WQ0000165_Monitoring - 11-2023_20231219 (3)

Monitoring Report Submittal
Permit Number#* WQ0000165
Name of Facility:* Sands Villa
Month: * November
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2023
Upload Document*
Non discharge utility November.pdf 5.95MB
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: * Matt burner
Signature:
Date of submittal: 12/19/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0000165
Is the monitoring report accepted?* Yes No
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 12/19/2023

Non-Discharcie Monitoring Report (NDMR)
Permit No,: W00000165
Facility Name: Sands Villa
County: Carteret
Month: November
Year: 2023
PPI: 001
Flow Measuring Point: Effluent
Parameter
Monitoring Point:
Effluent
Parameter Code
50050
00400
00310
00610
00530
31616
00620
00625
00630
00600
00940
70295
50060
00076
665
Day
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24-hr
hrs
GPD
su
m IL
m /L
m IL
#I100 mL
m /L
m /L
m /L
m /L
m /L
m /L
1
6:45
0.2
3570
7.89
2
6:32
0.2
5730
7.81
3
6:34
0.2
5815
7.77
4
1 8:24
0.1
2380
5
1 19:55
8020
61
6:39
0.2
8020
7.77
7
1 6:32
0.2
90
7.84
2.00
0.12
3.10
1.00
0.91
8.50
0.91
9.41
527.00
0.22
8
1 6:25
0.2
7745
7.80
6:25
0.2
3015
7.88
H109
10:39
0.1
7860
11
10:40
0.1
9030
12
10:41
7030
13
10:42
0.3
7030
7.91
14
1 6:40
0.2
4975
7.81
2.00
0.50
2.50
1.00
1.99
3.06
2.10
5.16
1.17
15
10:54
0.5
6265
7.74
16
6:39
0.2
9205
7.76
17
6:28
0.2
10820
7.94
18
8:25
4020
19
19:57
4020
20
6:36
0.2
4020
8.21
21
6:34
0.2
5402
7.90
22
6:38
0.2
9338
7.99
23
8:26
5295
24
6:30
0.2
5295
7.84
25
8:58
0.1
8465
26 1
8:28
6077
27 1
6:32
0.2
6077
8.11
28 1
6:56
0.4
8635
7.92
29 1
6:35
0.4
5330
8.03
30
6:29
0.4
3565
8.09
31
Average:
6071 7.90 2.00 0.31 2.80 1.00 1.45 5.78 1.51 7.29 527.00 0.70
Daily Maximum:
Daily Minimum:
10820 8.21 2.00 0.50 3.10 1.00 1.99 8.50 2.10 9.41 527.00 0.00 0.00 0.00 1.17 0.00 0
90 7.74 2.00 0.12 2.50 1.00 0.91 3.06 0.91 5.16 527.00 0.00 0.00 0.00 0.22 0.00 0
Sampling Type:
Monthly Limit.
43000 10 4 20 14 10
Daily Limit:
Sample Frequency:

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Name:
Name:
Drew Pinert
Sampling Person(s)
Name: Environment 1, Inc
Name: �a �e- kz:!-
Certified Laboratories
*R-f Nakk_� ic
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? L44-cmmpliant LJ 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: Drew Piner
Certification No.: 1004745
Grade: 3 Phone Number: 252-342-7261
Has the ORC changed since the previous NDMR? Yes N°
Signature
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee:
Signing Official:
0A
Signing Official's Title: e 17,e-
Phone Number: CR ,So2 �r `'f" '? — 0 1- 1 � Permit Expiration: 6/30/2025
Z
Date 11 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

NON -DISCHARGE APPLICATION REPORT (NDAR-2)
Permit No.: WQ0000165
Facility Name: Sands Villa
County: Carteret
Month: November
Year
12023
Did infiltration occur at this facility? Site Name:
Area (acres)
Yes � No Facility Name:
G.. a
Rate (GPD/ft2):
1
Site Name:
2
Site Name:
3
Site Name:
0.180
Area (acres)
0.180
Area (acres)
#N/A
Area (acres)
High Rate Field 1
Facility Name:
High Rate Field 2
Facility Name:
#N/A
Facility Name:
10
Rate (GPD/ft2):
10
Rate (GPD/ft2):
Rate (GPD/ft2):
Weather
Freeboard
Site Infiltrated?
Site Infiltrated?
Site Infiltrated?
#N/A
Site Infiltrated?
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p
F
in
ft
ft
gal
min
GPD/ft2j
ft
gal
min
GPD/ft2
ft
gal
min
GPD/ft2
ft
gal
min
GPD/ft2
ft
1
C
1785
0.23
1786
0.23
2
C
2865
0.37
2865
0.37
3
C
2907
0.37
2908
0.37
4
2380
0.30
2380
0.30
5
4010
0.51
4010
0.51
6
C
4010
0.51
4010
0.51
7
CL
45
0.01
45
0.01
8
C
3872
0.49
3873
0.49
9
C
1507
0.19
1508
0.19
10
C
3930
0.50
3930
0.50
11
R
4519
0.58
4515
0.58
12
3515
0.45
3515
0.45
13
PC
3515
0.45
3515
0.45
14
C
2487
0.32
2589
0.33
15
C
3132
0.40
3133
0.40
16
C
4602
0.59
4603
0.59
17
PC
5410
0.69
5410
0.69
18
2010
0.26
2010
0.26
19
2010
0.26
2010
0.26
20
C
2010
0.26
A4 iLp
0.00
21
C
2701
0.34
2701
0.34
22
R
4669
0.60
4669
0.60
23
2647
0.34
2647
0.34
24
PC
2647
0.34
2648
0.34
25
PC
4232
0.54
4233
0.54
26
3038
0.39
3038
0.39
27
R
3038
0.39
3039
0.39
28
PC
4317
0.55
4318
0.55
29
C
2665
0.34
2665
0.34
30
C
1782
0.23
1783
0.23
31
Monthly Loading (GPD/ft2):
Year to Date Loading (GPD/ft2):
0.00
0.38
0.00
0.37
UV/0!

FORM: NDAR-210-13 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?
(A'Compliant ❑ Non -Compliant
[9 ( mpiiant ❑ Norrcompliant
ffi�_mpllant ❑ Non -Compliant
pliant ❑ Non -Compliant
[mpliant ❑ 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: Drew Piner Permittee: �4/J v I G 6_A
la-4
Certification No.: 1004745 Signing Official: M,4,�
Grade: 3 Phone Number: 252-342-7261 Signing Official's Title:67 e,11 jo
Has the ORC changed since the previous NDAR-2? ❑ Yes n No Phone Number: — / Permit Exp.:
9 p �� Q
�,A��3
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