WQ0029475_Monitoring - 12-2021_20220131

DWR - NonDischarge Monitoring Report Submittal y. •4 ..
NORTH CAROLINA
Enrlranmenlel QHaflly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0029475
Name of Facility:* Sterling Farms WWTF
Month:* December Year:* 2021
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR 2021 12 Sterling Farms 4.38MB
DMR.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:* Erikah Martin
Signature:
Date of submittal: 1/31/2022
This will be filled in automatically
Initial Review
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Gerald,Wanda

Is the project number correct?* WQ0029475
Is the monitoring report accepted?* • Yes No
Regional Office* Wilmington
Accepted Date: 3/21/2022

FORM:NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page / of 14t'
Permit No.: WQ0029475 I Facility Name: Sterling Farms WVVTF I County: Onslow I Month: December Year: 2021
1 _
PPI: 001 Row Measuring Point: 0 influent E7 Effluent ❑No flow generated Parameter Monitoring Point: n Influent Effluent 0 Groundwater Lowering D Surface Water
Parameter Code 60 \ 00310 O 31616 �i0 00620 `0040 70295 Q0* i't \` 1f66 k` 00600 \1 $
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Sampling Type: 1„:***4.: composite 't;a41#11e' Grab Wilkie* Composite ,' .,trati- Composite •
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Daily Limit: ' : 15 25 6 6-9 10 10

Permit No.: WQ0029 75 Facility Name: Ster ing Farms VINVTF County: Onslow Month: DeCemb f 9e Year: 2021
PPI: 002 --- frlow Measuring PoinInfluentInfue ❑ Effluent gi No flow generated Parameter Monitoring Point: E Influent G Effluent 0 Groundwater Lowering 0 Surface Water
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Parameter Code S\ 00310 31616 I`t\001. c �_"�4c't: 70295 t.)303,6r `\``\\
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Daily Minimum: „ .\ �__\"_ \\\\\� ®
Sampling Type: Composite Cg �4: Grab Cornpte Composite
Monthly Limit:• k 4 ��;„
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Sample Frequency: �� 5€tt�su�_2 x nth 3 x�Y� �x Month �,2°x Aionf�i°� 2 x Month x�L �' �x Year 2 zi��[i Continuous

FORM:N 7M i 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page 3 of 411
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Permit No.: WQ002 7__� Facility Name: Sterling Farms WWT County: Onslow I Month: December Year: 2021
PPl: 003 Flow Measuring Point: 0 Influent Li Effluent e Na flow generated Parameter Monitoring Point: ❑Influent E Effluent ]Groundwater Lowering 0 Surface Water
Parameter Code — r 616 00600 [ \ \\ \ \ \ \ \\\ \ \\
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Sampling Type: „Grab ,,, Grab ra o\ .,,
Monthly Limit: , V`� ,�Daily Limit: i '—'

'7 Oi '
Sampling Person(s) Certified Laboratories
Name: Michael Cowell Name: Envirochem
Name: Name:
-- -
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Compliant 0 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 Perrnittee Certification
ORC: Michael Cowell Permittee: Aqua NC
Certification No.: 1006528 Signing Official: Joel Mingus
Grade: II Phone Number: 910-524-4976 Signing Official's Title: Coastal Area Manager
Has the ORC changed since the previous NDMR? D Yes No Phone Number: 910-635-7479 Permit Expiration: 5/31/2026
/17, /7/3 /
"/?—Z'
Signature Date Signature Date
By this signature,I certify Mat 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 systern,or those persons directly responsible for
gathering the kiformation,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete.I are
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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh,North Carolina 27699-1617

FORM:N0AR,•1 08,11 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page_j_ 01 7
Permit Na.: W00029475 Facility Name: Sterling Farms WVVTF County: On&aw Month: December Year: 2021 1
11:7:7(' ,77:;;,1,1011010 TIttellead:7,;< , y',, ,, : Field Name: 2 Field Name:MEM
Did irrigation occur ,;.: ,',.,,,,, , „: , ,; ,
Area, .,,, OPM.',.;',; !/,!v:,?!,!,,IP,, ',!: ' DI Area'lac mei I 1.88 :,01/17,940,41 14060,00,,,F,'0,0,,,m2;,,,,,x,,;:://:i Area(acres): 3 19
at this facility? —...
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', , 7,PreI,L7P:"I770=01 0 '-71
1 le YES 1,0 NO 3,:t1*****OglaZAkft„::::::::!: Hourly Rate(4rill 0.1 1 :4,"'if #01,0,110)i.10f,;,:,00'it:KM Hourly Rate In: 0,1
11rAilii:01*(4010011WY14,44'7,;,7:01, Annual Rate tin:: 4E6,88 r/:1#10,0441;1.!,M:42, ,, : /A2, Annual Rate tiny.. 48.88 -- 1
1111=1.1 Freeboard Mtliel/#41#108,01#144Y0,1#0110;- , Field Irrigated? C,",YES 03 so fj#(11(00#4'N1 *tglikOtl' Field irrigated? E YES :::::]NO
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' Fey
Permit No,: WQ0029475 Facility Name: Sterling Farms WWTF County Qrnslow f nntln: December Year: 2021
Did irrigation occur 0,t d'.,e " �� Field Name: 6 j Fle d of 0 �" Field Name: th
1ladtl "FEHirr %r a,13:1 ", 4 Hourly ter :' 2,3 +9t11, o r Hourly Rate
2.4k1
at this facility? :J
dP C :g3 Area(acres): 0.1l11 lar ,g,,,,,„_,;, Area
r Cro I
NI YES Li tic, �` � �, t Iv4���,�"�'',:",,; Annu'alRata(ln);, 0.1
J441111 181FR to Iln�h 46 i� Annual Rate long: 48.8'8 1�a1) gakeF4i �� ! 1!`.l G&y, Field Irrie gated?(In): DI YES 48.8E
Weather Freeboard PI8Id gated? (YES Y Field Irrigated? 171 Yks e: NO ! I NO
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2 C 72 0 5,740 20 0.10 0.10 5,740 20 1 1110 0,10 5,740 20 0.10 1 0-10 5,740 20 j 0.10 0,10
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3 C 73 1 0 5,740 20 0.10 0.10 5,740 20 0.10 0.10 5,740 20 0.10 010 5,740 26 0.10 0.10
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q 5,740 5,740 20 0.10 0.10 ,5,740 20 0,'90 0.10 5,740 y 20 0'10 0.10
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6 C 77 0 1 5,74020 0,10 0.10 5,740 2�0 0.10 0.10 5„740 20 0.10 0.10 5,"740 20 0.10 r 0.10
7 6,3 0 5,740 20 0.10 0.10 5,740 200.10 0.10 5,740 20 0.10 0.10 5,740 20 0.10 6.10
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8 CL 47 05,740 20-"--0 0.'10 i 5,740 20 0.10 0.10 5,740 1 20 ` 0.10 0.16 I 5,740 1 20 I 0.10 I 0.10
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14 C ra:3 0 ' 5,740 20 0.10 II 0.10 ,I 5,740 20 0.10 0.10 5,740 20 0.10 0..10 5,740 20 0.16 0.10
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15 ra'0 1) 4 5,740 I 0.10 0.10 5,740 20 0.10 0.10 ' 5,740 20 0.10 0.'10 ' 5,740 I 2('1 0.10 ' 0.10
5„740 I 0.10 010 1 5.740 I 20 010 0.10 5,740 20 0,10 010 I 5,740 I 20 0.10 I 0.10
16 C 74 0 5,740 0.10 0,10 5,740 20 0.10 0.10 5,740 20 0.10 0.10 5„740 I 20 I 0 I,.10 0,10
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18 C 77 0 5,740 0.10 ' 0.10 I ;i,740 20 0.10 0.10 5„740 20 0.10 (}.1('1 5,740 20 0.10 0,10
1 5.740 20 I 0.10 0-10 15,740 1 20 0.10 0.10 5,740 20 0.10 010 5,740 20 0.10 0.10
5„740 I 20 1 0.10 0,10 5.740 I 20 0.10 0.10 5,740 20 0.10 0,10 1 40 20 0.10 I 0,10
1'9 Cl. 67 I ().00 _�� 5740 0.10 5„740 20 0,10 0.10 mm 5,740 20 0.10 0.10 5, 40 20 0.10 0.10
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24 C i 65 1 0 5•740 20 1 0 0 0,105.T40 I 20 0.10 0,105,740 20 0,100,10 5',740 1 206.10 I 0.10
5,740 20 0.10 0.10 5,7'40 20 0,10 0,10 5,740 1 20 0.10 0.10 5„740 I 20 I 0.10 0.10
25 C173 0 5,740 20 010 0.10 5.740 20 0.10 0.10 5.740 1 20 0.10 0.10 I 5„740 I 20 I 0,10 0.141
5,740 20 0.10 I 0.10 j 5,740 20 1 0,110 0.10 j 5,740 I 20 0.10 0.10 5,740 20 j 010 0.10 00
26 74 0 5,740 20010 I 0.10 I 5,740 20 0.10 1; 0.10 I 5,740 1 20 0.10 0.10 5,740 20 I 0.10 0.10
5,740 20 0.'10 I 0.10 5,740 20 ' 0.10 0.10 15,740 20 0.1'0 1 0.10 I 5,740 20 ' 0.10 0.10,
27' C 7`5 0 5,740 20 0.10 0,10 5,740 20 0.10 1 0.10 5n740 20 ..... 0.10 0.10 I '5,740 20 0,10 0.10
I 5,740 20 I 0.10 0.10 I 5,740 I 20 0.10 I 0.10 5,740 20 I 0.10 0.10 5,740 20 0.10 ' 0.10
28 77 0 5„740 20 0.10 0,10 0.10a,740 I 20 0.10 5.,740 20 0.10 0.10 I 5,740 20 0.10 I 0,10
5,740 20 , 0.10 0.10 5,740 20 0,10 0.10 I 5,740 1 20 010 0.10 1 5,740 j 20 1 0.10 I 0.10
291 C 77 04 5,740 20 0.10 0.10 , 5,"740 20 0.10 0..110 ,5,740 j 20 0.10I 0.10 5„740 1 20 010 0..10
5,740 20 0.10 I 0,10 740 20 0.10 ' 0.10 1 5,740 ,, 20 0.10 0,10 5,740 20 I, 0.10 0.90
OOV. 73 0 5,740 20 0.10 5,740 20 0.10 0.10 5,740 20 0.10 1 0.10 5,740 20 0.10 0,10
Cl. .., 5,740� 20 0.10 '0,740 20 0.10 0.10 5,�740 20 0.10 0,10 I 5,740 20 0,10 0.10
131 CL 03 0 5.740 20 0.10 0.10 I 5,740 ' 20 0.10 0.10 5,740 20 0.10 0.10 5,740 20 0.10 0.10
5„740 20 0.10 0.10 5,.740 I 20 0.10 1 0.10 5,740 20 1 0.10 0.10 6,740 20 0.10 I 0.10
..�...._..�_12 Month Floating l ):r ✓ rr✓i,�i"r��.sf; 33. `;' ' .✓°,".�.�.r./1 26,00 V ✓�✓'✓,A i' 31 I /r% 2s4.ca�10 ./
Loading: , t14 4 = ..A A! 444- 7 264.040 �/� 4.44 !""

FORM:NOAR-1 00-11 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page a,of 7
1 Permit No W00029475 I Facility Name: Sterling Farms VVVVTE County: 0 nslow Month: December 'Year: 2021
) 104kfriO!:':tte,249(i;;7 ;,P:, Field Name: 10 'F'7:fr410,0iiiiiA/,;',*':,,;,fr1z?,§:;.,4z 1 Field Namei, 12
Did irrigation occur Area,, ,
*.17#14;FZ: ;:?40,;; ,1," Area tacreal:I 1,94 '*"/;***;( 1*iii0itizni,;',WAMP; ','4. ; Area(a c res).:ll 1,84
at this facility'? ,,,,, ,,„,:,
1 prpmm49,,;1;,oi,,,07 :: :::,:::"I cover Crow 1':";, 04: 0.i.*;' :i$41; /,:e4,', Cover Crop:
YES LINO : ,0104'4110it ''.:' :;1101*!::, ',:: ' Hourly Rate Or): 0.1 ,,,"„T/00010440110,*;; ;,,,';',A$'4,;, e:::':,' Hourly Rate OM i, Cl
00,094.944,09)i,);;: 'i 4040: , ' Annual Rate,in: 48,88 ' ''*iiiiiatF4tti:(lopi, '', ':/,/,N,1„:0*::,': x,, Annual Rate.(in: 48,88
Weather Freeboard ', 'F410 Irrigated?!",,1:11,,i'E9 -:Rio Field Irrigated?I 0 YES 1.8 NO ;'/:r104}00.001, R),lq, :::000 ;! Field Irrigated? 0 YE5 7 Co .'
2, 1 21 1
, II .,,,2 /i,, ,i: ,;g,,,„: ?1 ,,,, E,,e„ i„,: II,i ',/, ,:,:ii:17:ty,q;:,41,,,,t A 7, 11 .1 1 It,r:::
1 i„ 4
a• ,, ,,, ,,-: el',111 , --, , = a.
Ca _ ,,,.At y/47,2,,):P7,„ '!$>g '?, It I I, 2 li wi,,,,..,T:4,p,i,,.., ,4..,p1 .,g,Jf = a .. tH -, .,R, .. 10,.,
,
...,,, ,,,t,,c,4,sor ! ,,'/ARM PNIk,wq,:;; /, tx , ci z °I J';',;,e*.v :',,,i:,',,, .,5' ! '2140V 4: % ,:"; °ot I-:,.. 2,, i 2c:..;:u
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Monthly Loading: , . C,';'''ff'.;9 ,, '013:1P:'/TX 4 ..11„ 0000 V 1I,' ':,'0,'::',.,::":7 /,': '10:0:'; ( /', a IV dI a'X' A
12 Month Floating Total Onyr., 4,, 4 ',D.'co:.! Afor AV ;, 0.00 !V i,V,/ ,,,,V, ,,,,.;, ,'0166''''' /47 AV /2:, 0.00 Yr A
1

FORK:NDAR-1 06-11 NON-DISCHARGE APPLICATION REPORT(NDAR.-1) Page 41 of 7
Permit No W00029475 Fatuity Name: Sterling Farms ViANTF CourFty: 011610w Month: December Year: 2021
'it,ltf.%1:040,4- , ,4', ,:atl: Field Name' 14 WIA/140000t,V/J*Vtge Field Name:! 16
Did irrigation occur ,.pg**fiv*:*e' 44,q Area taCha4 I 2.02 ,"'1,41.4.#46 /4400V/0/i: Area.(acres , 1.97
at this facility? pf::::,,,L,3,;,t:.,.;Agei4"fx",1-,A1;;;;M
,.,: ,,A,91041)9,PlIt: .a„,,42,,slki/IH Cover Crop: r,124**104,i ;;;e0,' ,111111113=3
E•yE [7 NO I ft 444#7F44Oi F1, 2"1;,,,wag;•1 Hourly Rate(In: 0.1 !041,00i*Ot,';‘ ,/l'R;;Cf,';/4.1:=C=1
,:5
,74*01440,4i1:01r1;44,0c7,. , Annual Rate 04 46.88 ,I14,4000000tr,!7. (4*'::,:t= 45.68
1 ' Weather Freeboard 071,04104#40 ggyo:AviAr 1 Field Irrigated? .7.1 YES 0 NO Of000444,0:100y ),*aiazz== 2 Y65 FEND
t: I 1 $ „:„,g,,,, :Figlq11F11,Z,75 al •
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fra :"2 , 1 "5 :::'!3,'",•"K .:'4FIO';,,,i",t,iaP4e4t,,,,.
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. , e „.07. !E
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in . 4.i,, :,.:1,iiiilg,iltrf; .'',,;rig.: !ai min in , i. NriiiiiNII .'nitri,„. Ill In 1: galmin I in in II
1 1 I 5,740 20 0.10 1 0, .,• 5,740 20 : 0,10 1 0,10 ) 5,740 . 20 0.10 0,10 I 5,740 20 0.10 0.10
1 1 C 0 1 :
. 1 7.40 20 0.10 I 0,10 ;740 20 1 0.10 1 0.10 1 5,740 20 0.10 ' 0.10 I' 5,740 20 0.10 0.10
. 1
, . I 5,740 I 200.10: : O., 0 1 5,740 .20 0.10 ' 0,10 !„ 5,740 20 0.10 0.10 ' 5,740 20 0.10 : 0,10
2 C 1 0
1 , ' 5,740 20 ' 0.10 0,10 5,740 , 20 0.10 I 0.10 5,740 20 0.10 0„10 , ,5,740 Ell 0.10 ; 0.10
3 I I 20 I 0.10 0.10 ,.40 1 20 0.10 0.10 :, 5,740 .20 0, 0 0.10 ,I 5,,40 ' • 0.10 0 0
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4 C 0 I
,740 20 O, 0 : 0, 0 5;40 20 0.•0 0.10 , , 40 E 20 0, 0 I 0.10 ,, 40 . '0 000 ,10 II
1 6 6 1 I 5,740 20 0.10 I 0, • I 5,740 20 0.10 , 0.10 1 5,740 . 20 0.10 I 0.10 5,740 20 0.10 0.10
, IIIII ', 5,77.41400 .2200 00110000:100 00,1100 1,I: 50;4400 2200 0.100,: 1 :00:„. 00 i•,. 05„:74400. '00 0.1000 00100
6
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5,7'40 20 0.10: 0.10 5,740 20 0,10 .0,10 l 5,740 20 0.10 0.:10 5,740 I 20 : 0.10 ,I O. 0
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5,740 20 0.10 010 •,70 20 0.10 0.10 5,740 20 0.10 0.10 5,740 20 0.100.10
, 40 20 00.10
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0 5,740 20 0.10 010 5,740 20 0.10 0.10 5,740 20 0.10 0.10 5,740 20 0.10 0.10 1111•
I.: 5,740 20 0.10 0.10 , 40 , 20 0. 0 0. 0 5,74D , 20 • 0, 0 0.10 j . , 40 1 20 0, 0 ! ,. ('
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0129 5
III ,7 ,0 20 0.10 0.10 5,740
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'
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1,3 I 5,740 20 0.10 1 0.. , 5,740 20 0.10 1 0.10I 5„740 : 20 0010 , 0„ , 5,740 20 . 0.10 0.10 :.
.
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Monthly Loading, ..„11170, : ,,,,;,,n44K,;7/./////4 .64,040 :,7 AlliZEIV _4104,,0413g!W ji,d,/,,A,AW d: 264,040 ;47 if," 4;44
12 Month Floating Total ciro:e7 . ,,,,,17 . ii.,:t1:;',:fiA'.7. 'AW,'" 4.: . A 30:6 17. . . „•'::.17 ._AV. .'44-060r.,.'. ' . ..;^!V AV /1111Mrt A

„,,,,,,
FORM,NOAR-1 08-11 NON-DISCHARGE APPLICATION REPORT i(NDA.R-1): Page 6 of i
Permit No,: WC10029475 : Facility Name: Sterling Farms WWTF County: OnSIOW_I Month: December Year: 20 21
'1,Z%:50I10044#I0X 713t C:::::31 Field Name: 18 jj.17.1%;010414Cr11:f ';'1,J1j Field Name: 2.0
Did irrigation occur !T,''z-":,-"',,;:,;•'::':,,,:rz: ','<,,;:,;,,,, ,,,;;;':,i;:;;;!
4f./1#00,1i)rejtalMi.„,f007e,%/%1 Area(acres); 105, Mii?040400.1 jnj4%*010tA, Area(acres): 1..88
at this facility? .,,,,:,),,,,,,,,,,,,,._%.,,,,,,,,:. , ,„4;,:„,,,,.,./.7,.;',.
. 9.,tP,RP';pa0// ';t„k.e;:.i',I Cover Crop,rn
1.;;77%10440,00e0,::iggAg Cover Crop:
2 YES li NO .,; *0oi;0:4*.fiiikos,, i;fa,*iwz: 1 Hourly Rate(in): (11 „1,,j,100yRabl.#01,,j1:::,,A,,,,04.:p..;„14, Hourly Rate(in): 0.1
„ 4„,:,::.;;;:.,•;,:1140j ;A(A(#:1119jilbt04#44 Annual Rate(In): 48,..88 466iiiRiti,(:.i)4W40„11, Annual Rate(in): 48L88
Weather Freeboard 10.0.1.14000411II0k51#jat0401,:jr;J.1 Field irrigated? i;,..3 YES ---EN 0 [0/004.00010,VIC;14)0 Held Irrigated? .DYES I::NO__
.....
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Monthly Loading: I.::254I040W /;,44;I44;,,415 ; 254,040 ,,V: :/,_ 4.44 .7. r0141.,40 .,..V 'A';',.0"*44*V7/,(A., '64,o4o 0 / '. 4,44 • _„4

PORM:NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page 4 of 7
Permit No,: VV0002g475 Facility Name: Sterling Farms WINTF County: Onstow L Month: December Year: 2021
, 1 411:.::.:1::',',.':.',4! Held Name: 22 , ,;e;;:,;#iiiiifiiiiiiki,m4::;://441(,--oot" : Field Name: 24
Did irrigation occur ,,,,,,, .' : . „
ii;„ „,54q",(1p;(4r0kNk,„ ,',:?.4)(1.,.,,,/::::,: Area(acres.,. 2.49 ,l' '':;a#0<i4:00lp,'4%440C4X Area,lacresY. 2,62
at this facility? :l,„,,;„4,,,„,„, ,,, , /„., ,,,,,,, . ..
;//;',';; t4i(laiiiiaKZ.;.44/:/:,4,;'igi c„„crop::
41sOlol1044:;')x*e/4',,:i: Cover Crop.
:l„.lAft,gltlfctll#tttlt4fttlll W:$1,*lftlli,li1: :'''''l: Hourly Rate in 0,1 17,)#4,0(0.0010,:..ig:tz;2;tcy:;//,-;.*,, Hourly Rate(My. 0„1
i'll vt:S ill NO ...„-.
.g:A41:44044#iii('':17'!'J'14:MiC , Annual Rate'lln'Y 48.06 ;',';',,A1iti40**,;0,#) 400',,„/-,,, Annual Rate(In): 40.05
Weather Freeboard W;rie,}10rliate#t .r4,1*55:: wi!:40t,,, Field Irrigated?! ,,n, IFS 0 so ,',, r.1004:'00-40.--7,H,10„v00,,,,Atip,;,,7 Field Irrigated? I.IFS l„,„I NO
.IAV:,,%%,'"'Yt4,;;,,,A,V,,,F,:,:g,
44,-",,,i,,,Ev4i,, ,,!, a..a 5
: ,? ,1 1,,,t;',E: ! .P. (z,3 78 g „Ern to
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'E in : ft ft 'OW Willit'lll gal min in : in I get:,,y, '; ', 'tern.;,:, %1:,,,,;:' :: ,-!'lif'''':'1 gal min ' in in
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Monthly Loading: .0 ///:01);00 /, , Zi. 64,040 V 4,11111=1V 4 f.?q0,044I," 4 04,44f4 V i, 54.040 :V , A 444 A
12 Month Floating Total(In):r7 z,'„,V zo;,,,:(10,40,0,r,V ,:,:r/ 127 iiiinit/ 4:';','" ://7: // li.''A:f"''',', AV/../7),' . ; 2'. 5:". 41'

FORM:NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page 7 of 7
Did the application rates exceed the limits in Attachment B of your permit? Compliant D Non-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? o Compliant 0 Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? E compliant D Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 2 Compliant 0 Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? E Compliant 0 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: Michael Cowell Permittee:
AQUA NC
Certification No.: 1003562 Signing Official: Chris Collins
Grade: SI Phone Number: 910-524-4976 Signing Official's Title: COASTAL SUPERVISOR
Has the ORC changed since the previous NDAR-1? 0 Yes E.No Phone Number: 910-635-7479 Permit Exp.: 5/31/26
fi / ? /
(
Signature Date Signature Date
By this signature,1 certify that this report is accurrate and complete to the best of my knowledge. I certify,under penalty of law,that this document and at 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 are 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 Quality
Information Processing Unit
1617 Mail Service Center