WQ0028785_Monitoring - 07-2021_20210815 (2)

DWR - NonDischarge Monitoring Report Submittal
NORTH CAROLINA
Ertrlranmerttat Quaffty
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0028785
Name of Facility:* Queens Grant WWTP
Month:* July Year:* 2021
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR Queens Grant WWTP- 3.44MB
NDMR&NDAR-202107.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:* Jeremy Lemaire
Signature:
pa/ LeAlike,
Date of submittal: 8/15/2021
This will be filled in autorratically
Initial Review
Reviewer: Mokashi, Poorva

Is the project number correct?* WQ0028785
Is the monitoring report C' Yes r No
accepted?*
Regional Office* Wilmington
Accepted Date: 9/1/2021

FORM:NDMR 05-16 NON-DISCHARGE MONITORING REPORT(NDMR) Page 1 of e _
Permit No.: WQ0028785 I Facility Name: Queens Grant WWTF I County: Render I Month: July ' Year: 2021
PPI: 001 Flow Measuring Point: ❑Influent []Effluent ❑No flow generated Parameter Monitoring Point: ❑Influent (]Effluent pieguimitrater Lowering ❑Surface water
Parameter Code 00310 T
1 0 I cit.,-,,I,-;•,,----,4e,L.i.' cs :3,:L:--:',,''-,',4,'-''''-P3 — ot L,,,,,,,:;,i.fl !,`,,::::::',,,'--:, ; ,v,-.
. r ,+sJ �
'as a etviimiti :
3 0700 1 _� a �r
4 2200 1 it; i f ' ,v ~
5 2000 1
% t xi
,
7 2108 1 a .: , r ..I.
8 0600 1 --- `
9 0900 1 ti ,, 9,
ff404,7.•; :'.:•?r,..4:•',.i.31,1,1"..
11 0900 1 ;k , .vts y i 1 �:.•+�,,,, , ' , .a,,',•`�i
."
12 1025 1 =lit' r . : r <2.5
15 1000 1 �, A, rt ii�i ti t ! . ',
17 0730 1 ''Ai!.:1..... ..,.-,..:;...'.:.,v
18 0800 1 r t . r ae ^A N ,e �,.
.W v ,..'` l L 1 '3a e, t # �.
19 0930 1 <2 +' ,t„ y. <2.5 , ,,
20 2200 1 + r, w r+ s . a+ v' z.1F �" a t,.
1 r*". r s;, r �, .t - ,�w,:Fes( �.�. I,* . d
23 1900 1 pw� '.
•� r • F7.,,..,t.#? f t!ter; ..: t^wn. i4 Xs r - `. k �'f. i .h.
24 0810 1 = " '.
25 1230 1 «�ww s . .. `` •�' u ;
' . ;
a ww
28 1130 1 053. 2 1 <2.5 ,
_ a�7r 522
27
28 0801 1 "' s' � ,.'
29 1933 1 1 ,,,, ,4� ."= .5
31 0730 1 .}� 4a., ^ �.y, ,: �.
Average: .'F > #REF! #REF! *REF! -P1 *REF! ,n:-. #REF! ," 0.00 100
DailyMaximum: 22,i75 #REF! #REF! *Rl #REF! �F1 #REF! 8.70 #REF! 2.50 6.fl0
Daily Minimum: 10,081 #REF! #REF! *REF!: #REF! BR #REF! 7.90 #REF! 2.50 .. "OAG
Sampling Type: Recorder Composite Composite Grab Comp site Composite compote* Composite Grab Composite Composite Composite Recorder
Monthly Limit: 35,400 10 14 4 5
Daily Limit: 15 25 6 10 10 10 1~..
Sample Frequency: Continuous See Permit 3X Veer See Permit See Permit See Permit See Permit See Permit 5 X Week See Permit -1 X Veer See Permit ContinuOta

FORM.NDMR 05-16 NON-DISCHARGE MONITORING REPORT(NDMR) Page tof
Permit No.: WQ0028785 ( Facility Name: Queens Grant WWTF I County: Fender I Month: July I Year: 2021
PPI: 002 Flow Measuring Point: ❑Influent 0 Effluent 0 No flow generated Parameter Monitoring Point: ❑Influent 0 Effluent ❑Groundwater Lowering 0 Surface Water
Parameter CodeII: s ,
G v � emu»
re fiiit
�7'7N h ,, - ,--1,1, ►` ,„„ -.,,: i(I 1 91 t i}/ IY. G �=`.F `�.. 4 j K v r A + x 4.,
� I''1 b M R� 4*--..'(, y�. � dial °,6.„.,:o,.�,t 4 3 l'_ #i r- t eV"',7';' t
1 1749 1 r� ;'. c
9 iy
Z �� M 4 r Sty. .. ��iw Ki? Y (� \Y Aw YX Si\9 a{J" fl�k7ti.
.,1 'T A �`�, '
93 ros II A4a. �, 11 t t,r fit. w !"It+6 ,..,,'. �t
4 2200� 1 �, 1, ✓l a. i . e .
6 2000 1 OICII2;I:Iiii I*If.161-34W. AVIiIt4r/11.I.otA:2ZI-
x
7 2108 1 "` t` a k,Ii r? 7. N
8 0600 1 ' t ^ ' `;" :f2,1;.I:'
,
10 0805 1 �< fia, � .ewe yr `tip �iM# , -,tr s"" picr.4a,*
pp
� .. ";� tk` `C4 drvd YiiYY+ A r3<� i+,.ia9 w .��crt tr'f, 4`!,A ,i4 ;,'
11 0900 1 . >: tt�
12 1025 1
13 Ff t r`i . ey�P i� 1. 0.' r AYk t��
.; � Y' '+.t 1 . ..A4i w i• U r !. W r,.t'
14
yr: � "Zr"..--,` ;a C l,k t *. ! s !`t x!� rrtl` fl M "'! S S''•-,! 4x ?Z e�4 e,i t, "
15 1000 1
15 C� -, at ; ,tip. fir�� m4ba .,c'rr 140 mz ,,,, " .3 b � i£
18 0800 1
* si' r kr '. :i:0 i' s:, r ^#rJ q,! ► . 4* k##'a "S 4 ,, -h4 t "# 16,,!
19 0930 1 g .;
20 2200 1 t« v'' . r , r iir wei rtw .,...i . r';.n',S * d'4 '.", 4 ',:0 4- ' % iN'I« '"
^_
"ii
y R +5 7 w. ri 5 .,.SSA. A AC?x ..5t�= �.f �� +r e`�A u i e t,7
I
. s. ..+ a4� x ;'•1 #' .r. 4* I"S ^
23 1900 1 +� J 1} a / Kytt- + -.''SM
24 0810 A 4 !✓i A BJI?rri 4 ?
.4 sz?".#;rt ` a t � IL /M i A 1
25 1230 1
4t/
. "i 4 x .• a r r�.rlt w33 . d �r f,!" k
26 1130 1 12.
27 t1 , . t ..• e'# .4 (. ea` r
28 0801 1 1
�� 1 9 .e err A1K. ftt ; . ,
29 1933 1 r ;: G,u.
30 1 1rvtr t- ti', e
31 0730 1 �' eta ai'a._, w�+a'i+i1,,e.,,! �� f „Y ,
Average: ifiktir
Daily Maximum: ',24,074
Daily Minimum: 10,01)1 ;
Sampling Type: Fteo:V`der
Monthly Limit: 20,t60
Daily Limit: ,
Sample Frequency: Continuous _ _ _ .

FORM:NDMR 05-16 NON-DISCHARGE MONITORING REPORT(NDMR) Page ' )of "4
Sampling Person(s) Certified Laboratories
Name: Darrell J. Covington Name: Environmental Chemists, Inc. 37729 ,
Name: Name:
Does all monitooks data and sampling frequencies meet the requirements in Attachment A of your permit? [ Compliant D Non-Cbmpliiiit
If the facility is non-compliant,please explain in the space bekm the resson(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.
Vrobieirvss. cAr L'.}{,1 0,-4_ s;AA OP 44.4, U V C PtiLiA's . A ...A6V 4- kx.A.14:4,1" h.o.reCregeKe-ot g/rbt-e mi- 1010/4er"
litt, . e 6)di rilln rtak 9,0-oct- now
tk•
Operator In Responsible Charge(ORC)Certification Permittee Certification
ORC: Darrell J. Covington Permittee: Queens Grant Rec Association
Certification No.: WW 4: 1002814/SS: 1005107 Signing Official: Jim Hepner
Grade: 4/SS Phone Number: 910 467-5034 Signing Officials Title: President I
1
Has the (ORC nged sin 1‘a prin4ous NDMR? 0 Its []No
Phone Number:
Permit Expiration: 2/28/2025
Signature Date t4---4 4... Si ignature Date
By this signature,I certify that this report is accurateand samples lo the best of my knowledge. I certify,under penalty of law,that this document and all attachments were prepaed under my direction or supervision in
accordance with a system designedlo assure that all qualified personnel properly plowed and evaluated the Information
! submitted.Based on my inquiry of the person or persons who manage the system,arrow persons directly responsible for
gathering the information,the information submitted is,to the best of my knowledge aid 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
I knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1677 Mall Service Center
Raleigh,North Carolina 27699-1617

Page t
rORM:NDAR-2 05-16 NON-DISCHARGE APPLICATION REPORT(NDAR-2)
Permit No.: WQ0028785 Facility Name: QUEENS GRANT WWTP County: Pender Month: July Year: 2021
1 Site Name: 2 Did infiltration occur at a � 3 see Name:
this facility? �' ` '
(� 1' Area(acres): 0.15 % Area(acres):
D YES []NO ...f' _ '.1 . is 'j F- A y, . 4,. 4� 4� r
J � � ,�~ k}rE Rate(GPD/ft�): 1.49 ��� �3� Rate{GPDIRZ):
.�;,, &, . ,.b T nm m < M ] , t site Infiltrated?
0
YES 0
NO Weather Freeboard s F .■ o Site infiltrated? 0 YES ONO r ,b q
• "� l 5..' n��"-' v �;a? I .F ,. tip. te
ll
g 1 P. i i 2 0 � , II
macft W '� g, ,,,':, .mks ,5 �, ,s. C �1 ,.w;?. k.# +� - J
F in ft its t
° .' gal min GPD/itz ft gal min GPDlitz ft
1 c $6 0 N/A 23 '' ` t 0 0 0.00 }; *�f '4,.;; �'
2 0 N/A 23 'J -.'" 0 0 0.00 ,, - ,
3 C 74 0 N/A 23 "� ';a fi •5 :' I.;; 0 0 0.00 64 A o; -'`a �' a ,.
4 C 0 N/A 23 ti--..:-..f,. -
x 0 0 0.00 r`�` .
5 C 69 0 WA 23 4 ' x .,a 0 0 0.00M.14 U v
to 1 iy. .r .• .r1� . a .•, ... `..J . 4?X .
6 C 81 0 N/A 23 r' - r
7 CL 79 0 NIA 23 ! 0 0 0.00
, K� , 4 t x, ..
8 R 80 0 N/A 23 a• 1+4 ��' :. 0 0 0.00 .
9 C 80 0 N/A 23
'0. ':1 e�` 0 0 0.00
10 C 77 0 N/A 23 LOW. �6 1.24.. 0 0 0.00 .T - '
e ., , r r r �,.,F. . s _ '�t f". 'JS ;r.r t W
11 C 77 0 NA 23 111'` o 0 0.00
12 C 80 0 NIA 23 h 0 0 0.00
x. . a a � � ? ,*.• . . A.7-a▪.. r u� s.
13 0 N/A 23 _ h t
A a„x i '..4.'i s+i 1 0 0 0.00 � + �§ x ..4 . rr v~x r; r
14 0 N/A 23 ,„ 0 0 0.00 `
e r •. - X- . ti . r si . . - r .r'''..`,7
�, '.i.. it
16 C 80 0 N/A 23 1. 0 0 0.00
i,rt ,�°a { r Sx x x s s + r .. r .�c
16 0 N/A 23 6,9 ( # 0 0 0.00
�, k �,? A, 5., J [ 7 r
17 C 82 0 N/A 23 6424; {f 96 0 0 0.00
18 C 80 0 N/A 23 6 ��
19 R 75 0 NIA 23 $ { :, 0 0 0.00
20 CL 79 0 N/A 23 v r: �,r0 0.00
21 0 N/A 23 .0 • to 0 0 0.00 ;
22 0 N/A 23 i , 0 a 0.00
23 CL 82 0 N/A 23 i . . . yr rr +'
6,426 0 0.96` 0 0 0.00
24 CL 77 0 N/A 23 CO!, 0 1.0 0 0 0.00
25 C 89 0 N/A 23 F r � _
4, t74.1., �' nX11,, x r r 0 0 0.00 f,� � , j,..r 4
28 CL 88 0 N/A 23
N/A - x ,A, . `} a S 0 0 0.00 ax x .
27 0 23 6,7 t1 # i. 0 0 0.00
28 R 79 0 NIA 23 ,158 0 1.18 0 0 0.00
29 C 86 0 N/A 23 6,269 0 0.96 0 0 0.00
30 0 NIA 23 6,46$ 0 0.99 0 0 0.00
31 C 84 0 N/A 24 9,962 0 1.52 0 0 0.00
M• Loadin, GPD 0.00 6D1V/01 #DIY/01
Year to Date Loadin GPD/ft2MIEN

FORM:r4uAR-2 05-16 NON-DISCHARGE APPLIGA11ON REPORT(NOAR-2) Page 2.- of
Did the application rates exceed the limits in Attachment B of your permit? Compliant Ei Non-Compliant
If not a basin, were the sites kept free of vegetation 2 nd raked? E]compliant LII Non-Compliant
If not a basin, were there any instances of effluent pending in or runoff from the sites? El Compliant El Non-Compliant
If a basin, were.there any instances of breakout from the berms? E Compliant [III Non-Compliant
Was the onsite automatically activated standby power source tested and operational? E Compliant [1]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)Certificatior Permittee Certification
ORC: Darrell James Covington Permittee:
Queens Grant Rec Association
Certification No.: 1009643 Signing Official: Jim Hepner
Grade: SI Phone Number: 9104675034 Signing Official's Title: PRESIDENT
Has the ORC changed s c the previous NDAR-27 El Yes RI‘lo Phone Number: Permit Exp.: 2/28/25
L
Signature Date Signature Date
By this signature,I certify that this report is accurrate and complete to the best of m 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: 1
Division of Water Resources
Information Processing Unit
1617 Mail Service Center