WQ0035809_Monitoring - 11-2022_20230125

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
Report Information
WQ0035809
Stateside WWTP
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
Stateside NDAR NDMR 3.51MB
November 2022.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Erica Cochran
Reviewer: Wanda.Gerald
1 /25/2023
This will be filled in automatically

Is the project number correct?* WQ0035809
Is the monitoring report accepted?* - Yes NO
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 2/16/2023

FORM:
NDMR 05-16
NON -DISCHARGE MONITORING
REPORT
(NDMR)
Paget
of /
Permit No.:
WQ0035809
Facility Name:
Stateside WWTP
County:
Onslow
Month:
November
Year: 2022
PK
001
Flow Measuring
Point:
❑ influent 0 Effluent ❑ No flow gererated
Parameter
Monitoring Point:
❑ influent
❑ effluent
© Groundwater Lowering
❑Surface Water
Parameter Code
50050
00310
00940
50060
1 31616
00610
00625
00620
00600
00400
00665
70300
00530
a
c
'
aN
yV
trn6
uig
G
_ tm°
y
_m
_t
a2
0)o
a
@
~pEf
_LL
m
~ ULL
m_
U
E
y
-
HoCL
0
yZZ
Hc1�0p
a
Z
O
Q
W
24-hr
hrs
GPD
mg1L
mgfL
mg1L
#/100 mL
mg1L
MgIL
mg1L
mgfL
su
m
mg1L
m gfL
1
07.00
3
49,324
75
2
07:30
2
46,825
7,8
3
06:45
2
50,763
78
4
07.15
3
52,019
76
5
0730
2
55,478
6
08:00
1
52,468
7
07:00
2
50,282
7.9
8
07:00
3
53,145
8
9
07.30
3
51.025
7.6
10
0715
2
48,778
7.5
ill
0715
2
49,260
7.8
121
07.45
3
52,123
131
08.15
1
60,286
141
07 15
3
56,412
7.7
151
07:30
3
51,300
<2
<1
029
0.68
026
0.94
7.6
0.2
2.6
16
07 00
1 2
45,802
7.4
171
0700
1 2
48.775
8
181
0630
1 3
50.263
7.5
19
07-30
2
54.802
20
0800
1
63,614
21
0700
3
54,686
79
22
0700
3
52,103
7.7
23
0730
2
49.875
7.6
241
06.45
1
47.690
H
251
06:30
2
55.625
7.6
261
08:00
3
58,491
271
08:30
1
67,340
281
07 30
3
50,105
7.8
29
0700
2
55,730
c2
<1
0.05
0.45
022
0.87
7.5
0.18
<2.5
30
06.45
3
55,216
7 9
31
Average:
52,987
0.00
1-00
0 17
0.57
0 24
0,81
0.19
1.30
Daily
Maximum:
67.340
2.00
1.00
0.29
0.68
026
0,94
800
0.20
2.60
Daily
Minimum:
45,802
200
1.00
0.05
0.45
022
0.67
740
0.18
2.50
Sampling
Type:
Recorder
Composite
Composite
Grab
Grab
Composite
Composite
Composite
Composite
Grab
Composite
Composite
Composite
Monthly
Limit:
100,000
10
14
4
10
4
2
15
Daily
Limit:
6 9
Sampie Frequency:
Continuous
2 X Month
3 X Year
5 X Week
2 X Month
2 X Month
2 X Month
1 2 X Month
2 X Month
5 X Week
1 2 X Month
3 X Year
2 X Month

FORM:
NDMR 05-16
NON -DISCHARGE
MONITORING
REPORT
(NDMR)
Page
2 of
Permit No.:
W00035809
Facility Name:
Stateside
WWTP
County:
Onslow
Month:
November
Year:
2022
PPI:
002
Flow Measuring
Point: ❑ Tnfluent
[a Effluent
❑✓
No flow generated
Parameter
Monitoring
Point: ❑ fnnuerrt
❑ rfnuent
❑✓ Groundwater
Lowering
❑ Surface
Water
Parameter Code
— ►
50050
00680 00940
50060
00610
00620
00600
00400
00665
70300
m
.?
L d
c
O
E
2
=
p
s4
C
_
m
OL
m
0
3. Q E
14 H
"
~ N
O�
'G p
—
O
E
2
a
0 a
O N
(>
ti
ra
H
E
~ o
E
~ L N
0
o
F
a
o
o
a.
24-hr
hrs
GIRD
mgfL mg/L
mg1L
I mg1L
mg/L
mglL
su
mglL
mg/L
1 0T00
3
131,200
2 0730
2
147.200
3 06:45
2
116.000
4 07.15
3
121.200
5 0730
2
104.800
6 1 08A0
1
148,700
7 0700
2
126.900
8 0700
3
158.300
9 0730
3
177,100
10 07,15
2
151,800
11 0715
2
130.200
N12 0745
3
145,400
13 0815
1
122,800
14 0715
3
130.400
15 0730
3
142,400
0 7
0.17
1 25
75
0.14
16 0700
2
125,000
17 0700
2
136,800
18 0630
3
116,500
191 0730
1 2
152,800
201 08 00
1
145,900
21 07 00
3
147,200
22 07,00
3
110.800
23 0730
2
135.000
24 0645
}
142.500
25 0630
2
127.100
26 0&00
3
151.600
27 0830
1
150,200
28 0730
3
144,800
29 0700
2
137,700
1314 52
1.47
005
2.21
7 7
0.29
330
30 06 45
3
142.800
31
Average:
137,370
1314 52.00
1 1.09
Oil
1.73
0.22
3000
Daily Maximum:
177,100
13.14 52.00
1.47
017
2.21
770
0.29
33000
Daily
Minimum:
104,800 i
1314 52.00
0.70
0.05
1-25
7.50
0.14
330.00
Sampling
Type:
Recorder
Grab Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grah
Monthly
Limit:
250
1,5
10
1
500
Daily
Limit:
6,5-8.5
Sample Frequency:
Continuous
3 X Year 3 X Year
2 X Month
2 X Month
2 X Month
2 X Month
2 X Month
2 X Month
3 X Yea,

FORM
NDMR 05-16
NON -DISCHARGE
MONITORING
REPORT
(NDMR)
Page
of
Permit No.:
WQ0035809
Facility
Name: Stateside WWTP
County:
Onslow
Month;
November
Year: 2022
PPI:
003
Flow Measuring
Point:
tnauent ❑r diluent 0
Nc Mow generated
Parameter
Monitorin
g Point: ❑ Influent
❑ rt%ueut
Groundwater
Lowenng
❑ 5nrtace Water
Parameter Code
10
50060
00680
00940 50060 00610
00620
00600
00400
00665
70300
m
Q
O
Cm
o
V
C
o0,N M
a ro m !
.
�.2
M
m
in
v'E am
_0
7
p
_
WLIU
E
O
N
O
o
0
L
O
t—
a
24-hr
hrs
GPD
mglL
mg1L mglL mglL
mglL
mg/L
su
mglL
mglL
1
2
3
4
5
6
7
6
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Average:
*DIV10!
Daily Maximum:
0
Daily
Minimum:
0
Sampling
Type:
Recorder
(-Srab
Grab Grab Grab
Grab
Grab
Grab
Grab
Grab
Monthly
Limit:
250 1-5
10
500
Daily
Limit:
6 5-8.5
Sample Frequency:
Continuous
3 X Year
3 X Year 2 x Montb 2 X Month
2 is Month
2 X Month
2 X Month
2 X Month
3 X Year

FORM:
NDMR05-16
NON -DISCHARGE
MONITORING
REPORT
(NDMR)
Page
of
Permit No.:
WQ0035809
Facility
Name:
Stateside
WWTP
County;
Onslow
Month:
November
Year: 2022
PPI:
004
Flow Measuring
Point:
❑ Innuenl
0 Effluent
❑r
No flow generated
Parameter
MonitoringPoint:
❑ innuerrt
❑ Emuenr
❑Groundwater
Lpwerin g
❑ urfarri tvadcr
Parameter Code
10
50050
00680
00940
50060
00610
00620
00600
00400
00665
70300
O
(D
u
7 C
o
m
a
R
m
o+
m
M
> m
R Viz
E
..
G
O Q
p �
O
O
0
4
0
H
24-hr
hrs
GPD
mglL
mg/L
mg/L
mg1L
mg1L
mg1L
su
mg1L
mg1L
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
t6
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Average:
#DIV10!
Daily Maximum:
0
Daily
Minimum:
0
Sampling
Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly
Limit:
250
1.5
10
500
Daily
Limit:
6,5-8.5
Sample Frequency:
Continuous 1:i
X Year
3 X Year
2 x Mcnih
2 X Month
2 X Month
2 X Month
2 X Month
2 X Month
3 x near

FORM: N€JMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of 7
Permit No.: WQ0035809
Facility Name: Stateside WVVFP
County: Onslow Month- November
11
. ■ P1 rl .
■ 1r1flUpnt■Effluent ■ Groundwater Lowering RI Surface Water
Daily Maximum:
1 1
��-----------
r-
11
i t
1 F
®®-_---_-----

FORM,
NDMR 05-16
NON -DISCHARGE
MONITORING
REPORT
(NDMR)
Page
at
Permit No.:
WQ0035809
Facility
Name:
Stateside
WWTP
County:
Qn51ow
Month:
November
Year:
2022
PPI:
006
Flow Measuring
Point:
❑ Influent
Q Effluent
Q
No flow generated
Parameter
Monitoring
Point:
❑ tnfiuent
❑ Hf1-jr,!
❑ Groundwater Lowenng
❑+ Surface
Water
Parameter Code
1-
00300
00610
00600
00400
00665
C
O
t
C
`
O
0 V F
Uin
N'1
E
z
o CL
0
p
tr
a
a
o
c°
o
�
a
24-hr
hrs
mg1L
mg1L
mg/L
su
mg/L
1 07.00
3
2 07.30
2
3 06A5
2
4 0715
3
5 07-30
2
6 08:00
1
7 07:00
2
8 0700
3
9 07.30
3
101 0715
1 2
11 0715
2
12 07.45
3
13 0815
1
14 07.15
3
15 07 30
3
3
0 3
1.34
7.8
0.18
16 0700
2
17 0700
2
181 06:30
3
19 07-30
2
20 0800
1
21 0700
3
22 07:00
3
23 07.30
2
24 06 45
1
25 06:30
2
26 08:00
3
27 08:30
1
28 0730
3
29 OT00
2
4
=0 04
0.44
76
0.11
301 06'A5
3
31
Average:
3.50
015
0.89
0.15
Daily
Maximum:
4.00
0,30
1.34
780
0.18
Daily
Minimum:
3.00
1 0.04
0.44
760
0.11
Sampling
Type:
Grab
Grab
Grab
Grab
Grab
Monthly
Limit:
Daily
Limit:
Sample Frequency:
2 X Month
2 X Month
2 X Month
2 x Month
2 X Month

FORM NDIVIR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of -
Sampling Person(s) Certified Laboratories
Name: Jeff Jarman Name: Environment i
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? [Compliant I3 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 necessarv.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Jeff Jarman
Permittee: Old North State Water Company
Certification No.: 13491
Signing Official: m��-6
Grade: IV Phone Number: 910 330-$167
��-�a���
Signing Official's Title:
l
Has the ORC changed since the previous NDMR? ❑ yes 0140
Phone Number. v'j�` permit Expiration: 2/2812022
Al-L
12/30/2022
/ 30 oa�)
Signature
Date Signature Date
Zrpenally
By this signature. I eerpfy that this report is accurrate and complete to the best of my knowledge, I certify, 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 quaNrred personnel property 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, acci 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

User Friendly Name
Official Parameter Name
AWQAccepted Units
00010
Temperature
Temperature, water Deg. Centigrade
°C
00076
Turbidity
Turbidity, HCH Turbidimeter
NTU
00092
Flow - Maximum
Flow, Maximum Flow Range
GPD
00094
Conductivity
Conductivity
pQ
00125
Dichtorobenzene
Dichlorobenzene (Isomers) M/P In Water ug/l
pg/L
00300
Dissolved Oxygen
DO, Oxygen, Dissolved
mg/L
00310
BODs
BOD, 5-Day (20 Deg. C)
mg1L
00340
COD
COD, Oxygen Demand, Chem. (High Level)
mg1L
00400
pH
pH
su
00480
Salinity
Salinity
mg/L
00515
Total Filterable Residue
Residue, Tot Fltrble (dried at 105C1
mg/L
00530
Total Suspended Solids
Solids, Total Suspended
mg/L
00545
Settleable Solids
Solids, Settleable
mL/L
00556
Oil Ft Grease
Oil Ft Grease
mg/L
00600
Total Nitrogen
Nitrogen, Total (as N)
mg/L
00610
Ammonia
Nitrogen, Ammonia Total (as N)
mg/L
00615
Nitrite
Nitrogen, Nitrite Total (as N)
mg/L
00620
Nitrate
Nitrogen, Nitrate Total (as N)
mg/L
00625
Total Kjeldahl Nitrogen
Nitrogen, Kjeldahl. Total (as N)
mg/L
00630
Nitrite + Nitrate
Nitrite plus Nitrate Total 1 DET. (as N)
mg/L
00660
Ortho Phosphate
Phosphate, Ortho (as PO4)
mg/L
00665
Total Phosphorus
Phosphorus, Total (as P)
mg/L
00670
Organic Phosphorus
Phosphorous, Total Organic las P)
mg/L
00680
Total Organic Carbon
Carbon, Tot Organic (TOC)
mg/L
00681
Dissolved Organic Carbon
Carbon, Dissolved Organic JAs C)
mg/L
00916
Calcium
Calcium, Total (as Ca)
mg/L
00927
Magnesium
Magnesium, Total (as Mg)
mg/L
00929
Sodium
Sodium, Total (as Na)
mg/L
OD931
Sodium Adsorption Ratio
Sodium Adsorption Ratio
Ratio
00937
Potassium
Potassium, Total (as K)
mg/L
00940
Chloride
Chloride (as CO
mg/L
00945
Sulfate
Sulfate, Total (as SO4)
mg/L
01002
Arsenic
Arsenic, Total (as As►
mg/L
01007
Barium
Barium, Total (as Ba)
mg/L
01022
Bo ran
Boron, Total (as B)
mg/L
01027
Cadmium
Cadmium, Total (as Cd)
mg/L
01034
Chromium
Chromium, Total (as Cr)
mg/L
01042
Copper
Copper, Total (as Cu)
mg1L
01045
Iron
Iron, Total (as Fe}
mg/L
01051
Lead
Lead, Totallas Pb)
mg/L
01055
Manganese
Manganese, Total (as Mn)
mg/L
01067
Nickel
Nickel, Total (as Ni)
mg/L
01077
Silver
Silver, Total (as Ag)
mg/L
01092
Zinc
Zinc, Total (as Zn)
mg/L
01147
Selenium
Selenium, Total (as Se)
mg/L
01284
ND Application Rate
Non -Discharge Application Rate
in/yr
31504
Total Coliform
Coliform, Total MF, Immed,LES Endo Agar
4/100 mL
31505
Total Coliform
Coliform, Tot, MPN, Completed, (100 mL)
MPN/100 mL
31613
Fecal Coliform
Coliform, Fecal MF, M-FC Agar,44.5C,24hr
#/100 mL
31616
Fecal Coliform
Coliform, Fecal MF, M-FC Broth,44.5C
1l1100 mL

32106
Chloroform
Chloroform
mg/L
32730
Phenolics - Recoverable
Phenolics, Total Recoverable
mg/L
32730
Phenols
mg/L
34469
Pyrene
Pyrene
pg/L
34694
Phenol - Single
Phenol, Single Compound
mg/L
38260
Surfactants
Surfactants (MBAS)
mg/L
50050
Flow
Flow, in conduit or thru treatment plant
GPD
50060
Total Residual Chlorine
Chlorine, Total Residual
mg/L
70295
Total Dissolved Solids
Solids, Total Dissolved
mg1L
70300
Total Dissolved Solids
Solids, Total Dissolved- 180 Deg.0
mg/L
70318
%Solids
Solids, Total, Percent
%
71880
Formaldehyde
Formaldehyde
mg/L
71900
Mercury
Mercury, Total (as Hg)
mg/L
78732
Volatile Compounds
Volatile Compounds, (GC/MS)
Yes/No
80082
Carbonaceous BOD
BOD, Carbonaceous 05 Day, 20C
mg/L
81639
Total K}eldahl Nitrogen
Nitrogen Kjeldalh, Total (TKN)
lbs/ac
81688
Ethylene Glycol
Ethylene glycol
pg/L
82385
Nitrogen Oxides
Nitrogen Oxides (as N(
mg/L
82546
Water Level
Water level, distance from measuring point
ft
C0310
BOD5 - Conc.
BOD, 5-Day (20 Deg. C) - Concentration
mg/L
C0530
TSS - Conc.
Solids, Total Suspended - Concentration
mg/L
C0600
Total Nitrogen - Conc.
Nitrogen, Total (as N) - Concentration
mg/L
C0610
Ammonia - Conc.
Nitrogen, Ammonia Total (as N) - Concentration
mg/L
C0665
Total Phosphorus - Conc.
Phosphorus, Total (as P► - Concentration
mg/L
NDVOC
Volatile Compounds
Volatile Compounds (Effluent)
Yes/No
WQ01
Reclaimed Water Distributed
Flow, Reclaimed Water Distributed
Gallons
WQ09C
Plant Available Nitrogen
Plant Available Nitrogen - Concentration
mg/L
WQ09
Plant Available Nitrogen
Plant Available Nitrogen - Loading
mg/L

FORM: NDAR-2
05-16
NON -DISCHARGE
APPLICATION
REPORT
(NDAR-2)
Page
of
Permit No.:
W00035809
Facility
Name:
Stateside
WWTP
County: Onslow
Month:
November
Year: 2022
Did infiltration
occur
at
Site
Name:
1
Site Name:
2
Site Name:
3
this facility?
Site Name:
4
Area
(acres):
0.47
Area (acres):
0.45
Area (acres):
0.83
Area (acres):
0.51
❑ ves
❑ NO
Rate (GPDlft2):
2.47
Rate (GPDlft2):
2.47
Rate (GPD1ft2):
5.16
Rate (GPDlft2):
5.16
Weather
Freeboard
Site Infiltrated?
❑ YES
❑ NO
Site Infiltrated?
❑ YES ❑ NO
Site Infiltrated?
❑ YES ❑ No
Site Infiltrated?
❑ YES ❑ NO
4� 1
0 d
a) m
W
a
d m
m
-3
?•
ro c
m y m
C a
a a c
m y
C a
n c
m
c .0 a
m U �+
m .2
n
p
E
:a
m
E�
0
0 o
��
E m m A
E
o c 0
J
E m y :%
3 E
m m 0
o a
an d
E_ m
ro m` c
O
y a
o a
N a
a a
M a
p a
o n
7 Q
=
c
m e
M
a s H=
Q
a c
m
a
o a ~
a '^
m e
3 a E_ ••
~
J ° H
a
U.
LL
� Q
a. LL m
Q
"F
in ft
ft
gal
min
GPDlft2
ft
gal min
GPDlft2 ft
gal min
GPDlft2 ft
gal min
GPDlft2 ft
1 PC 66
0
0
0.00
Nla
0 0
0 00 N/a
0 0
000 900
49,324 1150
2.22
2 C 58
0
0
0.00
Nla
0 0
0.00 N/a
0 0
0 00
46,825 1150
2.11 6.00
3 CL 57
0
0
000
Nita
0 0
0.00 N/a
0 0
0 00
50,763 1150
2.29
4 PC 59
0
0
0-00
N/a
0 0
0.00 N/a
0 0
0.00 1
52,019 1150
2.34
5 C 64
0
0
0.00
N/a
0 0
0.00 N/a
0 0
0.00
55A78 1150
2.50
6 PC 70
0
0
000
N/a
0 0
0.00 N/a
0 0
0.00
52,468 1150
2.36
7 CL 50
0
0
000
N/a
0 0
0.00 N/a
0 0
0.00
50,282 1150
2.25
81 C 60
0
0
0.00
Nla
0 0
0.00 N/a
0 0
0.00
53,145 1150
2.39
9 CL 54
0
0
000
Nla
0 0
0.00 N/a
0 0
0.00 900
51,025 1150
2.30 6.00
10 PC 61
0
0
000
Nla
0 0
0.00 N/a
0 0
0.00
48,778 1150
2.20
11 R 74
1
0
0
0.00
Nla
0 0
a.00 N/a
0 0
0.00
49,260 1150
2.22
12 PC 68
0
0
0.00
N/a
0 0
0.00 Nfa
0 0
0-00
52.123 1150
2.35
13 CL 57
0
0
0.00
N/a
0 0
0.00 Nfa
0 0
0.00
60.286 1150
2.71
C 40
0
0
0.00
Nfa
0 0
0.00 Nfa
0 0
0.00
56.412 1150
2.54
�14
C 49
0
0
0.00
N/a
0 0
0.00 Nfa
0 0
0.00
51.300 1150
2.31
R 49
1
0
0
0-00
Nla
0 0
0.00 Nla
0 0
0.00 900
45,802 1150
2.06 6,00
171 PC 1 40
0
0
0.00
N/a
0 0
0.00 Nla
0 0
0.00
48,775 1150
2.20
181 C 1 33
0
0
0.00
Nfa
0 0
0.00 Nla
0 0
000
50,263 1150
2.26
19 C 33
0
0
0.00
N/a
0 0
0.00 Nla
0 0
0.00
54,802 1150
247
20 C 45
0
0
000
N/a
0 0
0.00 Nla
0 0
0.00
63,614 1150
2.86
21 C 37
0
0
0.00
Nla
0 0
0,00 Nla
0 0
0.00
54,686 1150
2.46
22 PC 46
0
0
0.00
N/a_
0 0
0,00 N!a
0 0
0.00
52,103 1150
2.35
23 PC 52
0
0
0.00
Nla
0 0
0.00 Nfa
0 0
0-00 9.00
49,875 1150
2.25 6.00
241 C 49
0
0
0-00
Nla
0 0
0,00 N/a
0 0
0.00
47.690 1150
2.15
25 R 65
0
0
000
Nfa
0 0
0,00 N/a
0 0
0.00
55,625 1150
2.50
26 C 46
0
0
0.00
N/a
0 0
0.00 N/a
0 0
0-00
58,491 1150
2.63
27 PC 65
F
0
0
0.00
Nla
0 0
0.00 N/a
0 0
0-00
67,340 1150
3.03
28 C 54
0
0
0.00
Nla
0 0
0.00 N/a
0 0
0.00
50,105 1150
2.26
29 C 47
0
0
0.00
Nla
0 0
0,00 N/a
0 0
0.00 9.00
55,730 1150
2.51
30 PC 56
55,216 1150
2.49
31
Monthly
Loading (GPDlft2):
coo
0.06
0 00
2 39
Year to Date
LoadingGPDlft2

FORM NOAR-2 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page of
Permit No.: WQ0035809
d. WVVTP
county: Onslow Month: November
infiltrationDid occur
this facility?
Area
(acres)�
■YES
Cl
8
Site Infiltrate
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Monthly
Loading
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FORM: NDAR-2 05-16 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?
If not a basin, were there any instances of effluent ponding in or runoff from the sites?
If a basin, were there any instances of breakout from the berms?
Was the onsite automatically activated standby power source tested and operational?
IZ Compliant
❑ Non -Compliant
I@ Compliant
❑ Non -Compliant
Q Compliant
❑ Non -Compliant
❑✓ Compliant
❑ Non -Compliant
p✓ 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
Permittes Certification
ORC: Jeff Jarman
Permittee:
Old North State Water Company
Certification No.: 13491
Signing official:
Grade: IV Phone Number: 910-330-8167
Signing Official's Title:
Has the ORC changed since the previous NDAR-2? ❑ yes 0 No
Phone Number- Zjb5-,;�2 15613
Perrnft Exp.: 2/28/22
12/30/2022
Signature
Dale Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my
knowledge. I certify, under p na�yf 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 property 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

Formulas
Volume Applied (gallows)
ail}� Loading �GPDfft2) = ft�
Area (acres) x 43,56�0 acre
Weather Codes
Clear
C
Cloudy
CL
Partly Cloudy
PC
Rain
R
Sleet
SL
Snow
SN