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WQ0035809_Monitoring - 01-2023_20230228
Monitoring Report Submittal Permit Number#* Name of Facility:* Month: * January WQ0035809 STATESIDE WWTP Report Information Type * NDMR, NDAR-1, NDAR-2, NDMLR Confirmation Email Address: Name of Submitter: * Signature: Date of submittal: Initial Review Year:* 2023 Upload Document* Stateside NDAR NDMR January 2023.pdf 2.19MB PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). dwhicher@onswc.com Dominic Whicher �ovrrtir�i' %l%/ice/mot Reviewer: Wanda.Gerald 2/28/2023 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: 3/7/2023 FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page ( of 7 Average: �954,1000ig 0.00 W.,,9 0.25 pi59 0.99 -06-3,6_0 &_, g M WOWN Z Daily Maximum: 2.00 0.25 1.47 7.90 a0',4 31 � t I M ON MW " W Daily Minimum: 2,00 0.25 0',157rd 0.50 W'�07 —W61,2 7.40 Sampling Type: Composite fa-, Grab Composite ComDosita .,OWP—Orbik om Grab �cj;� (t�, composite Za'Mi5d' Monthly Limit: 10 4 "-w IQ .4" OMAN, Daily limit:,M 7i"TIRM 0"PROMM" 6-9 sww Sample Frequencyj' nt- t60fl 2 X Month p7 5 X Week Z�,�, 2 X Month 2 X Month 5XW ..k F:� 1 3 X Year FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of ? Permit No.: W00035809 Facility Name: Stateside WWTP PPI: 002 1 Flow Measuring Point: ❑ Influent 10 Effluent @ No flow generated Parameter Code --► WO ai1, 00680 019,4Q ?=j 50060 Q0#' D 00620 i a A G @ z y E« • 3t 03 G 3 C C Q E fl� gfl a' - p m o 1 CD B G 1� ; 24-hr hrs 'GI!D mg1L iin`gy[: mglL rrtglL, mglL 1 08:30 1 1,1,41"W a 2 07:15 2 K11060 3 07:00 2 NOIC40,01 4 07:30 3 90-0 RKWIff, 1 5 07:00 31612'30q 6 07:15 3 ,30"660 ' -010 M., VA 7 08:00 2 600, y „ a R8:00 1 NWAOMA WN �; 9 07:30 2 OC117,,00 �,��. I 0012M 10 07:00 2.5 ;'1;100r -kNDjltkl 11 07:30 3 R41,4000 121 07:15 1 2 W1 b�0 yadj WARMARR., , 13 07:00 3 ; i9Zfi00 a 14 07:45 2.5 1115200� 15 08:45 1 ' 11200 0,:.,; 16 07:15 3 Ifl0006 17 07:00 3.5 :12iy wa MINk7 9M, 16 07:00 2 W 0 s 19 07:15 2 �9i14700§ , `0:56; <0.04 20 07:30 2.5 ;�i;1Q;0,pO,11 999M AMA 21 08:00 3 f13;9.0Q2 22 08:30 1 -00,6 9 02 m-7 _..__.. 23 07:00 3 241 07:30 3 �13fl000. 25 07:30 2 12n00, m s ,1 26 07:15 2 I OS;300. WW" , ,•" �"0:_43 ' 0.05 1 F 27 07:00 2.5 ff1,13;6Q0 ��,' W 28 07:30 2 A ,__' 29 08:45 1 '10$".900-41 MI-VA 30 07:30 1 2 91,1617D0, e ' m d� 311 07:15 1 2.5 ;060 ' , Average: 143;865° a' E ;0i53.. 0.03 Daily Maximum: 3U;S.QO M? 661 0.05 WE Daily Minimum: 0$$9i10 z ,;W 0'0�49 0.04 Sampling Type: 'Tk- Grab ' " qia� Grab (if_& Grab Monthly L[m[t: ,, 25pxj� 1I'0 r 10 Daily Limit: O Sample Frequency: J 'Oj tinudttf 3 X Year s SAY r� 2 X Month �2'X1�M1ta 2 X Month �2'_� su :1 a'Al,''.. 7.6 7.4 7.60 :0;09�ffl 7.40PID"64KI Grab ,G;raii Grab NUM 500 6.5-8.5 MCI= 2 X Month ?f'jJlonSh 3 X Year FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 7 of -I- 8 11 E3-- E3-- Daily Maximum: §W�OJM-' I-Rpliff0g. IF04-mm Elaw- R191 090=1 90R.0-0 I*, W. WA WMEN1 Daily Minimum: IM-020- N NW&_ WE I M-, 70MM Wam �Wlw warm Wl WM,51 Sampling Type: lf� Grab Grab Grab F�fforffiW Grab �,ff Grab;, wvm slow, Monthly Limit: KAffM. Mow 0"KIM lo NUM W- AM Soo 4A, wffl3E -'f Ilk OWN PIPION IV Daily Llmit: 'q Sample Frequency:,! 3 X Year 2 X Month 2XWnth, 2 X Month 3 X Year U FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page� of j- Permit No.: W00035809 facility Name: Stateside WWTP PPI: 004 Flow Measuring Point: © influent [r Effluent []i No flow generated Parameter Code d,a 00680 p0440e 60060 Oi & Oe 00620 I O Rc m;x� mm C m m mo Ba5 a�} F- �, mc E- m rEZ J U O U, e 1. r 9 ° 24-hr hrs malL 194QU-0-11 malL 09MW1. malL 7 8 9 10 11 12 13 14 15 16 17 16 19 TO 21 22 23 24 25 26 27 28 29 30 31 su Sampling T e: p q Yp a , cgzt e[ Grab °, ,�tp„ Grab GiAb Grab O_.. �� Grab C%f�f� . , Grab "' ' �, � , �" Monthly Limit: ` ..� f2Q. i:ar 10 m :._ ... 500 °.:. °. �e9 .. a ;.=': Daily Limit: � 0,..'�.,'' . '.� 6.5-8.5 M: �. Sample Frequency: v646tirsU 3 X Year � W) i`ear 2 X Month Xgflfai thi z X Manih � ff l4lontli 2 X Month a2a ? nth 3 X Year FORM: HDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page " of r Limit: Limit: 0.39 Os72® 0.53 7.70 0.24 p`:fi9 7.50 Grab Grab Grab 2 X Month IX`,Filati$h 1 2X Month FORM: NDM R 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 4 of 7 ICounty: Onslow I Month: January I Year: 2023 Parameter Monitoring Point: [3 Influent 0 Effluent E3 Groundwater Lowering [21 Surface Water Average: ?,-A4'j5M,' 0.54 1,9ROV4. Daily Maximum: 0.61 7.80 MKO-110M WOMEN n0j" Daily Minimum. W�&'06M� 0.46 Wb_,68�fir 7.60 WNW 10WA IN, RNO Sampling Type: Bbffa Grab Wftrab'%'� Grab �fflGji*,% MAW 17, 710- _417 Monthly Limit: WER "WE, Daily Limit.WWO., " WRIKA. -a RD �111 MW _4 *g [—sample Frocluency:ja,M 2iMonth , tf� 2 X Morith HUM FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Pago I of ! Sampling Person(s) Name: Jeff Jarman Name: Name: Environment 1 Name: Certified Laboratories 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: Jeff Jarman Permittee: Old North State Water Company Certification No.: 13491 Signing Official: i J p� V, /M C. DaV1G� I Grade: IV Phone Number: 910-330-8167 Signing Official's Title: Owner Has the ORC changed since the previous NDMR7 0 Yes 0 No Phone Number: 252-2354900 Permit Expiration: 2/28/2022 2/28/2023 OZL Signature Dale Signature Date By this signature, I certify that this report is acourrate and complete to the best of my knowledge. I certify, under penalty of law, that this document and all attachmenis 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 far knowing violations. Mail Original and Two Copies to: Division of Water Resources Information Processing Unit 1517 Mail Service Center Raleigh, North Carolina 27699-1617 User Friendly Name Official Parameter Name DWQ Accepted 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 pf1 00125 Dichlorobenzene Dichlorobenzene (Isomers) M/P In Water ug/l pg/L 00300 Dissolved Oxygen DO, Oxygen, Dissolved mg/L 00310 BODS BOD, 5-bay (20 Deg. C) mg/L 00340 COD COD, Oxygen Demand, Chem. (High Level) mg/L 00400 pH pH su 00480 Salinity Salinity mg/L 00515 Total Filterable Residue Residue, Tot Fltrble (dried at 105C) mg/L 00530 Total Suspended Solids Solids, Total Suspended mg/L 00545 Settleable Solids 5olids, Settleable mL/L 00556 Oil & Grease Oil Et 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 (as P) mg/L 00680 Total Organic Carbon Carbon, Tot Organic (TOC) mg/L 00681 Dissolved Organic Carbon Carbon, Dissolved Organic (As 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 Cl) mg/L 00945 Sulfate Sulfate, Total (as 504) mg/L 01002 Arsenic Arsenic, Total (as As) mg/L 01007 Barium Barium, Total (as Ha) mg/L 01022 Boron Boron, Total (as B) mg/L 01027 Cadmium Cadmium, Total (as Cd) mg/L 01034 Chromium Chromium, Total (as Cr) mg/L 01D42 Copper Copper, Total (as Cu) mg/L 01045 Iron Iron, Total (as Fe) mg/L 01051 Lead Lead, Total (as Pb) mg/L 01055 Manganese Manganese, Total (as Mn) mg/L 01067 Nickel Nickel, Total (as W) mg/L 01077 Silver Silver, Total (as AS) 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, lmmed,LES Endo Agar #1100 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 #/100 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 5D060 Total Residual Chlorine Chlorine, Total Residual mg/L 70295 Total Dissolved Solids Solids, Total Dissolved mg/L 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 Kjeldahl Nitrogen Nitrogen Kjeldalh, Total (TKN) Ibs/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 CO310 BODr, - Conc. BOD, 5-Day (20 Deg. C) - Concentration mg/L CO530 TSS - Conc. Solids, Total Suspended - Concentration mg/L CO600 Total Nitrogen - Conc. Nitrogen, Total (as N) - Concentration mg/L. CO610 Ammonia - Conc. Nitrogen, Ammonia Total (as N) - Concentration mg/L CO665 Total Phosphorus - Conc. Phosphorus, Total (as P) - Concentration mg/L NDVOC Volatile Compounds Volatile Compounds (Effluent) Yes/No WQOI 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 3 Permit No.: WQ0035809 Facility Name: Stateside WWTP County: Onsiow Month: January Year: 2023 Did infiltration occur at3taarxte� this facility? YES Ll NO Slte Name: 2 Site,.. e; . § : 9 ' Site Name: 4 rea;{aCtesj; 0 4� Area (acres): 0.45 Area"&j. : "0.$3 l >: Area (acres): 0.51 eplft P� ( f. Rate GPDlft� . 2.47 -Rafe G t11ft� ¢. z5� 6 : Rate (GPblft I: 5.16 Weather Freeboard 51te fi3fi tia�ed7 YES ° iS� ' ` Site Infiltrated? tj YES No S e fil r t d7 j No Site Infiltrated? El YES NO ro O �. w W (: a7 0. u m m R 4 �• a H R N 0. N A a G toi:. µ€O 'O E.� 4 a �m .. ;s .� 'a Ce ��� a i �' mG ':r C' hS "O6 recdl m .. �= m d .a m 7 fl. a Y7 m �_ �*,, F' .. 01 G 'G �6 O ...1 �, a C N O O A N m ..� R '� m ':#."i �" -71 Fri-11 ,-ac.zr7 tC. o:R ".' MR.,. - '.?» , frt- : ^��"'.[,. £ gym° Nl6 :L7 N '�` ab �'m: £ m ? a a s d 9 !! in ...1 ,, R O .0 N M R U. m °F in ft ft ° gai miR� GPdlftZl gal min GPDlft2 ft1,armiri GPDIftZ ...,ff01 gal I min GPDlft2 ft 1 CL 65 0. p ° 0.' O oO. � 17a? 0 0 0.00 N/a : �" 400, .. Qw... D:Q[3 '01, r`. '> ti �}58' = 1.5D. 2.77 2 CL 46 :O 1 NNO, , r""OA6 1WN%a 9 0 0 0.00 N/a 0=€ K: °0 0:00 { ' ' �55 203`� �1150j� 2.48 3 CL 46 ....0, ,. ,. '000 61,0160F Alu,W" 0 0 0.00 N/a 2.81 7.00 4 PC 65eU ` e 0 lfJ10 0 0 0.00 N/a _'. ,? 01= ..0 0.00 ' , �58$$$91950 2.63 5 PC 59 0°• •„ ;11130." ROWS OQ MVIA/a 0 0 0.00 Nla ?"�Ei 1� D 0:00 q�52;374 �1;7.54:g 2,36 61 C 43 F -W,0 Iff 0 w,,., 11k" N0 0Qa 0i1tNI;it $ 0 0 0.00 N/a ;" ; ©;g�e� �4 0:00� �.._; 56;829,,Ck 2.56 7 C 36 fl •.. •.. 0� 0° 0 00-M ' N18 e 0 0 0.00 N/ab:00� .._. `' 57 61.5 t&1 &4 [ 7 (3 2.59 8 C 33 .0 U; O',60yj IVNIA 0 0 0.00 N/a Ose �' ,0` 0;00 85i'72%A $W66111 2.96 9 PC 45 .. 0�.., ���0 �',O.QD� `�N/a"" 0 0 0.00 N/a ;��.,0�:�a r+.�0�� �, 0;40 ' .A.. =9;0U, 54;557 [ 160 ,.,. � 2.28 7.00 10 C 29 a �i.Q�'- h..0�?� ,°�0:00. � "� ��.�Nla a." 0 b D.bO N/a ter.° 4 .�,.�U�:�� ; ,4 ,ffl= ;�,�U:�a :� 0.0©�4k;�r�� eg9,582`A' �=1�150=,'. 2.23 11 C 34 e�„0:�:�. ',0; =0.00,' N/a, 0 0 0.00 N/a `.r 0. ._ �i3O_ 0,00 :._�,;.. tU;5'75";x �'1'1501 2.82 121 CL 51=%N/a . 0 0 0.00 N/a a y0.� � , �0 °y-: e=� 0.0,0.`• $ �`e� � : 56;428,, ; , ;1150�S 2.54 131 C 59 "�`0_.. 0 m �0;00, t- Nla° 0 0 0.00 N/a sD.gme m 0 W'00 _ 493ti0� 1;150 2.22 14 CL 39 i16, r-00-,OOrp, 19NMS 0 0 0.00 NIa p ` - . 0�1 i_U,'0O m� 5:1;734 1:150. 2.33 15 C 28 0jkVj Wb03? {]00 Nla-9 D D 0.00 N/a M1O g OW *64615 MWW54527,$ ;9,15Q 2.45 16 C 29 _ FO „ � 0E Q 60 t�N/ate 0 0 0.00 N/a €.Q �i 0� g p;00 9 DO.� 5.t;952x� �1.t50 2.34 6.00 17 C 48 0140, 'Okow" - KA.,00M, NNIMB 0 0 0.00 Nla °0._s 0 � �'U;00 ; ., � 5 i:i5a's �1:i5.D, 2.39 18 CL 50 0: tq0 3 $� 0;00'h'# WN/dift 0 0 0.00 N/a i0a 0-;; 6,0;00 ` 5©;828.1 1'1."64,2.28 191 CL 53 O- ;W° .rOd 0,:00: N /a-LV 0 1 0 0.00 N/a , ,.0 ; ��0 QO:DII', ._ 48Z-,f g'116 R 2.17 20 C 550„ .wr0€ 1 K0;00' 9 1 V N I iM 0 0 0.00 N/a ;... ,fly V,0'� ''='0.0q e<. `5207!t.d 1??1it50i 2.34 21 C 39 ;O :a ,rt�Q.m E ROUDE?aflla . D 0 0.00 N/a . 2.28 22 R 43 A w IM0s 0100 -9 0 0 0.00 N/a $� g Pf _.:gin : � 0 00 � 59 746 715u.� 2.69 23 R 51 2 MAIM, . 6 "O,d.O.. € ? Nfa 0 0 0.00 N/a ! ; .ii� b �� �}:00 �' 56;8i�6, I i80 2.56 6.00 24 C 30 md, m d1.O.OU `� "Nla 0 0 0.00 N/a 0.1 0� a0''.00 54,31$; i150' 2.45 261 CL 1 45 ,,. 0, t,q 91 .,00= ��iJla.. 0 0 0.00 N!a O 0; �'U:i10 -.6 51;08t; $1066V 2.30 26 PC 50 0, .6,90. . 0:©0... '°Nla 0 0 0.00 Nla 0 ��0� t0;0U �53:6,7915,0 2.42 27 C 32 0� �j, 0 d O;E)0 M'Nla-M 0 0 0.00 N/a pn>ij;,ObO 50;645F t15'd 2.28 28 C 28 0 ... W6V 40.00TOONI&M 0 0 0.00 1 N/a MO . ,u:00 90 84b I E50 2.24 29 C 34 f .D € 0;R O:OQ Nla 0 0 0.00 N/a 0 2,75 30 R 55 ff R � • ` Od- .. f1;gRMi, �...Nxa.. 0 0 0.00 N/a ._0. , .. f1 . O;E10. " .. ... 'S7 5$9f 1 1 89� 2.59 31 CL 54 `�O.e `> Nola Nla 0 0 0.000��:00 �,4;921E� 1150 2.47 7.00 Monthly DR_ 2.47 Year to Date Loading GPDlft): FORM: NDAR-2 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page 2 of I Permit No.: WQ0035809 Facility Name: Stateside WWTP County: Onslow Month: January Year: 2023 Did 111f11tPatlOn OCCLIE at this facility? [] YES © NO Site:Na �a� Site Name: Site°-. �ri�e Site Name: ��� �A[eg [acmes a £ W ._. 0.43- Area (acres): m . 015,11 ter., .sec. . Area (acres): wx t t "> 5 6 Hate GPDlft� m . G F . m . Rate GPDlft2 Weather Freeboard a 1ke�e Infflirafed [� F 91£ � No Site Infiltrated? ❑ YES © NO ffiatC:ll tilk[dte [J Y 5 p Site Infiltrated? (3 YES Q NO T R o m w ad, ` C E m ..+ o m .._ m R m .p. CL c w ,� a R A G.- m e n m .:m a" °gym n ? Lam^ C m Q �' my arm+11- r� +' 1 t:: �c.� poi ...... a_ "ri, � � Hat` O Ilf! C s°froco,. m a m 7 R o C Q m m r+ F e m A �1 ?, In A C O b m p �' a �t . m; m °'C! m" .7iEm. ,aO. . a03 a . ,., ,. a:.- S.°3 m f.:; c�� • �°A . a.; ; �",� O- Vi �� m3 �» uc m 'p m C p c Q Oal m +•• E I-^F c tM R J Z• M C O .G m C w °F in fi ft al riair!''.CaPDlft2 < gal min GPDlft2 ft WfAIN F*iiiln IGPDlft;' Un4ltPW. gal I min GPD1ft2 ft 1 CL 65 10 mmm SWUM N,21 .. iIm,m ...W,. ;A 2 CL 46 m . Una . .00 ' : `` .p a-." . �. 01ML0 IR " 3 CL 46 ' 0... . , r:d-10 UAW C1.Q �m ��,?�:: - ;yam 5 PC 59 0 `:� ;�O:OQ '..a 3; , m g a _:`'. .; .� • 6 C 43140,0419WWI b:0a. �� . € , ; WT 8 C 33 - 0 _E54 AWN W00,02R,a owns, 9 PC 45 © '. 7ft,a ° U,-00 $ 00 " , MAR a .- :. =o:°nn . �..- :. ;.. .. et 11 C 34` 0 °. 121 CL 51 U>` :3 [1,1112 Ko:*rl *. ' : ? : <":>;,.. z.a4mJ#,s URNEW 0, 18 CL 50 3 0 O;Od r 101 W WUNA k , ' 004,000 19 CL 53 8itHM ��.� 0,:00`, ,. � R, U w NNW .M 0 rc;o%, .ry m 16 dew 11wMto ..:' 22 R 43 ,0' • M0 I00 0p ." .. ' r f S-._ 241 C 30 261 CL 45 .fla�. Via...... �... � R - aa�a m 26 PC 50 -0� " �000 �� �" :...° 27 C 32 • 0W _ . TRtV'pb � N -O v 0 0 TA 1As VA 30 R 55 €_... t.'0. MI� 000 :fir �, .... 31 CL 54 " ' t `�0..".". ��siia "0;00� I3:Oo : fir.« ....W` .'1 _ ..a E#DIVIO! jj Monfhty Loading iGPDlfts): �0m00i jj #DIV10!#IS1V�4t Year to Date Loadin GPDIft2 FORM: NDAR-2 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page 3 of 3 Did the application rates exceed the limits in Attachment B of your permit? p Compliant p Non -Compliant If not a basin, were the sites kept free of vegetation and raked? to compliant © Non -Compliant If not a basin, were there any instances of effluent ponding in or runoff from the sites? IZ Compliant] Non -Compliant If a basin, were there any instances of breakout from the berms? 0 Compliant ❑ Non -Compliant Was the onsite automatically activated standby power source tested and operational? CI 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: Jeff Jarman Permittee: OldNorth State Water Coo any Certification No.: 13491 Signing Official: J O�n 1 'f 4 DYtG�I G� Grade: IV Phone Number: 910-330-8167 Signing Official's Title: Owner Has the ORC changed since the previous NDAR-2? © yes ❑J No Phone Number: 252-235-4900 Permit Exp.: 2128/22 2/28/2023 a 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 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 vialattons. Mail Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Formulas Loadi-ng (GpD t) Voi?•u•meAppUed (gaitons) Area (acres) x- 43,S60 ftT acre Weather Codes Clear C Cloudy CL Partly Cloudy PC Rain R Sleet SL Snow SN