WQ0001664_Monitoring - 05-2021_20210611

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0001664
Name of Facility:*
Month:* May
Report Information
Belvedere Plantations
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
May Belvedere DMR 21.pdf 10.84MB
Ry Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
[e-mail]
Greg Spillman
t r�allr
Reviewer: Mokashi, Poorva
6/11 /2021
This will be filled in automatically

Is the project number correct? * WQ0001664
Is the monitoring report r Yes r No
accepted?*
Regional Office * Wilmington
Accepted Date: 6/23/2021

r vnm r UMN U0.10 NON -DISCHARGE MONITORING REPORT (NIDMR) Pace ,J
Pennit No.: W00001664 _
Facility Name: Belvedere Plantation WWTF
County: fender
Month: May
Year: 2021
PPl: 001
Flow Measurin<l Point: t`fL r ar:,t?owaa ar<xe Parameter Monitoring Point: Wfl:; Et1l�erx a±rLcwer�x3 urfr:ewat:
ParameeUer Code ►
50060
00310
1
50060
:31616
00610 00620 OflAOfl t 0066$ i 70300 OflS0 00076
Q
't
M
Q
G
tlr p
:^.
"L T
O A i? O O
q F
m
t.7
h iY U
###iii 3
Q 2 ►^ }
7
_
24•hr hrs
GPt1
mg/L
MgJL
mgfL
100psi
mgTL mgi mgll fit ;' m Su
mt #11 NTt1
91t lam: .
1
2
94.300
94,300
_-
3
0930
1
94,300 1
<2
0.31
<1
<0 2 07
8.84
9 5
i
ii ) iv
V'3
4
0800
1
137800
<2
0,24
1
<0.2
1 0.
12.4
?; 7 '
7.58
0A
5
07:30
1
K
0.19
7.35
6
10:50
1_
79 i00
01
-
_...
-- -
7.56 I
0.29
7
8
08:05
1
$2.400
82-433<10
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7.52
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0.35
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'10
06:50
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8.36
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7.25
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11
11.05
1
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0,26
<1
<0.2
1
- 7.16
�7 2
7 5 �_
1: s - 0.2
12
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--1
- 92 900
_
0.27
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01
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7.•78
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14
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0.74 1
<10
13
14
0415
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1
68 5L7s3
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--
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7.52
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17
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18
19
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03 15
1
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105 1i.H)
122,500
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0.2
0.16
0.02
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3.
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0.29
_
_
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7.81 -
-
7.74
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22
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<< <0.2
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7.45
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;: ' 035
l
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04:20
1
27,200
<2
0-11
<s 1 <02
13
1.12
_
1
- 7.67
- i 0.35
tt
26
27
t 3:50
0105
i.7f10
1
100,700
0.14rJ.J
0,18
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! 1
7.74
as -_ 1 0.58
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7.62
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28
1100
1
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30
116,1300_ _
<10 -
31
11.05
1
11£,,800
0.21
7.92�
0.38 -
Average:
"8,616
0.00
--
T mm
0.25
1 0.00
--
3.57
0.31
Daily Maximurn
148 200
2.00
2.20
}1 0.20
12.40
---
7.92
fl
1 iO.OD
Daily Minimum:
19.7
2.00
0.02
1 0.20
0.10
7.'15
s t) 14-
Sampling Type:
Recorder
Composite
Cornlsite
Grab-
Composite
Composite
, {;rab
-
Composite
Recorder
-
Monthly Limit:
3(K),000
10
q
R.
_ _.4
_ _
Daily Limit:
Sample Frequency:
_
_ Cont n;rrnss
_. _____
15
2. X Week
X Year
. X V'Jeek
• ; g
2 X week � 2 X Week
__ _.._
,
)� �
2 X We .k
_ _
9
� 5 X Week
X Y'eek
r--
_
3 X Ye<r
til
Y �S YS+eslc
_ 10
C ontin ;a�>
- ---

r s,)N n NDJVi o )- if NON -DISCHARGE MONITORING REPORT {NDMR) "
Sampling Person(s) i) Certified Laboratories
Name:
Greg Spillman
NName:
Enviromental Chemists, Inc. DW # 94
Name:
Namei
Carolina Water Services Inc - Eastern Region Certificate # 5162
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? •' crmpilalt rvon c:o+aln
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 Pennittee Certification
ORC: Greg Spillman
Certification No.: 1004824
Grade: 4 Phone Number: 252-241-0661
Has the ORC changed since the previous NDMR? _ Yes "J No
__._. �l "'� ��tKrf�► �.y�t�i.GlGxS lrf �---�_•Q
Signature Date
By this signature. I certify that this repcxi is aaxii aw complete to the best of my knowledge.
Permittee: CWSNC
Signing Official Dana Hill
Signing Official's Title:
Director of Operations
Phono Number: 252-269-2540
Oration: 3/31/2026
Digitally sgerPy Daa
DN. C=USO=CWSNC, CN=Dana Hill,
r con
E=dana hyo
nn
H
ill
Reason I am the author of this document
he
n
a
r signing location a
ionI
Location. your signing location here
Date 2021.06.09 07:28.10-04 00 j
ue
Foxit PhantomPDF Version. 10.1.3 1 n- ID — 2, 1
Signature Date
certify under penalty of law, that this document and all attact,ments were prepared under my ditecmn or supervision in
aaordance with a system designed to asstrre that all qualified personnel property gad,ered and evaluated the information
submitted. Based on my ingwy of the person or persons who manage the system. or those persons direly responsible for
gathering it*) elformatm. the information submitted is, to the best of my knowledge and belief, trtre. accurate. and complete. I an,
aware that there are sgrificant penalties for st 4tra±tang false information. induct ng tr,a poi ibi!Yy of fi,c s and irmposonment fa'
Wowing violations
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

t-uK1Vl: NUMKU5-ib NON -DISCHARGE MONITORING REPORT (NDMR) P''.ge of
Permit No., VVQCIOO1664 Facility Name: Belvedere Plantation WWTF _ County: Pender Month: May Year: 2{721
PPI: 002 Flow Me:aSuring Point 144jent i .� Hilkp ,t No flow c ef,eritea Parameter Monitoring Point: 1011.ent Effluent OUndw'w'r t_owenng St"face Watef
Parameter Code • W001
> O' w
Q « ""W
p
24-hr hrs * ljons
1 09:35 1
2
--
3 10:40 1 0
5 10:22 1 0
6 07:30 1 0
7 06:,% 1 0
8-_-----_--
9
10 07:45 1 0
[14
12:46 1 0
11:04 1 0
12:04
3
12:30 1 Li-
16
18 12:47 1 0
19 09:53 1 0
21 09:40-
22
23
25 10:40 1 0
26 11:29 1 0
27 10:54 1 0
28 12:03 1
29
—
30
erage 0
Daily Maximum: 0—
Daily Minimum:
Sampling Type: E,4_mata � !
Daily Limit:
Sampie Frequency. itse it >jr

,f NP%, : NON -DISCHARGE MONITORING REPORT (NDMR) Page _T of
Sampling Person(s) Certified laboratories
Dame: Greg Spillman 11 Name: Envirornentai Chemists, Inc. DW # 0,A
Name: 11 Name: Carolina Water Services Inc - Eastern Region Certificate # 5162
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? I � Complant Lion -compliant
If the facility is non compliant. piease explain in the space be;ow the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-corirlianc e and describe the conettive
action(s) taken Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
ORC Greg Spillman
I Certification No.: 1004824
I Grade: 4
Phone Number: 252-241-0661
Has the ORC changed since the previous NDMR? i ye" No
_8. _2-!
Signature Date
BY this Signature I certify that this report /5 accurrate and coinpiele to the best of my knowledge
Perinittee: CVVSNC
Signing Official Dana Hill
Signing Official's Title:
Permittee Certification
Director of Operations
Phone Number: 252-269-2540 Digitally sgnenilDlEa filiation: 3/3112026
DN: C=US, O=CWSNC. CN=Dana Hill,
ana Hill orn
Reasondana hill@ the author of this docueric eat
Reason I am the author of this document
Location. your signing location here
Date 2021.06.09 07 26:40-04'00'
Foxit Phantom PDF Version: 10 1.3
Signature Date;
3 cendy. under penelty of taw that this document and al attachments ware prepared under my direction or srµa". 5;on in
acxordance with a system desigi" to assure that all qualified personnel properly gatheted and evaluated ffle irdorrmAJon
subvi i9ted Based on my inquiry of the person or persons who manage fife system. or those persons diredty responsible for
gathering the information, the inforrin anon submitted is, to the best of rrry knowledge and belief, true. accurate and wmploe. I am
:,ware that there ai-v significant penalties for submitting false information, sty file Possib lity 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

I -OHM: NUMB 05-16 NON-D=SCHARGE MONITORING REPORT (NDMR) Page
Permit No.. INQ000'1664
Facility Name: Belvedere Plantation V'ANTF
County: Pender
Month: May
Year: 2021
PPI: 003
Flow Measuring Point: I:,Hitent
Parameter Monitoring Point: t 'the r Pf, r It c , n r+a±e, L:mcrox; S,-fKo Water
Paraa_wtor Code
►
1150060
00940
31616
00610
T0"20
00400
00665 70300 00600 500fi0 L00W '
-a
t
c
!g
Vi-�'
yp a
tiU
y
J
Q
p 1 ix
-24-hr
Q
mg1L
*100 a*
mglL
m;L
su
h
mg/IL mglL milL nlg1L sttsg/!
����
hrs�
GPD
1
2
09:35
1
1,r* <'0:3
63 9t19
1
<0.2
002 7.5
007-
3
10:44
1
63,989
4
09:24
1
204.978
5
6
10:22
07:30
1
1
114,382
96,5:31
7
06 58
1
105 985
_
8
109,748
g
10
-07,45
1
109 748
109,748
+ _
112,228
-=1
<0 2
<0 02 '' 7.39
0 24
11
12.46
1
_
12
11.04
1
99.811
13
1204
1
112,674
14
12.30
1
281 148
15
273,7+
16
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17
01.05
1
2i3,746
<1
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7 59
0-08��
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11:30
1
1
2738 809
269 A1R
21
247 714
22
23
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276.436 �..
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25
26
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241, 982
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27
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27a,7r
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269,333
m_ �_.
_
_
30
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31-269,333
erage:
2i?U7
1,00_
0 00
0 10" :
0.00
Daily Maximum.
289,916 _
1.00
020
0 1 7 7.70 � 0 24,
_
Daily Minimum:
1.00
020
0 02 7.39 0.34,�=
�
0.00 isampling
Type:
tieccrcte, i Grab
dafa0 ,
Grab
C,raG � . Grab Grab-- Gra_h
Monthly Limit:
Daily Limit:
;1WW218 250
_^-
�...,.�
1.5
10 500
6 5.8 5
�_.
_
TJUeeky
_
Sample Frequency:
Cis 3 X Yea, _.L_,
s. by
it vVeek;v
bVee iy ;Neekiy
1 _

I-UKM NLWK t)5-tts ICON -DISCHARGE MONITORING REPORT (NDMR, Page _ of
Sampling Person(s) Certified Laboratories,
Name: Greg Spillman name: Enviromental Chemists, Inc. DW # 94
Name: Name: Carolina Water Services Inc. - Eastern Region Certificate # 5162
Goes all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? orophant 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-comps+ante and describe the corrective
actions) taken. Attach additional sheets if necessary.
Of*rator in Responsible Charge (ORC) Certification
ORC: Greg Spillman
Certification No.: 1004824
Grade: 4 Phone Number: 252-241-0661
Has the ORC changed since the previous NDMR?..) Yes rao
IF
Signature Date
Bq trils Mnattlre, i cerlity that this teport is accumate and oamplete to the best of my knowledge
Permittee Certification
Pernittee: CWSNC
Signing Official: Dana Hill
Signing Official's Title: Director of Operations��y
Phone Number 252-269-2540 Digitally s9eedbitEx��li Lion: 3/:3112026
DN: C=US, O=CWSNC. CN=Dana Hill,
Dana Hill E=dana ! our signing
location herec com
Reason. I am the author of this document
Location: your signing location here
Date. 2021.06.09 07.29:17-04-00'
Foxit PhantomPDF Version: 10 1.3 f
Signature Date
I Certify. under penalty of law that INS document and all attachments were prepared under r,ry dnedioct or supevvisiotn n
accordance with a system designed to assure that all qualified personnel propxaty gathered arK, evairated the Inpormat vn
submitted. Based on my inquiry of the person or joersons v%bo manage the syst(irn. of those persons directly responsible for
gathering the information, the information vAdmitted is. in the hest of rrly knovvkacige and belief, true accurate and complete i aln
aware that there are significant penalties for submitting false information incll(irng the possihihty of tines alyf :mprisolment for
knowing violaWns.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699--1617

FORM NOAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page
Pernut No.: 'di 00001664
Facility Name: Peivedere Plantation WWTF County: !'ender
Month May
Year: 2021
Did infiltration Occur at
Ske Name::
A
Site Name:
B Site Name:
C
Site Name:
this facility?
-
_ ' .Areaazres)
m_Area
(actr$):j
027Area
(acres):
0.27
0.27mm
(acres):
yf� NO
Rate (V1='VVt�):
8 5`a
Yi j x
Rate (GPO;ft):
8.55 Rate (GPOfftr):
8.55
Rate (GPD/ftz):
Weather
Freeboard
Site It1#iltratd'7
Site Infiltrated?
? j YES ! _� NO t site In#lfitrated?
rrs
1�J
Site Infiltrated?
;._ t YES NO
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39,289
1440
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41,163
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8
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61
0.6
50,856
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4,32
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52,917
1560
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f,00
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CL.
60
_ 0
45.046
1320
-3.83 �
0
46.656
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397
0` - 51,650
1320
4.31J
1s
PC
45,937
1,440
3:91
0._00
45,514
1.440
3.87
) 0 51,294
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16
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45.937
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70
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40,410
1,440
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1.440
4.4
-
19
PC
1 68
1 0
3'5•'
14
39.370
1380
-3.3f
0,00
34,661
1380
2 95�'i
' 43,673
1380
mm 3.71_._
0.00
20
CL
68
0
_50.457
1440
4,29 _
-
0.00
49441
1440
4.20
56297
1440
4, 7ta
()0,() .
21
CL
77
0
36178
1380
106
0.00 .1
32320
1380
2 75
40309
1380-
22
CL
51,045
1440
4,34
000
45,836
1440
3,90
56.904
4. i 1mm
00
23
CL
51.045
1440
-4. 34mm
0
45,836
1440
390
56,904
_1440_
1440
434
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CL
82
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51.045
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^--0 00
45,836
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4,84
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CL
79
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39.639
1740
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1740
3.46
49,575
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27
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86
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1440
3.75
0,1
44,362
1440
3.77
49182
1440
4,18
0._00
i
28
CL
80
-
0
--
41.275
1200
3 51
0.60_
44,637
t200
_
3,80
48.704
1200
_ 4.14
0,06
_
-
29
PC
49,445
1460
4 26
0,00
48,912
1460
4.16
52,782
1460
4.49
0O#)
30
PC
_
49,445
1460
4`2�
0.00_
48,912
1460_
416
52.782
1460
4AP
0,00_
-
_
31
C
65
0.4
4
14
49445
1460
4 20
00
48912
9460
4 16
527$2
1460
4.4f'-
0 0
ii
Monthly loading (GPD/ft'):
3.86
4.2
#DIVlO!
-
Year to Date Loading IGPD/ft1 :
15.66
•:4 111
_

NUN-LASUHAHUE APPLICA,riON REPORT (NDAR 2)
Page of
Did the application rates exceed the limits in Attachment 8 of your permit?
(:�] complart
._ NcmCompAtant
If not a basin, were the sites kept free of vegetation and raked?
V compliant
..i Non-compt<,nt
If not a basin, were there any instances of effluent ponding in or runoff from the sites?
U c:oinoiant
i_I Nor,-conilikrlt
If a basin, were there any instances of breakout from the berms?
0Comp>liant
[' Non -Cairn giant
Was the onsite automatically activated standby power source tested and operational?
compliant
[ ? Non -compliant
If the facility is non -compliant, please explain in the space below the reasons) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and
actiontsi taken Attarh arirlitinnal choote if nor• —r-
describe the corrective
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Greg Spillman
Psrtnittee:
Carolina Water Service, Inc N.C.
Certification No.: 1004824
Signing Official:
Grade: 4 Phone Number: 252-241-0661
Signing Official's Title:
Has the ORC changed since the previous NDAR-24 e 4a
'
Phone Number: 800-348-2383 DgRalyijr&M- 3/31/26
i si Dana Hill
■ DN. 1=11. D=CWSNC, CN=Dana Hill,
enc Corti
dana
Reason: I am the author of this Document
i I I Reason I am the author of this document
Location your signing location here
Dana HDate:2021 6.1108 54
Foxl PhantomPOF Version 10.1.3 y It-2
--��-----
Signature Date
Signature irate
By this signature I certify that this report is accurrate and c;ample;e to the: ties' of my klwwtecige
I certify, under penalty of law, that this document and ail artachme:nis were wepared under my direction .,r supervision u1
accordance ili a system designed to assure that all qualified personnel property gathesad and evaluated ;he uNormaticn
submitted Based on my inquiry of the person or persons who manage the syst ri? or those poisons directly responsible for
gathering ;he information the information submitted is, to the best of my kr,owedoe and belief. trueaccurate. and complete I air
aware that there are sigrnf;cant penalties for submitting false information. in:9i.,ding the possibility of firms and imprisonment for
knowing viciat+ons
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617