WQ0014785_Monitoring - 05-2023_20240314

Monitoring Report Submittal
Permit Number#* WQ0014785
Name of Facility:* Midway Middle School
Month: * May Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR May 2023.pdf 4.23MB
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.: 0001 4785
Facility Name: Midway Middle School•
• n
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• irrigation occur
at this facility?
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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
10 Compliant ❑ Non -Compliant
111 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 oNo
Phone Number: 910-385-4915 Permit Exp.: 10/31/28
�i
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: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page
PermitNo.: VV00014785
Facility Name: Midway Middle School
County: Sampson
• irrigation occur
at this facility?
1
1
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
f] Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
I7 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 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? ❑ves 2 No
Phone Number: 910-385-4915 Permit Exp.: 10/31/28
t�1 - ( - - y
3
f u-) ! �.
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.: VVQ0014785
Facility Name: Midway Middle School
County: Sampson
Month: May
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):
0.435
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 El No
Field Loaded?
❑ YES O No
Field Loaded?
❑ YES o NO
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7.85
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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? 9Compliant ❑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? El Yes a No
l
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Phone No.: 910-385-4915 Permit Exp.: 10/31/28
3-(--
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
Permit No.: VVQ0014785
Facility Name: Midway Middle School
County: Sampson
Month: May
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):
0.435
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:
PAN
Load Type:
PAN
Field Loaded?
❑YES ENO
Field Loaded?
"'YES nNo
Field Loaded?
❑YES 7NO
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❑YES ONO
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gal
mg/L
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Ibslac
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June
July
August
September
October
November
December
January
February
March
April
May
0
9.29
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0.0
0
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12 Month Floating PAN Load
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Annual PAN Load Limit
(Ibslac/yr):
7.85
7.85
7.85

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 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: 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 oNo Phone No.: 910-385-4915 Permit Exp.: 10/31/28
/ IV
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
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
Permit No.: VVQ0014785
Facility Name: Midway Middle School
County: Sampson
Month: May
Year: 2023
PPI: 001
Flow Measuring Point: C Influent ❑ Effluent7 No flow generated
Parameter Monitoring Point: El influent C] Effluent ❑Groundwater Lowering O Surface water
Parameter Code o
50050
00400
00625
00310
00610
00530
31616
00665
00620
WQ09
00940
00600
70300
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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
2,814
2
2,814
3
2,814
4
2,814
5
2,814
6
2,229
7
2,229
8
2,229
9
2,229
10
2,229
11
2,229
12
2,229
13
3,014
14
3,014
15
3,014
16
3,014
17
3,014
18
3,014
19
3,014
20
2,657
21
2,657
22
2,657
23
2,657
24
2.657
25
2,657
26
2,657
27
4,614
28
4,614
29
4,614
30
4,614
31
Average:
2,928
Daily Maximum:
4,614
Daily Minimum:
2,229
Sampling Type:
Monthly Limit:
310,000
Daily Limit:

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? 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
I Certification No.: 1007291
I Grade: S
Phone Number: 910-385-4915
Has the ORC changed since the previous NDMR? El Yes 10No
za) �, 3 / - .z L
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
0
1
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