WQ0029601_Monitoring - 09-2016_20161101

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of
Permit No.: WQ0029601
Facility Name:
Southwest Plantation & Bear Trail Golf Course
County:
Onslow
Month: September
Year: 2016
PPI: 001
Flow Measuring Point:
❑ Influent Q Effluent ❑
No Flow generated
Parameter Monitoring Point:
❑ Influent Q Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code
50050
00400
00076
00310
00610
00530
31616
00620
00940
70295
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page ;_ of .
Sampling Person(s)
Name: Charles J. Scozzari, Jr.
Name: Maxwell Carroll, Alberta Y. Okamoto
Certified Laboratories
Name: Environmental Chemists, Inc..
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0 Compliant ❑ Non -Compliant
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: Charles J. Scozzari, Jr.
Permittee: Carolina Investments Inc.
Certification No.: 11190
Signing Official: Scott H. Brown
Grade: III ne Number: 910-545-1499
Signing Official's Title: Secretary
Has the ORC changed since t e pr ious R? ❑ Yes 2] No
Phone Number: 10-346- 160 Permit Expiration: 7/31/2013
10/18/2016
Sign Date
Signature Date
ignature, I certify that this report is accurrate and complete to the best of my knowledge.
/is
I certify, er penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a stem designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on
my inq ry 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

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ? of
Permit No.: W00029601
• • Bear Trail Golf•
Onslow
Month:
September.
Field Name:;
• irrigation occur
./
1:
at this facility?
Cover Crop-
Bermuda Grass
Cover Crop:
Bermuda Grass
Cover Crop:
0YES NO
Hourly Rate (in):
Hourly Rate (in):,
Hourly Rate (in):,
Annual Rate (in):
Annual Rate (in):'
1
.. .
Q •Field
Irrigated?•11111111111111111M
ran W.. rT-j��•
Field Irrigated?0
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Monthly Loading:
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FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page --4— of
Did the application rates exceed the limits in Attachment B of your permit?
Q Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? E] Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? Q Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Q Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance With the specified freeboard heights in your permit? Q Compliant ❑ Non -Compliant
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: Regina Myers
Permittee:
Carolina Investments Inc.
Certification No.: 1001732
Signing Official: Scott H. Brown
Grade: SI Phone Number: 910-340-1390
Signing Officials Title: Secretary
Has the ORC changed since the previous NDAR-1? 0 Yes ❑ No
Phone Number: 910-346-8160 Permit Exp.: 1/31/11
gnature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under pen of law, that this document and all attachments were prepared under my direction or supervision in accordance
pen/
with a system desi to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the p on 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

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 5of 9
Permit No.: •11 •.11
Facility Name:
Southwest Plantation & Bear Trail Golf•
. Onslow
Month:September
1 .
• irrigation occur
Area (acres):
at this facility.
Cover Crop:..
.
..
..
. ..
.. Grass
F11 YES F1 NOHourly
Rate
N
R.
•Annual
Rate (in):
..
•
•
•Field
Irrigat0
•
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Monthly Loading:
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FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page (a of t
Did the application rates exceed the limits in Attachment B of your permit?
Q Compliant
❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Q Compliant
❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
p Compliant
❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
R] Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
Q Compliant
❑ Non -Compliant
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 dates) of
the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of laithat this document and all attachments were prepared under my direction or supervision In accordance
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Regina Myers
Permittee:
Carolina Investments Inc.
Certification No.: 1001732
Signing Official: Scott H. Brown
Grade: SI Phone Number: 910-340-1390
Signing Officials Title: Secretary
Has the ORC changed since the previous NDAR-1? Q Yes ❑ No
Phone Number: 910-346-8160 Permit Exp.: 1/31/11
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 laithat this document and all attachments were prepared under my direction or supervision In accordance
with a system designed to ahat all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or p 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

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page - of 9
Permit No.: •11 •.11
Facility Name:
Southwest PlantationBear Trail Golf•
Onslow
Month:
Sept •- �omm�,tolim
Field Name:
1
Field Name.
•irrigationoccur
Area (acres):
Area (acres):1•Area
(acres�
Area (acresy
at this facility?
Bermuda Grass
Cover Crop.
Cover Crop:
PTI YES F-l NO
Hourly Rate (in):
Hourly Rate (in)-,
Hourly Rate (iny
Annual Rate (in):
OEM=
Annual Rate (in):
... .
0 •
•
0 •
Field •
•
M=m/1__
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12 Month Floating Total (in) -

FORM: NDAR 1 10 13NON-DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
[71
Compliant
❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
E]
Compliant
❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Ej
Compliant
❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
Q
Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
❑✓
Compliant
❑ Non -Compliant
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.
information sub itted 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.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Regina Myers
Permittee:
Carolina Investments Inc.
Certification No.: 1001732
Signing Official: Scott H. Brown
Grade: SI Phone Number: 910-340-1390
Signing Officials Title: Secretary
Has the ORC changed since the previous NDAR-1? Q Yes ❑ No
Phone umber: 910-346-81 Permit Exp.: 1/31/11
J�k,
6
d Z1
SIture Date
(.-Srnature Date
By this signature, I y that this report is accurrate and complete to the best of my knowledge.
I certify, under penalt of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system desig d to assure that all qualified personnel properly gathered and evaluated the Information submitted. Based on my
inquiryof the pe on or persons who manage the system, or those persons directly responsible for gathering the information, the
information sub itted 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
I�