WQ0029653_Monitoring - 04-2023_20230531

Monitoring Report Submittal
Permit Number#* WQ0029653
Name of Facility:* SCOTCH HALL PRESERVE WWTP
Month: * April Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR doc00753620230531083708.pdf 2.05MB
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: * BRIAN JERNIGAN
Signature:
ff a r ostw4P"
Date of submittal: 5/31/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0029653
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 6/28/2023

Environmental Chemists, Inc.
envirochem
ANALYTICAL & CONSULTING CHEMISTS
6602 Windmill Way, Wilmington, NC 28405 ® 910.392.0223 Lab & 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 d 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 m 910.347.5843 Lab/Fax
infofa environmentalchemists.com
Scotch Hall Preserve
Date of Report: May 09, 2023
105 Scotch Hall Court
Customer PO #:
Merry Hill NC
27957
Customer ID: 17050011
Attention:
Report #: 2023-08501
Project ID: Wastewater
Lab ID Sample ID.-
Collect DatefTime Matrix Sampled by
23-21406 Site: Triannuals
4128/2023
8:15 AM Water Tom Beasley
Test
Method
Results Date Analyzed
Total Dissolved Solids (TDS)
SM 2540 C-2015
425 mg/L
05103/2023
Temperature
SM 2550 a-2010
14.7 C
04/28/2023
pH
SM 4500 H B-2011
7.4 units
04/28/2023
Chloride
SM4500 C6 E-2011
82 mg/L
05/03/2023
Comment:
III
li
Reviewed by:
ri 2023-08501 --- — Page i of 1

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page - of

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page - of

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT
Did the application rates exceed the limits in Attachment B of your permit?
R] Compliant
[] Non -compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
E/] Compliant
C] Non -compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Q 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?
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 Perinittee Certification
ORC: SRIAN JERNIGAN Permittee: SCOTCH HALL PRESERVE WWTP
Certification No.: SI 1006435 Signing Official: MIKE PARAH
Grade: Phone Number: 252-325-0771 Signing Official's Title: .GENERAL MANAGER
Has the ORC changed since the previous MARA? Yes [] No Phone Number: 336-410-4761 Permit Exp.: 2/28/26
ature mate Signature ®ate
B s 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 i; g Unit
1617 Mail Service Center
�. c,

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ of

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page — of
Sampling Person(s) Certified Laboratories
Name: TOM BEASLEY Name: ENVIRONMENTAL CHEMISTS, INC
Name- Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? [2] Compliant F] 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.
was done because the triannuals were left off of march.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC- BRIAN JERNIGAN Permittee: SCOTCH HALL PRESERVE WWTP
Certification No.: S11006435 Signing Official: MIKE PARAH
Grade: Phone Number: 252-325-0771 Signing Official's Title* GENERAL MANAGER
Has the ORC changed since the previous NDMR? 0 yes No Phone Number: 336-410-4761 Permit Expiration: 2/28/2026
S711 Date Signature Date
By �ls 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