WQ0005849_Monitoring - 04-2023_20230531

Monitoring Report Submittal
Permit Number#* WQ0005849
Name of Facility:* Pluris LLC
Month: * April
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2023
Upload Document*
20230531081613690.pdf 17.76MB
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: * Dwight Peterson
Signature:
Date of submittal: 5/31/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* W00005849
Is the monitoring report accepted?* Yes NO
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 6/21/2023

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR)
Page I of to
Permit No.: W00005849
Facility Name:
Pluris North Topsail WWTF
County:
Onslow
Month:. April
Year: 2023
PPI:
002
Flow Measuring Point: ❑ Influent 7Effluent ❑ No flow generated
Parameter Monitoring Point:
❑ Influent
E] Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code
SQOraO ''
00400
3If16.
00310
0010
00620
006Qd;'
00665
OQ530="
00625
00944
70300
R
c
p
m
y
?- i
u)
C
,d,
_ p
o
a
m
o
Q
O
..
C�"
O H
:i, Q,:
Y�
��. `
N O
0
0
5"
"
24hr
hrs
;GPD"
su
#l1pQ mL'
mglL
,mg11w="
mg/L
mgiL �;
mg/L
i tg/L� �
mg/L
, tng{I
mg/L
1
517,00
2
636,550'
3
07:00
8
521,411
7.5
4
07:00
8
437,606
7.4
<11
<2
0.7 '=
2.33
4 "
0.08
<2.5
1.7
5
07:00
8
461,840
7.3
6
07:00
8
464,.124
7.4
<1 ",
<2
0,4,
1.67
3.2 "
0.42
` <2.5
1.5
7
07:00
8
478,400
7.4
8
488;621 ``
9
537,233
10
07:00
8
4821199 ,
7.1
11
07:00
8
530,597
7.4
<1
<2
<0.2
0.5
1.3
0.05
-2.5
0.8
121
07:00
8
507;39"
7.3
13
07:00
8
,"47$,51'�
7.4c1`
"
<2e0.2
`
0.12
0:6t
0.06`2�5'
0.5
14
07:00
8
478,514
Ti
15
16
478,514
17
07:00
8
478,514 `;
7.1
18
07:00
8
437,133
7.3
�0
<2
.40.2
1.39
2.4,r
0.23
{2.5
1
19
07:00
8
396,172. ;
7.3
20
07:00
8
469,078
7.41
<2
<0:2
02805
0.39
c2,5
<0.5
21
07:00
8
503,802
7.5
22
4fr5,570
23
614,233
24
07:00
8
502,509 '
7.1
25
07:00
8
466,181 ' ,
7.3
<1 " "
<2
-�0.2
0.12
<0.$;
1.18
;2;5
<0.5
26
07:00
8
436,962 ""
7.4
27
07:00
8
362,952
7.2
�1
<2
<0,2
2.35
3.2;
0.34
c2,5.
0.9
28
07:00
8
503.802,
7.3
.
o�
Average:
" 478,514`-'
"1;00
0.00
0,14."
1.10
1,84. '
0.34
0:00
0.80
Daily Maximum:
538,550 ''
7.50
1'.00
2.00
.0.70
2.35
4,00 +
1.18
2.50 .
1.70
Daily Minimum:
362,952 >
7.10
1.00
2.00
0.200.12
"0 50 ` i
0.05'
2:50
0.50
Sampling Type:
Recorder'
Grab
Grab
Composite
Composite:
Composite
'Composite:
Composite
Composite
Composite
Composite)
Composite
Monthly Avg. Limit:
500,00,0
6 to 9
14
1 4
1 10
NL
4
2
10
4
NL
NL
Daily Limit:
Sample Frequency:1
continuous
1 5 x week
2 x'Week
2 x week
2 x week
2 x week
2 x week `
2 x week
" 2 kweek
2 x week
3 x year .
3 x year

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page .2 of 61
Sampling Person(s)
Name: Dwight Peterson
Name: Steve Calder
Name: Environchem
Name:
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 2] 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
Perm ittee 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
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

ARM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page '31_ of
Permit No.: WQ0005849
Facility Name:
Pluris North Topsail WWTF
County: Onslow
Month: April
Year: 2023
PPI: 004
Flow Measuring Point:
❑ Influent [] Effluent ❑ No flow generated
Parameter Monitoring Point: ❑Influent Effluent 7 Groundwater Lowering ❑ Surface water
Parameter Code --►
5p050 , '
00400761
" ,
00610
00600
00665
04620
00940
70300
O
s
O
o.
, As
A
is
Q
F N
O.
CT
O
O y=
w
O to O
O
O
24-hr
hrs
" G +D .'
su
#1100 nL
mg/L
. nnglL
mg/L
;`; miglL
mg/L
42%620-
2
222218
3
192348
4
944435 "
7.6
<1
<0.2
1.9
0.57
1.Q6,
5
45,083
6
27,166
7
38,105
8
41,490
9
41,695
10
41,754 "
11
41,707
7.8
<1"
<0.2
1.5
0.51
0.87 ,
121
41,69
13
41;605"
14
41,$28""
16
17
" 41,633
18
" 41,719
7.7
z0 :
<0.2
�,0.31
0.67
0.31
19
41,615
20
.411723
21
41;785
22
41,799
231
41,667
24
4?1,4M
25
19,114
7.7
<1
<0.2
1.1
0.78
017
26
852
27
1,111
29
91!2
30
979
31
Average:
49,215
1.A0, ,ii
0.00
1.20
0.63
0,60
Daily Maximum:
222,218,
#REF!
1,00
0.20
1.90 '
0.78
1.O6.
Daily Minimum:
#REF!
1A0
0.20
6.31 "`
0.51
0.17
Sampling Type:
eRecorder ""
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
5 x week
weekly
weekly
weekly
weekly
weeky
3 x year
3 x year

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page '-/ of G,
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? 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
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 0 No
Phone Number: 910-327-2880 Permit Expiration: 12/31/2026
- 7/ - 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 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-2 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-2)
Page_ of La
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? E] Compliant ❑ Non -compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites? 21 Compliant ❑ Non -Compliant
If a basin, were there any instances of breakout from the berms? 21 Compliant ❑ Non -Compliant
Was the onsite automatically activated standby power source tested and operational? 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
Perm ittee Certification
ORC: Dwight Peterson
Permittee:
MAURICE GALLARD
Certification No.: 1002194
Signing official: Dwight Peterson
Grade: 4 Phone Number:
Signing Official's 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
2"S- 073
Signature Date
Signature Date
By this signature, 1 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 MONITORINGREPORT(NDMR)
Page _I of 1
Permit No.: WQ0005849
Facility Name:
Pluris North Topsail WWTF
County:
Onslow
Month:
April
Year: 2023
PPI: 00,
Flow Measuring Point: influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point:
❑ influent
Effluent
❑ Groundwater Lowering ❑ Surface water
Parameter Code --►
"'50050
00010
; 60400
50060
40310
00625
00530
00610
00620
31616
00600 `
00665
70300,
00940
O
t6
a
_�
Q
Q
i= cn
o
o
c.
c rn
K3 ..
Y°
sxa s°"'
`C
o=
o
p°
o
G.i
U
Z
"�''
LL U
O
V
o
yx.,,
Q
a
o
24-hr
hrs
GPQ, ,,
°C
stl, .; ,
mg/L
,mg,,.::
mg/L
"', img/L";'
mg/L
nra"glL
#/100 mL
mglL,
mg/L
mgik
mg/L
1
319,964
2
330,098
3
07:00
8
457,506 '
49
8.1
0.6
4
07:00
8
3,2,983
64
8.2
0.6
14,
12
34.5
7.1
0.5
10
12.5
5.24
5
07:00
8
385,249 "'
65
81.51,
0.4
61
07:00
8
374,887 ','
68
9
0.3
71
07:00
8
372,808
64
9.1
0.6
8
425,442 '
9
611,978
10
07:00
8
504,443
'+
52
8.5 "
0.7
11
07:00
8
410,301
47
8
0.3
12
07:00
8
466,064 ;
51
7
0.3
131
07:00
8
441,'17
14
07:00
8
460,134
15
450,568
16
447,417
17
07:00
8
396,649
67
8.4
0.6
18
07:00
8
374,974
50
8.5
0.4
12
13.7
45.5
8.3
<0.02
3
13.
8.05
19
07:00
8
353,485
57
8.2
0.4
20
07:00
8
308,164
57
822
0.5
21
07:00
8
353,005'
66
8,1 "
0.2
22
41.1;7f5".
23
' 401,894
24
07:00
8
364,912:
59
8.7
0.4
25
07:00
8
36T,593
56
8.8 "
0.8
26
07:00
8
359,975" "
61
8:5`
0.1
27
07:00
8
402,415
28
07:00
8
427,679 ;
29
406,368 '
30
4171577 '',
31
Average:
4t)6,397 "
58.31
0.45
13,00
12.85
40,00
7.70
0.25
5.48
13.10
6.65
Daily Maximum:
611,978
68.00
910
0.80
14.00
13.70
45.50
8.30
0.50 ,
10.00
13.70 !
8.05
Daily Minimum:
308,164
47.00
7.90
0.10
12.00
12,00
34.50"
7.10
6.02
3.00
12.50
5.24
Sampling Type:
Recorder "
Grab
Grab
Grab
Composite;
Composite
Composite
Composite
Composite
Composite
Composite'
Composite
Composite
Composite
Monthly Avg. Limit:
542,635
Daily Limit:
p2xmonth
Sample Frequency:
Continuous
per event
per event I
per event
2 x month
2 x month
`;
2 x month
, 2" x month
2 x month
2 x month
2 x month
3 x year
3 x year

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page �2 of / S-
Sampling Person(s)
Name: Dwight Peterson
Name: Steve Calder
Name: Environchem 37729
Name:
Certified Laboratories
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 El 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

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page :? of _L�L
Permit No.: WQ0005849 —T—Facility
Name: Pluris North Topsail WWTF
PPI: 005 I
_
Flow Measuring Point: 7 Influent F-1 Effluent ❑ No flow generated
Parameter Code 0.
50650
00400
311616
00610
00600
00665
0
�0
0
0
0
0
C.)
CL
Zv
E
E
0 CL
F- (A
0
0
0
24-hr
hrs
I GOD 1
su _7#1100
mLl
mq/L
Mcl/L
mg/L
Average:
#pk)jjpt_
1,11W.,po
0.00
120 y.
0.19
0.100,
17.90
7,100�
Daily Maximum:
, 0
#REF!
1,5561,00
0.20
1.20
0.19
0.02
17.90
7.00
Daily Minimum:
0
#REF!
1,550.00
0.20
1.20
0.19
�0,.42
17.90
,7.,00
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
NL
NL
NL
NL
NL
NL
NL
NL
NL
NL
Daily Limit:
Sample Frequency:
monthly
monthly i
monthly
r monthly
monthly,
monthly i
monthly
r —monthly
7monthly
3 x year

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page �-/_ of 1S-
Sampling Person(s)
Name: Dwight Peterson
Name: Steve Calder
Name: Environchem 37729
Name:
Certified Laboratories
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 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
Z
5 = i-
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

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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page /a of t
Did the application rates exceed the limits in Attachment B of your permit?
❑ compliant
2 Non -compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
E 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?
El 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.
r52�i'•c>�(s 3 J- �` /,F� c�¢Iz v,�( �-e.�/L � !aR-C��7v�. ryas .ride �O � . �v� i �+ S �T�otirS a-� -F
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 7 No
Phone Number: 910-327-2880 Permit Exp.: 12/31/26
1w2
S3/-z3�
L
e, 4 4 � 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 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-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page -7 of

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _i- of JP
Did the application rates exceed the limits in Attachment B of your permit?
E] Compliant
❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
[Z Compliant
❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
❑� 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.
Operator in Responsible Charge (ORC) Certification
Perm ittee 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 21 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 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-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page_ of 0.

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page i v of it
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?
Z 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?
[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 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 "_ of

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page / Z_ of __Z_I"
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?
❑� Compliant
❑ Non -Compliant
Was a suitablevegetative 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?
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.
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
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 qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiryof 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) Page —'Y of 1,-,f-
Did the application rates exceed the limits in Attachment B of your permit?
E Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 21 compliant 0 Non -compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? El compliant ❑ Non -compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 7 compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? El 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 7 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 P S of iV

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 tg of f 5
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?
21 Compliant
❑ Non -Compliant
❑J Compliant
❑ Non -Compliant
2 Compliant
❑ Non -Compliant
2 Compliant
❑ Non -Compliant
❑J 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 2 No
Phone Number: 910-327-2880 Permit Exp.: 12/31/26
/-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 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 1 of

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page l cf. of _J!��
Did the application rates exceed the limits in Attachment B of your permit?
2] 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?
0 Compliant
❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
❑J 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 F,_11 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 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