WQ0019665_Monitoring - 12-2020_20210203

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
rayc _ -
Year.
Permit No.: WQ0019665
Facility Name:
Swan Quarter Sanitary District WWTF
County:
Hyde
Month:
PPI: 001
Flow Measuring Point:
❑ Influent 0 Effluent
❑ No flow generated
Parameter Monitoring Point:
❑ Influent
0 Effluent
-7Groundwater Lowering ❑ Surface Water
Parameter Code 0
50050 '
00310
00940
50060
31616
00610
00d25
00620
00606
00400
'00665,,
70300
00530
CD
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a
.
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c
prn
N
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-ap a
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Q
E
o
dp
o
EO
Y°
o M
oaa
o
p
0a
%
o
LL p
a:
IU 0
vi o
1— N to
o :..;.
N N.
U
U
sU
a
o
z
-s
o
O
O
1-
P-
24-hr
hrs
GPD
mg/L
mg/L
mg/L
oil 00,mL_
mg/L
mglL-
mg/L
, jnglL
su
mg1L '
mg1L
mgll,
1
-
2
3
IV
4
NA
5
p
6
ti _•_.,..•.
7
f'r
4: ,
8
10
=1�
11
t:
12
a�
a'
13
14
15
00 r
,rft
_.
16
17
t6
-
18
I
20
Yk .p
21
3
22
23
24
.c)
120ob
25
26
27
28
2s
1030
1100
30
311
10Q�
Average:
Daily Maximum:
Daily Minimum:
Imn
Sampling Type:
Recorder
Grab
Gr6b`-°
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
3A16iam
Daily Limit:
o
Sample Frequency:
Continuous
4 x Year
3 xYear
Per Event
4 x Year.
4 x Year
4 x Year
4 x Year
4 x Year
Per Event
4 x Year
3 x Year
4 x Year

NUN -DISCHARGE APPLICATION REPORT (NDAR-1)
Page � of I
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?
"Compliant
❑ Non -Compliant
�ompliiant
❑ Non -Compliant
[Compliant
❑ Non -Compliant
'Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑ Compliant ® Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
FIZEE6o ARD WAS POSS'It9LF TO GE J416rfEe TffAYU PgpmlT. PAO NO QALGE FOk MEASURE [fJ(r
1„AGO�,4)_ OPEC HAS QEEnI 1 POSIMUEb 1�J TANUARV zozl
I--IIS EP6 T IS l ►JC0,mPLL-rE_— PAS-F J I•v F61e 0 IrTI bN 1 s NoT f4Uf-I LA&_E - tJ( u- N PKT OF -TP9
WA514106TDiu pFIcE IS WORKING W I I I4 US r�) (�, ET 1 P 1 N(1-U P To DAF E,
Operator in Responsible Charge (ORC) Certification
ORC: U-bsEPO F, 5AOLE2
Certification No.: LA) CL) - I $SI SI I S(o S O
Grade: Phone Number: (Z 5 �) 9 43 - S+3 5-
Has the ORC changed since the previous NDAR-1? K Yes ❑ No
Signature I Date
By this signature, I certify that this reporl is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee: S W A N Q u WTUt ,StIIV ITI-AKY Q IS 7TeI C T
Signing Official: J_E{F F Rj S -Q)k&5 3 aPY
Signing Official's Title: 5FG/r`QFSUprvER
Phone Number: C 2 rj�) S�dL-U�D I Permit Exp.: C�$131 / a,U 2.6
o`ft-�a -
re 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 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

FCSRM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page —L of I
PermitNo.: WQ0019665
Facility Name: Swan Quarter Sanitary District WWTF
County: Hyde
Mjb
• irrigation occur
Area (acres):
Area (acres):
Area (acres):
at this facility?
Cover Crop:
Cover Crop:
■ YESi 1 NO
HourlyRate
Hourly---
•-
i�
AnnualRate(in):
Annual -
...F
i el d Irrigated?■
1.1 •
.. •.
■ ■ •
..
■ ■ NO
..
■ ■ •

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page I of ''
Sampling Person(s) 11 Certified Laboratories
Name: SArA uj SToN 11 Name: I Nc-
Name: II Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑Compliant ]Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: 7'6SEPI-I F. SFipLFR
Permittee: SUJ/dt) c9i.41}127 PIST-PIC.T
Certification No.: (, U) JT 1 , j 5i'l
S� 5(os�J/
Signing Official: J E FF 1 Qy s roK Es B E Ke
Grade: JTZ' Phone Number:
' L
$ 9 `t� ' S -f 3S
Signing Official's Title: s[L/7W0
Has the ORC changed since the previous NDMR?
yes ❑No
Phone Number: Ca 0 q0 Permit Expiration: 09/31/;,,02,6
o
-v—c
Signature
ate
Signature Date
By this signature, I certify that this report is accurrale and complete to the best of my knowledge.
I certify, under penalty of law, that this do ;umenl and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all r:.ialified 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