WQ0029653_Monitoring - 09-2023_20231025

Monitoring Report Submittal
Permit Number#* WQ0029653
Name of Facility:* SCOTCH HALL PRESERVE WWTP
Month: * September Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR doc00957420231025123850.pdf 2AMB
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: * Brian jernigan
Signature:
aft o towr 01"
Date of submittal: 10/25/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0029653
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 10/30/2023

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0029653
Facility Name: Scotch Hall Preserve WWTP
County: Bertie
Month: September
Year: 2023
PPI: 001
Flow Measuring Point: ❑ Influent 0 Effluent ❑ No flow generated
Parameter Monitoring Point: ❑Influent ❑� Effluent ❑Groundwater Lowering El Surface Water
Parameter Code 0
60050
00310
00940
50060
31616
00610
00625
00620
00600
00400
00665
70300
00530
>
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U
Em
_ ..
O
3
p
m
°
Wm
}9v�
c1°io
'°
0
a
ve
010
z
m
z
y
',9c
zo
s
`�
FO
a
�N
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V! N
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am
`aci°
to A
rn
24-hr
hrs
GPD
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
mg/L
1
07:00
2
8,288
2
8,288
3
8,288
4
8,288
5
8,288
6
8,288
7
8,288
8
07:00
2
11,257
9
11,257
10
11,257
11
07:00
1
11,257
12
11,257
13
07:00
1
11,257
14
11,257
15
07:00
9
2,541
21
0.5
<1
3.7
12.4
0.05
12.5
8.6
3
12.2
16
2,541
17
2,541
18
2,541
19
2,541
20
2,541
21
2,541
22
07:00
2
30,173
23
30,173
24
30,173
25
07:00
1
30,173
26
30,173
27
30,173
`
281
30,173
29
07:00
2
4,370
30
4,370
31
Average:
12,485
21.00
0.50
1.00
3.70
12.40
0.05
12.50
3.00
12.20
Daily Maximum:
30,173
21.00
0.50
1.00
3.70
12.40
0.05
12.50
8.60
3.00
12.20
Daily Minimum:
2,541
21.00
0.50
1.00
3.70
12.40
0.05
12.50
8.60
3.00
12.20
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
16,920
30
200
15
30
Daily Limit:
Sample Frequency:
Continuous
.4 X Year
3 X Year
Per Event
4 X Year
4 X Year
4 X Year
4 X Year
4 X Year
Per Event
4 X Year
3 X Year
4 X Year

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: TOM BEASLEY Name: ENVIRONMENTAL CHEMISTS, INC
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? El 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: BRIAN JERNIGAN
Permittee: SCOTCH HALL PRESERVE WWTP
Certification No.: SI 1006435
Signing Official: MIKE PARAH
Grade: Phone Number: 252-325-0771
Signing Official's Title: GENERAL MANAGER
Has the ORC changed since the previous NDMR? ❑ Yes 21 No
Phone Number: 336-410-4761 Permit Expiration: 2/28/2026
t a Date
/thlnatur �cet�ify
Signature Date
,1hat 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 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _ of

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of

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? ❑✓ 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? 0 Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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: BRIAN JERNIGAN
Permittee: SCOTCH HALL PRESERVE WWTP
Certification No.: SI 1006435
Signing Official: MIKE PARAH
Grade: Phone Number: 252-325-0771
Signing Official's Title: GENERAL MANAGER
Has the ORC nged since the previous NDAR-1? ❑ Yes ❑ No
Phone Number: 336-410-4761 Permit Exp.: 2/28/26
3
,e
Signature Date
Sig 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