WQ0028749_Monitoring - 10-2016_20161109 (2)

NON -DISCHARGE APPLICATION REPORT Page of
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0028749 ' MONTH: October YEAR: 2016
FACILITY NAME: Louisiana -.Pacific Corporation - Roxboro OSB Facility COUNTY: Person'
Fotmulas:.
.Daily Loading (inches) [Volume Applied(gallons)x 0.1336. (cublc'feet/gallon) x 12 (ihches/foot)] / [Area Sprayed (acres) x 43,560 (squarefeet/acre)] OR -
Q . ❑ . = VolurC]Applied (gallons) / [Are rayed (acres) x27,152 Qllons/acre-inch)] ❑
Maximum Hourly Loading (inches) =Daily Loading (inches) /[rime 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)
Average Weekly Loading (inches) = [Monthly Loading (inches/month) / Number of days in the month (days/month)] x 7 (days/week)
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 2.5
COVER CROP: Grass
PERMITTED HOURLY RATE (inches): 0.3
FIELD NUMBER:
AREA SPRAYED acres
COVER CROP:
PERMITTED HOURLY RATE (inches):
WEATHER CONDITIONS
PERMITTED YEARLY RATE (inches):
26.03
PERMITTED YEARLY RATE (inches):
D
A
T
E
Temper-
Weather
Code' ature at Preclplta-
application tion
Storage
Lagoon
Free-
board
Volume
Applied
Time
Irrigated
Dail Y
Loading
Maximum
Hourly
Y
Loading
Volume Time Dail Y
Applied Irrigated Loading
Maximum
Hourly
Y
Loading
(F) inches
feet
gallons
minutes
inches
inches
gallons minutes inches
inches
1
0
0
0.00
#DIV/0!
2
0
0
0.00
#DIV/0!
3
0
0
0.00
#DIV/0!
'4
0
0
0.00
#DIV/0!
5
0
0
0.00
#DIV/01
6
0
0
0.00
#DIV/0!
7
R 67 0.38
4.5
0
0
0.00
#DIV/0!
8
0
0
0.00
#DIV/0!
0-
9
0
0
0.00
#DIV/0!
10
0
0
0.00
#DIV/0!
11
0
0
0.00
#DIV/0!
12
0
0
0.00
#DIV/0!
R`
13
C 57 5.65
4
0
0
0.00
#DIV/0!
n r-
14
0
0
0.00
#DIV/0!
'tlJ
15
0
0
0.00
#DIV/0!
16
0
0-.
0.00
#DIV((
17
0
0
0.00
#DIV/0!
18
0
0
0.00
#DIV/0!
19
0
0
0.00
#DIV/0!
20
0
0
0.00,
#DIV/0!
21
CL 69 0
4
0
0
0.00
#DIV/0!
22
0
0
0.00
#DIV/0!
23
0
0
0.00
#DIV/0!
24
0
0
0.00
#DIV/01
25
0
0
0.00
#DIV/0!
26
0
0
0.00
#DIV/0!
27
0
0
0.00
#DIV/0!
26
C 64 0
4
0
0
0.00
#DIV/0!
29
0
0
0.00
#DIV/0!
30
0
0
0.00
#DIV/0!
31
0
0
0.00
#DIV/0!
Total Gallons/Monthly Loading (inches)
0
0.00
0 0.00
12 Month Floating Total (inches)
:::::::::::::::::::::::::::::::::::::::::::::::::
1.49
Average Weekly Loading (inches)
:::::::::::: :::::::::::::::
:::::::::::::::::::
0
0
* Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Billy Joe Brightwell Phone: [phone]
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
1000087 Check Box if ORC Has Changed:
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (5/2003)
I

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
Page of
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.) '
1. The did the limit(s) in the
Compliant (Y,N)
Y
application rate(s) not exceed specified permit.
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.
�Y
4. All buffer zones as specified in the permit were maintained during each application.
�Y
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
�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(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."
f✓i , !�2_ AsL—,_*r� a -z4 —) 6
(Signature of Permittee)* Date
Louisiana-Pacific Corporation Roxboro OSB Facility
(Permittee -Please print or type)
10475 Boston Road
Roxboro, North Carolina 27574
(Permittee Address)
Mike Sarder
(Name of Signing Official -Please print or type)
Plant
(Position or Title)
336-599-8080
(Phone Number)
4/30/2019
(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 (5/2003)