WQ0035049_Monitoring - 11-2021_20211221 (3)

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DWR - NonDischarge Monitoring Report Submittal
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NORTH CAROLINA
Enrlranmenlel QHaflly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0035049
Name of Facility:* Maple Hill WWTP
Month:* November Year:* 2021
Report Information
..................................................................................................................................................................................................................................................................................................
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR November2021 NDMR ND... 9.13MB
PDF Only
GW-59 November2021 Groundwat... 2.25MB
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 Keel
Signature:
Date of submittal: 12/21/2021
This will be filled in automatically
Initial Review
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

Reviewer: Mokashi, Poorva
Is the project number correct?* WQ0035049
Is the monitoring report accepted?* Yes No
Regional Office* Wilmington
Accepted Date: 1/27/2022

FORM:NDMR 10-13 NON-DISCHARGE MONITORING REPORT(NDMR) Page 1 of 2_
Permit No.: WQ0035049 I Facility Name: Maple Hill WWTF County: Pender I Month: November I Year: 2021
PPI: 001 I Flow Measuring Point: El Influent 0 Effluent 0 No flow generated I Parameter Monitoring Point: LI Influent 2 Effluent 2 Groundwater Lowering 0 Surface Water
Parameter Code --IP- 50050 00400 00310 00530 00810 00620 ' 00625 31616 . 00600 00665 00940 70300
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to 0 v
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•c 0 e la 13 07 Z 0) ' '0 i E g 8 . 4
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24-hr hrs GPO su mglL mg/L mg/L mglL mg/L #/100 mL mg/L mg/L mg/L mg/L
1 08:00 7 5,910 7.4
2 08:00 5 7,059 7.4 -
. - .
3 08:00 4 9,740 7.4 . .
4 08:00 7 9,105 7.3
- ,
5 08:00 4 10,693 7.3
-
6 08:00 9,611
7 08:00 10,061
8 08:00 5 7,774 7.4
9 0800 6 7,252 7.4
10 08:00 7 7,345 7.5 . .
_ .
11 08:00 5 8,520 7.3
12 0800 6 5,748 7.4
L ,
.. •13 08:00 12,697 I
14 08:00 10,983
15 08:00 6 9,939 7.3
16 08:00 6 10,488 7.4 ,
17 08:00 4 7,375 7.3
18 1100 4 8,063 7.2
19 1000 4 8,725 7.4
20 0800 11,053 21 0800 11,577
, .
22 0800 5 10,069 7.4
23 0800 5 8,973 7,4 31 7,2 5,2 17 3.8 86 22,9 9.16 84 579
24 0800 4 11,360 7.5
25 08:00 3 / 14,360 7.5
26 1100 3 11,057 7.8
27 0800 10,477
- - .
28 08:00 _ 9,627
29 08:00 5 8,164 7.8
4-
30 08:00 4 10,067 7.8
31
Average: 9,462 31.00 7.20 5,20 17.00 3.80 86.00 22.90 9,16 84.00 579.00
Daily Maximum: 14,360 7,80 31.00 7,20 5.20 17,00 180 86.00 22.90 9.16 84.00 579.00
_
Daily Minimum: 5,74.8 7.20 ' 31.00 7.20 5,20 17.00 , 3.80 86.00 22.90 9.15 84.00 579.00
Sampling Type:... Recorder Grab Composite Composite Composite Composite Composite Grab 'Composite Grab Composite Composite
Monthly Avg.Limit: 42,000 ' n/a 30 30 15 n/a n/a 200 n/a n/a n/a n/a
Daily Limit: n/a , 6 to 9 n/a : n/a n/a Ma , n/a ' n/a n/a n/a n/a n/a
Sample Frequency: Continous 5XWK Weekly Weekly Weekly Weekly Weekly Weekly Monthly moral)? 3XYR 3XYR

FORM:NDMR 10-13 NON-DISCHARGE MONITORING REPORT(NDMR) Page 2 of_2_
Sampling Person(s) Certified Laboratories
Name: Samples were collected by the Certified Laboratory Name: Environmental Chemists, Inc.
Name: Name: Jay Baker
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0 compliant GD,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.
11/23/2021 The influent flow increase a couple of days before.)had to slow down the influent flow and turn up the speed on the RBC.To increase oxygen.Slow down effluent flow.
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: Christopher K. Pickett Permittee: Pender County Utilities
Certification No.: 995432 Signing Official: Kenneth Keel
Grade: WW2 Phone Number: 910-259-1570 Signing Official's Title: Director
❑Yes 2 No Phone Number: 910-259-1570 Permit Expiration: 8/31/2026
1 n
li ' ff
C/ / _t` /,� is c. < V�° �(r Z i-z
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 at 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

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ANALYTICAL&CONSULTING CHEMISTS in fofattenvuonmentalcheinistkcom
. .. ..,
Pander County Utility Operations Date of Report: Dec 06, 2021
Post Office Box 995 Customer PO#:
Burgaw NC 28425 Cu:,tomer ID: 08100095
Attention: Chris Pickett Report#: 2021-20823
Project ID: Maple Hill WWTP
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-52225 Site: Effluent-Composite 11/23/2021 11:00 AM Water JCB/Envirochem
Test Method Results Date Analyzed
Ammonia Nitrogen EPA 350.1,Rev.2.0, 1993 5.2 mg/L 12/01/2021
Total Dissolved Solids (TDS) SM 2540 C-2015 579 mg/L 11/24/2021
Residue Suspended (TSS) SM 2540 D-2015 7.2 mg/L 11/23/2021
BOD SM 5210 B-2016 31 mg/L 11/23/2021
Chloride SM4500 CI E-2011 84 mg/L 11/26/2021
Nitrate Nitrogen (Cale)
Nitrite Nitrogen EPA 353.2,Rev 2 0,1993 2.13 mg/L 11/24/2021
Nitrate+Nitrite-Nitrogen EPA 353 2,Rev,2.0,1993 19.1 mg/L 11/29/2021
Nitrate Nitrogen Subtraction Method 17.0 mg/L 12/03/2021
Total Nitrogen(Cale)
Total Kjeldahl Nitrogen (TKN) EPA 351 2,Rev.2.0,1993 3,8 mg/L 12/01/2021
Total Nitrogen Total Nitrogen 22.9 mg/L 12/03/2021
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-52226 Site: Effluent-Grab 11/23/2021 12.45 PM Water JCB/Envirochem
Test Method Results Date Analyzed
Fecal Coliform kdexx Coliler618 86 IVIPN/100m1 11/23/2021
Temperature SM 2550 8.2010 13.3 C 11/23/2021
pH SM 45(10 H B-2011 7.0 units 11/23/2021
Total Phosphorus S6A 4500 P(F-H)-2011 9.16 mg/L 12/02/2021
,.. ...
Comment l
Reviewed
by: . ...........
i --___ 1040.1101 UM INAMMIINIMMIWOWNIWIIMIN IMIIIMMINMIMM
Report 4: 2021 20823 Page 1 of 1

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4;1312..sr 174-4 Permit sii: otyrh... /(;;;/(o.,.... //If)
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pH check be Or mast read as ithin'r."0,1 pH units°raiz buffer's true value,
4 su buffer Lacs. Ricca 2001820 Fixp 1 2022 7 su buffer Tom, Ricca 2003993 Exp.7 2022 10 su buff;!r.Lo...7.- LC/25iO4 J 2i22 L .
Sarnpi5 COH:N:t10:-. .;, Sair.pie Anali„..sis i, pH Resuli. I tit Post-arial,,i,sis Berra- f; 8tem-:2 lace:ice: i
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r:1'.171.i'S(i •I'S u Record all data t.aa the nearest ii il 1 a u and report to the nearest O I
Total Residual Chlorine(TRC)
R.eilenenze:i.lethod.52.1 450, CI-G2 I I. Hach 8167 LIP- f Riease circie a ,Iadabfa Method Instrurnan;ID
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Sample i i Rie Result
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Dissolved Oxygen(DO)
Peferenee Method Sit 4501i Li ii.-201 I Insly -en ED
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Environmental Chemist, Inc., Wilmington, NC Lab #94 6602 Windmill Way
Wilmington,NC 28405
910.392.0223
Sample Receipt Checklist
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Client: ' -eArt fl '' ',,,)\1,, c Li , Date: Z i-j11- 1, ""'"1 Report Number: 2021.--2:I,1 ),e'„,-
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Re.ceipt of sample: E HEM Pickup iiTir Client Delivery 0 -FURS D FedEx 0 Other 0
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10 YES NO N/A 1, Were custody seals present on the cooler? - -------4
0 YES JO NO jJ2„ N/A 2. If custody seals were present, were they intact/unbroken?
- -
Original temperature upon receipt -trq "C Corrected temperature upon receipt
1-110\iv temperature taken: El Temperature Blank 7 Against Bottles
'Ili Gun ID: Thomas Traceable Sil' 19251.1657 IR Gun Correction Factor'C: 0,0
YES 0 NO 3, if temperature of cooler exceeded 6"C, was Project Mgr./QA notified?
'•,, ! YES D NO 4. Were proper custody procedures (relinquished/received) followed?
;!. ! YES 0 NO S, Were sample ID's listed on the COC?
1f4. YES 0 NO 6, Were samples in listed on sample containers?
YES 0 NO 7. Were collection date and time listed on the COC?
ii YES 0 NO 8. Were tests to be performed listed on the COC?
El NO 9 Did samples arrive in proper containers for each test?'
i• YES 0 NO 10. Did samples arrive in good condition for each test?
•! .! YES 10 NI) ii \N.:I< iiiirlPrpilatp ,i:irinnIP vnliPmP 74t.,:iili•-}ip?'
VW YES 0 NO 12. Were samples received within proper holding time for requested tests? ,
i 0.4 YES 0 NO 13. Were acid preserved samples received at a pH of<2? *
0 YES 0 NO 14„ Were cyanide samples received at a pH >12?
17.13 YES 0 NO 15, Were sulfide samples received at a pH >9?
YES ONO 16. Were NH3/TKN/Phenol received at a chlorine residual of<0.5 m/l..? ** ,
11:1'0 YES 0 NO 17, Were Sulfide/Cyanide received at a chlorine residual of<0,5 m/t?
0 YES 0 NO 18, Were orthophosphate samples filtered in the field within 15 minutes?
TOC/Volatiles are pH checked at time of anaiy5i5 arid recorded on the benchsheet
Bacteria samples are checked for Chlorine at time of anaiyss and recorded on the benchsheet.
Sample Preservation; (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): HSO, HNO3 HCI NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
_ _
.. _
Note: Notify ci,storner service iminediately for inciorrectiy prieserved sarnples Obtain a new sarinre or
totify the state lab J directed to a 7a1yzed by the cu5torner Who was notified date and time.Volatiles Sample(s)_ __ __:________________________ were received with headspace
COMMENTS:
DOC. QA,002 Rev 1

dmil Way
ton
ENVIRONMENTAL CHEMISTS, INC ©FFICEn910139202231IFAXg910-39244245
NCDENR:DWQ CERTIFICATION#94 NCDHHS:DLS CERTIFICATION#37729 infotienvironmentalchemists.com
Analytical 8 Consulting Chemists
COLLECTION AND CHAIN OF CUSTODY
Client: Pender County Utilities (Wastewater) PROJECT NAME: Maple Hill WWTP (PPI 001) IREPORT NO: 2-4 t -t 1'2'1 L 3
ADDRESS: CONTACT NAME: Chris Pickett, ORC PO NO:
REPORT TO: ORC PHONE/FAX:
- l
COPY TO: email:
Sampled By: Ad I r e �c,.,- SAMPLE TYPE: I=Influent, E=Effluent, W=Well, ST=Stream, SO=Soil, SL=Sludge, Other:
Collection ` a _ d PRESERVATION
°' m en •o t7 ,E J w 1
Sample Identification E `; a e a` as m 2 w 1 d n I o w ANALYSIS REQUESTED
0 c o a „ _j D © _ , z 4 Z
Date Time Temp : U ` Z Z x x
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( _ -WWTP PPI 001 (composite s<j I f'• lF _ _ 15 V X ) ,'BCD, TSS, NO2
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WWTP PPI 001 C P i
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(composite) Triannuals I X Chloride, TDS (March, Jul , Nov)
C , P
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WWTP Effluent(grab) G t , � ! X- Total Phos
C ' P _
pH (field): . # Y l G ' G ( X Fecal Coliform
f ) - - C P
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Samples due limonth G • G
C P • --1
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limits:BOO 30 mglL,TSS 30 mgiL,NH3 15 mg/L,Fecal 200 colonies/100 ml
Transfer Relinquished By: Date/Time Received By: Date/Time
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2• I
Temperature when Received: cyl, Accepted: _ Re- cted: Resample R qu sted: L�
Delivered By: t_ _ , Received By: ,' Date: '1 I. J Time: le �-�, _
Comments: TU N ROUND:

FORM:NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page, 1_of
Permit No.: WQ0035049 I Facility Name: Maple Hill WWTF County: Fender Month: November Year: 2021
Did irrigation occur Field Name: 1 Field Name: 2 Field Name: 3 Field Name: 4
Area(acres): 1.72 Area(acres): 1.72 Area(acree): 1.72 Area(acres): 1.72
at this facility?
Cover Crop: Bermuda Cover Crop: Bermuda Cover Crop: Bermuda Cover Crop: Bermuda
E YES NO Hourly Rate(in): 0.41 Hourly Rate(in): 0.41 Hourly Rate(in): 0.41 Hourly Rate(in): 0.41
Annual Rate(in): 29.71 Annual Rate(in): 29.71 Annual Rate(in): 29.71 Annual Rate(in): 29.71
Weather Freeboard Field Irrigated? D YES O NO Field Irrigated? YES 0 NO Field Irrigated? YES 0 NO Field Irrigated? 0 YES 0 NO
e g
13 MI C4 E CD 0 Ts E C14 13 E la E
el 0 12 ri Ei.Te E gse 2, g s E .- 02 s s
0 a s- 7,„ E b E 1:1 E E -a o E 7, o
- 2 - 0. 17- 114 ea 3 x * 3 -am PIT T<. og 13 a T<' * 8 zo. 2) Zi °
..., gx , ›. < > ot
. .
°F in ft ft gal min in in gal min in in gal min in In gal min in in
1 C 51 0 4.3 11,910 30 • 0.26 0.26 11,820 30 0.25 0.25 11,850 30 0.25 025 11,850 30 0.25 0.25
2 C 52 0 4.3
3 CL 52 0 4.3
4 CL 48 0 4.3 7,380 20 - 0.16 0.16 7,320 20 0.16 0.16 7,240 20 0.16 0.16 7,220 20 0.15 0.15
5 CL 41 0 4.3
6
7
8 C 41 0 4.4 7,840 20 . 0.17 0.17 7,840 20 0.17 0.17 7,780 20 0.17 0.17 7,800 20 0.17 0.17
9 C 48 0 4.4
10 C 50 0 4.4 11,430 30 - 0.24 0.24 11,130 30 0.24 0.24 11,250 30 0.24 0.24 11,130 30 0.24 0.24
11 PC 52 0 4.4
12 PC 68 0.1 4.4 7,940 20 0.17 0.17 7,880 20 0.17 0.17 7,840 20 - 0.17 0.17 7,840 20 0.17 0.17
- _
13
14
15 C 43 0 4.4
16 C 43 0 4.4 7,620 20 0.16 0.16 7,340 20 0.16 0.16 7,440 20 - 0,16 0.16 7,420 20 0.16 0.16
17 C 52 0 4.4
18 C 76 0 4.4
19 C 70 0 4.4
20
21
22 CL 59 0 4.5
23 C 39 0 4.5 ,
24 PC 59 0.2 4.5
25 C 48 0 4.5
26 C 53 0 4.5 _
27
28
29 C 43 0 4.5 11,640 30 0.25 0,25 11,520 30 0.25 0.25 11,520 30 0.25 0.25 11,550 30 0.25 0.25
30 C 41 0 4.5
31
Monthly Loading 65,760 Man 64850 1.39 64920 1.39 , 64,810 1.39
12 Month Floating Total(in): _ - 10.31 _ 10.57 _ 1058 - 10.03 -_

FORM:NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page 2_of®4®
Permit No.: W40035049 I Facility Name: Maple Hill WWTF County: Fender Month: November Year: 2021
Field Name: 5 Field Name: 6 Field Name: 7 Field Name: 8
Did irrigation occur Area(acres):. 1.72 Area(acres): 1.72 Area(acres): 1.74 Area(acres): 1.71
at this facility? Cover Crop: Bermuda Cover Crop: Bermuda Cover Crop: Bermuda Cover Crop: Bermuda
2 YES ❑NO Hourly Rate(in): 0.41 Hourly Rate(in): 0.41 Hourly Rate(in): 0,41 Hourly Rate(in): 0.41
Annual Rate(in): 29.71 Annual Rate(in): 29.71 Annual Rate(in): 29,71 Annual Rate(in): 29.71
Weather Freeboard Field irrigated? 10 YES 0]NO Field Irrigated? -YES ❑NO Field Irrigated? 2 YES ❑NO Field Irrigated? u YES 0 No
R a� E � e E m3 �. e = . e V a Te Te rn E Tot
E =, c oc
ra a •- � 6. E � = ss � Q E � 'e� R � ' yeti eat Egg , a E 'ea4
° a,c + eb t= a o w = # o a i= c Ct o max° +a si i= o +xax o o a ~ c o o _ j
to' m
°F in ft ft gal min in in gal min in in gal min in in gal min in in
1 C 51 0 4.3 11,490 30 0.25 0.25 12,300 30 0.26 0.26 12,270 30 0.26 0.26
2 C 52 0 4.3 12,810 30 0.28 0.28
3 CL 52 0 4.3
4 CL 48 0 4.3 7,280 20 0.16 0.16 7,760 20 0.17 0.17 7,540 20 0.16 0.16 8,000 20 0.17 0.17
5 CL 41 0 4.3
6
7
8 C 41 0 4.4 7,640 20 0.16 0.16
9 C 48 0 4.4 - 8,160 20 0.17 0.17 8,160 20 0.17 0.17 8,600 20 0.19 0.19
10 C 50 0 4.4 10,800 30 0.23 0.23 11,550 _ 30 0.25 0.25 11,550 30 0.24 0.24 11,820 30 0.25 0.25
19 PC 52 0 4.4 - _
12 PC 68 0.1 4.4 7,720 . 20 0.17 0.17 8,240 20 0.18 0.18
13
14 „15 C 43 0 4.4 8,200 20 0.17 0.17 8,640 20 0.19 0.19
16 C 43 0 4.4 7,240 20 0.16 0.16 _
17 C 52 0 . 4.4
18 C 76 0 4.4
19 C 70 0 4.4
21)
21 _
22 CL 59 0 4.5 7660 20 0.16 0.16 7,580 20 0.16 0.16 7,880 20 0.17 0.17
23 C 39 0 4.5
24 PC 59 0.2 _ 4.5
25 C 48 0 4.5
26 C 53 0 4.5
27
28
29 C 43 0 4.5 11,340 30 0.24 0.24 12,210 30 0.26 0.26 12,210 30 0.26 0.26
30 C 41 0 4.5 12,750 30 0.27 0.27
948
31 � �
\\`_
\ � 67,510 \� �� \~ 70,500 ® ��\`\\
Monthly Loading 63 510 1.36 � 67 880 \ �� �
.\\ \ �- \`. \ �\\\\ \. \\\ ti \ \\ \ \\\\\\`\..
12 Month Floating Total{in} �\ \-\���:� _�\ 9.48 \�\\�\� \-s\\\�\ \\\ \\\...:\„�,�\\ \„�..� ���\ \-.\. ..�.

FORM:NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page_3 of_4_
Permit No.: WQ0035049 Facility Name: Maple Hill WWTF I County: Pender Month: November Year: 2021
i Field Name: 9 Field Name: 10 Field Name:. 11 Field Name:
Did irrigation occur Area(acres): 1.75 Area(acres): 1.77 Area(acres): 1.72 Area(acres):
at this facility? Cover Cro : Bermuda Cover Cro Bermuda Cover Cr Bermuda Cover Cro
YES ❑NO Hourly Rate(in): 0,41 Hourly Rate(in): 0.41 Hourly Rate(in): 0,41 Hourly Rate(In):
Annual Rate(in): 29.71 Annual Rate(in): 29.71 Annual Rate(in): 29.71 Annual Rate(in):
Weather Freeboard Field Irrigated? E2 YES 0 NO Field Irrigated? OJ YES 0 No Field Irrigated? 2 YES 0 NO Field Irrigated? E=YES 0 No
ci
"Zdaco 42
` °' et z�s : e m a F c E 12 E
e ELci Em 3i5 E 41 g E 1a a cac
t a c � = a � � om = a} co ga � 9 � c* � � ca � iam
a za ax a = T a
°F in ft ft gal min in in r gal _ min in in gal min in in gal min in in
1 C 51 0 4.3 12,210 30 0.26 0,26 12,090 30 0.25 0,25 11,220 30 0.24 0.24
2 C 52 0 4,3 I
3 CL 52 0 4.3
4 CL 48 0 4,3 7,540 20 0.16 0.16 7,460 20 0.16 0.16 7,040 20 0,15 0.15
5 CL 41 0 4.3
6
7 L
8 C 41 0 4.4
9 C 48 0 4.4 8,160 20 0.17 0,17 8,080 20 0.17 0.17 7,600 20 0,16 0,16
10 C 50 0 4.4 11,490 30 r 0.24 11,190 30 0.23 0.23 10,440 30 0.22 . 0.22
11 PC 52 0 4.4
12 PC 68 0.1 4.4
13. _ I
14
15 C 43 0 4.4 8,180 20 0.17 0.17 8,020 20 0.17 0.17 7,520 20 0.16 0.16
16 C 43 0 4.4
17 C 52 0 4.4
18 C 76 0 4.4
19 C 70 0 4.4 20
21 � E
22 CL 59 0 4.5 7,480 20 0.16 0.16 7,380 20 0.15 0.15 6.840 20 0,15 0.15
23 C 39 0 4.5
24 PC 59 0.2 4.5
25 C . 48 0 4.5
26 C 53 0 4.5 -
27,
28 -,
29 C 43 0 4.5 .
30 C 41 0 4.5 12,120 30 0.26 0.26 11,970 30 0.25 0.25 11,190 30 0.24 0.24
31
Monthly Loading: 67,180 1,41 66,190 1.38 61,850 1.32 0 000
12 Month Floating Total(in): _ _= 10.06 = =>_ _° 10.36 9.96

FORM:NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page_4_of_4_
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? 0 Compliant ❑ Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? -Compliant p Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? O 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.
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: Christopher Pickett Permittee:
Pender County Utilities
Certification No.: 1010919 Signing Official: Kenneth Keel
Grade: WW-SI Phone Number: 910-259-1570 Signing Official's Title: Director
Has the ORC changed since the previous NDAR-1? El Yes ❑ No Phone Number: 910-259-1570 Permit Exp.: 8/31/26
r/F 1
Signature Date Signature Date
By this signature,I certify that this report is accurrate and complete to the best of my knowledge. 1 certify,under penalty of law,that this document and ail 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 tines and imprisonment for knowing violations,
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center