WQ0007283_Monitoring - 08-2016_20160913

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 1
Permit No.: 111117283
Facility Name: Town of Pollocksvilie
•
August
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11Flow Measuring •. D ■ E]No flow generated Parameter Monitoring •. ElInfluent PlEffluent ■ E]Surface Water
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FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Sampling Person(s) Certified Laboratories
Name: Environment 1 / Operator on Duty Name: Environment 1
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ElCompliant ❑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
iaKen. Httacn aooltional sneets It necess
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Tony Randell Hawkins
Permittee: Town of Pollocksville
Certification No.: 990822 / 990494
Signing Official: James Bender Jr.
Grade: IV Phone Number: 252-521-7687
Signing Official's Title: Mayor
Has the ORC changed since the previous NDMR? []Yes ONo
Phone Num r: 52-224-9 1 Permit Expiration: 4/30/2016
Aal, I'L
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

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 1
Permit No.: WQ0007283
Facility Name:
TOWN of POLLOCKSVILLE
County:
Jones
Month:
August
Year:
2016
PPI:
002 Flow Measuring Point:
DInfluent ❑Effluent ❑No flow generated
Parameter Monitoring Point:
❑influent
(]Effluent
❑Groundwater Lowering
❑Surface Water
Parameter Code —► 50050
00310
00865
31616
'0,0610
00620
06400'
a 70300'
:00530_
00931-
00916-
00'625
; 00927'
50060'
, ,
O
o
Q
w
C. Q
of x
i= o
i0
zO
G
CL,y ,,
O
O
O
¢C
E
Z
_.
CL
-67
o
o
F1 °N= v)
,
E
N
d
0w ,.>E`
..:
24 -hr
hrs *YINIBIH GPD
mg/L
#N1A";°',
#1100 mL
, ,ipg/L,`
mg/L
su°',°,
mglL
y�Ong&
mg/L
#NIAu
mg/L
mglL_ ;
mglL
1
17:00
3:00 Y
2
17:00
2:00 Y 561000
3
17:00
4:00 Y 58;000
4
17:00
1:00 H `:65',000 r
16
4".1,
54
15.8
<0.04
; ..
392
9 7 :.-
1.70
64031`
19.28
8113
0
55070 °'
5
17:00
3:00 Y 45;000.
6
07:00
8:00 Y° 47,Od0'
..
7
07:00
6:00 Y 49 0K"'
8
17:00
2:00 Y
9
17:00
3:00 Y "66006.''
10
17:00
3:00 Y :.,68;000 m:
3-
11
11
17:00
4:00 Y
12
17:00
4:00 Y ,75;000.
13
07:00
5:00 Y V. 49;000 '
14
07:00
6:00 Y 5b,000'
15
17:00
4:00 Y
16
17:00
3:00 Y
17
17:00
5:00 Y 54,000
18
17:00
2:00 Y 83,p06
�'
'°•�-
19
17:00
5:00 Y "52000'.."
20
07;00
8:00 Y
21
07:00
4:00 Y 76,'000:•.
a
22
17:00
5:00 Y _ ,57, 000
7:2 t °•
23
17:00
1:00 Y '66';000
24
17:00 -
3-00 Y 69,OD0'
25
17:00
15:00 Y
26
17:00 '
2:00 Y 81,000=
27
07:00
5:00 Y •'67,000
28
07:00
6:00 Y 72;000-:
29
17:00
4:00Y 96100,0'
x
301
17:00
2:00 Y
311
17:00
5:00 1 Y
Average: '- 65,2`58�
16
4.10`' .
54
15.80 >>'
<0.04
7A
392
'93
1.70`-6403x1;
19.28
8,113 •`
0.0
5571;0, -
Daily Maximum: 9.61060 �,
16
4.15D,,`,"'
54
1,5 80,,;
<0.04
7,5' :
392
10
1.70
,64031-
19.28
8113,
0.0
5571'0
Daily Minimum: `45,066'
16
4.10n w?
54
15.80 .`
<0.04
T3
392
10
1.70
'6403,1.1
19.28
8113" '_
0.0
Sampling Type: ° Recorder
..'•
Grab '
Grab' ",
Grab
Grab
Grab
Gfats f
Grabn
Grab,
Grab"
. Grab.
drab
,aOrab9
Grab .
Monthly Avg. Limit .- 162,000:
Daily Limit: NIA
Sample Frequency.Continuous-
• .
`(Y)ES, (N)O, (B)ACK
UP ORC, (H)OLIDAY

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Sampling Person(s) Certified Laboratories
Name: Environment 1 / Operator on Duty Name: Environment 1
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ElCompliant ❑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: Tony Randell Hawkins
Permittee: Town of Pollocksville
Certification No.: 990822 / 990494
Signing Official: James Bender Jr.
Grade: IV Phone Number: 252-521-7687
Signing Official's Title: Mayor
Has the ORC changed since the previous NDMR? ❑Yes ❑p No
Phone Num 252-224- 1 Permit Expiration: 4/30/2016
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