WQ0014785_Monitoring - 11-2022_20230404

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page
Permit No.: WQ0014785
Facility Name: Midway Middle School
County: Sampson
Month: November
Field Name:
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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?
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?
[ACompliant ❑Non -Compliant
❑� Compliant ❑Non -Compliant
❑� Compliant ❑Non -Compliant
❑� Compliant ❑Non -Compliant
❑� 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: Jason Dickinson
Permittee:
Sampson County Schools
Certification No.: 1007291
Signing Official: Jason Dicvklnson
Grade: S Phone Number: 910-385-4915
Signing Official's Title: ORC
Has the ORC changed since the previous NDAR-1? ❑ves QNo
Phone Number: 910-385-4915 Permit Exp.: 10/31 /28
��
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Z -z9-23
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

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page
Q1114785
Facility Name: Midway Middle School
County: Sampson•
- •-
1
D • irrigation occur
Area (acres):
at this facility?
FIYES [,-]NO
Hourly Rate (iny
Hourly Rate (in):
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Hourly Rate (in):
Annual Rate
Annual_Rate (iny.
Annual Rate (in):
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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?
❑� 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? ❑Compliant ❑Non -compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ❑� Compliant ❑Non -compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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: Jason Dickinson
Permittee:
Sampson County Schools
Certification No.: 1007291
Signing Official: Jason Dicvklnson
Grade: S Phone Number: 910-385-4915
Signing Official's Title: ORC
Has the ORC changed since the previous NDAR-1? ❑Yes ❑� No
Phone Number: 910-385-4915 Permit Exp.: 10/31/28
al -Az 3--4-23
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Ir
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

FORM: NDMLR 08-11
NON -DISCHARGE MASS LOADING REPORT (NDMLR)
Page
Permit No.: WQ0014785
Facility Name: Midway Middle School
County: Sampson
Month: November
Year: 2022
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
Field Name:
5
Area (acres):
0.435
Area (acres):
0.435
Area (acres):
0.435
Area (acres):
0,435
Area (acres):
0,435
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
[]YES 21NO
Field Loaded?
[]YES EINO
Field Loaded?
❑YES ONO
Field Loaded?
❑YES [ZNO
Field Loaded?
❑YES [ZNO
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Ibs/ac
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Ibs/ac
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gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
December
-
January
February
March
April
May
June
July
August
September
October
November
0
9.29
0.0
0.0
0
9.29
0.0
0.0
0
9.29
0.0
0.0
0
9.29
0.0
0:0
0
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0.0
0.0
12 Month Floating PAN Load
0.0
0.0-
0.0
0.0
0.0
(Ibs/ac/y r):
Annual PAN Load Limit
5.3
5.30''
5.30
5.30
5.30
(Ibs/ac/yr):
'0

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Sampling Person(s) Certified Laboratories
Name: Name:
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Ocompliant ❑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: Jason Dickinson
Permittee: Sampson County Schools
Certification No.: 1007291
Signing Official: Jason Dickinson
Grade: S Phone Number: 910-385-4915
Signing Official's Title: ORC
Has the ORC changed since the previous NDMR? ❑Yes ❑✓ No
Phone Number: 910-385-4915 Permit Expiration: 10/31/2028
-23
Signature Date 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

FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page
Permit No.: W00014785
Facility Name: Midway Middle School
County: Sampson
Month: November
Year: 2022
Field Name:
6
Field Name:
7
Field Name:
8
Field Name:
Field Name:
Area (acres):
0.435
Area (acres):
0.435
Area (acres):
0.435
Area (acres):
Area (acres):
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
Load Type:
Field Loaded?
EYES ENO
Field Loaded?
EYES ENO
Field Loaded?
DYES ENO
Field Loaded?
[]YES ONO
Field Loaded?
EYES ENO
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Ibs/ac
Ibs/ac
gal
mg/L
Ibslac
Ibs/ac
gal
mg/L
I Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
December
-•�
January
February
March
April
May
June
July
August
September
October
November
0
9.29
0.0
0.0
0
9.29
0.0
0.0
1 0
9.29
&0
0.0
12 Month Floating PAN Load
0.0
0.0
mvzz"
0.0
EW///"
0.0
0.0
(Ibs/ac/yr):
-
I ---- --
Annual PAN Load Limit
5.3
5.30
5.30
(Ibs/ac/yr):

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Name:
Name: 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: Jason Dickinson
Permittee: Sampson County Schools
Certification No.: 1007291
Signing Official: Jason Dickinson
Grade: S Phone Number: 910-385-4915
Signing Official's Title: ORC
Has the ORC changed since the previous NDMR? ❑Yes i]No
Phone Number: 910-385-4915 Permit Expiration: 10/31/2028
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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Permit No.: W00014785
Facility Name: Midway Middle School
County: Sampson
Month: November
Year: 2022
PPI: 77777Flow
Measuring Point: ❑Influent DEffluent [_]No flow generated
Parameter Monitoring Point: ❑Influent DEffluent ❑Groundwater Lowering ❑Surface water
Parameter Code -►
50050
00400
00625
00310
00610
00530
31616
00665
00620
WQ09
00940
00600
70300
T
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24-hr
hrs
GPD
su
mg/L
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
1
3,725
2
3,725
3
3,725
4
3,725
5
3,725
6
3,725
7
3,725
29.9
20.4
8
1,829
7.99
9
1,829
10
1,829
11
1,829
12
1,829
13
1,829
14
1,829
29.9
15
2,671
16
2,671
17
2,671
18
2,671
19
2,671
20
2,671
21
2,671
22
1,171
23
1,171
24
1,171
25
1,171
26
1,171
27
1,171
28
1,171
29
2,400
3,41
14
37
10
0.04
30
2,400
<0.02
311
0
Average:
2,277
29.90
14.00
20.40
37.00
10.00
7.99
0.04
0.00
29.90
Daily Maximum:
3,725
3.41
29.90
14.00
20.40
37.00
10.00
7.99
0.04
0.02
29.90
Daily Minimum:
0
3.41
29.90
14.00
20.40
37.00
10.00
7.99
0.04
0.02
29.90
Sampling Type:
Monthly Limit:
310,000
Daily Limit:
Sample Frequency:

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?
Compliant ❑Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ElCompliant ❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? [2]Compliant ❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? [2]Compliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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: Jason Dickinson
Permittee:
Sampson County Schools
Certification No.: 1007291
Signing Official: Jason Dickinson
Grade: S Phone Number: 910-385-4915
Signing Official's Title: ORC
Has the ORC changed since the previous NDAR-1? ❑ves Fv]No
Phone Number: 910-385-4915 Permit Exp.: 10/31/28
3 23
Z3
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

envirochem
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 ° 910.392.0223 Lab ° 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 ° 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 ° 910.347.5843 Lab/Fax
info@ environmentalchemists.com
Sampson Co. Schools Date of Report: Dec 14, 2022
437 Rowan Road Customer PO #:
Clinton, NC 28328 Customer ID: 19040001
Attention: Report #: 2022-23620
Project ID: Midway Middle
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-58083 Site: Effluent - Grab 11/29/2022 8:00 AM Water Jason Dickinson
Test
Ammonia Nitrogen
Fecal Coliform
Residue Suspended (TSS)
Total Phosphorus
BOD
Nitrate Nitrogen (Calc)
Method
EPA 350.1, Rev. 2.0, 1993
Idexx Coiilert-18
SM 2540 D-2015
SM 4500 P (F-H)-2011
SM 5210 B-2016
Results Date Analyzed
20.4 mg/L
12/07/2022
10 MPN/100ml
11/29/2022
37.0 mg/L
11/29/2022
7.99 mg/L
12/08/2022
14 mg/L
11/29/2022
Nitrite Nitrogen
EPA353.2, Rev. 2.0,1993
0.04 mg/L
11/29/2022
Nitrate+Nitrite-Nitrogen
EPA 353.2, Rev. 2.0,1993
< 0.02 mg/L
11/30/2022
Nitrate Nitrogen
Subtraction Method
<0.02 mg/L
12/14/2022
Total Nitrogen (Calc)
Total Kjeldahl Nitrogen (TKN)
EPA 351.2, Rev, 2.0,1993
29.9 mg/L
12/07/2022
Total Nitrogen
Total Nitrogen
29.9 mg/L
12/14/2022
Comment:
Reviewed by:
Report #:: 2022-23620 Page 1 of 6

Environmental Chemist, Inc., Wilmington, NC Lab #94
6602 Windmill Way
Wilmington, NC 28405
Sample Receipt Checklist 910.392.0223
Che &-0N-6L-- ,o�- Date: _ _ R), ReportNumber: _ 2022- co'01,0
[Receipl-c,r_s.a
,,rl:: -
- i CFIFf � Pi-K;p
n ---- C►innt Delivery--
IJ?S ❑_ �•^;iF> CJ t1_I,e•
ES
❑ i iU
(�/!,
--
H. Were custody seals preseni on the cooler? v `i
❑ YES
❑ NO
M N/A
2 If
Original
temperature
upon
receipt
custody seals were present, were they intact/unbroken?
C
Corrected temperature upon receipt_
How temperature taken:
❑ Temperature Blank [ Against Bottles
IR Gun ID:
Thomas Traceable S/N 192511657 IR Gun Correction Factor °C: 0.0
Q
YES
❑
NO
3.
If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
UJ
YES
❑
NO
4.
Were proper custody procedures (relinquished/received) follov�ed?
@
YES
❑
NO
5.
Were sample ID's listed on the COL?
5d
YES
❑
NO
6.
Were samples ID's listed on sample containers?
YES
❑
NO
7.
Were collection date and time listed on the COC?
YES
❑
NO
8,
kVere tests to be performed listed on the COC?
[�
b
YES
❑
NO
9.
Did samples arrive in proper containers for each test?
YES
❑
NO
10.
Diil samples arrive in good condition for each test?
❑
YES
❑
NO
11-
l'as adequate sample volume available?'
12
YES
ID
NO
12
, ..�.e ram
°C
YES
❑ NO
- - p receive Wnthin proper holding time for req!i_st_ t-S-S?
13. �'��ere acid preserved samples received at a pH of <2?
14, k ere cyanide samples received at a pH >12?
YES
tl
❑ NO
YES
❑ NO
15. ti Vere sulfide samples received at a pH >9?
1E. V-.'Er_ N'H3/TKN/Phenol received at a chlorine residual of <,D
YES
❑ NO
❑ YES
❑ NO
17. VVere Sulfide/Cyanide received at a chlorine residual of <O.S n;/L?
IT YES
❑ NO
18. Were orthophosphate samples filtered in the field within 15 minutes?
TOC/Volatiles are pH checke:i ai tin;e of analysis and recorded on the benchsheet.
Bacteria samp] es are check J for Chior;n-2 at time of analysis and recorded on the benchshe2t
(Sample Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): H2SO, HNC, HCI NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
a.=_ly f-J-f If:.Cffeiil ' fese :'�� saT ei. �,n a n_:J 53 .a'? Cf
Y F pl ob`-` e
notify the state lab i; d =_ct d to =_. - z�a byti:= c•isto :�=_f. 44r 4vas notified, date e
and tits;-
Volatiles Sample(s) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1

I
Analytical & Consulting Chemists
4=
ENVIRONMENTAL CHEMISTS, INC
NCDENR: DWQ CERTIFICATION # 94 NCDHHS. DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX [phone]
info Oenvironmentalchem ists.com
Client: Sampson County Schools
Project: Midway Middle School/PPI 001 WWTF
REPORT NO:
Address: 437 Rowan Road
CONTACT NAME: Robert Carrol
PO NO:
Clinton, NC 28328
REPORT TO: Robert Carroll
PHONE/FAX:
co y: R Carroll [e-mail])
email: [e-mail]
Sampled Bv: 7043;^ b1i "e490v0 SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
m
�
E `o
o
v
o`
o a
t E
"
o
m
JQ a
z
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp'"
z
o
Z
�
x
o
N
x
o
z
xo
a
Z
o
=
~
=
r
o
Effluent
9..
/�
C
P
b 23
X
BOD, TSS, NO2
G
G
H (field):
ql
�',
X
Z
NH3, NO3, Total P, TKN, N(calc)
G
G
C
P
X
Fecal
G
G
C
P
Due: Mar, July, Nov
G
G
C
P
G
G
Effluent
C
P
X
TDS, Chloride (November only)
G
G
C
P
G
G
Soil Sample
C
P
X
Standard Soil Fertility (December only)
G
G
Transfer
Relinquished By:
Date/Time/
Received By:
Date/Time
2.
Temperature when Received" C:__Accepted: ejected: Resampl Req ested:_
Delivered By: aSon /01ckWisaw Received By: '' __ Rate: a Ti
Comments: TURNA OUND: