WQ0018709_Monitoring - 08-2016_20160928

PERMIT NUMBER:
FACILITY NAME:
NON -DISCHARGE APPLICATION REPORT
CONJUNCTIVE USE RECLAIMED WATER SITE(S)
THERE ARE TWO SITES PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
W00018709 COUNTY: Wiison
Page 0 of v
City of Wilson MONTH: August YEAR: 2016
'Site names shall be consistant with site names included with user permit.
2 Weather Conditions shall be recorded at the frequency established in the user permit.
3 Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet.
° The time irrigated shall be the total minutes irrigated for that day.
5 Monthly loadings shall be the total flow distributed for the month.
Operator in Responsible Charge (ORC): aures w. Pridgen
ORC Certification Number: 995901 Check Be
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
399-2491
El
(SIGNATURE O PERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATU E,1 CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE T THE BEST OF MY KNOWLEDGE.
_ DENR FORM NDAR-3 (07/2008)
i 0.
WEATHER CONDITIONS 2
S11TE AREA (acres.):
97.46 SITE AREA (acres.): 30.33
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Monthly Loading ...
'Site names shall be consistant with site names included with user permit.
2 Weather Conditions shall be recorded at the frequency established in the user permit.
3 Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet.
° The time irrigated shall be the total minutes irrigated for that day.
5 Monthly loadings shall be the total flow distributed for the month.
Operator in Responsible Charge (ORC): aures w. Pridgen
ORC Certification Number: 995901 Check Be
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
399-2491
El
(SIGNATURE O PERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATU E,1 CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE T THE BEST OF MY KNOWLEDGE.
_ DENR FORM NDAR-3 (07/2008)

NON -DISCHARGE APPLICATION REPORT
CONJUNCTIVE USE RECLAIMED WATER SITE(S)
THERE ARE TWO SITES PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0018709 COUNTY: Wilson
FACILITY NAME: City of Wilson
Page 7— of V_
MONTH: August YEAR: 2016
'Site names shall be consistant with site names included with user permit.
2 Weather Conditions shall be recorded at the frequency established in the user permit.
3 Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, Si -sleet.
° The time irrigated shall be the total minutes irrigated for that day.
5 Monthly loadings shall be the total flow distributed for the month.
Operator in Responsible Charge
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
James W. Pridgen Pho
1
Iged: ❑
Qr tb./�
(SIGNATURE OF OPtRATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATUR4 I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETETffTHE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-3 (07/2008)
SITE':
CU -04 SITE':
CU -05
D
WEATHER CONDITIONS'
SITE AREA (acres.):
Industrial Process SITE AREA (acres.): 44.70
A
T
Weather
Temper-
ature (F)
Precipi-
tation
Time
Irri ated °
Volume
Applied
Time
Irrigated 4
Volume
Applied
E
Code'
low
inches
minutes
gallons
minutes
gallons
1
PC
73
2 1
R
72
0.07
3
R
72
0.07
180
47,587
4
PC
69
300
264,583
5
PC
72
180
37,471
6
PC
76
180
21,187
7
PC
79
240
108,715
81
R
75
1.92
9
PC
74
10
PC
73
11
PC
74
180
15,122
12
PC
74
240
111,865
13
PC
77
120
74,348
14
PC
77
120
10,927
15
PC
77
1.80
73,483
16
PC
76
240
236,030
17
PC
76
180
76,204
18
PC
76
240
234,668
19
R
77
0.54
180
108,368
20
PC
73
21
R
74
0.08
22
PC
69
120
11,373
23
PC
65
120
66,545
241
PC
62
180
159,679
25
PC
63
180
175,930
26
PC
72
240
180,100
27
PC
75
240
106,604
28
PC
71
120
15,290
29
PC
71
360
339,201
30
PC
68
360
322,916
31
PC
70
360
314,863
Monthly Loading (gallonsf
None
3,113,059
'Site names shall be consistant with site names included with user permit.
2 Weather Conditions shall be recorded at the frequency established in the user permit.
3 Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, Si -sleet.
° The time irrigated shall be the total minutes irrigated for that day.
5 Monthly loadings shall be the total flow distributed for the month.
Operator in Responsible Charge
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
James W. Pridgen Pho
1
Iged: ❑
Qr tb./�
(SIGNATURE OF OPtRATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATUR4 I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETETffTHE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-3 (07/2008)

NON -DISCHARGE APPLICATION REPORT
CONJUNCTIVE USE RECLAIMED WATER SITE(S)
THERE ARE TWO SITES PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00018709 COUNTY: Wilson
Page 3 of f—
FACILITY NAME: City Of Wilson MONTH: August YEAR: 2016
'Site names shall be consistant with site names included with user permit.
2 Weather Conditions shall be recorded at the frequency established in the user permit.
3 Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet.
4 The time irrigated, shall be the total minutes irrigated for that day.
5 Monthly loadings shall be the total flow distributed for the month.
Operator in Responsible Charge (OIC: James W. Pridgen Phone:
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
901 Check Box s Cha ed: ❑
(SIGNATURE OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNA RE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLET TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-3 (07/2008)
CU -09
•WEATHER
• ,
�Monthly Loading (gallons
'Site names shall be consistant with site names included with user permit.
2 Weather Conditions shall be recorded at the frequency established in the user permit.
3 Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet.
4 The time irrigated, shall be the total minutes irrigated for that day.
5 Monthly loadings shall be the total flow distributed for the month.
Operator in Responsible Charge (OIC: James W. Pridgen Phone:
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
901 Check Box s Cha ed: ❑
(SIGNATURE OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNA RE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLET TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-3 (07/2008)

NON -DISCHARGE APPLICATION REPORT
CONJUNCTIVE USE RECLAIMED WATER SITE(S)
THERE ARE TWO SITES PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00018709
COUNTY: Wilson
Page Yof I—
FACILITY NAME: City of Wilson MONTH: August YEAR: 2016
Site names shall be consistant with site names included with user permit.
2 Weather Conditions shall be recorded at the frequency established in the user permit.
3 Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet .
° The time irrigated shall be the total minutes irrigated for that day.
5 Monthly loadings shall be the total flow distributed for the month.
Operator in Responsible Charge (ORC):
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
DENR (SIGNATURE
Division of Water Quality BY THIS SIGI
ATTN: Information Processing Unit AND COMPLI
1617 Mail Service Center
RALEIGH, NC 27699-1617
e: ® [phone]
:BATOR IN RESPONSIBLE CHARGE)
I CERTIFY THAT THIS REPORT IS ACCURATE
THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-3 (07/2008)
CU -10
WEATHER CONDITIONS 2
SITE AREA (acres.):
0.36 SITE AREA (acres.):
Applied
■®
.,
��
�Monthly Loading (gallonsf
Site names shall be consistant with site names included with user permit.
2 Weather Conditions shall be recorded at the frequency established in the user permit.
3 Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet .
° The time irrigated shall be the total minutes irrigated for that day.
5 Monthly loadings shall be the total flow distributed for the month.
Operator in Responsible Charge (ORC):
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
DENR (SIGNATURE
Division of Water Quality BY THIS SIGI
ATTN: Information Processing Unit AND COMPLI
1617 Mail Service Center
RALEIGH, NC 27699-1617
e: ® [phone]
:BATOR IN RESPONSIBLE CHARGE)
I CERTIFY THAT THIS REPORT IS ACCURATE
THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-3 (07/2008)

NON -DISCHARGE APPLICATION REPORT Page — of
CONJUNCTIVE USE RECLAIMED WATER SITE(S)
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box) whether the facility has been compliant with the
Compliant (Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit. �Y
2. Adequate measures were taken to prevent wastewater ponding or runoff from the site(s). �Y
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit. �Y
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 d r
accordance with a system designed to ssure th
submitted. Based on my inquiry of th person or
aatherina th ' submit
pmple—te. I am aware
and imprisonment for
(Sifature of Permittee)*
City of Wilson
(Permittee -Please print or type)
P.O. Box 10
Wilson, NC 27894-0010
(Permittee Address)
and all attachments were prepared under my direction or supervision in
all qualified personnel properly gathered and evaluated the information
rsons who manage the system, or those persons directly responsible for
is, to the best of my knowledge and belief, true, accurate, and
I
lties for submitting false information, including the possibility of fines
4;,1&.9t.
James W. Pridgen
(Name of Signing Official -Please print or type)
Water Reclamation Manager
[phone]
(Phone Number)
(Position or Title)
8/31/2017
(Permit Exp. Date)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 26.0506 (b)(2)(D).
DENR FORM NDAR-3 (07/2008)