WQ0002004_Monitoring - 08-2020_20200924

FORM: NDMR 03-12 NON•DISCHARGE MONITORING REPORT (NDMR) Page _of_
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FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of _
Sampling Person(s) Certified Laboratories
Name: Name: Environmental 1, Incorporated
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑Compliant ❑Nan -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.
IOperator in Responsible Charge (ORC) Certification II Permittee Certification
ORC: Brent Edwards
Certification No.: 24268
Grade: SI
Has the ORC chapped since the
Phone Number: [phone]
eviourMnMRT ❑Yes mr4o
Permittee: Bass Farms, Inc.
Signing Official: Brent Edwards
Signing Official's Title: Manager
Phone Number: -'R52) 478-4147Permit Expiration: 10/31/2023
Signature Date f Signature Date
By this signature, l certify (hat 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 an 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

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (N DAR-1) Page _ of
Permit No.: WQ0002004
Facility Name: Bass Farm Sausage WWTF
County: Nash
Month: August
Year: 2020
Did irrigation
Field Name:
1
Field Name:
2
Field Name:
4
Field Name:
5
occur
Area (acres);
-
0.48
Area (acres):
0.51
Area (acres):
2.24
Area (acres):
2.24
at this facility?
Cover Crop:Trees
and Fescue
Cover Crop:
P:
Trees and Fescue
Cover Crop:
P�
Fescue
Cover Crop:
P�
Fescue
AYES ❑No
Hourly Rate (in):
0.35
Hourly Rate (in):
0.35
Hourly Rate (in):
0.35
Hourly Rate (in):
0.35
Annual Rate (In):
52
Annual Rate (in):
26
Annual Rate (in):
24.5
Annual Rate (in):
24.5
Weather
Freeboard
Field Irrigated?
❑YFS ❑� NO
Field Irrigated?
❑YES QNo
Field Irrigated?
(]YES ❑No
Field Irrigated?
E)YES ❑NO
p
m
m
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3
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
2
3
84
0
4
87
2.65
5
88
0
6
86
0
7
89
0.06
8
9
10
89
0.02
11
90
0
12
91
0
13
89
0
14
88
0.06
15
16
17
85
0
18
86
0.11
19
85
0
20
85
1.07
21
0
22
23
24
d89
0
25
0
26
CL
0
5
5
18,000
150
0.30
012
18,000
150
0.30
0.12
27
0
28
91
0
29
30
311
1
88 1
0
Monthly Loading:
0
0.00
0.00
5';4.>4`;=.
181000
f.'.
0.30
18,000
= t
030
�?s->
12 Month Floating Total (in):
,rj "`,q"�",.�
0.25,ar
r
''�`
0.24
•.'
�_ �;`-``%"r.'�
3.901a.
3 90t1,i=

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Of
Al in. � ,cam
t1111 11�Sausageat
.,
Did irrigation occur
this facility,2
as acres),—
I—
I— Area (acresY.—
®-®-®Elys
—®—
FJNO
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate
Annual Rate (in:
W_Inr.WRMU4M—
i Annual Rate (1,):—
Annual Rate (in):Field
Irrigated?
Mcm=��
Field Irrigated'?
mmm=��

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _ of
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?
❑' Compliant
❑Non -Compliant
❑+Compliant
❑Non -Compliant
❑+Compliant
❑Non -Compliant
QCompliant
❑Nan -Compliant
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
ldncl �. MLLGU I .V.Iqun.l LnCCIb u
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Brent Edwards
Permittee:
Bass Farm, Inc.
Certification No.: 24268
Signing Official: Brent Edwards
Grade: SI Phone Number: [phone]
Signing Official's Title:
Has the ORC ch ged since the ous -1? ❑yes QNo
Phone Number: ) 478-4147 Pe xp.: 10/31/23
9/30/20
9/30/20
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 dacument and all attachments were prepared under my direction or supervision in accordance
with a sys lem 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

FORM IRR-2
Field Size (wetted acres) _ (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Zone # r- 4
2.24
Bass Farms, Inc.
Spring Hope, NC 27882
[phone]
Facility Number
Irrigation Operator Bass Farms, Inc.
Irrigation Operator's Spring Hope, NC 27882
Address
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Fescue Recommended PAN 200
Loading (lb/acre)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Lagoon
ID
Date
(mm/dd/yr)
Irrigation
Waste Analysis
PAN*
(Ib/1000 gal)
PAN Applied
(Ib/acre)
(8) x (9)
1000
Nitrogen
Balance"
(lb/acre)
Weather
Code
Inspections
(Initials)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
200.00
1 /9/2020
7.00 AM
9:30 AM
150
1
120
18000
8036.71
0.48
3.86
196.14
cl
1/28/2020
7:00 AM
9:30 AM
150
1
120
18000
8035.71
0.48
3,86
192.29
c
2/18/2020
7:00 AM
9:30 AM
150
1 1
120
18000
1 8035.71
0.48
3.86
188.43
CI
3/17/2020
7.00 AM
9:30 AM
150
1
120
18000
8035.71
0.48
3.86
184.57
CI
4/16/2020
7:00 AM
9:30 AM
150
1
120
18000
8035.71
0.61
4.90
179.67
c
5/25/2020
7:00 AM
9:30 AM
150
1
120
18000
8035.71
0.61
4.90
174.77
cl
6/19/2020
7:00 AM
9:30 AM
150
1
120
18000
8035.71
0.61
4.90
169.87
cl
7/22/2020
7:00 AM
9:30 AM
150
1
120
18000
8035.71
0.40
3.21
166.65
pc
8/26/2020
7:00 AM
9:30 AM
150
1
120
18000
8035.71
0.40
3.21
163.44
C
Crop Cycle
yeKs =
162000
36.56
Owner's Signature c Operator's Signature
Certified Operator (Print) even Edwards Operator's Certification No 24268
' NCDA Waste Anaylsis or Equivalent. At a minimum, waste analysis is required within 60 days of land application events.
'Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.
'*Enter nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc.) 12/20/2006

FORM IRR-2
Field Size (wetted acres) _ (A)
Farm Owner
Owner's Address
Owner's Phone #
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Zone # E - - 5�
2.24
Bass Farms, Inc.
Spring Hope, NC 27882
[phone]
Facility Number WO0002004 -
Irrigation Operator Bass Farms, Inc.
Irrigation Operator's Spring Hope, NC 27882
Address
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type r Fescue Recommended PAN 200
Loading (lb/acre)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) 01)
Lagoon
ID
Date
(mm/dd/yr)
Irrigation
Waste Analysis
PAN*
(lb/1000 gal)
PAN Applied
(lb/acre)
8 x 9
1000
Nitrogen
Balance**
(lb/acre)
Weather
Code
Inspections
(Initials)
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
200
1/9/2020
10:00 AM
12:30 PM
150
1
120
18000
8036
0.48
3.86
196.14
cl
1/28/2020
10:00 AM
12:30 PM
150
1
120
18000
8036
0.48
3.86
192.29
c
2/18/2020
10:00 AM
12:30 PM
150
1
120
18000
8036
0.48
3.86
188.43
cl
3/17/2020
10:00 AM
12:30 PM
150
1
120
18000
8036
0.48
3.86
184.57
cl
4/16/2020
10:00 AM
12:30 PM
150
1
120
18000
8036
0.61
4.90
179.67
c
5/25/2020
10:00 AM
12:30 PM
150
1
120
18000
8036
0.61
4.90
174.77
C
6/19/2020
10:00 AM
12:30 PM
150
1
120
18000
8036
0.61
4.90
169.87
cl
7/22/2020
10:00 AM
12:30 PM
150
1
120
18000
8036
0.40
3.21
166.65
pc
8/26/2020
10:00 AM
12:30 PM
150
1
120
18000
8036
0.40
3.21
163.44
c
Crop rXcleAtals
=
162000
36.56
Owner's SignatunC64Pc r' — - Operator's Signature C-27 � !��r -
Certified Operator (Print) Brent Edwards Operator's Certification No. 24238
` NCDA Waste Anaylsis or Equivalent. At a minimum, waste analysis is required within 60 days of land application events.
*Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event.
"Enter nutrient source (ie. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc.) 12/20/2006