WQ0020239_2023 Residual Annual Report_20240328 (2)

Initial Review
Reviewer
nathaniel.thorn burg
Is this submittal an application? (Excluding additional information.) *
Yes No
If not an application what is the submittal type?* Annual Report
Residual Annual Report
Additional Information
Other
Annual Report Year* 2023
Permit Number (IR) * WQ0020239
Applicant/Permittee Town of Hertford
Email Notifications
Does this need review by the hydrogeologist? * Yes U No
Regional Office Washington
CO Reviewer
Admin Reviewer Wanda Gerald

Submittal Form
Project Contact Information
Please provide information on the person to be contacted by NDB Staff regarding electronic submittal, confirmation of receipt, and other correspondence.
Name* Stephen Cummings
Email Address*
[e-mail]
Project Information
.........................
Application/Document Type*
New (Fee Required)
Modification - Major (Fee Required)
Renewal with Major Modification (Fee
Required)
Annual Report
Additional Information
Other
Phone Number*
2522552030
Modification - Minor
Renewal
GW-59, NDMR, NDMLR, NDAR-1,
N DAR-2
Residual Annual Report
Change of Ownership
We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form.
https://edoes.deq.nc.gov/Forms/NonDischarge_Monitoring_Report
Permit Type:*
Wastewater Irrigation
High -Rate Infiltration
Other Wastewater
Reclaimed Water
Closed -Loop Recycle
Residuals
Single -Family Residence Wastewater
Other
Irrigation
Permit Number:*
WQ0020239
Has Current Existing permit number
Applicant/Permittee Address*
PO Box 32, Hertford, NC 27944
Facility Name*
Town of Hertford Class B Residuals Program
Please provide comments/notes on your current submittal below.
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.
(Application Form, Engineering Plans, Specifications, Calculations, Etc.)
Annual Report 23.pdf 614.61 KB
Upload only 1 PDF document (less than 250 MB). Multiple documents must be combined into one PDF file unless file is larger
than upload limit.
* By checking this box, I acknowledge that I understand the application will not be accepted for pre -review until the fee (if required) has
been received by the Non -Discharge Branch. Application fees must be submitted by check or money order and made payable to the
North Carolina Department of Environmental Quality (NCDEQ). I also confirm that the uploaded document is a single PDF with all parts
of the application in correct order (as specified by the application).
Mail payment to:
NCDEQ — Division of Water Resources
Attn: Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Signature
Submission Date 3/28/2024

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Town of Hertford
2023 ANNUAL LAND APPLICATION
OF RESIDUAL BIOSOLIDS REPORT
CLASS B PROGRAM
WQ0020239
Submitted by:
Atlantic OBX, INC.
PO BOX 2560
Kitty Hawk, NC, 27949
2/28/2024

P.O. Box 2560
KITTY HAWK, NC 27949
[phone]
STEPHEN(d7ATLANTICSEWAGE. COM
2/27/24
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: 2022 LAND APPLICATION ANNUAL REPORT
Town of Hertford "Class B Program"
NC Permit No.: WQ0020239
Information Processing Unit:
Atlantic OBX, Inc. is submitting all monitoring and reporting requirements as specified in the
above referenced permit for the Town of Hertford. Atlantic OBX has compiled this report using
data gathered during the compliance year. This data will include only the Annual Certification
Form.
The Town of Hertford did not conduct any land application events under the permit specified
above for the compliance year 2023. Atlantic OBX did land apply 287,000 Gallons or 31.95
Dry Tons of permitted biosolid residuals to Atlantic OBX's permitted fields (WQ0000974) in
Currituck County. A copy of the Town of Hertford's residual analysis, TCLP, and pathogen
and vector reduction information has been included in the Atlantic OBX, INC. annual report.
If there is any further information required or questions regarding this report, please contact me
or the Town of Hertford (252-426-8182) for further assistance.
Regards,
Stephen Cummings, Atlantic OBX, Inc.

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0020239 County: Perquimans Year: 2023
Facility Name (as shown on permit):
Land Application Operator:
Atlantic OBX, Inc
Town of Hertford
Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
❑ Yes 0 No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A - Residuals Application Summary.
Total number of application fields in the permit: 1 9
Total number of fields utilized for land application during the year: 0
Total amount of dry tons applied during the year for all application sites: 0
Total number of acres utilizes for land application during the year: 0
Part B - Annual Compiance Statement:
Facility was compliant during calendar year 2023 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. p Yes ❑ No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or the
limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .1111 were complied with (applicable to 40 CFR Part 503
regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as specified
in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I certify, under penalty of law, that the above information 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."
Janice McKenzie Cole Janice McKenzie Cole 27/02/24
J a nice McKenzie Cole Feb 27 202409:5 5
Permittee Name and Title (type or print) Signature of P;rjeDate
2/23/2024 2/23/2024
Signature of Preparer Date Signature of Land Applier Date
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26)
DENR FORM ACF (12/2006)