WQ0017824_Monitoring - 02-2023_20230322

Monitoring Report Submittal
..................................................
Permit Number#* WQ0017824
Name of Facility:* Uwharrie Ridge Six Twelve
Month: * February Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR Uwh- Feb 2023.pdf 2.86MB
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: * Larry T. Chilton
Signature:
�t-tJ ���il�iar
Date of submittal: 3/22/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0017824
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 5/8/2023

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page r of
Permit No.: W00017824
Facility Name: Uwharrie Ridge Six -Twelve WWTF
County: Randolph
Month: February
Year: 2023
PPI: 001
Flow Measuring Point: Influent
Parameter Monitoring Point: Effluent
Parameter Code
50050
00310
50060
31616
00610
00625
00620
00600
00400
00665
00530
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24-hr
hrs
GPD
mg1L
mg/L
#1100 mi-
mg1L
mg/L
mg1L
mg/L
su
mg/L
mg/L
1
2,192
2
900
1.5
2,192
3
2,192
4
2,192
5
2,192
6
2,192
7
2,192
8
1045
2
2,192
6.8B
3.1
<1
18.7
19.4
5.02
24.4
7.56
8.11
5.14
9
2,192
10
2,192
11
2,192
12
2.192
13
2,192
14
2,192
15
1300
1.92
2,192
1
1.5
6.49
16
2,192
17
2,192
18
2,192
19
2,192
20
2,192
21
2,192
22
1325
0.67
2,192
2.75
6.61
231
1
2,192
24
2,192
25
2,192
26
2,192
27
2,192
28
2.192
291
2.192
301
1
2,192
311
1
2,192
Average:
2,192
6.88
2.45
1.00
18.70
19.40
5.02
24.40
8.11
5.14
Daily Maximum:
2,192
6.89
3.10
1,00
18.70
19.40
5.02
24.40
7.56
8.11
5.14
Daily Minimum:
2,192
6.88
1.50
1,00
18.70
19.40
5.02
24A0
6A9
8.11
5.14
Sampling Type:
Estimate
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
8,400
Daily Limit:
Sample Frequency:
Monthly
3 X Year
Per Event
3 X Year
3 X Year
3 X Year
3 X Year
Per Event
3 X Year
3 X Year
3 X Year

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ of S
Sampling Person(s) Certified Laboratories
Name: Fred Thomen Name: Cameron Testing Services
Name: Allen Kerns Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Compliant ✓
It 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 (QRC) Certification
Permittee Certification
ORC: Fred Thomen
Permittee: Randolph County Board of Education
Certification No.: 986613
signing official: Larry T, Chilton
Grade: SI Phone Number: 336-215-8494
Signing official's Title: Excecutive Director of Facilities
Has the QRC changed since the previous NDMR? NO
Phone Number: 336-215-3835 Permit Expiration: 1/31/2026
Signature Date
Signature Date
By this signalure, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that ihts 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 posslblllty 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 (NDAR-1) Page 5- of S
Permit No.: WQ0017824
Facility Name: Uwharrie Six -Twelve School
Field Name: 13 Field Name: 14
County: Randolph
Month: February
Year: 2023
Field Name:
15
Field Name:
16
Did irrigation occur
Area (acres):
0.317
Area (acres):
0.335
Area (acres):
0.638
Area (acres):
0.485
at this facility?
Cover Crop:
P�
Mixed Forest
Cover P�
Mixed Forest
Cover P�
Mixed Forest
Cover P�
Mixed Forest
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
YES
Annual Rate (in):
39
Annual Rate (in):
39
Annual Rate (in):
39
Annual Rate (in):
39
Weather
Freeboard
Field Irrigated?
YES
Field irrigated?
YES
Field Irrigated?
YES
Field Irrigated?
YES
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3
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0
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312
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312
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5
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9
311
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311
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0.03
312
6,24
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312
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10
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11
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13
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0
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0.00
313
6.26
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0.02
313
6.26
1 0.02
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14
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66
308
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0.04
308
6.16
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0.03
312
6.24
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312
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0.02
16
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0
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0.00
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17
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181
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304
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313
6.26
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313
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0.02
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19
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0.00
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0
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20
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0
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0
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0.00
0
0
0.00
0.00
0
0
0.00
0.00
21
307
6
0.04
0.04
307
6.14
0.03
0.03
313
6.26
0.02
0.02
313
6.26
0.02
0.02
22
CL
71
0.00
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0
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0.00
0
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0.00
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1 0.00
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23
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24
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0.00
0
0
0.00
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313
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313
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25
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27
306
6
0.04
0.04
306
6.12
0.03
0.03
312
6.24
0.02
0.02
312
6.24
0.02
0.02
28
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
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0.00
0
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0
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0.00
0
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0.00
0
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0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
Monthly Loading:
1,840
0.21
1,840
0.20
2,500
0.14
2,500
0.19
12 Month Floating Total (in):
2.68
2.54
1.37
1 1.79

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) / Page 5-- of 75—
Did the application rates exceed the limits in Attachment B of your permit? Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 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: Fred Thomen
Permittee: Randolph County Board of Education
Certification No.: 986613
Signing official: Larry T. Chilton
Grade: Spray Irrigation Phone Number: 336-215-8494
Signing Official's Title: Executive Director of Facilities
Has the ORC changed since the previous NDAR-1?
Phone Number: 336-215-3835 Permit Exp.: 1131 /26
2!)-7-
-;ta;23
Signature pate
Signature Date
By this signature, [ certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of faw, that this document and all attachments were prepared under my dfrection 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 responslble 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 (NDAR-1) Page '/-- of 5-
Permit No.: W00017824
Facility Name: Uwharrie SIX -Twelve School
Field Name. 9 Field Name: 10
County: Randolph
Month: February
Year: 2023
Field Name:
11
Field Name:
12
Did irrigation occur
Area (acres):
0.314
Area (acres):
0.383
Area (acres):
0.372
Area (acres):
0.224
at this facility?
Cover Crop:Hardwood
Forest
Cover Crop:
P�
Hardwood Forest
Cover Crop:
R�
Hardwood Forest
Cover Crop:
R�
Hardwood Forest
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
YES
Annual Rate (in):
39
Annual Rate (in):
39
Annual Rate (in):
39
Annual Rate (in):
39
Weather
Freeboard
Field Irrigated?
YES
Field Irrigated?
YES
Field Irrigated?
YES
Field Irrigated?
YES
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66
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16
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0
0
0.00
0.00
0
0
0.00
0.00
29
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
30
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
311
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
D
1 0
0.00
0.00
Monthly Loading:
2,191
0.26
2,191
0.21
1,876
0.19
1,876
0.31
12 Month Floating Total (in):
13.05
2.48
0.08
4.11

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 4- of -5-
Did the application rates exceed the limits in Attachment B of your permit? Compliant ✓ /
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Compliant✓
Was a suitable vegetative cover maintained on all sites as specified in your permit? Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Compliant /
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 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: Fred Thomen
Permittee` Randolph County Board of Education
Certification No,: 986613
Signing official: Larry T. Chilton
Grade: Spray Irrigation Phone Number: 336-215-8494
Signing Official's Title: Executive Director of Facilities
Has the ORC changed since the previous NDAR-1?
Phone Number: 336-215-3835 Permit Exp.: 1/31126
z�-
3 /9!2.'Z
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 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 ail qualified personnel properly gathered and evaluated the information
submitted. Based on my Inqulry of the person or persons who manage the system, or those persons directly responsible for
gathering the informatics, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are signirecant 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 (NDAR-1) Page 3 of
Permit No.: W00017824
Facility Name: Uwharrie Six -Twelve School
Field Name: 5 Field Name: 6
County: Randolph
Month: February
Year: 2023
Field Name:
7
Field Name:
8
Did irrigation occur
Area (acres):
0.338
Area (acres):
0.327
Area (acres):
0.338
Area (acres):
0.413
at this facility?
Cover Crop:Hardwood
Forest
Cover Crop:
P�
Hardwood Forest
Cover Crop.
P�
Hardwood Forest
Cover Crop:
P�
Hardwood Forest
Hourly Rate (In):
0.25
Hourly Rate (in):
0.25
Hourly Rate (in):
0,25
Hourly Rate (in):
0.25
YES
Annual Rate (in):
39
Annual Rate (in):
39
Annual Rate (in):
39
Annual Rate (in):
39
Weather
Freeboard
Field Irrigated?
YES
Field Irrigated?
YES
Field Irrigated?
YES
Field Irrigated?
YES
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min
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min
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min
in
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min
in
in
1
R
41
0.50
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
2
R
38
0.50
6.0
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
3
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
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
5
0
0
0.00
0.00
0
0
0.00
0.00
314
8,72
0.03
0.03
314
8.72
0.03
0.03
6
0
0
0.00
0.00
0 1
0
0.00 1
0.00
0
0 1
0.00
0.00
4 1
0
0.00
0.00
7
312
9
0.03
0.03
312
8.67
0,04 1
0.04
0
0
0.00
0.00
0
0
0.00
0.00
8
CL
56
0.00
6.0
0
0
0.00
0.00
0
0
0.00
0.00
313
B.69
0.03
0.03
313
8.69
0.03
0.03
9
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
10
312
9
0.03
0.03
312
8.67
0.04
0.04
312
8.67
0.03
0.03
312
8.67
0.03
0.03
11
0 1
0
0,00
1 0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
12
0
0
0,00
0.00
0
0
0.00
0.00
0
0 1
0.00
0.00
0
0
0.00
0.00
13
0
0
0.00
0.00
0
0
0.00
0100
0
0
0.00
0.00
0
0
0.00
0.00
14
PC
65
312
9
0.03
0,03
312
8.67
0.04
0.04
0
0
0.00
0.00
0
0
0.00
0.00
15
CL
66
0
0
0.00
0.00
0
0
0.00
0.00
313
8.69
0.03
1 0.03
313
8.69
0.03
0.03
16
312
9
0.03
0.03
312
8.67
0.04
0.04
313
8.69
0.03
0.03
313
8.69
0.03
0.03
17
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
18
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
311
9
0.03
0.03
311
8.64
0.04
0.04
0
0
0.00
0.00
0
0
0.00
0.00
20
0
0
0.00
0.00
0
0
0.00
0.00
313
8.69
0.03
0,03
313
8.69
0.03
0.03
21
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
22
CL
71
0.00
5.3
311
9
0.03
0.03
311
8.64
0.04
0,04
312
8.67
0.03
0.03
312
8.67
0.03
0.03
23
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
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
1 0
0.00
0.00
25
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
26
282
8
0.03
0.03
282
7.8
0.03
0.03
313
8.69
0.03
0.03
313
8.69
0.03
0.03
27
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
282
8
0.03
0.03
1 282
7.8
0.03
0.03
0
0
0.00
0.00
1 0
0
0.00
0.00
29
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
1 0
0
0.00
0.00
30
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
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
1 0.00
1 0.00
Monthly Loading:
2,434
0.27
2,434
0.27
2,503
0.27
2,503
0.22
12 Month Floating Total (in):
2.61
2.68
2.65
1
1 2.14

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 3 of S
Did the application rates exceed the limits in Attachment B of your permit? Compliant !/
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? Compliant /
Were all setbacks listed in your permit maintained for every application to each permitted site? Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 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: Fred Thomen
Permittee: Randolph County Board of Education
Certification No.: 986613
Signing Official: Larry T. Chilton
Grade: Spray Irrigation Phone Number: 336-215-8494
Signing Official's Title: Executive Director of Facilities
Has the ORC changed since the previous NDAR-1?
Phone Number: 336-215-3835 Permit Exp.: 1/31/26
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 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 property gathered and evaluated the information
submitted. Based on my Inquiry of the person or parsons who manage the system, cr 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 (NDAR-1) Page a of S
Permit No.: WO0017824 Facility Name: Uwharrie Six -Twelve School
County: Randolph
Month: February Year: 2023
Field Name: 1
Field Name: 2
Field Name:
3
Field Name: 4
Did irrigation occur
Area (acres): 0.51
Area (acres): 0.529
Area (acres):
0.207
Area (acres): 0.187
at this facility?
Cover Crop: Hardwood Forest
Cover Crop: Hardwood Forest
Cover Crop;
Hardwood Forest
Cover Crop: Hardwood Forest
Hourly Rate (in): 0.25
Hourly Rate (in): 0.25
Hourly Rate (in):
0.26
Hourly Rate (in): 0.25
YES
Annual Rate (in): 39
Annual Rate (in): 39
Annual Rate (in):
39
Annual Rate (in): 39
Weather
Freeboard
Field Irrigated? YES
Field Irrigated? YES
Field Irrigated?
YES
Field Irrigated? YES
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Ev
Ep
°F
in
ft ft
gal
min in
in
gal min in
in
gal i
min
in
in
gal
min in
in
1
R 1
41
0.50
0
0 0.00
0.00
0 0 0.00
0.00
0
0
0.00
0.00
0
0 0,00
0.00
2
R
38
0.50
6.0
0
0 0.00
0.00
0 0 0.00
0.00
0
0
0.00
0.00
0
0 0.00
0.00
3
0
0 0.00
0.00
0 0 0.00
0.00
0
0
0.00
0.00
0
0 0.00
0.00
4
243
5 0.02
0.02
243 4.86 0.02
0.02
0
0
0.00
0.00
0
0 0.00
0,00
5
0
0 0.00
0.00
0 0 0.00
0.00
0
0
0.00
0.00
0
0 0.00
0.00
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
7
312
6 0,02
0.02
312 6.24 0.02
0.02
312
8.67
0.06
0.06
312
8.67 0.06
0,06
8
CL
56
0.00
6.0
0
0 0.00
0.00
0 0 0.00
0.00
0
0
0.00
0.00
0
0 0.00
0.00
9
313
6 0.02
0,02
313 6.26 0.02
0.02
0
0
0.00
0.00
0
0 0.00
0.00
10
0
0 0.00
0.00
0 0 0,00
0.00
314
8.7
0.06
0.06
314
8.7 0.06
0.06
11
0
0 0,00
0.00
0 0 0.00
0,00
0
0
0.00
0.00
0
0 0.00
0.00
12
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
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
PC
65
313
6 0.02
0.02
313 6.26 0.02
0.02
313
8.69
0.06
0.06
313
8.69 0.06
O.06
15
CL
66
312
6 0.02
0.02
312 6.24 0.02
0.02
0
0
0.00
0.00
0
0 0.00
0.00
16
0
0 0.00
0.00
0 0 0.00
0.00
313
8.69
0.06
0.06
313
8.69 0.06
0.06
17
0
0 0.00
0.00
0 0 0.00
0.00
0
0
0.00
0,00
0
0 0.00
0.00
18
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
313
6 0.02
0.02
313 6,26 0.02
0.02
312
8.67
0.06
0.06
312
8.67 0.06
0.06
20
0
0 0.00
0.60
0 0 0.00
0.00
0
0
0.00
0.00
0
0 0.00
0.00
21
312
6 0.02
0.02
312 6.24 0.02
0.02
313
8.69
0.06
0.06
313
8.69 0.06
0.06
22
CL
71
0.00
5.3
0
0 0.00
0.00
0 0 0.00
0.00
313
8,69
0.06
0.06
313
8.69 0.06
0.06
23
24
0
0
0 0.00
0 0.00
0.00
0.00
0 0 0.00
0 0 0.00
0.00
0.00
0
0
0
0
0.00
0.00
0.00
0.00
0
0
0 0.00
0 0.00
0.00
0.00
25
313
6 0.02
0.02
313 6.26 0.02
0.02
313
8.69
0.06
0.06
313
8.69 0.06
0.06
26
0
0 0.00
0.00
0 0 0.00
0.00
0
0
0,00
0.00
0
0 0.00
0.00
27
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
312
6 0.02
0.02
312 6.24 0.02
0.02
313
8.69
0.06
0.06
313
8.69 0.06
0.06
29
0
0 0.00
0.00
0 0 0.00
0.00
0
0
0.00
0.00
0
0 0.00
0.00
30
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
0
0 0.00
0.00
0 0 0.00
0,00
0
0
0.00
0.00
0
0 0.00
0.00
Monthly Loading:
2,743
0.20
2,743 0.19
2,816
0.50
1
2,816
0.55
12 Month Floating Total (in):
1.88
L 1 1.76
176
1
1 4.88

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page a of .S
Did the application rates exceed the limits in Attachment B of your permit? Compliant !/
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Compliant f/
Was a suitable vegetative cover maintained on all sites as specified in your permit? Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Compliant t/ /
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 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: Fred Thomen
Permittee:
Randolph County Board of Education
Certification No.: 986613
Signing Official: Larry T. Chilton
Grade: Spray Irrigation Phone Number' 336-215-8494
Signing Official's Title: Executive Director of Facilities
Has the ORC changed since the previous NDAR-1?
Phone Number: 336-215-3835 Permit Exp.: 1/31126
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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617