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Home My WebLink AboutWQ0035809_Monitoring - 05-2021_20210629Monitoring Report Submittal ............................................................................................................................................ Permit Number #* WQ0035809 Name of Facility:* Stateside WWTP Month:* May Report Information Type * NDMR, NDAR-1, NDAR-2, NDMLR Confirmation Email Address:* Name of Submitter:* Signature: Date of submittal: Initial Review Year:* 2021 Upload Document* CCF_002152.pdf 6.64MB FDF only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59). ecochran@onswc.com Erica Cochran C-S" Wfe" Reviewer: Lloyd, Chloe D 6/29/2021 This will be filled in autorratically Is the project number correct? * WQ0035809 Is the monitoring report r Yes r No accepted?* Regional Office * Wilmington Accepted Date: 6/30/2021 FORM: NDMR 05-16 NUN-UlW,HAKUrZ IVtUiilrvnu.v -I-' i''- "" Permit No.: VVQ0035809 Facility Name: Stateside WWTP PPI: 001 Flow Measuring Point: ❑ influent ❑Q Effluent ❑ No now generated County: Onslow Month: May Year: 2021 Influent Cffluent rcund�:�ater �owenng ❑Surface Water Parameter Monitoring Point: ❑ ❑ ❑ 31616 00610 00625 00620 00600 00400 00666 70300 00530 Parameter Code -* 50050 00310 00940 50060 ❑ • j O N U � O t0 (� y 'O ,_ U f6 N 3 C ♦- d L U mg/L Grab l6 w LL O U #/100 mL 2 <1 1.41 2.00 1.00 Grab 14 .2 O E 1= Q mglL <0.04 0.38 0.19 0.38 0.04 Composite 4 cc Cy Z O ►- mg/L 0.84 1.27 1.06 1.27 0.84 Composite N O Z i0 o F mglL mg/L 0.42 1.26 1.68 3.12 1.05 2.19 1.68 3.12 0.42 1.26 Composite Composite 10 4 O su 7.8 7.5 7.5 7.9 7.6 7.4 7.8 7.6 7.5 78 77 7.6 7.9 7.9 7.4 7.9 7.6 7. 7.8 7.4 7.5 7.90 7.40 Grab 6-9 O O NE L a.O mg/L 0.2 0.12 0.16 0.20 0.12 Composite 2 >-0 O In O Ul n ~ p mglL Composite C D ay o O N Uf mg1L 3.6 3.8 3.70 3.80 3.60 Composite 15 24-hr hrs GPD mglL mglL 1 2 3 07:30 07:35 07:15 2 1 3 31,527 30.854 28,962 4 07:00 2 25,103 5 07:15 3 27,413 6 07.30 3 24,635 7 07:30 2 29,742 8 07:15 2 32,045 9 07,00 1 30,978 10 07:30 3 28,450 111 12 13 07:00 07:30 07:00 2 3 2 26,375 28,529 24,218 14 07:45 2 29,653 15 0730 3 30,264 16 07:00 1 33,469 171 07:30 2 27,958 18 07:15 2 29,631 11 19 07:00 3 25,390 <2 201 07:30 3 27,482 21 07:30 2 23,946 22 23 07:15 07:00 2 1 32,674 30,582 24 07:15 2 24,964 25 07:00 3 27,336 26 07:30 3.5 29,941 <2 271 07:30 1 2 28,432 281 07:45 1 3 26,472 29 0700 3 31,348 30 0720 1 30,892 31 07:00 2 28,948 Daily Average: Maximum: 28,652 33,469 0.00 2.00 Daily Minimum: 23,946 2.00 Sampling Type: Recorder Composite Composite Monthly Limit: 100,000 10 Daily Limit: Sample Frequency:1 Continuous 2 X Month 3 X Year 5 X Week 2 X Month 2 X Month 2 X Month 2 X Month 2 X Month S X Week 2 X Month 3 X Year 2 X Month FORM: NDMR 05-16 NON-DISC.NAKUt MUM I UKIIVU RCrvrx r tim"ITI ) Permit No.: W00035809 Facility Name: Stateside WWTP County: Onslow Month: May Year: 2021 Influent Efflux,,,t Groundwater Lowering ❑ Surface water PPI: 002 Flow Measuring Point: ❑ Influent 0 Effluent 0 No flow generated Parameter Monitoring Point: ❑ ❑ ❑ Parameter Code ► 50060 00680 00940 50060 00610 00620 00600 00400 00665 70300 p~ ` d _ Q£ O O d E �- in U of O ; o u. C 10 C E) 0 ca U o F 47 -� 0 = U d 3 C m 0 0 r y L U C o E Q N - Z 01 O` z G �- x a 0 N L o a rn ~ C a _ d N R o 0 N O F- L N p 24-hr hrs GPD I mg/L mg/L mg/L mg/L mg/L mg/L su mg/L mg/L 1 2 OT30 OT.35 2 1 65,000 72,000 3 07:15 3 79,000 4 OTOO 2 82,000 5 0715 3 89,000 6 7 OT30 0730 3 2 74,000 69,000 8 07:15 2 58,000 9 OTOO 1 67,000 10 OT30 3 70,000 11 12 13 OTOO OT30 OTOO 2 3 2 76,000 71,000 80,000 14 OT45 2 86,000 15 DT30 3 82,000 16 OTOO 1 66,000 171 07:30 07:15 2 2 85,000 73,000 008 0.63 7.6 0.17 OT00 3 78,000 0.11 [21 07:30 3 84,000 231 07:30 07.15 07:00 2 2 1 86,000 69,000 75,000 241 251 07:15 07:00 1 2 1 3 90,000 88,000 0.04 0.15 0.59 7.4 0.23 26 27 28 07:30 07:30 07:45 1 3.5 2 3 82,000 78,000 72,000 29 07:00 3 67,000 30 07:20 1 70,000 31 07:00 2 83,000 0.08 0.11 0.12 0.15 0.61 0.63 7.60 0.20 0.23 Daily Average: Maximum: 76,323 90,000 0.08 0,59 7.40 0.17 Daily Minimum: 58,000 0.04 Sampling Type: Recorder Grab Grab Grab Grab Grab Grab Grab Grab Grab 10 500 Monthly Limit: 250 1.5 2 X Month 2 X Month 6 5 8.5 2 X Month 2 X Month 3 X Year Sample Frequency: Daily Limit: Continuous 3 X Year 3 X Year 2 X Month 2 X Month FORM: NDMR 05-16 NUN-UIbUMAKUM nfluiVI ir.— — II -I Permit No.: WQ0035809 Facility Name: Stateside WWTP County: Onslow Month: May Year: 2021 PPI: 003 Flow Measuring Point: ❑ influent ❑a Effluent ❑s No flow generated Parameter Monitoring Point: ❑ Influent ❑ Effluent ❑ Groundwater Lowering ❑ Suiface Water Parameter Code 50050 00680 00940 50060 00610 00620 00600 00400 00665 70O300 ` of O 24-hr �O hrs GPD u °' ° mg/L p U mg/L c :2 mg/L I mg/L mg/L cdL3 « E- mg1L 0. su a mg/L > odo mg/L 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 [20 22 23 24 25 26 27 28 29 30 31 Daily Average: Maximum: #DIV/0! 0 Daily Minimum: 0 Grab Grab Grab Grab Grab Sampling Type: Recorder Grab Grab Grab Grab Monthly Limit: 250 1.5 10 500 2 X Month 2 X Month 6.5-8.5 2 X Month 2 X Month 3 X Year Sample Daily Limit: Frequency: Continuous 3 X Year 3 X Year 2 X Month 2 X Month FORM NDMR 05-16 NON-U16UHAKUt IVIUIVI 1 ur[114v 1 k—'w"" Permit No.: VVQ0035809 Facility Name: Stateside WWTP PPL 004 Flow Measuring Point: ❑ Influent 0 Effluent 0 No flow generated Parameter Code —� 50050 00680 00940 50060 00610 00620 0 > 0 Q E U 0 0 d E° _ 00 3 _p u C A C 0 6 y p t N O C O N d t E E z 1 2 24-hr hrs GP D mglL mg/L mg/l 1gL+mgd i 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Average: Daily Maximum: Daily Minimum: #DIV/0! 0 0 Grab Sampling Type: Recorder Grab Grab Grab Grab Monthly Limit: 250 1.5 10 Daily Limit: Sample Frequency: Continuous 3 X Year 3 X Year 2 X Month 2 X Month 2 X Month County: Onslow Month: May Year: 2021 Parameter Monitoring Point: ❑ Influent 0 Effluent ❑ Groundwater Lowering ❑ Surface Water ) 400 00665770300 a o a. na/L su ma/L mglL Grab I Grab I Grab Grab 500 6.5-8.5 3 X Year 2 X Month 2 X Month 2 X Month FORM: NDMR 05-16 NON -DISCHARGE MUNIIUKINU KtFUMI tNUIVIM/ Permit No.: WQ0035809 Facility Name: Stateside WWTP County: Onslow Month: May Year: 2021 PPI: 005 Flow Measuring Point: ❑ Influent ❑d Effluent Q No Flow generated Parameter Monitoring Point: ❑ Influent ❑ Effluent ❑ Groundwater Lowering Surface Water Parameter Code ► 00300 00610 00600 00400 00665 T p r Q a, E UE- 0 0 a)m £ �' UN o o C ' T N Hp o m O E E Q m p .+ Z y 0 O in 2 L O C ~ O a 24-hr hrs mg/L mg/L mg/L su mg/L 1 07:30 2 2 07:35 1 3 07:15 3 4 0700 2 5 07:15 3 6 07:30 3 7 07:30 2 8 07:15 2 9 07:00 1 10 07:30 3 11 07:00 2 12 07:30 3 13 0700 2 14 07:45 2 151 07:30 3 161 07:00 1 1 1 17 07:30 2 18 07:15 2 19 07:00 3 6 0.32 1.63 7.3 0.13 20 07:30 3 21 07:30 2 221 07:15 2 23 07:00 1 24 07:15 2 25 07:00 3 26 0730 3.5 6 0.41 1.43 7.3 0.11 27 07:30 2 28 07:45 3 29 07:00 3 30 0720 1 31 07.00 2 Average: 5.85 0.37 1.53 0.12 Daily Maximum: 6.00 0.41 1.63 7.30 0.13 Daily Minimum: 5.70 0.32 1.43 7.30 0.11 Sampling Type: Grab Grab Grab Limit: Daily Limit: LGJMonthly Sample Frequency: 2XMonth 2XMonth 2XMonth!Grab Month FORM NDMR 05-16 NON -DISCHARGE MUNI I UKINU Ktl-UM l trvumrcI Facility Name: Stateside WWTP County: Onslow Month: May Year: 2021 Permit No.: W00035809 PPI: 006 Flow Measuring Point: ❑ Influent M Effluent I�l No Flow generated Influent Effluent Groundwater Lowering surface water Parameter Monitoring Point: ❑ ❑ ❑ 00600 00400 00665 Parameter Code 0 00300 00610 _ G O a O N a �. o m v Q E O~ o c O E U� X 0 d T p o o E a O O 24-hr hrs mg/ L mg/L mg, su rglL 1 07 30 2 2 07 35 1 3 07 15 3 4 07.00 2 5 07 15 3 6 07 30 3 7 0730 2 8 07 15 2 9 0700 1 10 07 30 3 11 0700 2 12 0730 3 13 0700 2 141 0745 2 15 07:30 3 16 0700 1 17 07:30 2 18 07 15 2 7 2 0.08 19 07.00 3 6 1 0 33 1_53 20 07 30 1 3 07 30 2 07 15 2 07 00 1 [24 07.15 2 07:00 3 1.63 7 5 0.11 0730 3.5 6 041 271 0730 2 28 0745 3 29 0700 3 30 0720 1 31 0700 2 Average: 6.15 0 37 1.58 0.10 Daily Maximum: 6.20 0.41 1.63 7 50 0.11 Daily Minimum: Sampling Type: 6.10 Grab 0 33 Grab 1.53 Grab 7 20 Grab 0.08 Grab Monthly Limit: Daily Limit: Sample Frequency: 2 X Month 2 X Month 2 X Month 2 X Month 2 X Month FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) rage ui Sampling Person(s) Certified Laboratories Name: Jeff Jarman Name: Environment 1 Name: 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) tnkpn Attach adrlitional sheets if necessary. Operator in Responsible Charge (ORC) Certification I ORC: Jeff Jarman Certification No.: 13491 Grade: IV Phone Number: 910-330-8167 Has the ORC changed since the previous NDMR? ❑ Yes Q No �� 6/29/2021 Signature Date By this signature. I certify that this report is accurrate and complete to the best of my knowledge. Permittee Certification Permittee: Old North State Water Company Signing Official: Signing Official's Title:3�`1 Phone Number: qO , i 1\ J) Permit Expiration: 2/28/2022 Signature Date I cfrti under penalty of law. that this document and all attachments were prepared under my direction or supervision in a rdance 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 arr 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 User Friendly Name Official Parameter Name DWQ Accepted Units 00010 Temperature Temperature, Water Deg. Centigrade °C 00076 Turbidity Turbidity, HCH Turbidimeter NTU 00092 Flow - Maximum Flow, Maximum Flow Range GPD 00094 Conductivity Conductivity uO 00125 Dichlorobenzene Dichlorobenzene (Isomers) M/P In Water ug/l Ng/L 00300 Dissolved Oxygen DO, Oxygen, Dissolved mg/L 00310 BODS BOD, 5-Day (20 Deg. C) mg/L 00340 COD COD, Oxygen Demand, Chem. (High Level) mg/L 00400 pH pH su 00480 Salinity Salinity mg/L 00515 Total Filterable Residue Residue, Tot Fltrble (dried at 105C) mg/L 00530 Total Suspended Solids Solids, Total Suspended mg/L 00545 Settleable Solids Solids, Settleable mL/L 00556 Oil & Grease Oil l3 Grease mg/L 00600 Total Nitrogen Nitrogen, Total (as N) mg/L 00610 Ammonia Nitrogen, Ammonia Total (as N) mg/L 00615 Nitrite Nitrogen, Nitrite Total (as N) mg/L 00620 Nitrate Nitrogen, Nitrate Total (as N) mg/L 00625 Total Kjeldahl Nitrogen Nitrogen, Kjeldahl, Total (as N) mg/L 00630 Nitrite + Nitrate Nitrite plus Nitrate Total 1 DET. (as N) mg/L 00660 Ortho Phosphate Phosphate, Ortho (as PO4) mg/L 00665 Total Phosphorus Phosphorus, Total (as P) mg/L 00670 Organic Phosphorus Phosphorous, Total Organic (as P) mg/L 00680 Total Organic Carbon Carbon, Tot Organic (TOC) mg/L 00681 Dissolved Organic Carbon Carbon, Dissolved Organic (As C) mg/L 00916 Calcium Calcium, Total (as Ca) mg/L 00927 Magnesium Magnesium, Total (as Mg) mg/L 00929 Sodium Sodium, Total (as Na) mg/L 00931 Sodium Adsorption Ratio Sodium Adsorption Ratio Ratio 00937 Potassium Potassium, Total (as K) mg/L 00940 Chloride Chloride (as Cl) mg/L 00945 Sulfate Sulfate, Total (as SO4) mg/L 01002 Arsenic Arsenic, Total (as As) mg/L 01007 Barium Barium, Total (as Ba) mg/L 01022 Boron Boron, Total (as B) mg/L 01027 Cadmium Cadmium, Total (as Cd) mg/L 01034 Chromium Chromium, Total (as Cr) mg/L 01042 Copper Copper, Total (as Cu) mg/L 01045 Iron Iron, Total (as Fe) mg/L 01051 Lead Lead, Total (as Pb) mg/L 01055 Manganese Manganese, Total (as Mn) mg/L 01067 Nickel Nickel, Total (as Ni) mg/L 01077 Silver Silver, Total (as Ag) mg/L 01092 Zinc Zinc, Total (as Zn) mg/L 01147 Selenium Selenium, Total (as Se) mg/L 01284 ND Application Rate Non -Discharge Application Rate in/yr 31504 Total Coliform Coliform, Total MF, Immed,LES Endo Agar #/100 mL 31505 Total Coliform Coliform, Tot, MPN, Completed, (100 mL) MPN/100 mL 31613 Fecal Coliform Coliform, Fecal MF, M-FC Agar,44.5C,24hr #/100 mL 31616 Fecal Coliform Coliform, Fecal MF, M-FC Broth,44.5C #/100 mL 32106 Chloroform Chloroform mg/L 32730 Phenolics - Recoverable Phenolics, Total Recoverable mg/L 32730 Phenols mg/L 34469 Pyrene Pyrene pg/L 34694 Phenol - Single Phenol, Single Compound mg/L 38260 Surfactants Surfactants(MBAS) mg/L 50050 Flow Flow, in conduit or thru treatment plant GPD 50060 Total Residual Chlorine Chlorine, Total Residual mg/L 70295 Total Dissolved Solids Solids, Total Dissolved mg/L 70300 Total Dissolved Solids Solids, Total Dissolved- 180 Deg.0 mg/L 70318 % Solids Solids, Total, Percent % 71880 Formaldehyde Formaldehyde mg/L 71900 Mercury Mercury, Total (as Hg) mg/L 78732 Volatile Compounds Volatile Compounds, (GC/MS) Yes/No 80082 Carbonaceous BOD BOD, Carbonaceous 05 Day, 20C mg/L 81639 Total Kjeldahl Nitrogen Nitrogen Kjeldalh, Total (TKN) lbs/ac 81688 Ethylene Glycol Ethylene glycol pg/L 82385 Nitrogen Oxides Nitrogen Oxides (as N) mg/L 82546 Water Level Water level, distance from measuring point ft CO310 BOD5 - Conc. BOD, 5-Day (20 Deg. C) - Concentration mg/L CO530 TSS - Conc. Solids, Total Suspended - Concentration mg/L CO600 Total Nitrogen - Conc. Nitrogen, Total (as N) - Concentration mg/L CO610 Ammonia - Conc. Nitrogen, Ammonia Total (as N) - Concentration mg/L CO665 Total Phosphorus - Conc. Phosphorus, Total (as P) - Concentration mg/L NDVOC Volatile Compounds Volatile Compounds (Effluent) Yes/No WQOt Reclaimed Water Distributed Flow, Reclaimed Water Distributed Gallons WQ09C Plant Available Nitrogen Plant Available Nitrogen - Concentration mg/L WQ09 Plant Available Nitrogen Plant Available Nitrogen - Loading mg/L FORM: NDAR-2 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page Permit No.: WQ0035809 Facility Name: Stateside WWTP I County: Onslow Month: May Year: 2021 Did infiltration occur at Site Name: 1 Site Name: 2 Site Name: 3 Site Name: 4 this facility? Area (acres): 0.47 Area (acres): 0.45 Area (acres): 0.83 Area (acres): 0.51 Y1 S ❑ rdu z Rate (GPDIft ): 2.47 z Rate (GPD/ft ): 2.47 Rate (GPD/ft2): 5.16 Rate (GPD/ft�): 5.16 Weather Freeboard Site Infiltrated? ❑ YES ❑ NO Site Infiltrated? ❑ YES ❑ NO Site Infiltrated? ❑ YES (✓ NO Site Infiltrated? ❑ YES NO p a 0 m N 7 E C 2 a d d N d d m R V NCL v N N n m = U p R v� _ d 7 0 i Q 41 E .@`. ~ C C J 7. 0 T C 1°O a y c 'n LL M m d E °' 7 a i Q N ° m E �, ~ C C N o J T .@ p �` 16 C o� .0 N d N Lt M G7 V E °7 7 a Q S d m R E- ~ c o J T '� p 'fl T W Q o d C d LL m y E._ i Q y @ ~ C :0 0 J R p T D 0 N C lL N m °F in ft ft gal min GPD/ft' ft gal min GPD/ft2 ft gal min GPD/ft' ft gal min GPDIft2 ft 1 C 57 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 0 0.00 2 C 60 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 0 0.00 3 PC 78 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 0 0.00 4 PC 70 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 9.00 0 000 6.00 5 PC 75 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 0 0.00 6 CL 64 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 0 0.00 7 PC 59 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 0 0.00 8 C 54 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 0 0 00 9 C 60 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 0 0 00 10 C 73 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 0 0 00 11 C 69 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 9.00 0 0.00 6.00 12 R 58 0.5 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 0 0.00 13 PC 49 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 0 0.00 14 C 54 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 0 0.00 15 C 54 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 0 0.00 16 C 59 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 9.00 0 0.00 6.00 17 CL 59 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 0 0.00 18 CL 64 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 0 0.00 19 C 66 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 0 0.00 20 C 64 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 0 0.00 21 C 63 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 0 0.00 22 CL 62 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 0 0.00 C 69 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 0 0.00 C 72 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 0 0.00 [25 CL 73 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 9.00 0 0.00 6.00 C 74 0 0 0.00 N/a 0 0 000 N/a 0 0 0.00 0 0.00 C 74 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 0 000 28 C 75 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 0 0.00 29 C 0 0 0.00 N/a 0 0 0.00 N/a 0 0 0.00 0 000 L 0 0.00 El 0 0 00 Monthly Loading (GPD/ftz): 0.00 0.00 0.00 000 Year to Date Loading (GPD/ft''): FORM: NDAR-2 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page Permit No.: 011 :1• Stateside OnslowI D • infiltration occur at -© this facility? Area (acres): es):, Area (acres): Area (acres): ■YFs NO I Rate (GPD,ft). I .• •• Rate .• Site Infiltrated? ed? N Site Infiltrated?: N M Site Infiltrated? rl W�®� m MMM MM 0�� FORM: NDAR-2 05-16 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? Q Compliant ❑ Non -Compliant If not a basin, were there any instances of effluent ponding in or runoff from the sites? Q Compliant ❑ Non -Compliant If a basin, were there any instances of breakout from the berms? Q Compliant ❑ Non -Compliant 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 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: Jeff Jarman Permittee: Old North State Water Company Certification No.: 13491 Signing Official: Grade: IV Phone Number: 910-330-8167 Signing Official's Title: lX9) Has the ORC changed since the previous NDAR-2? ❑ Yes Q No Phone Number:�Permit Exp.: 2/28/22 6/29/2021 — SignatureDate /under Signature Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I ce nalty 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 Formulas ally Loading (GPDIft`1 Volume Applied (gallons) = ftz lI Area (acres) x 43,560 acre ft Weather Codes Clear C Cloudy CL Partly Cloudy PC Rain R Sleet SL Snow SN