WQ0003765_Monitoring - 02-2023_20230328

Monitoring Report Submittal
.....................................................
Permit Number#* WQ0003765
Name of Facility:* New Bern Seven Water Reclamation Facility
Month: * February Year: * 2023
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Upload Document*
02-February New Bern Seven Water Reclamation 1.52MB
Facility.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
cheryl king
L 'Ire-
Reviewer: Wanda.Gerald
3/28/2023
This will be filled in automatically

Is the project number correct?* W00003765
Is the monitoring report accepted?* Yes NO
Regional Office* Washington
Reviewer: _anonymous
Review Date: 4/25/2023

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of
Permit No.:
WQ0003765
Facility Name:
New Bern Seven Water Reclamation Facility
County:
Craven
month:
February
Year:
2023
®id
irrigation occur
Field Name:
- � --
1
Field Name:
2
Field Name
.
3
Field Name:
4
Area
(acres):
14A
Area (acres):
13
Area {acres)
13
Area
(acres):
13.8
at this facility?
Cover Crop:
Bermuda/Hardwood
Cover Crop:
BermudalHardwood
Cover Crop.
BermudalHardwood
Cover
Crop:
Bermuda/Hardwood
F/I
YES
❑ NO
Hourly Rate (in):
N/A
Hourly Rate (in):
NIA
Hourly Rate (in}.
NIA
Hourly Rate (in):
NIA
Annual Rate (in):
52.1
Annual Rate (in):
65.2
Annual.Rate
65.2
Annual Rate (in):
65.2
Weather
Freeboard
Field Irrigated?
)] YES
❑ NO
Field Irrigated?
E)YES
❑ NO
Fieltl lrrigated?
.0 YES
❑ No
Field Irrigated?
(] YES
❑ NO
y
O
v
y0
N
w m
a <0
� '� -
9
- m
E T M-
Gl R
V
67
E m
U 'O
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co
E A R
N i7
'6
�
E i31
�p
U
ar
w
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-
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o
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E N
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a ... C
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ro
F-
0.
w;:
Lo ._
OF
in
ft
ft
gal
min
in
in
gal
min
in
in
in
gal
min
in
in
1
CL
51
0..04
3.8
4.5
60,059
120
4:15
0,08
56,688
120
0.16
0.08
61;284'
120
0.17
OA9
61,284
120
0.16
0.08
2
R
39
0,34
3.8
4.5
3
CL
45
0.68
3.6
4
4
3.5
3.9
5
3.4
4
6
PC
45
0.13
3.3
4.1
60,059
120
016
0.08
56,688
120
0.16
0.08
61,284
120
0.17
0.09
61,284
120
0.16
0.08
7
PC
37
3.3
4.1
60,059
120
0.15
0.08
56,688
120
0.16
0.08
617284
120
0.17
0,09 1
61,284
120
0.16
0.08
8
C
45
3.4
4.1
60,059
120
0.15
0.08
56,688
120
0.16
0,08
61,284'
120
0.17
0.09
61,284
120
0.16
0.08
9
C
44
3.5
4.1
60,059
120
015
0,08
56,688
120
0.16
0.08
61,284'+
1"20'
0.17
0.09 i
61,284
120
0.16
0.08
10
PC
65
3.6
4.1
60,059
120
OJ5
0,08 i
56,688
120
0.16
0.08
61,284
120,
0.17,
0.09
61,284
120
0.16
0.08
11
3.6
4.1
12
3.4
4
13
CL
45
1.61
3.2
4.6
14
PC
40
3.1
4.6
60,059
120.,
0.15
0.08 .;
56,688
120
0.16
0.08
61,284 '
120
0.17
0.09
61,284
120
0.16
0.08
151
C
1 43
1
3
4.5
60,059
120
0.15
0,08 ,
56,688
120
0.16
0,08
61,284
120
0.17
0.09
61,284
120
0.16
0.08
16
C
54
3.2
4.5
60,059
120
015
0.08
56,688
120
0.16
0.08
61,284,
120'
'0.17,
0.09
61,284
120
0.16
0.08
17
PC
67
3.4
4.5
60,059
120
015
0.08
56,688
120
0.16
0.08
61,284
120'
0.17
0.09
61,284
120
0.16
0.08
18
3.4
4.6
19
3.4
4.7
20
PC
52
0.04
3.3
4.8
60,059
120
.015
0.08
56,688
120
0.16
0.08
61,2841
120'
0.17
0,09
61,284
120
0.16
0.08
21
C
59
3.4
4
60,059
120
015
0.08
56,688
120
0.16
0.08
61,284,
120
0.17
10,09
61,284
120
0.16
0.08
22
C
1 50
1
3.4
4
60,059
120
015
.0,08 ':
56,688
120
0.16
0.08
61,284 `
120,
0..17
0.09
61,284
120
0.16
0.08
23
C
65
3.5
4
60,059
120
0.15 "
0,08
56,688
120
0,16
0.08
61,284
120
0.17
0,09
61,284
120
0.16
0.08
24
PC
63
3.6
4.1
60,059
120
015
0.08
56,688
120
0.16
0.08
61,284 i
120
0.17
'0:09 '
61,284
120
0.16
0.08
25
3.7
4.3
26
3.6
4.3
27
C
51
0.32
3.5
4.3 1
60,059,
120
0.15,
0.08, i
56,688
120
0,16
0,08
61,284
120
0.17
0;09
61,284
120
0.16
0.08
28
C
60
3.6
4.4
60,059
120
015
0.08
56,688
120
0.16
0.08
61,284 '
120!"
0.17
0i09
61,284
120
0.16
0.08
d40.14
1,021,000;
2.61
963,696
2.73
11,041,828
2.95
1,041,828
2.78
12 Month Floating Total (in)-1
37.20
39.28
45:59

FORM: NQAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2 of 4
Permit No.:
WQ0003765
Facility Name:
New Bern Seven Water Reclamation Facility
County:
Craven
...
Month:
..........
February
Year:
2023
Did irrigation occur
Field Name:
S
Field Name:
6 A
Field Name:?
8 C
Field Name:
7-A
Area
(acres):
11
Area (acres):
1.18
Area
(acres) `
9 64
Area (acres):
2,82
at this facility?
Cover Crop.:9ermudalHardwood'
p.p,
Cover Crop:
Bermuda/Hardwood
Cover:Cro
BermudalHardwood
Cover Crop:BermudaJHardwood
[A
YES
El No
Hourly Rate
N1A
Hourly Rate (in):
NIA
Hourly. Rate {in):'
NlA
Hourly Rate (in):
NIA
Annual Rate (m):
52.1
Annual Rate (in):
31.7
.Annual'Rate (in);
5211
Annual Rate (in):
31.7
Weather
Freeboard
Field Irrigated?
>Q YEs
;, Q No
Field Irrigated?
❑Yes No
Field Irrigated?
0 Yes;;
["No
Field Irrigated?
YES
❑ No
7
E C
o=
f
=p
'a
Qf
o
NGl
N
�
C
C
av
CL
p
.
CLP
CD
x
p
a
CL
p
lEp
16L)
-
-
-
,6
°e
1 In
ft
ft
gal
;min".
m
in
gal
min
in
m
gal
min ' .
m "
in,, ;'
gal
min
In
in
1
CL
51
0..04
3.8
4.5
32,436
120
0 11...:
0.05 '`
':41,D62
120
0,16
0 a8 "'
5,881
120
0.08
0.04
2
R
39
0.34
3.8
4.5
3
CL
45
0.68
3.6
4
4
3.5
3.9
5
3.4
4
6
PC
45
1 0.13
3.3
4.1
32,436
120
0.11
0,05
41,,062',;
':.120
0.16
0.08
5,881
1 120
0.08
0.04
7
PC
37
3.3
4.1
32,436
120
0.11
0.05
41,062 ""' "
120. `
' 0:16
`" 0;08`
5,881
1 120
0,08
0.04
8
C
45
3A
4.1
32,436
' ? 120
0.11
0,05
41.062
120
0:16.'
. D.D8`"
5,881
120
0.08
0.04
9
C
44
3.5
4.1
32,436
120
V1
0.05
41,062
120
0.16
-. 0.08`
5,881
120
0.08
0.04
10
PC
65
3.6
4.1
32,436
120
0.11
0.06 ''
41,062
120 l
0,16
0,08
5,881
120
0.08
0.04
11
3.6
4.1
12
3.4
4
13
CL
45
1.61
3.2
4.6
14
PC
40
3.1
4.6
32,436
120
0.11
0.05;
41,062
120 +
"0:16
0.08. `
5,881
120
0.08
0.04
15
C
43
3
4.5
32,436
120
0.11
0.05
41,062
120
0.16
', 0:08
5,881
120
0.08
0.04
16
C
54
3.2
4.5 1
32,436
120
0.11
0.05'
41,062
120 =
0,16
0,08
5,881
120
0.08
1 0.04
17
PC
67
3.4
4.5
32,436
120
0,11
0.05
41,062 i
120
0.16
0,08 I
5,881
120
0.08
0.04
is
3.4
4.6
19
3.4
4.7
20
PC
52
0.04
3.3
4.8
32,436
120
0,11
0.05
41,062,
120
0.16"
'; 0.08`
5,881
120
0.08
0.04
21
C
59
3A
4
32,436
120
0,11
0.05
41,062
120 '',,
0,16
0.08'
5,881
120
0.08
0.04
22
C
50
3.4 1
4 1
32,436
120
0.11
0.05 ,;
41,062
120
0;16
0.08
5,881
120
0,08
1 0.04
23
C
65
3.5
4
32;436
120
0.11
0.05 `
41,062
120 "
0,16
'" 0.08
5,881
120
0.08
0.04
24
PC
63
3.6
4.1
32,436'
120
0.11
' . 0.05
3,422
10
0.01
d 0,01 f :`
5,881
120
0.08
0.04
25
3.7
4.3
26
3.6
4.3
27
C
51
0.32
3.5
4.3
.32,436,
120
0,11
0,05
41,062,
120
0,16'
0108
5,881
120
0.08
0,04
28
C
60
3.6
4.4 1
32,436,
120
", 0.11
0.05
:41,062 +
- 120 =
0.16
i" 0.08i
5,881
120 1
0.08
0.04
Monthly Loading:
.651'Al2''
1.85
0
0.00
660,407";
2.52
99,976
1.31
12 Month Floating Total (in):
25.08
0.00
36.40"'
18.38

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 3 of 4
Permit No.:
WQ0003765
Facility Name:
New Bern Seven Water Reclamation Facility
County:
Craven
Month:
February 1Year:
2023
Did irrigation occur
Field Name:
7-13.
Field Name:
7-C
Field Name:
8-13
Field Name:
8-C
Area
(acres):
0.61
Area
(acres):
9,34
Area,(acres)r
1,91
Area
(acres):
10.9
at this facility?
Cover Crop,
Bermuda/Hardwood
Cover
Crop:
Bermuda/Hardwood
Cover crop:
6ermuda/Hardwood
r
Cover Crop:
Bermuda/Hardwood
❑
res
❑ No
Hourly Rate (in):
NIA
Hourly Rate (in):
N/A
Hourly Rate {in}
N/A
Hourly Rate (in):
N/A
Annual Rate (in):
65;2
Annual Rate (in):
52.1
Annual Rate {In};;
65.2
Annual Rate
(in):
52.1
Weather
Freeboard
Field Irrigated?
0 YES
❑ NO
Field Irrigated?
0 YES
❑ NO
Field Irrigated?
❑ YES
❑.No
Field Irrigated?
M YES
❑ No
N
is
a
C
°
�,
v
N s
y a
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Im
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ro v
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iaro
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F
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°F
in
ft
ft
gal
min
In
in
gal I
min
in
I in
gal
min
in '
in
gal I
min
in
I in
1
CL
1 51
0..04
3.8
4.5
1,176
120
0.07
0.04 '
37,982
120
0.15
0.07
6,785 '
120
0.13 i
0,07
38,453
120
0.13
0.06
2
R
39
0.34
3.8
4.5
3
CL
45
0,68
3.6
4
4
3.5
3.9
5
3A
4
6
PC
45
0.13
3.3
4.1
1,176
120
0,07
t 0.04
37,982 1
120
0.15
1 0.07
6,785
120
0.13
0,07
38,453 1
120
0.13
1 0.06
7
PC
37
3.3
4.1
1,176,
120
0.07
0.04 l
37,982
120
0.15
0.07
6,786
120
0,13 '
'0.07
38,453
120
0.13
0,06
8
C
45
3.4
4.1
1176
120
0.07
0.04
37,982
120
0.15
0.07
6,785
120
0,13
! 0.07
38,453
120
0,13
0.06
9
C
44
3.5
4.1
1,176
120
0,07
0,04 i
37,982
120
0,15
0.07
6;785
120
0.13
0.07
38,453
120
0.13
0.06
10
PC
65
1
3.6
4.1
1176
120
0,07
0.04
37,982
120
0.15
0.07
6,785
120
0.13
007
38,453
120
0.13
0.06
11
3.6
4.1
12
3.4
4
13
CL
45
1.61
3.2
4.6
14
PC
40
3.1
4.6
1,176,
120
0.07
0,04
37,982
120
0.15
0.07
6,785
120
013 '
0.07
38,453
120
0.13
0.06
15
C
43
1
3
4.5
1,170
120
0,07
0.04
37,982
120
0.15
0.07
6,785 i
120
0,13 ,
0:07 1
38,453
120
0.13
0.06
16
C
54
3.2
4.5
11176
120
'0,07
0.04
37,982
120
0.15
0.07
6,785 '
120 ,
0.13
0.07
38,453
120
0.13
0.06
17
PC
67
3.4 1
4.5 1
1,176
120
0.07
0,04
37,982
120
0.15
0.07
6,785 ;'
120
0.13
0.07
38,453
120
0.13
0.06
18
3.4
4.6
19
3.4
4.7
20
PC
52
0.04
3.3
4.8
1`,176
120
0,07
0,04, '
37,982
120
0.15
1 0.07
6,785 i
120 ',
0.13
:t 0.07'
38,453
120
0.13
0.06
21
C
59
3.4
4
1,176
120
0.07
0.04 >
37,982
120
0.15
0,07
6,785
120
0.13 `.
D.07
38,453
120
0.13
0.06
22
C
50
3A
4
1,176
120
0.07
0,04 "
37,982
120
0.15
0.07
6,785
120
0.13
0,07
38,453
120
0.13
0.06
23
C
65
3.5
4
1176
120,
0.07
0.04,
37,982
120
0,15
0.07
6,785
120
0.13
0,07
38,453
120
0.13
0.06
24
PC
63
3.6 1
4.1 1
1,176,
120
0.07
0.04
37,982
120
0,15
0.07
6,785
120
0.13
0.07
38,453
120
0.13
0.06
25
3.7
4.3
26
1
3.6
4.3
27
C
51
0.32
3.5
4.3
1;176
120
0;07
0.04 ''
37,982
120
0.15
0.07
6,785
120 '
0.13
0.07
38,453
120
0.13
0.06
28
C
60
3.6
4.4
1,176
120
0.07
0.04
37,982
120
0.15
0,07
6,785
120
0.13 ,
0.07,
38,453
120
0.13
0.06
19,992
1;21.
-
645,701
2.55
115,342:
2,22 `
653,698
2.21
12 Month Floating Tota! (in):
17.05
36.07
31.64
`
31.14

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 4 of 4
Permit No.:
WQ0003765
Facility Name:
New Bern Seven Water Reclamation Facility
Did irrigation occur
Field Name:
9-B
Field Name:
9-C
Area {acres)..
1.4t3
Area (acres):
8.43
at this facility?
Cover Crop
, t3ermudalHardwaod
Cover Crop:
Bermuda/Hardwood
El YES
❑ NO
Hourly kate {In}:.::NIA:Hourly
Rate (in):
NIA
Annual Rate
65;2
Annual Rate (in):
52.1
Weather
Freeboard
Field Irrigated?
0 YES
❑ No
Field Irrigated?
Yes
❑ No
m
a
m
c
°
v
v m
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thin
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51
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3.8
4.5
7,691,
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37,548
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2
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39
0.34
3.8
4.5
3
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45
0,68
3.6
4
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3.5
3.9
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3.4
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6
PC
45
1 0.131
3.3
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37,648 1
120
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7
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37
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120 -
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37,548
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. 120
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20
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Monthly Loading
12 Month Floating Total (in)
County: Craven Month
February
Year:
2023
Field Name:
Area (acres):
Cover Crop:
Hourly Rate (in):
Annual Rate (in):
Field Irrigated?
❑ YES
P1 No
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) February 2023
Permit No: W00003765
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
❑r Compliant
❑ Non -Compliant
0 Compliant
❑ Non -Compliant
❑� Compliant
❑ Non -Compliant
❑✓ Compliant
❑ Non -Compliant
❑� 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: John Timothy Scott
Permittee:
Foster Hughes (City Manager) City of New Bern
Certification No.: 993732
Signing Official: Jordan Hughes
Grade: IV Phone Number: [phone]
Signing Official's Title:
Has the ORC changed since the previous NDAR-1? ❑ Yes [D No
Phone Number: [phone] Permit Exp.: 03/31/2029
—
03/23/2023
03/24/2023
Signature Date
Signature Date
By this signature, I certify that this report is accurrale and complete to the best of my knowledge.
I certify, under penally 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.: WQ0003765
Facility Name:
New Bern Seven Water Reclamation
PPI:
001
Flow Measuring Point:
❑ Influent ❑ Effluent ❑ No flow generated
Parameter Code
o
60060
00310
00940 `
50060
31616 "
00610
�
w
100
0
V
c
,C
LO
j
CU
O
OU
.
0
Q >
a
LL
p]
.t
F aNi .c
iJ. - -•p .
0
0 E
a
a
a
a
F
0
24-hr
hrs
YINIB
GPD
mg1L
mglL
mglL
#1100 ml-
mglL
1
06:20
7:10
B
423 060'S
1.1
2
06:30
17:30
B
403,000
1.5
3
06:00
8:00
B
4.38,000 `
1.1
4
07:00
6:00
N
522,000
5
06:50
7:40
N
460,000
6
06:30
5:30
B
396,000
0.6
7
06:30
6:30
B
394,000
0.4
8
06:40
6:50
B
288,000 '
0.9
9
06:30
7:00
Y
247,000
2,1
2.4
<l
<0.5
10
06:20
6:10
Y
317,000
1.5
11
06:00
6:00
Y
446,000:
12
01:15
18:45
Y
438,000
13
06:25
6:50
1 Y
523;000
0.8
14
06:20
T20
Y
406,000 >
1.1
15
06:25
7:05
Y
297,000,
3.4
16
06:35
6:55
Y
281,000
7.4
2.1
<1.
<0.5
17
06:20
8:10
B
333,000
2.2
18
06:45
6:15
N
341,000
19
06:30
7:15
N
304,000
20
06:30
7:00
Y
'347000
1.4
21
06:25
7:05
Y
349000'
1.1
22
06:20
7:10
Y
358,000
1,9
23
06:00
7:30
Y
227,000
1.3
24
06:30
6:30
B
299,000 `
0.8
25
06:15
12:15
N
392,000
26
06:00
6:00
Y
332,000
27
06:23
7:17
Y
313000
0.8
28
06:20
6:40
Y
243000 `
1.2
29
30
ICounty:
Craven
( Month:
February l
Year: 2023
Parameter Monitoring Point:
❑ Influent
0 Effluent
❑ Groundwater Lowering
❑ Surface water
00625 l
00620
.00600
00400
00666,'
00076
76300
00530
O
o.
c
O �Q:.
D..
a
0
°: ;
.
Q
1°qq;,o
° aL o
Y z
..'
r.
Oi
a
N
mglL..
mglL
mgJL
su
mg1L
NTt1
mglh' !
mglL
7.43
2.38
7.39
2.45
7.08
4.26
4.97
3.80
7.43
5.08
7.79
3.84
7.00
2.93
I A9
24.8
26 29 .'
6.85
4,09 ,
183
3.7
6.71
2,84
2.82
4.17
7.08
2.50
7.28
1.70
6.90
2.30
1.45
26.5
27.95
7.12
3,62 . `
1.96
3.6
7.07
1.77
2.05
1,82
6.78
2,26
6.79
2.79
6.86
2.31
6.88
1.73
T20
1.72
1.51
1.68
6.75
1.98
6.90
1.48
Average:
'358,107
4.8
1.38
1;00
0
'1:50
25.7
27.1
3:90',,:
2.40
3.7
Daily Maximum:
523,000
7.4
3.40
0i
0
1.49
26.5
27,95 -
7.8
4.09' ,
5.08
3.7
Daily Minimum:
227 000,
2.1
0.40
0'
0
1A5
24.8
26.29'
6J
-3.62, `
1.48
3.6
Sampling Type:
Recorder,
Composite
Composite
Grab
Grab
Composite
'Composite
Composite
Composite
Grab
Composite
Recorder
Composite
Composite
Monthly Avg. Limit:
499362 `'
10
14 .
4
5
Daily Limit:
1,152,000'
15
25'
6
10
10
Sample Frequency:
I continuousl
2 X Month
3 X Year
5 X Week
2'X Month'
2 X Month
2''X Month'.
2 X Month 1,2
X Month'
5 X Week
2 X Month]
Continuous
3 XYear.
2 X Month

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) February 2023
Permit No.: WQ0003765
Sampling Person(s) Certified Laboratories
Name: Tony Hawkins/John Tim Scott/ Operator on Duty Name: New Bern WWTP
Name: Lab Personnel Name: Environment 1
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: John Timothy Scott
Permittee: Foster Hughes City Manager
Certification No.: 993732
Signing Official: Jordan Hughes
Grade: IV Phone Number: 252-639-7556
Signing Officials Title: City Engineer
Has the ORC changed since the previous NDMR? ❑ Yes F] No
Phone Number: 252-639-7526 Permit Expiration: 03/31/2029
03/23/2023
03/24/2023
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 penally 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