WQ0007283_Monitoring - 04-2023_20230529

Monitoring Report Submittal
.....................................................
Permit Number#* WQ0007283
Name of Facility:* [e-mail]
Month: * April 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*
scan0293.pdf 6.53MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Johnnie Chadwick
Reviewer: Wanda.Gerald
5/29/2023
This will be filled in automatically

Is the project number correct?* WQ0007283
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 6/22/2023

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 1
Permit No.: WQ0007283
Facility Name: TOWN of POLLOCKSVILLE
County: Jones
Month: April
Year: 2023
PPI: 002
Flow Measuring Point: i i Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: El 1nfluent Effluent 0 Groundwater Lowering ❑ Surface Water
Parameter Code -1
50050
00310
00665
31616
00610
00620
00400
70300
00530
00931
00916
00625 00927
50060
1
0.E
E
24-hr
9:00
zo
om
O
hrs
1.5
*Y/N/B/H
Y
U.
GPD
306,000
W)
mg/L
'
o
9
#N/A
`
m
LL
Uo
#1100 mL
amE
o
E
mg/L
mg/L
a0'a>
su
t
0_
(a
oy N
mg/L
d 9
e.
(no
mg/L
oO
O y
mg/L
t"i
#N/A
v_ma"7' i
mg/L mg/L
S-
Vcea
o
mg/L
EL~
CC
rn
ug/L
2
12:00
1.5
Y
166,000
3
8:30
3.0
Y
146,000
4
10:00
2.0
Y
321,000
5
10:00
2.0
Y
182,000
6
7
9:30
9:00
3.5
2.0
Y
Y
195,000
233,000
115
2,31
29000
17.88
166
2.10
24.2
17808
94259
8
8:30
1.5
Y
340,000
9
9:30
1.0
Y
677,000
10
10:00
2.0
Y
404,000
11
10:00
2.0
Y
227,000
12
9:00
2.5
Y
238,000
13
9:00
2.0
Y
211,000
14
10:30
2.0
Y
212,000
15
12:30
1.5
Y
306,000
16
11:30
1.5
Y
144,000
17
10:00
3.0
Y
206,000
18
11:00
2.0
Y
194,000
19
10:00
2.0
Y
130,000
20
10:00
2.0
Y
178,000
21
10:30
1.5
Y
197,000
22
8:30
1.0
Y
91,000
23
11:30
1.0
Y
135,000
24
9:00
2.0
Y
68,000
25
8:00
2.0
Y
102,000
26
10:30
2.5
Y
171,000
27
10:30
2.0
Y
117,000
28
9:00
2.0
Y
111,000
29
8:30
1.5
Y
251,000
30
14:30
1.5
Y
282,000
31
Y
Average:
Daily Maximum:
Daily Minimum:
Sampling Type:
218,033
677,000
68,000
Recorder
22
22
22
Grab
0.81
0.81
0.81
Grab
<1
<1
<1
Grab
0.29
0.29
0.29
Grab
<0.04
<0.04
<0.04
Grab
Grab
Grab
33
33.0
33.0
Grab
2,00
2,00
2.00
Grab
58618
58618
58618
Grab
24.20
24.20
24.20
Grab
17808
17808
17808
Grab
0.0
0.0
0.0
Grab
60730
60730
60730
Monthly Avg. L17 imit:
102,000
Daily Limit:
N/A
Sample Frequency:
Continuous
Mar,Jul,Nav
per Event

FORM; NDMR 03-12 NON -DISCHARGE MONITORING REPORT NDMR
Page 1 of 1

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Sampling Person(s)
Certified Laboratories
Name: Operator on Duty Name: Environment 1
Name: Johnnie J. Chadwick/ORC Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 17171 Compliant O 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: JOHNNIE J. CHADWICK Permittee: Town of Pollocksville
Certification No.: SS-11861/WW2-9579 Signing Official: James Bender Jr./ Johnnie J, Chadwick-ORC
Grade: SS/WW-2 Phone Number: 252-617-1692 Signing Official's Title: Mayor/ORC
Has the ORC changed since the previous NDMR? ❑ Yes p No Phone Number: 252-224-9831 Permit Expiration: 3/31/2027
�d/Q �LLZf-r::lt�i
5
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
5/27/202
Signature Date
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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699.1617

FORM: NDAR-1 08-11 NON -DISCHARGE
APPLICATION REPORT
(NDAR-1)
County: Jones Month: April Year: 2023
Field Name: THREE Field Name: FOUR
( ) Area (acres): � 4
Area (acres):] 4 `
Cover Crop: r BermudalRye Gover Crop: BermudalRye
Hourly Rate (in): 0.7 Hourly Rate (in): 0,7
Annual Rate (in): 92.56 Annual Rate (in): 92.56
Field Irrigated? ❑ YES El NO Field Irrigated? ❑ YES 2 NO
m ay E c*
E m _+,c E� an d e 3 c
o.� Er
o c i= ,_ c K o R rn iii eo
>a t i a °
gat min in In gal min in in
Permit No.: W00007283
Facility Name: TOWN of POLLOCKSVILLE
Did II't'IgatlOtl OCCUI'
at this facility?
C3 YES 2 No
Weather Freeboardeld
o a m
R U °f
`a a a o >,c'a
E v N �o n,
a M¢
® in It ft
1 CL 70 0.0 2.4
Field Name:
ONE
Field Name:
TWO
Area (acres);
Cover Crop:
urly Rate (in):
ual Rate (in):
Irrigated?
d
E
s
rF
_3.5
Bermuda/Rye
0.7
92.56
❑ YES El NO
?, c = Z` a
E o E o�
Go'o
eo x J
Area (acres):
Cover Crop:
Hourly Rate (in):
Annual Rate (in):
Field Irrigated?
d d a
= E�
i= °�
> Q
3.5
Bermuda/Rye
0.7
92.56
❑ YES I] NO
ci E a
V E `''�
C g oE°
�o x o
gal
min
In
in
gal
min
in
in
2 C
66
0.0
2.4
3 PC
55
0.0
2.5
4 PC
70
0.0
2.5
5 CL
69
0.0
2.5
6
PC
73
0.0
2.5
71
PC
1 66
0.0
2.5
8
R
46
0.5
2.5
9
R1
48
2,3
2.5
10
C
52
0.0
2.4
11
C
1 54
1 0.0
2.4
12
C
61
0.0
2A
13
C
1 64
.8
f�O
2.4
14
R
66
,5
2.4
15
PC
81
1 0.0
2.3
16
PC
80
0.0
2.3
17
PC
1 66
0,0
2.3
18
C
65 1
0.0
2.3
11
19
C
71
0.0
2.3
20
c
73
0.0
2.4
11
21
C
75
0.0
2.4
22
CL
64
0.0
2.4
23
R
72
0.5
2.4
24
CL
58
0.0
2.4
25
C
46
0.0
2.4
26
PC
66 1
0.0
2.5
27
R
64
0.3
2.5
28
R
66
1.0
2.5
L
64
77
0.0
0.3
2.5
2.5
Monthly Loading: 0 0.00
12 Month Floating Total (in): 33.61
0.00
28.12
0.00
21.74
0 0.00
13.30

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Permit No.: WQ0007283
Facility Name: TOWN
of POLLOCKSVILLE
County: Jones
Field Name:
Area (acres):
( )
Cover Crop:
Hourly Rate (in):
Annual Rate in
( )
Field Irrigated?
E.d
?ci E�
>Q ~�
gal min
Month: April
_ _ Field Name:
Area (acres);
Cover Crop:
Hourly Rate (in):
Annual Rate (in):
❑ YES 0 NO Field Irrigated?
�._ �c E a
,�� Erb �a _E@
O = O O 6 H.e
J � J iQ
in in gal min
Year: 2023
0 YES Q NO
co
E5'o
C x O C
in in
Did irrigation occur
at this facility ,�
0 YES d NO
Weather Freeboard
y C d
c m 1 a
°1 a L°
s E 0 �aQ
10
3 OF in It ft
Field Name;
FIVE
Field Name;
SIX
Area (acres):
Cover Crap:
Hourly Rate (in):-[---0.7
Annual Rate (in):
Field irrigated?
E2 d�
o a E �o
oa P.�
9Q =
-
Bermuda/Rye
92.56
❑ YES
�.c
o
po
-j
4
0 NO
3+c
E o
xoc
Area (acres):
Cover Crop:
Hourly Rate (in):
Annual Rate (in);
Field Irrigated?
£�i
ca ro'
9Q =
Bermuda/Rye
92.56
0 YES
Z._
��
J
4.2
0.7
C1 No
�._
xo�m
A2J
gal
min
in
in
al
min
in
in
1 CL 70
2 C 66
0.0
0.0
2.4
2.4
3 PC 55
0.0
2.5
4 PC 70
0.0
2.5
5 CL 69
0.0
2.5
6
PC 73
0.0
2.5
7
PC 66
0.0
2.5
8
R 46
0.0
2.5
9
R 48
0.0
2.5
10
C 52
0.1
2.4
11
C 54
0.0
2.4
12
C 61
0.5
2.4
13
C 64
0.8
2.4
14
R 66
0.0
2.4
15
PC 81
0.0
2.3
16
PC 80
0.0
2.3
17
PC3750,0
2.3
18
C
2.3
19
C
2.3
20
C
2.4
21
22
C
CL 64
0.0
2.4
2.4
23
R 72
0.0
2.4
24
25
26
CL 58
C 46
PC 66
0.0
0.0
0.0
2.4
2.4
2.5
27
R 64
1.3
2.5
28
R 1 66
0.0
2.5
29
30
31
CL F 64
R 77
0.3
0.0
0.0
2.5
2.5
Monthly Loading:
12 Month Floating Total (in):
0 0.00
35.42
0.00
34.70
0.00
0.00
0 0.00
p 0.00

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
0 Compliant 10 Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
C Compliant d Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
O Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
@I Compliant C7 Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
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
3 Compliant ❑ Non -Compliant
the non-rmmpuanra n ej ,jo.,.Akh ik- ­­­.-
action(s) taken. Attach additional sheets if necessary.
High influent number do to floating scum in the clear well measuring site, scum removed influent flow back to normal numbers / will have to clean the influent clear well daily
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: JOHNNIE J. CHADWICK
Permittee:
Town of Pollocksville
Certification No.: SS-11861/WW2-9579
Signing Official: James Bender Jr./ Johnnie J. Chadwick ORC
Grade, SS/WW2 Phone Number: [phone]
Signing Official's Title: Mayor/ORC
Has the ORC changed since the previous NDAR-1? ❑ Yes 2. No
Phone Number: [phone] Permit Exp,: 3/31/27
5/27/23
rr��rtt! 5/27/23
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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617