WQ0009772_Monitoring - 04-2022_20220527

n ..
DWR - NonDischarge Monitoring Report Submittal •4
NORTH CAROLINA
Enrlr...1M Qua(ily
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0009772
Name of Facility:* Monteray Shores WWTP
Month:* April Year:* 2022
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR MS NDMR and NDAR-2 17.71MB
Reports APR22 Signed.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:* Travis Tucker
Signature:
Date of submittal: 5/27/2022
This will be filled in automatically
Initial Review
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Gerald,Wanda

Is the project number correct?* WQ0009772
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Accepted Date: 6/20/2022

FORM:NDMR 10-13 NON-DISCHARGE MONITORING REPORT(NDMR) Page of
Permit No,: WQ0009772 l Facility Name: Monterey Shores WWTP County: Currituck I Month: April Year: 2022
PPI: 001 ¡Flow Measuring Point frj Influent [11 Effluent [I]No flow generated 1 Parameter Monitoring Point: CI Influent El Effluent [11]Groundwater Lowering [1 Surface Water
___
Parameter Code -4. : 50050 : 00310 00940, 1, 31616 00610 00625 00620 00600 00400 00665 70300 00530 „00076
C ;' ', ', ,;. ; in -
Tv 0 ic „ . „ = la 7,
-d 5 - 0› ',, - - .- 4, o is- o ,a'. '
'• "c'E Ea> *-1) I'd' I'''' : o2 ''' ' 76. ' :::- 1 5g r.."5 1 =:„Eá 0°) ;1 : „ "ño 1 ii, :, -6:6 fa. 1 lio 2 -40 g =" ::: 1 : .,
e - 14 „--.:¡.<i; I- :tii ' ' F- 8 1,,Ñ 1 3 '‘ I-- 51") a 1:' ''
..gc„,- : ,.9 z , , : z „ : -- .c. b -, = :- :":, ::
_„„ :
._ - --
24-hr hrs ',, PD,',-:, ' mg/L illy/L. #1100 mL ':--rrig/L-,, > mg/L Mg& ;„ mg/L '_.;„;;Sli:::: mg/L ,',:yrtgfl.. -, mg/L _.„ Nil),
.... „,.., _
1 07:30 8.5 ': 102,000',,,,
„ , I:, 7.2-„;;! 9
1 1 ,147
,
2 07:45 1.5 :106;0000237
.„
3 07:45 1.5 „1,01,000„:
9,433,
4 07:30 9 :.:1„05,000, <2 „:::,„:: ::' <1 , ,;0,;5 '',: 2.3 .053, : 3.1 =„I.:5 '' 0.17 :;-;, '- - 1 <2.5 :,9.14;:i':
, ... ,-
5 07:30 9 107000 <2 „ ;„'„ : <1 :'1,1.7 „, 2.8 .909: 3.5 =l 7.5-: 0.38 ,, ; " <2.5 .-:0156
, „ „ , „
6 07:30 9.5 ':1.14,,00::.1, <2 : ' ‘; <1 '.'. '9:P,::- 1.7 ; 0.92 , 2.6 -:- 7.5,' 0.15 '',s„ : -: <2.5 -9.,17
7 07:30 8.5 „.;135,00,0,'::, „ ,„ „
„ _ „ . ;', 7„`,5"-', .' , :. : ., , P,46I-;
„:-
8 07:30 8.5 . 1:55;000',' ,,
, : :...„ ,,,-- „'
,
9 08:00 1.5 ' 1200,00'-: _,, , „ „ „: „
: y 0195
- "
10 08:00 2 ::-1016005: „ „„ „' I '..,:', - "
,
o-.24
11 07:30 9.5 -",-1,29;1600::;,, <2 , ' <1 -, z„ 1.1 1. 1.1 i 118::,-', 2.3 -',7,5 :,„' 0.79 --,1: ; : <2.5 : 0,23,
12 07:30 8.5 ," 130;000., <2 ;:',<:,-,'„,:,- , <1 ,.„-05: '1--- 1.7 ,„ -,1,47 ,;- , 3.2 :: ;75 '' ' 0.44 ' -z ' <2.5 ': 0,238:,::
..., ,
13 07:30 9 istibizr„„ <2 . '„„ : ," <1 :'; :05-': : 1.1 '1,94 3 : '.7:5:';','' 0.33 ' :: <2.5 , 019
14 08:00 8.5 :22440-: ' „„: ,-., 7.4 ...;0-161 :;:s,
15 07:45 9 „,„„-'1750(/0„,:„: " , ... '' : "
,, , ,,
„; „ ::: '-' -,7.,S, ,--.:' ,, „. -':0-*1
16 08:35 7.75 ::16.3„0 'a:17i001, : „ „,„ „.„,, .: „ „„
-
„ „
17 08:50 4.5 '-T-154001,3:„
: „,.,,, . .
' '' , ; _, :.-,011371',
I
18 07:30 9 ,- 160,000„:„, <2 ":„:: ' „,,, <1 '-,,,:062,;','„';„„, 1.7 ,-,s 0:05; '.' 2.6 'r-:::7.5 r'jr:;". 0.84 , <2.5 ; plai:,::,,
19 07:30 8.5 ',,,155000;,, <2 :' , :'-„: <1 ¿,. 1;; 1.7 1.1 1.1 . 0,77,Y„:._, 1.9 -'„„:„:7:3"- ,, 0.79 : ::: <2.5 'S 0.131 ..
20 07:30 8.5 >, I.54;000,- <2 ', 1, '„: -: <1 • „I<1 „;,,':'- 1.1 --;,, 079 :„ 1.9 :74 ,'>:: 0,97 ; : -,, <2.5 : '0141
21 07:30 9 '''1002;000:':::
„: „ ,, : „ „ ,
' 0.15
, - _
22 07:30 9 112005, ,
„ ,,
, : „ 7.4< „:,: : 0.177i,,,„::- „ -
„
23' 07:15 1.5 156000;, „
,, :
'- Q.:1;67
24 07:15 1.25 ',,..„.141,;090 '.
9,11
.„ ..,
25' 07:00 9 ',-10:0-0 <2 ;,--„: -, i:: <1 ';'-„,„<1'„:::' 1.7 "1.43- i, 3.1 74,-;'-,, 1.3 ;-, ,::: , <2.5 019
26 07:30 8.5 áa.,tiov:: <2 ': ::' , <1 '','„ ,..1,,:::,:, 1.7 1*''': 3.2 - r lr-Tá„--,-.:' 1.71 <2.5 0112:
„ _
27 07:30 9 ,-.-T,tatboti.', <2 1--; ' ':: <1 6.1 ,., 1.7 .2.39.„' ' 4.1 .. 7:i3;'l. 2.33 ' , „ „ ;: <2.5 ' :0;315:
, . „
28 07:30 9 146,000',, , „ „ ::0102'?:
-
....
_
29 07:30 9 ,00000,--,'" „ _ -,--
-,,„ „ ,
„ -„
01(37
„
30 07:30 1.5 .;;;;; 54.000: = ,
'. 0.237:-J'.
31
Average: .':133,4001: 0.00 .- .:.:,, : 1.00 '. 0.68::: ,,,: 1.64 . 1,22 - 2.88 ' "„:"„;'.-- 0.85 " 0.00 .J.,),Ió:' .,-,‘ _.:
:
Daily Maximum: „'.224000„, 2.00 ' .-„:' i„ , 1.00 . :';;I:.70,„:,`„il 2.80 2.36„-:: 4.10 .7.r-.150.1 r-- 2.33 ::: ' 2.50 '''•: '-i1":32".:::,-‹
Daily Minimum: 65',000:::: : 2.00 ' ; . 1.00 ,t*./.10'„:,,: 1.10 0,69. ›: 1.90 r-',.-'7:20:''.' 0.15 2.50 0 . 1'''":
'-- : 0. .
Sampling Type: le'oitte: Composite Composite Grab Composite Composite Composite' Composite Composite Composite Composite Composite Recorder
Monthly Avg.Limit: :720000:: 10 .' , ' :' 14 . -2-;,-„:4::, 10 : 4 ', 2 -$.1: ' 5„
, -
Daily Limit:'1 ";':',',:;:„'„ '',<'. 15 , - 25 - ';-,5 ::-..- 10 .;',10
...,
Sample Frequency: Continuous: Weekly 3*Year Weekly : Weekly:. Weekly Weekly „';, Weekly _ Weekly :-„, Weekly 3„) Year „, Weekly ':Coiltiritle4Sr i

FORM:NDMR 10-13 NON-DISCHARGE MONITORING REPORT(NDMR) Page of
Sampling Persbn(s) Certified Laboratories
Name: Travis Tucker Name: Environmental Chemists, Ibc. #3779/DWQ Cert#94
Name: Scott Osborne Name: Carolina Water Service, Inc.of North Carolina/Eastern Rgn Cert#5162
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? L1 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: Travis Tucker Permittee: Carolina Water Service, Inc. of North Carolina
Certification No.: 1002180 Signing Official: Dana Hill
Grade: 4 Phone Number: 252-256-1190 Signing Official's Title: Regional Manager
Has the ORC changed since the previous NDMR? ❑Yes 0 No Phone Number: 252-269-2540 Permit Expiration: 10/21/2026
�.� Digitally signed by Dana Hill
DN C US O CWSNC C N D na Hill,
_ E=d hll@ I, terservicenc corn
Dana I-IillRe I the authorof thisdocume nt
signinglocation here
Date 2D 2616 0121 04 00
5/26/22
FoxM1 PDF Editor Version 11.2.1
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:NDMR 10-13 NON-DISCHARGE MONITORING REPORT(NDMR) Page of
Permit No.: WQ0009772 I Facility Name: Monteray Shores VVVVTP I County: Currituck Month: April I Year: 2022
PPI: 002 Flow Measuring Point: 0 Influent 0 Effluent 0 No flow generated Parameter Monitoring Point: 0 Influent 0 Effluent El Groundwater Lowering [Ti Surface Water
Parameter Code -->----,,.,',50000 -,".,;: 00310 S'',00680', 00940 , 31615::';,- 00610 ',1)0820:::::-, 00600 :,:littii00 :--, 00665 -,-::,78388.-- NDVOC ',,--:',00076-''',:-.
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24-hr hrs -,›.-----opal-,,:'i'2 mg/L '.-,--,:::,Mát4,„;':: mg/L -Milili i"ti4 I mg/L "'nigii,,,,f--„,-"', mg/L *ii:--,:::,-;,,' mglL M1-„,::,,;,- Yes/No -: sit.„4:::-,:s,„--
1 07:30 8.5 ..-:167-i00p. '-,--,, ':'.:,.-::- .::-J,:----:.-... :---:::-1.-.'::::,::::-Z, ,-,.-,.,,,, :. ?»-.',- -::::,:je ---..--.,.'15:- ?,::::,---:i,,,:-.'-,::::,:'), '.' ',-:01'.'.;1%¡:'--.:
, , ,,.. .:. , „, „, :„ :.:,
,,,:'„,--.5ii:'‹'..:,--.-.5'S
----:-:9.2-a7:: - -2 07:45 1.5 -.'-110,7,;.00:' _,,,,,--,J.
3 07:45 1.5 ).0.740,0„-:--1,: . .',:I:',:;;;'i:-.'- '1:.'-:'--J-,-„:-.-,',:.','.'-:.',.=---:-.:
4 07:30 9 :':''107:;0001,- . <2 ::::'I'-.:';:1::1% •::::.'y:..1-,;::-,1,--i; 0.6 ' 0,.72,,-; -.:'; 2.4 7,'...'f*-::::',- 0.84 444.*-'!'-;,'
5 07:30 9 --,:.:107.0,0'1 „„ ,_ ,
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6 07:30 9.5 '106.0,00.'„;',' ''-',':':'::1'.--:-:','-'»'':' :_...' -:;„-,-";1 ::- -.,„:-,.. 5,,-;,„", ,';-„-,-: c'':',07...§: „:„:',
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7 07:30 8.5 -,,J40;000,„ -',;9,49„1_, ,,:.
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' 8 ' 07:30 , 8.5 :'-':'''102.0.00„:„=:, :-..':11-„-' ,:r;i1:lX„'.. '_':',‘„„f 'r.,;-.--.:-' ::;.='):041:',„'''
„
9 08:00 1.5 :::-400.00.2t,-.:, ...„ ., „.,-., -,,:!„:>:. ' #41;:-;,.
10 08:00 2 ..111,40,01, ,,-,-<,,-:::',,,‘,11:-; - --" -;- '',4-22.4.:-::,
11 07:30 9.5 ›-1-Z47,9110-_.---: <2 " f::;:,.¡-''.[:::-,,,:,:',-. -,'- f---',.:'', <2 .1'.,.'„ 1..07. ,'-- 2.2 :'',' 7_4::',' 0.28 ' :::',1' ,''',, „.--.,0..20: -.''''
k , ,„ „,„ -
12 07:30 8.5 n'':'11,07,09.9., ''.':::;„;'::,„,-2-„':,s'-''--',': -,..,, .„„':„:', -,-,-_; . „,_ „,, ,,,.
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13 12,07:30 9 ';'::-;;01),..9„0 (14-ft
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14 08:00 8.5 ';''.1,-,t1.000.';-
, :-„-':'„,...,: , , ,, ,,, : 0116-1i-,
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15 07:45 9 -"„--199,00";;::'. _„„ , , „„ „ „,
›. '>-''>,:'-:.:'; ',,,-- -°'-':;1;00.'02:::,' ....„„-
.
16 08:35 7.75 .,,,103;000,,i'': .,-:::-01-7:1,:',':::',','
,, ...„.
17 08:50 4.5 10,400,7, ,0 . i„- ;:„'.c.:;
:c.. 9-447:--,':. . „
._„...
18 07:30 9 'nJ,40-,4.0019.----., <2 --';''',.::'''-: :1:--:' `,'-::: :--, 11- -,'„-' 0.7 „;:':0.95-:-" , 2.7 ,:,,.7,;11:-- ..: 0.77 *0;i1if':'*
-- .6:',.434',--::',
19 07:30 8.5 ..„,:'43»0'.',,-.1 -..7.-„';'-':;:,.:„,:,:z.-,'„
„
20 07:30 8.5 10700 .:::'ir ,:;',..:::::::: ',1::;. ..,:.,, :, :„ „„-„ ,,,,-:„-,
-,'7 W-,,,:::" '.1 .0,440-:',.::
, , .„
21 07:30 9 "'11000*:
„„, , , _
..:,-, ,,, - - ':'-:- 5:J.,-''''''-''',,I. „ ,,,„ „„;i ..
,
22 07:30 9 ;:1-t0,,i;t09-r- '',„„:•:,2 -. .: `:,,',-;-„:-,:::: j''1„:
23 07:15 1.5 '-103.2000, '-'-'"1;1:1„- -' ''''. ;'-::: :-':' -1:'',:'„ -„::::::;',',„.' ,
^ ' 9411.72.',,,
;,,,„.„.,,
24 07:15 1.25 :::1'.Y4,PW;,:, :„-:-;:-,„:',,S:'„:,J'1::::
0.175',',,,
- „ . :
25 07:00 9 :::',j100000:?„- <2 ;.:.,":;',:*„ :;,".:2S:-.: : '.--_,„, .. „1.:3',-. .:-.:- 0.8 ,',-,,',0,65.'-„,. 3 ::,'„'„:::7.14„,„:-, 0.9 '-,,::','-::::::-.1":-.-', ,-;:„_,-. ::-:-', T:0,19- -;', , „,
26 07:30 8.5 11,„„440. 0-;',' ,,-;::::-:' -H,-:::::''i, , ..., :.., ----..,0,4122,---
. ,
27 07:30 9 09;000.'„; ''':.:--,0; ;1,6.,'„-:
28 07:30 9 :1',.t-1„0;0W,. :„',. -:,:',i:: ::-',„,1. ; .- ..„;„ . - ::040.2,-.::"
„ ,
.,
29 07:30 9 ‘-',-116,00',5 :i::'':'-s:'-'„';-;.:' :0107-:,
r-
30 07:30 1.5 110,0010ii '''-', ''-'- ';",'-->:, - : ' `:-::::1':,j1 ,''; -'' ,:-.0,2*-i
-
31 5 ,.„
, , . ,
Average:-.:100,5,67 > 0.00 ,-:-..'',-' : 1.7. ,:.'„:'',1,03- ;'; 0 53 ' ,015 ':',;' 2 58 ''''; ' :-'''';''' 0.70 ; :;;: ' ::'.t11.0-»- -,
. ;, ",_ „.. . • .,„;,. .,, ., • - . „ , ., ,'-,,-
....
Daily Maximum:,,..110.0001-„-- 2.00 ,'-;-,-;„
Daily Minimum: 1:-:43.000:;-,_ 2.00 1,„' ..::.1'-„.-40,:,, 0.20 -l':'0.65'„-;;. 2.20 :,-;'7„10'?: 0.28 '. -.,--;:'';'- '- 0.10-„;';
„ ri..;.-... .
Sampling Type: '1300d:kt Grab ::,', Grab ': Grab ,":Oáiti' ::,-.' Grab ,:- piaty '',' Grab :- 01-4 ,:',; Grab ::: Grab-:: Grab ' '-f:IOCOrdé,i: ,-,',
.,
, . . _,...
Monthly Avg.Limit: :::'''- ,',' ;:.:,-,','' : _ -.„ „, 250 :''',- ' ' 1.5 ' ' 10 500
Daily Limit:,.:,.,:;„.-,„::::::::'.:-;',- ,,„ , „ : ,,,, , _, _,_
„ „ „ -- 6« 8,5 '': ., „ , ; - - : -'IQ
Sample Frequency: 0OntiOUoul Weekly lo,3.X'year-:- 3 x Year Wpelily,: Weekly ,-~14-, Weekly . 1 Weekly;: Weekly .,,'3X y.--6*.- Annually Unttiltiutts

FORM:NDMR 10-13 NON-DISCHARGE MONITORING REPORT(NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Travis Tucker Name: Environmental Chemists, lbc. #3779/DWQ Cert#94
Name: Scott Osborne Name: Carolina Water Service, Inc. of North Carolina/Eastern Rgn Cert#5162
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0 Compliant E 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: Travis Tucker Permittee: Carolina Water Service, Inc. of North Carolina
Certification No.: 1002180 Signing Official: Dana Hill
Grade: 4 Phone Number: 252-256-1190 Signing Official's Title: Regional Manager
Has the ORC changed since the previous NDMR? 0 Yes 0 No Phone Number: 252-269-2540 Permit Expiration: 10/21/2026
Digitally signed by Dana Hill
DN:C=US,O=CWSNC,CN=Dana Hill,
E=[e-mail]
_ 26- Dana Hiii -
Reason-I am the author of this document
5/26/22
DL oact ea t:i 2o on 2:2y o0u5r.2s 6i g
Foxit PUI-Lditor-VersiOn: 1.2.i
6n:go 21°:Oc 5a t- Ohoe'r e
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-2 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-2) Page of
Permit No.: WQ0009772 Facility Name: Monteray Shores WWTP County: Currituck Month: April Year: 2022
Did infiltration occur at Site Na�e:_ � 1,4�� � � Site Name: 16 Site Name: � � Site Name:
,,„
this facility? Area(acres): 123� � Area(acres): 1 � Area(acres): Area(acres):
�
� YES ❑NO
� Rate(GPD/ft�jc, 7,42 Rate(GPD/ft2): 7.42 Rate(GPt?/ft2); Rate(GPD/ft2):
3,. _
Weather Freeboard , Ste,lnflltrated? "13 YES []NO - Site Infiltrated? 0 YES ❑NO �_Site Infiltrated? 'j3 YES� []No�`�; Site Infiltrated? ❑YES ❑NO
• � �
a � � to � * e E .
c a) c 0 � �c +uQ E 0m � º �a = g d i n -0 n � 00 E , ym �,cé0E g E , �3 2 � � , � I! � � . wvR � 5� as � E �= vá º W ='C. � � � e � º � = (5 m � ,c� ro � � ci . z *'e �s �s � 0 oº d a . c > º, � � == - a .e 7, 0. i, - p m d .c V .� �� \ . m R� _ Q � J coo w C 'v o aR Q. .S I � LJ Q 2. I > Qt .-1 it � >� JIt � u. �COgai min GPD/ft2 f1 °F in ft ft gal_ min GPp�� ft gal min GPD/ft2 ft 9� ri�r áGpl7€tz , ft
1 C 64 0 35 51,000 0,95��:�::� >5. �'� 51,000 1.17 >5
2 C 46 0 35 51,50i3':.,_ ��f�>�� � � 51,500 1.18
3 C 54 0 35 50500� , ��� 0.94 50,500 50,500 1.16 �
4 C 45 0 35 ��` 500 .... �0,98 52,500 1.21
5 C 56 1.3 35 _53,500 - _ 1.00 53,500 1.23 - . ,
6 CL 64 0.1 35 52,000 1_16�, 62,000 1.42
,
_...
7 R 59 0.3 35 -_69�4�'"� . _,1.�� � , �� 69,000 1.58 , .
8 C 52 0 35 �681i130.;,:.' ��,;,1.27�_ �� >5 '�� 68,000 1.56 >5 � .
9 C 55 0 35 ;6tir000 ; �" �' �1;1? , 60,000 1.38
14 C 44 0 35 ��54000�" to 54,000 1.24
11 C 50 0 35 ���a�0..,��� . � � '� 1:�,. ' � 64,500 1.48 � �
12 C 64 0 35 -�9;50(},"-�;. �� ' � '1,3C1` �� �� 69,500 1.60 ��
13 C 65 0 35 . 95,500� _, �...� ' �" :1.7�8 � 95,500 2.19
14 C 70 0 35 �,112xt10(2 ;� � �:� 2:09" �°� 112,000 2.57 �r � � �.. ; � ��
15 PC 57 0 35 89,000 , ,�_, � .1„65 ;�, '.�� ,; 89,000 2.04 >5
16 CL 57 0 35 �56,�Ot3'. � � � 1;24- , 66,500 1.53 , .
17 PC 55 0 35 , 77;000�._���� � 1.44 77,000 1.77
18 CL 53 1.1 35 84,500 �, -��.15$ � .��� �, 84,500 1.94 _
19 C 44 0 35 77,500 ; 1.45 , 77,500 1.78
20 C 46 0 35 `, 77,000_ . �� �:°�1.44�, 77,000 1.77
21 C 53 0 35 �3,�,. 1,55� , , 83,000 1.91 ,
22 C 59 0 35 � 91pOo` ,� �t.1,�. � � .'� 91,000 2.09
23 C 57 0 35 75,50i).�..�� 1.43 76,500 1.76 � �
24 C 65 0 35 po,SCT0 ' � 1,82 ; 70,500 1.62
25 C 64 0 - 35 ,�
�� ;�#Of3'� ". ;�' ,� ,0,77� � 41,000 0.94
26 C 67 0.7 35 �i7,500"� .' 0�3 : � 17,500 0.40
,. .
27 PC 57 0 35 �,��t1i}_ '� �; ��0:82..� � � �� 44,000 1.01 � ,
. u--.
28 C 49 0 35 74;R00; �- � 1.38� � � 74,000 1.70
_.. . �
29 C 55 0 35 76�0fS 1.43 �5, ,`. 76,500 1.76 >5
30 CL 57 0 35 '?��;000�'"� ��� 0078 � 42,000 0.96
31 � �
Loading( �) � 1.24 %����s � ����`' ��� < #DiV/U� � � ����a�������� #DIV/0� �����
MonthlyGPD/ft � _ � :� � �� ,�� �� ��
� : � . � � �-,'..2,, ---
. �
2 � � � ' , , _--- t � .�g4s�� y 1 � ._ � v, n 1 �� a `ºyxrU� .� q;,x,.:
Year to Date Loadin• GPD/ft .z J � � � , ..A,.�� ���,:� 30.99 �,�; ��Y.. . :� .. . . .�. �� -°� ,... ������ �� ��������~�,�d,�`�
� .,..... �. � . � �: �,-. N.. f,�s..,,�. ,,.N�

FORM: NDAR-2 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-2) Page of
Did the application rates exceed the limits in Attachment B of your permit? l 1 Compliant ❑Non-Compliant
If not a basin, were the sites kept free of vegetation and raked? Compliant ❑Non-Compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites? LI Compliant ❑Non-Compliant
If a basin, were there any instances of breakout from the berms? Compliant ❑Non-Compliant
Was the onsite automatically activated standby power source tested and operational? El Compliant ❑Non-Compliant
If the facility ís 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 íf necessary.
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: Travis Tucker Permittee:
Carolina Water Service, Inc. of NC
Certification No.: 1002180 Signing Official: Dana Hill
Grade: 4 Phone Number: 252-256-1190 Signing Official's Title: Regional Manager
Has the ORC changed since the previous NDAR-2? ❑Yes El No Phone Number: 252-269-2540 Permit Exp.: 10/21/26
- - Digitally signedbyD Hill
EJana I I I DoN tioU y u CWSNC CN D Hill.
E-da h II@ of t icenc.com
Reason:I the authorf thisdocument
r signing location herer e
Date: 6 16 02:39-0 ZO'Emit PDF Editor 5/26/22
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