WQ0003090_Monitoring - 10-2016_20161115 (3)

FORM: NDAR-1 08-11
NOWDISCHARGEAPPLICATION REPORT (NDAR-4)
: --. Page _`!_'of -2 -
Permit No.: WQ0003090
Facility Name:
Town of Liberty -Wastewater
Spray
- - - - -.';"
County:- IR
. Randolph
qnt
:;Month:..
October ;- - e
Year:. -,..201 e
Did lrrigatiQn,.qqcur
at this facility? ?
DYES EINO I
Field Name:
I
Field Name: 2
Field Name
3
Field Name: 4
Area (acres): 21
Airiei'(ac'�i 'ig.7
:"Are'a:66res): 20.9
Area re's :i �A.
Cover Crop: Fescue
Cover Crop: Fescue .Cover
Crop: Fescue
Cover Crop: Fescue._
'Hourly Rate (in): 0.21
Hourly Rate (in): 0.21
Hourly Rate (in): 0.21
Hourly Rate (in): 0.21
Annual Rate (in): 52
i_ -A ual Rate (In)i,52F
nfi
-�.Arh nual Rate,(I n), ML 52,
.-Annual Rate Q 52,
Weather Freeboard
Field Irrigated?
AYES []NO
Field Irrigated?
aES E3No.
Field Irrigated?
EIYES , 2NO
Field Irrigated?
AYES
EIN
0
C
0
I° i CM --&'M
LU
-St
E IX
0
E
DQ
C
coo
"o
XA
_j _J
E
to
-0
_j
V_
_E tz
S
0
_j
e.
2 Eis ,
E' '"E
E B
IM
OF In I ft ft
gal min
in in
gal min
In In
gal min
In In
gal I min
In
I In
2
3
C
76 4.25
270,000 180
0.58'
0.19
4
5
6
C
78 4.5
270,000 180
0.58
0.19
7
8
9
10
121
G
68 3.5
270,000 180
0.58
0.19
3
13
14
14
1 6
16
[
1 6
is
1
17
C
72 3.751-t'.:
2701000A-�180
��:,0;58-_4
181
19
20
21
21
22
2
C
52 ,'l 3.75
270,000- 180
0.58
0.19
23
26
26
[24
26
26
27
27
C
70 3.75
324,000 180
0.67 0.19
28
C
74 3.75
324,000 1 160
0.61 0.20
9
2 9
C
75 4
324,000 180
0.57
30
311-
C
t 70 4
324,000 1.80.;-0.61.
, 0.20 =f-1
Monthly Uo"a-3ding:F64-8
To-
OQW351
1.14
1
82
648,000
72 7
38.56.,
24.74
000
2.91
40.72
12 Month Floating Total (In):

+ FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-4)
Did the application- rates exceed the limits in Attachment B of.:your permit? ' . ;' pcgmpliant "',•❑Non"Compliant.
Were adequate measuCesxtlken t0 -prevent effluent ponding in;or-runoff from :the Slte 7 ❑p Compliant "' ❑Non Coinplian[" '
Was;a suitable -vegetative cover maintained on all'sites'as specified 1nyour_p`6ir"Mit? - - - - ❑✓ Compliant ❑Non Compliant
Were all setbacks listed :in your' permit maintained .for: every application to each permitted site? " ❑p compliant ❑Non -Compliant
Were all freeboards maintained -Ili accordance with the specified freeboard heights in your, permit? pComphnE ❑Nonrcorripliant
If the facility. is noncompliant; please explain In the space; below the reasons) the facility was notin'cotnpliance. Provide in your explanation, the date_(s) of the non-compliance and descdbe.the cotrective
actian(s) taken. Attach additional sheets if necessary: -
a.
- Operator In -Responsible Charge (ORC) Certification
- ; " - Permittee Certlflcation
ORC Elix Tremaine Flke _..
06rmittee:` - -
- -_
- - '-Roy Lynch _
Certlflcation No.. ' 989290 ___
Signing Official.
Grade: SI Phone Number: '336-622-2990 .'T _
Signing otfictai's Titte: Town Manger
Has the ORC changedzince the' prevlous:NDAR-1? ❑yam �No
Phone Number. ! 336 622=4267 Permit Exp.: 4/30%19-- .
Ali -
Signature. Date '
Signature Date
By this -signature, I.eertify that this report Is accurrate and complete to the best of my knowledge.. - _-..-..-- --
._I.cerfify, 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 an my
_
Inquiryof the person or persons who:menage the'system, or those orsoris directly'riesponsible for gathering ttielrif- 'a' lion, the
- - - - —
Information submitted Is, to the best of'my knowledge and
Inform belief, true, accurate, and compleie. I am aware thkthere are significant
penalties for submitting false IMonnaUon, Including the possibility of fines and imprisonment for knowing viotafions:
i
a. .
7 ,
_ MailOriginal and Two Copies to:
_ - Division of Water Resources'j.
Information Processing. pmt _
1617 Mail Service Center
g - -
Ralei h,, North _ Carolina 27699w1617

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION, REPORT (NDAR-1)
Page _2_ of _2_
Permit No.: WQ0003090
Facility Name:
Town of Liberty - Wastewater Spray
county:, Randolph
Month:
October
Year:
2016
Did irrigation occur
Field.Name:
5
Field Name:
6
Field Name:
7
Field Name:
8
Area (acres): 18.7
Area (acres): 15.9
Area (acres): 23
Area (acres):
22
at this facility?
Cover Crop:Fescue
Cover Crop:
p�
Fescue
Cover Crop:
P'
Fescue
Cover Crop:
p'
Fescue
DYES ❑NO
Hourly Rate (in):
0.21
Hourly Rate (in):
0.21
Hourly Rate (in):
0.21-
Hourly Rate (in):
0.21
Annual Rate (in): 52
Annual Rate (in): - 52
Annual. Rate (in): 52
Annual Rate (in):
52
Weather Freeboard
Field Irrigated?
DYES
❑NO
Field Irrigated?
DYES
❑No
Field Irrigated?
DYES
[]NO
Field Irrigated?
DYES
[]NO
c ? m d m
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o�
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� Q CL ~ •E
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m.ro
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= J
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' Q ~ •�
co
aC
_
w'�
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7 AC
._
Kos-
.. M= 0
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d d d
E ._ ».
Vic• E_�
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Q ~ •E
rn
�C
"mom
G 1
E cm
7?'C
._
Eov
= 0
OF in ft ft
gal min
in
in
gal min
In
I in
gal min
In
in
gal I min
in
I In
1
C 74 4.25
324,000 180
0.52
0.17
2
C 74 4.25
243,000 180
0.56
0.19
3
C 78 4.5
279,000 180
0.55
0.18
4
C 74 4.5
324,000 180
0.52
0.17
5
C 64 4.5
243,000 180
0.56
0.19
6
CL 1 61 1 4.5
279,000 180
0.55
0.18
7
R 2
8
R 2.7
9
10
C 70 3.5
324,000 180
0.52
0.17
11
C 63 3.5
279,000 180
0.55
0.18
243,000 1 180
0.56
1 0.19
12
13
C 68 3.5
324,000 180
0.52
0.17
14
C 70 3.5
243,000 180
0.56
0.19
15
C 68 3.5
279,000 180
0.55
0.18
16
17
181
C 1 70 1 3.5
243,000 180
0.56
0.19
324,000 180
0.52'
0.17
19
C 75 3.75
279,000 180
0.55
0.18
20
C 85 3.75
324,000 180
0.54
0.18
21
22
23
241
C 1 74 1 3.75
324,000 180
.0.52
0.17
25
26
27
28
29
301
1-
311
Monthly Loading:
1,395,000
2.75
1,215,000
2.81
1,944,000
3.11
324,000
0.54
12 Month Floating Total (in):
`
39.5940.90
17.87
35.82
V-1,

. FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
wDid the application rates exceed the limits in Attachment B of your permit?
❑Compliant
❑Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
❑✓ compliant
❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
❑� Compliant
❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? -
OCompliant
❑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.
Signature Date
Signature Date
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC:
Elix Tremaine Fike
Permittee:
Roy Lynch
Certification No.: 989290
Signing Official:
Grade:
SI Phone Number: 336-622-2990
Signing Official's Title: Town Manger
Has the
ORC changed since the previous NDAR-1? ❑yes EINo
Phone Number: 336-622-4267 Permit Exp.: 4/30/19
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