WQ0003090_Monitoring - 01-2024_20240228

Monitoring Report Submittal
Permit Number#* WQ0003090
Name of Facility:* TOWN OF LIBERTY WWTP
Month: * January Year: * 2024
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR JAN 2024 SPRAY REPORT.pdf 4.47MB
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: * Elix Fike
Signature:
Date of submittal: 2/28/2024
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0003090
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 3/18/2024

FORM: NDMR 10-13
Page-1—of-1—
Permit No.: WQ0003090 Facility Name: Town Of Liberty - Wastewater
county: Randolph =Month:
January
Year: 2024
PPI: 002
Flow Measuring Point: 0 Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑Influent ❑� Effluent ❑ Groundwater Lowering El Surface water
Parameter Code —►
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FORM: NDMR 10-13
NON -DISCHARGE MONITORING REPORT (NDMR)
Sampling Persons)
Certified Laboratories
Name: GLENN PRICE Name: PACE ANALYTICAL
Name: GARRETT DREYER Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑ Compliant 2 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.
non compliance on the dates of Jan. 6, 7, 10, 11, 13, 28, 29 and 30 Rai
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC:
Elix Tremaine Fike
Permittee: Scott Kidd
Certification
No.: 989290
Signing Official:
Grade:
SI Phone Number: 336 622 2990
Signing Official's Title: Town Manager
Has the ORC
changed since the previous NDMR? ❑ Yes [21 No
Phone Number: 336 622 4276 Permit Expiration: 8/31 /2024
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
1 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

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Page 4 of 4

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Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
[phone]
Laboratory Report
Tremaine Fike
Town of Liberty
PO Box 1006
Liberty, NC 27298
Project: Town of Liberty
Pace Project No.: 92708001
Page 1 of 1
Report Date: 01/12/2024
Date Received: 01/11/2024
Sample: Effluent Lab ID: 92708001001 Collected: 01/11/24 11:45 Matrix: Water
Method Parameters Results Units Report Limit Analyzed Qualifiers
Performed by Pace 01/11/24 16:40
Collected By Garrett 01/11/24 16:40
Dreyer
Collected Date 01/11/2024 01/11/24 16:40
Collected Time 1145 01/11/24 16:40
pH 7.68 Std. Units 01/11/24 16:40
Chlorine, Total Residual 0.16 mg/L 01/11/24 16:40
Reviewed by: C' " 6nuz�wwU '
Stephanie Knott
704-977-0981
[e-mail]
Page 1 of 2

CHAIN-L)F-LUb I UVY AnalytfCai Kequest vocumem
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Tremaine Fike
Town of Liberty
PO Box 1006
Liberty, NC 27298
Project: Town of Liberty
Pace Project No.: 92709022
Sample: Effluent
Method
SM 254OD-2015
EPA 353.2 Rev 2.0 1993
EPA 353.2 Rev 2.0 1993
EPA 353.2 Rev 2.0 1993
SM 521OB-2016
Colilert-18
TKN+NO3+NO2
Calculation
EPA 350.1 Rev 2.0 1993
EPA 351.2 Rev 2.0 1993
EPA 353.2 Rev 2.0 1993
EPA 365.1 Rev 2.0 1993
Laboratory Report
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
[phone]
Page 1 of 1
Report Date: 02/01/2024
Date Received: 01/18/2024
Lab ID: 92709022001 Collected: 01/18/24 13:15 Matrix: Water
Parameters
Results
Units
Report Limit
Analyzed Qualifiers
Total Suspended Solids
17.5
mg/L
8.9
01/19/24 09:26
Nitrogen, NO2 plus NO3
0.062
mg/L
0.040
01/19/24 09:42
Nitrogen, Nitrate
0.062
mg/L
0.040
01/19/24 09:42
Nitrogen, Nitrite
ND
mg/L
0.040
01/19/24 09:42
BOD, 5 day
21.1
mg/L
2.0
01/24/24 10:24 B3
Fecal Coliforms
ND
MPN/100ml-
1.0
01/19/24 12:56
Performed by
Pace
01/19/24 08:44
Collected By
Garrett
01/19/24 08:44
Dreyer
Collected Date
01/18/2024
01/19/24 08:44
Collected Time
1315
01/19/24 08:44
pH
7.57
Std. Units
01/19/24 08:44
Chlorine, Total Residual
0.42
mg/L
01/19/24 08:44
Total Nitrogen
25.0
mg/L
0.040
01/30/24 16:11
Nitrogen, Ammonia
10.7
mg/L
0.30
01/31/24 18:03
Nitrogen, Kjeldahl, Total
24.9
mg/L
2.5
01/27/24 06:26
Nitrogen, NO2 plus NO3
0.067
mg/L
0.040
01/26/24 14:26
Phosphorus
3.1
mg/L
0.050
01/30/2410:35 M1
ANALYTE QUALIFIERS
B3 The dissolved oxygen depletion of the dilution water blank exceeded 0.2 mg/L.
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
Reviewed by:
nC��Yirt c��`<lLez:�f%
Stephanie Knott
704-977-0981
[e-mail]
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
North Carolina Drinking Water Certification #: 37712
North Carolina Wastewater Certification #: 40
Pace Analytical Services Eden
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
South Carolina Laboratory ID: 99030
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
VirginiaNELAP Certification #: 460025
Page 1 of 4

Fa-_eo � Oca• ion Requested (Ciry/Stata�� I
In a -OTODY Analytical Request Document
Pace siytit,�i'gprnersvflle� NC CHAIN F-CUS
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Chaim-cf-Custody is a LEGAL DOCUMENT - Complete 211 relevant fields
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92709022
Town of Liberlv ,ompany Name:
Contact/Repor, To: Fike, Tremaine
Steet Address PC Box 1006, Liberty, NC 27298
Phone#-. f336)622-4276
E-Mail: tfke@rownofliberTync crg
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Stephanie Knott
Regulatory Frogram (OW, RCS, etc) as applicable Reportable I Yes, Na
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Additional instructions from Pace,:
Coll=ed By:
us,
Special Conditio.is /Possible Hazards:
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Subrrbtiri& a Sample, via this chain of tustcdy Wnstizutes Mkno,,Wedgment and acceptance of the Pace® Terms and Conditions found at ENV-FRDXC;0RQ-O019_vQ2�_l 101, 23 Q

DC# -_Title: ENV-FRM-HUN 1 -0083 vO3 Sample Condition Upon Receipt
Flace'
Effective Date: 12/01/2023
Laboratory receiving Samples:
Asheville 1:1 Edeno Greenwood Huntersville
Raleigh[] Mechanicsville[] AtlantaEl Kernersville ff/
Client Name: i
Project H:
to kv t,
Courier: ]Fed Ex E]UPS USPS C ien!
E] Commercial clPace [Other:
Custody Seat Present? Elyes U�o Seals Intact? []Yes []No E]N/A
Packing Material: n8ubble Wrap EJBubble Bags [None 0 Other
Thertnometen
L] PR Gun ID — r Type of Ice 14we( ON -
Correction Factor:
Cooler Temp: Add/Subtract ('C)
C�cioler Ternp Corrected J'C)'
�
USDA Regulated Soil (67N/A, water sample}
Did samples originate in a quarantine tone within the United States CA, NY, or SC
(check frraos)? FlYes F]No
i Chain of Custociv Present'
i
M—Yes
IF-olo
QN/A
Arrived within Hold Time?
[fies
ONo
EIN/A
,Samples
Short Hold Time Analysis (02 hr.)?
...... . ...
efYes
E]No
C1 N/A
Rust) Turn Around Time Requested?
ye 5
[jN/A
Sufficient Volurne?
'lNo
f'JN/A
Correct Coolainers Used?
Oyc',
ONu
E]N/A
Paco Contaigler5 Used?
Elye
i -INk,
E]N/A
-A
Dissolved analysis: Samples l-ilkerecl>
Ci-fiN-
Sample Labels Match COO
�e,,
OW
[]NfA
vu
IiClUde, DateJTirne/ID/Af,,',d{5i,, Matnx'
Hea dspa cL itt VOA Vials (>5,
CjYes
(JW
Q4f, A
(rip Blank Present?
E]Yea
L]No
E]N/A
Trip Blank Cu,,tudy Seals Pre ,,orit
C]No
N /A
COMMENTS/SAMPLE DISCREPANCY
9
Hate/Initials Person Examining Contents: --11—lf
Biological Tissue f folvil?
[]Yes [JNc, VJN/A
EIN,,ne
emp should be above freezing to 6T
Elsai-'Bpics out of tetripcmeria Samples on ice, Woofi3tg protes--
har begun
L):d ,arnplLs originate from a foreign source (internationally,
including Hawaii anti Puerto Rico)? C:Iyes []t',Q
Lot ID of split containers
CLIENT NOTIFICATION/RESOLUTION
Person d Dato/Time:
Project Manager SCURF Review:
Project Manager SRF Review:
Date;
Date;
Held Data Required? LJYes LJNo
Qualtrax 11) 69614 Page 1 of 7 Page 3 of 4

DC# Title: NV-FR HUN1Po00 3 v03 Sample Condition Upon Receipt
Effective Cate, 12/0 /202 -
"Check mark top half of box if PH and/or dechlorination is verified and Project #f
within the acceptance range for preservation samples,
Exceptions VOA Colilorm YOC^ Oi'E and Grz,ase., DRO/8011, (water Do( ; '! Mg
""'Bottorn half of box is to list nurnber of bottles
11 "fherk all unpreserved Nitrates for chlorine - .W.---..-... ...—w.-______..,..�...___.._,_.m..,..�........_.
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Page 4 of 4
{ t ; ltr ifs 4i`;3ri i 1 i'f:ss ! of 2
J`

Laboratory Report
Tremaine Fike
Town of Liberty
PO Box 1006
Liberty, NC 27298
Project: Town of Liberty WWTP
Pace Project No.: 92710107
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
[phone]
Page 1 of 1
Report Date: 01/25/2024
Date Received: 01/25/2024
Sample: Effluent Lab ID:
Method Parameters
92710107001 Collected: 01/25/24 10:30 Matrix:
Results Units Report Limit
Water
Analyzed Qualifiers
Performed by
Pace
01/25/24 15:54
Collected By
Garrett
01/25/24 15:54
Dreyer
Collected Date
01/25/2024
01/25/24 15:54
Collected Time
1030
01/25/24 15:54
pH
7.53 Std. Units
01/25/24 15:54
Chlorine, Total Residual
0.33 mg/L
01/25/24 15:54
nCztnu�
Reviewed by:
Stephanie Knott
704-977-0981
[e-mail]
Page 1 of 2

uest
ucai
" Anai
JiL Log -in Number Here
092710107
x
92720107
WIN -
let
D":It'e,G'f$'':
-KC
ta3`
5 I
_ _ _ �_"
a- •ems.
�
IF
�
c
T(pr.
d
>
Purchase ar L r DW PIWS ID 4_
Carte : 'a LDczti=,L:.vdff_
T
Tumaround Dee u$rc�; tmme �Ce ar Atei: =
� �
� � �e Fc p� �e fx "F,
,T�ust s l Y g -.
€ 5er„
8 h' 1 jn, "% ' ' aid
��blor e Pres.ent �
ftu �: Field i tered (if
5e ar progriatx i $ r<ur*
i j same Day [ ] N . Day � � Y� i ��
� �
i3rr. v
�
}2D ( S.3DaV 14Day }S@ay--
Anatysis.
.
"
H«icE:
bez e�+.tz�ha es A: &tyt
`�
a I ent. l
»¢r'C Y3» 'S,
} t 7rotmdi, yt7atec ��4°d `ast water WWI
,tatrx Codes (Insert 'rr M"�atrix box betu�nrj: Dri1*ng'4Vatt-r(:)Wj ( ),
raduUd {P), il/Sold (SL4 011 (0,L), Wipe (WPI, A? JAR), Tissue (T5} B%ua5sy (6$. Vapor IV), Other (0-0
DE, cis �
She r t,
Carp; i Collected
Rtsscf
m
-storner Saple
Mat-x Cram - Composite Start)
Comgaste End
L1 Ltns
'--
J r
Lik ie 'ilyyPli '
Cate Time
4
�
stomer Remar45 Special Conditions iPossible Hazards: Z e .
EM1tb Sazpl�TempePa&tre l�o:
SHORT HOLDS te =
fiAD
'H
,
Teanpl3[an Received y A
Packing at ieatLtse
tabTrac"ng
Therm IM
4
Cooler $ Temp, Upon Receipt:' . PC'
t p es teceaved via.' . ' Cosner I Therrs Cci"rr. Pactorc
i8adtherrr�ar aple(s) sa n d {¢S€Ri Cprtt}: Y , N �1 {t
I I!£SE7C -' UP5 '. Cil Courier Pace CarsrMr .... Cooler I Co Teor€p
'.in s .ed y ? Datums/. Recei a parry: griature}
pate/Ti e:
tE B!?NtY_` . Cosrunen€ .
Table
d i
f
Acctnurn:
qua, Company: (S'gnature) a Ime: { Recetvea y/Lurnpany: "rj"ure}
Date/Time:
Te.mptate: Trip Blank Received: Y M NA
N tC
FFCI ReCiFf TSP Uther
o I
by/Company: (Signature}
TiDateme:
Prelogln.-
Gnquished by/Cortrpany: (S"gnaiura} { Daie me: Received
P drp jn� ance(s}: Page:

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
14
141/4
143/4
153/4
161/2
151/4
11 3/4
11 1/2
12
5
3
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
January 2024
Liberty N.C.W.W.T.F.
Freeboard Lagoon Inches
lzK(
R 2.5
R 1.2
R 1.0
R 2.0
lll.�$ e3
TOTAL 8.3

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page -2- of _2_
PermitNo.: WQ0003090
Facility Name: Town of Liberty - Wastewater
County: Randolph
Month: January
Year: 2024
Field Name:
6
Field Name:
8
Did irrigation occur
M
Area (acres):
15.1
Area (acres):
21.68
at this facility?
Cover Crop:
FESCUE
"'m.
Cover Crop:
FESCUE
Hourly Rate (in):
0.21
Hourly Rate (in):
0.21
21 El
YES NO
Ifu
Annual Rate (in):
52
Annual Rate (in):
52
Weather
Freeboard
Field Irrigated?
21 YES D NO
Field Irrigated?
YES El NO
o
0
y d
E
Earn
0
ic
d
0
d o
E .2
2%
E
< 0
CL
E
I=
E �j
T 0
E
Q
L)
>� CL
CL
0 CL
>
0
0
CL
>
0
0
F-
CL
cc
oF
ft
ft
min
in
in
minin
in
in
gal
gal
1
C
45
2
C
42
1
V
3
C
51
1.25
ii, U�
252,000
180
0.61
0.20
C
38
1.25
350,000
180
0.59
0.20
4
5
C
49
1.25
6
R
1
7
8
C
38
0.75
9
R
2.5
10
11
C
52
0.25
252,000
180
0.61
0.20
121
C
50
0/1.2
0.25a.
350,000
180
0.59
0.20
13
14
0
252,000
1 180
0.61
0.20
15
C
34
N
16
R
0.3
17
181
C
35
0
191
C
1 41
1
0
04
20
lg7
21
A
N"I
22
C
36
0
350,000
180
0.59
0.20
23
C
24
C
60
0
M
K,
252,000
180
0.61
0.20
R
1
11211
251
26
SIR
27
28
R
2
29
30
0.3
Monthly Loading:
2.46
32.97
400,000
_738
27.75
12 Month Floating Total (in):

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
❑� Compliant
❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
E Compliant
❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
[21 Compliant
❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
2 Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
❑ 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.
CON FREEBOARD IS 0 INCHES
THAT CAUSE THE FREEBOARD TO LOSE IS 8.3 INCHES OF RAIN IN JANUARY AND I&I
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC:
Elix Tremaine Fike
Permittee:
Scott Kidd
Certification
No.: 989290
Signing Official:
Grade:
SI Phone Number: 336 622 2990
Signing Official's Title: Town Manager
Has the
ORC changed since the previous NDAR-1? ❑ Yes [Z No
Phone Number: 336 622 4276 Permit Exp.: 8/31/24
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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

Fonm:woAn-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR4) Page _1_-«f_2-_
Permit No.: WQ0003090
Facility Name: Town of Liberty - Wastewater
County: Randolph
Month: January
Year: 2024
Did irrigation occur
this facility?
NO
Cover Crop:
FESCUE
Cover Crop:
FESCUE
at
YES NO
Hourly Rate (in):
0.21
Hourly Rate (in):
0.21
Annual Rate (in):
52
Annual Rate (in):
52
Weather
Freeboard
Field Irrigated?
YES NO
ie rr gate
YES NO
LO
oF
in
ft
ft
gal
min
in
in
gal
min
in
in
0114
10
13
15
1151
20
231
26
27
1,284,0000
Ik
12 Month Floating Total
36.66
36.99

FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in attachment B of your permit?
❑v Compliant
❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
2 Compliant
❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
El Compliant
❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
❑✓ Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance With the specified freeboard heights in your permit?
❑ Compliant
I] 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.
LAGOON FREEBOARD IS 0 INCHES
;ON THAT CAUSE THE FREEBOARD TO LOSE IS 8.3 INCHES OF RAIN IN JANUARY AND I&I
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC:
Elix Tremaine Fike
Permittee:
Scott Kidd
Certification No.: 989290
Signing Official:
Grade:
SI Phone Number: 336 622 2990
Signing Official's Title: Town Manager
Has the
ORC changed since the previous NDARA? ❑ Yes [21 No
Phone Number: 336 622 4276 Permit Exp.: 8/31/24
Z
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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617