HomeMy WebLinkAboutWQ0000265_Monitoring - 09-2016_20161026FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page
Permit No.: l/0// •5
Facility Name:
Washington CorrectionalCenter
• • •
•nth:
Septembe
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D •irrigationoccur
Area (acresy.
Area (acres):
at this facility?
Cover Crop:
-1 YFS •
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Annual Rate (in):
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• •. ••
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• •_ •
0 •Field
Irrigated?0
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Monthly•.• •
12 • • _ • •
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FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: WQ0000265
Facility Name:
Washington Correctional Center
County: Washington
month:
September
Year:
2016
FieldName
05
Field Name:
Feld Name
Field Name:
Did irrigation
occur
Area {acres) 4 6
Area (acres):Area
(acres)
Area (acres):
at this facility?
Cover Crop:
Cover Crop:
Cover L r
Cover Crop:
❑ Yes ❑ no
Hourly Rate (En) ff-25
Hourly Rate (in):
Hourly Rater{in) �. a;
Hourly Rate (in):
Anhual Rate(in):
15=6
Annual Rate (in):
Aonuat Rate{irQ.
Annual Rate (in):
Weather Freeboard
Field Irrigated . [] YES ❑ rup _t=
Field Irrigated?
❑ Yes
❑ NO
lrngated? �� YES -
❑ No'-''
Field Irrigated?
❑ YES
❑ NO
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FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit? Z"pliant
liant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑Non Compliant
q p 9 %
2pliant
liant F1Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted tpCompiant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
Page of
If the facility is non-compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: s59 -A -D ❑ Yes , No
Permittee:
Certification No.: 1 Dp �� ( T
Signing Official:
Grade: ! � Phone Number: 2 5 Z Z 7 (� — lb ��
Signing Official's Title:
Has the ORC changed since the previous NDAR-1?
Phone Number: Permit Exp.:
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
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.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617