WQ0008489_Monitoring - 01-2021_20210216

FORM. NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page I of _ I
WQ0008489 Facility Name: Hyde Correctional Institution WWTF County: Hyde Month: ��� ",I Year: 1
Permit No.:
Influent v Effluent ❑' No flow generated Parameter Monitoring Point: ❑ influent ❑ Effluent ❑ Groundwater Lowering ❑ Surface Water
Flow Measuring Point: ❑ ❑
PPI: 001
0530
Parameter Code 50050 00940 50060 31616 00610 00625 00620 00600 00400 00665 00530
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p
24-hr
p
hrs
GPD
mg/L
mg/L
mg/L
#/100 mL
mg/L I
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mg/L
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mg1L
mg/L
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Average:
coo
Daily Maximum:
Daily Minimum:
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
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
4 x Year
Per Event
4 x Year
3 x Year
4 x Year

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page --I-_ of, I
Sampling Person(s) Certified Laboratories
Name: BOBBY C OX Name: ENVI R0 tJ M L IV I-- l NC-
Name: TC6EfH F, SflDC.E(Z 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: T05EP14 F. S aDLEl?
Permittee: COUN'Vy m F H y OE -
Certification No.: W W 15511 " .SL 15650
Signing Official: J-QSEP 14 F , S A b LE
L,
Grade: = Phone Number: (aSa) Z 6 — ZZZ-T
Signing Official's Title: In f} N 14G E K C7 IZc
Has the ORC changed since the previous NDMR? ❑ Yes $,No
Phone Number: C.O. Sa, cr2� -- 22-2-Permit Expiration: 08 O1 - a0.22-
o o
O /0 2
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 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page_ ;& of _ y- -

rUKIVI: NUAK-1 1U-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Z, 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
k Compliant
❑ Non -Compliant
❑V 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 explan@tion the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessarv.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: S-66EPH F, SIgpLCR
Permittee: COUNTI OF 14\406
Certification No.:
Signing Official: J'OSEPH i', SiatoL ei22
Grade: 11 Phone Number: CaSl) q;-(o- 2_2_2_ F
Signing Official's Title: rr ftP6GEZ
Has the ORC changed since the previous NDAR-1? ❑ Yes ❑ No
Phone Number: Ca 22'F Permit Exp.: C $ — d D-0 22--
L 11A n ,Z
G�dc� v/G�tl�C�c—
OW
O ! o Qv2
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 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page f of
Permit No.: W00008489
Facility Name: Hyde Correctional Institution WWTF
County: Hyde
Month:f
Year:,1,0Z,(
Field Name:
1
Field Name:
2
Field Name
3
Field Name:
4
Did irrigation occur
Area (acres}
92
Area (acres):
9.5
Area (acres}
10 3
Area (acres):
9.7
at this facility?
Cover Crop '
Cover Crop;
Cover Crop
Cover Crop:
Hourly Rate (in)
0 25
Hourly Rate (in):
0.25
Hourly Rate.(In)
02
Hourly Rate (in):
0.25
❑ YES ❑ No
Annual Rate (in)
(4 56
Annual Rate (in):
14.56
Annual Rate (m)�
14 56
Annual Rate (in):
14.56
Weather
Freeboard
Field Irrigated?
[J YEs ❑ No <';
Field Irrigated?
❑ YES ❑ No
Field,lrrigatec(?
❑,YES
❑ No
Field Irrigated?
❑YES ❑ No
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Monthly Loading:
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12 Month Floating Total (in):
10.9140
110.6663

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s)
Name: QOQB `i COY
Name: —J-6SEP14 F. SVtDUEp
Certified Laboratories
Name: t_ �J U I p o N M E IU T a--. i N C-
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
actinnfsl tnkr:n Aftach nrlditinnni sheets if necessarv.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: TOSL pH
Permittee: LOUPT% Lo'+STD W'` T"
Certification No.: Signing Official: TO$ C P H F • S A ID LE CZ
Grade: Ir Phone Number: �25� q -I&— Z2-7-`f Signing Official's Title: M f°rN Ii 4-E R — O R C
Has the ORC changed since the previous NDMR? ❑ Yes ❑ No Phone Number: Case 9 )-(0 — 1 Z- 2 Li Permit Expiration: (,>Z022_-
841�'K -d P _PWGw"'" v
Signature
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge.
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 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

NON DISCHARGE APPLICATION REPORT Page a of -A-
SPRAY
IRRIGATION SITE(S)
PERMIT NUMBER: ), 6 000 S4g9 TOTAL NUMBER OF' FIELDS: 12— MONTH: YEAR: W I
FACILITY NAME:CLASS: ---T7- COUNTY:
Formulas
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feetlgallon) x 12 Cinches/foot)] / [Area.Sprayed (acres) x 43,560 (square_feetlacre)]
Maximum Houdy Loading (inches) =Daily Loading (indhcs) / frunc Irrigated (minutes) / 60 (minuteAour)] Monthly Loading (-inches) = Sum of Daily Loadings (inches) ;
12 Mouth Floating Total Cinches) =Sum of this month's Monthly Loading (inches) and previous I 1 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading (inches/month)1 Number of days in the month (days/month)] x 7 (dayslweW
FIELD NUMBER: <
FIELD NUMBER: t^.
AREA SPRAYED aces . l
AREA SPRAYED acesQlv , f
COVER CROP:
COVER CROP:
Permitted HOURLY Rate Cinches): 5
Permitted HOURLY Rafe (inches): Q ,2,51
WEATHER CONDITIONS
Permitted tVEEKLY Rate Inches . .
Permitted WEEKLY Rate inches
Temp.
Maximum
Maximum
D
A
Storage
T
Weathei
at
Precipi-
Lagoon
Volume
Time
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Daily
Volume
Time
Hourly
Daily
E
Code*
application
Cation
Freeboard
Applied
Irrigated
Loading
Loading
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Loading
boading
CH
inches
feet
gallons
minutes
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Monthly
Loading (inches)
0
12 Month
Floating Total Cinches)
O
4a
JO
Average Weekly
Loading (inches)
Weather Codes S-sunny, k partly cloudy. CI -cloudy, R-rain, Sn-snow, arbleeL PRONE 222
OPERATOR IN RESPONSIBLE CHARGE (ORC) �m GRADE
CHECK BOX IF ORC HAS CHANGED ❑
Mail ORIGINAL and TWO COPIES to:
ATTN: COMPLIANCE GROUP
DIV. OF ENVIRONMENTAL MGT.
DEHNR
P.O. BOX 29535
RALEIGH, NC 27626-535
X
(SI A�EOFOPERATOR IN RESPONSIBLE CHARGE)
BY IS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.

FACILM STATUS:
° y checking the appropriate box) whether the facility has been compliant or
Please indicate(bin the
nitant
with the following (b it requirements: (Note: If requirement does not apply to your facility put (NA)
compliant bo)L) non-
com� pliant com_yliant
1. The application rate(s) did not exceed the limit(s) specified in the permit
El
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with Q El
the permit.
4..All buffer zones as specified in the permit were maintained during each
application.
5. The freeboard -- the treatment and/or storage lagoon(s) was not less than the
limit(s) specified in the permit.
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the noncompliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"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 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.
ease rint r ty
of Bermittee)*
NOM
(Date)
aS2-q2-&- Lf1 Clt 4$-Ol --X)2Z
(Phone Number) (Perrlait Fkp. Date)
(l'ermittee Address)
* if signed by other than the, per-mittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b) (2) (D)-

NON DISCHARGE APPLICATION REPORT Page or
SPRAY IRRIGATION SITE(S)
I� �x�US�4�9 TOTAL NUMBER OF- FIELDS: �2—_ MONTH: YEAR�t�L
PERMIT NUMBER: �, .�-- ' I
nl��t�l I�Q Lt1�AITP CLASS: T! COUNTY:
FACILITY NAME: y+-,�/yc I
Formulas
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 anchesfroot)) I [Arta Sprayed (acres) x 43-560 (square,feettaae))
Maximum Hourly Loading Cinches) = Daily Loading (inches) f [tune Irrigated (minutes) / 60 (minutesfhour)) Moutbly Loading (inches) = Sum of Daily Loadings (inches).'
12 Month Floating Total (ihcbes) = Sum of this month's Monthly Loading (inches) and previous 1 I month's Monthly Loadings (inches)
_.�, r r.r.....ti....r.t•..• .. e6. mnngh rdavalmonih)1 x 7 (days/week)
Average Weekly Loahrug
(inches! _ (mummy
Loeumg-
FIELD NUMBER:
<
FIELD NUMBER:
AREA SPRAYED
aces :
AREA SPRAYED ears :
/+ y(
COVER CROP:
COVERCROP: MIXED
Permitted HOURLY
Rate Cinches): ,
Permitted HOURLY Rate Onches):
WEATHER CONDITIONS
Storage
Permitted WEEKLY
Rate (inches); .
Maximum
TiHourly
Daily
Permitted WEEKLY Rate inches :
Volume Time
d
Maximum
Hourly
Daily
Temp.
T
r
WcatheCodc*
Code•
at
a lication
Preeipi- Lagoon
tation Freeboard
Volume
Applied
me
Irrigated LoadingLoadin
Applied Irrigated
Loading
Loading
E
minutes inches
inclws
atlons minutes
inches
inches
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altons
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Weather Codes: S-sunny, PC -partly cloudy, CI-clOUdy, R-rain, Sn-snow, SI-sleet
OPERATOR IN RESPONSIBLE CHARGE (ORC) �jpSEPl�t I�• �Q GRADE PHONE z6' Z2
CHECK BOX IF ORC HAS CHANGED ❑
Mail ORIGINAL and TWO COPIES to:
ATTN: COMPLIANCE GROUP
DIV. OF ENVIRONMENTAL MGT.
DEHNR
P-O. BOX 29535
RALEIGH, NC 27626-535
X_&IS!GNATURE,
�L---------------
(SOPERATOR IN RESPONSIBLE CHARGE)
BI CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
NDAR-1 (7194)

FACILITY STATUS:
Please indicate (by checking the appropriate box) whether the facility has been compliant or non -compliant
with the following permit requirements: (Note: If a requirement does not apply to your facility put (NA) in the
compliant box.)
non-
compliant compliant
1. The application_rate(s) did not exceed the limit(s) specified in the permit. 0 ❑
2. Adequate measures were taken to prevent wastewater.runoff from the site(s). ❑
3. A suitable vegetative cover was maintained on the site(s) in accordance with R ❑
the permit.
4. All buffer zones as specified in the permit were maintained during each ❑
application.
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the ❑
limi.t(s) specified in the permit.
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the noncompliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"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 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 subrmtted 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."
ttee-
Permittee)*
OXIMZD1-1
(Date)
o ti L _& _ 2=L_q(R6 dg-01-DLO 2.Z
(Permittee Address) (Phone Number) (Per►hit FJxp. Date)
" If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 28.0506 (b) (2) (D).