WQ0005790_Monitoring - 04-2024_20240815

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * April
Report Information
WQ0005790
Fish Factory Road Treatment Plant
Year:* 2024
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR April 2024 NDMR FF.pdf 6.02MB
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: *
Signature:
Date of submittal:
Initial Review
Kenny Von Voigt
Reviewer: Wanda.Gerald
8/15/2024
This will be filled in automatically

Is the project number correct?* W00005790
Is the monitoring report accepted?* Yes NO
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 8/16/2024

FORM NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Permit No.: \/VQ0005790 Facility Name: Fish Factory Road Water Reclamation and Treatment Facility County: Brunswick Month: April Year:
2024
PPI: 001 Flow Measuring Point: Influent -
J Effluent ❑ No now generated Parameter Monitoring Point: Influent ❑ Efnuent I Groundwater Lowering surface Water
Parameter Code -►
C
50050
00310
00940
50060
31616
00610
00625
00620
00600
00400
00665
70300
00530
00076
Q
L
°
E
0
y
? c
*6~ :2
E
T
°
oP
a'Q
canr
A?N v
vU)ac
o
U
i
E
°
=
m
-6
cv .o
o
L)
U
r
U
to
U
V
U)
ay
QO
O
a
0
rn
H
24-hr
hrs
M9/L_
mg/L
mg/L
#/100 mL
mglL
mg1L
mglL
mg/L
su
mg/L
mg/L
mg/L
NTU
1
07 30
8
94,500
087
7
1 625
2
07 30
8
106.500
085
6 5
4 718
3
07 30
8
118,100
15
1.59
1
0 2
1 7
15.5
17.2
6.9
3 21
3.9
3 177
4
07 30
8
117,200
p g1
6 6
1 31a
5
07 30
8
113,900
1
6.4
0 952
6
99,100
0 77
6 4
1 046
7
72,700
0 61
6 4
1.665
8
07 30
8
82,300
1
6.4
5583
9
07 30
8
47.000
01
6.3
5 016
10
07 30
8
200
0 9
6.3
4
11
0730
8
200
093
62
4 571
12
0730
8
300
0 22
62
3 845
13
200
0 33
6 2
2.675
14
300
0 44
6 2
1 767
15
07.30
8
100
0 8
6 8
3 907
16
07 30
8
300
0.77
7
2 341
17
07 30
8
200
0 33
69
1239
18E07
0
8
200
0 27
64
2.444
190
8
200
028
7 2
20
200
0 22
1 673
7
1 545
21
200
022
7
1 551
220
8
300
0 22
7
1 765
23
07.30
8
300
0 71
68
24
07 30
8
300
0.51
6 8
2 151
151
25
0730
8
13200
1
69
2
26
07 30
8
68,400
0,75
7
2273
27
99,800
009
65
2 101
28
96,600
002
6.7
28
29
07 30
8
74,000
8
0.03
207
02
0.6
16 7
17.3
6 2
4.45
2.5
1 58
3,223
30
07 30
8
76,500
077
63
31
2 815
Average:
42,777
11 50
061
1439
020
1.15
16 10
17.25
3.83
3.20
Daily Maximum:
118.100
1500
1 59
207.00
0 20
1.70
16 70
17.30
7 20
4.45
262
Daily Minimum:
100
800
0.02
1.00
0.20
0.60
15.50
17.20
6.20
3 21
3.90
5 58
Sampling Type:
Recorder
Composite
Composite
Grab
Grab
Composite
Composite
Composite
Composite
Grab
Composite
Composite
2,50
Composite
0.95
Recorder
Monthly Limit:
400,000
10
14
4
Daily Limit:
15
25
6
6-9
5
10
Sample Frequency:
Continuous
See Permit
3 X Year
5 X Week
See Permit
See Permit
See Pennil
See Permit
See Permit
5 X Week
See Permit
3 X Year
10
See Permit
Continuous

FORM NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ of
Permit No.: WQ0005790
Facility Name: Fish Factory Road Water Reclamation and Treatment Facory
County: BfUf1SWICk
Month: April
Year: 2024
PPI: 002
Flow Measuring Point: ❑ influent Effluent L] No flow generated
Parameter Monitoring Point: ❑ influent n Effluent `J Groundwater Lowering ❑Surface Water
Parameter Code —►
c
wQ01
O
>_
�
E_A
�~
O
O
d
in
U
O
c v
a
�a
aei�in
O
24-hr
hrs
gallons
1
07 30
8
0
2
07 30
8
0
3
0730
8
0
4
07.30
8
0
5
07:30
8
0
6
0
7
0
8
0730
8
0
9
0730
8
0
10
0730
8
0
11
07 30
8
0
12
07 30
8
0
13
0
14
0
15
07*30
8
0
16
07 30
8
0
17
07.30
8
0
18
07.30
8
0
19
07 30
8
0
20
0
21
0
22
07 30
8
0
23
0730
8
0
24
07 30
8
0
25
0730
8
0
26
07 30
8
0
27
0
28
0
29
0730
8
0
30
0730
8
0
31
Average:
0.00
Daily Maximum:
000
Daily Minimum:
000
Sampling Type:
Recorder
Monthly Limit:
225,951
Daily Limit:
Sample Frequency:
Continuous

FORM NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Permit No.: WQ0005790
Facility Name: Fish Factory Road Water Reclamation and Treatment Faulty
County: Brul1$WICI(
Month: April Year: 2024
PPI: 003
Flow Measuring Point: ❑ Influent Effluent E No flow generated L� 9e
Parameter Monitoring Point: ❑influent
El Effluent ❑Groundwater Lowering ❑Surface Water
Parameter Code 1
50050
_
a E
_
U l"'
0
O
c
O
o
E °
U N
cr
O
3
o
LL
24-hr
hrs
GPD
1
0730
8
0
2
07 30
8
0
3
07 30
8
0
4
07 30
8
0
5
0730
8
0
6
0
7
0
8
0730
8
0
9
07 30
8
0
10
0730
a
0
11
0730
8
0
12
07 30
8
0
13
0
14
0
151
07 30
8
0
161
07.30
8
0
17
0730
8
0
18
07.30
8
0
19
0730
8
0
20
0
21
0
22
0730
8
0
23
07 30
8
0
24
0730
8
0
25
07.30
8
0
26
07.30
8
0
27
0
28
0
29
0730
8
0
30
0730
8
0
31
Average:
0
Daily Maximum:
0
Daily Minimum:
0
Sampling Type:
Recorder
Monthly Limit: 1
180,000
Daily Limit:
Sample Frequency: 1
Continuous

FORM NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR)
F',-en
Sampling Person(s) Certified Laboratories
Name: Kenny Von Voigt Name: Environmental Chemists
Name:
Name:
uoes all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? n compliant U 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
IFor the month of April we were over our gemetric mean limit for BOD We feel that we continue to recieve an itermittent chemical that kills our biomass Also during this month we had our sand filters relined and
media changed out which Is the explanation for such low flows the few days We are In the process of gaining certification for chlorine testing but as of april we are unqualified
for chlorine residual reportlnci
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC- Kenneth Von Voigt
Permittee: Town of Oak Island
Certification No.: 1006360
Signing Official: Lisa Stites
Grade: 2 Phone Number: 9103521435
Signing Official's Title: Town Clerk
Has the ORC changed since the previo MR? ❑ yes I] No
Phone Number: [phone] Permit Expiration: 7/31/2027
s- �� - y
Signature
Signature Date
Date
By this signature. I certify that this report is accinrale 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 trial there are significant penahles for submitting false information. Including the possibility of fines and Imprisonment for
kno\wng violations
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM NDAR-1 05-16 NON -DISCHARGE APPLICATION REPO
Permit No.: VVQ0005790
Facility Name: Fish Factory Road Water Reclamation and Treatment Facil,t)
Did irrigation occur
at this facility?
Field Name:
1
Field Name:
2
Area (acres):
2.2
Area (acres):
2 1
Cover Crop:
Cover Crop:
Hourly Rate (in):
0.4
Hourly Rate (in):
0 q
Annual Rate (in):
156
Annual Rate (in):
156
Weather
Freeboard
Field Irrigated?
- i YES E]NO
Field Irrigated?
0 vEs Ell,
L
(U
Er
2
m
CL
N
c
g
a
- _
°o
�EQ
_
0.
c
°m
E
nU
o
n
Q
F
_
00E
E oc
Ep
' Jva>
m=~
°F
in
ft
ft
gal
min
I in
I in
gal
min
in
in
1
C
65
0
4
4
0
0
1 0.00
0.00
1 750
1 7
001
001
2
PC
73
0
4
4
0
0
000
0-00
737
6
001
001
3
R
68
08
4
4
0
0
000
0.00
5.450
51
0 10
0 10
4
C
64
0
4
4
0
0
000
0.00
5 345
51
009
009
5
C
60
0
4
4
0
0
0 00
000
0
0
0.00
000
6
C
60
0
4
4
0
0
000
0.00
5.363
51
009
0 09
7
C
70
0
4
1 4
0
0
0.00
0.00
5,315
52
009
009
8
C
83
0
4
4
0
0
0,00
0.00
5,328
51
009
009
9
C
83
0
4
4
0
0
0.00
000
5.463
51
0 10
010
10
C
83
0
4
4
0
0
0,00
0.00
5.345
51
009
009
11
R
70
08
4
4
0
0
0.00
000
5 350
52
009
009
12
C
67
02
4
4
0
0
000
0.00
0
0
0.00
000
13
C
83
0
4
4
0
0
0.00
0.00
0
0
000
000
14
C
83
0
4
4
0
0
0.00
0,00
0
0
000
0,00
15
C
80
0
4
4
0
0
0.00
0,00
0
0 1
000
0.00
16
C
78
0
4
4
0
0
0,00
0,00
0
0
0.00
000
17
C
80
0
4
36
0
0
000
000
0
0
000
000
181
C 1
80 1
0
4 1
36
0 1
0 1
000 1
0.00
0
0
000
0,00
19 1
CL 1
75
0
4
36
0
0
0,00
0.00
0
0
000
000
20
C
82
0
4
36
0
0
000
0,00
0
0
000
000
21
CL
69
1,1
4
36
0
0
000
0.00
0
0
000
000
22
PC
58
1.5
4
36
0
0
0.00
000
0
0
000
000
23
C
75
0
4
36
0
0
0,00
0.00
0
0
000
000
24
C
83
0
4
34
0
0
0.00
0.00
0
0
000
000
25
C
74
0
4
34
0
0
000
000
0
0
000
000
26
C
72
0
4
34
0
0
0.00
0,00
0
0
0.00
000
27
C
78
0
4
3.4
0
0
0.00
000
0
0
0.00
0,00
28
C
79
0
4
34
0
0
000
000
0
0
000
000
4
34
0
0
000
000
0
0
000
000
M
4
34
0
0
0.00
000
0
0
000
000
44,446
thly Loading:
0 0.00
0 00
078
1767
12 Month Floating Total (in):

FORM NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Permit No.: W00005790
Facility Name: Fish Factory Road Water Reclamation and Treatment Facility
County: Brt
Did irrigation occur
at this facility?
Field Name:
9
Field Name:
10
Field Nam
Area (acres):
199
Area (acres):
1 75
Area (acres
Cover Crop:
Cover Crop:
Cover Cro
Hourly Rate (m):
02
Hourly Rate (in):
0 2
Hourly Rate (ir
Annual Rate (in),
127
Annual Rate (in):
127
Annual Rate (ir
Weather
Freeboard
Field Irrigated?
YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigatec
y
-o
°i
L
d
E
c
2
.a
`
d
°
fn
=_
d °'
>, a
ie a
m
o a
> Q
~
_
o�
p o
J=
E
c
.x O M
J
E ?'
a
> o a
Q
a) d
E
H
c
o
J
E rn
= L c
E
2 0
rL J
m y
E 2
a
o a
Q
v
m y
E
F a
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
1
C
65
0
4
4
7,229
35
013
0.13
8,049
46
017
0.17
5,001
30
2
PC
73
0
4
4
7,037
36
013
0.13
7,756
46
016
0,16
4,809
30
3
R
68
08
4
4
6,928
36
013
013
7.748
46
016
016
4,796
30
4
C
64
0
4
4
6,819
36
0.13
013
7.552
46
016
016
4,648
30
5
C
60
0
4
4
0
0
0.00
000
0
0
000
000
0
0
6
C
60
0
4
4
7,076
37
0,13
0.13
7770
46
016
016
4,591
30
7
C
70
0
4
4
6,889
36
013
0.13
7 617
46
016
0 16
4,595
30
8
C
83
0
4
4
6,780
36
013
013
7.665
46
0.16
016
2,119
13
9
C
83
0
4
4
6,828
36
0.13
0.13
7 770
46
016
0 16
4,748
30
10
C
83
0
4
4
6,941
36
0,13
0.13
7 630
46
016
0 16
4,556
30
11
R
70
08
4
4
6.810
36
013
013
7,556
46
016
0 16
2,158
14
12
C
67
02
4
4
0
0
000
0.00
0
0
0.00
000
0
0
13
C
83
0
4
4
0
0
0.00
0.00
0
0
0.00
0
0
14
C
83
0
4
4
0
0
000
000
0
0
000
0
0
15
C
80
0
4
4
0
0
0.00
000
0
0
000
1,"
0
0
16
C
78
0
4
4
0
0
0.00
0.00
0
0
0.00
0
0
17
C
80
0
4
36
0
0
000
000
0
0
000
0
0
18
C
80
0
4
36
0
0
000
000
0
0
000
0
0
19
CL
75
0
4
36
0
0
000
0,00
0
0
000
0.00
0
0
20
C
82
0
4
3 6
0
0
0.00
000
0
0
000
0.00
0
0
21
CL
69
11
4
36
0
0
0,00
0,00
0
0
000
000
0
0
22
PC
58
1 5
4
36
0
0
0.00
000
0
0
000
000
0
0
23
C
75
0
4
36
0
0
000
000
0
0
000
000
0
0
24
C
83
0
4
34
0
0
000
000
0
0
0,00
000
0
0
25
C
74
0
4
34
0
0
0.00
0,00
0
0
0 00
0.00
0
0
26
C
72
0
4
3.4
5.973
31
0,11
0.11
10.106
61
0 21
021
4,582
30
27
C
78
0
4
3.4
6,087
31
Oil
Oil
10,242
61
022
021
4.700
30
28
C
79
0
4
3.4
5,938
31
Oil
0.11
10,102
61
021
021
4,587
30
29
C
82
0
4
3.4
5,803
31
Oil
0.1 1
9,989
62
0,21
020
4,526
30
30
C
77
0
4
3 4
5,838
31
Oil
0.11
9,976
62
0.21
0.20
4,482
30
31
Monthly Loading:
98,976
1.83
29 93
127,526
2 68
55.32
64,899
12 Month Floating Total (in):

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: WQ0005790
Facility Name: Fish Factory Road Water Reclamation and Treatment Facility
County: Brunswick
Month: April
Year: 2024
Did irrigation occur
at this facility?
0 YES ❑ NO
Field Name:
5 & 5A
Field Name:
6
Field Name:
7
Field Name:
8
Area (acres):
2-5
Area (acres):
1 25
Area (acres):
1.7
Area (acres):
1.55
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Hourly Rate (in):
0.4
Hourly Rate (in):
0.2
Hourly Rate (in):
0.2
Hourly Rate (in):
0.2
Annual Rate (in):
156
Annual Rate (in):
127
Annual Rate (in):
127
Annual Rate (in):
127
Weather
Freeboard
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES 0 NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
YES ❑ NO
o
tA0
3
mm
Fa
°
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�L
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-
a
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a
Eu
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"E
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E
�°° c�0
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°F
in
ft
ft
gal
I min
in
In
gal
min
in
in
gal
min
In
In
gal
min
in
in
1
C
1 65
0
4
4
0
0
0,00
0.00
0
0
0.00
0.00
4,643
26
0.10
010
4.094
26
0.10
0.10
2
PC
1 73
0
4
4
0
0
0.00
1 0.00
0
0
000
000
4,447
26
0.10
0.10
3,950
26
0.09
0,09
3
R
68
0.8
4
4
0
0
0.00
0.00
0
0
0.00
0.00
6,165
36
0.13
0.13
5,498
36
013
0.13
4
C
64
0
4
4
0
0
0,00
0.00
0
0
0,00
000
5,930
36
0.13
0.13
5,350
36
0.13
0.13
5
C
60
0
4
4
48,000
240
0.71
0.18
0
0
0.00
000
0
0
0.00
0-00
0
0
0.00
0.00
6
C
60
0
4
4
48,000
240
0.71
0.18
0
0
0.00
0.00
5,999
36
0.13
0.13
5,446
36
0,13
0.13
7
C
70
0
4
4
48,000
240
0.71
0.18
0
0
0.00
000
5,995
36
0.13
0.13
5,441
36
0.13
0.13
8
C
83
0
4
4
48,000
240
0.71
0.18
0
0
0.00
000
5,808
36
0.13
0.13
5,393
36
0.13
0.13
9
C
83
0
4
4
0
0
0.00
0.00
0
0
000
0.00
6,004
36
0.13
0.13
5,363
36
0.13
0.13
10
C
83
0
4
4
0
0
0.00
0.00
0
0
0.00
0.00
5,869
36
0.13
0.13
5,363
36
0.13
0.13
11
R
70
0.8
4
4
0
0
0.00
0.00
0
0
0.00
0.00
5,808
36
0.13
0-13
5,267
36
0.13
0.13
12
C
67
0.2
4
4
0
0
0.00
0,00
0
0
0.00
0,00
0
0
0.00
0.00
0
0
0.00
0.00
13
C
83
0
4
4
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
14
C
83
0
4
4
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
15
C
80
0
4
4
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
16
C
78
0
4
4
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
17
C
80
0
4
3.6
0
0
0.00
0.00
0
0
0.00
000
0
0
0.00
0.00
0
0
0.00
0.00
18
C
80
0
4
36
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
19
CL
75
0
4
3.6
0
0
0.00
0.00
0
0
000
000
0
0
0.00
0.00
0
0
000
0.00
20
C
82
0
4
3.6
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
21
CL
69
1.1
4
3.6
0
0
0.00
0.00
0
0
0.00
000
0
0
0,00
0.00
0
0
0.00
0.00
22
PC
58
1.5
4
3.6
0
0
0.00
0,00
0
0
0,00
000
0
0
0.00
0.00
0
0
0.00
0.00
23
C
75
0
4
3.6
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
24
C
83
0
4
3.4
0
0
0.00
0.00
0
0
0.00
000
0
0
0.00
0.00
0
0
0.00
0.00
25
C
74
0
4
34
0
0
0.00
0.00
0
0
0.00
000
0
0
0.00
0,00
0
0
0,00
0.00
26
C
72
0
4
34
0
0
0.00
0.00
0
0
0.00
0.00
5,167
31
0.11
0.11
4,752
31
0.11
0.11
27
C
78
0
4
3.4
0
0
0.00
0.00
0
0
0.00
0.00
5,206
31
0.11
0.11
4.822
31
0.11
0.11
28
C
79
0
4
3A
0
0
0,00
0.00
0
0
0.00
0.00
5,228
31
0.11
0.11
4,848
31
0.12
0.12
29
C
82
0
4
3.4
1 0
0
0.00
0.00
0
0
0.00
0.00
5,206
31
0.11
011
4,783
31
0.11
0.11
30
C
77
0
4
3A
0
0
0.00
0.00
0
0
0.00
0.00
5,171
31
0.11
0.11
4,696
31
0.11
0.11
31
Monthly Loading: 192,000 283 0 0.00 82,644 1.79 75,066 1.78
12 Month Floating Total (in): 42.45 12.30 17.72 28.96

FORM NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) pare
Permit No. W00005790
Facility Name: Fish Factory Road Water Reclamation and Treatment Facility
County: Brunswick
Month: April
Year: 2024
Did irrigation occur
Field Name:
13
Field Name:
14
Field Name:
Field Name:
at this facility?
Area (acres):
1.19
Area (acres):
0 98
Area (acres):
Area (acres):
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
_s
Hourly Rate (in):
0.2
Hourly Rate (in):
02
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
127
Annual Rate (in):
127
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
` -YES ❑ NO
Field Irrigated?
] YES ❑ No
Field Irrigated?
` YEs ❑ No
Field Irrigated?
❑ YES ❑ No
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FORM NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _of
Did the application rates exceed the limits in Attachment B of your permit?
0 Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
❑� Compliant
❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
[]Compliant
❑Non-Compltant
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
El 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 II Permittee Certification
ORC: Kenny Von Voigt
Certification No.: 1006360
Grade: 2 Phone Number:
) Has the ORC changed since the
9103521435
Pe rm ittee:
Town of Oak Island
Signing Official: Lisa Stites
Signing Official's Title: Town Clerk
❑ yes j] No 11 Phone Number: [phone] Permit Exp.: 7/31/27
; 944Z /_Ze7�: 5 -a,2act
Signature Date
By this signature. I certify that this report is accunale and complete to the best of my knowledge
_/9 - s_ -2D ->y
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 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. We, 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

FORM NDAR-2 05-16
Permit No.: W00005790
Facility Nam
Did infiltration occur at
this facility?
YES Q NO
Site Ns
Area (ac
Rate (GPC
Weather
Freeboard
Site Infiltra
d
jin
my
mEE`° a
.0U°
m
oa> Q
°r
ft
ft
I gal
n
1
C
65
0
4
4
0
2
PC
73
0
4
4
0
3
R
68
08
4
4
0
4
C
64
0
4
4
0
5
C
60
0
4
4
0
6
C
60
0
4
4
0
7
C
70
0
4
4
0
8
C
83
0
4
4
0
9
C
83
0
4
4
0
10
C
83
0
4
4
0
11
R
70
08
4
4
0
12
C
67
02
4
4
0
13
C
83
0
4
4
0
14
C
83
0
4
4
0
151
C
1 80
1 0
4
4
0
161
C
1 78
1 0
4
4
0
17
C
80
0
4
36
0
18
C
80
0
4
36
0
19
CL
75
0
4
3.6
0
20
C
82
0
4
3.6
0
21
CL
69
1 1
4
3.6
0
22
PC
58
1 5
4
36
0
23
C
75
0
4
3.6
0
24
C
83
0
4
3.4
0
25
C
74
0
4
3.4
0
26
C
72
0
4
3 4
0
27
C
78
0
4
3.4
0
28
C
7
1 0
4
3A
0
29
C
82
0
4
34
0
30
C
77
0
4
3 4
0
31
Monthly Loading (GPD/ft2):
Year to Date Loading GPD/ft2

FORM NDAR-2 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page of
Did the application rates exceed the limits in Attachment B of your permit?
If not a basin, were the sites kept free of vegetation and raked?
If not a basin, were there any instances of effluent ponding in or runoff from the sites?
If a basin, were there any instances of breakout from the berms?
Was the onsite automatically activated standby power source tested and operational?
❑ Compliant
❑ Non -Compliant
❑ Compliant
❑ Non -Compliant
i] compliant
❑ Non-comphant
El Compliant
❑ Non -Compliant
Q 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 dates) of the non-compliance and describe the corrective
nrtinnrcl taken Attach additional sheets If necessary
Operator in Responsible Charge (ORC) Certification
Perm ittee Certification
ORC: Kenny Von Voigt
Permittee:
Town of Oak Island
Certification No.: 1006360
Signing Official: Lisa Stites
Grade: 2 Phone Number: 9103521435
Signing Official's Title: Town Clerk
Has the ORC changed since the previous NDAR-2? ❑ Yes ❑ No
Phone Number: [phone] Permit Exp.: 7/31/27
^�
Signature Date
Signature Date
By this signature, I certify that this report is accurate 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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617