WQ0022224_Monitoring - 11-2023_20231221

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * November
WQ0022224
Sam's Branch WRF
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2023
Upload Document*
Nov 23 NDMR.pdf 1.28MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Salvador Valdiviezo
a 5,�/t 64?2;�
Reviewer: Wanda.Gerald
12/21 /2023
This will be filled in automatically

Is the project number correct?* W00022224
Is the monitoring report accepted?* Yes NO
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 1/9/2024

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page A- of 3
Permit No.: W00022224
Facility Name: Sam's Branch WRF
County: Johnston
Month: November
Year: 2023
PPI_ 001
Flow Measuring Point: ❑ Influent _J Effluent No row generated
Parameter Monitoring Point: Influent _ Effluent Groundwater Lowering - Surface Water
Parameter Code o-
00310
31616
00610
00530
00076
,75 >
Q E
U F
0
0
E 0
i= in
c)
1X
0
Ln
o
0
m
E
c6 0
a�
1i 0
0
E
E
a
a,
in
c a
o a 'a
F N U)
rn
r
o
o
7
~
24-hr
hrs
mg/L
#/100 mL
mg/L
mg/L
NTU
1
07:30
8
0.846
2
07:30
8
<2.0
2
0.53
<2.5
0.899
3
07:30
8
4
0930
2
0.853
5
09:15
2
1.19
6
07:30
8
7
07:30
8
<2.0
0.39
3
8
07:30
8
9
07 30
8
<2.0
0.06
3.35
1.64
10
0930
8
1.76
11
10:30
2
1.58
12
11:30
2
1.64
13
07:30
8
14
07:30
8
<2.0
0.28
2.65
2.18
15
07:30
8
2.12
16
07:30
8
<2.0
0.14
<2.5
17
07:30
8
2.12
18
07:30
8
1.45
19
07:30
2
1.16
20
07:30
10.5
<2.0
0.16
<2.5
1.46
21
07:00
8
1.88
22
07:15
8
<2.0
0.1
<2.5
2.57
23
09:30
6
4.07
241
09:15
4
3.22
25
09:15
2
3.61
26
08:30
2
4.16
27
07:30
8
3.96
28
07:30
8.5
<2.0
0.12
<2.5
4.22
29
07:00
8.5
5.93
30
07:00
8.5
<2.0
0.19
<2.5
5.77
31
Average:
0.00
2.00
0.22
1.00
2.51
Daily Maximum:
2.00
2.00
0.53
3.35
5.93
Daily Minimum:
2.00
2.00
0.06
2.50
0.85
Sampling Type:
Composite
Grab
Composite
Composite
Recorder
Monthly Avg. Limit.
10
14
4
5
Daily Limit:
15
25
6
10
10
Sample Frequency:
2 x Week
Monthly
2 x Week
2 x Week
Continuous

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page __�__ of 3
Permit No.: W00022224
Facility Name: Sam's Branch WRF
County: Johnston
Month: November
Year: 2023
PPI: 002
TFIow Measuring Point: Influent Effluent No flow generated
Parameter Monitoring Point_ Influent Effluent Groundwater Lowering Surface Water
Parameter Code —►
WQ01
�
< E
O
c
O
dl
E a)w
p
a
� L V
3
24-hr
hrs
gallons
1
0730
8
2
07:30
8
3
07:30
8
4
09:30
2
5
09:15
2
6
0730
8
7
07:30
8
8
07:30
8
9
07:30
8
a
10
09:30
8
72
11
1030
2
12
11:30
2
131
07:30
8
d
141
07:30
8
15
07:30
8
v
m
16
07:30
8
E
17
07:30
8
2
18
07:30
8
2'
19
07-30
2
t
20
07:30
10.5
0
21
07:00
8
M.
22
07:15
8
0
23
09:30
6
~
24
09:15
4
25
0915
2
26
08:30
2
27
07:30
8
28
07:30
8.5
29
07:00
8.5
30
0700
8.5
31
Average:
Daily Maximum:
629,136.00
Daily Minimum:
Sampling Type:
Estimate
Monthly Avg. Lim
EFreqEuencty:Monthly
Sampl

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page-1of 3
Sampling Person(s) II Certified Laboratories
Name: Alex Suvorov, Michael Ratley, Salvador Valdiviezo, Name: Town of Clayton
Name: Ilona Williams, Brian Gay, James Warren Name: Waypoint Analytical
d111 nic�nituring aata ana sampling frequencies meet the requirements in Attachment A of your permit? Compliant f ;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 acirfitinnal Shpptc if nacace
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Salvador Valdiviezo Permittee: Town of Clayton, Sams Branch WRF
Certification No.: 1009190 Signing Official: James Blalock
Grade: IV Phone Number: 919-553-1535 Signing Official's Title: Assistant Water Resources Director
Has the ORC changed since the previous NDMR? afes [ No Phone Number: 919-553-1530 x6530 Permit Expiration: 10/31/2026
16gnature 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