WQ0005790_Monitoring - 11-2021_20211217 (2)

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DWR - NonDischarge Monitoring Report Submittal •4 ..
NORTH CAROLINA
Emlranmenlcl QHaffly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0005790
Name of Facility:* Fish Factory Road Treatment Plant
Month:* November Year:* 2021
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR November 2021 DMRS Fish 6.71MB
Factory.pdf
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:* Kenny Von Voigt
Signature:
Date of submittal: 12/17/2021
This will be filled in automatically
Initial Review
...................
Reviewer: Mokashi, Poorva

Is the project number correct?* WQ0005790
Is the monitoring report accepted?* - Yes No
Regional Office* Wilmington
Accepted Date: 1/14/2022

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FORM:
D R=_y_=.g, NONNNISCHARGE MONITORING REms. 'f
Permit Noy 999- g-5i, ac„ Name: Fan-li Road a Rec. an Treatment la County: Brunswick ick Month: vo b Year: J- i
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FORM Ndele fig-le
NON-PISCHARGE MONITORING REPORT IPage =_1 Sampling
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, Certified Laboratories
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Name: kermerthi Veil VAIN it Name; Environmental Chemists
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Does an monitoringData and sampling frequenciesmeet the requirements in Attachment A of your permit?
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teem oir io Diremermor please examen me Spreeura perm tee rezesonisa the facility_was not in Aprek s,.p__ provide in your . digests)expla e of the-,wr-.O"' -� -e -�aa5 ibe the corrective
actives)taken.Attach additional sheets if necessity
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Operator in Responsible h g ,O °CI Certification; 11 Permittee Certification
,C-. Kenneth `t V o g 11 Permittes: Town n of Oak island
Certification too.; it1 ,6f i Signing Officia: Lisa Stites
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IFade; _ Phone Number: 9103521435 Signing Official's Title; Town Clerk
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f a System reasivee to eseure teat ail quitelea personae! i'getnerea evelueeed tres lerarmeran
Y tte n MY leeleei _i lee personr persons who manage the system,or thoseeis a Fealty feaspeuartie.re
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aware,,_ .ue ra are a:^ ,ca n. male or__:ri r f e ate ti i' 3.._, _e e t of, .r,
Knowing-,i0lattori,,
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh,North Carolina 76 -1617

FORM:: 10506 NONDISCHARGE APPLICATION REPORT A - ) Pace of
I Permit a 00590 l Facility asFish Factory Road Water Reclamation and Treatment _ I County: r t> -, beg I Year:
Field Name 1 Field I
s Orn-0;1f 2 I Field ame:1 v Field Narriej 4&e&
I Mil irrigation occur 1..
Area(acres): ,2 ( Yr ); r ( ea t; ? [ ;: [
I at this facility?
ii Cover re Cover Crop:I Il Cover Cro .I ti Cover Crop.;
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a .,q .__., E is rl Rat ,€€�. >,�` HourlyRate(in): 0.a Hourly P e fin): 0.4 s li_Hourly (1,3)_1 -
Annual Rate(=n):1 `=56 I n 5 1 Rate(€ Annual Rate(in): 156 11 Annual Rate(In):1
I Weather :1 Freeboard Field Irrigated° E, t 1 Find Irrigated?! s i Field Irrigated?1 I ES fro 11 Held Irr gated? J _- Nu-
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4Y , 05_16 NON-DISCHARGE APPLIC TI REPORT(ND AR-1) Parae o;
Si Pe 0.; !0005 90 Facilitygame Fish o1 met �i� Reclamation��� -ea �-:�� ; � County: Brunswick1 g nth. November
Year: cw_
Field Nome c 11 7 F -E .a,
Fia.d Names i 6 II Field Name Field a o;
Did irrigation occur1 - -
r 1 2 5 € (acres); 25 r er Area(acres):i
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' t ) ( Annual ate fi113_1 12% aI Rate )
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it
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R 5-16 NON-DISCHARGE APPLICATION REPORT( R-1) Page o$
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1 Permit Noe 1000 Facility Name: FishFactor/Road Water Reclamation and Treatment
€ Month; November i Year: 2021
Field - Field ame:1 10 i1 Held Name:: 7' Field€ - 12
_-
I Did . r '_ occur II
i at €
Area rs , 3 ,i Area(acme):: 1_75 ii'3i Area(acres): 247 r ea(acres): 55
facility? u 7
Cover r ;; li Cover s iCover r '1 , Cover Crop:E
^ rt Q.2 G ri t ?. H rriy i � } i o-_ Hourlya e 1 0: 2 atere .: Nat it
11 Annual Rate Oa):i 12' 11
Annual Rate gn):1 127 1 Annual Rate(In):! 127 ;I Annual Rate(in)'( 127
= aWeather (Freeboard Field I igated ( E, 31 Field lrrI ated? Field Irrigated?! 'YE -e i Reid irrigated? -` -E
›1 - i r. iHA , : 11 -4- all a 7+ E i U a, I e tt 1 0 . , ,. z =
� i (0H - o ' ra = a to t 60i= m co I o -2 I- z
E _
§i itiel _trtiftiftI gel I min in in 11 gal j train in in ii gal min j i - in HH gal i mist in 1 in 1 it
3,5 I 4 I 11,2405 _ 0-21 0.17 5.808 33 0.12 0,12 1 0 I 0 0.00 0 00 1 0 0 0.00 i -
i 2 1 f I 5,3 1 rz. t 3=6 E 4 1 11.2445 j 0,21 fl-§, 5,859 33 0.12 0.12 1 0 0 0,00 0 00 1 0 0 0,00 I 0 00
13 1 C F 51 _ 3 I 4 7 6 I 0.21 0.17 i 0,13 11 0 n O Ca I coo 0 _ 0 1 0.00 1 0 00
I
4' PC 1 47 1 0 £ 35 I 4 11,637 I 75 022 017 I, 6,012 MIME=
013 II O j 0 000 ! 000 1 0 0 0.00 1 _ 000
66 0.22 017 - 6,182 35 ! 0.13 ® �0 0 00 0-0 =' 0 ( 3 j 0-00 i 0-00
I E° eL t 42 1 1 3.5 68 75 0,22 - 0 1 I 5,982 34 i 0.13 0=13 ' 0 0 i 0.00 0.00 'I 0 is 0.00 1 0,00
1 £ PC I 55 € 4 74 6 0.22 I 0 17 h 6,047 34 0.13 0,13 0 0 0.00 1 0,00 , 0 0 0.00 j 0,00
8 42 I 0 3,5 I 4 16,105 1 103 I 0.30 0.17 h 6-161 i 34 0,13 0.13 11111= 0 000 I 0.0 Ff 0 0 0=00 1 0,00 '
e i r l -2 1 - 3 5 4 11,602 r5 0,21 0.1 I 6,158 j 34 _ 0.13 0,13 0 0 0.00 0,00 it 0 0 0,00 j 00
L.: 59 I 0 3 5 ; 4 11,585 I 75 : 0.21 0.17 1; 6.152 34 0,13 0.13 0 0 0,00 0.00 0 0 0,00 ( 0 0:0
1 ;1I 5 v 5 ' 4 ( 11=38 75 i 0,21 0,17 I1 5.851 33 0.12 0,12 . 0 0 • 0.00 0.00 0 0 0,00 1 000
1 i 0,3 ( u 5 1 4 1 ,t38 75 0 2 0.17 5.325 j- -33 0-12 0=12 11 0 0 0,00 ' 0,00 0 0 0.00 ' 0.00
11
�. 47 5 4 35 7> 0.21 0.1 i 5,325 33 Ci.12 0.12 ;1 0 J,00 G 00 t1 i 0 0,00 1 0.�0
I14, f 1 41 0 3.5 1 4 =1.580 1 7 0.2 0,17 .€ 5,816 j 32 0,12 0 12 11 0 t 0 I 0.00 - 1100 ' 0 0 i 0.00 i 0,00
5 _I 3 11.;15 I 7- li 5,803 0.21 1 0.170.12
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4 -a3 0,12 0 1[ ij 0 0 €
16 C 3 45�; :0,C 5 ; 4 F 34C i 75 _0.2 t 0,17 [ 5,956 33 I 0.13 013 II 0 0.00 03 0 0 �n.00 O,GO 000 11 0 0 0.00 1 0,00
1171 C I 47 =8 I 4 10,303 I 60 0.19 1 0=17 11 7.220 42 0.15 0,15 a 0 0 ( 0,00 0,00 is 0 0 ; 0.00 I 0.00
1181 o 1 47 i 0 13 8 r 4 I 3,087 ' 21 0,6'5 0.06 11 _8.360 j 48 0.18 0.13 i 0 0 0,00 0 00 11 0 0 0,00 1 0 00
9 C ' ar ] 0 3 8 14 1 s2 20 08 0 06 11 0,5`r0 63 0 20 j 0.10 ! 0 O 1 0,00 ! 0 00 11 0 0 0 00 1 0 00
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480 3 8 I 4 1 3,000 1 21 0.03 0.0 .7,495 47 016 1 0.16 0 0 0=00 [ 0,00 11 0 0,00 i 0 j 0,00
ii
2 C C 3 4 2,939 21 ' O 05 1 0,05 ji 7,,26 1 40 j 0.6 = 00=16 11j 0 0.00 0.00 11 0 0 0,00 I 0.00
1221 PO 1 33 i 0 17.5 1 4 _I 3,057 ; 20 0,06 0,06 II 8=_432 ( 56 0,18 0 8 II 0 0 0,00 i 0 00 aI 0 0 0,00 k 0,00
23 �5 I 381 4 0 I 0 n 00 0.00 I 0 I 0 0,00 0.00 I r I r 0,00 II 0 00,00 1
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c 4 2891 21 05 005 )8,519 52 0.18 0 '3 s 0 i 0
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33 ` 56 )0 18 C 8 IE 0 1
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I C _ 4 0 1 3 - [ 004 2 y 0�, 0.0 i 7,817 49 I it 16 ( 6 I 0 [ 0 00 - 0.00 €0
In 1 0 0.00 ; 0.0032 f 0 8 : 4 2,821 ? 20 0 7.54 I 4 1 0 in i 0 i n 0 0 ? 0 00 0.00 ` 0 0 0 00 0 00
F 1 11 1

1
131 A 35 NON-DISCHARGE APPLICATION REPORT( D -1) pane
or I
yr. 0.; WOOC.35790 I indrodiear.L 1' ; Fide_s goad Water Reclamation an-'Pei e_, FacilityCounty: Brunswick r9lo t: None e° can 1
i i Field --. 3 Field Porn I i t A� .` j i
Lila a ii occur -I-
if gfacility? t_ .Area-_a-rest 1.10 F_ Area s cra „ 0 9 ? .Arita(4 -,i 11 rea(a' s)-1 cover
is
ro cover Crop:I i- Covor Cr opt F CoverCrop , a
z 89 so II Hourly Rate;' } t 0.2 11 Hourly Rata,inl I II Hourly Rate fin):1
Annual Rate On))i 127 II Annual Rate lin'„ 127 1 Annual Rate(in):1 11 Annual Ran Orly'
Weather F f-erg Po o en to ' I.F_ -_ Field brig to s _No li Field I rrigated91 I YES NO 11 Field irrigated91 . _ --
g g. i i , F I i F II
1 1' 11 a. _ Q. 3 w `1a N 6 g has v i
n f I al I ; i s in gal € min in in1 gal ( min I In in II gal L miry in I irlE
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= a 1C=� I (
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III I
112, 61 0.3 0 0. 0.00 ` 0 _ 0 0,00 0.00 ( 1 I I
3: ; C= 35 0 0 0.00 0.00 0 0 t7.0 0.00 I. 1
4 C I 0 15141 0 I 0 0.00. 0.00 I 0 0 0.00 0.00 il
0 E i 0 O v CC F 0.00 1 0 0 0.00 0.00 .I j
1161. C I 48 I 0 3_5 I 4 I 0 1 0C^7 GC i u' 0 0.00 0,00 !, 1 ! __ I I _
ill i 1 0 3 x - 00 10 00 ( 0 0 O.GO 0.00 v 1
s 00 J 0 0 O.CC C00 r 1l
i 30 _ 4 1 0 1 0 0.00 1 000 l' t 0 000 CC=C ' i
Oi T. 0 1 0 - 1 : r 0 010 0,00 0 0 0,02 0-00 I 1 -
5,5 10 i 2.8ot 4 1 0 I 0 I 000 I 0.00 I n 0 [ 0 0-00 000 I. _. 1i.1_ E
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122f ¢C 1 6 ft i 0 f 4 1 0 1 0 I 0.00 I 0.00 Il 0 j 0 0,00 0,=00 1
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12 36 11 0 gg 4 1 00 I 0,00 0 I 0 0,00 I 0.00 I 1
28 C 58 [ S _ 1 - I - 0 0.00 .I 0 I `) 0.00 ' 00 I, 'i - - t- ,
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_ ti �

FORM. v =a NON-DISCHARGE
Did the application rates exceed the limits in _Attachment B of your permit?
effluentWere adequate measures taken to prevent .,
Was a suitable vegetative cover maintained ail sites as specified in your permit?
Were all setbacks listed In your permit maintained for eery application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
lii inn f a ,- � n u__
� a. psease explain '7 t e spate be king the easo o the facility was not in oiamphanap. prude in your explanation...a 3- `o of the horocortiolianne anal u-nnf nz Hie hislinflina
ashou(s)taken.Attach additional shies if nieces-sans.
Ope
P
_ - �` u. in r (CAC)Certification -. - ermittee Certification _ -- -
CRC: Kenneth Von Volnt 11 permitted: Town af Oak Island
!Certification r o,: 1006360 t Signing Official: Lisa Stites
Cade: 2 Phone Number: 91035214:35 sinning Official's Title: Town Clerk
Has the ORS,changed since the prevl u:N R 17 `—yes N, Phone Number: ( 1 C)201-8004 Permit Epp.: 7131127
}
Signature Date Signature Date
. >>y ,,,va I ederefe trot. report id aid-cur-Me and idediVele to tee besto knodi,eddidd Wry,enderpenalty 6a^a^c - attachments ,e prepared urv..e,-my direction or seperdsion: decordarice
- - vilt3 a systemdesigned_a assure that Mi deadded personae;property gathered and evaluated he informaeon s,ID, e:i Baseie on
inquire of tee persdn -per5nG. he rewind ,_symerid_ .'gam._e ps LL >dearily Fespdrisible for afire .e information,the
:nfor 5atio.;=Ub':t�i� to De_of m knowledge be ..- -5_ etv am aware 3a Ar
.
penalties for .,,3 t,., ,,r- the dossibiiity of Fines and itrannunment„r knowir10
Mail Original and Two Copies to.
Division of Water Resources
Information Processing Unit
1617 Mali Service Center
Raleigh,North Carolina 27699-1617

F .A 4 D 2 a5=16. NON-DISCHARGE APPLICATION REPORT( D = ) Page o
Parma o.: WQ000 I Facility Nome: Fsh Factory Road Water Reclamation and Treatment P,. County; Bt[J3.IS.NCk Ft-torith. November.bMi' Year 2025
i
I Did infiltration occur at '1 Site Nam E HR-` E
11 Site1 li
It f a^l , ! t t
Area Merest i
1 61 11 Area(cc res);1 1 Area(aeres):1 li Area Merest I
NO
I 1E Rate(G D°feit 1 5 1, R t ( PDift2y1 1 Rate(GPDfft i 1 Pate i ' - 3;
e t " a, _ Etgrt ffrate ? E! � ,t Infiltrated? E� - Site
iitrat ? YES € if I 1[craad =I i se - s ] 1 ii
( i'41
'4I � " AEI EE ' ;T 'Rats ( ZI = I J m 2 L Vim. , Ea f [
in 1 t : ft I, Dal : mi� ( P ift�1 ft - galI-II i In GPDJft- ft gal min I GPDrfg2 , f a[ min ; PD'ft2 1
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FORM.Nakete2 ua__6
NON-DISCHARoiE.APPLICATION REPORT INDAROO
Did the applicationrates exceed the ..mite in Attkchment B of your-permit?
if not a basin Were the sites kept free of vegotationand raked
if of a basin,were there any `"stances of affluent bonding in runoff from the sites?
If a basin, were there any instances of breakout from the berms?
activatedWas the ensite automatically
operational?
standby power source tested and
'utaeat"cittinicraPiantpease exPlain la fais siazoe mow toe o__ sl the tactility aas not,n compliance: Provide in your expianation the a_e the nonecompliknae aka cleakifica tne aaffektitie
action(s)taken.Attach additional sheets if OteicAssary
Operator n Responsible Charge(CRC)Certification Permit-tee Certification I
`: Kenneth `on Volgt Per ittee. i
Town of Oak Island
Certification Nat 1905360 SigningOfficial: Lisa Stit s
ade Phone:urine€: 9103521435 Signing Official's Title: Town Clerk
Has me SRC changed since the o eviou i D -gr 1 r es o ,Phone Number: (910) 01- 034 Permit Exe,: 4 910 .2 800`04
I
gill 0r-
f r0
il �r
I Stann ,,r Date ii
i Signature - - Da
te
-this sisayatas.I canay thal Ma repel- _ and eyarr,plean n-the 1 _,,-my anoaYedge
i certifyv l f r _ nrs e-„r" i Wean-yea-meta eli .,, _ , pp�
t'. `n 0 enure € qualified personnel ` hared a information Y " �' t
31information suismateda the beel of ray0` 4evy., true, `i0 3
,als s Toe ,le false .0 tl� tn4sdAb. y c _4��-e 4a ,_m r knst.. ., s _.
p
il
3
Moil Cr gin l and Two Copies to:
Division of Water Resources
Information Processing One
1617 Mail Service Center
Rale:kith,North Carolina 7699=1617