WQ0005790_Monitoring - 05-2021_20210713

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0005790
Name of Facility:* Fish Factory Road Treatment Plant
Month:* May Year:* 2021
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR May 2021 NDMRS Fish 6.1 MB
Factory Road Corrected.pdf
FDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter:* Kenneth Von Voigt
Signature:
Date of submittal: 7/13/2021
This will be filled in automatically
Initial Review
Reviewer: Giri, Poonam a

Is the project number correct?* WQ0005790
Is the monitoring report t: Yes r No
accepted?*
Regional Office* Wilmington
Accepted Date: 7/22/2021

FORM; NDAR-205-10 NON -DISCHARGE APPLICATION REPORT (NDAR•2) Pape of_
Permit No.: W00005790
Facility Name: Fish F'ectory Rnad Water Hoclamatlon and I+ealn+nrd I arihW
County: Brunswick
Month; May
Year: 2021
Did Infiltration occur at
this facility?
V Y1S Nil
Site Name
Hk- l
Site Name:
Site Name,
Arse (acres):
alh Name:
Area (acres);
Rota (OPDfft'):
site Infiltrated?
Area (ecroo):
1 61
Area (some):
Rate (OPW14:1):
257
Rate (©PDW).
Rate (OPDM'Ii:
Weather
Freeboard
Site Infiltrated?
C] Yr5 (+' NO
Site Infiltrated?
I j Yts [I NO
Site Infiltrated?
I f vrs I` -IN 0
LJM ❑ NO
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1
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FORM: NDMR o5-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of _
Sampling Person(s) Certified Laboratories
Name: Kenneth Von Voigt Name: Environmental Chemists
Name:
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? i] 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
acfirinfsl taken Att—h HAti—I chnmc if ri... —ten,
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Kenneth Von Voigt Permittee: Town of Oak Island
Certification No.: 1006360 Signing Official: Lisa Stites
Grade: 2 Phone Number: 9103521435 Signing Official's Title: Town Clerk
Has the ORC changed since the previous NDMR? _ Yes tag Phone Number: [phone] Permit Expiration: 7/31/2021
Signature Dale Signature Date
By this signature. 1 certify that this report is accumate 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 [hat all qualified personnel property gathered and evaluated the Information
6ubmihad 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 ballet, true, accurate, and complete I am
aware that there are slgnllicant penalties for submitting false informatlon, including the possibility of fines and imprisonment for
knowing vloialions.
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 (NDARA) Page
Permit No.: WQ0005790
Facility Name: Fish Factory Road Water Reclamation and Treatment Facility
County: Brunswick
Month: May
Year: 2021
Did irrigation occur
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4 & 4A
at this facility?
Area (acres):
2.2
Area (acres):
2.1
Area (acres):
2
Area (acres):
2.2
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
❑ YES ❑ NO
Hourly Rate (in):
0A
Hourly Rate (In):
0.4
Hourly Rate (in):
0.4
Hourly Rate (in):
0.4
Annual Rate (in):
156
Annual Rate (In):
156
Annual Rate (In):
156
Annual Rate (in):
52
Weather
Freeboard
Field Irrigated?
❑ YES E] NO
Fleld Irrigated?
❑ YES E] NO
Field Irrigated?
❑ YES E] NO
Field Irrigated?
❑ YES NO
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Monthly Loading:
12 Month Floating Total (in):
0
0.00
0.00
0
0.00
71.82

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
QCompliant ❑Non-Conpliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
0 Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
El Compliant ❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
i] Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
QCompliant ❑ 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 adriktinnal ghrPtq if nacr:agrary
Operator In Responsible Charge (ORC) Certification Permittee Certification
ORC: Kenneth Von Voigt Permittee:
Town of Oak island
Certification No.: 1006360 Signing Official: Lisa Stites
Gracie: 2 Phone Number: 9103521435 Signing Official's Title: Town Clerk
Has the ORC changed since the previous NDAR-1? u Yes _Ian Phone Number: [phone] Permit Exp.: 7131/21
171,26-9- i Al_�_ _' ,�� - 6, - r 8 -.z t
Signature Date Signature Date
By this signature. I certify that this report Is accurrate and complete to the best of my knowledge I candy. under penalty of law, mat this document and all attachments were prepared under my direction or supervision In accordance
with a system designed to assure that all qualified personnel propedy 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 ballet, true, accurate, and complete. I am aware that there are significant
penalties for submitting false Information, Including the possibility of Tines and imprisonment for knowing violations.
Mall Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Permit No.: Q 0005790Faciirty
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FORM NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Permit No.� WQ0005790
andTreatment Family
County: Brunswick
•
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m
Minthly Limit,
1 11
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