WQ0005849_Monitoring - 02-2023_20230322

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * February
WQ0005849
Pluris LLC
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*
20230322150718438.pdf 16.93MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Dwight Peterson
Reviewer: Wanda.Gerald
3/22/2023
This will be filled in automatically

Is the project number correct?* W00005849
Is the monitoring report accepted?* Yes NO
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 4/26/2023

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page / of
Permit No.: WQ0005849
Facility Name:
Pluris North Topsail WWTF
County:
Onslow
Month: February
Year: 2023
PPI:
002
Flow Measuring Point: ❑Influent Effluent ❑ No Flow generated
Parameter Monitoring Point:
❑influent
Q Effluent ❑Groundwater Lowering ❑surface Water
Parameter Code -►
50060
00400
31616 i
00310
00610
00620
00606
00665
00530
00625
00J40
70300
�
o
y
cto An
S
c
0
aYlp
ca
O
�z
O
_
o H oO
�•i�d-
am
z
°a
`.3z
O
O
a
va .
o
�-
24-hr
hrs
GPD
su
#1100 mL'
mg/L
mg/L �� �
mg/L
rdg/L`' ,
mg/L
�'<` mgiL �" +
mg/L
mg/L.
mg/L
1
07:00
8
428,676 '+
7.4
2
07:00
8
476,122
7.5
<1
<2
<0.2
1.21
2.1
0.31
<2.5
0.9
3
07:00
8
458,254
7.4
4
32,5,620
5
307,534
61
07:00
8
311,327
7.3
7
07:00
8
307,672I
7.3
<1
<2
<0.2
0.36
2.9
1.49
<2.5
2.5
8
07:00
8
294,598
7.3
9
07:00
8
387,396.
7.4
c1
<2
<0.2
0.07
1J
1.22
<2.5
1.6
10
07:00
8
0
11
'236,854 i
121
501,385
13
07:00
8
452,384 ';',
7.3
14
07:00
8
485,608
7.4
<1
<2
<0.2
0.26
0.9.
0.34
c2.5
0.6
15
07:00
8
498,510 '
7.3
16
07:00
8
473,190 �'
7.5
c1 ,
<2
` <0:2
0.54
` 1.2.
0.25
<2,5
0.7
17
07:00
8
480,838
7.1
18
483,426
19
480,610
20
07:00
8
445,143
7.4
21
07:00
8
424,800
7.4
<1
<2
<0,2
0.82
1.9
1.02
<2.5
1.1
22
07:00
8
442;906
T4
231
07:00
8
336,436 '>
7.5
<1
<2
<0:2
1.6
2.2
0.92
<2.5
0.6
24
07:00
8
477,068
7.5
25
445,229
26
517,599
27
07:00 1
8
503,656 ':
7.3
28
07:00
8
448,992
7.4
<1
<2
<0.2
0.61
1.5
0.16
<2.5
0.9
Average: 408,,280
1.00
0.00
0.00 1
0.68
1.80 '
0.71 1,
0.00
1.11
Daily Maximum: 517,599
7.50
1,00
2.00
0.20
1,60
2.90
1.49
2.60
2.50
Daily Minimum: 0
7.10
1.00
2.00
0.20
0.07
0`:90 .'
0.16
2:50
0.60
Sampling Type: Recorder
Grab
Grab
Composite
Composite
Composite
'Composite
Composite
Composite
Composite
Composite
Composite
Monthly Avg. Limit: 500,000'
6 to 9
14
4
10
NL
4
2
10
4
NL
NL
Daily Limit:
Sam pie Frequency: I Continuous+'
5 x week
2 xweek
2 x week
i 2 x week i
2 x week
2 x week
2 x week
Pxweek
i 2 x week i
3 x year i
3 x year

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page d2 of a
Sampling Person(s) Certified Laboratories
Name: Dwight Peterson Name: Environchem
Name: Steve Calder 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: Dwight Peterson
Permittee: Maurice Gallard
Certification No.: 1002194
Signing Official: Dwight Peterson
Grade: 4 Phone Number: 910-327-2880
Signing Official's Title: Plant Manager
Has the ORC changed since the previous NDMR? ❑ Yes (] No
Phone Number: 910-327-2880 Permit Expiration: 12/31/2026
12�W z3
3-Z2-z3
3_2z
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 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 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page 5 of t 0
Permit No.: WQ0005849
Facility Name: Pluris North Topsail WWTF
PPI: 004
Flow Measuring Point: ❑ influent [D Effluent ❑ No flow generated
Parameter Code —s
50050 '
00400
31676
00610
00600
00665
1
>
C
5
G
N
2
�d
_Ea;
3...,
z
G
(,� F
~ N
U.
O
p
Q
24-hr
hrs
GIRD
I su
1 #1106 mL1
mg1L
aWL
I mg1L
7.5 1 <1 i 1 0.5 1 2.7 ,' 1 1.28
7.5 1­­ <t , 1 <0.2 1.. , .1.2 ,] 1.04
7.4 I <1 1 0.3 1 1 I 0.47
7.5 1 <1 I <0.2 I . ! 2.3 , 1 0.67
County: Onslow Month: February Year: 2023
Parameter Monitoring Point: ❑ Influent ❑ Effluent 2 Groundwater Lowering ❑ Surface Water
00940 70300 1
'o
Average:
213,986
1.00'
0.20
1.80
0.87
0 75i
Daily Maximum:
' 516,989
#REF!
1.00
0.50
2,10
1.28
0�95i
Daily Minimum:
29,008
#REF!
1.00
0.20
1.00
0.47
OAS
Sampling Type:..
. Recorder
Grab
Grab,
Grab
Grab
Grab
Grab
Grab
Grab.
Monthly Avg. Limit:
NL
6.5 to 8.5
14
1.5
NL
NL
10
250
500
Daily Limit:
Sample Frequency:
Continuous 'I
5 x week 1
weekly
weekly
weeklyl
weekly
weekly ,
3 x year
3 x year

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page 4-of 6
Sampling Person(s) Certified Laboratories
Name: Dwight Peterson Name: Environchem
Name: Steve Calder Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? O 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: Dwight Peterson
Permittee: Maurice Gaillard
Certification No.: 1002194
Signing Official: Dwight Peterson
Grade: 4 Phone Number: 910-327-2880
Signing Official's Title: Plant Manager
Has the ORC changed since the previous NDMR? ❑ Yes (] No
Phone Number: 910-327-2880 Permit Expiration: 12/31/2026
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 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 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page -,— of

FORM: NDAR-2 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page to of
Did the application rates exceed the limits in Attachment B of your permit? 2] Compliant ❑ Non -Compliant
If not a basin, were the sites kept free of vegetation and raked? 2 Compliant ❑ Non -Compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites? 2 Compliant ❑ Non -Compliant
If a basin, were there any instances of breakout from the berms? El Compliant ❑ Non-comprant
Was the onsite automatically activated standby power source tested and operational? El Compliant ❑ Non-Comphant
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: Dwight Peterson
Permittee:
MAURICE GALLARD
Certification No.: 1002194
Signing Official: Dwight Peterson
Grade: 4 Phone Number:
Signing Officials Title: Plant Manager
Has the ORC changed since the previous NDAR-2? ❑ Yes 0 No
Phone Number: 910-327-2880 Permit Exp.: 12/31 /26
_-2F- 1_7
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 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _L_ of
Permit No.: WQ0005849
Facility Name: Pluris North Topsail WWTF
PPI: 001
Flow Measuring Point: ED Influent ❑ Effluent ❑ No flow generated
Parameter Code 1.1
50050 ';
00010
00400
50060
00310
00625
O
�
p
m
F
V
ItU
usR .
s
� �
Z
o
24-hr
hrs
GPD ''
°C
su
mg/L
mg/L
mg/L
1
07:00
8
299,823 -
57
9A
0.3
2
07:00
8
317,143
3
07:00
8
317,604
4
464,618
5
642,915
59
9.3
0.5
6
07:00
8
631,454
7
07:00
8
425,655
41
9.3
0.5
51
6.1
8
07:00
8
4111227 ".
45
9.5
0.4
9
07:00
8
421,165
47
9.5
0.4
10
07:00
8
447,909
58
9A
0.5
11
441,336 !
12
4'7009 `'
13
07:00
8
357,936
14
07:00
8
331,421
42
4.6"
0.5
15
07:00
8
326,717_
49
9.6
0.4
161
07:00
8
326,918 +
55
9.6
0.5
17
07:00
8
326,274
57
9.4
0.5
18
327,099
19
398,860
58
9.5
0.5
20
07:00
8
464,242
55
9,5 "
0.4
77
21
07:00
8
339,811
61
9.4
0.4
28
12.2
221
07:00
8
328,528"
53
9,6
0.5
23
07:00
8
438,341
61
9.6
0.3
24
07:00
8
342,195
63
9.4
0.5
25
338,188
26
329,368 "
27
07:00
8
303,434
28
07:00 1
8
1 287.913 i
County: Onslow
Month: February
Year: 2023
Parameter Monitoring Point: ❑ Influent Q Effluent ❑ Groundwater Lowering ❑ Surface Water
00610
00620
31616
00660
00665
703001
00940
c
.`,
m
is
c
Co
N
B a
V
CD
`o
o w
ma/L
` .moll
#/100 mL
ma/L
ma/L
ma/L
mall
1.3
2
0
5
2.8
3.9
Average:
,344,529
53.81
0.44
39.50
9.15
102.00 '
1.65
1,24
2.24
10.40
3.35
Daily Maximum:
642,915 ''
63.00
9.60
0.50
51,00
12.20
121.00,
2.00
1.67
5.00
13.00
3.90
Daily Minimum:
287,913 `
41.00
9.30
0.30
28.00
6.10
83.00`'
1.30
0:81
1.00
7.80
2.80
Sampling Type:
Recorder
Grab
Grab
Grab
Composite,
Composite
Composites
Composite
"Composites
Composite
Composite
Composite
Composite
Composite
Monthly Avg. Limit:
542,635
Daily Limit:
Sample Frequency:
Continuous;;
per event
per event
per event
2 x month
2 x month
1 2 x month
2 x month
2 x month
2 x month
2 x month
2 x month
3 x year
3 x year

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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
rR-
Permit No.: W00005849
Facility Name: Pluris North Topsail WWTF
PPI: 005
Flow Measuring Point: ❑Influent ❑Effluent ❑ No flow generated
Parameter Code —►
50060 i
00400
31616
00610
00600
00665
'
c
m
o
m
y}
a
ur O
E a
H o
O
U
Q
a
O
24-hr
hrs
GPD
Su
1 #1100 mLi
ma/L
mall
ma/L
�'��' � � '7 Sri ® i)• � � � �„
Average:.
#DIV/0! '<
649.00
0.00
1,70
0.87
0.15
1.00
0.00
Daily Maximum:
0
#REF!
649.00
0.20
1.70
0.87
0.15
1.00
2.00
Daily Minimum:
0
#REF!
649.00
0.20
170
0.87
0.15
1.00
2.00
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab `"
Grab
Grab
Grab
Monthly Avg. Limit:
NL
NL
NL
NL
NL I
NL
NL'',
NL
NL
NL
Daily Limit:
Sam pie Frequency:
monthly I
monthly
monthly
monthly
I monthly
monthly
monthly <,'
monthly
monthly I
3 x year

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page V of / 3-
Sampling Person(s) Certified Laboratories
Name: Dwight Peterson Name: Environchem 37729
Name: Steve Calder Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? E 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: Dwight Peterson
Permittee: Maurice Gallarda
Certification No.: 1002194
Signing Official: Dwight Peterson
Grade: 4 Phone Number: 910-327-2880
Signing Officials Title: Plant Manager
Has the ORC changed since the previous NDMR? ❑ Yes [21 No
Phone Number: 910-327-2880 Permit Expiration: 12/31/2026
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

5
CL
1 59
T2
41,747
240
0.36
1 0.09
11727
1 240
0.11
1 0.03
26,462
240
0.34
0.09
38239
240
0.29
1 0.07
6
0.3
7
PC
41
3'2
41,589
240
0.36"' `'"
__
0:09' '
11683
240
0.11
0.03
26,361
i.. 246
"" "0.34 ' .
38093
240
0.29
0.07
8
c
45
3'2
'3%S42
`246 `
` 0.34' ;
; "Q.09
11108
240
0.11
0.03
25,064,"
" 240
"I' 6 32` ':
,,"U8"
36219
240
0.28
0.07
9
C
47
3'3
41 $5 `"
24Q'``
Q.36
0,05 �
11758
240
0.12
0.03
26;531 `
""'24Q
0.`3"4 s
"6:0O'
3$339
240
0.29
0.07
101
CL
58
T4
' 45,882
265
Q:"39" "`
""'0:09'
12889
265
0.13
0.03
'29,083 '
' 265"'
"'� 0.37 '�
"'0:08"'
42026
265
0.32
0.07
11
0.3
12
1.9
13
14
PC
42
3'
35',243
250
0.30
0.07'
9900
250
0.10
0.02
22,339
25Q,
0.29
0.07
32282
250
0.25
0.06
15
PC
49
3'
45,091
270' ""
0.39'-
0.09' "'
12667
270
0.12
0.03
39,731
t: 270":,
0.51
011
41301
270
0.32
0.07
16
PC
55
3'
50,918
300
0.44
0.09
14304
300
0.14
0.03
32,275
300
0.42 "
Q.Q8 "
46639
300
0.36
0.07
17
57
3'
50 977
300
0.44
0.69! "
14320
300
0.14
0.03
32,312
30Q
0.42 "'
"". °0.08 '
46694
300
0.36
0.07
18
0.5
19
58
3'
29,008
" 300
0.25
0.05'
12856
300
0.13
0.03
29,008
300
0.37
0.07
65817
300
0.51
0.10
20
Pc
55
2'9
1 41,127
240
0.35 "'
0.09 ,
11553
240
0.11
0.03
26,069
240
0.34
QQ8
37671
240
0.29
0.07
211
CL
51
3'
38 889 "
240
0.33 ""
0:08
10925
240
0.11
0.03
24,650
240
0.32
0.08
35621
240
0.27
0.07
22
C
53
3'1
41,399
240
0.36
0.09'
11629
240
0.11
0.03
26,241
240
0.34
0.08 +'
37920
240
0.29
0.07
23
PC
61
32
35x40Q
260
_'
Q.30. '
0.97
9944
260
0.10
0.02
22,439
260
0.29
0.07
32425
260
0.25
0.06
24
C
63
T2
34,324
245
0.30
0.07
9642
245
0.09
0.02
21,756
245
0,28
0.07 ',
31439
245
0.24
0.06
25
26
27
28
29
30
31
Monthly Loading: 622,543 5.36 ', 179,588 1.76 4116,377 5.36 609,475 4.68
12 Month Floating Total (in- 56.53 22:41 54.87 52.97

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Ca of15�-
Did the application rates exceed the limits in Attachment B of your permit?
❑ Compliant Q Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 2 Compliant ❑ Non -compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 21 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.
Gve7oVoIZ v,� ou,2 . f/e�fZ y /o�e;.�� i2,�t�e �<<T �"' havQ ,,-� S�GTe,�s 3 S o ' A-4 c- 7 /�i9cK
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Dwight Peterson
Permittee:
Maurice Gallarda
Certification No.: 1002194
signing Official: Dwight Peterson
Grade: 4 Phone Number: 910-327-2880
Signing Official's Title: Plant Manager
Has the ORC changed since the previous NDAR-1? ❑ Yes P] No
Phone Number: 910-327-2880 Permit Exp.: 12/31/26
3- 22- 2 a-
z9e,tZI2&:;�3-22.
Z
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 qualfied personnel properly gathered and evaluated the information submitted. Based an 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 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page -7 of t

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page k of /
Did the application rates exceed the limits in Attachment B of your permit? ❑ Compliant [E Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 21 Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 21 Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Q Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Q 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.
T7 124,, C l Thy % sceci� f-� o !�►s� h/ts cct-1-
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Dwight Peterson
Permittee:
Maurice Gallarda
Certification No.: 1002194
Signing Official: Dwight Peterson
Grade: 4 Phone Number: 910-327-2880
Signing Official's Title: Plant Manager
Has the ORC changed since the previous NDAR-1? ❑ YeS No
Phone Number: 910-327-2880 Permit Exp.: 12/31/26
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 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
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?
Page ) 0 of i5�-
Compliant ❑ Non-Compliant-
Q Compliant ❑ Non -Compliant
El Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ❑� Compliant [I Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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-compiiance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Dwight Peterson
Permittee:
Maurice Gallarda
Certification No.: 1002194
Signing Official: Dwight Peterson
Grade: 4 Phone Number: 910-327-2880
Signing Official's Title: Plant Manager
Has the ORC changed since the previous NDAR-1? ❑ Yes 0 No
Phone Number: 910-327-2880 Permit Exp.: 12/31/26
_-F- �- 03
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 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page i l of � Sr

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page JZ of a
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? 2] Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ED Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Q 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: Dwight Peterson
Pernittee-
Maurice Gallarda
Certification No.: 1002194
Signing Official: Dwight Peterson
Grade: 4 Phone Number: 910-327-2880
Signing Officials Title: Plant Manager
Has the ORC changed since the previous NDAR-1? ❑ yes 0 No
Phone Number: 910-327-2880 Permit Exp.: 12/31 /26
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 08-11 NON -DISCHARGE APPLICATION REPORT(NDAR-1) Page C of

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page /4 ofIS�-
Did the application rates exceed the limits in Attachment B of your permit? O 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? 2] Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? El Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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: Dwight Peterson
Permittee:
Maurice Gallarda
Certification No.: 1002194
Signing Official: Dwight Peterson
Grade: 4 Phone Number: 910-327-2880
Signing Official's Title: Plant Manager
Has the ORC changed since the previous NDARA? ❑ Yes Q No
Phone Number: 910-327-2880 Permit Exp.: 12/31/26
-2Z
' 3- zz• Z
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 drecbon 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 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 5 - of

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page (c, of I
Did the application rates exceed the limits in Attachment B of your permit? O Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 2] Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 7 Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? E] Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? D 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: Dwight Peterson
Permittee:
Maurice Gallarda
Certification No.: 1002194
Signing Official: Dwight Peterson
Grade: 4 Phone Number. 910-327-2880
Signing Official's Title: Plant Manager
Has the ORC changed since the previous NDAR-1? ❑ Yes 0 No
Phone Number: 910-327-2880 Permit Exp.: 12/31 /26
3- zz z3-zz
z3
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 an 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 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page t 7 of

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page / 51�- of /,r—
Did the application rates exceed the limits in Attachment B of your permit? ] compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? (] Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 7 compliant ❑ Non -compliant
Were all setbacks listed in your permit maintained for every application to each .permitted site? ] compliant ❑ Non -compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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: Dwight Peterson _
Permittee:
Maurice Gallarda
Certification No.: 1002194
Signing Official: Dwight Peterson
Grade: 4 Phone Number: 910-327-2880
Signing Official's Title: Plant Manager
Has the ORC changed since the previous NDAR-1? ❑ Yes ] No
Phone Number. 910-327-2880 Permit Exp.: 12/31/26
3z2-
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 violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617