WQ0005849_Monitoring - 11-2021_20211222 (2)

DWR - NonDischarge Monitoring Report Submittal y. •4 ..
NORTH CAROLINA
Enrlranmenlel QHaflly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0005849
Name of Facility:* Pluris LLC
Month:* November Year:* 2021
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR North Topsail DMR NOV 26.2MB
2021.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:* Randy R Hoffer
Signature:
Date of submittal: 12/22/2021
This will be filled in automatically
Initial Review
...................
Reviewer: Mokashi, Poorva

Is the project number correct?* WQ0005849
Is the monitoring report accepted?* Yes No
Regional Office* Wilmington
Accepted Date: 1/21/2022

FORM:NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page / of Le
Permit No.: WQ0005849 Facility Name: Pluris North Topsail WWTF I County: Onslow Month: November Year: 2021
PPI: 002 Flow Measuring Point: ❑Influent LE Effluent ❑No flow generated I Parameter Monitoring Point: ❑Influent E Effluent ❑Groundwater Lowering ❑Surface Water
Parameter Code -* 50050 00400 31616 00310 00610 00620 00600 00665 00530 00625 00940 70300
> C 2 d -0 C N
CD F m m 3 6 o 8 0 g. To c� Ta .Occa , & v � �
>. Q E !-' O = a .... e`_+ O O` O O c O Y O` p O VO! O
0 F U � U. LL Ti U m E Z ~ Z ~ O ~ � � 6aZ U ~ y0
O Q a to o 0
O i-
24-hr hrs GPD su #/100 mL mg/L mg/L mg/L mglL mg/L mg/L mg/L mg/L mg/L
1 07:00 8 500,455 6.8
2 07:00 8 488,755 6.9 <1 <2 <0.2 0.14 <0.5 0.58 <2.5 <0.5 24 179
3 07:00 8 500,262 6.8
4 07:00 8 579,951 6.7 <1 <2 <0.2 0.21 <0.5 0.7 <2.5 <0.5
5 07:00 8 517,812 6.8
6 527,492
7 635,554
8 07:00 8 592,826 6.9
9 07:00 8 486,441 6.9 <1 <2 <0.2 0.11 <0.5 0.78 <2.5 <0.5
10 07:00 8 514,679 6.8 <1 <2 <0.2 0.18 <0.5 0.49 <2.5 <0.5
11 543,895
12 07:00 8 543,607 7
13 531,620
14 488,121
15 07:00 8 486,441 6.6
16 07:00 8 468,640 6.7 <1. <2 0.3 0.2 1 1.1 <2.5 0.8
17 07:00 8 440,532 6.8
18 07:00 8 417,631 6.9 <1 <2 <0.2 0.06 <0.5 0.07 <2.5 <0.5
19 07:00 8 399,979 6.9
20 450,892
21 532,773
22 07:00 8 499,315 6.7 <1 <2 <0.2 0.41 1.8 1.07 <2.5 1.4
23 07:00 8 434,650 6.8 .1 <2 <0.2 0.87 1.6 2.61 <2.5 0.7
24 07:00 8 441,095 6.7
25 479,251
26 330,586
27 275,377
28 236,068
29 07:00 8 245,955 6.8
30 07:00 8 6.8 <1 8 0.3 0.07 <0.5 1.38 <2.5 <0.5
31
Average: 468,643 1.00 0.89 0.07 0.25 0.49 0.98 0.00 0.32 24.00 179.00
Daily Maximum: 635,554 7.00 1.00 8.00 0.30 0.87 1.80 2.61 2.50 1.40 24.00 179.00
Daily Minimum: 236,068 6.60 1.00 2.00 0.20 0.06 0.50 0.07 2.50 0.50 24.00 179.00
Sampling Type: Recorder Grab Grab Composite Composite Composite Composite Composite Composite Composite Composite Composite
Monthly Avg.Limit: 500,000 6 to 9 14 4 10 NL 4 2 10 4 NL NL
Daily Limit:
Sample Frequency: Continuous 5 x week 2 x week 2 x week 2 x week 2 x week 2 x week 2 x week 2 x week 2 x week 3 x year 3 x year

FORM: NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page 4 of
Sampling Person(s) Certified Laboratories
Name: Randy Hoffer Name: Environchem
Name: Dwight Peterson 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)taken.Attach additional sheets if necessary.
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: Randy Hoffer Permittee: Maurice Gallard
Certification No.: 991796 Signing Official: Randy Hoffer
Grade: 4 Phone Number: 910-327-2880 Signing Official's Title: Manager
Has the ORC changed since the previous NDMR? ❑Yes E No Phone Number: 910-327-2880 Permit Expiration: 12/31/2026
A Si ( i
._.. ... ----1.-177
- /Jj {
,;
Sign( -Date „ Sig `t4r;Qr Date
By this signature,I certify that this report is accurrate 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 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

FORM:NDAR-2 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-2) Page 5-of
Permit No.: WQ0005849 I Facility Name: Pluris North Topsail WWTF I County: Onslow Month: November Year: 2021
Did infiltration occur at Site Name: IB-1 Site Name: IB-2 Site Name: Site Name:
this facility? Area(acres): 1.07 Area(acres): 1.52 Area(acres): Area(acres):
0 YES ❑NO Rate(GPD/ft2): 10.77 Rate(GPD/ft2): 7.54 Rate(GPD/ft2): Rate(GPD/ft2):
Weather Freeboard Site Infiltrated? E YES ❑NO Site Infiltrated? L1 YES ❑NO Site Infiltrated? ❑YES ❑NO Site Infiltrated? ❑YES ❑NO
d C d N T y >.
'° w .2 y .Q N .0 y 'a Of C G> -0 y C d.'a - N. o) 'E C G) 'a y 'a C
U CO , C L S E d d �. E 0 E m m �. c oO E d d >. E oO E w ca Z. S 00
L Q ° oo >,Q 2 . E _ caB do ° a Ew •Ecca m � ? a E _ 3 d,c � a E .- - a m =
m 'S a � a o.O !- � ❑ o w oa Fw ❑ o �, oa i- ❑ o -6 a. i= w ❑ o d
g v Fi ❑ ca > Q C J at-1. > Q C J ti > Q C J > Q C J ti ;
H 0- m m m m
°F in ft ft gal min GPD/ft2 ft gal min GPD/ft2 ft gal min GPD/ft2 ft gal min GPD/ft2 ft
1 261,452 1200 5.61 252,622 1200 3.82
2 4'9 247,048 1200 5.30 7'7 234,938 1200 3.55 6'7
3 256,983 1200 5.51 243,994 1200 3.69
4 295,076 1200 6.33 283,350 1200 4.28
5 265,385 1200 5.69 253,346 1200 3.83
6 0.4 263,211 1200 5.65 253,182 1200 3.82
7 309,926 1200 6.65 291,683 1200 4.41
8 302,464 1200 - 6.49 287,459 1200 4.34
9 4'9 250,515 1200 5.37 7'9 234,631 1200 3.54 7'
10 259,466 1200 5.57 250,310 1200 3.78
11 276,180 1200 5.93 263,025 1200 3.97
12 0.3 276,414 1200 5.93 262,818 1200 3.97
13 270,487 1200 5.80 258,276 1200 3.90
14 248,238 1200 5.33 234,847 1200 3.55
15 245,805 1200 5.27 234,705 1200 3.54
16 4'9 238,858 1200 5.12 7'9 228,797 1200 3.46 7'1
17 223,979 1200 4.81 211,672 1200 3.20
18 210,436 1200 4.51 203,528 1200 3.07
19 205,200 1200 4.40 196,374 1200 2.97
20 228,167 1200 4.90 217,539 1200 3.29
21 269,010 1200 5.77 255,826 1200 3.86
22 4'9 253,931 1200 5.45 8' 239,226 1200 3.61 7'2
23 216,756 1200 4.65 210,896 1200 3.19
24 222,800 1200 4.78 216,108 1200 3.26
25 240,439 1200 5.16 231,252 1200 3.49
26 166,873 1200 3.58 166,895 1200 2.52
27 138,806 1200 2.98 136,396 1200 2.06
28 120,420 1200 2.58 120,120 1200 1.81
29 123,881 1200 2.66 121,004 1200 1.83
30 4'9 191,696 1200 4.11 8' 187,093 1200 2.83 7'2
31
MonthlyLoadingGPD/ft2 5.06 3 41 #DIV/01 ' ix � _ ; #DIV/0I � .
( )� s.
Year to Date Loadin. GPD/ft2 31.06 : ; 28 20 '

FORM: NDAR-2 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-2) Page Le of
Did the application rates exceed the limits in Attachment B of your permit? 2 Compliant ❑Non-Compliant
If not a basin, were the sites kept free of vegetation and raked? 2 Compliant ❑Non-Compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites? ❑� Compliant ❑Non-Compliant
If a basin, were there any instances of breakout from the berms? 2 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: Randy Hoffer Permittee:
MAURICE GALLARD
Certification No.: 991796 Signing Official: RANDY HOFFER
Grade: 4 Phone Number: Signing Official's Title: MANAGER
Has the ORC changed since the previous NDAR-2? ❑Yes 2 No Phone Number: 910-327-2880 Permit Exp.: 12/31/26
,/ l -
t r1 'i`
t
/ f
' '�
i e' .'Date S.iertatre ,bate
,
By this signature,I certify that this report is accurrate 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 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

FORM: NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page____of f
Permit No.: WQ0005849 Facility Name: Pluris North Topsail WWTF I County: Onslow Month: November Year: 2021
PPI: 001 Flow Measuring Point: Li Influent ❑Effluent ❑No flow generated Parameter Monitoring Point: ❑Influent ❑Effluent ❑Groundwater Lowering ❑Surface Water
Parameter Code -► 50050 00010 00400 50060 00310 00625 00530 00610 00620 31616 00600 00665 70300 00940
c
in
Ts p 0 'C ca Is,
c wT. aci 0y '= iri w E m `o > y i
- co~(23 V R LL = m - 1- t E 2 LL o I- 1 I- CF- N sE re U Z y a U z s in UO cc
O -
a
24-hr hrs GPD °C su mg/L mg/L mg/L mg/L mg/L mg/L #/100 mL mg/L mg/L mglL mg/L
1 07:00 8 121,584 50 10 0.2 <2 8.2 18 <0.2 <0.02 <5 8.2 2.14 23400 99
2 07:00 8 124,752 52 10 0.2
3 07:00 8 149,808 50 10.2 0.3
4 07:00 8 137,072 49 10 0.4
5 07:00 8 128,512 42 10 0.2
6 129,712
7 144,816
8 07:00 8 170,416 43 10.1 0.2
9 07:00 8 153,232 44 10 0.4
10 07:00 8 93,152 46 10.1 0.3
11 101,440
12 07:00 8 145,344
13 157,600
14 160,080
15 07:00 8 134,128 43 9.9 0.3
16 07:00 8 134,784 34 10 0.4 13 8 124 0.4 0.09 <10 8.1 2.67
17 07:00 8 130,304 41 10.1 0.4
18 07:00 8 160,800 57 10 0.2
19 07:00 8 152,928 55 9.9 0.5
20 151,920
21 162,448
22 07:00 8 222,944 53 10 0.3
23 07:00 8 203,072
24 07:00 8 203,216
25 212,768
26 312,864
27 326,736
28 293,216
29 07:00 8 250,544
30 07:00 8 237,376
31
Average: 173,586 47.07 0.31 6.50 8.10 71.00 0.20 0.05 1.00 8.15 2.41 23,400.00 99.00
Daily Maximum: 326,736 57.00 10.20 0.50 13.00 8.20 124.00 0.40 0.09 10.00 8.20 2.67 23,400.00 99.00
Daily Minimum: 93,152 34.00 9.90 0.20 2.00 8.00 18.00 0.20 0.02 5.00 8.10 2.14 23,400.00 99.00
Sampling Type: Recorder Grab Grab Grab Composite Composite Composite Composite Composite Composite Composite Composite Composite Composite
Monthly Avg.Limit: 542,635
Daily Limit:
Sample Frequency: Continuous per event per event per event 2 x month 2 x month 2 x month 2 x month 2 x month 2 x month 2 x month 2 x month 3 x year 3 x year

FORM:NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page - of 1
Sampling Person(s) Certified Laboratories
Name: Randy Hoffer Name: Environchem 37729
Name: Dwight Peterson Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 2 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: Dwight Peterson Permittee: Maurice Gallarda
Certification No.: 1002194 Signing Official: Randy Hoffer
Grade: 4 Phone Number: 910-327-2880 Signing Official's Title: Manager
Has the ORC changed since the previous N9MR? ❑Yes ❑No Phone Number: 910-327-2880 Permit Expiration: 12/31/2026
i
f } 3
Signature Date ignature Date
By this signature,I certify that this report is accurrate 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 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

FORM: NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page 3 of 19"
Permit No.: WQ0005849 Facility Name: Pluris North Topsail WWTF County: Onslow Month: November Year: 2021
PPI: 005 I Flow Measuring Point: ❑Influent ❑Effluent ❑No flow generated Parameter Monitoring Point: ❑Influent ❑Effluent ❑Groundwater Lowering Q Surface Water
Parameter Code —► 50050 00400 31616 00610 00600 00665 00620 00480 00310 70300
To 0
W ..
a E E .+ o = 10 ° ••° + 2 0 t t0 ,G ...o -(0 > .. ..
71
v i= = (1) a i ter
E o ° 0- O, o °
o a z acn
O
24-hr hrs GPD su #/100 mL mg/L mg/L mg/L mg/L mg/L mg/L mg/L
1 7.4 185 <0.2 1.8 0.05 <0.02 13.6 12 409
2
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: #DIV/0! 185.00 0.00 1.80 0.05 0.00 13.60 12.00 409.00
Daily Maximum: 0 #REF! 185.00 0.20 1.80 0.05 0.02 13.60 12.00 409.00
Daily Minimum: 0 #REF! 185.00 0.20 1.80 0.05 0.02 13.60 12.00 409.00
Sampling Type: Recorder Grab Grab Grab Grab Grab Grab Grab Grab Grab
Monthly Avg.Limit: NL NL NL NL NL NL NL NL NL NL
Daily Limit:
Sample Frequency: monthly monthly monthly monthly monthly monthly monthly monthly monthly 3 x year

FORM: NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page ' of
Sampling Person(s) Certified Laboratories
Name: Randy Hoffer Name: Environchem 37729
Name: Dwight Peterson Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0 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: Dwight Peterson Permittee: Maurice Gallarda
Certification No.: 1002194 Signing Official: Randy Hoffer
Grade: 4 Phone Number: 910-327-2880 Signing Officials Title: Manager
Has the ORC changed since the previous NDMR? ❑Yes El No Phone Number: 910-327-2880 Permit Expiration: 12/31/2026
__.- __<//-;--://
Signature Date Al ature ` Date
By this signature,I certify that this report is accurrate 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 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

FORM: NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page of /Se-
Permit No.: WQ0005849 I Facility Name: Pluris North Topsail WWTF I County: Onslow Month: November Year: 2021
Field Name: sec 3 Field Name: sec 4 Field Name: sec 5. Field Name: sec 10
Did irrigation occur Area(acres): 4.28 Area(acres): 3.76 Area(acres): 2.86 Area(acres): 4.8
at this facility? Cover Crop: Cover Crop: Cover Crop: Cover Crop:
E]YES El NO Hourly Rate(in): Hourly Rate(in): Hourly Rate(in): Hourly Rate(in):
Annual Rate(in): 52.93 Annual Rate(in): 62.05 Annual Rate(in): 52.93 Annual Rate(in): 67.53
Weather Freeboard Field Irrigated? ❑YES j No Field Irrigated? ❑YES []NO Field Irrigated? ❑YES []NO Field Irrigated? ❑YES E NO
y..
o twLi d i
m am E " " �:5 Fd- ` a�F II
> J
E a 3 � n
Ea § = a Jfltugf- O � ~ - ' HE it? > ass
II
°F in ft ft gal min in in gal min in in gal min in in gal min in in
1 C 50 4'2
2 C 52 4'2
3 C 50 4'3
4 CL 49 4'3
5 C 42 4'4
6 0.4
7
8 C 43 4'4
9 C 44 4'4
10 PC 46 4'4
11
12 0.3
13
14
15 PC 43 4' '
16 C 34 4'
17 C 41 4'1
18 C 57 4'1
19 PC 55 4'2
20
21
22 PC 53 4'1
23
24
25
26 27
28
29
30
31
Monthly Loading 0 0.00 0 0.00 >' 0 0.00 0 0.00
12 Month Floating Total(in): 130.00 r r 38.53 98.47 76.28 :

FORM: NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page ' of t
Did the application rates exceed the limits in Attachment B of your permit? ❑Compliant 0 Non-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Q Compliant ❑Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? Q Compliant ❑Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? E Compliant ❑Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 2 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.
5 rc Z-Z ✓. 5, 'to 79.3 y J 4.- v (; f e*-d_ if / /
r ,
;ram/- 5p44?" /- .
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: Dwight Peterson Permittee:
Maurice Gallarda
Certification No.: 1002194 Signing Official: Randy Hoffer
Grade: 4 Phone Number: 910-327-2880 Signing Official's Title: Manger
Has the ORC changed since the previous NDAR-1? ❑Yes 2 No Phone Number: 910-327-2880 Permit Exp.: 12/31/26
-------..,; t 1 /' 9'
J
e, ,,-- ! %'
Signature Date $'ignature 'Date
By this signature,I certify that this report is accurrate 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 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

FORM: NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page 7 of t
Permit No.: WQ0005849 I Facility Name: Pluris North Topsail WWTF I County: Onslow Month: November Year: 2021
Field Name: sec 11 Field Name: sec 12 Field Name: sec 20 Field Name: sec 21
Did irrigation occur •
Area(acres): 7.14 Area(acres): 7.67 Area(acres): 1.56 Area(acres): 1.56
at this facility? Cover Crop: Cover Crop: Cover Crop: Cover Crop:
❑✓ YES ❑NO Hourly Rate(in): Hourly Rate(in): Hourly Rate(in): 0.2 Hourly Rate(in): 0.15
Annual Rate(in): 67.53 Annual Rate(in): 60.83 Annual Rate(in): 52 Annual Rate(in): 42.2
Weather Freeboard Field Irrigated? ❑YES 0 NO Field Irrigated? ❑YES 2 NO Field Irrigated? El YES ❑No Field Irrigated? 0 YES ❑NO
m m = r_
U C. l6 E"a d d 7. C ". w C E G7 a Y1 T C 3 ` C E..d d d a C -7"L C £ ! d 13 1:3 m a 3 i
m •ii � � � Q � RR E3o g E � •a `a E3a oa E � � a E � •a � .• �o 12. _ � as E0
E § m a > Q I- 0 3 ta = � > Q H •" � o cxa23 > Q l= 0 o J > Q ~ � J = J
fn
°F in ft ft gal min in in gal min in in gal min in in gal min in in
1 7,080 120 0.17 0.08 7,080 120 0.17 0.08
2 6,951 120 0.16 0.08 6,951 120 0.16 0.08
3 6,789 120 0.16 0.08 6,789 120 0.16 0.08
4 7,262 120 0.17 0.09 7,262 120 0.17 0.09
5 6,823- 120 0.16 0.08 6,823 120 0.16 0.08
6
7
8 6,645 120 0.16 0.08 6,645 120 0.16 0.08
9 6,543 w 120 0.15 0.08 6,543 120 0.15 0.08
10 6,223 110 0.15 0:08 6,223 110 0.15 0.08
11
12
13
14
15 7,015 120 0.17 0.08 7,015 120 0.17 0.08
16 7,078 120 0.17 0.08 7,078 120 0.17 0.08
17 7,615= 130 0.18 0.08 7,615 130 0.18 0.08
18 7,089 120 0.17 0.08 7,089 120 0.17 0.08
19 6,927 - 120 0.16 0.08 6,927 120 0.16 0.08
20
21
22 6,885 120 0.16 0.08 6,885 120 0.16 0.08
23
24
25
26
27
28
29
30
31
Monthly Loading: 0 0.00 0 0 00 ` r 96,925 2.29 96,925 2 29
3w � .�
74 53
12 Month Floating Total(in) 7827 .; � � ����� ;•�� �;..,,x� 49.09 ��' ' v , _ 4.04 , �

FORM: NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT (NDAR-1) Page - of
Did the application rates exceed the limits in Attachment B of your permit? ❑Compliant 0 Non-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 2 Compliant ❑Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 2 Compliant ❑Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? E Compliant ❑Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 2 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.
o 5 t i `? y / ,� 67- 6 t y 4 Re2 i a a 1. €? l( .r r�.�, tom; ,, " ` r-t- _ ', -i x.
627,1 a?..Z /,,4--.4_,-
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: Dwight Peterson Permittee:
Maurice Gallarda
Certification No.: 1002194 Signing Official: Randy Hoffer
Grade: 4 Phone Number: 910-327-2880 Signing Officials Title: Manger
Has the ORC changed since the previous NDAR-1? ❑Yes 0 No Phone Number: 910-327-2880 Permit Exp.: 12/31/26
e
Signature Datenature /Date
By this signature,I certify that this report is accurrate 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 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

FORM:NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page `` of i S
Permit No.: WQ0005849 I Facility Name: Pluris North Topsail WWTF I County: Onslow 1 Month: November Year: 2021
Field Name: sec 22 Field Name: sec 23 Field Name: sec 24 Field Name: sec 25
Did irrigation occur Area(acres): 3.12 Area(acres): 5.72 Area(acres): 7.02 Area(acres): 5.72
at this facility? Cover Crop: Cover Crop: Cover Crop: Cover Crop:p: p: p:
YES El NO Hourly Rate(in): 0.2 Hourly Rate(in): 0.2 Hourly Rate(in): 0.2 Hourly Rate(in): 0.2
Annual Rate(in): 52 Annual Rate(in): 52 Annual Rate(in): 52 Annual Rate(in): 52
Weather Freeboard Field Irrigated? El YES ❑NO Field Irrigated? El YES ❑NO Field Irrigated? El YES El NO Field Irrigated? El YES ❑NO
7;)
:12. y °dfl) a) Is a p O " a> =aomE a a a E
F. Ed E +m ETaa EdQ %OC d CO 5o
mC
d 2. o oa i= ,a) ° 6 a ) m S o i= a) 0 ea i -6 (co, =E u a cc L= J cos 3 J 3 . yJ ro Ja 0 rno
J
F- 0
°F in ft ft gal min in in gal min in in gal min in in gal min in in
1 14,159 120 0.17 0.08 25948 120 0.17 0.08 31,873 120 0.17 0.08 25948 120 0.17 0.08
2 13,902 120 0.16 0.08 25477 120 0.16 0.08 31,294 120 y 0.16 0.08 25477 120 0.16 0.08
3 13,579 120 0.16 0.08 24885 120 0.16 0.08 30,566 ' 120 0.16 0.08 24885 120 0.16 0.08
4 14,523 120 0.17 0.09 26616 120 0.17 0.09 32,692 120 0.17 0,09 26616 120 0.17 0.09
5 13,646 120 0.16 0.08 25008 120 0.16 0.08 30,718 120 0.16 0.08 25008 120 0.16 0.08
6
7
8 13,291 120 ' 0.16 0.08 24357 120 0.16 0.08 29,918 120 0.16 0.08 24357 120 0.16 0.08
9 13,086 120 0.15 0.08 23981 120 0.15 0.08 29,457 120 0.15 0.08 23981 120 0.15 0.08
10 12,447 110 0.15 0.08 22811 110 0.15 0.08 28,018 110 0.15 0.08 22811 110 0.15 0.08
11
12
13
14
15 14,030 120 0.17 0.08 25711 120 0.17 0.08 31,582 120 0.17 0.08 25711 120 0.17 0.08
16 14,156 120 0.17 0.08 25942 120 0.17 0.08 31,865 120 0.17 0.08 25942 120 0.17 0.08
17 15,230 130 0.18 0.08 27910 130 0.18 0.08 34,282 130 0.18 0.08 27910 130 0.18 0.08
18 14,179 120 0.17 0.08 25985 120 0.17 0.08 31,917 120 0.17 0.08 25985 120 0.17 0.08
19 13,855 120 0.16 0.08 25391 120 0.16 0.08 31,187 1 120 0.16 0.08 25391 120 0.16 0.08
20
21
22 13,770 120 0.16 0.08 25235 120 0.16 0.08 30,996 120 0.16 0.08 25235 120 0.16 0.08
23
24
25
26
27
28
29
30
31
Monthly Loading: 193,853 2.29 „! 355,257 `zM 3 2.29 '' 436,365 2.29 355,257 y 2.29
12 Month Floating Total(in): 74,68 , ' E 74.61 74.76 a 74.75 fx

FORM: NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page /O of i c,---
Did the application rates exceed the limits in Attachment B of your permit? ❑Compliant 0 Non-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 2 Compliant ❑Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? RI Compliant ❑Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 0 Compliant ❑Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 2 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.
e 1-0,k4-5— y t- 5— L)4 yt , /0, d,- S, r2 ' 5 _ r, 4 5,` z +f ey. �4,g-eta c > ;- -
r
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: Dwight Peterson Permittee:
Maurice Gallarda
Certification No.: 1002194 Signing Official: Randy Hoffer
Grade: 4 Phone Number: 910-327-2880 Signing Official's Title: Manger
Has the ORC changed since the previous NDAR-1? ❑Yes RI No Phone Number: 910-327-2880 Permit Exp.: 12/31/26
Signature Date �} Signature 'Date
By this signature,I certify that this report is accurrate 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 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

FORM: NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page it of L sS'
Permit No.: WQ0005849 I Facility Name: Pluris North Topsail WWTF ( County: Onslow Month: November Year: 2021
Field Name: sec 30 Field Name: sec 31 Field Name: sec 32 Field Name: sec 33
Did irrigation occur
Area(acres): 5.46 Area(acres): 3.9 Area(acres): 2.86 Area(acres): 6.5
at this facility? Cover Crop: Cover Crop: Cover Crop:, Cover Crop:
EYES ❑No Hourly Rate(in): 0.15 Hourly Rate(in): 0.15 Hourly Rate(in): 0.2 Hourly Rate(in): 0.2
Annual Rate(in): 42.2 Annual Rate(in): 42.2 Annual Rate(in): 52 Annual Rate(in): 52
Weather Freeboard Field Irrigated? El YES ❑NO Field Irrigated? El YES ❑NO Field Irrigated? El YES ❑NO Field Irrigated? El YES ❑NO
(1) a) c
a ° c°a c c°a E m d m y� c g ?' c E d d � 2, c g am, _ and a � g - E , d g >, g2, 2
ii ._ G as o. +3 a E ns 5 E `iz - Q e a rot, o °t3 3 Q E
m T. � � - Eas =a E
° ° �,a ° i= o o eXa a c a F o' o c @ _° a o m P . o c a = a o m P .E o o gl a
w y m as a > Q = . > a > Q = _, > Q E
a` o Ft
°F in ft ft gal min in in gal min in in gal min in in gal min in in
1 24,793 120 0.17 0.08 17714 120 0.17 0.08 12,974 120 0.17 0.08 29503 120 0.17 0.08
2 24,343 120 0.16 0.08 17392 120 0.16 0.08 12,739 120 0.16 0.08 28967 120 0.16 0.08
3 23,777 120 0.16 0.08 16987 120 0.16 0.08 12,442 , 120 0.16 0.08 28293 120 0.16 0.08
4 25,431 120 0.17 0.09 18169 120 0.17 0.09 13,308 • 120 0.17 0.09 30261 120 0.17 0.09
5 23,895 120 0.16 0.08 17072 120 0.16 0.08 12,504 • 120 0.16 0.08 28434 120 0.16 0.08
6
7
8 23,272 120 0.16 0.08 16627 120 0.16 0.08 12,178 120 0.16 0.08 27693 120 0.16 0.08
9 22,914 120 0.15 0.08 16371 120 0.15 0.08 11,991 120 0.15 0.08 27266 120 0.15 0.08
10 21,795 110 0.15 0.08 15572 110 0.15 0.08 11,405 110 0.15 0.08 25935 110 0.15 0.08
11
12
13
14
15 24,567 120 0.17 0.08 17552 120 0.17 0.08 12,856 120 0.17 0.08 29233 120 0.17 0.08
16 24,787 120 0.17 0.08 17709 120 0.17 0.08 12,971 120 0.17 0.08 29496 120 0.17 0.08
17 26,668 130 0.18 0.08 19053 130 0.18 0.08 13,955 130 0.18 0.08 31733 130 0.18 0.08
18 24,828 120 0.17 0.08 17739 120 0.17 0.08 12,992 120 0.17 0.08 29544 120 0.17 0.08
19 24,260 ` 120 0.16 0.08 17333 120 0.16 0.08 12,695 120 0.16 0.08 28869 120 0.16 0.08
20
21
22 24,111 120 0.16 0.08 17226 120 0.16 0.08 12,617 120 0.16 0.08 28691 120 0.16 0.08
23
24
25
26
27
28
29
30
31_
Monthly Loading: 339,441 2.29 242,516 2.29 177,627 2.29 403,918 +:_.uk x 2.29 wu
12 Month Floating Total(in): 4.04 e 4.04 74.71 y x � 74 74
L _....... .. .....:: ...... ..... �5', �:,'�k.. ,,. ��,�,X'�.> .._.,F.,n,.d1 ,..z�.....>tr."'..b.�,:.

FORM: NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page 1 Z. of I ri-
Did the application rates exceed the limits in Attachment B of your permit? ❑Compliant 0 Non-Compliant
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? 0 Compliant ❑Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? E Compliant ❑Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 2 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.
�: s 3 t - 33 it VP e,,.t �� / G €t' s %e I 7m �' -- �5p�( fe 5p- �i! Lzlee i,tct=S Al-t ��d
a
F
C2 5 `Z r= 5
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: Dwight Peterson Permittee:
Maurice Gallarda
Certification No.: 1002194 Signing Official: Randy Hoffer
Grade: 4 Phone Number: 910-327-2880 Signing Official's Title: Manger
Has the ORC changed since the previous NDAR-1? ❑Yes 2 No Phone Number: 910-327-2880 Permit Exp.: 12/31/26
-
9.
�? Signature Date Signature Late
By this signature,I certify that this report is accurrate 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 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

FORM: NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page /..,a of t
Permit No.: WQ0005849 ( Facility Name: Pluris North Topsail WWTF I County: Onslow Month: November Year: 2021
I
Field Name: sec 34 Field Name: sec 9 Field Name: sec 16 Field Name: sec 17
Did irrigation occur Area(acres): 5.72 Area(acres): 3.52 Area(acres): 7.79 Area(acres): 7.92
at this facility? Cover Crop: Cover Crop: Cover Crop: Cover Crop:
11
YES El NO Hourly Rate(in): 0.2 Hourly Rate(in): Hourly Rate(in): Hourly Rate(in):
Annual Rate(in): 52 Annual Rate(in): 67.53 Annual Rate(in): 67.53 Annual Rate(in): 60.83
Weather Freeboard Field Irrigated? 0 YES ❑NO Field Irrigated? ❑YES NO Field Irrigated? ❑YES E]NO Field Irrigated? ❑YES NO
i C
Q 0 r R Qns oo E � aO Ea a) a TS °) E ` a e � a a) ELa> ma •B CS) E � a�
is rn Ho m W . ac Q ._ c ° aS c ° _ c Em dd >, c E Em mm ac Eyc
` m ii v � ER 1:05 E � °a ° a Era � a Ego �'o Eas Vi5 E � � 2a Eas •� a
) Q. .9 o >,a o Q. F ,°) 0 o x o 0 o c F .61 o x o 0 o ss i= •°' ct c o i= •°' n o x °
ari IE n s R < i -J J > Q _ J g = J > Q = J 5J > Q _ J g
°F in ft ft gal min in in gal min in in gal min in in gal min in in
1 25,948 120 0.17 0.08
2 25,477 120 0.16 0.08
3 24,885 120 0.16 0.08,
4 26,616 120 0.17 0.09
5 25,008 120 0.16 0.08
6
•
8 24,357 120 0.16 0.08
9 23,981 120 0.15 0.08
10 22,811 110 0.15 0.08
11
12
13
14
15 25,711 120 0.17 0.08
16 25,942 120 0.17 0.08
17 27,910 130 0.18 0.08
18 25,985 120 0.17 0.08
19 25,391 120 0.16 0.08
20
21
22 25,235 120 0.16 0.08
23
24
25
0.
26
27
28
29
30
31
Monthly Loading 355,257 a 2.29 0 0.00 z 0 0.00 0 r 0.00
12 Month Floating Total(in): 74.76 ."' 67.71 78.20 58.12
_ -�db k ' � ..9av .w•.,u,.z,:l� k:,*w"'`;b^a.���«a#.,...,gym..w.

FORM:NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page ' LI of
Did the application rates exceed the limits in Attachment B of your permit? ❑Compliant 0 Non-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑J Compliant ❑Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 2 Compliant ❑Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 0 Compliant ❑Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 0 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.
0 p-ts 3 L .- 'e c=,,! Cie- 'mkt y e, v+ is i ,;:7 3 > _ € `i d",5,7--,, . s,,_{ 1zs r' � - /## !` ---
>�g
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: Dwight Peterson Permittee:
Maurice Gallarda
Certification No.: 1002194 Signing Official: Randy Hoffer
Grade: 4 Phone Number: 910-327-2880 Signing Official's Title: Manger
Has the ORC changed since the previous NDAR-1? ❑Yes 2 No Phone Number: 910-327-2880 Permit Exp.: 12/31/26
�r
f
J
Signature Date 6" ignature /Date
By this signature,I certify that this report is accurrate 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 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

FORM: NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page l5 of t 2'
Permit No.: WQ0005849 I Facility Name: Pluris North Topsail WWTF I County: Onslow Month: November Year: 2021
Field Name: Field Name: Field Name: sec 18 Field Name: sec 19
Did irrigation occur Area(acres): Area(acres): Area(acres): 7.92 Area(acres): 6.36
at this facility? Cover Crop: Cover Crop: Cover Crop: Cover Crop:
Q YES ❑NO Hourly Rate(in): Hourly Rate(in): Hourly Rate(in): Hourly Rate(in):
Annual Rate(in): Annual Rate(in): Annual Rate(in): ' ` 62.05 Annual Rate(in): 60.83
Weather Freeboard Field Irrigated? ❑YES E]NO Field Irrigated? ❑YES NO Field Irrigated? ❑YES E NO Field Irrigated? ❑YES 0 NO
° w 2 °' d a a� E may dv rn E a � rum a rn E � e a� � v a> E C)
° R ° R Q. 4 E d .o ,;; E E i C E Oi y Y T C L c �."w o ;? �, _ z ` _ E 01 N « a E i•s
d I
°- J
c � F � pR Xo � � . E ' � go � •5 > o o oo 0 m a � � � — J � .� > a L J � J
°F in ft ft gal min in in gal min in in gal min in in gal min in in
1
2
3
4
5
6
7
8
9
10
12
13
14
15
16
17 18
19
20
21
22 23
24
25
26
27
28
29
30
31
Monthly Loading 0 0.00 0 ' 0 00 set`a 0 0 00 0s 0 00
12 Month Floating Total(in)

FORM:NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page j 6, of i
Did the application rates exceed the limits in Attachment B of your permit? ❑Compliant E Non-Compliant
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? 2 Compliant ❑Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 0 Compliant ❑Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 2 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.
e
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: Dwight Peterson Permittee:
Maurice Gallarda
Certification No.: 1002194 Signing Official: Randy Hoffer
Grade: 4 Phone Number: 910-327-2880 Signing Official's Title: Manger
Has the ORC changed since the previous NDAR-1? ❑Yes 0 No Phone Number: 910-327-2880 / Permit Exp.: 12/31/26
fy Sr;' - - 0 e ice£ 3
i
--- Signature Date S gnature - Date
By this signature,I certify that this report is accurrate 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 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

FORM:NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page. of t N.--
Permit No.: WQ0005849 [ Facility Name: Pluris North Topsail WVVTF ` County: Onslow I Month: November Year: 2021
Field Name: sec 26 Field Name: sec 27 Field Name: sec 28 Field Name: sec 29
Did irrigation occur Area(acres): 5.72 Area(acres): 2.6 Area(acres): 3.12 Area(acres): 4.68
at this facility? Cover Crop: Cover Crop: Cover Crop: Cover Crop:
Q YES ❑NO Hourly Rate(in): 0.2 Hourly Rate(in): 0.2 Hourly Rate(in): 0.2 Hourly Rate(in): 0.2
Annual Rate(in): 52 Annual Rate(in): 52 Annual Rate(in): 52 Annual Rate(in): 52
Weather Freeboard Field Irrigated? E YES ❑No Field Irrigated? E YES ❑NO Field Irrigated? 0 YES ❑NO Field Irrigated? 0 YES ❑NO
g V4 es N Q. ti ,g , E d" > 3 -g C l: d d T i 3 L C § ..e a,C "3 5 C U N > C E C
o d a o. � o 6 a . Hai o R 'Rom 6 a H a' L33 .8 x o (8 o a pay /3 g x o fo o a mac' o m x 0 '8
-c E g co ?,.• a > Q _ J a = J > Q _ iS = J > Q = _I gX .4 > Q _ J gXJ
°F in ft ft gal min in in gal min in in gal min in in, gal min in in
1 25,948 120 0.17 _ 0.08 11789 120 0.17 0.08 14,159 120 0.17 0.08 21239 120 0.17 0.08
2 25,477 120 0.16 0.08 11575 120 0.16 0.08 13,902 120 0.16 0.08 20853 120 0.16 0.08
3 24,885 120 0.16 0.08 _ 11306 120 0.16 0.08 13,579 120 0.16 0.08 20368 120 0.16 0.08
4 26,616 120 0.17 0.09 12092 120 0.17 0.09 14,523 120 0.17 0.09 21785 120 0.17 0.09
5 25,008 120 0.16 0.08 l 11362 120 0.16 0.08 13,646 120 0.16 0.08 20469 120 0.16 0.08
-
6 - ,
7
8 24,357 120 0.16 0.08 11066 120 0.16 0.08 13,291 120 0.16 0.08 19936 120 0.16 0.08
9 23,981 120 0.15 0.08 10896 120 0.15 0.08 13,086 120 0.15 0.08 19629 120 0.15 0.08
10 22,811 110 0.15 0.08 10364 110 0.15 0.08 12,447 110 0.15 0.08 18670 110 0.15 0.08
11
12
13 -
14
15 25,711 120 0.17 0.08 11682 120 0.17 0.08 14,030 120 0.17 0.08 21045 120 0.17 0.08
16 25,942 120 0.17 0.08 11787 120 0.17 0.08 14,156 120 0.17 0.08 21234 120 0.17 0.08
17 27,910 130 0.18 0.08 12681 130 0.18 0.08 15,230 130 0.18 0.08 22844 130 0.18 0.08
18 25,985 120 0.17 0.08 11806 120 0.17 0.08 14,179 120 0.17 0.08 21268 120 0.17 #REF!
19 25,391 120 0.16 0.08 11536 120 0.16 0.08 13,855 120 0.16 0.08 20782 120 0.16 0.08
20
21
22 25,235 120 0.16 _ 0.08 11465 120 0.16 0.08 13,770 120 0.16 0.08 20654 120 0.16 0.08
23
24
25
26 '
27
28
29
30 - -
31 '
Monthly Loading 355,257 2.29 161 407 ,, , 2.29 ', 193,853 2.29 290,776 2.29 � *
ro^ e Y _ x �, -7:
12 Month Floatingm Total � " 74.76 `��'';��?�, _'�',��.,;,F 74.33 �,.�,�..k� .., 74.74 ,.,....� .., � ��;� 74.64;_ ���;

FORM: NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page t k of t
Did the application rates exceed the limits in Attachment B of your permit? ❑Compliant (]Non-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 2 Compliant ❑Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 0 Compliant ❑Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 2 Compliant ❑Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? E 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.
i- c-0, 5 74 e Gn! � 4 c--!t� 4'/Q'' /24 1C _ 3-- --�6 r Dee t i s`--.�C ''a i
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: Dwight Peterson Permittee:
Maurice Gallarda
Certification No.: 1002194 Signing Official: Randy Hoffer
Grade: 4 Phone Number: 910-327-2880 Signing Official's Title: Manger
Has the ORC changed since the previous NDAR-1? ❑Yes 0 No Phone Number: 910-327-2880 Permit Exp.: 12/31/26
_ 1 %%
� ,-----6------=--=—_
Signature Date ure Date
By this signature,I certify that this report is accurrate 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 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

G W-59A PLIANCE RE o RT FO rVi Perin it iiiiii4205,155,45550/r/
( ubmit intc.ellell monitoring period with GPV-59fors.,)
Enter date monitoring results were due.(0,2' si. ) Will this monitoring report(GW-59 and GW-59A) YES/NO
be submitted after the established due date?
2 Was any required information missing on the GW-59 report forms? YES(71aNO,,)
IF the answer to question 1 or 2 is"YES", list in the space provided below the well identification number(s)and
explain the problems encountered in obtaining the required information.
3 Are any of the monitor wells in need of repair or maintenance(damaged casing,unlocked or missing cap,missing YES ('N0 ,)
identification plate,area overgrown,etc.)?If the answer is "Yes",contact the Regional Office for guidance.
4 Are any monitored constituents equal to or above the established standards? (YES, NO
)..,
If the answer to question 4 is"NO", skip to section 8.
If the answer to question 4 is"YES"list the affected wells individually with constituent(s)and concentration(s)
exceeding standards in the space provided below: Weil b 1",
„(61,re ra5 3"'5" i .,;rn avvi p ;0 L',1 6 3
ee,
05 ph s 5-? ii q igiegq 13 (a 41:
Ple p CP. h "0,5 ,t/ea tor -to„e-15— 0,3
weir/,171-/ - nee a die
5 For the constituents identified in question 4 above, have standards been exceeded previously for the YES NO
same constituent(s)in the same well(s)in the last two years?
If the answer to question 5 is"NO", skip to section 8.
If the answer to question 5 is"YES",list in the space provided below, each well with constituent(s)exceeding
standards, concentration(s)reported, and sample collection date for each occurrence(for the last two years).
m,,2/AC: //
„ ,.„„
6 Are the monitoring wells listed in section 5 located at or beyond the review boundary? YES (NO
If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE.If the answer is "NO",monitoring wells may be improperly
located;contact the Regional Office.
7 Is the permittee implementing previously approved actions required by the Division involving this YES (\TO )
groundwater quality problem?
If the answer to question 7 is"YES", describe those actions in the space provided below.
If the answer to question 7 is "NO",contact the Regional Office within 90 days;an evaluation may be
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility. Failure to do so may subject the permittee to a Notice of Violation,
fines, and/or penalties.
8 The person completing this portion(GW-59A)of the monitoring report should sign below and submit this
form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form.
I hereby acknowledge that the above information was evaluated and the information submitted in this
report(Compliance Report GW-59A)is true andAomplete to the best of my knowledge.
/
,r/7
Signature of Permttfee4-Auttioritttr4• ), 'Date /
GW.69A 12/8/2003

2018 2019 2020 2021
MARCH JULY NOV. MARCH JULY NOV. MARCH JULY NOV. MARCH JULY NOV.
\
Si�2'.`"�,.�\\.\��\.\\.\�\\\ ,,.\�\.,,\\\�\\\\\��\��.�\\\�\\�\\\ \,�\..,..,.\�\O\,a\,.\\\�\..\\\.�\tea\�..,,a„\\:.\...,.a\. .,.�.�.,.\\ ...,.,..\>,� . ...�,. �, �. ..a.,\..:. \ Cl.\ .a_
TDS 512 525 501 501 537
PH 6.1 6 6.5 6.1 5.6 5.5 6.1 5.5 5.9 6.08 5.6 5
NH3
TDS 510
PH 6.1 6.1 6.2 6.4 5.6 6.4 6.2 6.1 6.2 6.06 5.53
NH3 5.1 5 4.4 4.8
e \ \
a ,
TDS
PH 5.4 5.2 5.3 5.3 5.2 5 5.4 5.3 5.2 5.3 5.18 4.56
NH3
TDS DRY DRY
PH DRY DRY 6.5 6.36
NH3 0.8
1,',� \\r\\\\\,\\\\\,\moo o\\�,,.,\\, �\\a\ \�, \ . O ,� ,„\�.�\ \�.„,A. \„.\,.A I.., \ ., ,,.,\ .\a ',I ttklag,...,W\, ,. . ,., L
TDS
PH 6.5 6.3 6.4 5.81
NH3 1.5
\
TDS
PH 6.3 6.3 6.3 6 6.3 6.3 6.3 6.1 5.71
NH3 2.4 2.6 2.4 2.8
rEtirim411mr,wocgric
TDS 200
PH NEW WELL DRY 6.3 6.49 _
NH3 0.6
TDS
PH NEW WELL 6.45
NH3 0.3
TDS _
PH NEW WELL 5.9 5.5 5.3 4.55
NH3 _

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original = -."-:"4--- --*- - -'-'7'.", -'•-N-
GROUNDWATER QUALITY MONITORING: and't cc PY to:
COMPLIANCE REPORT FORM lic.,.•f,, ,,,7,-...z,. ...,,,,,z... 7-, ,,,_,_;.:, -,.:,,,,,_. ..,,z,,\,„_;-:, ,,,,,,
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number:Zr-Vo04/71-91 Expiration Date: /2-3/-24221,,
Facility Name: P/14/7/-5 /t/t//Zr4 75p5/4-i1 /.4...-44.// .AC Non-Discharge V UIC
Permit Name(if different): NPDES Other
Facility Address: Qç-- 111”." ,; .,/0 TYPE OF PERMITTED OPERATION BEING MONITORED
SAteAds 1èZey '- MC. 2 -V&6 County Obis iotAJ 0 Lagoon 0 Remediation:Infiltration Gallery
--
r2-Spray Field 0 Remediation:
Contact Person: RAttia /-10-P-- Z Telephone#. 6 0 Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name: ,..4.id 5ec_17Q,4 i 7 No.of wells to be sampled: I. D Water Source Heat Pump 0 Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): / Date sample collected: //- /0- 7( FIELD ANALYSES: WAS
Well Depth: 171 ft- Well Diameter: in. pH 00400:$".-if, units Temp.000itha 7,„I °C DRY at
time of
Depth to Water Level 82546: 7 5'.. ft.below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: Alhos
sampling,
Measuring Point is ..,2. ft.above land surface Relative M.P.Elevation: ft. Odor 00085: Ai/A- check ,
Volume of water pumped/bailed before sampling: 5— gallons Appearance ale4a here: i
Samples for metals were collected unfiltered: DYES D NO and field acidified: 0 YES 0 NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00616 mgfL Pb-Lead oiosi uglL
Coliform:MF Fecal 31616 < I /100mL Nitrate(NO3)as N 00620 6 0 te, mg/L Zn-Zinc 01092 mg/L
Coliform MF Total 31504 /100mL Phosphorus:Total as P 00865 mg/L
(Note: Use MPN method for highly turbid samples}
Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 S-3 7 mg/L Al-Aluminum 01105 mg/t..
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 '-it, -- mg/L Ca-Calcium 00916 mgfL
Chloride 00940 i 2 0 mg/L Cd-Cadmium 01027 uglL
Arsenic oi 002 uglL Chromium:Total 01034 ug/L
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS:(by GC,GC/MS,HPLC)
Phenol 32730 uglL Fe-Iron 01045 uglL (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 uglL Lab Report Attached? 0 Yes(1) E3 No(0)
Specific Conductance 00095 gMhos K-Potassium 00937 mg/L VOC 7873 ,method# .
Total Ammonia 00610 6, 3 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen:NH as N:Ammonia Nitrogen.Total) Mn-Manganese 01055 ug/L ,method#
TKN as N 00625 mg/L Ni-Nickel 01067 ug/L ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
I certify that to-the best of my knowledge and belief,the information submitted in this report is true.accurate,and complete and that the laboratory-analytical data was grin:inns-id using approved methods of analysis by a
9 11: --‘4T1.I. e--0 , 1 -ear-4.- 4# r -T I - - *-P -r-S . -.* .41'3. - -4.4 - . . . . . -. -. . 4.-T•- S * .4 .1 ;I. 't.
.0/.1.
,,_..."- j-- /4,i /7 /
Perm Ad ittee(or thorized AgenteName anciTitle-Please print or type I ' Signature of Permittee(c rized Agent) - Date)
GW-59 Rev.05-02-2017

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original
GROUNDWATER QUALITY MONITORING:
and 1 copy to:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number:Lag eLl.. Expiration Date: iZ., 3/-ze,zte
Facility Name: Pictil;S tt-f047-71.7 T2p.15',447/ toLort-i../T.,C Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: I ei 7 s— 1,11-44,-, 9,i 6 TYPE OF PERMITTED OPERATION BEING MONITORED
s5Ated4d5 rezgy "tc._ ak'4/4,o County er)p(Sibs cc.) 2-1agoon 0 Remediation:Infiltration Gallery
--
0 Spray Field 0 Remediation:
Contact Person: 2,4,4.Dy kle-r:fe—g. Telephone*:( J4) 3,R 2..aFg-0 ED Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name:&sae 1,--44.4w,74 3 No.of wells to be sampled: 1 0 Water Source Heat Pump 0 Other:
(from Fermi)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): ,Za 3 Date sample collected: /i. /0„. Z i FIELD ANALYSES: WAS
Well Depth: i? ft. Well Diameter: ,2 in. pH 00400:C*-3.units Temp.00010:,z5 3 °C DRY at
of
Depth to Water Level 82546: 7 vI"ft.below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: gMhos time
sampling,
Measuring Point is gP• ft.above land surface Relative M.P.Elevation: ft. Odor 00085: iilic- check
Volume of water pumped/bailed before sampling: 5- gallons Appearance be--4 .5,4-/-idc, here:
6 i
Samples for metals were collected unfiltered: DYES 0 NO and field acidified: 0 YES 0 NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 01051 uglL .
Coliform:MF Fecal 31616 e.,.. i /100mL Nitrate(NO3)as N 00620 1,7..4 f q mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 5*/0 mg/L Al-Aluminum oi 105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug!L
TOC 00680 t•gs.#7 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 i 5 mg/L Cd-Cadmium 01027 ug/L ,
Arsenic 01002 uglL Chromium:Total 01034 uglL
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS:(by GC,GC/MS,HPLC)
Phenol 32730 uglL Fe-Iron 01045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mglL Hg-Mercury 71900 uglL Lab Report Attached? 0 Yes(1) 0 No(0)
Specific Conductance 00095 uMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia 00610 i. 7' mglL Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen;Nt-1 as N:Ammonia Nitrogen,Total) Mn-Manganese 01055 ug!L ,method#
TKN as N 00625 mg/L Ni-Nickel 01067 ug/L ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
oeftffiii that to the best of my knowlellfcle and belief.the information stibnite-Owl title-mead is true-aootes- tei elle oofeetete-and that the laboratotY aWel data was Proillomf wain abefoweb methods bf web-slab)!a
DWR-Pertiffed I .oratory. tem aware thatthere are siiinificant penalties for submittin faits laMtmation,inctuding the possi:bitity of fines and imerismiment for knowinctividationti,
-'---7--„,; " i --Permittee(or Authoriz nt)Nana.an aF t e-Please print or type Signature of Permittee(- Au orized Age ,,,- - (EL •i) -
GW-59 Re . 5-02-2017 .,,,

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original
COMPLIANCE REPORT FORM and i copy to:
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number:(.r.0453ftsi5 Expiration Date: 12-37-Zo Z ep
Facility Name: ?Ate 17,'s ii../04771- ic:r? I (A)0,I 7-c- Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: g)95---- 1-14c-ir 2J0 TYPE OF PERMITTED OPERATION BEING MONITORED
Stieids reggy jvc..._ c2 -4/.4O County 1)i..45104.tj 0 Lagoon D Remediation:Infiltration Gallery
[ Say Field El Remediation:
Contact Person: j?41.--041 g- Telephone#:()/ )322Q 0 Rotary Distributor D Land Application of Sludge
Welt Location/Site Name:413=>4„ - -.i-1,....e ithetAd s-eer,i4- No.of wells to be sampled: J 0 Water Source Heat Pump 0 Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): Date sample collected: ii-/C..)s=e-/ FIELD ANALYSES: WAS
Well Depth: i Tr ft. Well Diameter. a in. pH 00400:ii:5-Counits Temp.cocto:Rb,3 °c DRY at
Depth to Water Level 82546:5-2" ft.below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: 1.1Mhos time of
sampling,
Measuring Point is p,.. ft.above land surface Relative M.P.Elevation: ft, Odor mem: (4/ft check
Volume of water pumped/bailed before sampling: S--- gallons Appearance ciefi-i-z here:
Samples for metals were collected unfiltered: DYES El NO and field acidified: 0.YES 0 NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mo. Pb-Lead 01051 uglL
Coliform:MF Fecal 31616 < 1 /100mL Nitrate(NO3)as N 00620 (...%a 5- mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 ,a a 7 mgn- Al-Aluminum 01106 mg/L
pH(Lab)00403 units Ba-Barium 01007 uglL
TOC 00680 0,1 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 /a..? mg/L Cd-Cadmium 01027 uglL
Arsenic Pt 002 ug/L Chromium:Total 01034 ug!L
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS:(by GC,GC/MS,HPLC)
Phenol 32730 ugh. Fe-Iron 01045 uglL (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 MgiL Hg-Mercury 71900 uglL Lab Report Attached? 0 Yes(1) 0 No(0)
.pecific Conductance 00095 uMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia 00610 < 0, 9. mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen;Nhi,as N:Ammonia Nitrogen,Total) Mn-Manganese 01066 ug/L ,method#
TKN as N 00625 mg/L Ni-Nickel 01067 ug!L ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
iGertirytrtat to the best of my knowledge and belief:the inforrhationsubmated id this report is true,accurate.and complete=and that the laboratory analytical data-was Produced using approved methods of analts ttY a
DWR-certifted laboratory_lap aware that there are significant penalties for submithngfaise Information_mcludmo the possibility of fines and imohsonment forknce4ng vl.. tons=
7 ,Aws Permit:tee(or Authorized Ageni) ame affd Tit2 se pri4.nt or type Signature of Permittee r. thoni" Agen AIIIIIP I" (Da
,i-
GW-59 Rev.05-02-2017
1Plga/2 --,

SUBMIT FORM ON YELLOW PAPER ONLY
a:ail GROUNDWATER QUALITY MONITORING: iginal-
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Pent Clearly or Type PERMIT Number:4-I:74;1,54f? Expiration Date: /2.-51-Z0Z40
Facility Name: //477 15 itkItzrbt /43A.;1 1,4e.i72 Non-Discharge UIC
Permit Name(if different): NPDES Other ,
Facility Address: /4,95- /Aar a.1 ) TYPE OF PERMITTED OPERATION BEING MONITORED
5,,t/e44-cts „L-', .e_ey - ' t,,1 c ..-75--ei&o County, i1%-i514)4<) Eton El Remediation:Infiltration Gallery
ED Spray Field 0 Remediation:
Contact Person: ii:441DY Afiefele Telephone#{9/6)3 2.,25-S-c_ 0 Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name:geh Aid 6 z a.4 a,„...i No.of wells to be sampled: 1 0 Water Source Heat Pump El Other: t
(from Permit)
/SAMPLING INFORMATION If WELL \.
WELL ID NUMBER(from Permit): IC 5— Date sample collected: i t-I(),* i FIELD ANALYSES: WAS
Well Depth: ik ft. Well Diameter: ,„; in. pH 004004/6 units Temp.00010:e292 °C DRY at
time of
Depth to Water Level 82546:i 4/0 1.ft,below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: gMhos
samling,
Measuring Point is ,V-,. ft.above land surface Relative M.P.Elevation: ft. Odor 00085: kVA- check
Volume of water pumped/bailed before sampling: 5— gallons Appearance aleiti-ia here:
Samples for metals were collected unfiltered: DYES El NO and field acidified: El YES El NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 01051 ug/L
Coliform:MF Fecal 31616 <I /100mL Nitrate(NO3)as N 00620 <a aa.mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00555 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 3417 mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 units Ba-Barium 01007 uglL
TOC 00680 3.3 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 ii6ti mg/L Cd-Cadmium 01027 uglL
Arsenic 01002 uglL Chromium:Total 01034 uglL
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS:(by GC,GC/MS,HPLC)
Phenol 32730 ug/L Fe-Iron 01045 uglL (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 uglL Lab Report Attached? 0 Yes(1) 0 No(0)
Specific Conductance 00095 gMhos K-Potassium 00937 mg/L VOC 7873 ,method# .
Total Ammonia 00610 0,,- 5/ mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen:NI-1,as N;Ammonia Nitrogen,Total)
Mn-Manganese 01055 ug/L ,method#
TKN as N 00625 mg/L Ni-Nickel 01067 uglL ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
i certi.-f that,to the best of mv knowledge and belief,the information submitted dt dus report is true accurate,and complete and that the laboratory analytical data was produced using approved methods of analyeis bY a
ChN R-ce' diftedlaboratory• I an aware-that-there-are significant penaltiesfor subrntitog false information,.Including the possibilit:of fines and imi prisonment for knowing.vfolations,
.',) ..ii - :,
7-,, ,...z, ,7 2
/ s /
Permittee(or Authorized Agent)Name and 1.7i -Pleas prim or type Signature of Permittee(or Autt eri Age/ OD--
GW-59 Rev.05-02-2017

SUBMIT FORM ON YELLOW PAPER ONLY
, ;mit 9ri.it.mi ‘.7k.. ..,- ,,,,vii-4-.„0,7,,,c,c•!..:,,,„.. .-4,44,,, :&Z.,,,-4-W.,\*.,?,4„:„,',..,,V9---
GROUNDWATER QUALITY MONITORING: and I copy to:,-- -,-_-; \' '`---,--.'''--\ _. „',7:7Q--
COMPLIANCE REPORT FORM ''-\;'''' ''''7,--- 7'"' 'Z'-' ''' , `. -'''' -' 's- - .'-;-
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number:re., Expiration Date: iz_3 L. .,-.2C,
Facility Name: R/4,42J-5 A42erh"73,31) ,(4..i ) C.X.itzfr: Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: /$095--. '/ iy 21D TYPE OF PERMITTED OPERATION BEING MONITORED
5AteAci5 regar /PO County e2./5/0“) atCgoon 0 Remediation:Infiltration Gallery
_ 0 Spray Field 0 Remediation:
Contact Person: , 4_,#,-. /4/9/417Z.,, Telephonefigit:930,7 2-, 55.43 0 Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name:Feh,,,./d moz-ir:a :, .D No.of wells to be sampled: / 0 Water Source Heat Pump 0 Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): of, Date sample collected: ii-/6-ea i FIELD ANALYSES: WAS
Well Depth: I?ft. Well Diameter ,9.....in. pH 0o4c0:577*1 units Temp.mow: a 7 °C DRY at
time of
Depth to Water Level 82546: An' ft,below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: uMhos
sampling,
Measuring Point is y7 5- ft.above land surface Relative M.P.Elevation: ft. Odor 00085: A- check
Volume of water pumped/bailed before sampling: S. gallons Appearance 2le42- here:—
Samples for metals were collected unfiltered: DYES 0 NO and field acidified: 0 YES 0 NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 01051 ug/L
Coliform:MF Fecal 31616 < i /100mL Nitrate(NO3)as N 00620 <6,0 9 mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 ga mg/L Al-Aluminum Pi 105 mg/L
pH(Lab)00403 units Ba-Barium Plow uglL
TOC 00680 j g-- mg/L Ca-Calcium 00916 mg/L
Chloride 00940 c144 mg/L Cd-Cadmium 01027 ug!L
Arsenic 01002 uglL Chromium:Total 01034 uglL
Grease and Oils 00552 Mgft.. Cu-Copper 01042 mg/L ORGANICS:(by GC,GC/MS,HPLC)
Phenol 32730 ug/L. Fe-Iron 01045 uglL (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 uglL Lab Report Attached? 0 Yes(1) 0 No(0)
Specific Conductance 00095 uMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia 00610 if, � mg/L Mg-Magnesium 00927 mg/L ,method#
(Ai innunia Nitrogen:NI6as N:Ammonia Nitrogen,Total) Mn-Manganese 01055 ug/L ,method#
TKN as N 00625 mg/L Ni-Nickel 01067 uglL ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
- _ - - -
I certify that to the best of my knowledge and belief:the intrmation submitted m this report Is true accurate,and complete:and thatthe laboratory analymil data was produced using-approved methods of analysis by a
a -'`-.ertilect taboret° i-.. m 4- •ere are si nnicant•enaltMs for ttbrriv--ii r.s-- formation:includirta the•crssibili ,of f les-II. prism:intent for:knoll:an violations
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Permittee(or Authorized Agen items and Title-r ease pri to .e ' Signature of Permitted(or Au •-',./-d Agent) ,/ 1 (D- - 7' .'
,
GW-59 Rev.05-02-2017 - P

SUBMIT FORM ON YELLOW PAPER ONLY
matt or-jai-nal N,'-' 02:2-',-4,4-il 0:**,7.',£,,,'S',1, ,,,,8.1 .'--4.•'. ,,,, ,,.''1.7'.,.•=4a ,-.7.-:.•,:%st-,--.wz-..GROUNDWATER
-
GROUNDWATER QUALITY MONITORING: - _- \ --: --\ ..,., ..'N, --1-,_ ,N \-\ -----:- -,,\
and 1 copy to:\-, ,,- s'-'- -------s-- -s'-:***-\,,N .- --_--, N:-
COMPLIANCE REPORT FORM7c .'lk-...
FACIUTY INFORMATION Please Print Clearly or Type PERMIT Number:0/0"005"fyl Expiration Date: / z...V.- oZ.C.„..
Facility Name: pfeig,s Ak2e71 /632 .t71 .wc.4.1-- - Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: le25"- lit.ay 0210 TYPE OF PERMITTED OPERATION BEING MONITORED
5iifi4d5 1---• - kW__ ?S-c-ile-O County i1..S4.114...) Erragoon 0 Remediation:Infiltration Gallery
s - -- 0 Spray Field 0 Remediation:
Contact Person: 2/41.-tb1 th-P-r-242... Telephone* 14)3R7-t:26 0 Rotary Distributor ID Land Application of Sludge
Well Location/Site Name: / 4 14-2-T` 1'6'2 p,,,-/r) No.of wells to be sampled: / 0 Water Source Heat Pump El Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): 7 Date sample collected: ii-AO-Z/ FIELD ANALYSES: WAS
Well Depth: i ft. Well Diameter: ,?„ in. pH oo48o:5 "7,1 units Temp.cooto422, et DRY at
ti of
Depth to Water Level 82546: gyoi. ft.below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: gMhos me
sampling,
Measuring Point is e:2.,5" ft.above land surface Relative M.P.Elevation: ft. Odor 00085: 4 bel- check
Volume of water pumped/bailed before sampling: S""" gallons Appearance e_le44-i here:
Samples for metals were collected unfiltered: DYES 0 NO and field acidified: El YES El NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead oicsi ug/L.
Coliform:MF Fecal 31516 < i /100mL Nitrate(NO3)as N 00620 te.. 03 mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
(Note: Use MPH method for highly turbid samples)
Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 ,. 1 I mg/L Al-Aluminum oi los mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 13_ ? mg/t. Ca-Calcium male mg/L
Chloride 00940 v5...-
mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 uglL Chromium:Total 01034 ug/L
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS:(by GC,GC/MS,HPLC)
Phenol 32730 uglL Fe-Iron 01045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 uglL Lab Report Attached? 0 Yes(1) 0 No(0)
Specific Conductance 00095 gMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia 00610 (9, ?. mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen;NH3 as N;Ammonia Nitrogen,Total)
Mn-Manganese 01055 uglL ,method#
TKN as N 00625 mg/L Ni-Nickel 01067 uglL ,method#
,
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
i certify that,to the best of my knowledge and belief,the information submitted Malls report is true.accurate and complete,and that the laboratory analytical data was produced using apmoved methods of analysis bye
DWR-certiftecl laboratory, lam aware that there are significant penalties for submitting false information„inclucbrig the possibility&fines and imprisoninent tor knowmg viola ons,
2 ,
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Permittee(or AuthorizedIgent)Name anyfitle-Pie se print or type Signature of Permittee(or A i orized Agent ' . sate)
SW-59 Rev.05-02-2017

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
Mali original
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number:LOVIWSW?Expiration Date: /Z-31....0.OZ6,9
,-,...**
Facility Name: Pfeigys Atoaem 7-;;:- .4.11 1.(.../4 i.i 1,,-- Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: /095" if-A-C./..tijO TYPE OF PERMITTED OPERATION BEING MONITORED
3/kte-AdS 1---eSOZ. s 14.c r9S-t1476 County C2,A151int..e.i Con 0 Remediation:Infiltration Gallery
y
_ -
E3 Spray Field 0 Remediation:
, /14.
Contact Person: 244,4?-iii"Hel-ifio---39 TelephonelikeiV).9g2- 5-5-e,) El Rotary Distributor E3 Land Application of Sludge ,
Well Location/Site Name:Deg.t:....f rd'.....k...e#,I bigr.pepiD No.of wells to be sampled: 1 0 Water Source Heat Pump 0 Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): 5----• Date sample collected: t/- io- / FIELD ANALYSES: WAS
Well Depth: ?C) ft. Well Diameter: ,,..in. pH oc400:t.y7 units Temp.800lo:,27,f QC DRY at
of
Depth to Water Level 82546:I 7.',alt.below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: uMhos time
sampling,
Measuring Point is 3 ft.above land surface Relative M.P.Elevation: ft. Odor 00085: Ni69" check
Volume of water pumped/bailed before sampling: :5 gallons Appearance i,-. ill— 5.,4,,,-6_y here:
Samples for metals were collected unfiltered: DYES El NO and field acidified: E3 YES El NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mglL Pb-Lead 01051 uglL
Coliform:MF Fecal 31616 < i /100mL Nitrate(NO3)as N 00620 a 05 mg/L Zn-Zinc 01092 mgfL
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 ,,t I mg/L Al-Aluminum ol 105 mg/L
pH(Lab)00403 units Ba-Barium 01007 uglL
TOC 00680 5':- 4 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 a 5— mg/L Cd-Cadmium 01027 uglL
Arsenic 01002 ug!L Chromium:Total 01034 uglL
Grease and Oils 00552 mg/L Cu-Copper 01042 mgfL ORGANICS:(by GC,GC/MS,HPLC)
Phenol 32730 uglL Fe-Iron 01045 uglL (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 uglL Lab Report Attached? E3 Yes(1) El No(0)
Specific Conductance 00095 uMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia 00610 a CP mg/L Mg-Magnesium 00927 mglL ,method#
(Ammonia Nitrogen;NI%as N;Ammonia Nitrogen,Total)
Mn-Manganese 01055 uglL ,method#
TKN as N 00625 mg/L Ni-Nickel 01067 uglL ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
I certify that to the best of my knowledge and belief the information submrtted rn this report is true,accurate._and complete,_and that the laboratory analytical data was produced using approved methods of analysts by a
DWR-certified laboratory..tam aware that there are sionificant penalties for submitting:false information,including_the possibility of files and imprisonment for knowing violation:a.
- - -,7411111111§YAIr
,
Permittee(or Authorized A Na '-i-an. Me-Pie- e p or typ- Signature of Permittee(or Autho* -. 'gent) sate)
GW-59 Rev.05-02-2017

SUBMIT FORM ON YELLOW PAPER ONLY
mall GROUNDWATER QUALITY MONITORING original ‘.'
l•;=•-'
: - .-.-'-----,,v,
COMPLIANCE REPORT FORM ''''7 - '' '"X".,-,'":`, . ,
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number:/r-WeaS,-‘6Expiration Date: i Z.- i=,e-c:72 to
Facility Name: piiiiir.s Aloiat-7 1z------ 14-,51 I.-UE-4177C- Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: /4)95" 191-Ce...1,- 2..jo TYPE OF PERMITTED OPERATION BEING MONITORED
.54t,4aS EiaP '. ikk....._ --2 W 6 n County (...,)-(5j ,J El-re-goon El Remediation:Infiltration Gallery
J.-
0 Spray Field 0 Remediation:
Contact Person: 1e4.4.1 .1 /-4.1.Xyz Telephone#(9/03,226 El Rotary Distributor El Land Application of Sludge
Well Location/Site Name:P2r '''`effii. a..0 ,.,-.16 5 No.of wells to be sampled: 1 0 Water Source Heat Pump 0 Other:
(from Permit)
SAMPUNG INFORMATION If WELL
WELL ID NUMBER(from Permit):
dC 7 Date sample collected: i1-,14.,-,.- / FIELD ANALYSES: WAS
Well Depth: 30 ft. Well Diameter: .--2 in. pH do4no:4 tic-units Temp.o001o:,23,g,,°C DRY at
Depth to Water Level 82546: rio" ft,below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: gMhos time of
sampling,
Measuring Point is Y' ft.above land surface Relative M.P.Elevation: ft, Odor 00085: N/A- check
Volume of water pumped/bailed before sampling: 5- gallons Appearance C-18412._ here:
Samples for metals were collected unfiltered: DYES 0 NO and field acidified: 0 YES El NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 01051 uglL
Coliform:MF Fecal 31616 4i /100mL Nitrate(NO3)as N 00620 °-33 mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
(Note: Use MPH method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 ,77 i mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 units Ba-Barium 01007 uglL
TOC 00680 I.,P-. mg/L Ca-Calcium 00916 mg/L
Chloride 00940 I I mg/L Cd-Cadmium 01027 ug/L
Arsenic di 002 uglL Chromium:Total 01034 uglL
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS:(by GC,GC/MS,HPLC)
Phenol 32730 uglL Fe-Iron 01045 uglL (Specify test and method ft.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? El Yes(1) 0 No(0)
Specific Conductance 00095 iMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia 00610 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen;NH3 as N;Ammonia Nitrogen,Total)
Mn-Manganese 01055 uglL ,method#
TKN as N 00625 43 mg/L Ni-Nickel 01067 uglL ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
I certify that to the best of ow knowledge and belief the information submitted in this report is true accurate,and corn-Mete and that the taboratory analytical data vas produced us-Ma:approved methods of analysis by a
, , . . - .. ....
DWR-cedified laboratory. I am aware that there are significant penaltieafor submitting false informatiom includingthe possibility of fines anti imprisonment-cot:knowing violations.
Permittee(or Authorized Agent)Name and le-Plea -print or type Signature of P rfoittee .r' .,.*ellVent) (Date)
GW-59 Rev.05-02-2017

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mad original
o:d I t
COMPLIANCE REPORT FORM an copy
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number:itifecOarry, Expiration Date: i2-3'/-ZiO2 te
Facility Name: ?kiiii 1•400-11--i-ops5/4-4 I Ltj i.A.rr.- Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: / 9:5-- hitt-1."` p..,I 0 TYPE OF PERMITTED OPERATION BEING MONITORED
,5A1elid5 Zie ' /Ye— „2,F ele 6 County ef),A1:54,(4-) 13-lagoon 0 Remediation:Infiltration Gallery
0 Spray Field 0 Remediation:
Contact Person: ??,41,0.44-s A‘ii<azYZ Telephone#(9,40 3 7-a s.5-0 0 Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name:ga-1h,:ii.EZ U./ell -0 7 No.of wells to be sampled: ) 0 Water Source Heat Pump El Other:
(from Permit)
SAMPLING INFORMATION If WELL ,
WELL ID NUMBER(from Permit): AO Date sample collected: /14/C-,-Z I FIELD ANALYSES: WAS
Well Depth: (. .ft- Well Diameter: .,9- in. pH 00400: nits Temp.mow: „9 S"- °C DRY at
time of
Depth to Water Level 82546: a tiff ft.below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: gMhos
. sampling,
Measuring Point is 3 ft.above land surface Relative M.P.Elevation: ft. Odor 00085: 1\i/i4 check
Volume of water pumped/bailed before sampling: _5-- gallons Appearance C--te-R-12., here:
Samples for metals were collected unfiltered: DYES 0 NO and field acidified: CI YES 0 NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 01051 ug/L
Coliform:MF Fecal 31616 4 ( /100mL Nitrate(NO3)as N 00620 40.09. mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 a q I mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 units Ba-Barium 01007 uglL
TOC 00680 4/ 2 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 91 mg/L Cd-Cadmium 01027 uglL
Arsenic 01002 uglL Chromium:Total 01034 ug!L
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS:(by GC,GC/MS,HPLC)
Phenol 32730 uglL Fe-Iron 01045 uglL (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug!L Lab Report Attached? 0 Yes(1) 0 No(0)
Specific Conductance 000es p.Mhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia 00610 <4,..4. mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen:NH3as N;Ammonia Nitrogen,Total)
Mn-Manganese 01055 uglL ,method#
TKN as N 00625 mg/L Ni-Nickel 01067 ug/L ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
I certify that bibs best of my knowledge and belief,the information submitted-in this repon is true_eccuratei and complete,and that the laboratory analytical data was produced using approved methods of analysiaby a
EMIR-certified laboratorl: lam aware that there are significant penalties forsubrnitfing false informatim including the possibilay-of-fines and imprisonment for knowing violatkwis.
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Permittee(or Authorized Agent)Nam -nd Title-'e-se pri to type Signature of Permittee citrAuthorized Age i Date)
4111
GW-59 Rev.05-02-2017