WQ0019704_Monitoring - 08-2016_20161007

NON -DISCHARGE APPLICATION REPORT ' Page _ of _
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0019704 MONTH: August YEAR: 2016
FACILITY NAME: Old Chatham Golf Club COUNTY: Chatham
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feettgallon) x 12 Cinches/foot)] / [Area Sprayed (acres) x43,560 (square feetfArxe)] OR • . -
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallonslacre-inch)]
Maximum Hourly Wading (inches) = Daily Loading Cinches) I [Time Irrigated (mlhutes) 160 (minutes/hour)] Monthly Loading'(inches) =Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading Cinches) and previous 11 month's Monthly Loadings (Inches)
Did Irrigation Occur At This Facility:
Yes: No:
Did Irrigation Occur On This Field:
Yes: -
No:
Did Irrigation Occur On This Field:
Yes:.
No: .
FIELD NUMBER: 1
AREA SPRAYED (acres): 4.1
COVER CROP:j Pine Forest
PERMITTED HOURLY RATE (inches): 0.4
FIELD NUMBER:
AREA SPRAYED (acres):
COVER CROP:
PERMITTED HOURLY RATE (inches):
D
A
T
E
WEATHER CONDITIONS
storage
Weather Temperature Lagoon
Codeatapplication Prechilla-tion Free -board
PERMITTED YEARLY RATE (inches):
-
Volume Time Daily
A lied Irri ated Loadin
26.63
Maximum
Hourly
LoadingA
PERMITTED YEARLY RATE (inches):
Maximum
Volume Time Daily Hourly
Ifed Irrigated Loadin Loading
('F) Inches feet
gallons minutes'
inches
Inches-
gallons minutes
inches inches
1
0 0
0.00
#DIV/01
2
0 0
0.00
#DIV/0!
3
0 0
0.00
#DIV/01
4
0 0
0.00
#DIV/0!
5
PC 84 2.4 3.95
0 0
0.00
#DIV/01
6
5986 69
0.05
0.05
7
5986 69
0.05
0.05
6
5986 '69,
0.05'
0.05
s
5986 " 69
0.05
0.05
10
5986 69
0.05
0.05
11
C 82 0.82' 3.28
5986 ' 69'
0.05
0.05
12
6262 72
0.06
0.05
13
6262 72
0.06
0.05
14
6262 72
0.06
0.05
161
6262 72
0.06
0:05
1s
6262. b 72
0.06
0.05, "
17
C 95 0 4.45
6262 72
0.06
0.05
1s
6216 72 -.
0.06
0.05 -.
19
6216 72-
0.06
0.05
20
6216 72
0.06
0.05
21
6216 -,72
0.06
0.05
221
6216 72,
0.06
0.05
23
6216 72
0.06
0.05
24
C 80 0.15 4.95
6216 72
0.06
0.05
25
6075 70
0.05
0.05
26
6075. 70 .
0.05,-
0.05
27
6075 70
0.05-
0.05
28
6075 70
0.05
0.05
29
6075 70
0.05
0.05
301
6075 70
0.05'
0.05
311
92 1 0.42 1 5.38
6075 70
0.05
0.05
Total Gallons/Monthly Loading (inches)
159525
1.43
0
0.00
12 Month Floating Total (inches)
11.04
Average Weekly Loading (inches)
0.3233561
0
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Spray Irrigation Operator in.Responsible Charge (ORC): Chad Leinbach Phone: [phone]
ORC Certification Number: 23928 Check Box if ORC Has Changed: ❑
MailAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR O-L'w/
Division of Water Quality (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
RALEIGH, NC 2769 9-1 61 7 TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (5/2003)

NON. -DISCHARGE APPLICATION REPORT
Page _ of _
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 your facility put (NA) in the
compliant box.,)
did limit(s) in the
Com°°liant�( ''N��
1. The application rate(p) not exceed the specified permit
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
Y0
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit
0
4. All buffer zones as specified in'the permit were maintained during each application.
YO
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
r Y
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(sj 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"
Chad Leinbach
(Signature of Permittee)' Date (Name of Signing Official -Please print or type)
Old Chatham Golf Club' ORC
(Permittee -Please print or type) ' (Position or Title) .
y 919 260-7301- 4/30115
6330 Quadrangle Drive, Suite 200 (Phone Number) (Permit Exp. Date)'
Chapel Hill, NC 27514
(Permittee Address)
' If signed by other than the permittee, delegation of signatory authority must: be on file with the state per 15A NCAC 28.0505 (b)(2)(D).
DENR FORM NDAR-1 (5/2003)