WQ0036557_Monitoring - 09-2016_20161101

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
'-PERMIT NUMBER: WQ 0036557
FACILITY NAME:
Mark Miller
MONTH: September
COUNTY
Page of_
YEAR: 2016
Wake
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feettgallon) x 12 (Inches/foot)] /[Area Sprayed (acres) x 43,560 (square feet/acre)] OR = [Volume Applied (c
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Monthly Hourly Loading (inches) = maximum inches applied over a one hour period for that day
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 (daystweek)
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:
AREA SPRAYED (acres): 0.35
COVER CROP: Pine
PERMITTED HOURLY RATE (inches):
FIELD NUMBER:
AREA SPRAYED (acres):
COVER CROP:
PERMITTED HOURLY RATE (inches):
WEATHER CONDITIONS
Weather
Code"th` storage
AT C-- ­r Temper-ature Precipita- Lagoon
c �e,weaner at application tion Free -board
PERMITTED YEARLY RATE (inches):
Maximum
Volume Time Daily Hourly
Applied Irrigated Loading Loading
PERMITTED YEARLY RATE (inches):
Volume Time Daily
Applied Irrigated Loading
Maximum
Hourly
Loading
cue+ (°F) inches feet
gallons minutes inches inches
gallons minutes inches
inches
1
No flow
2
No flow
3
No flow
4
No flow
5
No flow
6
No flow
7
No flow
s
No flow
9
No flow
10
No flow
11
No flow
12
No flow
13
No flow
14
No flow
15
No flow
16
No flow
17
No flow
18
No flow
19
No flow
201
No flow
21
No flow
22
No flow
23
No flow
24
No flow
25
No flow
2s
No flow
27
No flow
28
No flow
29
No flow
30
No flow #VALUE!
31 -
Total Gallons/Monthly Loading (inches)
0 #VALUE!
0 0.00
12 Month Floating Total (inches)
Average Weekly Loading (inches)
#VALUE! 1
0
Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Cory Brantley Phone [phone]
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
994484 Check Box if ORC Has Changed:
6- ",1,- T -
(SIGN, 914 OF OPERATOR IN RESPONSIBLE ARGE)
BY THIfPIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT Page
SPRAY IRRIGATION SITE(S)
Facility Status:
z 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. )
1. The did the limit(s) in the
Compliant (Y,N)
application rate(s) not exceed specified permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
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.
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
INA
specified in the permit.
of
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."
(Signature of Permittee)* Date
Mark Miller
(Permittee -Please print or type)
2025 Cadenza Lane Raleigh, NC 27614
(Permittee Address)
Cory Brantley
(Name of Signing Official -Please print or type)
Operator
(Position or Title)
252-478-3721
(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 (11/2005)