WQ0002015_Monitoring - 09-2016_20161028

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0002015 MONTH: September
Page of 2
YEAR:
FACILITY NAME: Oak HIII Fellowship Center COUNTY: Granville
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic 1eeUgallon) x 12 (inches/foot)] / [Area Sprayed (acres) x43.660 (square feet/acre)] OR
=Volume Applied (gallons) I [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 Total (inches) = Sum of this month's Monthly Loading inches) and previous 11 month's Monthly Loadings (inches)
slrtir.9
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): 1 1.07
COVER CROP: Fescue
PERMITTED HOURLY RATE (inches): 0.25
FIELD NUMBER:
AREA SPRAYED (acres):
COVER CROP:
PER HOURLY RATE (Inches):
D WEATHER CONDITIONS
PERMITTED YEARLY RATE (inches):
52
PERMITTED YEARLY RATE (Inches):
A storage
T Weather Temperature Lagoon
E Code' at application Precipitation Free-boardApplied
Volume Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume Time
Applied Irrigated
Dally
Loading
Maximum
Hourly
Loading
(°F) Inches feet
gallons minutes
Inches
Inches
gallons minutes
Inches
Inches
1 C 81 3.25
4032 240
0.14
0.03
2 C
4 CL
5 R 0.5
6 CL 3.25
7 PC
8 C 76 3.3
4032 240
0.14
0.03
9 C
10 C
11 PC
12 C
13 C 78- ' 3.44032
240
0.14
0.03
14 C
15 PC 78 '3.5
1008 , - 60
0.03
0.03-
16 CL
17 PC
18 CL ..
19 R 1 3.5
20 R 0.5
21 R 1
221 R 1 1 3.1
23 R 0.2
24 CL
25 PC
26 CL 3.1
27 CL
28 R 0.5
29 R 0.2 3.05
301 R 0.5
:31
Total Gallons/Monthly Loading (inches)l
13104
0.45
0
0.00
12 Month Floating Total (inches)
4.17
Average Weekly Loading (inches)l
0.1051712
0
vvealner cones: c -clear, rc-paruy ciouay, clrciouoy, m -ram, on -snow, m-uiuut
Spray Irrigation Operator in Responsible Charge (ORC): Dale Lee Mathews, Phone: [phone]
ORC Certification Number: 22794 Check Box if RC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

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 tioz.)
i ` ... _.F...... Com liant YN '
1 ; ;1_. The_appl.ication,rate(s) did.not exceed the limit(s) specified in.the.permit. Y
2. Adequate measures were taken to prevent wastewater runoff from the site(s). : Y
-• `. ..3.;A suitable vegetative;cover was maintained on the site(s) in,accordance with -the permit. 0
4.
All-buffer'zones i
• nes as specified in the permit wete'mairitained dining each application.Y��
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s) 0
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 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."
1"7, Alan Glover
(Signature of Permittee)*- -. Date .. (Name of Signing Official -Please print or type)
Atari Glover Facility Manager
(Permittee -Please print or type) (Position or Title)
[phone] '31 -Jul -19
Oak Hill Fellowship Center (Phone Number) (Permit Exp. Date)
3824 Barrett Drive; Raleigh, NC 27609
(Permittee Address)
* 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 (1112005)