WQ0005849_Monitoring - 08-2023_20230929

Monitoring Report Submittal
Permit Number#* WQ0005849
Name of Facility:* Pluris LLC
Month: * August
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2023
Upload Document*
20230929143943198.pdf 18.36MB
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: 9/29/2023
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: 10/3/2023

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page / Of Co"

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2,- off
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? 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
Permittee Certification
ORC: Dwight Peterson
Permittee: Maurice Gallard
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 0 No
Phone Number: 910-327-2880 Permit Expiration: 12/31/2026
Signature Date
Signature Date
By this signature, i certify that this report is accurate 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 ��

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page Y_ of l _
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? [] 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
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 i e,
Permit No.: WQ0005849
Facility Name:
Pluris North Topsail WWTF
County: Onslow
Month:
August
Year: 2023
Did infiltration occur at
Site Name:
" IB-1
Site Name:
I13-2
Sete iVame1
Site Name:
this facility?
Area adres�
' 1,Q7
Area (acres):
1.52
krea�(acr+es):
Area (acres):
(] YES ❑ NO
Rate'(GPD/f�
.
10:77
-
Rate (GPD/ftz):
7.54:
iat (iG►):`
..,A,.a
Rate (GPD/ft2):
Weather
Freeboard
Site!MItrated?
; (DYES �,� ❑ NO' I
Site Infiltrated?
[] YES
❑ NO
Site Infiltrated?
❑ YES ❑ NO
�
m
w
c
m
m
a
E
E m
d
a s
p
sc s
a
a
a
a�
0
CD
a
s
a
b
o
mr�
_
s aR,
CDC
CL
a
:
J>
>tR
's
-
u
md
in
f
ft
gai
f
t
ft
gal
min
GPD/�
ft°F
1
0.3
5'
327,386
1200
7.02
5'6 ;
372,769
1200
5.63
57
2
343641,
12QQ
7.37 - ;
"
379,694
1200
5.73
3
275,99T
120Q`
5,92
317,721
1200
4.80
4
1.98
272,t178
120t7`
i . 5 84
314,473
1200
4.75
5
251,189
1200
` 5.30 '
293,778
1200
4.44
6
315,154
1200
6.76
357,218
1200
5.40
7
0.36
248,817
1200, �
f 5»34
280,725
1200
4.24
8
5'
228,583`.12004Q,,:
`7,a�
254,897
1200
3.85
5'8
9
_
:279{5U5=.,
,� �120Q ,,�;.'
a.6�Q0.a4--,
„ �[, .�
303,844
1200
4.59
7-7
10
0.68
309609�
[20Q „
0.64
335,564
1200
5.07
: --
11
349,369
1200
5.28
12
314,545
+ 1200
6.76, ,
337,266
1200
5.09
13
304,467-
1200;''
6n53"
7'
3-26,416
1200
4.93
14
26,Q36
1200
560;.,„
286,956
1200
4.33
15
5'
243465:
120Q
5.22 `
5'7`
269,836
1200
4.08
5'8
16
205,415
120O ;
,1. ,4 1...
s
237,295
1200
3.58
17
0.88
23$,977
120Q
5.66
270,893
1200
4.09
18
254;56,7.
1200
$.47 ;�
291,593
1200_
4.40
19
31„051
'124Q :
6.65 '.
348,647
1200 1
5.27
20
311,948
1200
6.69
346,855
1200
5.24
21
294,€160
1200
6.31 ''
321,883
1200
4.86
22
0.05
5`
2,63,297.,
;.w;12#:'
a 6 , „
„ :, a',8 „,
294,138
1200
4.44
5'8
23
166„766
123�58.;.
,:
200,996
1200
3.04.
24
177;111
12180
207,072
1200
3.13
25
266,9'44'
12Q0" :
' `' S.73
304, 940
1200
4.61
26
189;939:
1200 =:
4.Q8,:.
217,684
1200
3.29
27
0.51
2Q4,7$7
1`2Q(t ` ;
._ '; 439
232,167
1200
3.51
28
0.01
30,780
1200"
� 4.96
267,040
1200
4.03
29
5'
"231{136
'" 1200�
" 67 '
263,812
1200
3.98
5'8
30
1.47
252,299
1266
5.41
286,037 1
1200-1
4.32
31
4.34
447,469
1200
9.60
489,305
1200
7.39
Monthly Loading
(GPD/ft2):
5.77
4.56
#DIV/Q!
#DIV/0!
Year to Date Loading (GPD/fft
37.55
30.01
EM

FORM: NDAR-2 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-2)
Page (-P of /p
Did the application rates exceed the limits in Attachment B of your permit? El Compliant ❑ Non -Compliant
If not a basin, were the sites kept free of vegetation and raked? El Compliant ❑ Non -Compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites? I] compliant ❑ Non -compliant
If a basin, were there any instances of breakout from the berms? 2] Compliant ❑ Non -Compliant
Was the onsite automatically activated standby power source tested and operational? [Z 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
Permlttee. MAURICE GALLARD
Certification No.: 1002194
Signing Official: Dwight Peterson
Grade: 4 Phone Number:
Signing Officials Title: Plant Manager
Has the ORC changed since the previous NDAR-2? ❑ Yes 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: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page_(_ Of / ��-
Permit No.: W00005849 I
Facility Name:
Pluris North Topsail WWTF
PPI:
001
Flow Measuring Point:
[21 influent [:] Effluent [:] No flow generated
Parameter Code No
00050
00010 ',60400,
50060
00316
00625
0
E
i= iz
CL
0 0
U
S
:E
z
0
0
0
24-hr
hrs
GOD
0C
Hsu
mg/L
m C
mg/L
1
07:00
8
'461,734,
76
8.6
0.5
2
07:00
8
446;896,
14.4
3
07:00
8
445,456
67
�'8,3:
0.4
4
07:00
8
770,,'194
5
6
521,566
7
07:00
8
'591,,776,'
75
0.5
8
07:00
8
'590,263
9
07:00
8
6119,774
76
8.16
0.4
10
07:00
8
5128,266
79
�8.9
0.6
111
07:00
8
533,402,,
12
5t6,803,
13
626
14
07:00
8
500,019
81
�77.
0.4
15
07:00
8
80
.1
0.4
16
07:00
8
47%386
78
9.2
0.3
17
07:00
8
508,285
18
07:00
8
527,134
77
9.1
0.5
77
19
446,342
78
9
0.3
20
450,689,
21
07:00
8
429,512
75
9.2
0.2
22
07'00
8
414;W
76
9.2, 1
0.4
15.3
23
07:00
8
488,918
70
9.1
0.3
24
07:00
8
610,752
25
07:00
8
513i100
85
9.3
0.4
26
484,946
80
R.2,
0.5
27
474,254,
28
07:00
8
_402,567
29
07:00
8
76
0.5
30
07:00
8
764,
75
0.3
31
07:00
8
$71 1667,�
Onslow
Month:August
TCounty:
Year 2023
Parameter Monitoring Point:
0 influent
71 Effluent
❑ Groundwater Lowering El surface water
00610
00626
31616
09600
00665
1 6
00940
0
E
0
0
E
E
LL o
0 �W
0
0.
mg/L
-,"MOIL,
#/100 mL
iingft,
mg/L
r4 L
mg/L
8.4
10.1
773
14.5
5.6
0.9 1 , <0.02 ' "1 36 1 15�3 1 2.9
Average: 511,721
76.71
0.41
14.85
103.20
4.65
0.05
166.82
1,41.901
4.25
Daily Maximum: 871,667
85.00
9.30
0.60
29.00,
15.30
157.00
8.40
0.110
77100
15.30
5.60
Daily Minimum: 385,788
67.00
8,,60
0.20
21.00
14.40
49.40
0.90
662
36.00
14.150
2.90
Sampling Type: Recorder
Grab
Gralb'
Grab
Composite
Composite
Composite
Composite
Composite
composite
Comi---"-
Composite
Composite''
Composite
Monthly Avg. Limit: 542,635
?
Daily Limit]
Sample Frequency. 1Continuous
per event
per event
per event
2 x month
. 2 x month
2 x `mantle '
2 x month
2 X ntanth
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 / '�'
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? ❑� 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 (CRC) Certification
Pernittee 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 ❑ 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.
1 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
Permit No.: W00005849 _T
Facility Name: Pluris North Topsail WWTF
PPI: 005
Flow Measuring Point: [I influent El Effluent 7 No flow generated
Parameter Code P
500,60
00400
'31616,,
00610
00600
00665
2
0
E
0
0
0
E
0
0
0
LL.
CL
0
24-hr
hrs
su
mg/L
mg/L
1 21
7.8
39
1 <0.2
1
0.26
10.8
Average:
#PI1f1011,
400,
0.00
,,1,00_].
0.26
10.80 1
Daily Maximum:
0
#REF!
0.20
1.00
0.26
01.12
10.80
100
Daily Minimum:
OL
#REF!
39.00
0.20
1.00
0.26
7TT2 7
10.80
i'lt00,
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
MA
Grab
� Grab
Grab
Monthly Avg. Limit:
NL
NL
NL
NL
NL
NL
­,NL,1
NL
NL
NL
Daily Limit:
Sample Frequency:
monthly I
monthly
monthly
monthly
monthly
monthly
monthly
monthly 'j,,monthly
',!
3xyear

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _Y of __Z_V
Sampling Person(s) Certified Laboratories
Name: Dwight Peterson Name: Environchem 37729
Name: Steve Calder Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑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 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 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

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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page (s of / .5;—
Did the application rates exceed the limits in Attachment B of your permit?
P1 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?❑
compliant
❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
21 compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
21 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 0 No
Phone Number: 910-327-2880 Permit Exp.: 12/31/26
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 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, We, 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 � of
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?
❑ Compliant E] Non -Compliant
21 Compliant ❑ Non -Compliant
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? 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 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 Q 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 possibifity 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 C S'

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page /D off
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?
21 compliant ❑ Non -Compliant
❑✓ Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 2 compliant ❑ Non-compuant
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? ED 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 P1 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 possibifily 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 I i of I Cr-

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page lZ of L
Did the application rates exceed the limits in Attachment B of your permit?
21 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?
[Z compliant
❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
F41 Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
21 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 -a- Of /s7­

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page —LV of
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?
0 compliant
❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
i] 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_
SecT�� 3�d-31 ,4" 0L)4R2 rJ4 ye4z[
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
i
z3
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: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I& of l,2
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?
0 Compliant
❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
Q 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
ORC: Dwight Peterson
Certification No.: 1002194
Grade: 4 Phone Number:
Has the ORC changed since the previous NDAR-1?
910-327-2880
❑ Yes o No
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Penn ittee:
Maurice GaHarda
Signing official: Dwight Peterson
Signing Official's Title: Plant Manager
Phone Number: 910-327-2880 Permit Exp.: 12/31/26
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 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 17of 0�%"

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1�_ of
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?
0 Compliant
❑ Non -Compliant
2] Compliant
❑ Non -Compliant
Q Compliant
❑ Non -Compliant
❑� Compliant
❑ Non -Compliant
❑� Compliant
❑ Noncompliant
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? ❑ ye 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