WQ0001664_Monitoring - 12-2016_20170201

* AORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0001664
Facility Name:
BELVEDERE PLANTATION
County:
Pender
Month:
December
Year: 2016
PPI: 002
Flow Measuring Point:
❑tnfluent ❑Effluent ❑No flow generated
Parameter Monitoring Point:
❑Influent
❑Effluent EGroundwater Lowering ❑Surface Water
Parameter Code — 10
60050
00310
00680
00940
50060
31616
00610
00620
00600
00400
00665
70300
�.
c
O
Q E
O O
0
m
2
c
M
ct
�
'70
0 w
r
�
E
LO
.a.
Z
S
°V
.
01--
a
@
pU)
iL)
nv
24 -hr hrs
GPD
mg/L
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
su
mg/L
mg/L
1
11:00 1
129,500
0
2
11:00 1
112,100
0
3
10:00 1
140,799
0
4
10:00 1
140,799
0
5
11:00 1
140,799
0
6
11:00 1
160,300
0
7
11:00 1
107,800
<2
0
<5
<0.2
<0.5
<0.5
<0:04
8
11:00 1
168,100
0 .,
9
11:00 1
116,200
0
10
10:00 1
140,499
0 `
11
10:00 1
140,499
0
121
11:00 1
140,499
0
13
11:00 1
143,800
<2
0
<5
<0,2
<0.02
<0.5
40,04
14
11:00 1
182,100
0
15
11:00 1
127;500
0
16
11:00 1
134,200
0
17
10:00 1
157,533
0
181
10:00 1
151,533
0
19
11:00 1
157,533
0
20
11:00 1
600
<2
0
<5
<0,2
<0.02
0.6
0;07
21
11:00 1
0
0
22
11:00 1
46,000
0
23
11:00 1
113,300
0
241
10:00 1
144,266
0
25
10:00 1
144,266
0
O�
26
11:00 1
144,266_
0
27
11:00 1
127,900
0
'pQ
28
11:00 1
138;600
<2
0
<5
<0,2
<0.02
<0.5
0.39
29
11:00 1
154,100
0
� NO
30
11:00 1
1.01,700
0
31
10:00 1
148,499
0
Average:
127,471
0.00
0.00
1.00
0.00
0.00
0.15
0.12
^,
v
Daily Maximum:
1$2,100
2.00
0.00
5.00
0:20
0.50
0.60
0.39
G ..
—s
Daily Minimum:
0
2.00
0.00
5.00
0.20
0.02
0.50
0.04
`9
Sampling Type:
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
Daily Limit:
471,400
Sample Frequency:
W
3 X Y
3 X Y
W
W
W
W
W
W
W
3 X Y

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Jimmie Hagwood Name: Environmental Chemists, Inc.
Name: Name: Ce ro tic" 10a+&_ 0er6__1_
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ­'If-
❑� 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.
Carolina Water Service Inc. of NC
j P.O. Box 240908
j Charlotte, NC 28228-908
704-525-7990
Operator in Responsible Charge (ORC) Certification
ORC: Jimmie Hagwood
Certification No.: 1002617 T
Grade: 3 Phone Number: 910-443-0280
Has the ORC changed since the previous NDMR? ❑Yes ❑✓ No
Danny Lassiter
Permittee: Regional Manager
[e-mail]
Signing Official: 800-525-7990
I
Signing Official's Tit,
Phone Number: 800-348-2383 Permit Expiration: 1/31/2020
Sfbnature Date/ /
certifySignature Date
By this signature, I ce%ify 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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

IAORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: W00001664
Facility Name:
Belvedere Plantation WWTF
County:
Pender
Month:
December
Year: 2016
PPI:001
Flow Measuring Point:
❑Influent DEffluent ❑No Flow generated
Parameter Monitoring Point:
❑Influent
❑� Effluent
❑Groundwater Lowering
[]surface water
Parameter Code - P.
50060
00310
00940
50060
31616
00610
00625
00620
00600
00400
00665
70300
00530
00076
1NQ01
y
PF
o m
o
O
o ..
Ln
o
m
o
7C
_
V 8
O `
i
20
O
E
Z
z
Z
.. aOd
CL
o.
a.N
:0
oo-
yo
rU
to
C'a
C'
....
N
�- o
24 -hr hrs
Gal _
mg/L
mg/L _
mglL
11100 mL°
mg/L
mglL
mg/L
mg/L_
su
mglL, _!
mg/L
mg/L,
NTU
Gallons'.
1
08:00 3
126,300_.:
-.
1.9
- _..
7.5
0.66
2
08:00 3
,.. 1..17,800:
1.8
_
7.6
°.
_
0.71
0
3J3,50Q
`;
_...
0
4
126,300:
;
°.
;.:.:.
0
5
08:00 3
U, 126,306
1.9
.. ''
7.6
1.1
0
6
08:00 3
137,700
2
1.9
<5,.
<0.2
07
4.49
5 2 ,,..'
7.5
0 2
<2,6'.
0.86
p
7
08:00 3
132,8Q0'
<2
2
55
<0.2
0.5 ,
4.23
4.7
7.5
<,0.04
� <2.6
2.06
0
8
08:00 3107,020
1.9
7.5
1
0 ..
9
08:00 3
127,700 ..
1.9
7.5
0.73
0
10105,60077
0
11
127,900
-
0 ..
12
08:00 3
130,400
1.9
7.6
_.
0.81
0
13
08:00 3
122,60.0' ;
4
2.1
<5
<0.2
<0.5
9.39
9:4
7.6
0.28
<2,7'
1.01
6
14
08:00 3
145,900"
2
1.8
<5
<0.2
<04°
6.58
6.6
7.6
0:37
<2,6
0.98
0
15
08:00 3
.1 26,7Q0
1.9
7.6
0.84
0
16
08:00 3
131,,900:.,
1.9
7.5
0.76
0
171
127,000
0
18
0
19
08:00 3
119 700
_
2.1
7.6
0.27
0.
20
08:00 3
1,20,700
3
1.9
<5 '
<0.2
0.7 '..
5.97
6..7 , ,.
7.6
0.62
<2.6
1.3
0
21
08:00 3
113,700
3
1.8
<5
<0.2
019
4.58
5.1
7.6
0;42
<2:6
1.2
0
22
08:00 3
1.21,100
2.2
7.7
1.8
0
231
08:30 3
115,000 '
1.9
7.6
0.6
0
24
137,400
,
:..
0
25
126,300'
, .
0
26
08:00 3
96,200
1.9
7.6
0.81_`
0 _
27
08:00 3
129,100,
1.8
_ ,
7.6
0.6
0
28
08:00 3
-109,000
2
1.9
s5
<0.2
0.8
2.57
3.4
7.6
0;0
<28 ,.
1.21
0
291
08:00 3
109,000
<2
1.7
<5
<0.2
0,7
3.04
3,7
7.6
1.02
<2,6 ..
1.31
0
30
08:00 3
113,500
1.9
_
7.5
1.88
'0
31
114,500
o
a
Average:
121,236
.�2a3T^
1.91
/
5.11
5.60 '
s
BiD,.
.02
0.00
Daily Maximum:
` 145,900
4.00
2.20
<0. �
0,80
9.39
9.40
7.70
1402_,
2.06
0:00
Daily Minimum:
93,500
i1'0Q
1.70
G
�%>.2
.-9faD
2.57
3.40
7.50
:-69
r
0.27
0,00
Sampling Type:
Recorder
Composite
Composite
Grab
Grab
Composite
Composite
Composite
Composite
Grab
Composite
Composite
Compositw
Recorder
Calculated'
Monthly Limit:
300;000
10
14
4
7
3
51
Daily Limit:
15
25'
6
6.0-9.0
10
10
Sample Frequency:
Continuous
2 x Week
3 x Year
5 x Week
2 x Week !
2 x Week
2.x Week.
2 x Week
2 x Week
5 x Week
2 x Week
3 x Year
2 x Week
Continuous
Monthly

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of �
Sampling Person(s)
Certified Laboratories
i
Name: Jimmie Hagwood Name:
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A 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.
Carolina Water Service Inc. of NC
P.O. Box 240908 I
Charlotte, NC 28228=908
1704-525-7990
I
Operator in Responsible Charge (ORC) Certification
ORC: Jimmie Hagwood
Certification No.: 1002617 T
Grade: 3 Phone Number: 910-443-0280
Has the ORC changed since the previous NDMR? ❑Yes ❑� No
Danny Lassiter
Permittee: Regional Manager
[e-mail]
Signing Official: 1800-525-7990
I
Signing Official's Tit.___
Phone Number: 800-348-2383 Permit Expiration: 1/31/2020
"tL% 7
i nature Date<57'Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certify, under penally 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: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page
Permit No.:
W00001664
Facility Name:
Belvedere Plantation WWTF
County:
Pender
Month:
December Year:
2016
Did infiltration occur at
,Site Name"s
A
Site Name:
B
Site Name:
C
Site Name:
this facility?
Area (acres):
0.27
Area (acres):
0.27
Area (acres):.
0.27
Area (acres):
❑YES
❑NO
Rate (GPD/t2):
8.55
Rate (GPD/ft):
8.55
Rate (GPD/ft?):
8.55
Rate (GPD/ft2):
Weather Freeboard
Site I n ltrated , ?1
❑YES
❑No
Site Infiltrated?
❑YES
❑No
Site Infiltrated?
❑YES
❑No
Site Infiltrated? ❑YES
[-]NO
0
v
°
t
M
m
c
H
° y.0
m MM
FL o a
U - 0.
` CO) t6
4. v
0 a
0.M
�, a
M 0.
D t6
v
� v
m
°°
° 0.
�' Q
4)2
B _`°�.
~ f,..,
C
ar
�,c
m
O°
J
a.
M0
y N
U. to
acv
m
a
0 0.
i Q
y
m+J
E `.�°
~ r-.
c
rn
Tc
io
0°
J
° c
m0
27 y
LL N
m p
d
a
Q
d m
S
i= C
os
y.0
m
J
° c
�O
�°
0
LL N
d v cDi rn
m a) �,�
° a E iii
i Q ~ C 0
° c
q0
m
N
LL W
OF
in ft
ft
gal
min
GPD/ft'
f{,
gal
min
GPD/ft2
ft
gal
min
GPD/ft2
ft_ _
gal min GPD/ft2
ft
1
C
39
0 4'6"
14'
43,300
557
3:6B
0:00
40,000
557
3.40
0.00
46,200
557
3.93
0,00
2
C
46
0
37,100
542
3.15
0.00
34,500
542
2.93
0.00
40,700
542
3.46
0.00
3
C
48
0
47,100
528
4.00
0.00
43,166
528
3.67
0.00
50,533
528
4.30
0.00
4
CL
48
0
47,100
528
4.00
0:00
43,166
528
3.67
0.00
50;533
528
4.30
0.00
5
R
51
1.1
47,100
528
4.00
0.00
43,166
528
3.67
0.00
50,533
528
4.30
0.00
6
R
58
1
54,200
5.84
4,61
0.00
49,000
584
4.17
0.00
'57,100
584
4.85
0.00
7
CL
49
0
36,300
656
3.09
0.00
33,100
656
2.81
0.00
38,400
656
3.26
0.00
8
CL
48
0 4'6"
14'
53,100
493
4.51
0.00
48,600
493
4.13
0.00
56,400
493
4.80
0.00
9
C
37
0
39,000
599
3.32
0.00
35,500
599
3.02
0.00
41,700
599
3.55
0100
10
C
30
0
46,900
482
3.99
0.00
43,166
482
3.67
0.00
50,433
482
4.29
0.00
111
C
46
0
46,900
589
3.99
0.00
43,166
589
3.67
0.00
-6b,433
569
4:29
0:00
12
R
58
1.3
46;900
625
3,99
0.,00
43,166
625
3.67
0.00
50,433
625
4,29
0.00
13
R
54
0.5
48,000
575
4.08
0.00
44,100
575
3.75
0.00
51,700
575
4.40
0.00
14
CL
49
0
.61,300
673
5.21
0100
55,500
673
4.72
0.00
65;300
673
5.55
0.00
15
CL
42
0 4'6"
14'
42,500
580
3.61
0100
38,600
580
3.28
0.00
46,400
580
3.95
0.00
16
CL
27
0
44,700
604 `;
3,80
.0.00
41,100
604
3.49
0.00
48,400
604
4.12
0.00
17
CL
44
0.3
52,800
370
4.49
0.00
48,000
370
4.08
0.00
56,733
370
4.82
0.00
18
CL
59
0.1
52,800
576
4.49
0.00
48,000
576
4.08
0.00
.56,733
576
4.82
0.00
19
CL
42
0.4
52,800
576
4.49
0.00
48,000
576
4.08
0.00
56,733
576
4.82
0.00
20
CL
38
0.1
200
363
0.02
0.00
200
363
0.02
0.00
200
363
0.02,
0.00
21
CL
34
0
0
260,
0.00
0,00
0
260
0.00
0.00
0
260
0.00
0.00
221
CL
39
0 3'5"
14'
20,300
283,
1.73
0,00
13,600
283
1.16
0.00
12,100
283 1
1.03
0,00
231
CL
56
0
32,900
529
2.80
0,00
35,600
529
3.03
0.00
44,800
529 1
3.81
0:00
24
CL
54
0
47,700
637
4.06
0.00
45,500
637
3.87
0.00
51,066
637
4.34
0.00
25
CL
50
0
47,700
564
4.06
0.00
45,500
564
3.87
0.00
51,066
564
4.34
0.00
26
CL
51
0
47,700
471
4.06
Q.,00
45,500
471
3.87
0.00
51,066
471
4.34
0.00
27
CL
59
0.1
41,700
440
3.55
0.00
41,100
440
3.49
0.00
45,100
440
3.83
0.00
28
CL
61
0
42,900
313
3.65
0.00
43,000
313
3.66
0.00
52,700
313
4.48
0.00
29
CL
53
0 3'5"
14'
51,800
313
4.40
0.00
51,600
313
4.39
0.00
50,700
313
4.31
0.00
30
CL
53
0.4
34,400
385
2.92
0.00
35,900
385
3.05
0.00
31,400
385
2.67
0.00
31
CL
38
0
43,000
316
3.66
0.00
48,266
316
4.10
0.00
57,233
316
4.87
3.88#DIV/0!�
25.50
010011
Monthly Loading (GPD/ft2):
Year to Date Loadin(GPD/ft):
20.81
3.37
% 20.15 �% ;;_;
% ? %%
/L�%�j

FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page of t . .
Did the application rates exceed the limits in Attachment B of your permit?
EkEmpliant
❑Non -Compliant
If not a basin, were the sites kept free of vegetation and raked?
incompliant
❑Non -Compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites?
Compliant
❑Non -Compliant
If a basin, were there any instances of breakout from the berms?
IloCompliant
❑Non -Compliant
Was the onsite automatically activated standby power source tested and operational?
V`ompliant
[]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.
Carolina Water Service Inc. of NC
P.O. Box 240908
Charlotte, NC 28228-908
704-525-7990
I
Operator in Responsible Charge (ORC) Certification
ORC: Eddie baldwin
Certification No.: 18533
Grade: si Phone Number: 910-376-4175
Has the ORC changed since the previous.NDAR-2? ❑Yes ❑No
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee: 'Danny Lassiter
C, Regional Manager
Signing Official: E [e-mail]
� 800-525-7990
Signing Official's Titl
Phone Number: 800-348-2383
Signature
Permit Exp.: 1/31/20
Date
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in=dance
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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617