
0
0.00
0.00
25
CL
39
0
1 5.5
1
0
0
0.00
0.00
26
CL
66
0.04
5.6
1
0
0
0.00
0,00
27
R
60
0.25
5.6
0
0
0,00
0.00
28
CL
52
0.07
5.6
0
0
0.00
0,00
29
CL
48
0,92
5.6
0
0
0.00
0.00
301
CL
70
0.55
5.7
0
0
0.00
0.00
31
6
Monthly
Loading:
2 1,85111
0,18
26,80
10
0,00
0
0.00
0
0.00
12 Month Floating Total (in):
FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: WQ0023693
Facility Name: West Brunswick Regional WRF
County: Brunswick
Month: November
Year: 2020
Did irrigation occur
at this facility?
[,] YES (] NO
Field Name:
MM
Field Name:
Field Name:
Field Name:
Area (acres):
37.88
Area (acres):
Area (scree):
Area (acres):
Cover Crop:
Pine Trees
Cover Crop:
Cover Crop:
Cover Crop:
Hourly Rate (in):
0.2
Hourly Rate (in):
Hourly Rate (In):
Hourly Rate (In):
Annual Rate (In):
91
Annual Rate (in):
Annual Rate (In):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
2 YES ® NO
Field Irrigated?
❑ YES [] NO
Field Irrigated?
[ YES [ No
Field Irrigated?]
YES NO
`m
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min
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In
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min
in
in
gal
min
in
in
gal
min
in
in
1
C
55
0.35
5.6
263,631
240
0.26
0.06
2
C
55
0
5.3
528,199
480
0.51
0.06
3
C
36
0
5.1
526,152
480
0.51
0.06
4
C
41
0
4.7
525,196
480
0151
0.06
5
PC
54
0.03
1 4.5
522,827
480
0,51
0.08
5
PC
63
0
4.4
0
0
0.00
0.00
7
PC
63
0
3.8
523,325
480
0,51
0.06
8
PC
67
0
3.8
912,172
720
1 0.89
0.07
9
PC
67
0,07
3.8
893,858
720
0,87
0.07
10
C
65
0
4
260,171
240
0.25
0.06
11
CL
73
0.13
3.8
0
0
0,00
0.00
12
R
73
6.1
3.5
0
0
0.00
0.00
13
CL
64
0
2.6
0
0
0.00
0.00
14
C
55
0
2.4
0
0
0,00
0.00
15
CL
57
0.16
2.2
0
0
0.00
1 0.00
161
PC
56
0
1 2.6
0
0
0,00
0,00
17
C
43
0.01
3.4
0
0
0100
0.00
18
C
42
0
4
0
0
0.00
0.00
19
C
34
0
3
0
0
0.00
0.00
20
C
46
0
3.7
0
0
0.00
0.00
21
C
45
0
4.2
0
0
0,00
0.00
22
PC
53
0
1 4.6
0
0
0.00
0.00
23
PC
1 59
0
4.9
0
0
0,00
0,00
24
C
39
0
5.3
0
0
0,00
0.00
25
CL
39
0
5.6
0
0
0,00
0.00
26
CL
66
0.04
5.9
0
0
0.00
0.00
27
R
60
0.25
5.9
0
0
0.00
0.00
28
CL
52
0.07
6.3
0
0
0.00
0.00
29
CL
1 48
0,92 1
6.7
0
0
0.00
0.00
30
CL
70
0.55 1
6.9
0
0 1
0,00
0.00
31
Monthly
Loading:
4,955,229
4.82
88.97
0
0.00
0
0.00
0
0.00
12 Month Floating Total (in):
FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: W00023693
Facility Name: West Brunswick Regional WRF
County: Brunswick
Month: November
Year: 2020
Did irrigation occur
at this facility?
�] YES ❑ No
Field Name:
WB/E
Field Name:
Field Name:
Field Name:
Area (acres):
118.11
Area (acres):
Area (acres):
Area (acres):
Cover Crop:
Pine Trees
Cover Crop:
Cover Crop:
Cover Crop:
Hourly Rate (In):
Hourly Rate (in):
Hourly Rate (In):
Hourly Rate (In):
Annual Rate (In):
201
Annual Rate (In):
Annual Rate (In):
Annual Rate (In):
Weather
Freeboard
Field Irrigated?
❑ YES 0 NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES [] NO
C
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In
1
C
55
0.35
8
0
0
0.00
0.00
2
C
55
0
8
0
0
0100
0.00
3
C
36
0
8
0
0
0.00
0.00
4
C
41
0
8
0
0
0.00
0,00
5
PC
54
0.03
8
0
0
0,00
0.00
6
PC
63
0
8
0
0
0.00
0.00
7
PC
63
0
7.9
0
0
0,00
0.00
8
PC
67
0
7.7
0
0
0Z
0.00
9
PC
67
0.07
7.5
0
0
0100
0.00
10
C
65
0
7,2
0
0
1 0.00
0.00
11
CL
73
0.13
7.2
0
0
0.00
0.00
12
R
73
6.1
7
0
0
0.00
0.00
13
CL
64
0
6.8
0
0
0.00
0.00
14
C
55
0
6.6
0
0
0,00
0,00
15
CL
57
1 0.161
6.4
0
0
0.00
0,00
16
PC
56
0
6.2
0
0
0.00
0.00
17
C
43
0.01
6.2
0
0
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0.00
18
C
42
0
6.3
0
0
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0,00
19
C
34
0
6.4
0
0
0,00
0.00
20
C
46
0
6.6
0
0
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0,00
21
C
45
0
6.8
0
0
0.00
0.00
22
PC
53
0
7
0
0
0.00
0.00
23
PC
59
0
7.3
0
0
0.00
0.00
24
C
39
0
7.6
0
0
0,00
0.00
25
CL
39
0
7.9
0
0
0,00
0.00
261
CL
66
0.04
1 8,3
0
1 0
0.00
0,00
271
R
60
0.25
8.4
0
0
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0.00
281
CL
52
0.07
8.5
0
0
0.00
0.00
291
CL
48
0.92
8
0
0
0.00
0.00
301
CL
70
0.55
7.5
0
0
0.00
0.00
31
Monthly
Loading:
0
0100
0
0.00
0
0.00
0
0.00
6
12 Month Floating Total (in):
FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: W00023693
Facility Name: West Brunswick Regional WRF
County: Brunswick
Month: November
Year: 2020
Did irrigation occur
at this facility?
[] YES [] No
Field Name:
WB/A
Field Name:
WB/B
Field Name:
WB/C
Field Name:
WB/D
.
Area (acres):
126,18
Area (acres):
68.34
Area (acres):
77,55
Area (acres):
106.18
Cover Crop:Pine
Trees
Cover Crop:
P'
Pine Trees
Cover Crop:
p'
Pine trees
Cover Crop:
P'
Pine Trees
Hourly Rate (In):
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (In):
73,9
Annual Rate (in):
62,6
Annual Rate (in):
31.3
Annual Rate (in):
31.3
Weather
Freeboard
Field Irrigated?
[] YES NO
Field Irrigated?
0 YES ❑ NO
Field Irrigated?
p YES [ ] NO
Field Irrigated?
❑ YES [ NO
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1
C
55
0.35
8
0
0
0,00
0.00
145,736
532
0,08
0.01
311,108
532
0.15
0.02
0
0
0.00
0,00
2
C
55
0
8
0
0
0.00
0.00
0
0
0,00
0.00
0
0
0,00
0.00
0
0
0.00
0,00
3
C
36
0
8
0
0
0,00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0,00
0,00
4
C
41
0
8
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0,00
0,00
0
0
0.00
0,00
5
PC
54
0.03
8
0
0
0,00
0,00
0
0
0.00
0.00
0
0
0.00
0,00
0
0
0.00
0,00
6
PC
63
0
8
0
0
0,00
0,00
0
0
0.00
0.00
0
0
0,00
0.00
0
0
0.00
0100
7
PC
63
0
1 7.9
0
0
0.00
0,00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
8
PC
67
0
7.7
0
0
0,00
0.00
0
0
0.00
0.00
0
0
0.00
0,00
0
0
0.00
0,00
9
PC
67
0.07
7.5
0
0
0.00
0.00
0
0
0,00
0.00
0
0
0.00
0,00
0
0
0.00
0,00
10
C
65
0
7.2
0
0
0,00
0,00
0
0
0.00
0.00
0
0
0.00
0,00
0
0
0.00
0100
11
CL
73
0.13
7.2
0
0
0.00
0,00
0
0
0.00
1 0.00
0
0
0,00
0.00
0
0
0.00
1 0,00
12
R
73
6.1
7
0
0
0.00
0.00
0
0
0.00
0,00
0
0
0,00
0,00
0
0
0.00
U0
131
CL
64
0
6.8
0
0
0.00
0,00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
141
C
55
0
6,6
0
0
0.00
a00 1
0
0
0.00
0.00
0
0
0,00
0.00
0
0
0.00
0,00
15
CL
57
0.16
6.4
a
1 0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
16
PC
56
0
6.2
0
1 0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
17
C
43
0.01
6.2
a
1 0
0100
0,00
1,220,234
850
0,66
0.05
0
0
0.00
0,00
0
0
0.00
1 0,00
18
C
42
0
6.3
0
0
0,00
0.00
11763,933
1240
0,95
0.05
0
0
0,00
0.00
0
0
0.00
0,00
19
C
34
0
6.4
0
0
0.00
0.00
1,798,429
1240
0.97
0.05
0
0
0.00
0.00
0
0
0.00
0.00
20
C
46
0
6.6
0
0
0.00
0.00
1,696,488
1180
0.91
0.05
0
0
0.00
0.00
0
0
0,00
1 0.00
21
C
45
0
6.8
0
0
0,00
0.00
1,706,940
1170
0.92
0.05
0
0
0.00
0,00
0
0
0,00
0,00
22
PC
53
0
7
1,630,582
1140
0.48
0.03
0
0
0.00
0.00
0
0
0,00
0.00
0
0
0.00
0.00
23
PC
59
1 0
1 7.3
1,541.440
1080
0.45
0.02
0
1 0
0,00
0.00
0
0
0,00
0,00 1
0
0
0.00
0.00
24
C
39
0
7.6
1,625,419
1140
0.47
0.02
0
1 0
0,00
0.00
0
0
0.00
0100
0
0
0,00
0,00
25
CL
39
0
7.9
1,405,503
1010
0.41
0.02
0
0
0.00
0.00
0
0
0.00
0,00
0
0
0.00
0100
26
CL
66
0.04
8.3
1,60e,790
1120
0,47
0,03
0
0
0.00
0.00
0
0
1 0.00
0,00
0
0
0.00
0.00
27
R
60
0.25
8.4
1,526,1e2
1070
0.45
0.03
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
28
CL
52
0.07
8.5
1,295,851
950
0.38
0.02
0
0
0.00
0.00
0
0
0,00
0.00
0
0
0.00
0.00
29
CL
48
1 0.92
1 8
1,285,213
940
1 0,38
0.02
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0,00
30
CL
70
0.55
7.5
1,377,991
1030
0.40
0.02
0
0
0.00
0.00
0
0
0.00
0,00
0
0
0,00
0,00
31
Monthly Loading:
13,298,951
3,88
8.329,740
6"
4.49
6001
311,108
0.15
0
0.00
12 Month Floating Total (In):
21.59
3516
28.31
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?
0 Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
7 Compliant
❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
21 Compliant
❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
21 Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
21 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
Men, mnacn aoonional sneeis a necessary.
IOperator In Responsible Charge (ORC) Certification II Permittee Certification I
ORC: Michael Garrity Permittee:
County Of Brunswick
Certification No.: 1006246 Signing Official: Donald Dixon
Grade: SI Phone Number: (910) 253-2889 Signing Officials Title: Deputy Director of Utilities
Has the ORC changed since the previous NDAR-1? ❑ Yes 0 No Phone Number: (910) 253-2485 Permit Exp.: 11/30/22
r
§ignature Date Signatu a 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 quaffed 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 Mall Service Center
Raleigh, North Carolina 27699-1617
FORM: NDAR-108-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of 1
Permit No.: W00023693
Facility Name:
The Reserve Club (WBR-WRF)
County: Brunswick
Month: November
Year: 2020
Did irrigation occur at
Field Name:
RC/A
Field Name:
RC/B
Field Name:
Field Name:
0
this facility?
Area (acres):
44.25
Area (acres):
25.75
Area (acres):
_0
0
Area (acres):
0
Cover Crop:
0
Cover Crop:
0
Cover Crop:
0
Cover Crop:
0
❑Yes ❑No
Hourly Rate (in):
0.2
Hourly Rate (in):
0.1
Hourly Rate (in):
0
Hourly Rate (in):
0
Annual Rate (in):
83.2
Annual Rate (in):
41.6
Annual Rate (in):
0
Annual Rate (in):
0
Weather
Freeboard
Field Irrigated?
❑Yes ❑No
Field Irrigated?
❑Yes ❑No
Field Irrigated?
❑Yes ❑No
Field Irrigated?
Yes -]No
T
70
t
N
CD
3
N
E
C
3
IC
a
d
d
m
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°F
in
ft
I ft
I gal
I min
in
I in
gal
min
in
I in
gal
min
in
in
I gal
min
in
I in
1
R
60
0.15
5
0
0
0.00
0
0.00
0
0.00
0
0.00
2
C
39
0
5
0
122,248
451.10
0.10
0.01
87,481
240.99
0.07
0.02
0
0.00
0
0.00
3
C
38
0
5
0
122,248
451.10
0.10
0.01
87,481
240.99
0.07
0.02
0
0.00
0
0.00
4
CL
41
0
5
0
23,551
86.90
0.02
0.01
19,380
53.39
0.02
0.02
0
0.00
0
0.00
5
R
58
0.09
5
0
0
0.00
0
0.00
0
0.00
0
0.00
6
R
63
0.06
5
0
0
0.00
0
1
0.00
0
0.00
0
0.00
7
C
61
0
5
0
47,102
173.81
0.04
0.01
19,380
53.39
0.02
0.02
0
0.00
0
0.00
8
CL
67
0
5
0
0
0,00
0
0.00
0
0.00
0
0.00
9
R
66
0.06
4
0
0
0.00
0
0.00
0
0.00
0
0.00
10
C
65
0
4
0
0
0.00
0
0.00
0
0.00
0
0.00
11
R
73
0.18
5
0
0
0.00
0
0.00
0
0.00
0
0.00
12
R
64
4.9
5
0
0
0.00
0
0.00
0
0.00
0
0.00
13
CL
56
0
5
0
0
0.00
0
0.00
0
0.00
0
0.00
14
CL
55
0
5
0
0
0.00
0
0.00
0
0.00
0
0.00
15
R
62
0.08
5
0
0
0.00
0
0.00
0
0.00
0
0.00
16
CL
46
0
5
0
0
0.00
0
0.00
0
0.00
0
0.00
17
C
44
0
5
0
122,248
451.10
0.10
0.01
87,481
240.99
0.07
0.02
0
0.00
0
0.00
18
CL
39
0
5
0
0
0.00
0
0.00
0
0.00
0
0.00
19
CL
38
0
5
0
122,248
451.10
0.10
0.01
87,481
240.99
0.07
0.02
0
0.00
0
0.00
20
CL
49
0
5
0
122,248
451.10
0.10
0.01
87,209
240.24
0.07
0.02
0
0.00
0
0.00
21
C
49
0
5
0
0
0.00
0
0.00
0
0.00
0
0.00
22
CL
54
0
5
0
20,315
74.96
0.02
0.01
7,752
21.36
0.01
0.01
0
0.00
0
0.00
23
C
47
0
5
0
8,947
33.02
0.01
0.01
1,884
5.19
0.00
0.00
0
0.00
0
0.00
24
C
42
0
5
0
0
0.00
0
0.00
0
0.00
0
0.00
25
R
44
0.05
5
0
0
0.00
0
0.00
0
0.00
0
0.00
26
R
63
0.06
5
0
0
0.00
0
0.00
0
0.00
0
0.00
27
R
55
0.61
5
0
0
0.00
0
0.00
0
0.00
0
0.00
28
R
52
0.16
5
0
0
0.00
0
0.00
0
0.00
0
0.00
29
R
51
1.11
5
0
0
0.00
0
0.00
0
0.00
0
0.00
30
R
48
1.8
5
0
0
0.00
0
0.00
0
0.00
0
0.00
31
00:00
0
0
5
0
0
0.00
0
0.00
0
0.00
0
0.00
0
711,158
0.59
485,528
0.40
0
0.00
0
0.00
12 month Floating Total (In):
13.92
23.72
0.00
0.00
FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
❑Compliant ❑Non -Compliant
❑✓ Compliant ❑Non -Compliant
❑� Compliant ❑Non -Compliant
❑✓ Compliant ❑Non -Compliant
❑✓ 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: Philip Adams
Permittee:
Brunswick County
Certification No.: 1009373
Signing Official: Donald Dixon
Grade: SI Phone Number: (910) 253-9278
Signing Officials Title: Deputy Public Utilities Director
Has the ORC changed since the previous NDARA? ❑Yes ONo
Phone Number: (910) 253-2485 Permit Exp.: 11 /30/22
.i�
Signatur 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1
Permit No.: W00023693
Facility Name:
Members Club (WBR-WRF)
County: Brunswick IMonth:
November
Year: 2020
Did irrigation occur at
this facility?
Field Name:
MCIA
Field Name:
MC/B
Field Name:
0
Field Name:
0
Area (acres):
66.2
Area (acres):
36.22
Area (acres):
0
Area (acres):
0
Cover Crop:
0
Cover Crop:
0
Cover Crop:
0
Cover Crop:
0
Oyes ❑No
Hourly Rate (in):
0.2
Hourly Rate (in):
0.3
Hourly Rate (in):
0
Hourly Rate (in):
0
Annual Rate (in):
36.4
Annual Rate (in):
156
Annual Rate (in):
0
Annual Rate (in):
0
Weather
Freeboard
Field Irrigated?
❑Yes ❑No
Field Irrigated?
❑� Yes [-]No
Field Irrigated?
❑Yes ❑No
Field Irrigated?
❑Yes [:]No
o
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OF
in
ft
ft
gal
min
in
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gal
min
in
in
cial
min
in
in
I gal
min
in
in
1
R
79
0.25
2
0
0
0.00
0
0.00
2
CL
57
0
2
0
0
0.00
0
0.00
3
C
65
0
2
0
0
0.00
16.064
18.25
0.02
0.02
4
C
70
0
2
0
109,084
128.64
0.06
0.03
163,903
186.25
0.17
0.05
5
C
73
0
2
0
109,084
128.64
0.06
0.03
163,903
186.25
0.17
0.05
6
C
72
0
2
0
0
0.00
0
0.00
7
C
77
0
2
0
0
0.00
0
0.00
8
C
78
0
2
0
78,809
92.93
0.04
0.03
145,329
165.15
0.15
0.05
9
C
78
0
2
0
0
0.00
16,064
18.25
0.02
0.02
10
CL
80
0
2
0
0
0.00
0
0.00
11
R
79
1
2
0
0
0.00
0
0.00
12
R
78
4
2
0
0
0.00
0
0.00
13
CL
69
0
2
0
0
0.00
0
0.00
14
C
71
0
2
0
0
0.00
0
0.00
15
C
76
0
2
0
0
0.00
0
0.00
16
C
69
0
2
0
0
0.00
0
0.00
17
C
68
0
2
0
0
0.00
9,638
10.95
0.01
0.01
18
C
52
0
2
0
58,114
68.53
0.03
0.03
79,467
90.30
0.08
0.05
19
C
61
0
2
0
0
0.00
9,638
10.95
0.01
0.01
20
C
73
0
2
0
45,795
54,00
0.03
0.03
71,886
81.69
0.07
0.05
21
C
73
0
2
0
20,281
23.92
0.01
0.01
11,897
13.52
0.01
0.01
22
C
73
0
2
0
0
0.00
0
0.00
23
C
69
0
2
0
0
0.00
0
0.00
24
C
57
0
2
0
20,281
23.92
0.01
0.01
21,536
24.47
0.02
0.02
25
C
70
0
2
0
78,809
92.93
0.04
0.03
148,542
168.80
0.15
0.05
26
C
74
0
2
0
0
0.00
0
0.00
27
CL
72
0
2
0
0
0.00
0
0.00
28
R
62
0.75
2
0
0
0.00
0
0.00
29
CL
68
0
0
0.00
0
0.00
30
R
73
0
0
0.00
0
0.00
31
00:00
0
]L2
0
0
0.00
0
0.00
Monthly Loading:
1 520,256
0.29
857,868
0.87
0
'
0.00
0
Em
0.00
12 month Floating Total (In):
7.36
16.71
0.00
0.00
.FC'RM: NDAR-110-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
❑✓ Compliant ❑Non -Compliant
❑✓ Compliant ❑Non -Compliant
❑� Compliant ❑Non -Compliant
❑✓ Compliant ❑Non -Compliant
❑� 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: Phillip Adams
Permittee:
County of Brunswick
Certification No.: 1009373
Signing Official: Donald Dixon
Grade: SI Phone Number: (910) 253-8811
Signing Official's Title: Deputy Director
Has the ORC changed since the previous NDAR-1? ❑ves ONo
Phone Number: (910) 253-2485 Permit Exp.: Nov. 30, 2022
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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
FORM NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: W00023693
Facility Name: Winding River GC (WBR-WRF)
County: Brunswick
Month: November
Year: 2020
Did irrigation
WR/A
Field Name:
WR/B
Field Name:
Field Name:
occur
Area (acres):
107.9
Area (acres):
41.63
Area (acres):
Area (acres):
at this facility?
Cover Crop:419bermuda
Cover Crop:
p�
419bermuda
Cover Crop:
P�
Cover Crop:
P:
DYES ❑No
Hourly Rate (in):
0.2
Hourly Rate (in):
0.2
Hourly Rate (in):
Hourly Rate (in):
C
Annual Rate (in):
83.2
Annual Rate (in):
41.6
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
[]YES ❑NO
Field Irrigated?
[AYES❑No
Field Irrigated?
[]YES❑NO
Field Irrigated?
]YES [!]NO
>.
❑
(D
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in
ft
gal
min
in
in
gal
min
in
in
gal
min
in
i
gal
min
in
in
1
C
53
4
389,770
330
0.13
0,02
1,306,752
330
1.16
0.21
2
R
0.36
4
3
C
4
4
C
4
5
C
4
6
C
61
4
389,770
330
0.13
0.02
130,672
330
0.12
0.02
7
C
4
8
C
60
4
389,770
330
0.13
0.02
130,672
330
0.12
0.02
9
C
4
10
C
4
11
R
0.12
4
12
R
2.1
4
131
R
2.7
4
14
C
2
15
C
2
16
R
0.02
2
17
C
2
18
C
2
191
C
2
201
C 1
2
211
C 1
2
22
C
4
23
C
47
4
89,770
330
0.13
0.02
130,672
330
0.12
0.02
24
C
4
25
C
4
26
R
0.05
4
R
0.03
4
-^
R
0.1
4
-
[30
R
0.03
4
R
1.5
3
Monthly Loading:
12 Month Floating Total (in):
�1,698,768W1.50
13.58
0
0.00
;
0
_
0.00
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
Compliant [-]Non-compliant
QCompliant ❑Non -Compliant
❑� Compliant []Non -Compliant
❑� Compliant ❑Non -Compliant
❑✓ 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: Tom Dedrick
Permittee:
County of Brunswick
Certification No.: 994594
Signing Official: Donald Dixon
Grade: SI Phone Number: 910-755-5601
Signing Official's Title: Deputy Director
Has the ORC changed since the ious NDAR-17 ❑yes ❑� No
Phone Number: (910) 253-2657 Permit Exp.: Nov. 30, 2022
Signature Date
Signature Dale
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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
FORM: NDAR-2 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page of
Permit No.: WQ0023693
Facility Name: West Brunswick Regional WWTF ( Infiltration)
County: Brunswick
Month: November
Year: 2020
Did infiltration occur at
this facility?
[ ] YES I ] No
site Name:
IP/1
Site Name:
IP/2
Site Name:
IP/3
Site Name:
IP/4
Area (acres):
1,94
Area (acres):
1.09
Area (acres):
1,35
Area (acres):
1.85
Rate (GPD/ft2):
1.4
Rate (GPD/ft):
1.4
Rate (GPD/ft):
1,4
Rate (GPD/ft'):
1.4
Weather
Freeboard
Site Infiltrated?
(1. YES n No
Site Infiltrated?
[21 YES ❑ NO
Site Infiltrated?
[ ]YES (] No
Site Infiltrated?]
YES NO
o
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ft
gal
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ft
gal
min
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ft
gal
min
GPD/ft'
ft
1
C
55
0.35
110,496
1,440
1,31
3.2
64,950 1,440
1.37
7.8
76,134
1,440
1.29
2.3
89,837
1,440
1.11
2,3
2
C
55
0
0
1,440
0.00
3.3
64.950
1,440
1.37
6.8
78,134
1,440
1.29
2,3
89.837
1,440
1.11
2.4
3
C
36
0
0
1,440
0.00
3A
64,950
1,440
1.37
7
76,134
1,440
1.29
2.4
0
1440
0.00
2.5
4
C
41
0
0
1,440
0.00
3.6
64,950
1,440
1.37
6.9
78,134
1,440
1.29
2.6
0
1.440
0.00
2.6
5
PC
54
0.03
0
1,440
0,00
3,8
64,950
1,440
1.37
6.4
0
1,440
0.00
2.7
0
1,440
0.00
27
6
PC
1 63
0
0
1,440
0.00
4.0
64,950
1,440
1.37
6.5
0
1,440
0.00
2.7
0
1440
0.00
2.8
7
PC
63
0
0
1,440
0,00
4.2
64,950
1,440
1.37
6.5
0
1,440
0.00
2,8
89,837
1440
1.11
2.9
8
PC
67
0
0
1,440
0100
4A
64,950
1,440
1.37
6.7
0
1,440
0.00
2.9
89,837
1,440
1.11
2.9
9
PC
67
0.07
110,496
1,440
1,31
4,6
64,950
1,440
1.37
6.7
76,134
1,440
1.29
3.0
89,837
1,440
1.11
2,9
10
C
65
0
110,496
1,440
1,31
4.0
64,950
1,440
1.37
7
76,134
1,440
1,29
3.1
89,837
1440
1.11
2,2
11
CL
73
0.13
110,496
1,440
1.31
4.0
64,950
1,440
1,37
7.1
76,134
1,440
1,29
2,5
89,837
1,440
1.11
2.3
12
R
73
6.1
110,496
1,440
1.31
4.0
64,950
1,440
1,37
6.8
76,134
1,440
1.29
2,5
89.837
1,440
1.11
2.3
13
CL
64
0
110,496
1,440
1,31
3,5
64,950
1,440
1.37
5.4
78,134
1,440
1.29
1,9
89,837
1,440
1.11 1
1,9
14
C
55
0
110,496
1,440
1.31
3,7
64,950
1440
1.37
4.8
0
1,440
0.00
1,9
0
1,440
0.00
2
15
CL
57
0.16
0
1,440
0100
3.9
64,950
1,440
1,37
4.4
0
1,440
0,00
2,0
0
1,440
0.00
2
16
PC
56
0
110,496
1,440
1,31
4,0
64,950
1,440
1.37
4.1
0
1,440
0.00
2.1
0
1,440
0.00
2.1
17
C
43
0.01
110.496
1,440
1,31
3.5
64950
1,440
1.37
4.2
0
1,440
0.00
2.2
0
1440
0.00
2,2
18
C
42
0
110,496
1,440
1.31
2.8
64,950
1,440
1.37
4.3
0
1,440
0.00
2A
0
1,440
0.00
2.3
19
C
34
0
110,496
11440
1,31
2,5
64,950
1,440
1.37
4.3
0
1,440
0.00
2,5
0
1,440
0.00
2,3
20
C
46
0
110,496
1,440
1.31
2.7
64,950
1,440
1.37
4.8
0
1,440
0.00
2.6
0
1440
0.00
2A
21
C
45
0
0
1,440
0.00
2.8
64,950
1,440
1,37
4.8
0
1,440
0.00
2.6
0
1,440
0.00
2.6
22
PC
53
0
0
1,440
0.00
3,0
64.950
1,440
1.37
5.4
0
1,440
0.00
2,7
0
1,440
0.00
27
23
PC
59
0
0
1,440
0100
3,0
64,950
1,440
1.37
5.4
0
1,440
0.00
18
0
1,440
0.00
2,8
24
C
39
0
0
1,440
0,00
3.0
64,950
1,440
1.37
5.5
0
1,440
0.00
2.9
0
1,440
0.00
2.8
25
CL
39
0
110,496
1,440
1,31
3,2
64,950
1,440
1.37
5.5
0
1,440
0.00
2.9
89,837
1,440
1 1.11
2.9
26
CL
66
0.04
110,496
1,440
1.31
3.1
64,950
1,440
1.37
5.6
0
1,440
0,00
3,0
89,837
1,440
1.11
3
271
R
60
0.25
110,496
1,440
1,31
3.0
64,950
1,440
1.37
5.6
0
1,440
0.00
3.0
89,837
1440
1.11
2,1
28
CL
52
0.07
110,496
1,440
1.31
3,0
64,950
1,440
1.37
5.6
76,134
1,440
1.29
3,1
89,837
1 440
1.11
2.1
29
CL
48
0.92
110,496
1,440
1.31
1 2,2
64,950
1,440
1.37
5.6
76,134
1,440
1.29
3,2
89,837
1,440
1.11
2.1
30
CL
1 70
0.55
110,496
1,440
1.31
2,2
64.950
1,440
1.37
5.7
76,134
1,440
1.29
2,0
89,837
1,440
1.11
2,1
31
Monthly Loading (GPD/ft
Year to Date Loadi
0.78
6.90
1,37
2.88
0,52
7.20
0.56
6.08
FORM: NDAR-2 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page of
Permit No.: W00023693
Facility Name: West Brunswick Regional WWTF ( Infiltration)
County: Brunswick
Month: November
Year: 2020
Did infiltration occur at
this facility?
� YES [] NO
®
Site Name:
IP/5
Site Name:
IP/6
site Name:
IP/7
Site Name:
IP/8
Area (acres):
1.86
Area (acres):
0.98
Area (acres):
1.54
Area (acres):
1.84
Rate (GPD/ft'):
1 A
Rate (GPD/ft'):
1.4
Rate (GPDIft2):
1,4
Rate (GPD/ft'):
1.4
Weather
Freeboard
Site Infiltrated?
r'j YES F_�; NO
Site Infiltrated?
0 YES ❑ NO
Site Infiltreted?
[_!� YES [ NO
Site Infiltrated?
Q YES ❑ NO
G06$
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ft
ft
gal
min
GPD/ft'
ft
gal
min
GPD/ft'
ft
gal
min
GPD/ft'
ft
gal
min
GPD/ft'
ft
1
C
55
0.35
84,989
1,440
1.18
3.2
54,833 1,440
1.28
3
84,819
1,440
1.26
2.5
F 977003
1,440
1.21
2.4
2
C
55
0
0
1,440
0.00
3.3
54833
1440
1.28
3
84,819
1,440
1,26
2.5
97,003
1440
1.21
2.4
3
C
36
0
0
1,440
0.00
3.3
54833
1,440
1.28
3.1
0
1,440
0.00
2.6
0
1440
0.00
2.5
4
C
41
0
0
1,440
0.00
3.3
0
1440
0.00
3.3
0
1,440
0.00
2.8
97,003
1440
1.21
2.7
5
PC
54
0.03
0
1,440
0.00
3.6
0
1,440
0.00
3.6
0
1,440
0.00
2.8
97,003
1440
1.21
2.6
6
PC
63
0
0
1,440
0,00
3.8
0
1440
0.00
3.8
84,819
1,440
1.26
2.9
97,003
1440
1.21
2.1
7
PC
63
0
0
1,440
0,00
3.9
0
1,440
0.00
3.9
84,819
1,440
1.26
2,5
0
1440
0.00
2.2
8
PC
67
0
0
1,440
0,00
4,2
0
1440
0.00
4.3
0
1,440
0,00
2.6
0
1440
0.00
2.3
9
PC
67
0.07
0
1,440
0,00
4,5
0
1,440
0.00
4.5
0
1,440
0,00
2,6
0
1440
0.00
2.4
10
C
65
0
0
1,440
0.00
4,0
0
1,440
0.00
4
0
1,440
0,00
27
0
1440
0.00
2A
11
CL
73
0,13
84,989
1,440
1,18
4.1
54833
1,440
1.28
4.2
0
1,440
0,00
2,8
97,003
1440
1.21
2.5
11
R
73
6.1
84,989
1,440
1,18
4.0
54,833
1,440
1.28
4
84,819
1,440
1.26
2.8
97,003
1 440
1.21
2.5
13
CL
64
0
84,989
1,440
1,18
2.8
54833
1,440
1.28
3.2
84,819
1,440
1.26
2A
97,003
1440
1.21
2
14
C
55
0
84,989
1,440
1,18
2.8
54833
1440
1.28
3
0
1,440
0.00
2.5
0
1440
0.00
2.1
15
CL
57
0.16
0
1,440
0.00
2.9
54 833
1,440
1,28
2.8
0
1,440
0.00
2.5
0
1,440
0.00
2.2
16
PC
56
0
0
1,440
0.00
3.0
54833
1440
1.28
2.7
84,819
1,440
1.26
2.6
0
1440
0.00
2.3
171
C
43
0.01
0
1,440
0,00
3.0
54833
1,440
1.28
3
84,819
1,440
1.26
2.2
0
1440
0.00
2.3
18
C
42
0
0
1,440
0.00
3.0
54833
1440
1.28
3
0
1,440
0.00
2,3
0
1440
0.00
2.4
19
C
34
0
0
1,440
0,00
3,0
54,833
1,440
1.28
3.3
0
1,440
0.00
2.4
0
1440
0.00
2,5
20
C
46
0
84.989
1,440
1.18
2.9
0
1,440
0.00
3.4
0
1,440
0.00
2.4
0
1,440
0.00
2.6
21
C
45
0
84,989
1,440
1.18
2,3
0
1,440
0.00
3.5
0
1,440
0,00
2.5
0
1440
0.00
2.7
22
PC
53
0
84,989
1,440
1,18
2.8
0
1 440
0.00
3.5
0
1,440
0,00
2.4
0
1,440
0.00
2.8
23
PC
59
0
0
1,440
0,00
2.8
0
1,440
0.00
3.5
84,819
1.440
1.26
2.1
0
1,440
0.00
2.9
24
C
39
0
0
1,440
0.00
3.0
0
1440
0.00
3.8
84,819
1,440
1.26
2.1
0
1440
1 0.00
2.8
25
CL
39
0
0
1,440
0,00
3.2
54,833
1,440
1.28
4
0
1,440
0.00
2.2
97,003
1,440
1.21
3
26
CL
66
1 0.041
84,989
1,440
1,18
2,8
54833
1440
1.28
3.7
0
1,440
0,00
2.3
97.003
1440
1,21
2.2
27
R
60
1 0.25
84,989
1,440
118
2.7
54833
1440
1.28
3.7
0
1,440
0.00
2.4
97,003
1440
1.21
2
28
CL
52
0.071
0
1,440
0,00
2.7
54833
1440
1.28
2.3
0
1,440
0.00
2A
97,003
1,440
1.21
2,1
29
CL
48
0.92
0
1,440
0.00
2.8
54833
1,440
1.28
2.3
84,819
1,440
1.26
2,5
0
1440
0,00
2.1
30
CL
70
0.55
0
1.440
0.00
3.2
54833
1440
1.28
2
84,819
1,440
1.26
2A
0
1440
1 0.00
2,1
31
Month) Loading/ft
Year to Date Loadin :
0,39
5,75
0.77
8.30
0.51
8.33
0.48
7,39
FORM: NDAR-2 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page
Permit No.: WQ0023693
Facility Name: West Brunswick Regional WWTF ( Infiltration )
County: Brunswick
Month: November
Year: 2020
Did infiltration occur at
this facility?
] YES [ ] NO
Site Name:
IP/9
Site Name:
MM/1
Site Name:
MM/2
Site Name:
Area (acres):
1.63
Area (acres):
7.39
Area (acres):
5,16
Area (acres):
Rate (GPD/ft)
1 A
Rate GPD/ft2
4
Rate GPD/ft2
2.5
Rate (GPD/ft)
Weather
Freeboard
Site In Iltrated?l
YES C NO
I Site Infiltrated?
0 YES 0 NO
Site Infiltrated?
[I YES [-1 NO
Site Infiltrated?
YES NO
°.
CL
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°F
in
ft
ft
gal
min
GPD/ft2
ft
al
min
GPD/ft'
ft
al
min
GPDlft�
ft
al
min
GPD/ft2
ft
1
C
55
0,35
91,550
1,440
1.29
2A
1,286,714
1440
4.00
4,60
658,598
1440
2,49
5.60
2
C
55
0
91,550
1,440
1.29
2.4
1,286,714
1440
4.00
4.70
558,596
1440
2.49
5.30
3
C
36
0
91,550
1,440
1.29
2.6
1,286,714
1440
4.00
5.00
558,596
1440
2,49
5,10
4
C
41
0
0
1,440
0.00
2.7
1,286,714
1440
4.00
5.50
558,596
1440
2.49
4.70
5
PC
54
0.03
0
1,440
1 0,00
2.8
1 1,286,7141
1440
4.00
1 5.70
558,596
1440
2.49
4,50
6
PC
63
0
91,550
1,440
1,29
2.9
1 1,286,7141
1440
4.00
5.90
558,596
1440
2A9
4,40
7
PC
63
0
91,550
1,440
1.29
21
1,286,714
1440
4,00
5.70
558,596
1440
2,49
3,80
8
PC
67
0
91,550
1,440
1.29
2.2
1,286,714
1440
4.00
5.90
558,596
1440
2,49
3,80
9
PC
67
0.07
91,550
1,440
1.29
2.2
1,286,714
1440
4.00
5.80
558,596
1440
2,49
3.80
10
C
65
0
0
1,440
0,00
2.3
1,286,714
1440
4.00
6.00
558,596
1440
2,49
4.00
11
CL
73
0.13
91,550
1,440
1,29
2.4
1,286,714
1440
4.00
6.10
558,596
1440
2.49
3.80
121
R
73
6.1
91,550
1,440
1,29
2.0
1,286,714
1440
4.00
6.00
558,596
1440
2.49
3,50
131
CL
64
0
91,550
1,440
1.29
2,0
1,286,714
1440
4.00
5.50
558,598
1440
2,49
2.60
141
C
55
0
0
1,440
0,00
2.1
1,286,714
1440
4.00
5.50
558,596
1440
2.49
2,40
151
CL
57
0.16
0
1,440
0.00
2,2
1,286,714
1440
4.00
5.40
558,596
1440
2,49
2.20
16
PC
56
0
0
1,440
0.00
2.3
1,286,714
1440
4.00
4.30
558,596
1440
2.49
2.60
17
C
43
0.01
0
1,440
0,00
2A
1,286,714
1440
4.00
3.80
558,596
1440
2.49
3,40
18
C
42
0
0
1,440
0,00
2.5
1,286,714
1440
4.00
3.70
558,596
1440
2.49
4.00
19
C
34
0
0
1,440
0.00
2.7
1,286,714
1440
4.00
4.60
558,596
1440
2.49
100
20
C
46
0
0
11440
0,00
2.8
1,286,714
1440
4.00
3.60
558,596
1440
2,49
3.70
21
C
45
0
0
1,440
0,00
2.8
1,286,714
1440
4.00
3.60
558,596
1440
2.49
4.20
22
PC
53
0
91,550
1,440
1.29
2.9
1,286,714
1440
4.00
3.20
558,596
1440
2,49
4,60
23
PC
59
0
91,550
1,440
1.29
2.7
1,286,714
1440
4.00
2.80
558,596
1440
2,49
4.90
24
C
39
0
91,550
1,440
1,29
2A
1,286,714
1440
4.00
3.10
558,596
1440
2,49
5.30
25
CL
39
0
91,550
1,440
1.29
2,0
1,286,714
1440
4.00
2.90
558,596
1440
2,49
&60
26
CL
66
0.04
91,550
1,440
1.29
2.1
1,286,714
1440
4.00
2.60
558,598
1440
2,49
8,90
271
R
60
0.25
0
1,440
0.00
2.2
1,286,714
1440
4,00
2.60
558,598
1440
2,49
5,90
28
CL
52
0.07
0
1,440
0.00
2.3
1,286,714
1440
4,00
2.30
558,596
1440
2,49
6,30
29
CL
48
0.92
0
1,440
0,00
1 2.3
1,286,714
1440
4.00
2.10
558,596
1440
2,49
6.70
30
CL
1 70
1 0.55
1
0.00
2,3
1,286,714
1440
4.00
2.10
558,596
1440
2.49
6,90
31
Monthly Loading (GPD/ft):
Year to Date Loading GPD/ft' :
0,84
10,86
4.00
31.27
2.49
30.17
FGRM: NDAR-2 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page of
Permit No.: WQ0023693
Facility Name: West Brunswick Regional WWTF ( Infiltration)
County: Brunswick
Month: November
Year: 2020
Did infiltration occur at
this facility?
[] YES El No
Site Name:
CT/A
Site Name:
CT/B
Site Name:
Site Name:
Area (acres):
1.25
Area (acres):
0.82
Area (acres):
Area (acres):
Rate (GPD/ft'):
6.2
Rate (GPD/ft'):
6.2
Rate (GPD/ft'):
Rate (GPD/ft):
Weather
Freeboard
Site Infiltrated?
F7 YES [1 NO
Site Infiltrated?
El YES F NO
Site Infiltrated?
F", YES r7 NO
Site Infiltrated?
❑ YES ] NO
a,
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CL
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In
ft
ft
gel
min
GPD/ftx
ft
gal
min
GPD/ft'
ft
gal
min
GPD/ft'
ft
gal
min
GPD/ft'
ft
1
C
55
0.35
113,031
1,440
2,08
3.1
71,804
1440
2,01
3.10
2
C
55
0
93,778
1,440
1,72
2.9
53,592
1440
1.50
3.00
3
C
36
0
0
1,440
0,00
3.0
0
1440
0.00
3.20
4
C
41
0
0
1,440
0,00
3.0
0
1440
0.00
3.20
5
PC
54
0.03
109,656
1,440
2,01
3.0
61,133
1440
1.71
3.20
6
PC
63
0
87,387
1,440
1,60
3.0
49,910
1440
1.40
3.20
7
PC
63
0
0
1,440
0,00
3.0
0
1440
0,00
3.20
8
PC
67
0
72,584
1,440
1,33
3.3
40,528
1440
1.13
3.40
9
PC
67
0.07
0
1,440
0,00
3.1
0
1440
0.00
3.40
10
C
65
0
94,191
1,440
1,73
3.4
54,286
1440
1.52
3.60
111
CL
73
0131
118,809
1,440
2118
3.2
83,055
1440
2,33
3.40
121
R
73
6.1
116,184
1,440
2.13
2.9
61,712
1440
1.73
2.50
13
CL
64
0
101,397
1,440
1,86
2A
56,056
1440
1.57
2.50
14
C
55
0
0
1,440
0,00
2.5
0
1440
0,00
2.60
15
CL
57
0,16
0
1,440
0100
2.6
0
1440
0.00
2.70
16
PC
56
0
117,961
1,440
2.17
2.7
104,244
1440
2.92
2.80
17
C
43
0.01
0
1,440
0,00
2.5
0
1440
0.00
2.60
18
C
42
0
15,400
1,440
0.28
2.6
7,782
1440
0.22
2.60
19
C
34
0
83,078
1,440
1,53
2,8
35.034
1440
0.98
2.80
20
C
46
0
122,313
1,440
2,25
2.7
78,940
1440
2.21
2.70
211
C
45
0
93,865
1.440
1,72
2.5
36,167
1440
1.01
2.60
221
PC
53
0
106,983
1,440
1.96
2.6
56,475
1440
1.58
2.80
23
PC
59
0
94,658
1,440
1.74
2.5
86.899
1440
2.43
2.50
24
C
39
0
101,681
1,440
1,87
2.5
46,200
1440
1.29
2.50
25
CL
39
0
0
1,440
0.00
2A
0
1440
0,00
2.50
26
CL
66
0.04
104,787
1.440
1,92
2.6
47,455
1440
1.33
2.70
27
R
60
0.25
104,967
1.440
1,93
2A
52,380
1440
1,47
2.60
28
CL
52
0.07
889
1,440
0,02
2.3
560
1440
0.02
2.50
29
CL
48
0.92
0
1,440
0.00
2.5
0
1440
0.00
1 2.60
30
CL
70
0.55
124,067
1,440
2.28
2.6
63,500
1440
1.78
2.70
31
Monthly Loading (GPD/ft.
Year to Date LoadingGPD/ft' :
1,21
7,36
1.07
3.07
#DIV/01
#DIV/0!
FORM: NDAR-2 08-11 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?
❑r Compliant
❑ Non -Compliant
If not a basin, were there any Instances of effluent ponding In or runoff from the sites?
0 Compliant
❑ Non -Compliant
If a basin, were there any instances of breakout from the berms?
0 Compliant
❑ Non -Compliant
Was the onsite automatically activated standby power source tested and operational?
[Z 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 11 Permittee Certification I
ORC: Michael Garrity
Certification No.: 1002810
Grade: 4 Phone Number: (910) 253-2889
Has the ORC changed since the previous NDAR-2? ❑ Yes 0 No
tw
l�
ignature
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge.
Permittee:
County of Brunswick
Signing Official: Donald Dixon
Signing Official's Title: Deputy Director of Utilities
Phone Number: (910) 253-2485 Permit Exp.: 11/30/22
D
Date Signature Date
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 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
Information submitted is, to the beet 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.
Mall Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mall Service Center
Raleigh, North Carolina 27699-1617