WQ0014785_Monitoring - 09-2022_20221101

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
Permit No.: WQ0014785
Facility Name: Midway Middle School
County: Sampson ,
Month: September
Year: 2022
Did irrigation occur
at this facility
'
OYES ONO
_
�_ �
� �
�
a
'
Area, (aField cres):
( )
0.435
Area (acres):
(acres):
0.435-
�TM .�
Areatlacres :
( )
�
.435
Area (acres):
( )
0.435
Cover Crop:
Cover Crop;
��1ro"�r C f
Cover Crop:
Hourly Rate (in):
0.16
Hourly Rate (in):
0.16
Hourly Rate (in):
0.16
Hourly,Rate (in):
0.16
Annual Rate (in):
39
Annual Rate (in):,
- 39 .Q-Fp
.ETATm`IOkinN� UW
1:.OFI CE:39
Annual „e,�n):
39.
Weather
Freeboard
Field, lrr gated?
❑YEs ❑NO
Field Irrigated?
❑YES. ❑� NO
Field Irrigated?
❑YES ONO
Field fr ifqW?'
PNO
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in
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min
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in
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min" .'
in
in.
1
7
0
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2
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0
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15
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16
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0
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17
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.7 ,
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"
0'
0
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0
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0.00
25
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01
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0
0.
0,00
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0
0
0.00
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26
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0
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0.00
0.00
0
0
0.00
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0
1 0
0.00
0.00
0
0
0.00
'0.00
27
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7
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
-0.00
0
0
0.00
0.00
28
7
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0=
0.00
0.00
29
71.
0
0
0.00
0.00
0
0
0.00
1 0.00
ji0
0
0.00
0.00 _
0
0 ..
0.00
0.00
30
7
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
31
Monthly Loading:
00.00
0
0.00
0
O.OQ
0
0.00
j4j
12 Month Floating Total (in):
2.54
2.54
2:54

FORM: NDAR-1 os-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of..
Permit No.: W00014785
'Facility Name: . Midway Middle School
County: Sampson
Month: September
Year: 2022
'
Did irrigation occur
at this facility?
❑YES ENO -
Field Name:
'5
Field Name:
•-- 6
, Field Name:
-
- 7'•
Field.Name:
8
Area - (acres):
' 0.435
Area (acres):.
0.435'
Area (acres):
0.436
Area -(acres):
- 0.435
Cover Crop:
Cover.Crop;
Cover Crop:
Cover Crop:
HourlyRate(in):
0.16
Hourly Rate(in):
Y
0:16
Hourly Rate in :,
Y ( )
0:16
Hourly_Rate (m):
0.16
Annual Rate In :
( )
39
Annual Rate in :.
(.)
39
- )
Annual Rate (in :
39
.'Annual.Rate (m):.
_ 39
Weather
Freeboard
Field Irrigated?
❑YES ENO
Field Irrigated?
❑YES' ONO.'
Field Irrigated?
❑YES ENO
Field Irrigated?
.❑YES ONO-
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27
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28
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29
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0
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mo
30.
7
0
0
0.00
0.00
0
0
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0.00
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0
0.00
0.00
0
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0.00
0.00
31
Monthly Loading:
0
Eiji
0
0.00
D
0:00
0
0.00
12 Month Floating Total (in):
2.54
2:54
2.54

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of .
Permit No.: p11.Middle
School.Sampsonpplipill
Month:-. - .-
PPI:11
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-Daily Maximium:
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FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR)
Page of
Permit No.: W00014785 .,
Facility Name: --Midway Middle School
County: Sampson
Month: September
Year: 2022
Field Name:
1 '
FieldrName:'
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?
:E]yEs- ,pNo
Field Loaded?
AYES. ONO
Fiel&Loaded?
'AYES EINo
Fieldi Loaded?
(]YES ONO
Field Loaded?.
l]YE$ [21No
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Month
gal
mg/L.
Ibslac
. Ibslac
gal'
mg/L
• Ibs/ac
'Ibslac
gal
mg/L
Ibs/ac
Ibslac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L.
Ibs/ac
Ibs/ac
October
November
December
January,
_
February
'March'
-April
May
June
,July
August
September
0
9.29 .
0.0
0.0
0'
9,29
0s0
OA
0
9:29
0.0
0.0
0
9.29
.0.0
0.0
0
..9.29
0.0
0.0
12 Month.Floating PAN Load
'
�0.0
0.0.
0.0,
0.0
(Ibs/ac/yr):
-.0'0
Annual PAN Load Limit
12 '
EEN��E
1'2<00
12:00
1'2:00
12.00
(Ibs/aclyr):

4.
FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of
Permit No.: W00014785
Facility Name: Midway'Middle School
County: Sampson
'Month; September
Year: 2022
Field -Name:
6
Field Name:.
7
Field Name:
8 _
Field; Name:
--
Field Name:
(acres):
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:
Load Type:
Field Loaded?,
DYES ONO .
Field Loaded?,,
DYES ONO
Field Loaded?
❑YES
Field-Loaded?
[]YES ❑NO
Field' Loaded?
[-]YES `❑NO
a
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Month ..
gal
mg/L.
Ibs/ac
, Ibs/ac
gal
mg/L
Ibs/ac
lbs/ac,
gal,
mg/L
Ibs/ac
Ibslac
gal'
mg/L;
Ibs/ac
Ibs/ac
gal
mg/L
.•Ibs/ac
'Ibs/ac'
October "
November
December
January .
February '
March.
April
May
June
July
;
August
`
September
0.
9.29
0.0
0.0
0
9.29
0.0:
12 Month Floating PAN Load
0.0,
0,0
(Ibs%aclyr)c;
. .
Annual' PAN Load Limit
12
12.00
12.00
(Ibs/ac/ye):
.

A
�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? ❑p Compliant ❑Non -Compliant
Were adequate measures taken to prevent effluent.ponding in,or runoff from the. sites? PCompfiant ❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? i]Compliant ❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? QCompliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? QCompliant ❑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: S Phone Number: 910-385-4915
Signing Official's Title: ORC
Has the ORC changed since t p vio DARA? []Yes (]No
Phone Number: 910-385-4915 ermit Exp.: 10/31/28
11/1/2 2
((/V 11/1/22
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
Raleigh, North Carolina 27699-1617

.. . I '..
FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of
c ., . ,� .
Did the mass loading rates exceed the limits in Attachment B of 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..
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: JASON DICKINSON Permittee: Sampson County School
Certification Number: 1007291 Signing Official: J/ASON DICKINSON
Grade: s Phone Number: 910-385-4915 Signing Official's Title: ORC
Has the ORC changed since the p vio s ND ? ❑ves ❑� No Phone No.: 910-385-4915 P mit Exp.: 10/31/28
11/1/22 l✓ 11/1/22
Signature Date Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. Icertify, 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

— _RM: 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? LlCompliant LJNon-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: S Phone Number: 910-385-4915
Signing Official's Title: ORC
Has the ORC changed since the previous NDMR? ❑Yes ONO
Phone Number: 910- -4915 Permit Expiration: 10/31/2028
I .
Z
O
'Jt u �z
-
( �i l as
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
Raleigh, North Carolina 27699-1617