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WQ0005790_Monitoring - 08-2023_20231010
Monitoring Report Submittal Permit Number#* Name of Facility:* Month: * August Report Information WQ0005790 Fish Factory Road Treatment Plant Year:* 2023 Type* Upload Document* Revised - NDMR, NDAR-1, NDAR-2, NDMLR August NDMRS Fish Factory.pdf 4.53MB PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). Confirmation Email Address: * fishfactoryrd@oakislandnc.gov Name of Submitter: * Kenny Signature: Date of submittal: Initial Review Reviewer: Wanda.Gerald 10/10/2023 This will be filled in automatically Is the project number correct?* WQ0005790 Is the monitoring report accepted?* Yes No Regional Office* Wilmington Reviewer: _anonymous Review Date: 10/10/2023 FORM NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page Permit No.: W00005790 Facility Name: Fish Factory Road Water Reclamation and Treatment Facility County: Brunswick Month: August Year: 2023 PPI: 001 Flow Measuring Point: J Influent I_j I ffluent Lj No now generated Parameter Monitoring Point: n Influent r] Effluent ❑ Groundwater Lowering ❑ Surface Water Parameter Code —► 50050 00310 00940 50060 31616 00610 00625 00620 00600 00400 00666 70300 00530 00076 C � 0 C O o p m c L ? in ` a, cc U ° tO U 0 E L 0 Z l°_ ori M = x 0. in al. l— 0 L a o v pE ouo-6U o rn O V c vE _ H -0 rnW Nl Cn a7 ~ 24-hr hrs GPD mg/L mg/L mg/L 01100 mL mg/L mg/L mg/L mg/L su mg/L mg/L mg/L NTU 1 0730 4 145.000 01 75 3.215 2 0730 4 189,500 29 01 1 408 45.2 0 79 46 75 5 266 3 825 3 0730 4 160.200 01 74 4315 4 0730 4 169,600 0 1 76 3 058 5 210,600 008 74 2 195 6 260,600 03 74 1 998 7 07 30 4 97.600 022 76 3 613 6 0730 4 155,400 031 76 437 9 0730 4 175,700 4 061 7 32 343 0 75 38 74 1 43 3.9 2 749 10 0730 4 120,800 03 72 0 825 11 0730 4 149,600 02 1 7 1 315 12 199,400 03 7 1 653 13 139,000 075 7 3 1 51 14 07 30 4 154,700 035 7 1.818 15 0730 4 142.800 035 7 1 1 177 161 0730 4 139,200 3 0.03 2420 1 1 3.9 463 12.6 7 474 2.5 1 131 17 0730 4 162,600 002 7 1 357 18 07 30 4 149,000 024 72 1 732 19 157,800 024 72 1 997 20 159,500 062 72 2 109 21 0730 4 111,100 1 091 7 2 436 22 0730 4 107,500 057 7 1 41 23 0730 4 99.000 3 085 5 02 29 843 11.4 6 8 3 2.5 1 181 24 0730 4 101,000 059 7 1 19 25 07 30 4 112.000 59 7 0 974 26 87,500 0 91 68 0 688 27 136,000 0 43 6 8 0 685 28 0730 4 113,800 E0 0 75 — 7 1 731 29 07 30 4 97,800 0 55 7 1 481 30 0730 4 84,900 5 0 61 1 0 2 0.5 24 7 24.7 7 4.53 2.5 1 105 31 0730 4 212,000 1 031 1 1 465 Average: 145.200 880 040 9.67 1486 1736 786 26.54 374 760 1 96 Daily Maximum: 260.600 2900 091 2,42000 4080 45.20 24 70 46,00 760 500 2660 4 72 Daily Minimum: 84,900 300 002 1.00 020 0.50 0 75 11 40 680 1.43 2.50 069 Sampling Type: Recorder Composite Composite Grab Grab Composite Composite Composite Composite Grab Composite Composite Composite Recorder Monthly Limit: 400.000 10 14 4 5 Daily Limit: 115 25 6 6-9 10 10 Sample Frequency: 1 Continuous See Permit 3 X Year 5 X Week See Permit See Permit See Permit See Permit See Permit 5 X Week See Permit 3 X Year See Permit Continuous 0 0 a w z z m O z O 2 w c7 x U N_ 2 O z mill I UII I I I I I I Ull r m \ | E k n \ \ \ ~ 0 7 \ ƒ \ \ \ } ! ZE \ \ 4i ( ƒ \ ) / 0iE , � z _ § ! 5 G 2 % 7 k § \ ! 2 ) ) ! � \ � \ f ) \ s O % . ! 0 u a f \iƒE .!! 2 (\{]t |a f�|!{ zs !`f E E15 ! ski}� � 2 |)`t) to ! ) |zz•! ■ ; ! e e E s e 6 )}!! ~ EN ; ){�{ - £ $!!\§ L \ I!f|, { \ \ § 2 all f : } / \ ! o | \ - 21 ° | ! 2 ! 2 § E � } - ° c \ \ | k \ ! E ` � \ § k 8 k ) FORM NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Permit No.: W00005790 Facility Name: Fish Factory Road Water Reclamation and Treatment Facility County: Brunswick Month: August Year: 2023 Did irrigation occur at this facility? Field Name: 1 Field Name: 2 Field Name: 3 Field Name: 4 & 4A Area (acres): 22 Area (acres): 2 1 Area (acres): 2 Area (acres): 22 Cover Crop: Cover Crop: Cover Crop: Cover Crop: Hourly Rate (in): 0.4 Hourly Rate (in): 04 Hourly Rate (in): 04 Hourly Rate (in): 04 Annual Rate (In): 156 Annual Rate (in): 156 Annual Rate (In): 156 Annual Rate (in): 52 Weather Freeboard Field Irrigated? (.i YES 5 NO Field Irrigated? E0 YI s — NO Field Irrigated? YES f NO Field Irrigated? ❑YES n r+0 m 0 o a coi L 4 3 ? d E N ° n V ` a ra ° N d m vaA �, G Q q in ® v E m a o a i Q m E H t rn c A a p J E Im c E o a N 2 2 J a E v Q o a % Q v d E f- � _ M c o p J E rn D_' c E 0 v .M = p J E a o a % a v dQ E i- t c rn c A D O J E c o c E v A 2 J m E 2 a 6 a Q v d: E M i- _ a, c v 0 0 J E a "c o a A= 0 J °F in ft It if gal min in in gal min in in gal min In In gal min in in 1 c 85 0 38 4 0 0 0.00 000 0 1 0 000 000 0 0 000 000 0 0 000 000 2 C 82 0 38 4 0 0 000 000 0 0 000 000 0 0 000 0.00 0 0 000 000 3 C 86 0 38 4 0 0 000 0.00 0 0 000 000 0 0 000 000 0 0 000 000 4 C 78 0 38 4 0 0 000 000 0 0 000 000 0 0 000 000 0 0 000 000 5 C 81 07 38 4 0 0 000 0.00 0 0 000 000 0 0 000 000 0 0 000 000 6 C 87 0 38 4 0 0 000 000 0 0 000 000 0 0 000 000 0 0 000 000 7 C 90 0 3 8 4 0 0 0.00 000 0 0 000 000 0 0 0.00 0.00 0 0 000 000 8 C 88 03 38 4 0 0 000 000 0 0 000 000 0 0 000 000 0 0 000 000 9 Cr 89 0 38 d 0 0 000 000 0 0 000 000 0 0 000 000 0 0 000 000 10 PC 88 0 38 4 0 0 000 000 0 0 000 000 0 0 000 0 60 0 0 000 000 11 C 90 0 38 4 0 0 000 000 0 0 000 000 0 0 000 000 0 0 000 000 12 PC 91 02 38 4 0 0 000 000 0 0 000 000 0 0 000 000 0 0 000 000 13 C 94 0 38 4 0 0 000 000 0 0 000 000 0 0 000 000 0 0 000 000 14 C 97 0 38 4 0 0 000 000 0 0 000 000 0 0 000 000 0 0 000 000 15 C 91 0 38 4 0 0 000 000 0 0 000 000 0 0 000 000 0 0 000 000 16 C 90 0 38 4 0 0 000 000 0 0 000 000 0 0 000 000 0 0 000 000 17 C 87 06 38 4 0 0 000 000 0 0 000 000 0 0 000 000 0 0 000 000 18 C 91 0 38 4 0 0 000 000 0 0 000 000 0 0 000 000 0 0 000 000 19 C 92 0 38 4 0 0 000 000 0 0 000 000 0 0 000 000 0 0 000 000 20 C 88 0 38 4 0 0 000 000 0 0 _000 000 0 0 000 000 0 0 000 000 21 C 93 0 38 4 0 0 000 000 0 0 000 000 0 0 0.00 000 0 0 0.00 000 22 C 91 0 38 4 0 0 000 000 0 0 000 000 0 0 000 0.00 0 0 000 000 23 C 82 0 38 4 0 0 0 00 000 0 0 000 000 0 0 0 00 000 0 0 000 000 24 C 88 0 38 4 0 0 000 000 0 0 000 000 0 0 000 000 0 0 000 000 25 C 91 0 38 4 0 0 000 000 0 0 000 000 0 0 000 000 0 0 000 000 26 C 88 0 38 4 0 0 000 000 0 0 000 000 0 0 000 000 0 0 000 000 27 C 92 0 38 4 0 0 000 000 0 0 000 000 0 0 000 000 0 0 000 000 28 C 04 38 1 4 0 0 000 000 9.282 58 0 16 0 16 0 0 000 0.00 0 0 000 000 29 C 0 38 4 0 0 0 00 0 00 0 0 000 000 0 0 000 000 0 0 000 000 30 R L77 08 38 4 0 0 000 000 7 177 44 0 13 0 13 0 0 000 000 0 0 000 0 00 31 C 31 38 1 4 0 0 000 000 0 0 000 000 0 0 000 000 0 0 000 000 Monthly Loading: 0 000 16.459 029 0 0 00 0 0.00 12 Month Floating Total (in): 0 04 85 81 1 14 22 0 00 FORM NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _of_ FORM NDAR-105-16 NON -DISCHARGE APPLICATION REPORT(NDAR-1) Page _of_ Permit No.: W00005790 Facility Name: Fish Factory Road Water Reclamation and Treatment Facility County: Brunswick Month: August Year: 2023 Did irrigation occur Field Name: 5 & SA Field Name: 6 Field Name: 7 Field Name: 8 at this facility? Area (acres): 2 5 Area (acres): 1 25 Area (acres): 1 7 Area (acres): 1 55 Cover Crop: Cover Crop: Cover Crop: Cover Crop: — NO Hourly Rate (In): 04 Hourly Rate (in): 02 Hourly Rate (in): 02 Hourly Rate (in): 02 Annual Rate (in): 156 Annual Rate (in): 127 Annual Rate (in): 127 Annual Rate (in): 127 Weather Freeboard Field Irrigated? YES - I NO Field Irrigated? ❑ Yes - 1 N, 1 Field Irrigated? I J YES ❑ No Field Irrigated? i] YES ❑ NO m CD~ e C o a a m -= a-0 n CA w A ❑ A m y Em m E t E E Em 2 m m E❑U — c ❑ E A E.d ❑ J fET c =J>J a E_ ~ rn c J AE M c »A = o0o JE i °F in ft it gal min In in gal min in in gal min in in gal min in in 1 c 85 0 38 4 48.000 240 071 018 0 0 000 000 0 0 000 000 0 0 000 000 2 C 82 0 38 4 48,000 240 071 018 0 0 000 000 0 0 000__ 000 5 232 28 0 12 0 12 3 C 86 0 38 4 48,000 240 071 0 18 0 0 000 0.00 54,334 309 1 18 023 0 0 000 000 4 C 78 0 38 4 0 0 000 000 0 0 000 000 0 0 000 000 0 0 000 000 5 C 81 0 7 38 4 0 0 000 000 0 0 000 000 0 0 000 000 5.472 28 0 13 0 13 6 C 87 0 38 4 0 0 000 000 0 0 000 000 0 0 000 000 5,511 28 0 13 0 13 7 C 90 0 38 4 0 0 000 000 0 0 000 000 0 0 000 000 5,372 28 0 13 0 13 8 C 88 0 3 38 4 0 0 000 000 0 0 000 000 0 0 000 0.00 5,280 28 0 13 0 13 9 C 89 0 38 4 0 0 000 000 0 0 000 000 0 0 0.00 000 5,406 28 0,13 0 13 10 PC 88 0 38 4 0 0 000 000 0 0 000 000 0 0 000 000 5.428 28 0 13 0 13 11 C 90 0 38 4 0 0 000 0,00 0 0 000 000 0 0 000 000 0 0 000 0 00 12 PC 91 02 38 4 0 0 000 000 0 0 0.00 000 0 0 000 000 5.363 28 0 13 0 13 13 C 94 0 38 4 48.000 240 071 018 0 0 000 000 0 0 000 000 5.411 28 0 13 0 13 14 C 97 0 38 4 48.000 240 071 018 0 0 000 000 0 0 000 000 5.193 28 0 12 0 12 15 C 91 0 38 4 48 000 240 071 0 18 0 0 000 000 0 0 000 000 0 0 000 000 16 C 90 0 38 4 48.000 240 071 0 18 0 0 000 000 0 0 000 000 6,139 28 0 15 0 15 17 C 87 06 38 4 0 0 000 000 0 0 000 000 0 0 000 000 5511 28 013 013 18 C 91 0 38 4 0 0 000 000 0 0 000 000 0 0 000 0.00 5.568 28 0 13 0 13 19 C 92 0 3 8 4 0 0 0 00 0 00 0 0 0 00 0 00 0 0 0 00 0.00 5 515 28 0 13 0 13 20 C 88 0 38 4 0 0 000 000 0 0 000 000 0 0 000 000 5, 284 28 0 13 0 13 21 C 93 0 38 4 0 0 000 0,00 0 0 000 000 0 0 0.00 0.00 5 376 28 0 13 0 13 22 C 91 0 38 4 48,000 240 071 018 0 0 000 000 0 0 000 000 5.603 28 0 13 0 13 23 C 82 0 38 4 48 000 240 071 0 18 0 0 000 000 0 0 000 000 5 559 28 0 13 0 13 24 C 88 0 38 4 48,000 240 071 0 18 0 0 000 000 0 0 000 0.00 5 502 28 0 13 0 13 25 C 91 0 38 4 0 0 000 000 0 0 000 000 0 0 000 0.00 5,485 28 0 13 0 13 26 C 88 0 38 4 0 0 000 000 0 0 000 000 0 0 000 0.00 5206. 28 0 12 0 12 27 C 92 0 38 4 0 0 000 000 0 0 000 000 0 0 000 000 5 154 28 0 12 0 12 28 C 92 04 38 4 0 0 000 000 0 0 000 000 0 0 000 0.00 5,337 28 0 13 0 13 29 C 90 0 38 4 0 0 000 000 0 0 000 000 0 0 000 000 5358 28 0 13 0 13 30 R 80 08 38 4 0 0 000 000 0 0 000 000 0 0 000 000 5,389 28 013 0 13 31 C 77 3 1 3 8 4 0 0 000 0.00 0 1 0 000 000 0 0 000 000 5,376 28 0 13 0 13 Monthly Loading: 12 Month Floating Total (in), 480.000 707 49.51 0 0 00 28 04 54,334 1 18 54 46 141,029 335 36.09 Pa e . of FORM NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) 9 Permit No.: W00005790 Facility Name f ish Factory Road Water Reclamation and Treatment Facility County. Brunswick Month August Year: 2023 Did irrigation occur Field Name: 9 Field Name, 10 Field Name: 11 Field Name: 12 at this facility? Area (acres): 1 99 Area (acres): 175 Area (acres): 247 Area (acres): 1 62 Cover Crop: Cover Crop: Cover Crop: Cover Crop: Hourly Rate (in): 0.2 Hourly Rate (in): 0.2 Hourly Rate (in): 0.2 Hourly Rate (in): 0.2 Annual Rate (in), 127 Annual Rate (in): 127 Annual Rate (in): 127 Annual Rate (In): 127 Weather Freeboard Field Irrigated? Yt S No Field Irrigated? (_j YES [_j No Field Irrigated? I YES I 1 No Field Irrigated? [J YES n NO m c EL d 01 to d m a M a O o m E a i E c i o o Lc E g E m > Ern _ m o J 'c Eo3 o J E 3 E rn 46 E v �E _ E w > E oo E xTnvoo rnc J E ° 'r In k ft gsl min in In gal min in In gal min In in gal min in in 1 c 1 85 1 0 38 4 0 0 000 000 0 1 0 000 000 0 0 000 000 0 0 0.00 000 2 C 82 0 38 4 0 0 000 000 45 017 0 17 7,739 45 0 12 012 3,026 16 007 007 3 C 86 0 38 4 0 0 000 0.000 000 000 0 0 000 000 0 0 000 000 4 C 78 0 38 4 0 0 000 0.000 PO7 000 000 0 0 000 000 0 0 000 000 5 C 81 07 38 4 9,160 45 017 0.17 45 0 17 0 17 7,796 45 0.12 012 2,982 16 007 007 6 C 87 0 38 4 9,043 45 0.17 017 45 017 0 17 7,743 45 0 12 0 12 2.947 16 007 007 7 C 90 0 3 8 4 8,955 45 0 17 0 17 45 017 017 7,626 45 0 11 0 11 2,886 16 0.07 007 6 C 88 0 3 38 4 9,008 45 017 0 17 8,123 45 017 0 17 7,735 45 0 12 0 12 3,039 16 0,07 007 9 C 89 0 38 4 9,073 45 0 17 0 17 8,184 45 0.17 0.17 7,752 45 0 12 0.12 3,000 16 007 007 10 PC 88 0 38 4 9,082 46 0 17 0 17 8 158 45 0.17 0 17 7,804 45 0 12 0 12 2,939 16 007 0.07 11 C 90 0 38 4 0 0 000 000 0 0 0.00 000 0 0 000 000 0 0 000 000 12 PC 91 02 36 4 9,187 45 0 17 0 17 8,166 45 0 17 0 17 7,682 45 0,11 Oil 2,895 16 007 007 131 C 1 94 0 38 4 9,121 45 0.17 0.17 8,049 45 017 0 17 7,691 45 0 11 Oil 2,943 16 007 007 14 C 97 0 3 8 4 9,038 46 0 17 017 8,144 45 0 17 0 17 7.687 45 0 11 Oil 3 069 16 007 0 07 15 C 91 0 3 8 4 0 0 000 000 5,546 39 0.12 012 0 0 0.00 000 0 0 000 000 18 C 90 0 38 4 10.085 46 019 019 9,570 45 020 020 8,794 45 0 13 0 13 3,331 16 008 0.08 17 C 87 06 38 4 9,134 45 0 17 017 12,260 135 026 0 11 7 665 45 Oil 0 11 2,934 16 007 007 18 C 91 0 38 4 9,060 45 0 17 017 8,083 46 0 17 0 17 7,578 45 Oil 0 11 2,965 16 007 007 19 C 92 0 38 4 9,021 45 0.17 0 17 8,192 46 0 17 0 17 7,708 45 Oil Oil 2.912 16 007 0.07 20 C 88 0 38 4 9.086 45 017 0 17 8,284 46 017 0 17 7.765 45 0.12 0.12 3,061 16 007 0 07 21 C 93 0 3 8 4 9 278 45 0 17 017 8,393 47 0 18 018 7,735 45 0 12 012 3,035 16 007 007 22 C 91 0 1 3 8 4 9.195 45 0 17 017 8,371 47 0 18 018 7,826 45 012 0 12 2,947 16 0.07 007 23 C 82 0 38 4 9,152 46 0 17 017 8,947 50 019 0 19 7,748 45 0 12 012 2,969 16 007 007 24 C 88 0 38 1 4 9,003 46 0 17 0.17 21.076 121 044 022 7,443 45 0 11 0 11 3.004 16 007 007 251 C 1 91 0 38 4 8,864 45 0.16 016 8,463 49 0 18 0 18 7,438 45 0 11 Oil 2.952 16 0,07 0.07 26 C 88 0 38 4 8,772 45 0 16 016 86.289 526 1 82 021 7.211 45 0 11 0 11 2.904 16 007 0,07 27 C 92 0 38 4_ 8,751 46 0 16 016 0 0 000 000 7,530 45 0.11 0 11 3.008 16 007 007 28 C 92 04 38 4 8,925 46 0 17 017 0 0 000 000 7,608 45 0.11 Oil 2.965 16 007 007 29 C 90 0 3 8 4 8,881 45 016 016 0 0 000 000 7,674 45 0.11 0 11 2,921 16 007 007 30 R 80 0 8 3 8 4 8,934 45 017 017 0 0 000 000 7,613 45 0 11 0 11 2,943 16 007 007 31 C 77 3 1 3 8 4 8,855 45 016 016 0 0 000 000 7,691 45 0 11 0.11 2,969 16 007 0.07 Monthly Loading' 226.663 4 19 274,611 578 200.281 2.99 77,5 17 1 76 12 Month Floating Total (In) 23 79 4G 87 26.38 14 60 FORM NDAR-1 05-16 NON-E Permit No.: W00005790 Facility Name: Fish Factory Road Did irrigation occur at this facility? Field Name' 13 Area (acres): 1 19 Cover Crop: Hourly Rate (in): 02 Annual Rate (In): 127 Weather Freeboard Field Irrigated? i YE5 ❑ NO o m v U m m ' A n E F c ° =q n a d `o = _ v 0 n n ] u T m Nft d v E m 2 > 'a a m E t of c J E o s i c E6 Ro m_ A=JL 3 °F in ft gal min in in 1 c 85 0 38 4 0 0 000 000 2 C 82 0 38 4 8,184 45 025 025 3 C 86 0 38 4 0 0 000 000 4 C 78 0 3 8 4 0 0 000 000 5 C 81 0 7 3 8 4 8,192 45 025 0.25 6 C 87 0 3 8 4 8.240 45 0,26 0.26 7 C 90 0 38 4 8 210 46 025 0.25 8 C 88 0 3 3 8 4 8 179 46 025 025 9 C 89 0 38 4 8,232 45 025 025 10 PC 88 0 38 4 8.201 45 025 025 11 C 90 0 3 8 4 0 0 000 000 12 PC 91 0 2 3 8 4 8,101 45 025 0.25 13 C 94 0 38 4 8,166 45 0.25 025 14 C 97 0 38 4 8.171 45 025 025 15 C 91 0 38 4 0 0 000 000 16 C 90 0 38 4 9 304 45 029 029 17 C 87 0 6 38 4 8,184 45 025 025 18 C 91 0 38 4 8,035 45 025 025 19 C 92 0 38 4 8,044 45 025 025 20 C 88 0 38 4 8,236 45 025 025 211 C 1 93 0 3 8 4 8,341 45 026 026 22 C 91 0 3 8 4 8,332 45 026 0 26 23 C 82 0 3 8 4 8.162 45 025 025 24 C 88 0 38 4 8,083 45 025 025 25 C 91 0 38 4 7.918 45 025 025 26 C 88 0 38 4 7,595 45 024 024 27 C 92 0 38 4 8.092 45 025 0.25 28 C 92 04 3 8 4 7,957 45 025 025 29 C 90 0 3 8 4 8 062 45 025 025 30 R 80 0 8 3 8 4 7,979 45 025 0.25 31 C 1 77 31 38 4 8.092 45 025 0.25 Monthly Loading: 212,293 6 57 12 Month Floating Total (in): 91 66 FORM NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Did the application rates exceed the limits in Attachment B of your permit? L Compliant ❑ Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? L Compliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑)compliant El Non Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? El Compliant ❑ Non -compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? L 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 dale(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: Kenneth Von Volgt Permittee: Town of Oak Island Certification No.. 1006360 Signing Official: Lisa Stites Grade: 2 Phone Number: 9103521435 Signing Official's Title: Town Clerk Has the ORC changed since the previous NDAR-1? I yes _1 No Phone Number: (910) 201-8004 Permit Exp.: 7/31/27 ,� -- / oa26-�Q,i3 -P 1 Z 7) .2j 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 lawthat this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that all quahtied 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 i 0 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31