WQ0019665_Monitoring - 02-2022_20220404

FORM:NDMR03-12 NON-DISCHARGE MONITORING Kti OKl (Numrt) - . •
--
'Permit No.: WQ0019665 Facility Name: Swan Quarter Sanitary District WWTF County: Hyde Month: Era - • R Year:202 -.
,
. PPI: • 001 ' 1 Flow Measuring Point: 0 Influent El Effluent ❑ No flow generated I Parameter Monitoring Point: 0 Influent ❑ Effluent "'Groundwater Lowering ❑ Surface water.
009 0� •S1;164> 00625 0 a0 00400 00665 '+'` 05�30,`
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Sampling Type: Recorder Grab :Grab Grab ca.._, :_ Grab •.;••.jpb�. ' Grab ...ta..:;;:• Grab ra•..•.-: raG-"
Monthly Avg,Limit: 3 tl t)Q r•
Daily Limit: • r ;`
Sample Frequency: .0 uous 4 x Year .3:x Year Per Event 4 z Year 4 x Year 4 x Year • 4 x Year 4 x Year. Per Event 4 x Year 3 x Year •4 x Year- .

. _.••-•••--••• - rvvrv-vla� nHKvt HrrLI I ION KtrVK I tNUAK-1) rage V of F.
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? ❑ Compliant ❑ Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑ Compliant ❑ Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ❑ Compliant ❑ Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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: --josEp l-F F S fa O Lt=2 Permittee: 5W ON gWRtrR S INN ITA RY D IS-rKtc.T
l.crLirr1,auvrr rvv.. h/w I 537 1- ✓�' orgmng WITICTat: J c•f 1
Grade: Phone Number: (). a,) q µ3_5 3s Signing Official's Title: S.Ec•1/ FAS
Has the ORC changed since the previous NDAR-1? A Yes ❑ No Phone Number: Ca,Sad 5(41.-otb` Permit Exp.:
Q �
c 5•6- 4 t t�k JL& 03/2q/22— eaAJ -c3-g
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 property 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 10-13 cp, v NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page 1 of
Permit No.: WQOQ19665 acuity ame. Swan Quarter SanitaryDistrict WWTF -
County Hyde Month: _Egg Ite Year:aUZZ
II
Dtd irrigation ,�, Ftet ?Jam Z6N� Field Name: OIU� 3
C IlA B dFieid<"Nam
„ Z�Nf* �. Field Name: z Oy11� L.I.
�t this facility?
t• ,�atcFas l4•.7..3= (acres): I t4 Area;(acres (�,$7
7, } Area acres : ) �� Area(acres):
. b.V r�Ciq , Cover Crop: G'd r Cro
� y ����,�jj_+iv�itu�i<ti��r�� t _ p� 1, . Cover Crop:
❑ YES LVJ Id0 ; n'fi0^yO!,3.7''t�.r'i:S 2NE"}1 ii>r g y,r�a� iy,,K£r r Hourly Rate(In): I.1¢Gr( tea€ ph
p `�. ( sa�yt ?7w..c(!.�•.`..i e t,s , -*tea. :: Hourly Rate(in):
Annl�.`\�1 ���`. xt j �5 a ��r ro xr f
uil r.,r.:.r?;ft.ii Ifi e Annual Rate(In): g I . �gpvta
Weather Freeboard �r� (°` � '- bs�'�+` '� ;� AnnualRate(in):
1 t=• � `,. Field Irrigated? � R t r,�
_-. . I._ �„ .a i. g.. 0 YES -[.ta0 �F 0: t rq� 1, E: }o'_ Field Irrigated? ❑YES Ii2 nc0
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itt:
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Monthly Loading: •l //aZeial1/P///% ® ///////D c,O .%////% +� l// / KF ,///I�:; a
12 Month Floating Total(ip) i �s���f�� /�//Y�/''.�Z��// • : '''. '' ii//� _ //�1 C f�if/, - . /���. r •;Z

FORM: NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page . of
Sampling Person(s) Certified Laboratories •
Name: S'osEPH .F• SPt1pL-iU Name: 1,)U11eDNWIE'JT iNC.•
Name: sinil►i ixJATSoloJ Name:
)oes all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? (]Compliant lifon-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.
•
SAM 1..g'FT {-I(S Tod oiv D2- it-t-2022 uJI 4 INFosemtsG AP Vide- , MS. 1V DT Cr vv-t
(+Iv ()Pe Ta - J4kJ His potce ,
Operator in Responsible Charge'(ORC)Certification Permittee Certification
Perrilittee: C t�1 All1 C'1 t11�1R1�R Sa a I TPh O( TIP t�T
Certification No.: 1.0 W 155l'( ST 15650 • Signing Official: DIFFER y S To kE.S 13 EQKV
Grade: Lt Phone Number: (�5a,1 el 43-5IE3 5 Signing Official's Title:
Has the ORC changed since the previous NDMR? ['Yes gt(o Phone Number: Permit Expiration: 0$13 t /•20 -b
•
C45•;;Lark d 3/2 942 - :3 -4 9-j-0•
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 penally 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
u s t,mitt ng ful information n I ding 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