WQ0000165_Monitoring - 05-2023_20230713

Monitoring Report Submittal
.....................................................
Permit Number#* WQ0000165
Name of Facility:* Sands Villa
Month: * May
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*
MAY 23 Utility Nondiscahrge reports.pdf 6.09MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Matt burner
�wWrou4loot
Reviewer: Wanda.Gerald
7/13/2023
This will be filled in automatically

Is the project number correct?* W00000165
Is the monitoring report accepted?* Yes NO
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 7/14/2023

NON -DISCHARGE APPLICATION REPORT (NDAR-2)
Permit No.: WQ0000165 Facility Name: Sands Villa County: Carteret Month: May YearSite • 2023
Did infiltration occur at this facility? Site Name: 1 Site Name: 2 Site Name: 3 .
e Name:
Area (acres) 0.180 Area (acres) 0.180 Area (acres) #N/A Area (acres)
Yes No Facility Name: High Rate Field 1 Facility Name: High Rate Field 2 Facility Name: #NIA Facility Name:
Rate (GPD/ft2): 10 Rate (GPDlft2): 10 Rate (GPD/ft2): Rate (GPD/ft2):
Weather Freeboard Site Infiltrated? Site Infiltrated? Site Infiltrated? #N/A
Site Infiltrated?
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t� F in ft ft gal min GPD/ft2 ft gal min GPD/ft2 ft gal min GPD/ft2 ft gal min GPD/ft2 ft
1 C 3663 0.47 3663 0.47
2 C 3705 0.47 3705 0.47
3 C 3478 0.44 3478 0.44
4 C 1247 0.16 1248 0.16
5 C 3475 0.44 3475 0.44
6 3532 0.45 3532 0.45
7 4016 0.51 4016 0.51
8 C 4016 0.51 4016 0.51
9 C 3082 0.39 3082 0.39
10 C 3407 0.43 3407 0.43
11 C 3035 0.39 3036 0.39
12 C 4039 0.52 4040 0.52
13 2460 0.31 4245 0.54
14 2020 0.26 2020 0.26
15 C 2020 0.26 2020 0.26
16 PC 9378 1.20 9378 1.20
17 PC 2820 0.36 2828 0.36
18 PC 4195 0.54 4195 0.54
19 R 3995 0.51 3995 0.51
20 C 1588 0.20 1588 0.20
21 4285 0.55 4285 0.55
22 C 5285 0.67 4285 0.55
23 1665 0.21 1666 0.21
24 C 1666 0.21 2945 0.38
25 R 3890 0.50 3890 0.50
26 R 3415 0.44 3944 0.50
27 R 5645 0.72 5645 0.72
28 R 6420 0.82 6420 0.82
29 PC 5567 0.71 5567 0.71
30 R 5350 0.68 5350 0.68
31 CL 5405 0.69 5405 0.69
Monthly Loading (GPD/ft2): 0.48 0.50 #DIV/0!
Year to Date Loading (GPDlft2):

FORM: NDAR 21Q-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page of
Did the application rates exceed the limits in Attachment B of your permit?
If not a basin, were the sites kept free of vegetation and raked?
If not a basin, were there any instances of effluent ponding in or runoff from the sites?
If a basin, were there any instances of breakout from the berms?
Was the onsite automatically activated standby power source tested and operational?
Q Compliant ❑ NoWCampliant
[Yornpuant ❑ Non -compliant
[lt ompoant ❑ Non -Compliant
l Compliant ❑ Non -Compliant
[ 316o npliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the spate 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
ar-tinn1Q1 taken Affmr.h 'rirlifinnmf X ,.---
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Operator in Responsible Charge ..(ORC) Certification Permittee Certification
ORC: Permittee: s n
?4A) L/�
Certification No.: 100L.(•-j �� Signing Official:
Grade: Phone Number: � �'-) - �,,.. t Signing Official's Trite: C--t
Has the ORC changed since the previous NDAR•2? ❑ Yes fEfl[uo Phone Number:
vR .SQ c) (( -7 D S g Permit Exp.:
C 71d3
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 rre p pared 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 submtiting 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

Non -Discharge
Monitoring Report (NDMR)
Permit No.:
WQ0000165
Facility Name:
Sands Villa
PPI: 001
Flow Measuring Point:
Effluent
County: Carteret
I Month:
Parameter
Code
F50050
00400
1 00310
Parameter Monitoring Point:
Effluent
1 00610
00530
j 31616
1
00620
00625
00630
00600
00940
70295
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s)
Name: V aR�e'
Name:
Certifies! Laboratories
Name: �t't�•s�'�-t'"� ,�,,.�ii�[
t Name: \," yo'rk fl� Y\CL k �C.0'k
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
❑ 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
ORC: 'D t-'-L4'j P.; e-
Certification No.: 100 ' f-I i-t -7
Grade: 73 Phone Number:
Has the ORC changed since the previous NDMR?
Signature
D Yes EHeo
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee: N,�A) D -5 L/) LZ-,4
Signing Official: V
�� e
Signing Official's Title: C7,* a 'P r,>,-1 e
Phone Number. a Y,? -- 0 ( % Q S l 9 Permit Expiration:
6(a7/a3
Date 11 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 direcfiy responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. l 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