WQ0005790_Monitoring - 04-2023_20230614

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * April
Report Information
WQ0005790
Fish Factory Road Treatment Plant
Year:* 2023
Type* Upload Document*
Revised - NDMR, NDAR-1, NDAR-2, NDMLR April 2023 NDMRS Fish Factory.pdf 5.51MB
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: *
Signature:
Date of submittal:
Initial Review
Kenneth Von Voigt
Reviewer: Wanda.Gerald
6/14/2023
This will be filled in automatically

Is the project number correct?* W00005790
Is the monitoring report accepted?* Yes NO
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 6/14/2023

FORM NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-11 P.-
Permit No.: WQ0005790
Did irrigation occur
at this facility?
r; _
Weather Freeboard
° c -
° °
p m a°
U ? m a
d °a n o`
a
°F in ft ft
0 3 9 4
2 0 3 9 4
3 0 3 9 4
4 0 1 3 9 4
5 0 3 9 4
6 0 39 4
1JR
7 0 3 9 4
8 0 3 3 9 4
9 1 3 9 4
100 39 a
110 39 4
120 3 9 4
13 C 77 0 3.9 4
14 C 81 O S 39 4
Facility Name
Field Name:
Area (acres):
Cover Crop:
Hourly Rate (in):
Fish Factory Road
1
2 2
0.4
Water Reclamation and
Treatment Facility
County: Brunswick
Month:
April
Year: 2023
Field Name:
Area (acres):
Cover Crop:
Hourly Rate (in):
2
21
04
Field Name:
3
Field Name:
4 8 4A
Area (acres):
2
Area (acres):
22
Cover Crop:
Hourly Rate (in):
Cover Crop:
04
Hourly Rate (in):
04
Annual Rate (in):
Field Irrigated?
v v a
E 61 v 2
a E
156
[ j YES NO
C >> c
;o E»
Annual Rate (in):
Field Irrigated?
v an d
E-
156
Annual Rate (in):
156
Annual Rate (in):
52
] YES []NO
Field Irrigated?
LJ YES n No
Field Irrigated?
vrs - rdo
°
c
E, rn
°_ c
g
a v
E v
a
v a
_
°
> c
E rn
° 2^ c
_
v a
E
> a
v
CU
_
rn
E
gal
p
0
0
0
0
0
0
0
0
0
0
0
0
0
min
0
0
0
0
0
0
0
0
0
0
0
0
0
0
in
000
000
000
000
0 00
000
0 00
000
0.00
000
000
000
000
000
in
000
0 00
0 00
000
0 00
000
0 00
0,00
0.00
0.00
000
0 00
000
000
gal
7,377
7,299
7,364
7 408
6 980
7,412
7.565
7,486
7,490
0
00
0
7,469
7,560
min
45
45
45
45
45
45
46
46
46
0
0
45
45
in
013
013
013
0 13
0 12
0 13
013
0 13
013
000
000
000
0 13
0 13
in
0 13
0 13
013
013
0 12
013
0,13
0 13
013
000000
000000
000:93.82C3428
0 13
0 13
gal
9,993
min
46
in I
0 18
in
0 18
1 gal
0
min
0
in
000
in
0 00
9.832
9,766
9,936
9,745
9,718
9,827
10,050
10,067
46
45
018
018
0
0
000
0 00
018
018
0
0
000
0 00
45
46
45
45
47
47
018
0.18
0
0
0 00
0 00
018
018
0
0
000
000
018
018
019
019
000
0 18
018
018
018
0,19
019
000
0.00
000
0 18
018
0
0
0 00
0 00
0
0
000
000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
000
000
0 00
00
000
000
000
000
000
000
000
000
000
000
15
PC
78
0 3
39
4
0
0
000
000
7,508
46
0 13
013
1 73
024
0
0
000
000
16
C
75
01
3 9
4
0
0
0 00
0 00
7,591
46
0 13
0 13
8,973
45
0 17
017
0
0
000
000
17
C
80
0
39
4
0
0
000
000
7,739
46
014
014
9 753
45
0 18
0 18
0
0
0 00
000
18
C
75
0
3 9
4
0
0
0,00
0.00
7,717
46
0 14
0 14
10,002
45
018
0 18
0
0
000
000
19
C
84
0
39
4
0
0
000
000
7 560
45
013
0 13
9,644
45
0.18
0 16
0
0
000
000
20
C
84
0
39
4
0
0
000
000
28,950
177
051
017
37,945
179
070
0 23
0
0
000
000
21
C
85
0
3 9
4
0
0
000
000
7.464
45
013
0 13
9,788
46
018
0.18
0
0
000
000
22
R
69
025
39
4
0
0
000
000
7,521
45
013
0 13
9,775
45
018
0 18
0
0
000
000
23
C
76
1 25
39
4
9
0
000
000
7,595
45
013
0 13
9,862
46
018
018 1
0
0
000
000
24
C
64
0
3 9
4
0
0
000
0.00
37,269
231
065
0 17
56,615
271
1 04
0.23
0
0
0,00
000
25
C
67
0
3.9 1
4 1
0
0
000
0.00
7 429
46
013
0 13
9,531
45
018
018
0
0
000
000
26
PC
72
0
38
4
0
0
000
000
7,447
47
013
0 13
10,255
49
019
019
0
0
000
000
27
C
76
0
3 8
4
0
0
000
000
28, 375
176
0.50
0 17
36,820
176
0.68
023
0
0
000
000
28
PC
79
025
38
4
0
0
000
000
7.613
47
013
013
9,618
46
018
0.18
0
0
000
000
29
C
78
0
38
4
0
0
000
000
7,381
46
013
013
9.745
45
018
018
0
0
000
000
30
R
76
0 5
3 8
4
0
0
000
0.00
7,617
46
0.13
013
9.553
45
0 18
0 18
0
0
000
000
31
Monthly Loading:
9
000
274,187
4 81
450,266
8 29
0
000
12 Month Floating Total (in):
0 16
91 31
127.46

FORM NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of_
r-ermit NO.: VVU0005790
Did irrigation occur
Facility Name: Fish Factory Road Water Reclamation and Treatment Facility
County: Brunswick Month: April
Field Name: 7 Field Name:
Year: 2023
Field Name:
5 & 5A
Field Name:
6
8
at this facility?
Area (acres):
2.5
Area (acres):
1 25
Area (acres):
1 7
Area (acres):
1 55
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Hourly Rate (in):
0.4
Hourly Rate (in):
02
Hourly Rate (in):
0.2
Hourly Rate (in):
02
Annual Rate (in):
156
Annual Rate (in):
127
Annual Rate (in):
127
Annual Rate (in):
127
Weather
Freeboard
Field Irrigated?
_ YES = NO
Field Irrigated?
❑ YES L-11 N0
Field Irrigated?
[', YES ❑ NO
Field Irrigated?
_ YES - NO
o
y
U
0
A
j
>
a
a
m
F
c
0
°
a
_
u
d
a
i
o
f�
-
am
= -
a s
M O.
O N
N
E 0
a
o a
> Q
m m
Ern
F.`
_
c
m�
p
J
T�
E�'v
x o m
= J
my
E w
o
> Q
o
a;
E�
o
~`
-
rn
> c
-b
O O
J
E Tm
c
Ewa
x o
= 0
J
dv
E 2
_ a
O O.
> Q
v
v°
_�
E
F- ..
_
m
>,c
v
0 0
J
E rn
D` c
E �'v
= O
J
va
E°
- a
0 0-
> Q
v v
E m
H
_
rn
r c
�'v
p 0
J
E c�
= c
E o
M 2 O
2 J
1
2
3
4
C
C
PC
C
°F
72
67
75
79
in
0
0
0
0 1
ft
3 9
39
39
39
ft
4
4
4
4
gal
0
0
48,000
0
min
0
0
240
70
in
000
0.00
071
0.00
in
0,00
000
0 18
000
gal
0
0
0
0
min
0
0
0
0
in
000
000
000
000
in
000
000
000
0 00
gal
8,445
8,332
8,567
8,428
min
46
46
46
46
in
018
0 18
0 19
0 18
in
0.18
0,18
019
018
gal
2,991
2,865
2,965
2,965
min
16
16
15
16
in
007
007
007
007
in
0 07
007
007
007
5 C
82 0
39
4
48,000
240
1 071
0 18
0
0
0.00
000
8,214 1
46
0.18
0 18
2,869
16
007
007
6 C 78 0
3 9
4
48 000
240
071
0.18
0
0
000
0 00
8,402
46 1
0 18
0.18
2,904
15
007 1
007
7 C 83 0
3 9
4
0
0
000
000
0
0
000
0.00
8,471
46
0.18
0 18
2 930
15
0 07
007
8 R 52 0 3
3 9
4
0
0
0 00
0 00
0
0
0,00
0 00
8,777
48
0.19
0 19
2,904
16
007
0 07
9 PC 55 1
3 9
4
0
0
0.00
0.00
0
0
0.00
0.00
8,341
46
0.18
0 18
2,917
16
007
007
10 C 62 0
3 9
4
0
0
000
000
0
0
000
000
0
0
000
000
0
0
0.00
000
11 C 75 0
39
4
48,000
240
0.71
0,18
0
0
000
000
0
0
000
0.00
0
0
000
0.00
12 C 76 0
39
4
48,000
240
0,71
0.18
0
0
000
000
0
0
0.00
0.00
0
0
000 1
000
13 C 77 0
39
4
0
0
000
0.00
0
0
000
000
8,341
46
0 18
0 18
2,921
15
0.07
007
14 C 81 05
39
4
0
0
000
000
0
0
000
000
81371
45
0 18
0 18
2,969
15
007
007
15 PC 78 03
39
4
0
0
000
0.00
0
0
000
000
8,367
45
0 18
0.18
2. 778
15
0.07
007
16 C 75 0 1
39
4
0
0
0,00
000
0
0
000
000
8,349
46
018
0-18
2,934
15
007
007
17 C 80 0
39
4
0
0
0.00
000
0
0
000
000
8,362 1
45
0.18
0 18
2,930
15
007
007
18 C 75 0
39
4
0
0
000
0,00
0
0
000
000
8,275
46
0 18
0 18
2,917
15
007
007
19 C 84 0
3 9
4
0
0
0 00
0 00
0
0
0,00
0 00
8,315
46
0 18
018
2,943
16
007
007
20 C 84 0
39
4
0
0
0.00
000
0
0
0.00
000
8,328
45
0 18
0,18
2,830
15
0.07
007
21 C 85 0
3 9
4
0
0
000
000
0
0
000
000
8,301
46
0 18
0 18
2.760
15
007
007
22 R 69 025
39
4
0
0
000
000
0
0
000
000
8,162
46
0 18
0 18
3,008
16
0.07
007
23 C 76 1 25
39
4
0
0
0,00
000
0
0
000
000
8,293
45
0,18
0.18
2,991
16
007
007
24 C 64 0
39
4
0
0
0,00
000
0
0
000
000
8,179
45
0.18
0 18
2.956
15
007
007
25 C 67 0
39
4
0
0
000
0.00
0
0
000
0.00
8,136
46
0.18
0.18
2,882
16
0.07
007
26 PC 72 0
38
4
0
0
000
0.00
0
0
000
000
7,957
46
0.17
0 17
2.760
16
007
007
27 C 76 0
38
4
0
0
0.00
0.00
0
0
000
000
7,879
45
0.17
017
2,790
15
0,07
0.07
28 PC 79 025
3 8
4
0 1
0
000
000
0
0 1
000
000
7,996
46
0 17
0.17
2,821
16
007
007
29 C 78 0
3 8
4
0
0
000
0.00
0
0
0 00
0.00
8,101
45
0 18
0.18
2,895
15
007
007
30 R 76 05
38
4
0
0
000
000
0
0
000
0.00
8.262
45
1 0.18
0.18
2.978
15
007
007
31
0
Monthly Loading: 1
240,000
354
0 00
0 0
1:'-
223,951
485
78,572
1 87
12 Month Floating Total (in):
5941
59.94
39 60

FORM NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: W00005790
Facility Name: Fish Factory Road Water Reclamation and Treatment Facility
County: Brunswick
Month: April
Year: 2023
Did irrigation occur
Field Name:
9
Field Name:
10
Field Name:
11
Field Name:
12
at this facility?
Area (acres):
1 99
Area (acres):
1 75
Area (acres):
2A7
Area (acres):
1 62
Cover Crop:
dAnnual
Cover Crop:
Cover Crop:
Cover Crop:
-
Hourly Rate (in):
0.2
Hourly Rate (in):
02
Hourly Rate (in):
0.2
Hourly Rate (in):
02
Annual Rate (in):
127
Rate (in):
127
Annual Rate (in):
127
Annual Rate (in):
127
Weather
Freeboard
Field Irrigated?
❑ YES C NO
Field Irrigated?
g
YES ❑ NO
Field Irrigated?
YES [ No
Field Irrigated?
C YES [ NO
a.
pm
m
O
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3
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io
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5
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� Q
_
> c
7
0
J
E m
c
o
J
°F
in
ft
ft
gal
min
in
in
gal
min
in I
in
gal
min
in
in
gal
min
in
in
1
C
72
0
3.9
4
0
0
000
000
6,161
35
0 13
0 13
0
0
000
000
0
0
000
000
2
C
67
0
3 9
4
0
0
000
0,00
8,088
45
0 17
0 17
7,656
45
0 11
Oil
0
0
000
000
3
PC
75
0
3 9
4
0
0
000
0,00
7,944
45
0 17
0 17
7,708
45
0 11
Oil
0
0
000
000
4
C
79
0 1
3 9
4
0
0
000
000
7.996
45
0 17
0 17
7,743
45
0 12
0.12
0
0
000
000
5
C
82
0
3 9
4
0
0
000
000
7,944
45
0 17
0 17
7,778
45
0 12
0 12
0
0
000
000
6
C
78
0
3 9
4
0
0
000
0.00
7,996
45
0 17
0 17
7,499
45
0 11
0.11
859
4
002
0 02
7
C
83
0
3 9
4
0
0
000
0.00
7,852
45
0 17
0 17
7,700
45
0 11
0,11
2,987
15
007
007
8
R
52
0 3
3.9
4
0
0
000
0.00
7.918
45
0 17
0 17
7,752
45
0 12
0,12
2.891
15
007
007
9
PC
55
1
3 9
4
0
0
000
0.00
7,865
45
0 17
0 17
7,708
45
0 11
0.11
3.030
17
007
007
10
C
62
0
3 9
4
0
0
0.00
0.00
1,587
9
0.03
003
7,695
45
0 11
0 11
19.847
119
045
023
11
C
75
0
3 9
4
0
0
0,00
0,00
0
0
0.00
000
0
0
000
0.00
0
0
000
000
12
C
76
0
3 9
4
0
0
0.00
000
0
0
000
000
0
0
000
0,00
0
0
000
000
13
C
77
0
3 9
4
0
0
000
000
6,383
35
0 13
0 13
0
0
0.00
0.00
0
0
000
000
14
C
81
0 5
3 9
4
0
0
000
0.00
7,961
45
0 17
0 17
7.791
45
0 12
0 12
2,878
15
0 07
007
15
PC
78
0 3
3 9
4
9
0
000
000
1 748
9
0 04
004
7,870
45
0 12
0 12
2,782
15
006
006
16
C
75
0 1
3.9
4
0
0
000
0,00
14 480
80
030
023
7,870
45
0 12
0.12
2,886
15
007
007
17
C
80
0
3 9
4
0
0
000
000
8.144
45
0 17
0 17
7,643
45
0 11
0.11
2,917
16
0 07
007
18
C
75
0
3 9
4
0
0
000
000
7,935
45
0 17
0.17
7,748
45
0.12
0 12
2,978
16
007
0 07
19
C
84
0
3 9
4
0
0
000
0,00
7,905
45
0 17
0 17
7.717
45
0 12
0,12
2.969
16
007
007
20
C
84
0
3 9
4
0
0
0.00
000
7,800
45
0.16
0 16
7.669
45
0 11
0 11
2,921
16
007
007
21
C
85
0
3 9
4
0
0
0.00
000
7,966
45
0 17
0 17
7,517
45
0-11
Oil
2,869
16
007
007
22
R
69
025
3 9
4
0
0
000
000
8,027
45
0 17
0 17
7,578
45
0 11
0.11
2,869
16
007
007
23
C
76
1 25
3 9
4
0
0
000
000
8 136
45
0 17
0 17
7,704
45
0 11
0-11
3,004
16
007
007
24
C
64
0
3 9
4
0
0
000
000
3 174
18
0.07
007
7.717
45
0 12
0 12
2.843
15
006
006
25
C
67
0
3 9
4
0
0
000
000
12.321
71
026
022
7,460
45
0 11
0.11
2,943
16
007
007
26
PC
72
0
3 8
4
0
0
0.00
000
7,521
45
0 16
0 16
7,390
45
0 11
Oil
18
007
007
27
C
76
0
3 8
4
0
0
000
000
7,674
45
0 16
0 16
7,155
45
0.11
0.11
22
009
009
28
PC
79
0 25
3 8
4
0
0
000
000
7,883
45
0 17
0 17
7,203
45
0.11
0.11
18
007
007
29
C
78
0
3 8
4
0
0
000
0 00
8,001
45
0 17
0 17
7,325
45
0 11
0,11
P18
17
007
007
30
R
76
05
38
4
0
0
000
0 00
7,940
45
0 17
0 17
7,530
45
0,11
Oil
19
008
008
31
Monthly Loading:
9
000
212 349
4.47
198,127
295
81,301
1 85
12 Month Floating Total (in):
32 87
44.04
20.05
1
15 14

221
R 1
69 1
025
39 1
4
1 10,704
68
033
029
8,258
1 45
0 31
031
231
C 1
76 1
1 25
39
4
1 9,387
59
029
029
8.249
45
031
0 31
241
C 1
64
0
39
4
8,149
50
025
0.25
8.275
45
0.31
031
251
C 1
67
0
3 9
4
15.016
102
046
027
7.691
45
029
029
261
PC 1
72
0
38
4
18,343
132
0.57
0.26
7.530
45
028
028
27
C
76
0
38
4
8,986
64
028
026
7.791
45
029
029
28
PC
79
025
38
4
10,041
68
031
027
7 865
45
0 30
0 30
29
C
78
0
38
4
10,311
70
032
0 27
7,865
45
030
030
30
R
76
0 5
38
4
9.575
63 1
030
0.28
8,070
45
030
0 30
31
Monthly Loading:
234,895
7.27
212,083'M
7 97
0
r.
0 00
0
000
12 Month Floating Total (in)
75 14
84.56

FORM NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
OCompliant
El 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?
QCompliant
❑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?
OCompllant
❑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
actinn/sl taken Attach additional sheets If necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Kenneth Von Voigt
Permittee:
Town of Oak Island
Certification No.: 1006360
Signing Official: Lisa Stites
Grade 2 Phone Number:
9103521435
Signing Official's Title: Town Clerk
Has the ORC changed since the previous ND
-1? [] yes n No
Phone Number: [phone] Permit Exp.: 7/31/27
�5 26- 3
�
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 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 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of _
Sampling Person(s) Certified Laboratories
Name: Kenny Von Voigt Name: Environmental Chemists
Name:
Name:
uoes an monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑ compliant [J 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
artinnfcl takan Att.rh t --,-
the 5th of April we saw a daily overage of ammonia with a result of 6 4 We raised the air to aid in passing ammonia for the next result
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Kenneth Von Voigt
Permittee: Town of Oak Island
Certification No.: 1006360
Signing Official: Lisa Stites
Grade: 2 Phone Number: 9103521435
Signing Official's Title: Town Clerk
Has the ORC changed since the pre ious NDMR? ❑ yes W No
Phone Number: [phone] Permit Expiration: 7/31/2027
Signature Date
Signature Date
By this signature, I certify that this repon 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
submilli ed 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 (also 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 05-16 NON -DISCHARGE APPLICA
Permit No.: VV00005790
Facility Name: Fish Factory Road Water Reclamation and Treatme
Did infiltration occur at
this facility?
Site Name:
HR-1
Site Name:
Area (acres):
1.61
Area (acres):
Rate (GPD/ft2):
257
Rate (GPD/ft2):
Weather
Freeboard
Site Infiltrated?
YES NO
Site Infiltrated?
[
G
E
0'L
o
a
a
u
in _
=
E .G
°
>
�
~
_
%C
m
y
>
°amo
9
y
~c
°F
in
I ft
ft
gal
min
GPD/ft2
ft
gal
min
GF
1
C
72
0
3 9
4
0
0
000
2
C
67
0
39
4
0
0
0.00
3
PC
75
0
3 9
4
0
0
000
4
C
79
0 1
3 9
4
0
0
000
5
C
82
0
39
4
0
0
000
6
C
78
0
39
4
0
0
000
7
C
83
0
3 9
a
0
0
000
8
R
52
03
39
4
0
0
000
9
PC
55
1
39
4
0
0
000
10
C
62
0
39
4
0
0
000
11
C
75
0
39
4
0
0
000
12
C
76
0
39
4
0
0
000
13
C
77
0
39
4
0
0
000
14
C
81
05
39
4
0
0
000
15
PC
78
03
39
4
0
0
000
16
C
75
01
39
4
0
0
000
17
C
80
0
39
4
0
0
000
18
C
75
0
39
4
0
0
000
19
C
84
0
39
4
0
0
000
20
C
84
0
3 9
4
0
0
000
21
C
85
0
39
4
0
0
000
22
R
69
025
39
4
0
0
000
23
C
76
1 25
39
4
0
0
000
24
C
64
0
39
4
0
0
000
25
C
67
0
39
4
0
0
000
26
PC
72
0
3 8
4
0
0
000
27
C
76
0
3.8
4
0
0
000
28
PC
79
025
38
4 1
0
0
000
29
C
78
0
38 1
4
0
0 1
000
30
R
76
0 5
38
4
0
0
000
31
blonthl Loadm (GPD/ft2):
0 00
#C
Year to Date Loading GPD/ft2 :

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?
(]Compliant
❑Non -compliant
If not a basin, were the sites kept free of vegetation and raked?
O Compliant
❑ Non -Compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites?
E Compliant
❑ Non -Compliant
If a basin, were there any instances of breakout from the berms?
U Compliant
❑ Non -Compliant
Was the onsite automatically activated standby power source tested and operational?
[Compliant
(_]Nori-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: Kenneth Von Voigt
Permittee:
Town of Oak Island
Certification No.: 1006360
Signing Official: Lisa Stites
Grade: 2 Phone Number: 9103521435
Signing Official's Title: Town Clerk
Has the ORC changed since the previous NDAR-2? i_yes No
Phone Number: [phone] Permit Exp.: 7/31/27
-5- i)a;�,,
- f sly
Signature Date
Signature Date
By this signature, I certify that this report is accurate and complete to the best of my knowedge
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
mth 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