WQ0014785_Monitoring - 06-2023_20240314

Monitoring Report Submittal
Permit Number#* WQ0014785
Name of Facility:* Midway Middle School
Month: * June Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR June 2023.pdf 4.17MB
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
Permit No.: Q00'785
Z F,cilityN,me: Midway Middle School•
• • n
Month: June
• irrigation occu
at this facility?
Area (acres)::1
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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
0 Compliant ❑ Non -Compliant
(21 Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
0 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: 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? El Yes oNo
Phone Number: 910-385-4915 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 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 Quality
Information Processing Unit
1617 Mail Service Center

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
W00014785
Facility Name: Midway MiddleSchool•
• •
.
1
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Annual Rate (in):•
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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
O 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 necessarv.
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 O No Phone Number: 910-385-4915 Permit Exp.: 10/31/28
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 Quality
Information Processing Unit
1617 Mail Service Center

FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page
Permit No.: W00014785
Facility Name: Midway Middle School
County: Sampson
Month: June
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):
0A35
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:
PAN
Load Type:
PAN
Field Loaded?
❑ YES o NO
Field Loaded?
❑ YES ❑ No
Field Loaded?
❑ YES o NO
Field Loaded?
❑ YES E No
Field Loaded?
❑ YES ONO
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Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
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August
September
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November
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January
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5,000
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Annual PAN Load Limit
(Ibs/ac/yr):
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8.75
8.75
8.75
8.75

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? 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
ORC: JASON DICKINSON
Certification Number: 1007291
Grade: SI Phone Number: 910-3854915
Has the ORC changed since the previous NDMLR? ❑ yes o No
3.1-k
Signature Date
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
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.: VVQ0014785
Facility Name: Midway Middle School
County: Sampson
Month: June
Year: 2023
Field Name:
6
Field Name:
7
Field Name:
8
Field Name:
Field Name:
Area (acres):
0.435
Area (acres):
0.435
Area (acres):
0A35
Area (acres):
Area (acres):
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
Load Type:
Field Loaded?
❑YES nNO
Field Loaded?
❑YES ENO
Field Loaded?
I- YES No
Field Loaded?
❑YES ❑No
Field Loaded?
DYES ONO
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Ibs/ac
gal
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Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
July
August
September
October
November
December
January
February
March
EApril
May
June
5,000
9.29
0.9
0.9
5,000
9.29
0.9
0.9
5,000
9.29
0.9
0.9
8.75
12 Month Floating PAN Load
0.9
0.9
0.9
0.0
0.0
(Ibs/ac/yr):
Annual PAN Load Limit
8.75
8.75
8.75
(Ibs/ac/yr):

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?
3 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: JASON DICKINSON Permittee: SAMPSON COUNTY SCHOOLS
Certification Number: 1007291 Signing Official: JASON DICKINSON
Grade: SI Phone Number: 910-385-4915 Signing Official's Title: ORC
Has the ORC changed since the previous NDMLR? ❑Yes o No Phone No.: 910-385-4915 Permit Exp.: 10/31/28
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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Permit No.: W00014785
Facility Name: Midway Middle School
County: Sampson
Month: June
Year: 2023
PPI: 001
Flow Measuring Point: IIuent El Effluent ❑ No Flow generated
Parameter Monitoring Point: 01nfuent 10 Effluent [I Groundwater Lowering C7Surface Water
Parameter Code 0
50050
00400
00625
00310
00610
00530
31616
00665
00620
WQ09
00940
00600
70300
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24-hr
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GPD
su
mg/L
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
1
4.614
2
4.614
3
4.614
4
2.229
5
2,229
6
2,229
7
2,229
8
2,229
9
2,229
10
2,229
11
386
12
386
13
386
141
386
151
386
16
386
17
386
18
228
19
228
20
228
21
228
22
228
23
228
24
329
25
329
26
329
27
329
28
329
29
329
30
329
31
Average:
1,194
Daily Maximum:
4,614
Daily Minimum:
228
Sampling Type:
Monthly Limit:
310,000
Daily Limit:
Sample Frequency:

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Name:
Name: 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 necessary.
Operator in Responsible Charge (ORC) Certification
I ORC: Jason Dickinson
I Certification No.: 1007291
I Grade: S
Phone Number: 910-385-4915
Has the ORC changed since the previous NDMR? ❑ Yes o No
lei -4-1 ,-- I - -7, i(
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: 910-385-4915 Permit Expiration: 10/31/2028
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