WQ0007283_Monitoring - 06-2022_20220802

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 1
Permit No.: WQ0007283
Facility Name: TOWN of POLLOCKSVILLE
County: Jones
Month: June
Year: 2022
PPI: 002
Flow Measuring Point: El Influent ❑ Effluent ❑ No Flow generated
Parameter Monitoring Point: ❑ Influent 0 Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code
50050
00310
00665
31616
00610
00620
00400
70300
00530
00931
00916
00625
00927
50060
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O
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.5
Uo
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O
Y
2Ed
p)
F� c O
Ci
E
3
Nf
24-hr
hrs
'Y/N/B/H
GPD
mg/L
#N/A
#/100 mL
mg/L
mg/L
su
mg/L
m /L
mg/L
#NIA
mg/L
mg/L
m /L
ug/L
1
9:00
2.0
Y
91,000
2
8:00
3.0
Y
67,000
3
8:30
2.5
Y
65,000
4
10:00
2.0
Y
82,000
5
11:00
1.0
Y
95,000
6
09:00
3.0
Y
95,000
7
09:00
2.0
Y
73,000
8
10:00
2.5
Y
67,000
9
09:00
2.5
Y
95,000
10
08:30
2.5
Y
106,000
11
11:00
2.0
Y
82,000
12
09:00
1.5
Y
56,000
13
09:00
2.0
Y
65,000
14
09:00
2.0
Y
85,000
15
1 10:00
2.0
Y
93,000
16
09:00
3.5
Y
72,000
52
2,96
847
1 6.38
80
2.40
19.84
15499
95227
17
09:00
3.0
Y
98,000
18
09:00
1.5
Y
81,000
19
12:00
1.0
Y
74,000
20
09:00
2.0
Y
49,000
21
09:30
3.0
Y
57,000
22
09:30
2.0
Y
54,000
23
09:00
2.0
Y
64,000
24
10:00
2.5
Y
66,000
25
10:00
2.0
Y
56,000
26
10:00
2.0
Y
56,000
27
09:00
2.0
Y
65,000
28
09:00
2.0
Y
76,000
29
10:00
2.0
Y
66,000
30
09730
2.0
Y
63,000
31
Y
Average:
73,800
22
0.81
<1
0.29
<0.04
33
2.00
58618
19.84
15499
0.0
1 60730
Daily Maximum:
106,000
22
0.81
<1
0.29
<0.04
33.0
2.00
58618
19.84
15499
0.0
60730
Daily Minimum:
49,000
22
0.81
<1
0.29
<0.04
33.0
2.00
58618
19.84
15499
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
I Mar,Jul,Nov
per Event
'(Y)E6, (N)U, (U)AUK UN UKU, (K)ULIUAY

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? El 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: JOHNNIE J. CHADWICK
Permittee: Town of Pollocksville
Certification No.: SS-11861/WW2-9579
Signing Official: James Bender Jr./ Johnnie J. Chadwick-ORC
Grade: SSN1/W-2 Phone Number: 252-617-1692
Signing Official's Title: Mayor/ORC
Has the ORC changed since the previous NDMR? ❑ Yes O No
Phone Number: 252-224-9831 Permit Expiration: 3/31 /2027
L 1�hl7 7/28/2022
7/28/2022
W
Xy Signature Date
ignature 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 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: June
Year: 2022
PPI: 002
Flow Measuring Point: C influent ❑ Effluent ❑ No How generated
Parameter Monitoring Point: E influent Evl Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code 1.
50050
00940
00353
00353
00600
T
0�
A
O t
Q
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O
O E
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= rnz
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R 0
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U
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•• @
z 0
24-hr
hrs
`Y/N/B/H
GPD
mg/I
mg/I
m /l
mg/I
UG/L
1
9:00
2.0
Y
91,000
2
8:00
3.0
Y
67,000
3
8:30
2.5
Y
65,000
4
10:00
2.0
Y
82,000
5
11:00
1.0
Y
95,000
61
09:00
1 3.0
Y
95,000
7
09:00
2.0
Y
73,000
8
10:00
2.5
Y
67,000
9
09:00
2.5
Y
95,000
10
08:30
2.5
Y
106,000
11
11:00
2.0
Y
82,000
12
09:00
1.5
Y
56,000
13
09:00
2.0
Y
65,000
14
09:00
2.0
Y
85,000
15
10:00
2.0
Y
93,000
16
09:00
3.5
Y
72,000
<0.04
0.05
19.89
89580
0.1
17
09:00
3.0
Y
98,000
181
09:00
1.5
Y
81,000
19
12:00
1.0
Y
74,000
20
09:00
2.0
Y
49,000
21
09:30
3.0
Y
57,000
22
09:30
2.0
Y
54,000
23
09:00
2.0
Y
64,000
241
10:00
2.5
Y
66,000
251
10:00
1 2.0
Y
56,000
261
10:00
1 2.0
Y
56,000
27
09:00
2.0
Y
65,000
28
09:00
2.0
1 Y
76,000
29
10:00
2.0
Y
66,000
30
09:30
2.0
Y
63,000
31
Average:
73,800
22
0.81
<1
0.29
<0.04
33
2,00
58618
0.0
60730
Daily Maximum:
106,000
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: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
2 Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
E Compliant
❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
O Compliant
❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
O Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
O 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
dulivl lkD) td4Q11. -LLOU 1000IUVI Io 0 ..1. 11 IIctAJJa
gallons issues are under contract with the Towns Engineering Firm
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 2 No
Phone Number: [phone] Permit Exp.: 3/31 /27
t
�
• 7/28/22
7/28/22
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 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
Facility Name: TOWN of POLLOCKSVILLE
County: Jones
Month: June
Year: 2022
Did irrigation
Field Name:
ONE
Field Name:
TWO
Field Name:
THREE
Field Name:
FOUR
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
❑ YES P1 NO
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?
❑ YES O NO
Field Irrigated?
❑ YES El No
Field Irrigated?
❑ YES C NO
Field Irrigated?
❑ YES O No
T
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3
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0 0
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R= 00
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7` c
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•� i 0
J
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
0.0
2.4
2
0.0
2.5
3
0.0
2.5
4
0.7
2.5
5
0.0
2.56
IR
0.0
2.5
7
0.0
2.5
8
0.0
2.6
9
0.0
2.6
10
1.0
2.6
110.0
2.6
121
PC
80
0.0
1 2.6
131
CL
82
0.0
2.6
14
CL
84
0.0
2.6
15
C
91
0.0
2.7
16
PC
85
0.0
2.7
17
C
94
0.0
2.7
18
C
84
0.0
2.7
191
C
88
0.0
1 2.7
201
C
79
0.0
2.7
21
PC
87
0.0
2.7
22
C
86
0.0
2.7
23
R
79
0.3
2.7
24
C
86
0.0
2.7
25
C
88
0.0
1 2.7
26
PC
91
0.0
2.7
27
C
88
0.0
2.7
28
C
83
0.0
2.8
29
PC
73
0.0
2.8
30
PC
88
0.0
2.8
31
Monthly Loading:
0
0.00
0.00
0.00
0
0.00
12 Month Floating Total (in):
33.61
28.12
21.74
13.30

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit? O Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
El Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
O Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
O Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
[13 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
acuonts) iaKen. muacn aaanlonat sneets it necessary.
issues are under contract with the Towns Enaineerino Firm
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 Officials Title: Mayor/ORC
Has the ORC changed since the previous NDAR-1? ❑ Yes 0 No
Phone Number: [phone] Permit Exp.: 3/31/27
' 7/28/22
7/28/22
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)
•I1/7283
Facility Name: TOWN of POLLOCKSVILLE
County: JonesMonth:
JuneAnnual
1
Field Nam"
Field Namosl
Did irrigation occur
Area (acre
Area acre
izate(.j
•
-
Field Irrigatem
•.
4��.��P.%S
ti/lax®�f�#21;L����'
,s��®-..:rD
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,f„r. g.fu,
iio.'a,�,bi/,�✓:
Y, .o..
.J✓/„/..

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
0 Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
l] Compliant ❑Nor -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
[D Compliant ❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
ID Compliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
2 Compliant El 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.
nfluent high gallons issues are under contract with the Towns Enoineerina Firm
Operator in Responsible Charge (ORC) Certification
ORC: JOHNNIE J. CHADWICK
Certification No.: SS-11861/WW2-9579
Grade: SS/WW2 Phone Number: [phone]
Has the ORC changed sincehe previous NDAR-1? ❑ yes O No
e r
VL7.
Signature Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
Permittee Certification
Permittee:
Town of Pollocksville
Signing Official: James Bender Jr./ Johnnie J. Chadwick ORC
Signing Official's Title: Mayor/ORC
Phone Number: [phone] Permit Exp.: 3/31/27
A 1�141 /I r
7/28/2
7 Signature Date
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

114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
TOWN OF POLLOCKSVILLE (EFFLUENT)
ATTN: JAMES BENDER, JR.
P.O. BOX 97
POLLOCKSVILLE, NC 28573
Effluent
Analysis
Method
PARAMETERS
Date Analyst
Code
BUD, mg/l
52
06/16/22
DNS
521OB-16
Fecal Coliform (MF), /100 Mls
847
06/16/22
HMV
9222D-15
Total Suspended Residue, mg/I
80
06/17/22
BLV
2540D-15
Ammonia Nitrogen as N, mg/l
6.38
06/23/22
ICES
350.1 R2-93
Total Igeldahl Nitrogen as N,mg/I
19.84
06/28/22
TRJ
351.2 R2-93
Nitrate+Nitrite as N, mg/I (calc)
0.05
353.2 R2-93
Nitrate Nitrogen as N, mg/l
<0.04
06/17/22
BMD
353.2 R2-93
Nitrite Nitrogen as N, mg/l
0.05
06/16/22
TRJ
353.2 R2-93
Total Phosphorus as P, mg/I
2.96
06/28/22
BMD
365.4-74
Calcium, ug/l
89580
06/27/22
LFJ
EPA200.7
Magnesium, ug/I
15499
06/27/22
LFJ
EPA200.7
Sodium, ug/I
95227
06/27/22
LFJ
EPA200.7
Sodium Adsorption Ratio (calc)
2.4
Total Nitrogen, mg/l (cale)
19.89
Drinking Water ID; 37715
Wastewater ID: 10 `
PHONE [phone]
FAX [phone]
ID#: 319
DATE COLLECTED: 06/16/22
DATE REPORTED : 07/05/22
REVIEWED BY: ��

Environment 1, Inc. CHAIN OF CUSTODY RECORD
P.O. Box 7085. 114 Oakmont Dr. Page I of
Greenville. NC 27558 ��
environment i mc.com
DI51 ECTION
Phone [phone] •Fax (?52) 756-0633
CHLORINE NEUTRALIZED AT C
OLLECTION
CHLORINE
pH CHECK (LAB)
CLIENT: 319 Week:26
UV
P
P
P
P1
P
P
P
P
P
P1
CONTAINERTYPE, P/G
TOWN OF POLLOCKSVILLE (EFFLUENT)
❑ NONE
ATTN: JAMIES BENDER, JR.
CHEMICAL PRESERVATION
P.O. BOX 97
F
POLLOCKSVILLE NC 28573
A
G
C
C
C
A
A
C
A
A
u' A -NONE D-NAOH
E o
(252) 2249831
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COLLECTION
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SAMPLE LOCATION
DATE
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CLASSIFICATION:
WASTEWATER (NPDES)
I
�—
DRINKING WATER
Fi DWRIGW
❑ SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVERY
(3Y N
SAMPLES COLLECTED BY:
SAMPLES RECEIVED IN LAB AT C
Y (SIG.) PLEB)
DATEMME
RECE BY (SIG.)
DATEMME
COMMENTS:
WIS
HED BY (SIG.)
DATEMME
RECEIVED BY (SIG.)
DATE/TIME
REUNOUISHED BY (SIG.)
DATEI IME
RECEIVED BY (SIG.)
DATETIME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for
FORM #5 Grab sample in the blocks above for each parameter requested. NQ 406458