WQ0007283_Monitoring - 05-2022_20220705

FORM: NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page 1 of 1
Permit No.: WQ0007283 Facility Name: TOWN of POLLOCKSVILLE County: Jones Month: May Year: 2022
PPI: 002 Flow Measuring Point: ✓['influent Effluent ❑lo flow generated Parameter Monitoring Point: ['Influent MEffluent ['Groundwater Lowering ['Surface Water
Parameter Code ► 50050 00310 00665 31616 00610 00620 00400 70300 00530 00931 00916 00625 00927 50060
o « w
p e O N t_ ; `O E
a c E
O N 'O N E E _
EC G w C
m F ro c c 3 hp t � o � ;o o a o
>, m O 0 O O G o - O. O 2OO 2.-6 i5 O o u oc ow w iii
Na aU F ON LL. O F- N F- U O y F- 6
Oa ` . O re m E Z F- O) F- N 0
O O E a a p t U cc Cl)
Q i- O a Q
24-hr hrs `Y/N/B/H GPD mg/L #NIA #/100 mL mg/L mg/L su mg/L mg/L mg/L #N/A mg/L mg/L mg/L ug/L
1 11:00 2.0 Y 95,000
2 7:00 3.0 Y 148,000
3 9:00 2.5 Y 91,000
4 09:30 2.0 Y 70,000
5 07:00 3.0 Y 53,000 24 3.68 430 8.42 67 1.90 16,26 11448 78756
6 09:30 3.0 Y 65,000
7 07:30 2.0 Y 53,000
8 11:30 1.0 Y 79,000
9 10:30 2.5 Y 74,000
10 10:00 2.0 Y 94,000
11 10:00 2.0 Y 58,000
12 09:30 2.0 Y 52,000
13 11:00 2.0 Y 64,000
14 10:30 1.5 Y 61,000
15 10:00 1.0 Y 60,000
16 10:30 3.0 Y 67,000 �--
�` �,
17 09:00 3.5 Y 130,000 M
18 09:00 2.0 Y 84,000 nql
19 10:00 1.0 Y 92,000 .0 wL4
20 12:00 2.0 Y 89,000
21 10:30 1.0 Y 76,000 � 1.07
22 08:30 1.0 Y 62,000
23 06:30 1.0 Y 72,000
24 08:30 3.0 Y 234,000
25 06:30 2.0 Y 143,000
26 08:30 2.0 Y 98,000
27 10:00 2.0 Y 89,000
28 09:30 1.5 Y 74,000
29 09:45 1.5 Y 64,000
30 08:30 2.5 Y 49,000
31 _ 09:00 3.00 Y 71,000 _
Average: 84,226 22 0.81 <1 0.29 <0.04 33 2.00 58618 16.26 11448 0.0 60730
Daily Maximum: 234,000 22 0.81 <1 0.29 <0.04 33.0 2.00 58618 16.26 11448 0.0 60730
Daily Minimum: 49,000 22 0.81 <1 0.29 _ <0.04 33.0 2.00 58618 • 16.26 11448 0,0 60730
Sampling Type: Recorder Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab
Monthly Avg. Limit: 102,000
Daily Limit: N/A
Sample Frequency: Continuous Mar,Jul,Nov per Event
'(Y)ES.(N)0.(B)ACK UP ORC.(H)OLIDAY

FORM:NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR)
Sampling Person(s) Certified Laboratories
Name: Operator on Duty Name: Environment 1
Name: Johnnie J. Chadwick/ORC Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? QCompliant Dion-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: JOHNNIE J. CHADWICK Permittee: Town of Pollocksville
Certification No.: SS-11861/WW2-9579 Signing Official: James Bender Jr./Johnnie J. Chadwick-ORC
Grade: SS/WW-2 Phone Number: 252-617-1692 Signing Official's Title: Mayor/ORC
Has the ORC changed since the previous NDMR? fires Ito Phone Number: 252-224-9831 Permit Expiration: 3/31/2027
6/27/2022 6/27/2022
Signature Date / Signature Date
By this si ature,I certify that this report is accurrate and complete to the best of my knowledge. I certify,under penalty aw,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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh,North Carolina 27699-1617

FORM: NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page 1 of 1
Permit No.: WQ0007283 Facility Name: TOWN of POLLOCKSVILLE County: Jones Month: May Year: 2022
PPI: 002 Flow Measuring Point: Influent affluent ❑No flow generated Parameter Monitoring Point: Dnfluent DEffluent ❑Groundwater Lowering aurface Water
Parameter Code 0 50050 00940 00353 00353 00600
r o Z Z
U
O F O 6 CO N
N co NR @
O i rN Z -t
N 7, R 0 O C . y6 y p Cr) yCDy LL U ...1ZF ,Q Z o Z o RO O E a Z 0 ..
4 is 0 Z Z Z d
24-hr hrs `Y/NIBIH GPD mgll mgll mg/I mg/I UG/L
1 11:00 2.0 Y 95,000
2 7:00 3.0 Y 148,000
3 9:00 2.5 Y 91,000
4 09:30 2.0 Y 70,000
5 07:00 3.0 Y 53,000 0.05 0.04 16.35 110722 0.1
6 09:30 3.0 Y 65,000
7 07:30 2.0 Y 53,000
8 11:30 1.0 Y 79,000
9 10:30 2.5 Y 74,000
10 10:00 2.0 Y 94.000
11 10:00 2.0 Y 58,000
12 09:30 2.0 Y 52,000
13 11:00 2.0 Y 64,000
14 10:30 1.5 Y 61,000
15 10:00 1.0 Y 60,000 .
16 10:30 3.0 Y 67,000
17 09:00 3.5 Y 130,000
18 09:00 2.0 Y 84,000
19 10:00 1.0 Y 92,000
20 12:00 2.0 Y 89,000
21 10:30 1.0 Y 76,000
22 08:30 1.0 Y 62,000
23 06:30 1.0 Y 72,000
24 08:30 3.0 Y 234,000
25 06:30 2.0 Y 143,000
26 08:30 2.0 Y 98,000
27 10:00 2.0 Y 89,000
28 09:30 1.5 Y 74,000
29 09:45 1.5 Y 64,000
30 08:30 2.5 Y 49,000
31_ 09:00 3.00 Y 71,000
Average: 84,226 22 0.81 <1 0.29 <0.04 33 2.00 58618 0.0 60730
Daily Maximum: 234,000 22 0.81 <1 0.29 <0.04 33.0 2.00 58618 0.0 60730
Daily Minimum: 49,000 22 0.81 <1 0.29 <0.04 33.0 2.00 58618 0.0 60730
Sampling Type: Recorder Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab
Monthly Avg.Limit: 102,000
Daily Limit: N/A
Sample Frequency: Continuous Mar,Jul,Nov per Event
*(Y)ES,(N)O,(B)ACK UP ORC,(H)OLIDAY

•
, FORM:NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR)
Sampling Person(s) Certified Laboratories
Name: Operator on Duty Name: Environment 1
Name: Johnnie J. Chadwick/ORC Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Dompliant Avon-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: JOHNNIE J. CHADWICK Permittee: Town of Pollocksville
Certification No.: SS-11861/WW2-9579 Signing Official: James Bender Jr./Johnnie J. Chadwick-ORC
Grade: SS/WW-2 Phone Number: 252-617-1692 Signing Official's Title: Mayor/ORC
Has the ORC changed since the previous NDMR? Des Elm) Phone Number: 252-224-9831 Permit Expiration: 3/31/2027
1°L�� 6/27/2022 }4 ,:i
, . , , ,# ce.:6-k_ 6/27/2022
Signature Date / Signature Date
By this si ature,I certify that this report is accurrate and complete to the best of my knowledge. I certify,under penalty aw,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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh,North Carolina 27699-1617

,FORM. NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT (NDAR-1)
Permit No.: W00007283 J Facility Name: TOWN of POLLOCKSVILLE I County: Jones Month: May Year: 2022
Field Name: ONE Field Name: TWO Field Name: THREE Field Name: FOUR
Did irrigation occur
Area(acres): 3.5 Area(acres): 3.5 Area(acres): 4 Area(acres): 4
at this facility? Cover Crop: Bermuda/Rye Cover Crop: Bermuda/Rye Cover Crop: Bermuda/Rye Cover Crop: Bermuda/Rye
❑vEs ENO Hourly Rate(in): 0.7 Hourly Rate(in): 0.7 Hourly Rate(in): 0.7 Hourly Rate(in): 0.7
Annual Rate(in): 92.56 Annual Rate(in): 92.56 Annual Rate(in): 92.56 Annual Rate(in): 92.56
Weather Freeboard Field Irrigated? DYES ENO Field Irrigated? EYES ENO Field Irrigated? I]vES LJNO Field Irrigated? DYES ENO
m c
a) m a' 0 -0 'o rn E a> -a -o rn E a) a> n 'a rn E 0.) o -o , E rn
> o m rn u) E E . m >, c a a c E °' m 2
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E y (n � -J � Q -I L x � Q J J 7 Q J � _IQ � oE
f6 I- a
°F in ft ft gal min in in gal min in in gal min in in gal min in in
1 C 78 0.0 2.8
2 C 67 0.0 2.8
3 C 77 0.0 2.8
4 PC 81 0.0 2.8
5 CL 68 0.0 2.7
6 PC 74 0 0 2.7
7 C 70 0.0 2.7
8 R 58 0.3 2.7
9 CL 55 0.0 2.7
10 PC 62 0.0 2.7
11 CL 63 0.0 2.6
12 CL 60 0.0 2.6
13 R 65 0.4 2.6
14 R 69 0.2 2.6
15 C 79 0.0 2.6
16 PC 76 0.0 2.6
17 R 73 1.5 2.6
18 C 74 0.0 2.5
19 C 84 0.0 2.5
20 PC 95 0.0 2.5
21 PC 90 0.0 2.5
22 CL 76 0.0 2.5
23 CL 73 0.0 2.5
24 R 76 2.7 2.5
25 CL 62 0.0 2.4
26 CL 65 0.0 2.4
27 PC 82 0.0 2.4
28 PC 76 0.0 2.4
29 C 82 0.0 2.4
30 C 77 0.0 2.4
31 PC 78 0.0 2.4
Monthly Loading: 0 ;41:, 0.00 ? 0 00 ',iivcit2. 0.00 y t 0 0 00 J'
12 Month Floating Total(in): .41,6t 33.61 "" - 28 12 W/ I t ��IM ,F 13 30 v L fins

FORM:NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit? ✓❑C.ompliant [Jon-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ['Compliant [Jon-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? [..ompliant [Jon-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ['Compliant Dion-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ['Compliant [Von-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.
Influent high gallons issues are under contract with the Towns Engineering Firm /The influent clear well where the fow rates is counted is leaving a small amount of influent and unit contiunes to read that
amount
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: JOHNNIE J. CHADWICK Permittee:
Town of Pollocksville
Certification No.: SS-11861/WW2-9579 Signing Official: James Bender Jr.!Johnnie J. Chadwick ORC
Grade: SS/WW2 Phone Number: [phone] Signing Official's Title: Mayor/ORC
Has the ORC changed since the previous NDAR-1? yes [Jo Phone Number: [phone] Permit Exp.: 3/31/27
i r
t
6/27/22
Leilc%'
6/27/22
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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM:NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-1)
Permit No.: WQ0007283 I Facility Name: TOWN of POLLOCKSVILLE l County: Jones Month: May Year: 2022
Field Name: FIVE Field Name: SIX Field Name: Field Name:
Did irrigation occur
Area(acres): 4 Area(acres): 4.2 Area(acres): Area(acres):
at this facility? Cover Crop: Bermuda/Rye Cover Crop: Bermuda/Rye Cover Crop: Cover Crop:
y
[ 'ES jAho Hourly Rate(in): 0.7 Hourly Rate(in): 0.7 Hourly Rate(in): Hourly Rate(in):
Annual Rate(in): 92.56 Annual Rate(in): 92.56 Annual Rate(in): Annual Rate(in):
Weather Freeboard Field Irrigated? DYES Lo Field Irrigated? ❑YEs ENO Field Irrigated? DYES QNo Field Irrigated? DYES Do
d m d
o d w a E a V rn E a) E . v o E rn E n a rn E a> E a a a E a
. a ` R a) a N e d >. E 7 �` C G7 a Gl ], S - T C 2 y >, E E �` C 2 o . T E �'
A U It , .- E E o V a E ' V E » aE ° E » 3 E m :o E =
0 d a .a a �o a o Oa. H O R 2 O o a 1- O p A S p -a- .-a 1- O p @ = 0 o a H 00 m =
L E m co 0 A 1 Q _ J g J 1 Q J 2 J 1 Q _ J 2 J 1 Q J 2 J
m a ,� w
°F in ft ft gal min in in gal min in in gal min in in gal min in in
1 C 78 0.0 2.8
2 C 67 0.0 2.8
3 C 77 0.0 2.8
4 PC 81 0.0 2.8
5 CL 68 0.0 2.7 -
6 PC 74 0.0 2.7
7 C 70 0.0 2.7
8 R 58 0.3 2.7
9 CL 55 0.0 2.7
10 PC 62 0.0 2.7
11 CL 63 00 26 -
12 CL 60 0.0 2.6
13 R 65 0.4 2.6
14 R 69 0.2 2.6
15 C 79 0.0 2.6
16 PC 76 0.0 2.6
17 R 73 1.5 2.6
18 C 74 0.0 2.5
19 C 84 0.0 2.5
20 PC 95 0.0 2.5
21 PC 90 0.0 2.5
22 CL 76 0.0 2.5
23 CL 73 0.0 2.5
24 R 76 2.7 2.5
25 CL 62 0.0 2.4
26 CL 65 0.0 2.4
27 PC 82 0.0 2.4 _
28 PC 76 0.0 2.4
29 C 82 0.0 2.4
30 C 77 0.0 2.4
31 PC 78 0.0 2.4
Monthly Loading: 0 0.00 0 00 .3 0.00 0 0.00 N:?1
12 Month Floating Total(in): 35.42 34 70 ,r 0.00 0. di; '! 0.00 x4 h*

FORM: NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit? ['Compliant Dion-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ECompliant Dion-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑Compliant Dion-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? compliant Dlon-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ['✓Compliant Dlon-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.
Influent high gallons issues are under contract with the Towns Engineering Firm /The influent clear well where the fow rates is counted is leaving a small amount of influent and unit contiunes to read that
amount
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: JOHNNIE J. CHADWICK Permittee:
Town of Pollocksville
Certification No.: SS-11861/WW2-9579 Signing Official: James Bender Jr./Johnnie J. Chadwick ORC
Grade: SS/WW2 Phone Number: [phone] Signing Official's Title: Mayor/ORC
Has the ORC changed since the previous NDAR-1? ['yes Qrio Phone Number: [phone] Permit Exp.: 3/31/27
A
/ nature
Datenature Date
By this signy 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh,North Carolina 27699-1617

Erilkhns.IIR `� liEg Q or Omer Drinking Water ID 37715
WaatewateI ID: 10
114 OAKMONT DRIVE PHONE [phone]
GREENVILLE, N.C. 27858 FAX [phone]
ID#: 319
TOWN OF POLLOCKSVILLE (EFFLUENT)
ATTN: JAMES BENDER, JR.
P.O. BOX 97 DATE COLLECTED: 05/05/22
POLLOCKSVILLE, NC 28573 DATE REPORTED : 05/20/22
REVIEWED BY:
Effluent Analysis Method
PARAMETERS Date Analyst Code
BOD, mg/I 24 05/05/22 JMS 5210B-16
Fecal Coliform (MF), /100 Mls 430 05/05/22 DIJ 9222D-15
Total Suspended Residue, mg/I 67 05/06/22 HMM 2540D-15
Ammonia Nitrogen as N, mg/I 8.42 05/11/22 TRJ 350.1 R2-93
Total Kjeldahl Nitrogen as N,mg/1 16.26 05/17/22 TRJ 351.2 R2-93
Nitrate+Nitrite as N, mg/I (calc) 0.09 353.2 R2-93
Nitrate Nitrogen as N, mg/I 0.05 05/05/22 KES 353.2 R2-93
Nitrite Nitrogen as N, mg/I 0.04 05/05/22 BMD 353.2 R2-93
Total Phosphorus as P, mg/1 3.68 05/17/22 BMD 365.4-74
Calcium, ug/1 110722 05/12/22 LFJ EPA200.7
Magnesium, ug/I 11448 05/12/22 LFJ EPA200.7
Sodium, ug/l 78756 05/12/22 LFJ EPA200.7
Sodium Adsorption Ratio (calc) 1.9
Total Nitrogen, mg/1 (calc) 16.35

N
I'11N ironment I.Inc. CHAIN OF CUSTODY RECORD
I..O. Box 7OK5. 114 Oakmont Dr. Pagc 1 of 1
,n•.•nvillc.NC 27S58
.,nironmentIine.com DISINFECTION / CHLARINENEUTRALL�DATCOUECT1ON
I'Inmc('52)756-6'_OS•Fax(?5_..)756-06 3 �/
CHLORINE _ _
('I,IF.NT: 319 Week:22 LI UV V U Ck
4 pH CHECK(LAB)
l OWN OF POLLOCKSVILLE(EFFLUENT) ❑ NONE P P P P P P P P P P CONTAAfEERTYPE P/G
AT1'N:JAMES BENDER,JR. t —
t►.BOX 97 ❑ CHEMICAL.PRESERVATION
`t N.LOCKSVILLE NC 28573 A G A C C C A A C A A
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CHAIN OF CUSTODY(SEAL)MAINTAINED
DU RIN PMENT/DELIVERY
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I SAMPLES RECEIVED IN LAB G.6' =C _
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SHED BY(SIG.) i/ DATEiTTME R:.: D BY(SIG.) DA 7�q 3 ` , f'�
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2 $'
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a"C"for composite sample or a"G"for m
In To
In i;u m,n. Grab sample in the blocks above for each parameter requested. N 402898
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