WQ0024508_Monitoring - 08-2016_20160929

Page _2_ of _5_
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITES)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERMIT NUMBER: W00024508 MONTH: August YEAR: 2016
FACILITY NAME: Smithers Viscient COUNTY: Alamance
Formulas:
Daily Loading (inches) _ [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feet/acre) or
= [Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch).
Maximum Hourly Loading (inches) = Dally Loading (inches) / [Time irrigated (minutes) / 60 (minutes/hour)] Monthly Loading (inches) =Sum of Daily Loading (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) _ [Monthly Loading (inches/month) / Number of days in the month (days/month )] x 7 (days/week)
Did Irrigation Occur At This Facility:
Yes: ® No: ❑
Did Irrigation Occur On This Field:
WEATHER
WEATHER CONDITIONS
Yes: ®
No: ❑
Field Number:
1 - Hydrar
Area Sprayed (acres):
10.3
Cover Crop:
lFescue
inch
Permitted Hourly Rale (incl-
Irrigation Occur On This Field:
Yes: ❑ No:
Field Number: 1 - Hydrant # 2
I Sprayed (acres): 10.6
Cover Crop: IFescue
Permitted Hourly Rate (inches):
Permitted Yearly Rale (inches):
Maximum
Volume Time Daily Ilourly
Applied Inigated Loading Loading
gallons minutes inches inches
1k rBh dl., .m ilmr^ .€i�Pi�"
WEATHER CONDITIONS
Permitted Year Rate (inches):
D
�®
' I ®I I
A
Weather Temperature Storage
I I
Maximum
T
Code' at Preeipita- Lagoon
Volume Time Daily
Hourly
Ni
application tion Frec-board
Applied Irrigated Loading
Loading
(°F) Inches fee[
gallons minutes inches
inches
Irrigation Occur On This Field:
Yes: ❑ No:
Field Number: 1 - Hydrant # 2
I Sprayed (acres): 10.6
Cover Crop: IFescue
Permitted Hourly Rate (inches):
Permitted Yearly Rale (inches):
Maximum
Volume Time Daily Ilourly
Applied Inigated Loading Loading
gallons minutes inches inches
1k rBh dl., .m ilmr^ .€i�Pi�"
"Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Steven Yarbrough Phone: [phone]
ORC Certification Number: 986612 Check Box ' O Has Changed: ❑
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR (SIGNAOF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality By this signature, I certify that this report is accurate and
1617 Mail Service Center complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR Form NDAR-1 (5/2003)
�®
' I ®I I
• 1 1
1 I I
I I
m
Total CallomfNlonthly Loading (inches)
12 Month Floating Total (inches)
Average weekly Loading (inches)
M,
I®x
°
°
I. , s' m•,a �.°
.
.. ° ask
"Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Steven Yarbrough Phone: [phone]
ORC Certification Number: 986612 Check Box ' O Has Changed: ❑
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR (SIGNAOF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality By this signature, I certify that this report is accurate and
1617 Mail Service Center complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR Form NDAR-1 (5/2003)

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.)
Complia t (Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) 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 non-compliant , please explain in the space below the reason(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.
"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 a qualified personnel properly gather and evaluate 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
info ion bmitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant
pena ties for bmitting f� in*rmation, including the possibility of fines and imprisonment for knowing violations."
of Permit/e)*
(Permittee -Please print or type)
9683 Kerr's Chapel Road
Gibsonville, NC
(Permittee Address)
James M. Cheshire
(Name of Signing Official -Please print or type)
President R & A Laboratories
(Position or Title)
336-582-8247 10/31/2005
(Phone Number) (Permit Exp. Date)
* If signed by other than the Permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b) (2) (D).
DENR Form NDAR-1 (5/2003)

Page _3_ of —5—
NON-DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERMIT NUMBER: W00024508 MONTH: August YEAR: 2016
FACILITY NAME: Smithers Viscient COUNTY: Alamance
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/Toot)] / [Area Sprayed (acres) x 43,560 (square feet/acre) or
_ [Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch).
Maximum Hourly Loading (inches) ee Daily Loading (inches) / [rime irrigated (minutes) / 60 (minutes/hour)] Monthly Loading (inches) =Sum of Daily Loading (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) _ [Monthly Loading (inches/month) / Number of days in the month (days/month )] x 7 (days/week)
Did Irrigation Occur At This Facility:
Did Irrigation Occur On This Field:
Did Irrigation Occur On This Field:
Yes: ❑ No: ❑
Yes: ❑
No: ❑
Yes: ❑
No:
Field Number:
1 - Hydrant # 3
Field Number:
1 - Hydrant # 4
Area Sprayed (acres):
0.6
Area Sprayed (acres):
10.6
Cover Crop:
Fescue
Cover Crop:
IFescue
Permitted Hourly Rate (Inches):
Permitted Hourly Rate (inches):
WEATHER CONDITIONS
Permitted Yearly Rale (Inches):
Permitted Yearly Rate (Inches):
D
A
Weather Temperature
Storage
Maximum
Maximum
T
Code. at Preeipita-
Lagoon Volume Time
Daily
Hourly Volume Time
Daily hourly
application lion
Free -board Applied Irrigated
Loading
Loading Applied Irrigated
Loading Loading
(°F) inches
feet gallons minutes
inches
inches gallons minutes
inches inches
*Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rein, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Steven Yarbrough Phone: [phone]
ORC Certification Number: 986612 Check Bo 'f ORC Has Changed: ❑
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit X
DENR (SIGNAT OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality By th s signature, I certify that this report is accurate and
1617 Mail Service Center complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR Form NDAR-1 (5/2003)
Total (3,11onVNIonthly Loading (inches)�o
12 Month Floating Total (inches)
Average Weekly Loading (inches)
t� ��
0 µp
c a,.
0:
*Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rein, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Steven Yarbrough Phone: [phone]
ORC Certification Number: 986612 Check Bo 'f ORC Has Changed: ❑
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit X
DENR (SIGNAT OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality By th s signature, I certify that this report is accurate and
1617 Mail Service Center complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR Form NDAR-1 (5/2003)

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.)
Compliant (Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
ET
4. All buffer zones as specified in the permit were maintained during each application.
5. 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 non-compliant , please explain in the space below the reason(s) the facility was not in compliance with its
pen -nit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"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 a qualified personnel properly gather and evaluate 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
penalti or s bmitting fals 5,iqoVqation, including the possibility of fines and imprisonment for knowing violations."
(Pennittee-Please print or type)
9683 Kerr's Chapel Road
Gibsonville. NC
(Permittee Address)
James M. Cheshire
(Name of Signing Official -Please print or type)
President R & A Laboratories
(Position or Title)
336-582-8247 10/31/2005
(Phone Number) (Permit Exp. Date)
* If signed by other than the Permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b) (2) (D).
DENR Form NDAR-1 (5/2003)

Page _4_ of —5—
NON-DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERMIT NUMBER: W00024508 MONTH: August YEAR: 2016
FACILITY NAME: Smithers Viscient COUNTY: Alamance
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/fool)] / [Area Sprayed (acres) x 43,560 (square feetlacre) or
= [Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch).
Maximum Hourly Loading (inches) = Daily Loading (inches) / [Time irrigated (minutes) / 60 (minutes/hour)] Monthly Loading (inches) =Sum of Daily Loading (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading (inches/month) / Number of days In the month (days/month )] x 7 (days/week)
Did Irrigation Occur Al This Facility:
Yes: ❑ No: ❑
Did Irrigation Occur On This Field:
Yes: ❑ No: ❑
Field Number: 1 - Hydran
Area Sprayed (acres): 10.3
Cover Crop: lFescue
Permitted Hourly Rate (inch
Irrigation Occur On This Field:
Yes: ❑ No: ❑
Field Number: 1 - Hydrant p 6
a Sprayed (acres): 0.3
Cover Crop: Fescue
Permitted Hourly Rate (Inches):
Permitted Yearly Rate (Inches):
Volume Time Daily
Applied Irrigated Loading
gallons minutes inches
Maximun
flourly
Loading
WEATHER CONDITIONS
Permitted Year Rate (Inches):
D
A
Weather Temperature
Storage
Maximum
T
Code- at Preeipita-
Lagoon
Volume Time Daily
Hourly
Ii
application lion
Frec-bomd
Applied Irrigated Loading
Loading
(°F) inches
&et
gallons minuets inches
inches
Irrigation Occur On This Field:
Yes: ❑ No: ❑
Field Number: 1 - Hydrant p 6
a Sprayed (acres): 0.3
Cover Crop: Fescue
Permitted Hourly Rate (Inches):
Permitted Yearly Rate (Inches):
Volume Time Daily
Applied Irrigated Loading
gallons minutes inches
Maximun
flourly
Loading
*Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Mail ORIGINAL and Two COPIES to:
ORC Certification Number: 986612 Check
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit X
Has Changed: ❑
DENR (SIGNATU F OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality By this signature, I certify that this report is accurate and
1617 Mail Service Center complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR Form NDAR-1 (5/2003)
Total Callous/Monthly Loading (inches)-
12 Month Floating Total (inches)
Average Weekly Loading (inches)
.^..
g �W.®
-
m
^`A�
" v
p
I I I .e•..:I �'�
'
d e
d:" rer•
t
III ..a .� r.
*Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Mail ORIGINAL and Two COPIES to:
ORC Certification Number: 986612 Check
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit X
Has Changed: ❑
DENR (SIGNATU F OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality By this signature, I certify that this report is accurate and
1617 Mail Service Center complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR Form NDAR-1 (5/2003)

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.)
Compl�iapt (Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit. I -Y-1
2. Adequate measures were taken to prevent wastewater runoff from the site(s). n%I
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit. EF
4. All buffer zones as specified in the permit were maintained during each application. EY]
S. The freeboard in the treatment and/or storage lagoon(s) was not less than the EF
limit(s) specified in the permit.
If the facility is non-compliant , please explain in the space below the reason(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.
"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 a qualified personnel properly gather and evaluate 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
in=?alties
bmitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant
peubmitting fal,4i fori9akion, including the possibility of fines and imprisonment for knowing violations."
(Permittee -Please print or type)
9683 Kerr's Chapel Road
Gibsonville. NC
(Permittee Address)
James M. Cheshire
(Name of Signing Official -Please print or type)
President R & A Laboratories
(Position or Title)
336-582-8247 10/31/2005
(Phone Number) (Permit Exp. Date)
* If signed by other than the Permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b) (2) (D).
DENR Form NDAR-1 (5/2003)

Page _5_ of _5_
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERMIT NUMBER: W00024508 MONTH: August YEAR: 2016
FACILITY NAME: Smithers Viscient COUNTY: Alamance
Formulas:
Daily Loading (Inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feetlacre) or
= [Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch).
Maximum Hourly Loading (inches) = Daily Loading (inches) / [rime irrigated (minutes) 160 (minutes/hour)] Monthly Loading (inches) =Sum of Daily Loading (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading (inches/month) / Number of days In the month (days/month )] x 7 (days/week)
Did Irrigation Occur Al This Facility:
Did Irrigation Occur On This Field:
Did Irrigation Occur On This Field:
Yes: ❑ No: ❑
Yes: ❑ No:
Yes: ❑ No:
Field Number: 1 - Hydrant # 7
Field Number: 1 - Hydrant # 8
Area Sprayed (acres): 0.6
Area Sprayed (acres): 10.2
Cover Crop: Fescue
Cover Crop: jFescue
Permitted Hourly Rate (inches):
Permitted Hourly Rate (inches):
WEATHER CONDITIONS
— —
Permitted Yearly Rale (Inches):
— —
Permitted Yearly Rale (inches):
—
D
�®
n 1 1
A
Weather Temperature
StorageMaximum
Maximum
T
Code' at Precipita-
Lagoon
Volume Time Daily
Hourly
Volume Time Daily
Hourly
application tion
Free -board
Applied Irrigated Loading
Loading
Applied Irrigated Loading
Loading
IT) inches
ft
gallons minutes I inches
inches
gallons minutes inches _
inches
"weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Steven Yarbrough Phone: [phone]
ORC Certification Number: 986612 Check B ; if ORC Has Changed: ❑
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit X
DENR (SIGNA O OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality By this signature, I certify that this report is accurate and
1617 Mail Service Center complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR Form NDAR-1 (5/2003)
m iiiiiiiiiiiiiii♦
— —
—
— —
— —
—
— — —
�®
n 1 1
INS=
MEMNIMMEMEM
Total GAI-VAlonthly Loading
12 Mouth Floating Total (inches)
Average Weekly Loading (inches)
o
r T
"weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Steven Yarbrough Phone: [phone]
ORC Certification Number: 986612 Check B ; if ORC Has Changed: ❑
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit X
DENR (SIGNA O OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality By this signature, I certify that this report is accurate and
1617 Mail Service Center complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR Form NDAR-1 (5/2003)

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.)
Compliant (Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s). EF
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
4. All buffer zones as specified in the permit were maintained during each application.
5. 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 non-compliant, please explain in the space below the reason(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.
"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 a qualified personnel properly gather and evaluate 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
informat' s fitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant
penalti s for su mitting fayginforP�ttion, including the possibility of fines and imprisonment for knowing violations."
(Permittee -Please print or type)
9683 Kerr's Chapel Road
Gibsonville. NC
(Permittee Address)
James M. Cheshire
(Name of Signing Official -Please print or type)
President R & A Laboratories
(Position or Title)
336-582-8247 10/31/2005
(Phone Number) (Pen -nit Exp. Date)
* If signed by other than the Permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b) (2) (D).
DENR Form NDAR-1 (5/2003)