WQ0009772_Monitoring - 10-2022_20221129

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * October
Report Information
WQ0009772
Monteray Shores WWTP
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
MS NDMR and NDAR-2 11.34MB
Report OCT 2022 Signed.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Travis Tucker
Reviewer: Gerald, Wanda
11 /29/2022
This will be filled in automatically

Is the project number correct?* WQ0009772
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 12/12/2022

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0009772
Facility Name: Monteray Shores WWTP
County: Currituck
Month: October
Year: 2022
PPI: 001
Flow Measuring Point ❑ Influent O Effluent ❑ No flow generated
Parameter Monitoring
Point: ❑ influent O Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code
00310
0094i
31616
00610
00625062Ei
00600
f104l0
00665
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y,

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Sampling Person(s) Certified laboratories
Name: Travis Tucker I Name: Environmental Chemists, Ibc. #3779/DWQ Cert #94
Name: Scott Osborne
of
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? m 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
Travis Tucker
Permittee: Carolina Water Service, Inc. of North Carolina
ORC:
Certification No.: 1002180
Signing Official: Tony Konsul
Grade: 4 Phone Number: 252-256-1190
Signing Official's Title: Director, State Operations
Has the ORC changed since the previous NDMR? ❑ Yes ® No
Phone Number: 704-576-1685 Permit Expiration: 10/21 /2026
Digitally signed by Tony Konsul
DN: C=US, OU-Director, State Operations", O=Carolina
—O�
4 --
E=Tony.Kon su I@carolin awaterservicenc. corn
Tony Konsul" sService �P C1 9N=Tony Konsul
- Reason: am a this document
r_ Location: 5821 Fairview Rd, suite 401 Charlotte NC 28209
Date: 2022.11.or Version
Foxit PDF Editor Version: 11.2.3 f f/2Q/2022
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
Facility Name: Monteray Shores WWTP
County: Currituck
Month: October
Year: 2022
PPI: 002
Flow Measuring Point: ❑ Influent Q Effluent ❑ No flow generated
Parameter Monitoring Point: 17-1 Influent ❑ Effluent Q Groundwater Lowering ❑ Surface Water
Parameter Code --►1050
00310
0dB$0 ,'
00940
31616"
00610
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Annually©T11C1Ci44tS

FORM: NDMR 10-13
NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Travis Tucker Name: Environmental Chemists, Ibc. #3779/DWQ Cert#94
Name: Scott Osborne I 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 ❑ Non -Compliant
If the facility is non -compliant, please explain in the space glow 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.
Cnntractors onsite working on electrical at groundwater station at the beginning of the month may have stirred somethings up when turning groundwater pumps on and off.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
Permittee, Carolina Water Service, Inc. of North Carolina
ORC: Travis Tucker
Certification No.: 1002180
Signing Official: Tony Konsul
4 Phone Number: 252-256-1190
Signing Official's Title: Director, State Operations
Grade:
Has the ORC changed since the previous NDMR? ❑ Yes ® No
Permit Expiration: 10/21 /2026
Phone Number: 704-576-16i8lsigned
by Tony Konsul
DigDN. C=US, OU- Director, State Operations', O=Carolina
-
E=Tony.Konsul F.im.in Rd -lit. 40 eCh. &
Tony Ko n s u I Water Service of NC CN-Tony Konsul
r..y Reason. am approving this document
Location. 5821 Fairview Rd, suite 401 Charlotte NC 28209
Date2022.11.28 15.47.09-05'00' 11/28/2022
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
with a system designed to assure that all qualified personnel properly gathered and evaluated the information
accordance
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
Permit No.: WQ0009772
Did infiltration occur at
this facility?
El YES ❑ NO
T
Weather
Freeboard
N
0
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R
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in
ft
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64
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3
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56
52
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0
35
35
5
CL
53
0
35
6
CL
61
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35
7
C
61
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35
8
PC
63
0
35
9
C
53
0
35
10
C
53
0
35
11
C
53
0
35
12
13
PC
PC
63
67
0
0.1
35
35
14
15
CL
PC
62
60
0
0
35
35
16
C
61
0
35
17
PC
64
0
35
18
19
CL
C
59
45
0
0
35
35
20
21
C
C
45
49
0
0
35
35
22
C
62
0
35
23
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62
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35
24
CL
58
0
35
25
CL
60
0
35
26
CL
61
0
35
27
PC
62
0
35
28
CL
61
0
35
29
CL
62
0
35
30 CL
31 C
59
55
0
0
35
35
Monthly Loading (GPD/fe
Year to Date Loading (GPD/W
NON -DISCHARGE APPLICATION REPORT (NDAR-2)
Facility Name: Monteray Shores WWTP county: Currituck
1A Site Name
1B
5rtr32tte
5r tat�gt _
)tieact Area (acres):
1ercis�
7 4 Rate (GPD/ft2):
7.42
Ratefi�PD�)
Rail fG'�
Sate Infdt�Y55 IEa Site Infiltrated?
❑YES
El No
Sr#eltftt�
t
C
FT q} C m O
' ll. d
d
N
tM
;'
150
O N
µ w T
t(
U.
# t gal
min
GPD/ft2
ftfn'
2.70
117,500
95 104,500
2.40
2.93
05,
5f}t 4 �i 38 127,500
17 z
91,500
2.10
93,500
2.15
3�500 } 75 93,500
2.15BAR
t
1f3OiQ >5 107,000
2.46
>5
115,500
2.65
3
� 1Y'�Ob � 216
Oti {4 114,500
2.63
a '
108,500
2.49
1YI00 , :2 i23 R = 108,500
2.49
76,000
1,74
"h 98,500
2.26
18 OE3
$0,a0Q �49 80,000
1.84
>5
2.82
123,000
1�t 2�
09�d03 2 109,000
2.50
,1 2$ 68,500
1.57
z00
fQO�' 56,000
1.29
v4,Qp0 k7 84,000
1.93
5 85,000
1.95
71,500
1.64
>5
z 1 2 t
70,500
1.62
s
83,000
1-91
72,500
1.66
OtiQt1 1 1
70,000
1.61
70,000
1.61
1.15
50,000
111i
59,000
1.35
>5
7i031
70,000
1.61
53,000
1.22
xa
61p0c3 14
61,000
1.40
1.99
25.16
Page of
Month:
October
Year:
Site Name:
Area (acres):
Rate (GPDIW):
Site Infiltrated?
❑ YES
xw
E
"iS
N
ff,
T �
CL
E =
R R
o a
> Q
C
J
f _ .
oal
min
GPD/i
#DIV/0!
2022

FORM: NDAR-210-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page of
Did the application rates exceed the limits in Attachment B of your permit?
If not a basin, were the sites kept free of vegetation and raked?
© Compliant ❑ Non -Compliant
® Compliant ❑ Non -Compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites? 10 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? 10 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 NC
Certification No.: 1002180 Signing Official: Tony Konsul
Grade: 4 Phone Number: 252-256-1190 Signing Official's Title: Director, State Operations
Has the ORC changed since the previous NDAR-2? ❑ Yes 10 No Phone Number: 704-576-1685 Permit Ex .• 10/21 /26
Digitally signed by Tony Konsul p
DN. C-US, OU-Din-tor, State Operations', O-Caroline Water
Tony Ko n s u I Season nt NC CN-Tony Konsul
E-Tony. Konsul@carotin—tan—icenc. com
Reason. a12 approving this document
4DateL-at1202281�2815.48Fai,iw.2d05'00'401 Charlotte NC 28209 11/28/2022
fffVVVIIP o-1 PDF Editor Version " 3
Date Signature Date
Signature
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 imprisonmentfor knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617