WQ0031857_Monitoring - 10-2021_20211123

Monitoring Report Submittal
Permit Number #* WQ0031857
Name of Facility:* OAK ISLAND SATELLITE WATER RECLATION FACILITY
Month: * October Year: * 2021
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR OCTOBER2021.pdf 3.28MB
PDF 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: * Bobby S Poarch
Signature:
Date of submittal: 11/23/2021
This will be filled in automatically
Initial Review
Reviewer: Lloyd, Chloe D

Is the project number correct?* WQ0031857
Is the monitoring report accepted?* Yes No
Regional Office* Wilmington
Accepted Date:
12/3/2021

FORM. NDAR.2 06-11 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page J cf --
Did the application rates exceed the limits in Attachment B of your permit?
If not a basin, were the sites kept free of vegetation and raked?
If not a basin, were there any Instances of effluent ponding In or runoff from the sites?
If a basin, were there any Instances of breakout from the berms?
Was the onsite automatically activated standby power source tested and operatlonal?
Qcomwlant
❑ri-cnrrtount
QCO[nwlam
❑Non{pnpaant
(Dcan i+arlt
❑Non-cornphi
Qcommi
❑Non-cornpNaa
❑� complw[
❑Non-CLmpIYK
If the facility Is non -compliant please explain In the space below the reaaon(s) the facility was nct in compliance. Provide in your explanation the date4s) of the non-compliance and describe the corrective
Operator In Responsible Charge (ORC) Certification
Perrnittee Certification
CRC: Bobby Poarch
Parmlttee:
Town of Oak Island
Certification No.: 12971
Signing OHlclal: Lisa Stites
Grade: 4 Phone Number: [phone]
signing Official's Title:. Town Clerk
Has the ORC changed since the previous NDAR-27 ❑vas I]No
Phone Number: (91100) 201.8000 Permit Ezp.: 8131121
//-/% Z!/
/ I ace
Signature Dale
Signature Date
By the stgraluKI cw" that Bue rwo t u, arsurnte and complete to tM rest of my ur—tedge
I ceniry, tetder periii of law. Nai we locum i ew au sltoc :mend, vrere prapi t W my deaaCal or avpervalon n ssonsince,
wren a eyatem Mali td aarun that el qualified peso -el prvprly anti end .vaulted the irf m ton submi Baud on try
:Wulry of the Perron of Dori —o manei Me ayslem, o<erocn persona diwitry mp—b. for gadt ni the atlaamescr, tM
Infarme aubmilted le, m the C 1 of my urgMedg• and b i true, CWate, and Wlnwele. I ens ewra that there are joeficin
penamer to ar,bmmtng aiae lmcrmei v,cwmng the pbaa41@1y of sire arm nnplaw rd for kl..V g rlotadxr.
Mall Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page_ o!_
PermltNo.: W00031857 Fullity Name: Oak Island Satellite Water Reclamation County: Brunswick Month: October Year: 2021

FORM NDMR M-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page -of
Sampling Persons) Cartified Laboratories
Name: Steve Poarch Name. Environmental Chemists. Inc
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Ecmopiurc ❑Narcomp',em
If the facility is non -compliant, please explain in the space below the tessor(s) the fackllty was not m compliance, Provide In your explanation the dataje) of the non-oompllance and descrice this corrective
Operator In Responsible Charge )ORC) Certification
Permltteet Certification
ORc: Bobby Poarch
Permlttee: Town of Oak Island
Certification No.: 12971
Signing Officisl: Lisa Stites
Grade: 4 Phone Number: [phone]
Signing Official's Tide: Town Clerk
Has the ORO changed since the previous NOMR7 Qres f]rro
Phone Number: [phone] Permit Expiration: 813112021
Signature Date
Sign olu re Date
By mis ebramro, I csrlxy e,u thr repan is scwmafe ma wmpleu to the beet a my xnwMedge
wtiry, wdr perulty d lay. Wt hs *omen anc at attachments rare preo—d under my 4reUMn w epp.,Lgii f In
accmdr with a aysiem daagned to acaue mat ae qualeed pamO l property 9alNred end eva`.,ned tN intormesdn
wbmftleo. aeeeo on my "aVy Of me peraw or penpns who mer,ii,ae me cysiem, r more p6mcevi dtracity reepw&b* fa
9atherma the Wormaddn,"int -CM Wbm,tted * to du heel of my krw doe end behef, true actuate, r complw. t am
awes man meta an ii jwyam Penaeue V 6uomlmn9 fern 1Npmatldn, W-KAlna en P—bliny of 1Ms and unprtsX~ 1a
krtvwtrg Wdadtau.
Mail Original end Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mall Service Center
Raleigh, North Carolina 27699-1617