WQ0014785_Monitoring - 09-2023_20240314

Monitoring Report Submittal
Permit Number#* WQ0014785
Name of Facility:* Midway Middle School
Month: * September Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR Sept 2023.pdf 4.2MB
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: * Robert Carroll
Signature:
Date of submittal: 3/14/2024
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0014785
Is the monitoring report accepted?* Yes No
Regional Office* Fayetteville
Reviewer: _anonymous
Review Date: 3/18/2024

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page
No.: Q10:
•way Middle School.Sampson.
September
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
O Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 21Compliant ❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? OCompliant El Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ElCompliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? OCompliant ❑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
I ORC: JASON DICKINSON
Certification No.: 1007291
Grade: SI Phone Number: 910-385-4915
IHas the ORC changed since the"revious NDAR-1? ❑ Yes O No
-?--t -z
Signature Date
By this signature. I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee: SAMPSON COUNTY SCHOOLS
Signing Official: JASON DICKINSON
Signing Official's Title: ORC
Phone Number: 910-385-491�, Permit Exp.: 10/31/28
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 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 Quality
Information Processing Unit
1617 Mail Service Center

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
O Compliant ❑ Non -Compliant
17 Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
O 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 necescary
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: JASON DICKINSON Permittee: SAMPSON COUNTY SCHOOLS
Certification No.: 1007291 Signing Official: JASON DICKINSON
Grade: SI Phone Number: 910-385-4915 Signing Official's Title: ORC
Has the ORC changed since the previous NDAR-1? ❑ Yes 121 No Phone Number: 910-385-4 15 Permit Exp.: 10/31/28
Signature Date Signature Date
By this signature, I certify that this report is accurrale 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 Quality
Information Processing Unit
1617 Mail Service Center

FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR)
Page of
Permit No.: W00014785
Facility Name: Midway Middle School
County: Sampson
Month: September
Year: 2023
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
Field Name:
5
Area (acres):
0.435
Area (acres):
0.435
Area (acres):
0.435
Area (acres):MYESNO
Area (acres):
0.435
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:Cover
Crop:
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
Lojaded
PAN
Field Loaded?
❑YES No
Field Loaded?
❑YES No
Field Loaded?
C Yes r7 No
Field Loaded?
Field LYES
No
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December
January
February
March
April
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Aug ust
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0.0
0
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0.0
0.0
0.0
Annual PAN Load Limit
(Ibs/aclyr):
12.55
12.55
12.55
12.55
12.55

FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of
Did the mass loading rates exceed the limits in Attachment B of your permit? 3Compliant ❑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: JASON DICKINSON
Certification Number: 1007291
I Grade: SI
Phone Number: 910-385-4915
Has the ORC changed since the previous NDMLR? ❑ Yes 17 No
Signature
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee:
Signing Official:
Permittee Certification
SAMPSON COUNTY SCHOOLS
Signing Official's Title
JASON DICKINSON
ORC
Phone No.: 910-385-4915 Permit Exp.: 10/31/28
Date 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 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR)
Page of
Permit No.: VV00014785
Facility Name: Midway Middle School
County: Sampson
Month: September
Field Name:
6
Field Name:
7
Field Name:
8
Field Name:
Field Name:
Area (acres):
0.435
Area (acres):MYESM
Area (acres):
0.435
Area (acres):
Area (acres):
Cover Crop:
Cover Crop:Cover
Crop:
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
Load Type:
PAN
Load Type:
Load Type:
Field Loaded?
El YES oNO
Field Loaded?
Field Loaded?
❑YES r,NO
❑YES El
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Ibs/ac
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Ibs/ac
Ibs/ac
Ibs/ac
gal
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November
W
May
June
July
August
September
0
9.29
0.0
0.0
0
9.29 1
0.0
0.0
0
9.29
0.0
0.0
12 Month Floating PAN Load
(Ibs/ac/yr):
0 0
0 0
0 0
0.0
Annual PAN Load Limit
(Ibs/ac/yr):
12.55
12.55
12.55
Year: 2023
❑ YES ❑ NO
Ibs/ac I Ibs/ac
W

FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of
Did the mass loading rates exceed the limits in Attachment B of your permit? 0Compliant ❑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 additinnal chppte if narac-,
Operator in Responsible Charge (ORC) Certification
ORC: JASON DICKINSON
Certification Number: 1007291
I Grade: SI
Phone Number: 910-385-4915
Has the ORC changed since the previous NDMLR? ❑ yes 0 No
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee: SAMPSON COUNTY SCHOOLS
Signing Official: JASON DICKINSON
Signing Official's Title: ORC
Phone No.: 910-385 4915 Permit Exp.: 10/31/28
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 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: W00014785
Facility Name: Midway Middle School
County: Sampson
Month: September
Year: 2023
PP I: 001
Flow Measuring Point: ❑Influent DEffluent El No flow generated
Parameter Monitoring Point: E) Influent DEffluent E) Groundwater Lowering OSurface Water
Parameter Code 0
50050
00400
00625
00310
00610
0053
00530731616
616
00665
00620
WQ0
00600
00
Q
Q E
p
O
t
a
O
Z
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LO
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E
E
a
N
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npN
OLL
in
1
24-hr
hrs
GPD
500
su
mg/L
mg/L
mg/L
mg/L
#/100 mL
I/L
mg/L
mg/L
mg/L
mg/L
mg/L
2
500
3
500
4
2,314
5
2.314
6
2,314
7
2,314
8
2,314
9
2,314
10
2,314
11
2,200
12
2,200
13
2,200
14
2.200
15
2,200
16
2,200
17
2,200
18
2,843
19
2,843
20
2,843
21
2,843
22
2,843
23
2,843
24
2,843
25
2,757
26
2,757
27
2,757
28
2,757
29
2,757
30
2,757
31
Average:
2,318
Daily Maximum:
2,843
Daily Minimum:
500
Sampling Type:
Monthly Limit:
310,000
Daily Limit:
Sample Frequency:

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s)
Name:
Name:
Certified Laboratories
Name: II Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0Compliant ❑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 necassary
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Jason Dickinson Permittee: Sampson County Schools
Certification No.: 1007291 Signing Official: Jason Dickinson
Grade: S Phone Number: 910-385-4915
Has the ORC changed since the previous N R? ❑Yes 17No
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Signing Official's Title: ORC
Phone Number: 910-38Permit Expiration: 10/31/2028
DZ-
/
jij :z
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 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617