WQ0004823_Monitoring - 11-2022_20221227 (3)

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
Report Information
WQ0004823
PINE ISLAND CURRITUCK CLUB WWTP
Year:* 2022
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR WQ0004823 NOV22.pdf 1.06MB
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: * TINA GEE
Signature:
Date of submittal: 12/27/2022
This will be filled in automatically
Initial Review
Reviewer: Gerald, Wanda

Is the project number correct?* WQ0004823
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 1/17/2023

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0004823
Facility Name:
Pine Island-Currituck Club WWTP
County:
Currituck
Month:
November
Year: 2022
PPI:
001
Flow Measuring Point: El Influent 0 Effluent El No flow generated
Parameter Monitoring Point:
❑influent
❑Effluent
El Groundwater Lowering El Surface Water
Parameter Code No
60060
00310
00940
31616
00610
00626
00620
00600
00400
00666
70300
00630
00076
�
$
La
dt
E
2
L
N
R t
V
E ..
P:
o
c� w
'O
E
1
Y w
♦+
;?
=
CL
♦+
N
w
0
0
H
v_
m
li
Z
'Z
�
Z
�
� 0
Q. 0
N
O
U
O
a0
fn
O
H
24-hr
hrs
GPD
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
sw
mg/L
mgJL
mg/L
NTU
Average:
#DIV10!
Daily Maximum:
0
Daily Minimum:
0
Sampling Type:
Recorder, Composite
Composite-' Grab
Composite-' Composite
Composite Composite
Grab Composite
Composite; Composite
Recorder
Monthly Avg. Limit:
6QO,000 10
14
4
5
Daily Limit:1,
1 15
25
1 6
10
1, 1�0
Sample Frequency:
I Continuous I 2 x Week
3x Year I 2 x Week
1, 2'x Week 2 x Week
2 x Week 2 x Week
5 x Week 2 x Week
3 x Year. 2 x Week
I Continuous

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ of
Permit No.: WQ0004823
Facility Name: Pine Island/Currituck Club WWTP
I County: Currituck
Month: November
Year: 2022
PPI: 002
Flow Measuring Point: El Influent El Effluent El No flow generated
7
Parameter Monitoring Point: El Influent 121 Effluent 0 Groundwater Lowering El Surface Water
Parameter Code 0
50050
00310
00940. 31616
006%, 00625
00620.- 00600
00400 00665
70300 00530
00076,
CU
>
E
0
0
i7i
0
0,o
0
E
i.Uo
LL 0
0,
E 2
z E -Fa =
o
5 2
X = z
0
CL -6 CL
W 0
(L
0
0 CL 0
S Q) WU)
1-7
24-hr
hrs
GPD
mg/L
mg/L #/100 mL
mg/L mg/L
mg/L mg/L
su mg/L
mg1L, mg/L
NTU
1
10:00
2
67,850''
6,64
0.18''
2
10:40
3
66,060,
6.51
0,2,
3
10:00
3
72;700
<2
<1
<02, <0.5
22,,7 22.7
6,41 7.51
<2.5
0,21'
4
10:20
3
89,580,
6.23
015
5
08:20
1
109,390
022'
6
08:45
1
89,860,
0:32,
7
09:40
3
85,050,
61,
017
8
10:50
2
62;570
631
0,2,
9
00:00
0
66,940,
6.251
012
10
10:00
3
75,550,
6.05
014
11
09:45
2
81",180
6W8',
026,
121
00:00
0
93,6401
0:31
13
00:00
0
57,530
038
14
09:30
2
50,,830,
6.04
0:23
15
10:40
3
58,310
<2
193 1
<0.2<0.5
36, 36.1
6.06, 9.47
305, <2.5
0.38,
16
09:30
2
73,130,
6.081
0:29 1
17
09:40
3
47,180,
6.06
0:24,
18
10:00
3
55,350,
61.,
012
19
00:00
0
74;040,
0:26
20
00:00
0
96,730,
0A4
21
10:00
2
.,123,000
6.02'
0.3
22
10:00
2
54',700
619
0:651
231
09:00
3
1153,56'0
6.63
3.6
24
00:00
0
178,720
6.81
25
16:30
1
144,760
T06,
7.5,
26
00:00
0
116,�510,
4,5'
27
00:00
0
91"150
2.5,
28
10:35
2
45,770
71'
Z62
291
09:50
3
67,'350
6.98,
0:211,
301
09:00
3
59,260
6.88'
OZ6
Average:
j , 83,622,
0.00
193>00, 1.00
0.00, 1 0.00
29,35' 1 29.40
8.49
305.00 , 0.00
1.01
Daily Maximum:
J78,720,
2.00
193.00, 1.00
0:201 0.50
36.00 36.10
7,10 9.47
305.00' 2.50
7.50
Daily Minimum:
45,770
2.00
193.00, 1.00
0:201 0.50
2210, 22.70
6.02 7.51
305.00 1 2.50
0,12',
Sampling Type:
Recorder,
Composite
Composite, Grab
Composite, Composite
Composite Composite
Grab Composite
Composite Composite
Recorder
Monthly Avg. Limit:
500,000,
10
14
4
5
Daily Limit:1,
1 15
1 25
1 6,
1
10
1 10
I
Sample Frequency:
I Continuous
1 2 x Month
3 x'Year 1 2 x Month
1, 2 'k Month 2 x Month
1,2,kMonth 2xMonth
1, 5 x, Week 1 2 x Month
3'x'Year 1 2 x Month
I Continuous

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Sampling Person(s) Certified Laboratories
Name: Jimmy Bliven Name: Envirochem
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of 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: Jimmy Bliven
Permittee: Rolf Blizzard
Certification No.: 991879
Signing Official: Tina Gee by Authority
Grade: 4
Signing Officials Title: Manager of Atlantic OBX
Has the ORC changed since the previous NDMR? ❑ Yes ❑ No
Phone Number: 252-491-8771 Permit Expiration: 4/30/2024
12/27/22
_ u 12/27/22
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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of

FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
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? 0 Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 0 Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 0 Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 0 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: Jimmy Bliven
Permittee: Rolf Blizzard
Certification No.: 28243
Signing Official: Tina Gee by Authority
Grade: SI Phone Number: 252-489-9583
Signing Official's Title: Manager of Atlantic OBX
Has the ORC changed since the previous NDAR-1? ❑ Yes 0 No
Phone Number: 252-491-8771 Permit Exp.: 4/30/24
12/27/22
12/27/22
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 m
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

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? ❑ 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? ❑ 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? ❑ 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: Jimmy Bliven
Permittee: Rolf Blizzard
Certification No.: 28243
Signing Official: Tina Gee by Authority
Grade: SI Phone Number: 252-489-9583
Signing Officials Title: Manager of Atlantic OBX
Has the ORC changed since the previous NDAR-2? ❑ Yes ❑ No
Phone Number: 252-491-8771 Permit Exp.: 4/30/24
= 12/27/22
_ 12/27/22
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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617