WQ0029653_Monitoring - 10-2020_20201202

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APV FORM: NDMR 05-16
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Permit No.: WQ0029653
Facility Name: Scotch Hall Preserve WWTP
County: Bertie
Month: October
Year: 2020
PPI: 777T
low Measuring Point: E Influent ❑ Effluent ❑ No How generated
Parameter Monitoring Point: ❑ Influent ❑ Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code -►
50050
00310
00940
50060
31616
00610
00625
00620
00600
00400
00665
70300
00530
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U y
O
C
0
3
N
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c
tm
m
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H (D c
F
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E
Q
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t
tM- c
3e
c
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Z
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° a
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n0
a
Vl
>V
a
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p„7NZ
a
4)Z
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24-hr
I 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
6,104
2
07:00
2
1,557
3
1,557
4
1,557
5
07:00
8
1,557
6
07:00
8
1,557
7
1,557
8
1,557
9
07:00
2
2,976
10
2,976
11
2,976
12
07:00
1
2,976
131
2,976
14
2,976
15
2,976
16
07:00
2
3,762
17
3,762
18
3,762
19
07:00
3
3,762
20
3,762
21
3,762
22
3,762
23
07:00
2
6,274
241
6,274
25
6,274
26
07:00
1
6,274
27
6,274
28
6,274
29
6,274
301
07:00
3
3,775
311
3,775
Average:
3,730
Daily Maximum:
6,274
Daily Minimum:
1,557
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
I 4 X Year
3 X Year
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

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FORM:. NDMR 05-16
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Sampling Person(s) Certified Laboratories
Name: Name:
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of 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 NDMR? ❑ yes No
Phone Number: 919-300-9316 Permit Expiration: 2/28/2026
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 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.: •11 •.53
Facility Name: Scotch Hall Preserve WWTP
i
County: Bertie
October
:. 1
Did irrigation occur1
facility.
��.
.
.
.
at this
Cover Crop:
Cover Crop:
I gryfunn
Annual Rate (in):
Field Irrigated?
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o
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o
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o
Floating12 Month

FORM; NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _
Permit No.: Q00•.
Did irrigation occur
at this facility?
F-1 YES NO
Area (acres):
Cover Crop:
-ate
:....
:. ..:.cam
...
■ .
:. .. •©�
. ...
■ , ■ .
m
MMM
Monthly Loading:

FOPM; NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) 1 gage_ 9f
Perm it No.: WQ0029653.
Facility Name: Scotch Hall Preserve WWTP
County: Bertie
---
Did irrigation occur
i,
at this facility?
F-1 YES NO
—Area (acres):
Cover Crop:
n
Monthly

FORM' NDAR-1 05-16
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
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?
Page of
(] Compliant ❑ Non -Compliant
Compliant ❑ Non -Compliant
Compliant ❑ Non -Compliant
Compliant ❑ Non -Compliant
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
7
ure Date
Signature Date
y t�ign.ify 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 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