WQ0018146_Monitoring - 08-2016_20161004

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NON -DISCHARGE APPLICATION REPORT Page of
SPRAY IRRIGATION SITE(S)
jHEREARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
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PERMIT NUMBER: MONTH: Au (USU
FACILITY NAME: TME r;*SW--V& JIPT— :7DP'-bAg iL0VKC—
COUNTY: (V&71foAll
YEAR: 2- 0r
Formulas:
Daily Loading (inches) = (Volume Applied (gallons) x 0.1336 (cubic feeggallon) 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) = Daily Loading (inches) / [Time Irrigated (minutes) / 60 (minutes/hour)] Monthly Loading (inches) =Sum of Daily Loadings (inches)
12 Month Floating Tota( (inches) =Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (Inches) = [Monthly Loadin (inches/monthl / Nomher nr day -a to the ,,,.,nm ,. 7
Did Irrigation OccurAt This Facility:
Yes:
Did Irrigation Occ On This Field:
Did Irri ation Occ F On This Feld•
No: ❑
Yes:
[
No: ❑
Yes: [
No: ❑
FIELD NUMBER:FIELD
NUMBER:
2.
AREA SPRAYED(acres):
AREA SPRAYED (acres):
COVER CROP:
iJCAq
g5
COVER CROP:
tf3am-A'vD,t*
.........................
PERMITTED HOURLY RATE (inches):
0. %
PERMITTED HOURLY RATE (inches):
®,
D
WEATHER CONDITIONS
PERMITTED YEARLY RATE (inches):
IV,
PERMITTED YEARLY RATE (inches):
19,,0 1
A
T
Weather
Code*
Temperature
at
Storage
Precipita- lagoon
Volume
Time
Daily
Maximum
Hourly
Volume
Time
Daily
Maximum
Hourly
E
application
don Free -board Applied
Irrigated
Loading
Loading
Irri ated
Loading
Loading
(°F)
inches feet
gallons
minutes
Inches
inches
_Applied
gallons
minutes
Inches
inches
1
�
2
3�$��
3
4
5
6
7
8
9
10
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25
26
27
28
29
30
31
'1647 070
Total Gallons/Monthly Loading (inches)
�� 5 7J
.:.::.:.:.:.:.:.:.:.:
�,
....
• . • . • • . .
12 Month Floating Tota( (inches)::
! r
Average Weekly Loading inches
9 Y 9( )
• Weathar Cnriae• C�-Inter Dr_..�.at.. ..l...�1., r,
ofd
X09-9
y G wuuy, -10—Y, R-1,1111, all-s[IOW,
Spray Irrigation Operator in Responsible Charge (ORC): 10�i21A.0 ®671SXS
ORC Certification Number: 9 6% 5 9 2
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Phone: 0119-54,5-2'Z&1
Check Box if ORC as Change ❑
1A - j -
(SIGNATURE O PERA O IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

C
NON -DISCHARGE APPLICATION REPORT
r,
SPRAY IRRIGATION SITE(S)
J /THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: �^' Q D u / 6 MONTH: A -i ST—
FACILITY NAME: PSC- f r*5&R 6 ;r— -sDaA1-J t4K-
COUNTY: CW4" 44K
Page 2- of J
YEAR: Z©!6
Formulas:
Dally Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inchestfoot)) /[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) / 60 (minutesfnour)] Monthly Loading (inches) = Sum of Daily Loadings (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 (dayshveek)
Did Irrigation OccuyAt This Facility:
Yes: [9� No: ❑
Did Irrigation Occur On This Field:
Yes: ❑ No:
Did Irrigation Occur On This Field:
Yes: ❑ No:
FIELD NUMBER:
AREA SPRAYED (acres): 5
COVER CROP: Ff` SCUE
PERMITTED HOURLY RATE (inches): , !1
FIELD NUMBER:
AREA SPRAYED acres :
COVER CROP: DS V A
PERMITTED HOURLY RATE (inches): Q.
D
WEATHER CONDITIONS
PERMITTED YEARLY RATE (inchesl: 1
PERMITTED YEARLY RATE inches
A
T
E
Temperature storage
Weather at Precipita- Lagoon
Code• application tion Free -board
Volume Time
Applied Irrigated
Maximum
Daily Hourly
Loading Loading
Volume
Applied
Time Daily
Irriciated Loading
Maximum
Hourly
Loading
(`F) Inches feet
gallons minutes
Inches inches
gallons
minutes Inches
Inches
1
2
Uri
3
4
5
6
7
8
9
10
11
12
13
14
15
/7 Q6
2WO 3
©`�J
16
17
18
/Zo
, D , o c"
179606
19
20
21
22
Ot�J /20
r*1/j
23
% d
f1
24
25
26
27
28
29
30
31
Total Gallons/Monthly Loading (inches)
SZVC
-7 ► $ tf
, 12
12 Month Floating Total (inches) ::::::::::::::
: : ::: :: : ::::::: :::::::::::::::
d p
. Lt
Average Weekly Loading (inches):';
::;'I
rer Uuues. G -dear, rk-parry cloudy, w -cloudy, R -ram, Sn-snow, si-sleet
Spray Irrigation Operator in Responsible Charge (ORC): Ij6j',Z1AjA F5
ORC Certification Number: C1$7562 -
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Phone: 919— 96_— 2201
Check Box if ORC Has C n d: ❑
c
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (1112005)

_ . NON—DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION 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 following permit requirements: (Note: if a requirement does not apply to yourfacility put (NA) in the
compliant box. )
Page 2) of 3
1. The application rate(s) did not exceed the limit(s) specified in the permit_ CflianY,N)
2. Adequate measures were taken to prevent wastewater runoff from the site(s). C y�
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_ F Y
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s) F ze _7
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 dates) 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 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."
gnature rmittee)" Date (Na of Signing Official -Please print or type)
A-1Ji`�' 00 `TV CA-P-0LJ,�1 ��C��iy+-/fC� ✓�/�rv��s�vL
(Permittee -Please print or type) (Position or Title)
2 D 2 +N( lkC:1/-ar rJ,4� cr
r.1 C_- ---S 7 5-i
(Permittee Address)
(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 26.0506 (b)(2)(D).
DENR FORM NDAR 1 0 1120051