WQ0035049_Monitoring - 03-2024_20240419

Monitoring Report Submittal
..................................................
Permit Number#* WQ0035049
Name of Facility:* Maple Hill WWTF-Wastewater Irrigation System
Month: * March Year: * 2024
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Upload Document*
Maple Hill March 2024 NDMR, NDAR-1.pdf 1.13MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Anthony Colon
6VWI M 44'f 6011W
Reviewer: Wanda.Gerald
4/19/2024
This will be filled in automatically

Is the project number correct?* WQ0035049
Is the monitoring report accepted?* Yes No
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 4/22/2024

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page _1_ of _2_
Permit No.: WQ0035049
Facility Name: Maple Hill WWTF
County: Fender
Month: March Year: 2024
PPI: 001
Flow Measuring Point: I-' Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent ❑ Effluent ❑ Groundwater Lowering IJ SurfaceWater
Parameter Code 0
50050
00400
00310
00530
OD6'10
00620
00626
31616
006:00
00665
00940
70300
R
❑
tal F
0.
O
r_
£ a�
F U)
U
O
2
2
0
[Xt
a
A C
� m O
7 y
y
+
�q
Q
�_
Z
r
41
;U
Y d
R
o
F-
£
eG 0
d w
�U
c
b
��
0
tar
� N
o
4
d
�,
v
to yo
� w 6
�_N
❑
24-hr
hrs
GFD
su
mg/L
mg/L
mg/L
mg/L
mg/L
#1100 mL
mglL
mg1L
mg1L
mglL
1
07:30
6
8,797
7.1
2
24,371
3
12,521
4
07:30
6
10,791
7.4
5
07:30
6
10,065
7.3
6
07:30
5
11,181
7.2
7
07:30
6
14,746
7.3
8
07:30
6
9,021
7.3
9
16,627
10
14,043
i
11
07:30
6
12,389
7.4
12
07:30
5
8,118
7.2
13
07:30
6
7,925
7.3
14
07:30
5
8,585
7.4
15
09:00
5
9,214
7.3
16
9,796
17
9,019
18
07:30
6
81832
7.3
19
07:30
6
8,083
7.6
20
07:30
6
8,758
8
18
11.9
-0.2
<0.02
<0-5
<1
17-7
689
748
21
07:30
5
8,752
7.3
22
07:30
6
8,516
7.5
23
29,812
24
14,052
25
07:30
7
14,155
7.3
26
07:30
6
12,911
7.2
27
07:30
6
9,453
7.3
28
07:30
7
34,960
7.4
29
07:30
7
17,285
7.6
--- -
30
12,440
-
-
311
11,808
Average:
12,807
18.00
11.90
0.00
0.00
0.00
1.00
17.70
6.89
748.00
Daily Maximum:
34,960
8.00
18.00
11.90
0,20
0.02
0.50
1,00
1770
6.89
748.00
Daily Minimum:
7,925
7.10
18.00
11.90
0.20
0,02
0.50
1.00
1770
6.89
748.00
Sampling Type:
Recorder
Grab
Composte
Composite
Composite
Composite
Composite
Grab
Composite
Grab
Composite
Composite
Monthly Avg. Limit:
42,000
n/a
30
30
15
n/a
n/a
200
n/a
n/a
n/a
n/a
Daily Limit:
nla
6 to 9
n/a
n/a
n/a
n/a
n1a
n/a
n1a
n/a
ilia
n/a
Sample Frequency:
Contincus I
5XWK
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
Monthly
Montly
3XYR
3XYR

FORM NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page —2_of 2_
Sampling Person(s) Certified Laboratories
Name: Samples were collected by the Certified Laboratory Name: Environmental Chemists, Inc.
Name: Name: Jay Baker
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? E Compliant u Non-Compiant
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: Christopher Pickett Permittee: Pender County Utilities
Certification No.: 995432 Signing Official: Anthony Colon
Grade: WW2 Phone Number: 910-259-1570 Signing Official's Title: Director
Has the ORC changed since the previous NDIVIR? 0 Yes 121 No Phone Number: 910-259-1570 Permit Expiration: 8/31/2026
Signature Date
By this signature, I certify that this t ep:irt is accurrate and complete to the best of my knowledge
i
00
Signature I`Date
cerOfy, under penalty of faw, that tNs document and all attachments were prepared under my directon o, superosion 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 informaton submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that them 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

Environmental Chemists, Inc.
enviro6602 Windmill Way, Wilmington, PVC 28405 a 910.392.0223 Lab - 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 - 252.473.5702 Lab •Tax
255-A Wilmington Highway, Jacksonville, NC 28540 e 910.347-5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS info,tz envlronmentalchcmisls•com
Pender County Utility Operations Date of Report: Apr 05, 2024
Post Office Box 995 Customer PO #:
Burgaw NC 28425 Customer 10: 08100095
Attentions Report #: 2024-06787
Project ID: Maple Hill WWTP
Lab ID Sample ID: Collect Datefrime Matrix Sampled by
24-16389 Site: Effluent - Composite 3/20/2024 10:00 AM Water JCB/Envirochem
Test Method Results Date Analyzed
Ammonia Nitrogen
EPA 350.1, Rev 2 0.1993
< 0.2 mg/L
03/28/2024
Total Kjeldahl Nitrogen (TKN)
EPA351 2. Rev 20. 1993
< 0.5 mg/L
03128/2024
Total Dissolved Solids (TDS)
SM 2540 C-2015
748 mg/L
03/22/2024
Residue Suspended (TSS)
SM2540 D-2015
11.9 mg/L
03/21/2024
BOD
SM 5210 B-2016
18 mg/L
03/21/2024
Chloride
SM4500 CI E-2011
63 mg/L
03/21/2024
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 3532, Rev, 2.0. 1993
< 0.02 mg/L
03/20J2024
Nitrate+ Nitrite-N itrogen
EPA 3532, Rev, 2 0.1993
17.7 mg1L
03/21/2024
Nitrate Nitrogen
Subtraction Method
17.7 mg/L
03/21/2024
Lab ID Sample ID:
Collect Date/Time
Matrix Sampled by
24-16390 Site: Effluent - Grab
3120/2024 10:30 AM
Water JCB/Envirochem
Test
Method
Results
Date Analyzed
Fecal Coliform
tdoxxCoriiert-18
<1 MPN1100ml
03/20/2024
Temperature
SM 2550 6-2010
16.5 C
03/2012024
pH
SM 4500 H B-2011
8.0 units
03/20/2024
Total Phosphorus
SM4500 P (F-H)-2011
6.89 mg1L
03/2912024
Comment:
Reviewed by:
Report 9 2024-06787
Page 1 of 1

PH
Ca:ibrafra^Trm CaiB�ffcr�05u
R:11'rerce Method SSUM011-9.21.I I
Cal BufllertG.Gsu
,
[aS:rL,tteattlC) STAP0221
check Buffer 7 0 s u
: fi0G79:
Calror.,eais
*Al
'ka
l cherl: buffer must read withi,,Ali lfllts!t
4 su buffer Lott: c
bufTe s Into salue
a 4t�¢t—oI
7 su buffer Lor{tl: Rf a 2
I c I OG49 Epp fi 0 7
r :r[/= I •: 1 Sam ,: C4f€ecafo
10 su buffer Lam R3CCA 1
" J4g~74— �� '?
4
A.na�ss
t'u :
r:s3(
7:...
.I7c
U
s f tr:s It !.,; r)jts Q-.Wffi fS
cyui::,! nh:a Perfo,tnirr_
li, pl I n ?1: r, ,- r`1 Rt.:
crQrd a'I d 1is
t:.e
all 1%ss m a: ulti pj= samplrog ,• Arcs „ a•,!:•t
z 0 I
.-
s:a a-' C, (l : c an, f.rot
u ,:
kefcrrt,:t Method stlai0; cl-G�.fl
Total Residual Chlorine
finch $Ir, 7 IM
Pas:analsss
! Please CifC1e a ltt.ah!c tf tl,� f
Ina:rum.rrIUiIAQICOlurimi!terFSFZQE`?
[tccI'•htik StJ
E11'4"�,'DLhell Standard
ZI
Sam1
a• a.1%inn_
nfclt le site Anal)rcd
l acat a- C ollectitl Anal%:, 1 Rۥ Kesul:
lama or mull, j c. n naf:tn> paa QL :Eahl :rc
L-
TRC parit Chark Slanctard true s allre_ 1 - _
C'1r:t1 stirJard> nfntit r6�,iscr ,sithm F0°�u pt 11tr a 11, r n1lord s true stance pancer4gc
1+'_-'9.ornivi• Gt;F.51'F)S 11•tC'Id:1g0;g
:lntuaiCaltl+radt�n(ursel'eriticao:
)it 1)atk _ 11/25/23 1Dt '' II `c},,, 3491,11� I)3tc-fO`3I/2a �,
Rr,t rrt €t a t ar tc (lt hrrt apfs .able :inn r�.' and d>nnnf�-moo �- r )� '�
_cnt i)lani. ut,tu stanJ:uJ,. santpir�tiott�, tu21> f S'ar �1.,;parf Lrc,��il4
1)isselted Ox%gen (1)())
N:::r: •ce \1:tltud SM 4, C) G 2. It,
laauun.rrr, I1) VS PRO 20 22I)Ip006S
C _ k all ra:urt •.arfa't': ♦Peat an_t,
s , e.11iE•r,
Iewll:at:(t•:tal :nse_r.,; •.3
€ Trry � IS,t:carrf:�n: I n'°•-eaia•:r.:r
t tuc,3tlr: �al:r•.r, a t:r caltt,ra:ior Iboorw:rcal ('sicu'at:J
I r.:m1i3 rpt i I t'tl r. tnF 1 t'ai,
r: n:a 1
-1 .e f:ris rink n,flea iFerfurtnin.,a seriPcahnn is+tcad + f
:flift tit --
i-n:1):; Lotauor•
'C'47E:1;11,711 L, I):Eta ` -:3!. i't:,
♦ tS'r.:r. is,::isr••tta; ar•a'nsa a: Enu!=sit: iuca::u - _--- --
>fbrai_11 a: ca kit s ne afar: aaa't
a: t tr ._. , ,�- :: n 1 uii•ana.� i a e'tlfb n • - 7 t
Ttlmperrs t u r-,
R:f.renx NI:thod s'kf 2-4
;•.. : Lc:: tta- 'Ssmra r- Ic,t• a:.:rt it) CT D A)) ,
CoiiaG 11
Tim:
( -. , _ .., 1)_• . Q.
112a o::. . ra::. ae'
Dot_ �. _23 4 a'. tr,
Field Personnel -,ate:
..1- . 1+.06.95
Fitt !-.,o), Qs.00l 1ZU1 22

Environmental Chemist, Inc., Wilmington, NC Lab #94
Sample Receipt Checklist
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Client: Y Date: Report Number: _ 2024-
Receipt of sample: ECHEM Pickup Client Delivery ❑
UPS ❑ FedEx G3 Other ❑
0 YES
= NO
0 N/A
1. Were custody seals present on the cooler?
O YES
113 NO
I 0 N/A
12. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt A a °C Corrected temperature upon receipt aC
How temperature taken: ❑ Temperature Blank 0 Against Bottles
IR Gun ID: Thomas Traceable S/N 210886869 IR Gun Correction Factor °C: 0.0
0 YES
❑ NO
3. if temperature of cooler exceeded 6"C, was Project Mgr./QA notified?
0 YES
13 NO
4. Were proper custody procedures (relinquished/received) followed?
0 YES
❑ NO
5. Were sample ID's listed on the COC?
0 YES
❑ NO
6. Were samples ID's listed on sample containers?
0 YES
12 NO
7. Were collection date and time listed on the COU
0 YES
13 NO
8. Were tests to be performed listed on the COC?
0 YES
❑ NO
9. Did samples arrive in proper containers for each test?
0 YES
❑ NO
10. Did samples arrive in good condition for each test?
'X9 YES
❑ NO
11. Was adequate sample volume availableT
0 YES
❑ NO
12. Were samples received within proper holding time for requested tests?
YES
❑ NO
13. Were acid preserved samples received at a pH of <2?
O YES 10
NO
14. Were cyanide samples received at a pH >12?
O YES
❑ NO
15. Were sulfide samples received at a pH >9?
YES
❑ NO
16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? **
❑ YES
❑ NO
17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
❑ YES
❑ NO
18. Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): H,SO4 HNO3 HCl NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for incorrectly preserved samples, Obtain a new sample or
notify the state lab if directed to analyzed by the customer. Who was notified, date and time:
Volatiles Sample(s) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1

mington
ENVIRONMENTAL CHEMISTS, INC OFFICE: 910-3 2-02 3,IFAX9 0-392.4424
Analytical & Consulting Chemists
NCDENR: DWO CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 [e-mail]
COLLECTION AND CHAIN OF CUSTODY
Client: Pender County Utilities (Wastewater)
PROJECT NAME: Maple Hill WWTP PPI 001
REPORT NO: 1.,L`f ' 6�-
ADDRESS:
CONTACT NAME: Chris Pickett, ORC
PO NO:
REPORT TO: ORC
PHONE/FAX:
COPY TO:
email:
Sampled Bv: 5-z5 Z. SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
I
Sample Identification
Collection
ro F
n
`o
rz
o
;, _
o
tin
.2 E
U
{y�
m 2
g z
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
w
z
z
H
=
o
x
0
z
o
~
w
O
WWTP PPI 001 com osit
�
X
BOD, TSS, NO2
u
10
X
I
I
IN03, NH3, TKN
WWTP PPI 001
(composite) Triannuals
op
X
Chloride, TDS(M rch, ul , Nov)
C
P
G
G
WWTP Effluent (grab)
` ; a
(�'
P
`t'
qq
X
Total Phos
G
H field):
C
P
X I
I
Fecal Coliform
G
G
C
P
G
G
Samples due 1/month
C
P
G
G
C
I
P
G
G
Ilmits: B01330 mg1L, T55 31) mg/L, NH3 15 mg/L, Fecal 200 coloniesl100 ml
Transfer
Relinquished By:
Daterrime
Received By:
Daterrime
1.
2.
f'
Temperature when Received: Accepted: Rejected: Resample Requested:
Delivered By:Received By: Date: Time;'Z-
Comments: TURNAROUND:

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _1_of_4"
Permit No.: WQ0035049
Facility Name: Maple Hill WWTF
County: Pender
Month: March
Year: 2024
Did irrigation
Field Name:
1
Field Name:
2
Field Name;
3
Field Name:
4
occur
Area (acres):
1.72
Area (acres):
1.72
Area (aore's):;
1.72
Area (acres):
1.72
at this facility?
Cover Crop:
Bermuda
Cover Crop:
Bermuda
Cover Crop.
Bermuda
Cover Crop:
Bermuda
❑ YES o NO
Hourly Rate (in):
0,41
Hourly Rate (in):
0.41
Hourly Rate (in)-
0A1
Hourly Rate (in):
0.41
58
Annual Rate (in):
2911
Annual Rate (in):
29.71
Annual Rate (in):
29.71
Annual Rate (in):
29.71
Weather
Freeboard
Field Irrigated?
❑ YES G7 NO
Field Irrigated?
❑ YES Ej No
Field Irrigated?
L YES F7 NO
Field Irrigated?
❑ YES El NO
O
a�i
H
a`
O
2 C
R
R
OE
.O
3 fl
R
O
T
a
W
E m3
C
cc
O
66
C
a 7+ Cw.0
0l4
7 `a(7
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
miff
in
in
gal
min
in
in
1
CL
45
0
3.4
2
3
4
CL
58
1.8
3.3
5
C
57
0
3.3
6
R
61
0.1
3.3
7
CL
57
0A
3.3
8
PC
57
0.1
3.3
9
10
11
C
38
0.5
3.3
12
C
35
0
3.3
13
C
41
0
3.3
14
C
44
0
3.3
15
C
56
0
3.3
16
17
18
PC
55
0
3.3
19
C
36
0
3.3
20
C
43
0
3.3
21
C
56
0
33
22
CL
48
0
3.3
23
24
I
25
C
37
2 2
3.2
26
C
39
0
3.2
27
CL
50
0
3.2
28
R
52
0.8
3.2
29
C
54
0.7
3.2
30
31
Monthly Loading:1
0
0.00
000
0
_
^
0.00
0
0.00
12 Month Floating Total (in):
994_=
9-39
` "
8.88
9.39

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _2_of_4_
Permit No.: W00035049
Facility Name: Maple Hill WWTF
County: Pender
Month: March
Year: 2024
Did irrigation occur
Fie'Id Name:
5
Field Name:
6
Field dame:
7
Field Name:
8
this facility?
Area (acres):
1.72
Area (acres):
1.72
Area (acres):
1.74
Area (acres):
171
at
Cover Crop:Bermuda
Cover Crop:
p�
Bermuda
Cover tiro p:
Bermuda
Cover Crop:
p:
Bermuda
O YES F] NO
Hourly Rate (in):
0.41
Hourly Rate (in):
0.41
Hourly Rate (in):
0.41
Hourly Rate (in):
0,41
Annual Rate (in):
29.71
Annual Rate (in):
29.71
Annual Rafe (in):
29.71
Annual Rate (in):
29.71
Weather
Freeboard
Field Irrigated?
❑ YES Q NO
Field Irrigated?
❑ YES El No
Field Irrigated?
YES p 6t1
Field Irrigated?
© YES 0 NO
T
N
a
O
a�
rnv
al
i
N
CL
F
=
_°
O'
a
as
O
•`
w d
UI M
CL G
M ._
0
N
o
?'
O'
Q
7-
-yam
i"s
,(D�.
,..I
a•
O
E w
7 " G
E 7 4i
y<. O
14 J
m a
2
7-
a
� Q
ai
ao
�CL _
~
`a
O
J
a
E rn
3` C
3 '6
'K O M
tot J
ar
N
3 �`
� Q
�_
~ G1
�.0J
c
O
E ca
3 ?'
7
O
to 2
J
a� v
W
7-
O-
Q
1J Q
r�
w
E_ of
F I
v
lQ
J
?,
I: m
7 >` t
7 a
'x O A
sc 2 0
J
°F
in
ft
ft
gal
min
in
In
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
CL
45
0
3.4
2
3
4
CL
58
1.8
3.3
5
C
57
0
3.3
6
R
61
0.1
3.3
7
CL
57
0.4
3.3
8
PC
57
0.1
3.3
9
10
11
C
38
0.5
3.3
12
C
35
0
3.3
13
C
41
0
3.3
14
C
44
0
3.3
15
C
56
0
3.3
16
17
18
PC
55
0
3.3
19
C
36
0
3.3
20
C
43
0
3.3
21
C
56
0
3.3
22
CL
48
0
3.3
23
24
25
C
37
2.2
3.2
26
C
39
0
3.2
27
CL 1
50
0
3.2
28
R
52
0.8
3.2
29
C
54
30
31
Monthly Loading:
0
0.00
9.47
0
0.00
10.21
0
0.00
10.35
0
0.00
10,42
12 Month Floating Total (in):

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _3_ of_4_
Permit No.: W00035049
Facility Name: MAPLE HILLWWTF
County: Pender
Month: March
Year: 2024
Did irrigation
Field Name:
9
Field Name:
10
Field Name:
11
Field Name:
occur
Area (acres):
1,75
Area (acres):
1.77
Area (acres):
1.72
Area (acres):
at this facility?
Cover Crop:
Bermuda
Cover Crop:
Bermuda
Cover Crop:
Bermuda
Cover Crop:
❑ YES 71 NO
Hourly Rate (in):
0.41
Hourly Rate (in):
0.41
Hourly Rate (in):
0.41
Hourly Rate (in):
0
Armvial Rate (in):
2931
Annual Rate (in):
29.71
Annual Rate (in)::
29.71
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
D YES F1 NO
Field Irrigated?
Q YES 0 NO
Field Irrigated?
0 YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
p
d
O
cL
d
r
d
-M
m`
a
E
c
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a
d
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m
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a s
Lo
Lo
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e
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V
O
E
i= .
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R
a
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3 �+
ESQ
4 0
m v
o a
>a
v
Ol
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i= .2
L
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a
o
E m
7 y`
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x o c
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o a
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Qi
1W�
1= •ar
c
as
in
.a
0
E as
7 ,.�
Ea>o
0 a
y -o
=ate
° IL
>a
•o
Gl
-� 8 ai
u Era
= o
a _j
0
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
CL
45
0
3.4
2
3
4
CL
58
1.8
3.3
5
C
57E01
3.3
6
R
61
3.3
7
CL
57 0.4
3.3
8
PC
57
0.1
3.3
9
10
11
C
38
0.5
3.3
12
C
35
0
3.3
13
C
41
0
3.3
14
C
44
0
3.3
15
C
56
0
3.3
16
17
18
PC
55
0
3.3
19
C
36
0
3.3
20
C
43
0
3 3
21
C
56
0
33
22
CL
48
0
3 3
23
24
25
C
37
2.2
3.2
26
C
39
0
3.2
27
CL
50
0
3.2
28
R
52
0.8
3.2
29
C
54
0.7
3.2
30
31
Monthly Loading:
0
0.00
0
0.00
0
0.00
0
0.00
12 Month Floating Total (in):
= -.,
::
9 57
9 34
8 61

FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page _4— of _4_
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?
rd Compliant ❑ Non -Compliant
❑ Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
O Compliant ❑ Non-Compllart
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: Christopher Pickett
Permittee:
Pender County Utilities
Certification li 1010919
Signing Official: Anthony Colon
Grade: IMN-SI Phone Number: 910-259-1570
Signing Official's Title: Director
Has the ORC changed since the previous NDAR-1? I— Yes F No
Phone Number: 910-259-157D Permit Exp.: 8/31 /26
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 directon or supervision in accordance
unth a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted Based cn my
inquiry of the person or persons who manage the system, orthose 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 vgmhcant
penalties for submittng 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