WQ0029475_Monitoring - 02-2022_20220331

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * February
Report Information
WQ0029475
Sterling Farms WWTF
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
2022 02 Sterling Farms 4.11 MB
DMR.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Erikah Martin
SAX WIZI& PG
Reviewer: Gerald, Wanda
3/31 /2022
This will be filled in automatically

Is the project number correct?* WQ0029475
Is the monitoring report accepted?* • Yes NO
Regional Office* Wilmington
Accepted Date: 4/5/2022

FORM': NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page --L.. w

Per -it No,' V11RQ0029475
Facility Name.,
Sterling Farms WWVTF
County;
Onslow
Month:
February
Year. 2022
1 11 CWCCL#C
%/ /&alitly
%//i,�//�r/ ///
/
Field IWam
g
m/
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� �P'Ne
/ii
/ "�
Name:
8
� ��"igatNoPI
this I facility?
//
////%"
t,3' / i
Area (aeres)r:
2.3
iilre�a
{;acresi;
_.._._..
2 4$
/ /// ow t
/�a�////////f /iii /
ver P
i
i
Go verC�p P
r¢3 nra
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kM4latly(in)
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y i )
0.1o//
FI rt1
t l�
�,
q x / i
Hourly Rate �n
y
01
inL
/
�� o
� � %//�
ikrrwaual Ratio (in):
4''�' p'p
��; / /
,F�tiftlU�t
,� �lo)
o. „, /loll
iir 9}� $� j ;%%r,'
Annual Rate (iinp:
Field Irrigated?
fi
40.$ 8
L� NENC�1
Weather
Freeboard
Field irrigated?
C I x[°5
NO
'+
NICE,/%//ll/////
vg
>,.
°
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xa
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c
mp
ae
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Vi'
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�or
/
In
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gaU....
rain
Mn
Oa
gal min
in in
1
C
53
0
5,740
20
0,10
0.10
_ 5„740
20
1 010
0,10
15,740
20
0.10
0.10
1 5,740
1 20
I 0.10
0,10
5340
20
0,10
0,10
5„740
20
1 010
0,10
5„740
20
010
0.t0
5„740
20
0.10
0.10
2
C
60
0,
4
5,740
20
0.10
6.10
5„740
20
010
0.10
5,740
20
010
0.10
5,740
20
0.10
0.10
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
3
CL
72
0
5,,740
20
0.10
0.110
5,740
20
010
0.10
5„740
20
0,10
0.10
5,740
20
0,10
0.10
740
20
0.10
0.10
5,740
20
0 10
0,10
5„740
20
0.10
0
5740
20
0.110
0.10
4
i CL79
0
5,740
20
0.10
0,10
5 740
20
0.10
0 10
5 740
20
0 10
0.10
10
5,740
20
0.10
0.10
5,740
20
0.10
016
5,740
20
0,10
0110
5,740
20
010
0.110
5,740
20
0,10
0,10
5
CL
63
0,21
6
CL
49
0
7
CL
50
0
a
IR
48
0.36
9
C
59
0
4
11
5,740
20
0,10
0,10
5,740
20
0.10
0,10
5,740
1 20
0 10
0.10
6,740
20
0.10
0.10
5.740
20
0,10
010
5,740
20
0,10
010
5,740
20
0 10
0.10
5,740
20
0,10
0.10
10
C
67
0,
5,740,
200,10
0.10
5,740
20
010
010
5,740
20
010
0.10
5„740
20
0.10
0.10
5,740
20
0.10
010,
5,740
20
010
1 p.10,
5„740
20
010
0.10
5„740
20
1 0,10
0.10
�
11
C
bi'8
0
5,740
20
0.10
010
5,740
20
010
010
5,740
20
010
0,10
5„740
20
0.110
0.10
5,740
20'
0.10
010'
5,740
20
010
0.10
5740
20
0.10
0.10
5,740
20
0.10
0,10
12
C
72
0
5,740
20
0,10
0 10
5,740
20
0 1.0
0,10
5.740
20
0.10
0,10
5,740
20
010
0,10
5,740
20„0.10
0 10
5,740
20
0 10
0 10
5,740
20
0.10
0.1I0
5,740
20
0 1.0
0.10
13
C
53
0
..1
14.....
C
50
0.03
t5
C
50
[N
',...
i...
16
C
fib
0
I
17
C
73
0
3.5
i
18
CL
77
0.05
19
C
59
0..03
20
C
51
0
21
CL
fie
ti
22
CL
72
0,04
23
CL
78
0
24
C
611
0
3,7
i
25
C
84
0
I
26
R
58
0
w
27
C
45
0
28
R
57
0,28
2'9
30
31
i
.�: `9. ;40;';
t�
9ja404j
1,54
1._
.54
Monthly Load�ung
12 Month Floating 7btal in
{
28.00

FORM: NDAR- 1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page -S ,rot —t
Permit Nlo,: WQ00129475
Facility
Name:
Stedingi Farms
WWTF
County: onslow
Month:
February
Year:
Did irrigation occur
Held Name:
10
Field Name:
2022
12
at this facility?
18Z
1-94
. . . . . . . . .....
C.I. Crop.
Cover Crop'
ED YES, FID NO
I 1p"UP
'Y
Hourly Rate (in)�
.1
Hourly Rate (in);
Q'i
—A ... I —R.t. (1.).
48-88
Annual Rate
Weather Freeboard
"M�2,
gyq
Y,
Fietcl irrigated?
0 YES 2A N 0
(Iny
Field Irrigated?
4888
0
V
, /1111111,
fl
/w. 77
// ',15
rg"­�jo 1,
9 v V
",
/ 15,
""""�//'
0, 'a
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C4
E
0
E M
Wcav"1
0111111,
R
E
1. 0
E, Elk V
E 2
CL E
CL
a Up
K0
'Z
F in tt
.......... 11
min
V
Kmx
'wo"',
a I imin
in in
C 53
7'7�75 7
2 C 60 0 A.
C�t
IF'
7 7/777"
7
/7
7
77 T
7 7
7,777-7- 7,
. ....
3 CL 72 0
Q—
C L 7,q 0
V
T
6
Cl
63
0,21
T
7
'Q
6
CL
49
0
01
7
CL
50
0
''I
VMVMM�m
r1w,
o
---
8
"A
9
C
59
0
4
2 A,
Y///
pp
01 UP/
10
C
67
0
. . . . . . . . . . . .
A
11
C
68
0
7
12
C
72
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13
C
53
G
14
C
50
O.03
7/77 7 e 77 077
is
C
50
0
�PWY
F
16
C
66
0
7/-
MIN
17
C
73
0
3,9
18
CL
77
om
Y
R
7777
7M7
19
C
58
0.03
NMI
45
20
C
5 1
0
7/7-77,
21
CL
66
0
7,111—
IN
MIRIMUN
offifi/1100F
NEW 1
V/0"60
22
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004
/7/--7
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A
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23
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0
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010VIMP110
7 / 7 77,
'M
25
C
84
0
API/I ""I
7,
26�
R
58
0
27
C
45
0
0 1-1,
MCI
28
R
57
U8
ww"m's
w/p//
. . . . . . . . . . . . . . . . .
213
'11"'011101"'01111
Maw"iPININ
t
AR
mom
30
31
Imilonthly
Loading;
010
O
000
12
Month
Floating
Tota
I (in);
EA
0 0=0
E
M
0.00

FORM: NDAR- I OB- 11 NON-DISCHAIRGE APPLICATION REPORT (NDAR-1) page j- of 7
Permit No.: VV'QO029475
Facility Name: Sterling Farms' t WTF
Countyonslow montW February
Year: 2022
Did irrigation occur
Field
Id FiWd NAme:
14
M
Field Name:
16
at this facility?
'ac
Area lacres):
2-02
Area lacres):
1.97
C C 'e, r.
Cover crop:
Cover Crop:
Gt YES 7- No
ur at.
Hourly Rate (in):
Hourly Rate (lin);
0J
"A
Annoal Rate (In�:
Rate
48 8B
48
Annu a I Rate (in):
488$
Weather Free oard
9-
Field Irrigated'?
nnga t. 7
0 Y F S L1 NO
0,
Field Irrigated?
11 yi,,, 1..,-1 NQ
wii
"o/0,",
E
ov
CL
�// l�
I',,",,, LZ
E
3 E t
E
E
7000,1�/,,'
E
0
91Y,
%0
-E
M
OR
'g,
F. ,n
in ft ft
gal min
in
7/F,7/ --7,5",
gal min
In in
U 33 U
5.740 20
�0,. 1: 0 010
5,740 20
0,10 0,10
0,101 0,1 11 0
5, MU 20
0.10 0-16
5.7401
20
0,10
0,16
5,740
20
0,10
0-10
5,740
20
0,10
0,10
5,740
20
0,1()
0,10
2
C
60
0
4
5.740
20
0.10
01 2 10
54740
.. 10
0,10
0.10
5,740,
20
0-10
0,10
5,740
20
0.10
0,10
5,7Q
20
0.10
0,10
5,740
20
0,10
1-5,740
20,
010J
0.10
5,740
20�
0,10
D10
3
C L
I
72
I
0
5.740
20
0.10
0110
5,740
20
10.10
0.10
0.10
5740
20
76
0.10
5�;740
210
0,10
0.10
5.74D
20
0,10
0,10
5,740
20
0,10
0,10
5,740
20
0110
1 0,10
5,740
20
0,10
0,10
4
CL
79
0
5.740
11 20
0.10
0,10
5,740
20
0.10
0.10
5,740
20
0,10
1 0,10
5740
20
0.10
0-10
5.740
20
0.10
OAD
5,740
20
0,10,
0.10
5,740
20
0',10
0,10
5,740
20
0.10
0.10
6
�CL
63
0,21
6
CL
49
0
7
CL
50
8
R
48
0,36
9
C
59
5,740
20
0,10
0,110
5,740
20
0.$0
0.10
9,740
20
0.10
0,10,
0 0
6,740
20
0.16
0.10
5,740
20
0,10
0.10
1 5,740
20
010
0 10
1 5,740
20
O�-10
010
0.10
5�,740
20,
OAD
0-10
10
G
67
0
5,740
20,
0.10
0,1U
5,740
2�0
0.10
0,10
5,740
20
0,,10
0,(
0.10
5�,740
20
0,10
0,10
5,740
20
0.10
0,10
5,740
20
1! 0.10
0.10
5,740
20
0,10
0.10
00011,100,
5,740
20
0,110
0,10
11
C
68
0
5,740
20
0.10
0,10
V40
20
2.10
0,10
5,740
1 20
0', 10
OAG 1
5,740
20
0,10
0,10
5,740
20
0.10
0.10
5740
20
1
0.10
5,740
1 20
0-10
0,10
5.740
20
0,10
0.10 ..,
12
C
72
0
5.740
20
0.10
0,110
740
20
0,10
0,10
5,740
20
0.10
0,10
5,740
210
0.10
0,10
5,740
20
1 0,10
0.10
5,740
2-0
0-10
0.10,
5,740
20
0,10
0.10
5,,740
20
0.10
0,10
131
G1
53
0
14
C
50
0.03
is
C
50
0
16
C
66
0
17
C
73
0
3-9
L.
18
CL
77
0.05
19
C
58
0.03
20
C
51
0
21
CL
66
0
22
CL
72
0.04
23
Cj.
78
0
24
C
61
0
37
26
C
84
0
26
R
58
0
27
C
45
0
28
R
57
0.28
29
31,
... ...... ...
Morithlyl-oading:
1"54
1,54
A 4
12 �Mwth F l. atingTot. 1
30.67
2.30

FORW NII 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page L of 7
Permit No.: WQ0029475
Facility Name:
Sterling Farms WWTF
County:
Onslow
Month;
February
Year: 2022
Did irrigation occur
,ell Name:
18
Field Narw
20
at this facility?
Area ocres):
96,
J,
4
Area (acrss)�
BB
Cover C.I.
,7 10 M/ Z
Cover Crop�
Li YrsUa%y
I Ratein):
O'l
Hourly Rate (in)�:
01
OR
RVIII%irr°�%!Annual
Rato (in):
48,88
Annual Rate (in):
48
Weather Freehoand
Field 11 rigated?
77 YEs 11 NO
Field InIgated?
'88
7
J 3 1
g
E"'
E
E
M
.2- 0
r 0)
79
NUNN//
4,
V
3
CL
E
x 0
0
In it I ft
min
in
in
gal min
in inrn
I
C
53
0
5,740
20
0,10,
0,10
1. 6,,740
20
0,10
0,10
1 5,740
20
0,10
0,10
5,740
20
0.10
0,10
5,740
20
0,10
0.16
5,,740
20
0,10
0.10
5,740
20
0.10
0A0
5,740
"I'll 20
0L110
0,10
2
C
60
0
4
5,740
20
0A0
11-16
5,740
20
0.10
0,10
5.740
20
0,10
0-10
5.740
20
01,10
0.16
5,740
20
0,10
0,10
5,.740
20
0.10
0.10
5,740
20
0A0
ULU
20
010
0.10
3
CIL
72
0
5,,,740
20
0,10
0,10
5740
20
0-10
010
5,740
20
111010
010
0,10
5,740
20
010
0,10
5,740
20
0,10
0,110
5,740
20
0,10
0,10
5.740
1 20
0,10
0.110
5,740
20
0,10
0.10
4
CL
79
0
6,740
26
0.10
0,10
5,740
20
010
0,10
5,740
1 20
0,10
010
5,740
20
0_10
0.10
5,740
20
0.10
0.10
5,740
20
010
0.10
5,740
20
0.10
0,10
5,740
20
010
0.10
5
CL
63
0.21
6
CL
49
0
7
CL
50
0
8
R
48
0,36
9
C
C
59
0
4
SY40
20
0.10
0-10
5,740
20
0,10
0,10
5,740
20
010
0,10
5,740
20
�0,10
0,10-
1 5,740
20
0.10
0-10 1
5,740
20:
0,10
0,10
5,740
20
0.10
0.10
5.740,
20
�0.10
0.10
10
C
C
V
0
5,740
20
0A0
0,10
5,740
20
0.10
0,10
5,740
20
0A01
0,10
5,740
20
0,10
0,110
5,740
20
0.10
0,16
5.740
20
0.10
0_10
5,740
20
0.10
0,10
5,740
20
0.10
010
-
11
C
C
68
0
5,740
20
0,10
1 0,10
5,740
1 20
0.10
0,10
5,740
20,
M
0A0
0,10
5,740
20
0.10
010
5,740
20
uo
010
5,740
20
0,10
01-10
5,740
20
0,10
0,10
5,74020
0,10
010
12
C
72
0
5,740
1 20
010
0.10
5,740,
20
0,10
O,10
5,740
201
0,10
0A0
5,740
20
0 ,10
Q0
-1740
5.
26
0,10
0.10
5,740
20
51740
20
0.10
0,10
5,740
20
0.10
0,10
13
C
53
0
-
14
C
50
0.03
15
C
50
0
16
C
616
0
17
C
73
0
3,9
18
CL
77
0.05
19
C
58
0,03
20
C
51
0
21
CL
66
0
22
CL
72
0,04
23
CI L'
78
0,
24
C
61
0
37
1
25
C
84
0
26
R
58
0
27
C
45
0
28,
R
57
0.28
29
30I
I
31
- Monthly Loading:
91,840
1.54
4 1
1,54
71
�1',
12 Month Floating Total (in):
2584
.77=
W&9
ill
2 7 1

FORK NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 6 of
Permit No.: 61 00029475
Facility Names Sterling Farms WWTF
Goonty: Onslow MontM February
Year: 2022
Did irrigation occur
at this facility?
ill VES [�J NO
wyl
A NY
INER#
M"N
J"
5,740
7
20
M I
for'S
vVl
A ",
MJ-ld
A
010 0,10 1
Field Name:
Cover Crop�
Hourly Rate (in).
__-Rat. (Iny
irigated
CL g ;
gal min
5.740 20
22
2,49
0.1
48. 88
E
E� zj
x 0
in in
0.10 010
5,740
20
0.10 0A0
Field Name:
-c ove r c r-.p
Hourly Rate On):
AnineuldaRae n).
irrated?
<
201 min
5.740 20
24
_62
0,1
48.88
M YES C"i No
E cn
a g M
74 0
in in
0�,10 0,10
1
eather
Freeboard I
2
ft ft
0
C
41
5,3
0
in
0
5,740
20
0,10
0,10
5,740
20
0.10
0,10
5,740
1 26 j
0,10
0_10
5.740
20
0,10
0.10
2
C
60
0
4
5.740
5,740
20
20
01.10
010
0,10
0.10
5,740
5,7401
20
20
0A0
0,10
010
0,10
5,740
5740
20
20
0.10
0,10
0 10
0.10
5,740
5,740
20
20
0,10
0,10
0,10
0.10
3
CL
I
72
I
1
5,740
20
010
1-
0.10
5,740
20
0.10
0,10
5,740
2
0A0
0.10
5,740
20
0.10
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5,740
20
01110
0.10
5.740
1 20
0,10
0,10
5,740
20
0.10
(1.10
5,740
20
0.10
0,10
4
CL
I
79
I
0
1
5,740
210
0,10
0,10
5.740
1 26
0.10
0-10
5,740
20
0,10
0.10
5,740
20
0,10
010
5,740
20
0.10
0.10
5,740
20
0.10
0,10
5,740
20
0.101
0,10
5,740
20
0,10
0A0
5
6
CL
CL
63
49
0,21
0
7
CL
50
0
8
9
R
C
48
59
O,M
0
4
5,740
5,740
20
20
0.10
0.12
0101
0110
5,740
5,740
20
20
0.10
0,10
0.10
0,10
5,7410
5340
20
1 20
0,10
0,10
0,10
5,740
5�,740
20
20
0A0
0.10
0.10
010 1
110
0
1 67
5,740
20
6116
0110
1- 5,740
20
040
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
20
0.10
0.10
5,,740
20
0, 10
0,10
5Y40
20
0.10
0.10
ill
12
13
14
16
17
118
C
I
C
(1
C
C
C
Cl.
l 68
I
72
53
50
66
73
77
0
0
0
0.03
0
0
0.05
3.9
5,740
20
0,10
0.101
5,740
20
0A0
0.10
5,740
20
�0.10
0,10
5,740
20
0,10
0.10
5,740
5,740
20
20
0 A 0
0.10
0.410 �
0.10,
5,740
5,740
20
20
0,10
010
0,10 11
0.10
6J40
5,740
20
20
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0.10
0.10
0.10
5JE
5,,740
n
20
0,101
0,10
0,10
0,10
5,740
20
0.10
010
5,740
20
0.10
0.10
5,740
20
0.10
0.10
6,740
20
0,10
0,10
19
20
C
C
58
51
0,03
0
21
22
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CL
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72
0
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23
24
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0
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25
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BA
0
261
R
58
0
27
C
45
0
28
R.
57
0.28
29
30
31
Monthly Loa
12 Month Floating Total fini-
91,840
91,840
1,54
25,360
536

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?
M Compliant _- Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
E Compliant
E! Non-Compliarit
Was a suitable vegetative cover maintained on all sites as specified in your permit?
ED Compliant
C. Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
0 Compliant
Nor -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
12, Compliant
No -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) oaf
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 Pe mn ittee: AQUANC
Certification No.: 1003562 Signing Official: Chris Collins
Grade: S I Phone Number; 910-524-4976 Signing Official's Title: COASTAL SUPERVISOR
Has the ORC changed since the previous NDAR-1 ? 0 Yes - No Phone Number: 910-635-7479 Permit Exp.: 5/31/26
L
q5-L
?-zzz
Signature Date Signature Date
By this signature, 1 certify that this report is accurrat a and complete to the best of my knowiedge. l 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 property gathered and evaluated the intonnation 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 knowiedge 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 Quality
Information Processing Unit
1617 Mail Service Center

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page J— f
Permit No.: 1t Q0029475 ---FFacility Name: Sterling Farms WVVTF County. Onslow month. February Year: 2022
Ppl. 001 Flow Measuring Point: 0 Influent Q Eftluent 0 No fbw generated Parameter Monitoring Point: 0 influent 0 Effluent Groundwater Lowenng 0 Surface Water
Parameter Code 1,
003 0 \\j
31616
00620
70295
o0o 76
A
D0600
a k
j
a 0
> 0
E
0 Ix
0
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1
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5
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Daily Limi
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6
1,0

No.. WQ0029475
L Facility NameW : Sterling Farms WTF
---TPermit
County: On ow Month' Februa=Year:
2022
PPI: 002
Flow Measuring Point: Influent Ii Effluent L No flow generated —Parameter Monitoring Point: F1 Influent 0 Effluent El Groundwater Lowering 1:1 Surface Alater
Parameter Code 1,
00310
G, 31616
%
00620
7029 5
00076
g i
a
N
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0
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w
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composite
io
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pq
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Daily Limit:
15
25
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Sample Frequency:
t 2 x Month
2 x Month
2')(W��j 2 x Month
5")�\ 3 x Year
'2,xAAor
I

FOR NDMR 03-12 NOWDISCHARGE MONITORING REPORT (NDMR) Page 3 of i_j
Permit No.: VI 0002 47
Facility Name: Sterling Farms WWTF
County: Onslow Month: February-7 Year: 2022
PPI. 003
Flow Measuring Point: ClInfluent El Effluent No flaw generate
meter Monitoring Point- E, Influent 0 Effluent 11 Graundwater lowering 0 Suffac42 Water
Parameter Code lo
0
0 600
IP"I"
R "A'
h"
z"In
WIN'
75
0
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&pg AWXAR"'
g'
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24-hr
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UNIONS,
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Average:
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% IM
Daily Minimum:
%
IN 16
>
0
k.
Sampling Type:
Grab
'w\ x"
A\\
A"
Monthly Limit:
Daily Limit:

Sampling Person(s) Certified Laboratories
Name: Michael Cowell Name: Envirochern
Name: Name.
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0 Compliant El Nor -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 Perm ittee: Aqua NC
Certification No.: 1006528 Signing Official: Joel Mingus
Grade: 11 Phone Number: 910-524-4976 Signing Official's Title: Coastal Area Manager
Has the ORC changed since the previous NDMR? E Yes E] No Phone Number: 910-635-7479 Permit Expiration: 5/3112026
Signature Date Signature Date
By this signature, I certify that the report is a=vrrate and complete to the best of my knowledge. I certify, under penalty of k3w, that this document and all attachments were prepared under my direction or supervision in
accordance volh 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 ditrecfly responsible for
gatherng 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, 41cluding 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