WQ0029653_Monitoring - 11-2023_20240110

Monitoring Report Submittal
...................................................
Permit Number#* WQ0029653
Name of Facility:* SCOTCH HALL PRESERVE WWTP
Month: * November Year: * 2023
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
G W-59
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Upload Document*
doc01010020240110101606. pdf 1.44M B
PDF Only
doc01009920240110101458. pdf 1.9M B
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Brian Jernigan
�tCl1IY �/Pt�Yl�rl�Y
1 /10/2024
This will be filled in automatically

Reviewer: Wanda.Gerald
Is the project number correct?* WQ0029653
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 1/12/2024

FORM: NDMR 05-16
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Permit No.: WQ0029653
Facility Name: Scotch Hall Preserve WWTP
PPI: 001
Flow Measuring Point: ❑ Influent [Z Effluent ❑ No flow generated
Parameter Code - ►
50050
00310
00940 '.
50060
31616
00610
a
>
U ~
o
c
O
~ N
O
L
m
y
O'
G';
y
O
p ~ y
ti .p
0
E
24-hr
hrs
GPD
mg/L
mg/L
mg/L
#/100 mL
mg/L
1
3,338
2
3,338
3
07:00
2
2,473
4
2,473
5
2,473
6
2,473
7
2,473
8
2,473
9
2,473
10
07:00
2
1,967
11
1,967
12
1,967
13
1,967
14
1,967
15
1;967
16
1,967
17
07:00
8
10,077
29
64
0.5
<1
1.1
18
10,077
19
10,077
20
10,077
21
10,077 <.
22
10,077
23
10,077
24
07:00
2
4,132
25
4,132
26
4,132
27
4,132
28
4;132
29
4`,132
30
4,132
31
County: Bertie
Month: November j
Year: 2023
Parameter Monitoring Point: ❑ Influent ❑✓ Effluent ❑ Groundwater Lowering ❑ surface Water
00620
00600
00400
00665''
70300
00530
c
_ 2
�•'
y
Y > -
w
q V
OCL
0 O.
ma/L
ma/L
su
mg/L
mg/L
mg/L
<0.02 1 7.8 1 8.4 11 3.11 1 414
Average:
4,574
29.00
64.00
0.50
1.00
1.10
7.80
0.00
7.80
3.11
414.00
29,00
Daily Maximum:
10,077
29.00
64.00
0.50
1.00
1.10
7.80
0.02
7.80
8.40
3.11
414.00
29.00
Daily Minimum:
1267
29.00
64.00 ':
0.50
1.00 ?
1.10
7.80
0.02
7.80
8.40
3.11
414.00
29,00
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'1
4 X Year
1 3 X Year
I Per Event
1 4 X Year
1 4 X Year
1 4 X Year
1 4 X Year
1 4 X Year
I Per Event
1 4 X Year
1 3 X Year
1 4 X Year

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) 11 Certified Laboratories
Name: TOM BEASLEY 11 Name: ENVIRONMENTAL CHEMISTS, INC
Name: II Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 2 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 0 No
Phone Number: 336-410-4761 Permit Expiration: 2/28/2026
Sialw a Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, 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 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

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?
0 Compliant
❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
❑Q Compliant
❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
❑Q Compliant
❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
❑Q Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
E 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
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 NDAR-1? ❑ Yes 2 No
Phone Number: 336-410-4761 Permit Exp.: 2/28/26
Signature Date
ure 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