WQ0024320_Monitoring - 08-2016_20160922 (2)

�-► -�` NOWDISCHARGE APPLICATION REPORT Paw, I of 23
SPRAY IRRIGATION SITE(S),
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUM9ER: WQ0024320 MONTH; August YEAR: 2016
FACILITY NAME: RoCkWdge COUNTY: Wake
Formulae:
Dally UAding (IRSMeJ - Miur eAppied (paliona) , (.1994 (cad, r"Vaallnn) x 12 r [Amu Sprayed (orae) a 49.W (apuale feeuaen)J OR
a Vnlu.lal Apphad (cedars) I (Aron 8proyAd (saes) x Z7,i52 (palionzlopg-Rlgl)J
Maxim urn Hourly 4oading (Inctm) -Oaey Loadlnp (Inchpb) I (TIAM Impaled (minutes) 180 (minuleARlour)I Monthly Leading (Inchet) . $um aI DAily LoaClnas orches)
12 Month Floatlno Total (Inches) - Sum of Ihls month's Monthly Lnpdinp (imhes) and prcNous 11 mnilShb Monthly Loadings (Inches)
Ayorago Weekly L4tdl InchesI - Monthly Loading pnerroUmanlA lNumber of tlays tithe mo nth dA Vmone.)I x7(da oak
. wvo. Vuraar, lu-pn-y 69uay...1•inouay, K -ram, 5n -snow,
Spray Irrigation operator In Responsible Charge (ORO): Dale Mathews Phone: 919$91-1056
ORC Certification Number: 22794 Check BoAORC Has Changed: C]
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIGNATU E OF OPERA OR IN RESPONSIBLE CHARoii
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT I$ ACCURATE AND
RALEIGH, NC 27699.1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-t (1112005)
Did Irrigation cur n Thia F1*Id:
Yea:
No:
Old
Na
IrrigatIon Occur On This Field:
Y*f;
No;
FIELD NUMBER:1 1
AREA SPRAYED (Itcrosyl (acres:5.14
COVER CROP: Grass
PERMITTED HOURLY RATE onch**): 0.3
FIELD NUMBER: 2a
AREA SPRAYED acres): 3.58
COVER CROP: Grass
PERMITTED HOURLY RATE (Inches): 0.3
D
T
E
WEATHER CONDITIONS
yr alh.r storage
Timperalun Lagoon
�Odr .t. ICWon Pr.el Ian Free.buard
PERMITTED YEARLY RATE pnches ;
Vowmf Time Dally
Applied Irri at*d Loading
46.7
Maximulh
Hourly
LAadl
PERMITTED YEARLY RATE nchoa):
Volume Tlmf Dally
A piled Irrigated L*odlna
48,7
Maximum
Hourly
Loading,
('F) Inches I feat
gallons minutes
Irlahes
Inches
9,1110M rn)nutea
Inches
Inches
I
2
CL 17.9
R 2.00 17.9
s
R 1.25 17.7
4
CL 17.6
6
CL 17.6
a
PC
7
PC
8
CL 17,6
9
R 1.00 17,13
10
CL 17.5
II
C 17.5
12
C 83 17.5
27,000 270
0.19
0.04
13
C
14
C
15
C 87 17.6
27,000 270
0.19
0.04
161
PC 17.7
171
C 17.7
10
C 83 17,7
40,500 405
0.29
0.04
19
PC 17,8
20
PC
21
C
22
C 82 17.8
40,500 405
0.28
0.04
27
C 17.9
24
C 17.9
25
C 79 17.9
40,500 405
0.29
0.04
26
C 18.0
27
PC
26
C
29
C 18.0
30
C 81 18.0
27.000 270
0.19
0.04
31
C 18.0
Total GallonalM4hthly Loading (Inches)
00,00
202,500
1.45
12 Month Floating Total (inch*$)
•11,$Q
5,58
Average Weekly Loading {IIIth•s)
0.00
0.33
,.
. wvo. Vuraar, lu-pn-y 69uay...1•inouay, K -ram, 5n -snow,
Spray Irrigation operator In Responsible Charge (ORO): Dale Mathews Phone: 919$91-1056
ORC Certification Number: 22794 Check BoAORC Has Changed: C]
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIGNATU E OF OPERA OR IN RESPONSIBLE CHARoii
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT I$ ACCURATE AND
RALEIGH, NC 27699.1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-t (1112005)

NON -DISCHARGE APPLICATION REPORT Page 2 of 23
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER; W00024320 MONTH:_ August_ YEAR: 2016
FACILITY NAME; Rockbrid a COUNTY: Wake
Formulae:
Maly Loading (Inches) • rhlunM Applied (Gallons) s 0.1336 (tuck reeuosson)A 12 (incheslroliq f Wos Strayed (suesl a 43.m (equals temm)) OR
- VO4u s AP06d (Gaions) r "9 8M&J (acro:) x 27.152 (gAlind:leae•hltl)l
Max)mum Hourly Loading (Inchst) • DCBy Luad ng 4mc hes) I (row hngaled (minims) l eo (malutesMoudl Monthly Loading (Inchon -sum or Daly 4oadFpo (inches)
12 Month Floating Total (lechea) • Sum or this month's A1auhM Loadlno dnchni orA mnsous m mnnm•c un,,,ea, ,..ew,. ­­
Spray Irrigation Operator In Responsible Charge (ORC): . Dale Mathews Phone: 919•BS7-1056
ORC Certification Number: 22794 Check Box It ORC Has Changod: F1
Mail ORIGINAL and TWO COPIES to: . , . • . , .
DENR ' :'d (ibcilpZ $i�i►�1})Ya:or� x[dg 1.01 tli[yO%4!§-�;� 7f k: ;
Dhrlslon of Water Quality �al?peaa:upots•QiiS:page:
A1 -TN: Information Procotsaing Unit (SIGNATURE OF OPERATOR IN RESPON315LE CHARGE)
1817 Mail Serviea Center By THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27999-1617 COMPLETE YO THE BEST OF MY KNOWLEDGE.
DPNR FORM NDAR-1 (I W005)

NON -DISCHARGE APPLICATION REPORT Page 3 of 23
6 SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER:_ WQ0024320 MONTH: AUgus% YEAR: 2016
FACILITY NAME: Rockbridge COUNTY: Wake
Formulas: -�
Dally Loading (Inches)-lWlunteApplfed (094";,) x0.1]36 (wolc foolloalla i 5 12 (nchcslloog)I(Area B(fdyVJ (aces) x 48,590 (sgyafp feetfacfell OR
-VOIume APPllod (gallons) f (Area Sprayed teaas) x 27,152 (pallonafeaa•lnch))
Maximum Hourly Loading (Incham) ■ Dally Wn1My (althes) f tnma Irtigafad (m;,luluo) 160 (mnutasfhoufji Monthly Loaoing (Inches) • 8001 Of Daly Loadings (Inches)
12 Month Flowing Val (Inches) s gum nlllua month: Monthly Loadi,yf (i.u;noo) and previous 11 W111II'e Monthly Loadings (Vn4h*O L)
Average Week) Leadln Inchav - (Monthly Load! inq,oyfmonlh) f Nurroer of da & i,l the month tdnysanonlh a 7 (day3M"k)
Did Irrigation car On This e d: Did Irrigeon Occur On This Field:
Yae- No. Yea• No:
FIELD NUMBER- 26FIELD NUMBER:3
AREA SPRAYED Acres ; 0.13 AREA SPRAYED (acres); 0,23
COVER CROP: Grass COVER CROP:1 Grass
PERMITTED HOURLY RATE (Inches): 0.3 PERMITTED HOURLY RATE (Inches): 0.3
D WEATHER CONDITIONS PERMITTED YEARLY RATE (inches); 23.9 PERMITTED YEARLY RATE {Inches ; 48.7
A #tef■ga Maximum maximum
T W.■th.r T mp�r+1w. L.geml Volume Time Dally Hourly Volums Time Dally Hourly
E Cvee' ■*• (anon PmCI alae FfM-board % neQ Irrt atetl Loadin Loading A Ilea Irrigated Loadfn Loading
Inches feet Ilona m nutea is Inchmt gallons minutes Inches Inches
1 CL 17,9
2 R 2.00 17.9
3 R 1.25 17.7
41 CL 1 17.6
4 CL 17,15
e PC
T PC
a CL 17,6
e R 1,00 17.6
110 CL 17.5
11 C 17,5
12 C 17.5
13 C
141 C
151 C 17-6
1e PC 17.7
17 C 1 17,7
1a C 17.7
19 PC 17.8
2D PC
21 C
zz C 17.8
23 C 17.9
24 C 17.9
2s C 17.9
26 C 18,0
27 PC
28 C
29 C 18.0
3o C 18.Q
31 C 18.0
Total Gallons/Monthly Loading (inches) 0 0.00 0 0,00
12 Month Floating Total inches) 7,94
Average Weekly Loading (inches) 0.00 14.78
0.11
'Weather odes: C -Clear, partly cloudy, W -c ou y, ..rain, Sn•enow, -a eel
Spray Irrigation Operator in Responsible Charge (ORC): Dale Mathews Phone: [phone]
ORC Certification Number. 22794 Check Box If ORC Bail Changed:
Mall ORIGINAL and TWO COPIES to:
DENR:F?(e ieCci t �fgti�tule:oia sago 4%e{ thG3 Nf�Ala if h:
Division Of Mier Quality I.aRD@d!¢d:ND�h ails page;
ATTN: Information ProCOWng Unit ($ICNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mall Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NOAR-1 (1112005)

NON -DISCHARGE APPLICATION REPORT Peen 4 or 23
SPRAY IRRIGATION SITE(S)
THERE ARE TWOAPPLICAT)ON FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00024320 MONTH: August YpAR: 2016
FACILITY NAME; RoCkbridge _ COUNTY: Welke
Formulas: -
Wily Loading (Inches) - �µfiome�opkd (gallons) a t) 1536 (wbk icellpeNen):121�9.eYrootll i lea aPr®1+A (a4a!) a��,5701s4uam raohaptl)1
* Volunw Ap(A�(„) (gnnomy l lArm 3prayoA (ahrn) x 2Y,152 jgallonslaaa•imy�1)
M*Xlmum Hourly Loading (Inches) - Daily Loadaq (lnches) r (Taw brgalnd (mmufes) t ea (minolmNhoury) Monthly L0Adldg (InCh9a) - Sum of Daily Load:y)y (mchn,)
12 Month Floating Total (Inches) - Sum of this nwnth's MOalnly Loadag (inches) and prr l n I I month's 1dorinly Lowirip (mdm)
Spray Irrigation Operator In Responsible Charge (ORC): Dale Mathews Phone: [phone]
ORC Certification Number: 22794 Check Box If ORC Has Changed: 0
Mall ORIGINAL and TWO COPIES to: : : ' • ' ' . ' , • ,
DENR :i?G,j�mt utc $I�Yidiv7a:Dfj3irige f b} tliit3 Nf]I�R Ss 7f n;
Division of Water Quality 8ppuhrv+I:upop.tsii8.11afle:'
ATTN: Information Processing Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mall Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27698-1817 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (I It20U5)

NON-DISCHARGE APPLICATION REPORT P90e 5 ut 23
SPRAY IRRIGATION SITE(S)
THERE ARE YWO APPLICATION FIELD$ PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00024320 MONTH; August YEAR: 2016
FACILITY NAME: Rockbridge COUNTY; Wake
Formul*#:
Dally Loading (Inches) • I`tik'nb ApgteU (gallons) x 0.1736 (G�Mc: fewUgelbn) x 12 (InchastkaQl f [New 5Prayetl (oeras):4y,$$q (wquan teeUaore)J OR
- WlumeApp6all (palbna)1 Nma spxyrtl (a�aa) x 27,152 (pnlbnslarra-inr�,)j
Maximum Hourly Loading (Inches) • Daily Lowing gliches) I PM hr�yalW (minutes) I eo (minutosfheogl Monthly Loading (inches) • t3unl of Dairy Loadings on&as)
12 Month Floating Total (Inches) - $v,h or lhle =W. Monthly Lnmling (orches) and pwoas 11 0114W3 Monthty Loadings (60103)
Average Weekly Loading inches) !Month Loud' viaealmonth) / Numhar at ,16ye ,n the month (diin=Nfl F 7 (dayslweek)
Did Irrigation Occur On TbFsTlald_ Did Irrigation Occur On This Field;
Yst• No: Yrs No:
FIELD NUMBER: 6a FIELD NUMBER: 6b
AREA $PRAYEDacres 0.65 AREA $PRAYS❑ acres 1.24
COVER CROP: Grass COVER CROP: Grass
PERMITTED HOURLYR ITE (inches): 0.3 PERMITTED HOURLY RATE (Inches); 0.3
D WEATHER CONDITION$PERMITTED YEARLY RATE (inches): 45,7 PERMITTED YEARLY RATE (Inches): 23.9
A stcrag+ MAximum Maximum
T w"thsr Tamper orae Lagoon Volume Time Dally Hourly Volume Time dally Hourly
E Cod" ata kation IRMO -Nen Fr■e.twud Applied Irrl stud LoadingLoadingA ilsd Irrl sled Loadin Loadili
(-) Inches test g■ ons minutes .chew nc p gallons Ininutsa nc ss inches
1 CL 17.9
2 R 2.00 17.9
5 R 1.25 17.7
4 CL 17.6
a CL. 17,6
5 PC
7 PC
H CL 17.8
9 R 1.00 17.6
10CL 97,5
11 C 17.5
12 C 17.5
18 C
t4 C
7fi C 17.8
18 PC 17.7
171 C 17.7
ie C 1 17.7
to PC 17.8
20 PC
21 C
22 C 17.8
29 C 17.9
24 C 17.9
251 17.9
26
z7 PC
ze C
29 C 18A
30 C 1s,o
311 C 19,0
Total C-11... llNonthly Loading (Inches) 0 0.00 0 0.00
12 Month Ftoalina Total Inche.) • 13.49 9.89
Average Weekly Lo0ing (Inchea) ; ; : : ; ; ; : ; • ; • • ;
jj
0.00 -00
eatner Cod**; C-c ear, .paruy Cloudy, c ou y • •raln, Snsnow, -aeel
Spray Irrigation Opomtor In Responsible Charge (ORC):. Dale Mathews _ Phone: [phone]
ORO Certification Number: 22794 Check Box If ORC Has Changed:
Mail ORIGINAL and TWO COPIES to: '
DENR ;Area(t?d p4c .91917 tuYe;gd�ta�e 1 of tilts NOAR-5.45 ii ti
DIVISIOn of Water Quality app!taiest;tipap•gNS;t?aga:
ATTN: Information Processing Unit (SIGNATURE OF OPERATOR IN AE' $PONSISLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 2780-115117 COMPLETE TO THE BEST Of MY KNOWLEDGE.
DENR FORM NDAR-1 (1172005)

NON -DISCHARGE APPLICATION REPORT Page B of 23
SPRAY IRRIGATION SITE($)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NPEDED.
PERMIT NUMBER: W00024320 MONTH: August YEAR: 2016
FACILITY NAME: _ Rockbridge COUNTY: Wilke
Formulas; -
Daily Loading (InCd9o) ' lValuma Appfad (galWna) n D.113e (CllbiC roaY6�lk +) x 7: bnulesltoo111/ {A,ee Sprayed laws) r IS,S{♦q (epuere teeVaao)] OR
• Whnna A.ppl,ed (gallons) I (Area f}hayed (acres) x 27,75: t4adpnp�ac+elncn)1
Kapx)mum Hourly Loading (Inahve) - Darty Loading (Inch")/ I-mve Imgaleo (minutas) / so 1,+rnutesmour)1 Monthly Lwding (Inches) • e,dn of Daily Le•d.V1 pnohas)
72 Month Floating TOW (Inrhgtt) - Sum of Ibis mmh's Monthly Loading (Inrh*s) tad prevmus 77 nVAM's M 91,hly Loadings (lhehas)
Spray Irrigation Operator In Responsible Charge (ORC): Dale Mathews Phone: [phone]
ORC Certification Number: 22794 Check Box if ORC Has Changed: 171
Mail ORIGINAL and TWO COPIES to:
DENft iS 0 9 PSC y' bt the!I!�•t'� 7t �'
Division of Water Quality �pfyearoil:upoh;t�iib;pzige:
ATTN: Irtformation Procossing Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1897 Mail Service Centae BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27899-1897 COMPLETE TO THE $EST OF MY KNOWLEDGE.
DF_NR FORM NDAR-t (Ilt2op5)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE, USE ADDITIONAL PAGES AS NEEDED,
PERMIT NUMBER: WQ0024320
Page 7 of 23
MONTH: August YEAR. 2016
FACILITY NAME: Rockbridge -_ COUNTY: Wake
Formulas:
Dally Loading 1lnehee) • fllolumeAppMq (OAjbna) H 0.1338 (cubic faoVeAllnp) 12 1Mft%ff000l1(Ara. epreygd (aces) x 43,5w (squam 129119pe)I OR
-VUlunle Mpeed (gilkn;)) [Alga Sprayed (aces) k 77,152 (0*lloilWa e•rnchll
M■xlmum hou"y Leadla0 (Inches) • Doky Loodip4 (e)rhea) l tnme Irrlpatcd (mtwlAg) / 00 (nunutes/houp) Monthly Loading (Inches) - Sum of D■uy L0ACI1Ns (Appaa)
12 Month Flo{dng Total (inches) . sum Of 1hi5 rharrM Monthly LOAdirg OA040) And prrAous 11 mnitt MOn1My Lowmpa (InrAes)
Au■rae■Www■IulnwAt.... Ilnrl..•r-i......«....-.wi-..u.............,.�......�___.._.._._... _.. ... ... ._.. _._.._._.. _..
Spray Irrigation Operator In Responsible Charge (ORC): Dale Mathews Phone: [phone]
ORC Certification Number: 22794 Cheek box If ORC Has Changed: Q
Mail ORIGINAL and TWO COPIES to:
DEN12 :i; A chjYi;Siq»�tuye:od la�e:1 Ot this HOAR -1;4s it; k
Division of Water Quality�0i+ptra'r8ii:tipon:�►1S 1lape:
ATTN: Information Processing Unit {SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)•
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT 18 ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE,
DENR FORM NDARA (11/2008)
Did Irrigation Occr, 157w1s`P;197
Yaa; 17
Old
Irrigation Occur n ThisField-'
Yest
No:
FIELD NUMBER- 8b
AREA SPRAYED facts*); 0.45
COVERCROP-.1 Grass
PERMITTED HOURLY RATE (Inches): 0.3
FIELD NUMBER:
AREA SPRAYED acres : 0.47
COVERCROP: Grass
PERMITTED HOURLY R47E (inches): 0.3
D WEATHER CONDITIONS
PERMn-rED YEARLY RATE (Inchesy, 23.9
PERMITTED YEARLY RATE nches)t
48.7
A atorapa
T Nwlhtr T►mpar•ae■a tai;i n
E CAW at applicaboo PraN iron Itm-board
Volume Time
Applied IM stad
pally
Loadina
MaximuM
Hourly
Loading
Volume Time
Applied Irrigated
Dally
Loadlon
Maximum
Hourly
Loadin
('F) Inches feet
adons minutes
Inchis
inches
gallons minutes
Inches
inches
t CL 17.9
2 R 2.00 17,8
s R 1.25 17.7
4 CL 17.6
s 1 CL 17.6
e 1 PC
7 1 PC
A I CL 17.6
g 1 R 1.00 17.6
101 CL 17.5
Ili C 17.5
121 C 17.5
13 C
14 C
1s C 17.6
16 PC 17.7
17 C 17.7
1e C 17.7
19 PC 17.8
zo I PC
21 C
zz I C 17.8
231 C 1 17.9
241 C 17.9
251 C 17.9
251 C 18.0
27 PC
Re C
20 C 18.0
10 C 16.0
31 C 1$,0
Total Gallonalhtonthly Loading (Inches)
0
0.00M.077
0.00
12 Month Floating Total (Inches)
.
2.31
386
Averag* WNhly Loading (Inches)
• -- - - - -•- - - - -- - - -
;
0.00
0.00
Spray Irrigation Operator In Responsible Charge (ORC): Dale Mathews Phone: [phone]
ORC Certification Number: 22794 Cheek box If ORC Has Changed: Q
Mail ORIGINAL and TWO COPIES to:
DEN12 :i; A chjYi;Siq»�tuye:od la�e:1 Ot this HOAR -1;4s it; k
Division of Water Quality�0i+ptra'r8ii:tipon:�►1S 1lape:
ATTN: Information Processing Unit {SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)•
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT 18 ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE,
DENR FORM NDARA (11/2008)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE: ARE TWO APPLICATION FIELDS PER PAGE, USE ADDITIONAL PAGES AS NEEDED,
PERMIT NUMBER: W00024320
MONTH: August
FACILITY NAME: Rooliblidge COUNTY:
Formulas:
Daily Loading (inchea) - IVa ume llpp kcl (palway =0.1��e fwdc faeVposon) • 12 (wchaaRooq]! EAna 8{Mayad (aeras) x ta,5eo (sgaprd (eeVeua)1 OR
• Yduma Aprfiad (peF7ns) ! Iilfaa BlxdYaA (aEraa) x 27,1 ser (panonur,,q•mU111
Madmum Houtly Loading (InctWil) -OaO7 Loading (Inchoc) I rrAup hnyaled (minutas) I so rmmMonthly Loading (inches)
12 Month Floating Tolki (Inches) - $um at this (11onth's Monthly WM019 pndws) "HI p•vque 11 rmnlh's Monthly L(Wm• [Inches) .
Page 8 of 23
YEAR: 2018
Wake
• t)um or DA&y Luadyga pnchas)
Spray Irrigation Operator In Responsible Charge (ORC): Dale Mathews Phone: 919$91-1056
ORC Certification Numbar; 22794 Check Box If ORC }las Changod' 11
Mail ORIGINAL and TWO COPIES to: • • ' • • • . • . • . • . • .
DENR :?tic y1L b¢t;ig7r'atilre:t;d axe t ai tFiib t?QAR a� IF '
Division of Water Quality BPOQ�rpil:upap:tlriS.17a0g:
ATTN: Information Processing Unit (SIGNATURE Of OPERATOR IN RESPON$19LE CHARGE)
1817 Mail Service Centar BY THIS SIGNATURQ, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALOGH, NO 27699-1817 COMPLETE TO TFIE BEST OF MY KNOWLEDGE.
DCNR FORM NDAR-1 (I1r2005)

NON -DISCHARGE APPLICATION REPORT Peg,- 9 of 23
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THERE ARE TWO APPLICATIQN FIELDS PER PAGE, USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00024520 MONTH: August YEAR: 2016
FACILITY NAME: _ Rockbridge COUNTY: Wake
Formulae:
Daily Loading (Inthas) .IVulume AppOed (9albry) x 0.1JJ6 (wde IaaUpAlba) a 72 Qnchesltoet))! (Arcn SPayad (acraz),e 15.500 {aeuem feetlxrofl 6R
• VO,,M Awhed (Dalin) I (Araa S myed (aeras) x 27.152 (eallmslarmhreh))
M■cimum Hourly Loading (Inches) : Dalry Loading (Ino") / (Tyne IrMoled (miNgoe) / do (minutasmoor))
2 Monthly Loading (Inchet<) - Sum o1 Doly LoaA+ys (jm
nG)
1 MUflth "gillUng TONT (inshss) - „um of this nwmh'b Monthly LoadiN 000) Mild Pa M" 11 month'$ MonthN Loadh= llnMeaf
Spray Irrigation Operator in Responsible Charge (ORC): Dale Mathews Phone: [phone]
ORC Certification Number: 22794 Check Sox If ORC Has Changed:
Mall ORIGINAL and TWO COPIES to:
OENR
Division of Water Quality
ATTN: Infonnatlon Processing Unit
1617 Mail Service Center
RALEIGH, NC 27595-1617
;i?peq(9d HCCAplt;5ig7?a�tuie:oltjsa�a;l;b� tlii9 N��(Ft-9;a1$•)f tt� .
- - - - .. .-aPp�ai�eil�tipnn•#Yiis;pa}±aR:' .' . .
(SIGNATURE OF OPERATOR IN RESPONSIBLE CmARGE)
BY THIS SIGNATURE. I CERTIFY THAT THIS REPORT IS ACCURATE ANq
COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR. FORM NDAR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT Page 10 of 23
SPRAY IRRIGATION SITE(S)
THERE ARE TWOAPPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED,
PERMIT NUMBER; =0024320 MONTH; August YEAR: 2016
FACILITY NAME: Rockbridge _ COUNTY: Wake
Formols:
Daily Luading (Inches! ' IVotumeAppktl (gxgons) . o.f91e (twt•: leedga9on) x 1x pncnesf!mn)[ [Ate ^oprayvtl (saes) x 19,SeD (sedan ilaVade)) On
• Valuim Appied (gallons) I (Area Spruyad 1wm$) • 27.152 lgaounvaoe.inch))
Maximum Hpurly Loading (Inches) - Daily Loatling (Inchaa) I (Tnb h.gatcd (minules)1 e0 (mxndaVN 11 Monthly Loading [Inches) - Sum of Dally Laadino8 (iMhes)
12 Month Floating Tatal llnches) • 3um of Ws mwuhY "dilly Leedxlp (Inches) and orae u 11 *--n x Memnly Loadings Qnchos)
Average Weekly Loading (inches) • [Mainly Lna0xlg Ixlcheslmonlh) I Number of dOV011 the nronm td-slmonthll t 7 (da-f..n. M
y, — n. n -snow, I.alaat
Spray Irrigation Operator In Responsible Charge (ORC): Date Mathews Phone: [phone]
ORO Certificatlon Number; 22794 Check Box If ORO Has Changed:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mall $ervice Center
RALEIGH, NO 27699.1617
:iStL L}�: iib ,�ytt �igriatute:ol7 a}li h b(thLs Js 1f It
:2@DnA�Tii,u pun•V}iS:NagF: .
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
DtNR FORM NDAR-I (11!2005)
Old Irrigation Occur On eld:
Did
Irrigation Occur On ThisField:
Yat" 71
No;
Yss
No:
FIELD NUMBER:
10-
FIELD NUMBER:
11
AREA SPR AYEO#ens
0.29
AREA SPRAYED (acres):
2.01
COVER CROP;j
Isla
COVER CROP:
nla
PERMITTED HOURLY RATE (Inchas): 0.3
PERMITTED HOURLY RATE (inches):
0.3
D WEATHER CON IONS
PERMITTED YEARLY RATE Inches): 48,7
PERMITTED YEARLY RATE (inches);
48.7
A along.
Maximum
Maximum
T WWttdthwr T.mp.rawn Lagoon
Volume Time
Daily
Hourly
Volume, Time
Dally
Hourly
E rte icaflon vne) ',Aron Itn.awrd
AppliedLoadln
Loadin
Applied " Irrigated
LoadingI.
din
(") Inches f.rrt
gallon, minut#e+Inches
gallons minutes
Indies
nc ss
1 CL 17.9
2 R 2.00 17,9
3 R 1.25 17.7
4 GL 17.6
5 CL 17.6
6 PC
7 PC
8 CL 17,Q
9 R 1.00 17.6
10 CL 17,5
11 C 17,5
12 C 17,5
13 C
14 C
1s C 17.6
16 PC 17,7
17 C 17,7
1s C 17,7
19 PC 17,8
20 PC
21 C
22 C 17.8
231 C 17.9
241 G 1 1 17.9
251 C 1 17.9
26 - C 16.0
27 PC
26 C
29 C 18.0
30 C 18.0
31 C 18.0
Total G#IlonslMonthly Loading (inches)
0
0,00
077770.00
12 Month Floating Tota! pnehes)
.
32.68
O.DO
Average Weekly Loading (Inches)
• WhAtk,or oa. slwee FF -7r. ..,r u _n,w,
0,00
: ; :
..
0.00
y, — n. n -snow, I.alaat
Spray Irrigation Operator In Responsible Charge (ORC): Date Mathews Phone: [phone]
ORO Certificatlon Number; 22794 Check Box If ORO Has Changed:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mall $ervice Center
RALEIGH, NO 27699.1617
:iStL L}�: iib ,�ytt �igriatute:ol7 a}li h b(thLs Js 1f It
:2@DnA�Tii,u pun•V}iS:NagF: .
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
DtNR FORM NDAR-I (11!2005)

NON -DISCHARGE APPLICATION REPORT Page tt of 2,1
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE, USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00024320 MONTH: A ust YEAR: 2016
FACILITY NAME: Rockbridge COUNTY: Wilke
Formulae:
Dally Loading (Inch..)-IwlumeAppaetl fgatiMa) x 0.126 (oubk t■■VgAIWn) x 12 (Inchesllod)j l (Arra'•prayed (ernes) x 13,5gq (eq�ere laeV�cre1] oR
■ VnWraOAr+(11,d (Gallon;) / lArea $prayetl (accts) x x7,152 (yalbnalaoralnnh)j
Maximum Hourly Loading (inches) -Oatl[Tim
y Loadlrna (Inches) I e iMpoled (minules)100 (mnuleslhoun] Monthly Loading (inehas) -Sum or Dolly LOA&VA (neheo)
12 Month Floatlng Tutxl (Inctisa) - Sum of 1h15 Wthh'e Monthly Loading (Indies) mA previous 11 mo,)lhh Mordhty LoWkV& CoiM.e)
Arora . W"idy Loading Inchn - IMonthiyLo.tl (inghedm,onth) 7 Numh■r of 1 in the nantIt (tla III)j x 7 fdefw
ysetk
Did gatlon occur On a talo: auon Occur On This Field:
Ya#; No: Yu- No:
FIELD NUMBER: 12a FIELD NUMBER 12
AREA SPRAYED acres)! 1 2.48 AREA SPRAYED (acres): 0.18
COVER CROP: n/a COVER CROP: n/a
PERMITTED HOURLY RATE (inches): 0.3 PERMITTED HOURLY RATE (inches): 0,3
D WEATHER CONDITIONS I PERMITTED YEARLY RATE (Inches): 23,9 PERMITTED YEARLY RATE (inches): 2319
A Brorass Maximum Maximum
T wWtMrlamprratur■ L.gooa Volume Tlitta Dally Hourly volume Time Dally Hourly
E Godes al ■ kation Pt"( ..eon Frw.eoard A iced Irrigated L4adin Loadln A )led 1 ated Loadln Loadln
('F) Inches rest ganose m notes nt n inch" gsllond minuhea c s nt s
t CL 17.9
2 R 2.00 17.9
S R 1.25 17.7
4 CL 17.6
s CL 17.6
6 PC
7 PC
B CL 17,6
9 R 1.00 17.6
101 CL 17,3
11 C 17.5
72 C 17.5
13 G
14 C
10 C 17,6
16 PC 17,7
171 C 17,7
1s C 17.7
14 PC 17.8
20 7 PC
21 C
22 C 17,8
23 C 17.9
24 C 17.9
2s C 17.9
26 C 18.0
Yr PG
2e C
29 C 18.0
301 C 18.0
31 C 18.0
Total Gsllone/M*nthly Loading (inches) 0 4.00 00.00
12 Month Floaung Total (inches) . 0.00 0.00
AvFYays Weakly Loadin4 (inches) • : • ; ; : ; • : • : • ; • ; 0.00 0.00
Wsa er ea: -char, -pe y cloudy, CIX ou y, , .raln, Sri -Snow, •sleet
Spray Irrigation Operator in Responsible Charge (ORC): Dale Mathews Phone: [phone]
ORC Certification Number: 22794 Check Box If ORC Has Changed:
Mall ORIGINAL and TWO COPIES to:
DENR :i�rFr6 �Cc1St 3it2ttuY�:nd staa 7 0 tFit:i t�OAR a r; 1# It
Division of WOW Quality ;dppe�ioil'Lipep•Ltii8;Na9�:
ATPN: Information Processing Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE,
DENR FORM NDAR-1 (1112005)

NON -DISCHARGE APPLICATION REPORT Pape 12 or 23
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE, USE ADDITIONAL PAGES AS NEEDED -
PERMIT NUMIaER: W00024320 MONTH: August YEAR: 2016
FACILITY NAME: Rockbridge COUNTY: Wake
Formulas:
Dally Loading (Inches)-lVoWme ApplWd (OoIMAtt) x O.IgJe (cable IeeV�ollnn) a tg (iirchesltoor)I11Aua EspoyAQ (edea) x <J,S60 (equals lagUehe)l OR
• Vhh•++a AKftil (gallons) I (AIDA $Pdyed laves) x 27,152 (gAlk,ogJgGo-mUU;
Maximum Hourly Loading onehes) - oaPy Loading J;.im g) ) [Time Inlgaim (minatas)100 (mRwlesmuugl Monthly Loading (Inches) . Sam of Deily LQ0(,i ge (Inches)
12 Month Floating Total (Inches) * Sum of this nxmpi y Mmdhly 1.02cing (Indlas) 4•d Iwey,ous 11 mcnlh'a Morality Lvadmgs (Inches)
Av a Weald Loading (Irlohes - orahi LP*Jog (lnchWmumh) /Nino*,of tlays FiIn the nunih hta nnrw kh)I x 7 (daySArookl
Diu Irrigation Occtlr n hla eld: Irrigation OfXur On 7 his. leld:
Yes: No: Yes: No:
FIELD NUMBER' 120 FIELD NUMBER' 13
AREA SPRAYED acres 0.28 AREA SPRAYED acres 1.22
COVER CROP: n/a COVER CROP: n/a
PERMITTED HOURLY RATE (inches): 0.3 PERMITTED HOURLY RATE (inches) 0.3
D WEATHER CON TIONS PERMITTED YEARLY RATE inches : 23,9 PERMITTED YEARLY RATE (inches): 23.9
A 6loroge Maximum Maximum
T L1Nether 1hmpor-alws L 00" Volume Time Pally Hourly Volume Time Daily Howly
E CAW at ICAI" I'Mi Ha.11on FrUl-o" y A neo Irrigated Loadlno Load) A fled Irrigated Loadin Loading
(•) inchn feel pallona minuiea Inches ns es ga one minutes Inches
ncnes
i GL 17.9
2 R 2.00 17.9
3 R 1.25 17.7
4 GL 17.(3
6 GL 17.6
6 PC
7 PC
6 CL 17.6
e R 1.00 17.6
1p CL 17.5
11 C 17.5
12 C 17.5
13 (,
14 C
15 C 17.6
16 PC 17.7
17 C 17.7
ie C 17.7
1s PC 17.8
2g PC
21 C
22 C 17,5
23 C 17,9
24 G 17.9
251 C 17.9
26 C 18.0
z7 PG
zb G
29 C 18.0
so C 18.0
31 C 18.0
Total C,a11onO1Monthly Loading (inches) 0 0,00 0 Q-00
12 Month Flosting Tobi (Inches O.QQ 0.00
Average Weakly Loading iinChos) ; : : • ; • ; • : • : 0.Q0
Bather odes: -C ear. -partly t ou y, 1 -cloudy, Rgain,• nsnow. •Latest• D-QO
Spray Irrigation Operator in Responsible Charge (ORC): Dale Mathews Phone: [phone]
DRC Cortiflcatlon Number: _ 22794 CheCk Box If QRC Has Changed: ID
Mail ORIGINAL and TWO COPIES t4:
DENR::( &3•:titi n::c $t }?dtttlYC:oll as a :I' G iliig KLOAR-S-Ag }F tt::; •
Division cf Water Quality 3ppo8'reea:siplap•ttii�:}lags:
d1 1H: Information Processing Unit (SIGNATURE OF OPERATOR IN RESPON$15LE CHARGE)
1617 Mall ServiCO Center By THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699.1617 COMPLETE TO 7AE BEST OF MY KNOWLEDGE.
DFNR FORM NDAH-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT Page 13 of 23
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE., USE ADDITIONAL PAGES AS NEEDEo.
PERMIT NUMBER: WQ0024320 MONTH: Au®ust YEAR: 2016
FACILITY NAME. ROCkbrid a COUNTY: Wake
Fafmulai:
Daily Loading (In[hes)'lvowmeapf�iop(y�hor,a)xa.taae(cuek w,ggaf{oa)xtztlnenosrra�gl(�,,,a sprorad (aaa6)�e ��.aap tsaa+ra tam�eaa)) Ort
• VArwApoled (nations) I (Area Spayed (aeras) % 27,162 (galbru/aon-'+,Ch)]
Maximum HduAy Loading (Inohas) - Dalry Loading ( 04)) (tmm Inlpaied (n5n„{„a)1 d0 (minule:lha,r)] MOnlhly LOadfeO (InehR) -Sum of Oath Loadings (inches)12 Mang, Floagnp Tdtr l (Inehp) -sum of Nis mon,h'41,}ga11,lY Loading pnrAA* erg IN Vic, i 71 month's MoMW La.dim ti hssf
Spray Irrigation Operator lin Responsible Charge (ORC): Dale Mathews - Phone: [phone]
ORC Certification Numt>or: 22794 Check Boz If ORC Has Changed: 171
Mail ORIGINAL and TWO COPIES to:: �y' i . . . • '
; i • • ,
DENR ; , *?4$:1:61 Itis 14DAIF1.1 4s }f R
Division of Water Quality 8�popFed:upaif�l?ri5 pa¢e:
ATTN: Information P
recessing Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS $14' NATURE, I CERTIFY T►iAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLEYF TO THE GEST OF Mil KNOWLEDGE.
DENR FORM NDAR-1 (1112005)

NON -DISCHARGE APPLICATION REPORT Page 14 of 23
SPRAY IRRIGATION SITE(S)
THERE ARE TWOAPPLICATION FIELDS PER RAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0024320 MONTH: August YEAR: 2016
FACILITY NAME: Rockbridge COUNTY: Wake _
ForMuias:
Dally Loading (inches) • IVoMRn•. Ap{N,etl loalbm) x 0.1396 f431k feeuVepn) x 1Z (innhastrppi1111^�oa 5p,'ayad Upas) x45.504 (9Vu,xe teetlacre)1 OR
. - Yolu,na Apdkd (gaYnnal f (pna 5pnyetl (oOasl � 97,1521Vwlbnslevn•hic��l
M-Inlum Hourly LOediAq (inch--) - oody Lf a ):,v (­bes) I rnm Irrigafao (nw••lee)1 uo (mmutcsfiou91 Monthly Loading (inches) w Sum Of O•ly LO,Idtngs (inches)
12 Month Floating Total [IAGhea) • auro of rina monlhY Monthly tood:np (onghee) and previous 11 ebnihk M-0-ty, Loadbcs (hchas)
Aysrage Weekly Loading (inches)-iMonlbr, Loadwo (nrlWWr nthll Number or dans h, iha mmtn fd.. -W ida!a
Spray Irrigatlon Operator In Responsible Charge (ORC): Dale Mathews phone: 919$91-1056
ORC Car101cation Number: 22754 Chock Box )f ORC Has Changed:
Mall ORIGINAL and TWO COPIES to:
DENR
DMafon of Water Quality
ATTN: Information Processing Unit.
1617 Mail Service Center
RALEIGH, NC 27699-1617
:ni<�;�:�rt nr,:Zr}�;�i�t�tia`tuYe:OAXiage:w6t thLR tJ0](}2-�%as]F a=.
- gat?P©dr@�i:upgtt�t�iS�paARC ... .
'(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT I$ ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (1112005)
Did Irrigation cur On Thf,' Nola' :
Id trr'igatlon Occur On This Field;
Yea:
No:
Yea:
No: KA
FIELD NUMBER:
10
FIELD NUMBER:
15
AREA SPRAYED (acraa);j
0.04
AREA SPRAYED jacran):1
2.47
COVER CROP:I
COVER CROP:
nla
PERMITTED HOURLY RATE (Inches): 0.3
PERMITTED HOURLY RATE (inches):
0.3
D WEATHER CONDITIONS
PERMITTED YEARLY RATE Inches): 23.9
PERMITTED YEARLY RATE (Inches)!
37.3 .
A storm".
Maximum
Ma mum
T wftmth r lYmpr anva lagoon
Volume Time
Daily
Hourly
Volume Time
Daily
Hourly
Ecodeata icatbn Pnc nen Frwa.board
Applied w atad
Load
Loadin
Milled twi ated
LoadingLoadln
Inches feat
qs ons m n es
Inches
nc ss
QhllnJ6 I minutes
Inches
nchss
I CL 17.9
2 1 R 2.00 17.9
s 1 R 1.25 17.7
• 1 CL 17.6
b CL 17.6
s PC
7 PC
a CL 17.6
9 R 1.00 17.6
10 CL 17.5
11 C 17.5
12 C 17.5
13 C
14
15 C 17.6
ie PC 17.7
17 C 17.7
18 C 17,7
19 PC 17.8
20 PC
21 C
221 C 17.8
231 C 1 17.9
241 C 1 17.9
251 C j 17.9
261 C 1 18.0
27 PC
28 C
29 C 18.0
30 C 18.0
31 C 18.0
Total GallonalMonthly Loading (Inches)
0
0.00
0
0.00
12 Month Floating Total (Inches)
.
0.00
0,00
Average W*ekfy Loading (Inches) : ;
aalhar edwar swwr• _.nf.flo
0.00
0.00
Spray Irrigatlon Operator In Responsible Charge (ORC): Dale Mathews phone: 919$91-1056
ORC Car101cation Number: 22754 Chock Box )f ORC Has Changed:
Mall ORIGINAL and TWO COPIES to:
DENR
DMafon of Water Quality
ATTN: Information Processing Unit.
1617 Mail Service Center
RALEIGH, NC 27699-1617
:ni<�;�:�rt nr,:Zr}�;�i�t�tia`tuYe:OAXiage:w6t thLR tJ0](}2-�%as]F a=.
- gat?P©dr@�i:upgtt�t�iS�paARC ... .
'(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT I$ ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (1112005)

L
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00024320
Page 15 of 23
MONTH: August YEAR: 2016
FACILITY NAME; Rockbrld�e COUNTY: Wake
Formulas:
Dally LoaGlnfl (Inches) • MIUM AW*0 (gallons) x DIM (nuhiq tn,l 00111m) x 12 (mchWoot)) I1Area Spayed (aces) x 4$,56o (aquaeg 16Mtm)l OR
Yoatma APPII■d (gaiMne) I [Area 5pmyed Intem')127.152 (gslbnalaa nch)I
Mrxlmum Hourly Loading (IrKhss) • Daily Lowing (Inches)/[rkm InVaW (rWniteapcc Irn;nulesmougj Morithl LOsdin inches • sumof alt
y fl (inches) D Y LOtidinge Unthesl
12 Month Floaanp Toted (Inch") - Sam vt tni%month's M0nlhly Loading pnrhes) and prWous 11 rh0nlh•a Mcnthty Lvudings (Inchh*)
®..•n,,. W.-W....■mnn n—a■a i.._—. ._....__.-.`----....-.-•-__.•.. -..
Spray Irrigation Operator in Responsible Charge (ORC): Dole Mathews
ORC Certifleatioil Number: 22794 Check Sox If ORC Has Changed: Q
Phone: [phone]
Mail ORIGINAL and TWO COPIES to:
DENR :PIe�sB aCcbxR;zii�tu)e:oq Riga :i� 6#this tsC)AR-1�8s if tt�
Division of Water Quality appa�r@if:apoh Cii5�13aQ?:
ATTN: Information Procossing Unit - (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)'
1617 Mall Service Center 9Y THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27899-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11!2005)
Did lrrlgaepq Occur On T h e Tieid:
Yes
No:
Old Irrigailon Occur On This FI*Id;
Yes 171
No'
PIELO NUMBER: 15c
AREA SPRAYED acres 0,26
COVER CROP: n/a
PERMITTED HOURLY RATE (Inches): 0.3
FIELD NUMBER: 15d -
AREA SPRAYED acres : 0.83
COVERCROP:1 Na
PERMin-eu HOURLY RATE (inches):
0.3
D WEATHER CONOIY)ONS
A I
T W*ww TmP■ra,urs L■gaon
E Cvd■ ■t■ "kion Pnci sen F—W nard
PERMITTED YEARLY RATE (Inches)l 23.9
Maximum
volume Time Daily Hourly
AuDlIed Irrfated LoadInn Loadino
PERMITTED YEARLY RATE (inches ;
Volume T)mr Dairy
A 1 ilad eted Loading
48.7
Maximum
Hourly
Loading
(') Inches rot
gaillons nates
Inches
nc es
gallons I minutes
In es
inches
t CL 17.9
2 R 2.00 17.9
a R 1.25 17.7
4 CL 17.6
s CL 17.6
6 PC
7 PC
a CL 17.6
o R 1.00 17.8
10 CL 17.5
11 C 17.5
12 C 17,5
79 C
7,tC
75 C 17.6.
7a PC 17,7
77 C 17.7
lei C 1 17.7
191 PC 1 17,8
20 PC
27 C
72 C 17.8-
73 C 17.9
24 C 17.9
2s C 17.9
26 C 18.0
27 PC
78 C
29 C 18.0
30 C 18,0
31 C 18.0
Total Gallons/Monthly Loading (inches)0
12 Month Floating Total 0nthee
0,00
0.00
v0
0.00
0.00
Average Weekly Loading (Inthes)
.._..._ _• - --- -- - - - -
•
- - - -
000
0.00
_
Spray Irrigation Operator in Responsible Charge (ORC): Dole Mathews
ORC Certifleatioil Number: 22794 Check Sox If ORC Has Changed: Q
Phone: [phone]
Mail ORIGINAL and TWO COPIES to:
DENR :PIe�sB aCcbxR;zii�tu)e:oq Riga :i� 6#this tsC)AR-1�8s if tt�
Division of Water Quality appa�r@if:apoh Cii5�13aQ?:
ATTN: Information Procossing Unit - (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)'
1617 Mall Service Center 9Y THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27899-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11!2005)

NON -DISCHARGE APPLICATION REPORT Page 16 of 23
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0024320 MONTH: August YEAR: 2016
FACILITY NAME: Rockbridge COUNTY: Wake
Formula*:
Daily Loading (In4;h0*) ' {Volume Applied 109hcns) x D.1da! (cubic fapypallon) x 120nclui dent)] I {Mea Spayed (aMil) x 13,50 (scluaro faaVgpe)l Dill
Vnll,nta Applied (Orions) I jkn Spayed (acres) f 27,152 (gailonslscro-Inrh)i
M■AImurn Hourly Landing gnChaa), - DaMy, Lominp IinC,.a) r I1y,p inlpalod inW,lgsa)! ti0 (mhlut6,ft,,d Monthly Loading (InChipQ - Sum of Daily Lifts (inches)
12 Month Floating Total (Inales) - Sum o1 this monlh'il Monthly Loadlno (Mr1,a41 and s vlous 11 nwnlh'. Mnnenia t nmi—, r--,
Spray Irrigation Operator In Responsible Charge JORC): Dale Mathews Phone: [phone]
ORC CertMcatlon Number. 72794 Check Bax if ORC Has Changed:
Mall ORIGINAL and TWO COPies to: •••,:,. : .•:,•,: .. .. ,,,,• •.•.• •.,.
DENR :3;narcL;5ig7tuYe:od fade 1 bf tlit H10AI? 7�Aa If tt�
DIVlsion of Water Quality drOFi:ttpnil:ttii� Nage:
ATTN: Information Processing Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGEI• .
1817 Mali Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

NON-MCHARGE APPLICATION REPORT Page 1701' 23
SPRAY IRRIGATION SITE(S)
THERE ARE TVVQ APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED,
PERMIT NUMBER: M0024320 MONTH; August YEAR; 2016
FACILITY NAME: Rockbridge COUNTY: Wake
F4Tmuias:
Dally Loading (Inches) • ]Wlume RPPhed (Qaltons) x 0.1338 ( ter, heU9a0on) >.12 (In�narlf0el)]! IAma Sprayed (nernx) y. �Q,SEO (aQuam hel/uer•11 OR
+ Vnh,me Applied (gaaom) I [Arno s(weyyd (ac,") x 27,1
Maximum57 (gnlbn;/Ade-inc1r11
Hourly Loading Qnchea) - Dairy Laa," (Ino. o)! jrwm �nVated (m:nutnsl 160 (Mimdesmourn Monthly Loading (Inches) - 9um or nosy LoadieQe U,tp,ea)
12 Month Floating TOM (Inches) + sum of this mnolhb Monthly LWWq Onnhan) sm f"v 1'1 month's Mnnlhy Luadnps (nchas)
Average Weekly Loading InChns -Manthty L ndwv (InehnslmMnth ! Numher atdays In the mmt1) dayunromh) x 7 (dn sro aep
Did lydgat on e. n -11-1 DWInigafloo Occur On This Field;
Yes Na: Yes: No!
FIELD NUMBER 13d• FIELD NUMBER: I$a
AREA SPRAYED acres . 0,71 AREA SPRAYED aCrvs 0.60
COVER CROP; n/a COVER CROP;I n1a
PERMITTED HOURLY RATE (Inches): 0.3 PERMITTEp HOURLY RATE (Inphee); 0-3
D WEATHER CONDITION$ PERMITTED YEARLY RATE (inches); 4$,7 PERMITTED YEARLY RATE (inches): 37.3
A storage Mitxlmum Maximum
T B/wifalr Tamp—m— Lagoon Volume Time Dally Hourly Volume Time Daily Hourly
E coew eta motbn P-1 ' ion Mme•awrd Applied irri ated Loadln Loading_ Aeeli#d lyre aged Loadl Loadln
Mches Tact g■ s m n eea s Inches nc 1" ons minutes Inches ne s
1 CL 17.9
2 R 2.00 17.9
3 R 1.25 1 17,7
4 CL 17,6
5 CIL 1 17.6
6 PC
7 PC
a CL 17.6
9 R 1.00 17.6
10 CL 17.5
11 C 17.5
12 C 17.5
13 C
11 C
15 C 17.6
i6 itc 17.7
17 C 17.7
19 C 17,7
19 PC 17,8
20 PC
21 C
22 C 17.8
23 C 17.9
24 C 17.9
251 C 1 17,9
za C
27 PC
za C
29 C 78,0
30 C 79.0
31 C 18.0
Total Gallons/Monthly Loading (Inches) 0 0.00 0 0.00
12 Month Floating Total (Inches) . 0.00 0.00
Average Weekly Loading (inches) ; • ; • • ; • ; • ; • ; 0.00
Weather aa: -clear, PC-pardy cloudy, l•cl0ady, • -ra n, n•angw, 51 -sleet 0,00
Spray Irrigation Operator In Responsible Charge (ORC): Dale Mathews Phone: [phone]
ORC Certification Number: 22794 Check Box If ORC Has Changed:
Mall ORIGINAL and TWO COPIES to:
DENR P[etetl Atcbj t:lig2!dtuYe:orl .9013: 0ihb 4D11f?4 -dti l8 tt� :
Division of Water Quality aPpepr@ii;ti�un tlS page'
ATTN: information Processing Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1517 Mall Sarylea Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT I$ ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (1172005)

NON -DISCHARGE APPLICATION REPORT Peso t8 or 23
SPRAY IRRIGATION SITE(S) ' '
THERE ARE TWO APPLfCATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00024320 ^_ MONTH: 'August YEAR: 2016
FACILITY NAME: _ Rockbridge COUNTY: Wake
FormulK;
Dal )y.1.91 ding (Inches) • (Vnl.,n* A&Vjvd (9atlons) Y 0.1338 (cybjo feeVgalton) x 12 C.x hrelbx pj f jAreo Sprayad (apes) n 43.560 ($WON I -UM.)] OR
- Volume AP(hlod (q(,mms) I Nrea Spfayod (a 100 x 2)•162 (aa6unf:larla-."1l
MAslrn m Hourly LoadI" (Inchts) • DoMy Loedinp larches) I [MW thpeted (venules) r BO (mieolesdrour)I Monthly Loading (Inches) • Sum of Daily LoadhMs (Inches)
12 Month Flo#Ung ToW (Inches) • Som of Inn month's Monthly Loadhy (Inches] and Pwvimm I) month': Momhly 4,edmm (inches)
Spray Irrigation Operator In Responsible Charas (ORC): Dale Mathews Phone: gi"gi-1056
ORC Certification Number: 22784 Check Box M ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to; •' • ' • ' '
DENR :f?toasf7 Ric$ttigitialuY® odgq 1; 0{ tl;iB tH?�F!•]�ae }f n:
Division of Water Quality $ypitdted:tipop tfii�:papQ;
ATTN: Information Processing Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Canter I5Y THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NO 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE,
DENR FORM NDAR-1 (11/2005)

NON -DISCHARGE APPL. CATION REPORT 1'1ege 19 JI 23
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE, USE ADDITIONAL PAGES A$ NEEDED,
PERMITNUMBER: W00024320 MONTH: August YEAR: 2016
FACILITY NAME: ' Rockbridge COUNTY: Wake
Formulas:
04ily Loadlno (inches) - tVOWme Aptulad (101Me) x 0.1336 (cubic 1"ppFsonl x 12 (Incbos,*4111 F(Ama sprayed (aeras) a 4'3,W (equan, (aetleero)] oft
• Voq,my Applied (gallons) ! IArap $prayed (sees) x 27,152 {yallanalacrc-Inch)]
M—Intum Hourly Loading (inches) - Oa4 Lwdhq (Inch") I III— Irrgoled (min,nA4)1 Dg (mint ievhaur)l Monthly Loading (Idahes) - Sum of naity Laadin0g (inches)
12 Month 1`104(ing Tota) (Inches) - Sum o1 this mon,h'A MonaNy Loading Mch") r w premus 11 month'A AAvnthy Loads (InMA4)
AVsra s Weeltly Loading Inchas) Imonwy Lvad" Omh-sW, lh I Nun"r of days in Ina "oth (daysJnwnth) x 7 (dp Nweel)
Did Irrig#tion Occur On This iv : Old Irriga onOccur on This Field:
Yea: F1 No: Yee: No:
FIELD NUMBER' 17 FIELD NUMBER:l 17c
AREA SPRAYED (strvli: 1,02 AREA $PRAYED (acres): 0.18
COVER CROP: n/a COVERCROP!j n/a
PERMITTED HOURLY RATE (InChes): 0.3 PERMITTED HOURLY {TATE (lnchesl: 0.3
D WEATHER CON IONS. PERMFi7ED YEARLY RATE (inches : 48.7 PERMITTED YEARLY RATE inches : 23.9
A Brpyape
Maximum Maximum
T vA+athsr Temparat— Lagaon Volume Time Daily Hourly Volume Time Daily Hourly
E Cdd1' at ■ k■tloA N, i a4lon Fm -board Applied Irr1 atild Loadin Loading Applied IM aced Loads Loadin
(' Inches reek gallons minutes es Inch" Dalian% ralntnes Inches nchee
1 CL 17.9
2 R 2.00 17.9
3 R 1.25 17.7
4 CL 17,6
S CL 1 17.6
6 PC
7 PC
e CL 17,6
9 R 1.00 17.6
70 CL 1 17.5
11 C 1 17.5
12 C 17.5
13 C
14 C
To- C 17.6
16 PC 17,7
n C 17.7
1a G 17,7
19 PC 17,8
zo PC
21 C
22 C 17.8
23 C 17,9
2� C 17.9
23 C 17,9
251 C 18.0
271 PC
28 C
zv C 18.0
30 C 18.0
31 G 1$,0
Total GallomlMonthly Loading (inches) 0 0,00 0 0.00
cloudy,
0,0012 Month Floating Total(inchvs 0.00
Aveags Wkly Loading (Ineha) 000
• 0,04
Weathsr ea: -c ear, PC -pt y I -Cloudy, -ren, n.anow,
Spray Irrigation Operator in Responsible Charge (ORC): _ Dale Mathew9 Phone: 9IM91-1056
ORC Certification Number: 22794 Check Box If ORC Has Changed:
Mall ORIGINAL and TWO COPIES to: ; ;yi �� gj tiAY .qd • o t%b ila(>3 NpAR-�%as i4 it%
DENR F 9
Division of Water Quality dp4�a�@d:ugvp%FJilg:papa:
ATfN: Information Processing Unit (SIGNATURE OFOPERATORIN RESPONSIBLE CHARGE)•
1617 Mall Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11r2D05)

NON -DISCHARGE APPLICATION REPORT Pape 20 of 23
SPRAY IRRIGATION SITE(S)
THEPE ARE TWOAPPLICATION FIELD$ PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00024320 MONTH: q ust YEAR: 2016
FACILITY NAME: Rockbridge COUNTY: Wake
Formulaw;.
Daily Loadin0 (incha■) - pAuame Appaed (gallons) k 0.13380111x; keVgallon) x 12 tLXh* J1ogI r (Are11 Sprayed (acres) k 43,%o (FIp14•e lnll a )l OR
• Volume AppW (241k-%)1(Nna Sprayed (arras) . 27.1$t (gal) mIacra lnch)l
Maximum Hourly Loading (iochaal •pally Loadrtq (mane:)1(Thrl+ IMpalad (nwlutee)16g hlunufesawlv)] Momhly Loading (inches) -Sum at Dally UIWiogs (inches)
12 Mantra Ploatinp Total ()nth■■) - Sim) of this month's Monthly 4nadi" (intros) and previous 11 malllh,i Linn!hy Loadings Onchoa)
Spray Irrigation Operator In Responsible Charge (ORC): Dale Mathews Phone: [phone]
ORC Certification Number: 22794 Check Box if ORC Has Changed:
Mail ORIGINAL and TWO COPIES t0: ' • ; • ; • • ;
DENIt :i?[c �tti� g�c'n ;�i rlftuhe:on �a:l of IhL.? tipki-2•45 if f!;
Division of Walter Quality sPDs��s'!1;Iipoh tf?i5:g1i4e:
ATTN., Information Procosetng Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
W7 Mail Service Contac BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DFNR FORM NDAR-1 (1112005)
Did mgat on Mcur On This FWIT
Did
Irrigation; Occur On ThisField!
Yes:
No:
Yec M
No:
FIELD NUMBr=R:1
17TFIELD
NUMBER:
18d
AREA SPRAYED (acres):
0.46
AREA SPRAYED (acres :
1.04
COVER CROP:
n/a
COVER CROP:
nla
PERMITTED HOURLY RATE (inches): 0.3
PERMITTED HOURLY RATE inches
0
D WEATHER CONDITIONS
PERMITTED YEARLY RATE (inches)! 48.7
PERMITTED YEARLY RATE (inches),
23.9
A storage
Maximum
Maximum
T
Vbluma Time
Dally
Hourly
Volume Time
Daily
Hourly
E cam■' n■ talion rwel 4lan F-.Ga■rd
Applied Irrf stud
Loading
Load(
A lled int a1W
LoadingLvadln
1• inches hat
e■ ns n s
inches
In as
Q1119m; minut■a
Inches
n as
1 CL 17.9
2 R 2.00 17.9
R 1 1.25 17.7
4 CL 17.6
S CL 17.6
b PC
7 PC
e CL 17,5
4 R 1.00 17.6
10 CL 17.5
11 C 17.5
12 C 17.5
13 C
14 C
16 .. . C .. 17,6
Is PC 17.7
17 C 17.7
19 PC . 17.8
20 PC
211 C
22 C 17.8
23 C 17.9
24 C 17.9
25 C 17.9
26 C 18.0
27 PC
2e 1 C
29 C 1 :0
s0...C.... • .__ .. _ 18:0
- _.....___._ - __.,. t -
___._
31-1 C 18.D
Total C,anonalMonthly Loading QnthaGi
0
p,pp
p
000
12 Month Floating Total pnch#a
.
0.00
; 1;
0.00
A1roraye Weekly Loading (inehn)
• w.a1h.. .. _i1.ar 1_nlw..d..
•
_. _
0-00
0.04
Spray Irrigation Operator In Responsible Charge (ORC): Dale Mathews Phone: [phone]
ORC Certification Number: 22794 Check Box if ORC Has Changed:
Mail ORIGINAL and TWO COPIES t0: ' • ; • ; • • ;
DENIt :i?[c �tti� g�c'n ;�i rlftuhe:on �a:l of IhL.? tipki-2•45 if f!;
Division of Walter Quality sPDs��s'!1;Iipoh tf?i5:g1i4e:
ATTN., Information Procosetng Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
W7 Mail Service Contac BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DFNR FORM NDAR-1 (1112005)

NON -DISCHARGE APPLICATION REPORT Page 21 of 23
SPRAY- IRRIGATION SITE(S)
THERE ARE TWO APPLICATION P LO$ PER PAGE, USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER; WQ0024320 MONTH: August YEAR: 2016
FACILITY NAME: Ri Ckbad a COUNTY: Wake
Formulas;
Bally Loading (hichaa) - IyolunnAOPlad (yalk)n) x 6.1338 (c„t:c 8,eppalbn) x 12 {NchocttnuUJ I (Ana 8prayatl (aPrs) x 4J„•roe [square laaUa,)I OR
• Vol -me Appift (g2uonsl IJA,ea Sprayed (acres) ^ 27.152 (pallanslarro-inrh)I
M -1 -um Hourly Loading [inches) - D54 Load" (ingh^y) / Rime irrkialad (midulee)150 (minutesftuOI Monthty Loading (Inches) + sum afOsii Loadngs (inchas)
12 Month Floating Total (inches) - sum or This Inoodi a Monmly Lowing (1Ole5) and preaoy511 9ftnth's Monthly tn4ift6 (inches)
Ayemoe We. Loadin inches •IMonthh Ming 0n0(,tVmn1ht I Nuntm of days in the monih dayslmonlh)) x 7(da sA.OAk)
Did Irogation Occur On ThisField: U10 Irri911tion I Muir On This Fie
Yes: 71 No: Yea: No:
FIELD NUMBERil 78 FIELD NUMBER' 18C
AREA SPRAYED acres 0.56 AREA SPRAYS❑ 2.50
aCras
COVER CROFT: n/a COVER CROP' Ma
PERMITTED HOURLY RATE (Inches): 03 PERMITTED HOURLY RATE (Inc4*N)-.j 0.3
D WEATHER CONDITIONS PERMITTED YEARLY RATE finches)! 37.3 PERMITTED YEARLY RATE (Inches ; 1 48.7
A etor.ae Maximum MaIrlmum
T N++ua.r Yrmp+r-0run 1,paye Volume Time Dally Hourly volume Time Dally Hourly
E co°a' M Ic+u°11 Pr -1 , rr�+po++d Applied Irrt aced Loamn Loadin A Ilad Irrigated LoadingLoading
(• Inches feet ge a min as ineheo Inches +Ilona minldee InchesInches
i CL 17.9
2 R 2.00 17.9
3 R 1.29 17,7
4 CL 17.6
ii I CL 1 17.6
e PC
7 PC
8 CL 1 17.6
9 R 1.00 17,6
10 CL 17,5
11 C 17.5
12 C 17.5
13 C
141 C
151 C 1 17.6
19 PC 17,7
17 C 17.7
1B C 17.7 -- -
1g PC 17.8-
20 PC
21 C
22r C 17.8
23 C 17.6
24 C 17.9
25 C 17.9
24 C 18.0
27 PC
28 C
29 C 18,0
301 C 18.0
311 C 18.0
Total ClationelMonthly Loading (inches) 0 0,00 0
0.00
12 Month Floating Total (inches)
0,00 0,00
Average Weekly Loading (inches) ; ; : • : • : • • ; • : 0.00
0.00
^ Weather es: .clear; PC-parUy cloudy, GI -cloudy, -rain, Sn-snow• .I•sleot
Spray Irrigation Operator in Responsible Charge (ORC): Dale Mathews Phone: [phone]
ORC CertHlcation Number: 22794 Check Box if ORC Has Changed:
Mail ORIGINAL and TWO COPIES to:
DENR s6 91 pL k Sl ?i31uYe;aO jiAgC 7 bi filth ts(7�IFt-� Ari 34 it: :
Division of Water quality S�p�Fa'rvii:upbp•tJiIS:I)ape:
ATTN: Information Processing Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT I$ ACCURATE AND
RALEIGH, NC 27699.1617 COMPLETE TO THE BEST OF MY KNOWLEDGE,
DENR FORM NDAR-1 (11!2005)

NON-OISCRARGE APPLICATION REPORT. '
SPRAY IRRIGATION SITE(S) `
THERE ARE TWO APPLICATION FIELDS PER PAGE, USE ADO(TIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00024320
Pape 22 of 23
MONTH: A ust YEAR: 2016
FACILITY NAME: Rockbridge COUNTY:
Formulae:
DaIIY Lwdlmp (Idthes) • (voknna AI>iNiyd (yaihns) x P.1J�6 (code Ia aPt)alpal r 12 4•!t,eyfiol))1:Moa 91XOYad (apex) n �7.SG0 (yluare teellacra)1 ort
- Volume AppiKU (Oallonzl l (Aron Spayed (ecrael x 27,157 (Nalbnstaoc-o�clq(
M■ximum Hourly Lesdlnp (Irldhea) • "'IV LoadNfu l,aa) I (Tme lrrlpatO tnMulas) / sa (mlm,r»",o )I Monthly L—aing (inches)
12 Month PIP -ting Total [Wchee) - F1a111 OMM nmdP'» Mon(INy Loadl,g 1lnches) and ffd": n, 11 1wiHIC+ Mnn(INx Lood"s (Inetws)
Wake
• Sum of Dally LOad:pe (i�ryea)
Spray Irrlgatlon Oporator III Responsible Chargo (ORO):_ Dale Mathews Phone: [phone]
ORC Certification NumWr: 22794
Mall ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
'1617 (Wail Service Center
RALEIGH, NO 27699-1617
Check Box if ORO Has Changed:13
:IS+�iascE eftc� �ig2i,�tuYe:od �.tiga :!� 8! !lila NOf►[#•i�aa if tt%
'B�pcP-rd)S,cipotrttiis;pAQ�: .
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLF00,E.
DENR FORM NDAR-1 (1112005)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
P,nqu 23 of 2:3
PIN'Se note, the tempzgttUrt iirdicated "peat tine of lrrtgation" is the lnwe;:t temperature recorded On that date by our automated Control system. TlliS 13
used 3S most of 'Yields" are comprised of multiple "control zones" that may oPerste at different times during a 24-hour period,
Facility. Status:
Please Indicate ( by inserting Y(es) or N(o) in the appropriate box ) whether the facility has been compliant
with the following permit requirements: (Note. If a requirement does not apply to your facility put (NA) in the
compliant box. )
Com lion N
1. The application rate(%) did not exceed the omit(%) specFfer
led In the pmtL y
2, Adequate measures were taken to prevent wastewater runoff from the site(&),
3. A suitable vegetative cover was maintained on the sites) In accordance with the permit.
4. All buffer zones as specified in the permit were maintained during each application.
S. The freeboard In the treatment and/or storage lagoon(s) was not less than the limit(s)
specified In the permit.
If the facility is nontllt+nt, please explain In the space below the re8son(s) the facility was not in compliance with its
permit. Provide In your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
1 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, acourate, and
complete, I am aware that there are significant penalties for submitting false information, including the possibility of fines
and Impris int for knowing violations."
zzzheo
James R Butler
(Si tura of Permittee)` MOO, (Name of Signing Official -Please print or type)
Kl7J Inc.
(Perellttee-Please print or type)
P O Box 2388
_ Swansboro NO 28584-2368
(Permittee Address)
_ Authorized Agent of Permittee
(Position or Title) .
252.993.8562
(Phone Number)
` If signed by other than the permitlee, delegation of signatory egthortty must be on fits with the state per IOA' NCAC 21ft.osos (41(2)(D).
6130119
IParmtt Exp. Date)
DENR FORM NDAR-1 (11/2005)