WQ0005790_Monitoring - 09-2023_20231012

Monitoring Report Submittal
Permit Number#* WQ0005790
Name of Facility:* Fish Factory Road Treatment Plant
Month: * September Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR September 2023 NDMR.pdf 4.75MB
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: * Kenny Von Voigt
Signature:
Date of submittal: 10/12/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0005790
Is the monitoring report accepted?* Yes No
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 10/16/2023

■
FORM NDMR 05-16
Permit No.: W00005790
Facility Name: Fish Facto
PPI. 001
Flow Measuring Point: ❑ Irehrerx [�
Parameter Code —►
60050
00310
0090
50060
a
O
•
E a
v
v
c
~
U
LL
003
L
H N O
p
O
U
ir U
24-hr
hm
GPD
mg!L
mglL
mg!L
1
2
07 30
4
105 900
069
3
149.300
036
176,900
1 01
4
07 30
4
119 700
1 5
5
0730
4
148 100
1 5
6
07 30
4
10 4400
053
7
07 30
4
106.000
1 89
8
0730
4
106 100
0 93
9
224.800
06
10
123 900
0 79
11
07 30
4
99 300
086
12
0730
4
94,500
1
13
07 30
4
92 0 00
3
1 25
14
07 30
4
101,200
1
15
0730
4
90000
1
16
110 900
069
17
1 D9 4D0
0 8
18
07 30
4
113.000
072
19
0730
4
79 500
0 85
20
0730
4
80,400
3
095
21
07 30
4
10 DD00
067
22
07 30
4
129.700
06
23
146 4D0
0 35
24
111,600
065
25
0730
4
135,400
065
26
07 30
4
108,800
0 44
27
0730
4
97 700
065
28
0730
4
97 600
071
29
0730
4
98 800
10
31
30
122,500
1 11
31
115.700
065
Average
116.081
300
083
Daily Maximum:
224,800
300
1 89
Daily Minimum:
79 500
300
0 31
Sampling Type:
Recorder
Gomposrte
Composite
Grab
Monthly Limit:
400.000
10
Daily Limit:
15
Sample Frequency:
Continuous
See Permit
3 X Year
5 X Week

FORM NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Permit No W00005790
Facility Name: Fish Factory Road Water Reclamalion and Treatment Faaiay I
County Brunswick
Month: September
Year: 2023
PPI. 002
Flow Measuring Point: Lj Irinuent FRluent [ No now generated
Parameter Monitoring Point: C influent 0 Effluent ❑Groundwater Lowering ill Surface water
Parameter Code —i
yyp01
?
'"
>
m
a E
U ~
O
c
O
E m
U
cr
O
v v
m s
E m a
m „
O
24-hr
hrs
gallons
1
0730
4
0
2
0
3
0
4
0730
4
0
5
0730
4
0
6
0730
4
0
7
0730
4
0
8
0730
4
0
9
0
10
0
11
0730
4
0
12
0730
4
0
13
0730
4
0
14
0730
4
0
15
0730
4
0
16
0
17
0
18
0730
4
0
19
0730
4
0
20
07 30
4
0
21
0730
4
0
22
0730
4
0
23
0
24
0
25
0730
4
0
26
0730
4
0
27
0730
4
0
28
0730
4
0
29
0730
4
0
30
0
31
0
Average.
000
Daily Maximum
000
Daily Minimum
000
Sampling Type:
Recorder
Monthly Limit,
225,951
Daily Limit:
Sample Frequency:
Continuous

Page _ of _ '
.enknTn0IMr. REPORT (NDMR)
FORM NDMF
Permit No.: W00005790
Facility Name: Fish Factory Road Water neae
PPI: 003
Flow Measuring Point: ❑ Irdlurnt j] [mue rt ❑ No r°
50050
Parameter Code — a
m
c
O
o
a E
E d
o
0
~
in
U
LL
O
at
O
24-hr
hrs
GPD
1
0730
4
0
2
0
3
0
4
0730
4
0
5
07 30
4
0
6
07 30
4
0
7
07 30
07 30
4
4
0
0
8
9
0
10
07 30
4
4
4
4
0
0
0
0
0
0
0
0
11
12
0730
13
07 30
14
07 30
15
07 30
4
16
17
18
07 30 4
0
19
07 30 4
0
20
07 30 4
0
21
0730 4
0
22
0730 4
0
23
0
24
0
25
0730 4
0
26
07 30 4
0
27
07 30 4
0
28
07 30 4
0
29
0730 4
0
30
0
31
0
Average:
0
Daily Maximum:
0
Daily Minimum:
0
Sampling Type:
Recorder
Monthly Limit:
180,000
Daily Limit:
Sample Frequency:
Continuous

FORM NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) pages 'f
Sampling Person(s) Certified Laboratories
Name: Kenny Von Voigt Name: Environmental Chemists
Name:
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? n 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 dates) of the non-compliance and describe the corrective
achnnfsl taken Attnrh arlrlihnnai cheetc if nereccary
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Kenneth Von Voigt
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 NDMR? [J yes it No
Phone Number: [phone] Permit Expiration: 7/31/2027
z X4��z
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 [his 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 o1 my knowledge and belief, true, accurate, and complete I am
aware that [here are significant penalties for submitting false information, including the possibility of lines 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 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Pane
Permit No.: W00005790
Did irrigation occur
Facility Name: Fish Factory Road Water Reclamation and Treatment Facility County: Brunswick Month: September Year: 2023
Field Name: 1 Field Name: 2 Field Name: 3 Field Name: 4 84A
at this facility?
Area (acres):
2.2
Area (acres):
2 1
Area (acres):
2
Area (acres):
22
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
NO
Hourly Rate pn):
0 4
Hourly Rate (in):
04
Hourly Rate (in):
04
Hourly Rate (in):
04
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
r 3aa
o
o
C
C
C
C
C
C
C
C
C
C
C
C
CL
C
C
C
C
C
C
Weather
n
ry
E
c
o
u
a
Freeboard
oO
v
CLi
Ln
Annual
Field Irrigated?
o o
Q
Rate (in):
a
156
YEs
1oQJ
E0) 0)
o 0
�
Annual
Fieald Irrigated?
Q
Rate (in):
CD A
H
156
Annual Rate
(in):
156
Annual Rate
(in):
52
vJr5
p
F1 N
'm'
=
Field
ield Irrigated?
E
i
v
E
~
itms
J=
NO
—cE
E'A'
Field Irrigated?
a
� Q
d
~J
YES
21
❑
—'N' O
Eoo
'vm J
=J
of
80
82
86
91
91
95
95
93
87
85
93
97
91
84
80
86
88
83
86
in
0
0
0
0
0
0
0
0
0
01
0OS
0
O1
0
0
0
0
0
0
ft
38
3 8
3 8
38
38
38
38
38
3 8
38
3 8
38
38
3 8
3 8
38
38
38
4
ft
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
gal
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
min
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
in
000
0 00
0 00
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
in
000
000
000
000
000
000
000
0 00
000
000
000
000
000
000
000
000
000
000
000
gal
0
0
0
0
0
0
0
22,750
0
0
0
0
0
0
0
0
0
0
0
min
0
0
0
0
0
0
0
145
0
0
0
0
0
0
0
0
0
0
0
in
000
000
000
0 00
000
000
000
0 40
000
000
000
000
000
000
000
000
000
000
000
_000
in
000
000
000
000
000
000
000
0 17
000
000
000
000
000
000
000
000
000
000
0 00
gal
0
0
min
0
0
In
000
000
in
000
0.00
gal
0
0
min
0
0
in
000
000
in
000
000
0
0
0
0
0
11,916P52
0
0
0
0
0
0
0
0
0
0
0
0
000
000
0
0
000
000
0
000
000
0
0
000
000
0
0
0
0
0
0
0
0
0
000
000
0
0
000
000
000
000
0 22
000
000
000
000
000
000
000
000
000
000
000
000
0
0
000
000
000
0
0
000
—
000
0 22
0
0
0 00
0 00
000
000
000
000
000
000
000
000
000
000
000
0
0
0
0
000
000
000
000
0
0
0
0
0
0
0
0
0
0
000
000
0
0
0
0
0
0
0
0
000
000
000
000
000
000
000
000
000
000
00
000
000
000
000
000
20
C
82
0
4
4
0
0
000
000
0
0
0 00
0
0
000
000
0
0
000
000
21
R
75
1 3
4
4
0
0
000
000
0
0
000
0 00
0
0
000
0 00
0
0
000
000
22
R
65
05
4
4
0
0
000
000
0
0
000
0 00
0
0
000
000
0
0
000
000
23
PC
64
0 7
4
4
0
0
000
000
0
0
000
0 00
0
0
000
000
0
0
000
000
24
C
85
0
4
4
0
0
000
000
0
0
000
000
_000
0
0
000
000
0
0
000
000
25
C
88
0
4
4
0
0
000 1
000
0
0
000
0
0
000
000
0
0
000
0 00
26
C
79
0
4
4
0
0
000
000
0
0
000
000
0
0
000
000
0
0
000
000
27
CL
72
0
4
4
0
0
000
000
0
0
000
000
0
0
000
0 00
0
0
000
000
28
PC
75
0
4
4
0
0
000
000
0
0
000
000
0
0
000
000
0
0
000
000
29
PC
73
0
4
4
0
0
000
000
0
0
000
000
0
0
000
000
0
0
000
0 00
30
PC
77
0
4
4
0
0
0 00
000
0
0
000
000
0
0
0 00
0 00
0
0
000
0 00
31
22,750
0 40
69 19
11,916
0 22
80 53
0
000
000
Monthly Loading:
0
000
0 04
12 Month Floating Total (in)-

FORM NDAR-1 05-16
Permit No.: W00005790
Facility Name: Fish Factory Road Water Reclamation and Treatment Facility
County: Brunswick
Month: September
Year: 2023
Did irrigation occur
Field Name:
5 & 5A
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:
Hourly Rate (in):
0 4
Hourly Rate (in):
02
Hourly Rate (in):
0.2
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
❑ NO
Field Irrigated?
YES
No
Field Irrigated?
g
❑ YES
D NO
Field Irrigated?
YES
❑ No
coi
m
=
m
n
E
c
C
a
d
w
o
rn
m
Du
m a
E d
-E
j Q
a d
E_�
~
C
�a
o o
=1 S
E»
A i o
°
E=
o n
E�
r= rn
rn
�v
o m
E 1 rn
E c
x o m
m
o
ai v
E.2
a
d:
E rn
rn
>c
E rn
n c
E
��
Em
o
a
E_
rn
E a
E rn
E
>
OF
in
ft
ft
gal
min
in
in
1
C
80
0
3 8
4
0
0
0 00
0 00
gal
min
in
in
gal
min
in
in
gal
min
in
in
2
C
82
0
3 8
4
0
0
0 00
0 00
0
0
0
0
0 00
0 00
0
0
0
0
00
0.00
0 00
0.00
5.188
5.219
28
28
0 12
0 12
0 12
0 12
3
C
86
0
3 8
a
48 000
240
071
0 18
000
0 00
0
0
000
000
5,363
28
0 13
0 13
4
C
91
0
3 8
4
48 000
240
071
0 18
0
0
0
0
0 00
0 00
5
C
91
0
38
4
0
0
000
000
0
0
000
000
000
000
0
0
0
0
0 00
0 00
0 00
0 00
5 424
5,193
28
28
0 13
0 12
0 13
0 12
6
C
95
0
3 8
4
0
0
0 00
0.00
0
0
000
000
000
000
0
0
0
0
000
0 00
0 00
000
5 084
4 800
29
28
0 12
0 11
0 12
0 11
7
C
95
0
3 8
4
0
0
000
000
0
0
8
C
93
0
3 8
4
0
0
0 00
0,00
0
0
000
0 00
0
0
0
0
000
000
000
0 00
4,835
5 101
28
28
0 11
0 12
0 11
0 12
9
C
87
0
3 8
4
0
0
0 00
000
0
0
000
0 00
10
C
85
0.1
3 8
4
p
0
0 00
0.00
0
0
0 00
0
0
000
0 00
5 127
28
0 12
0 12
11
C
93
0 OS
3 8
4
0
0
0 00
000
0
0 00
12
C
97
0
3 8
q
0
0
0.00
0 00
0
0
0
0 00
000
0 00
0
0
0
0
0 00
0 00
0 00
0 00
5.114
5.053
28
28
0 12
0 12
0 12
0 12
13
CL
91
01
38
4
0
0
000
000
0
000
0
0
000
0 00
5 071
28
0 12
0 12
14
C
B4
0
38
4
48 000
240
071
0 18
0
0
0
000
000
15
C
80
0
3 8
4
48.000
240
071
018
0
0 00
0 00
0
0
0 00
0 00
5.023
28
0 12
0 12
16
C
86
0
3 8
4
48 000
240
071
0.18
0
0
0 00
000
0
0
000
000
4,975
28
0 12
0 12
17
C
88
0
38
4
0
0
000
0 00
0
0
0
0.00
0 00
000
000
0 00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 00
0 00
0 00
0 00
0 00
0 00
0 00
000
000
0 00
0 00
000
0 00
000
00
0 00
46 40
00
0 00
0 00
0 00
000
0 00
000
000
000
0 00
0 00
000
000
000
000
5.106
5,149
4 966
5.005
4.840
5 040
4,997
5,045
4,931
4.835
4,635
4,901
4.914
4 940
150,921
28
28
28
28
28
28
28
28
28
28
28
28
0 12
0 12
0 12
0 12
0.12
0 11
0 12
0 12
0 12
0 12
18
C
83
0
38
4
0
0
0 00
0 00
0
00005.049
19
20
21
22
23
24
25
26
27
28
29
30
31
C
C
R
R
PC
C
C
C
CL
PC
PC
PC
86
82
75
65
64
85
88
79
72
75
73
77
0
0
1 3
O S
07
0
0
0
0
0
0
0
4
4
4
4
4
4
4
4
q
4
4
4
4
4
4
4
4
4
4
4
q
4
q
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
000
000
0 00
0 00
0 00
0 00
000
0 00
000
0 00
0 00
000
000
000
0.00
0 00
0 00
0 00
000
0 00
000
0 00
0 00
0 00
0
0
0
0
0
0
0
0
0
0
0
0
0
p
0
0
0
0
0
0
0
0
0
0
000
0 00
0 00
0 00
0 00
0 00
0 00
0 00
000
0 00
0 00
0 00
000
0 00
000
000
0 00
0 00
000
0 00
000
0 00
0 00
0 00
0 12
0 12
612
0 11
0.12
0 12
0.12
0.12
0 12
0 12
0 1 1
0 11
Oil
0 11
28
0 12
0 12
28
0 12
0 12
1 28
0 12
0 12
12
Month
Monthly
Floating
Loading
Total
(in)
240.000
NOW
3 54
1 48 10
0
0 00
22 00
3 59
35 80

FORM NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page_ot
Permit No.: W00005790
Facility Name: Fish Factory Road Water Reclamation and Treatment Facility
County: Brunswick
Month: September
Year: 2023
Did irrigation occur
at this facility?
Field Name:
9
Field Name:
10
Field Name:
11
Field Name:
12
Area (acres)-
1 99
Area (acres):
1 75
Area (acres):
247
Area (acres):
1 62
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Hourly Rate (in):
0.2
Hourly Rate (in):
02
Hourly Rate (in):
02
Hourly Rate (in):
0.2
Annual Rate (in):
127
Annual Rate (in):
127
Annual Rate (in):
127
Annual Rate (in):
127
Weather
Freeboard
Fleld Irrigated?
_IYES Ej No
Field Irrigated?
L] YES F-, No
Field Irrigated?
iJ YES ❑ No
Field Irrigated?
❑ YES ❑ NO
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in
ft
ft
gal
min
in
in
gal
min
in
In
gal
min
in
In
gal
min
in
in
1
C
80
0
38
4
9 121
46
0 17
017
0
0
000
000
7.661
45
Oil
0 11
3,100
16
007
007
2
M3
C
82
0
38
4
8 907
45
016
0 16
0
0
000
000
7,626
45
0 11
0 11
3.056
16
007
007
C
86
0
3 8
4
8.969
45
0 17
017
0
0
000
000
7,822
45
0 12
0 12
2,982
16
007
007
4
C
91
0
38
4
9.043
45
0 17
0 17
0
0
000
000
7,835
45
0 12
0 12
2,952
16
007
007
5
C
91
0
3 8
4
8,637
46
016
0 16
0
0
000
000
7,447
45
0 11
Oil
2,943
16
007
007
6
C
95
0
38
4
8,515
46
0 16
016
0
0
000
000
7,163
45
0 11
0 11
2,939
16
007
007
7
C
95
0
38
4
8,249
45
0 15
0 15
0
0
000
000
7,159
45
0 11
0 11
3 048
16
007
007
8
C
93
0
3 8
4
8,441
45
016
016
0
0
000
000
7,338
45
0 11
0 11
3 021
16
007
007
9
C
87
0
38
4
8 707
45
0 16
0 16
0
0
000
000
7,477
45
0 11
0 11
2 939
16
007
007
10
C
85
01
38
4
8.733
45
0 16
0 16
0
0
000
000
7,486
45
0 11
0 11
2.956
16
007
007
11
C
93
005
38
4
8.703
45
0 16
016
0
0
000
000
7.395
45
0 11
0 11
2 965
16
007
007
12
C
97
0
38
4
8,533
45
0 16
0 16
8 323
47
0 18
0 18
7,238
45
0 11
0 11
2,921
16
007
007
13
CL
91
0 1
38
4
8.663
45
0 16
016
8 445
47
0 18
0 18
7,390
45
0 11
0 11
3 148
16
007
007
14
C
84
0
38
4
8,894
45
0 16
0 16
8 415
47
0 18
0 18
7,538
45
0 11
0 11
3 083
16
007
007
15
C
80
0
38
4
8 620
46
016
0 16
8.206
46
0 17
0 17
7,242
45
0 11
0 11
2 969
16
007
007
16
C
86
0
3 8
4
8.681
45
0 16
0 16
8,293
47
0 17
0 17
7,334
45
0 11
0.11
2,899
16
007
007
17
C
88
0
3 8
4
8.873
45
0.16
0 16
8 402
47
0 18
018
7,377
45
0 11
0 11
2 926
16
007
007
18
C
83
0
38
4
8,703
45
0 16
0 16
8 371
47
0 18
0 18
7,351
45
0 11
0 11
2,978
16
007
007
19
C
86
0
4
4
8 742
46
0 16
016
8,424
47
0 18
0 18
7,416
45
0 11
0 11
3.126
16
007
007
201
C
1 82
0
4
4
8.751
45
016
016
8.297
46
0 17
0 17
7.307
45
0 11
0 11
2,987
16
007
007
211
R
1 75
1 3
4
4
8,711
45
0 16
016
8.240
46
0 17
0 17
7.225
45
0 11
0 11
2,912
16
007
007
221
R
1 65
0 5
4
4
8,598
46
016
0 16
8 236
46
0 17
0 17
7,238
45
0 11
0 11
2,952
16
007
007
231
PC
1 64
07
4
4
8,620
45
0 16
0 16
8 288
46
017
0 17
7 251
45
0 11
0 11
2 947
16
007
007
24
C
1 85
0
4
1 4
8,607
45
0 16
0 16
8.358
47
0 18
0 18
7,286
45
Olt
0 11
2,974
16 007
007
25
C
88
0
4
4
8.729
45
0 16
0 16
8.454
47
0 18
0 18
7,334
45
0.11
0 11
3,100
16 007
007
26
C
79
0
4
4
8,733
46
0 16
0 16
8.642
47
0 18
0 18
7,325
45
0 11
0 11
3,035
16 1 007
1 007
27
CL
72
0
4
4
8.336
45
0 15
0 15
8 371
47
0 18
0 18
7.059
45
0 11
0 11
2,921
16 007
007
28
PC
75
0
4
4
8,454
45
0 16
0 16
8,227
47
0 17
0 17
7,094
45
0 11
Oil
2,939
16 007
007
29
PC
73
0
4
4
8,546
45
1 0 16
0 16
8 511
48
0 18
0 18
7.216
45
0 11
0 11 3,030
16 007
007
30
PC
77
0
4
4
8,515
45
0 16
0 16
8 751
49
018
0 18
7,150
45
0 11
Oil 3,004
16 007
007
31
Monthly Loading: 260.331 4 82 159.253 3 35 220,777 329 89,751 204
12 Month Floating Total pn): 25 31 %- 4290 28 95 17 99

211
R
1 75
1 1 3
1 a
1 4
1 7,870
1 45
1 024
1 0 24
8,249
45
031
1 031
22
R
65
05
4
4
7,817
45
024
024
8,197
45
0 31
0 31
23
PC
64
0 7
4
4
7.857
45
024
024
8,345
45
031
031
24
C
85
0
4
4
7,822
45
024
024
8.319
45
0 31
031
251
C
1 88
1 0
4
1 4
8,035
1 45
025
1 025
8,271
1 45
031
1 031
26
C
79
0
4
4
8,018
45
025
025
8,345
45
031
0 31
27
CL
72
0
4
4
7,848
45
024
024
8,158
45
031
031
28
PC
75
0
4
4
7,905
45
0 24
024
8,345
45
031
031
29
PC
73
0
4
4
7,865
45
024
024
8,437
45
0.32
032
30
PC
77
0
4
4
7.826
45
024
024
1 8,428
45
032
032
Monthly Loading:1 237,698 736 250,818 9.43 0 0-00 0 000
12 Month Floating Total (in): 91 76 100 17

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?
❑� Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
QCompliant
El 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?
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 Kenneth Von Voigt
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? ❑ yes 2 No
Phone Number: [phone] Permit Exp.: 7/31/27
/D•/ 1v2
(� f r J-3
Signature Date
Signature Date
By this signature I certify that this report is accurrate and complete to the best of my knowtedge
I Lenity, under penally 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
informabon submitted is to the best of my knowledge and belief, true accurate, and complete 1 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-2 05-16 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?
2 Compliant
❑ Non Compliant
Q 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 dates) 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: Kenneth Von Voigt
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 Rrevious NDAR-2? [] Yes 2] No
Phone Number: [phone] Permit Exp.: 7/31/27
/0•/ .�o
, /t ,,
Signature Date
Signature Date
By this signature, I certify that this report is actuate and complete to the best of my knovAedge
I certify, under penally of I<zznv, that this document and all attachments were prepared under my direction or supervision in accordant,
vnlh 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 knovnng violations
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617