WQ0024508_Monitoring - 10-2016_20161202

Page _2_ of —5—
NON-DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERMIT NUMBER: W00024508 MONTH: October YEAR: 2016
FACILITY NAME: Smithers Viscient COUNTY: Alamance
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] /(Area Sprayed (acres) x 43,560 (square feet/acre) or
= [Volume Applied (gallons) / [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 Loading (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)
Irrigation
Yes:
P—IrSprayed
(acres):
111111111111111111:jjj�kate (inches):
1,0101 IN 9111 Lai—
1
Applied
Applied
m®
m
m
12 Month Fioating,rotal (inches)
_ [
"Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Steven Yarbrough Phone: 336=996-2841
ORC Certification Number: 986612 eck "IRC Has Changed: ❑
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit X
DENR (SIGNAT055&rO RATOR IN RESPONSIBLE CHARGE)
Division of Water Quality By this signature, I certify that this report is accurate and
1617 Mail Service Center complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR Form NDAR-1 (5/2003)

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.)
Compliant (Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit. 71
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 pen -nit. ET
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) 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 a qualified personnel properly gather and evaluate 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
info ratio submitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant
pen lties for submitting fal inf nation, including the possibility of fines and imprisonment for knowing violations."
. ��V, 1 2 L �id James M. Cheshire
(S gna e of Permit )/ / D e (Name of Signing Official -Please print or type)
James M. Cheshire (Authorized Aaent
(Permittee -Please print or type)
9683 Kerr's Chapel Road
Gibsonville. NC
(Permittee Address)
President R & A Laboratories
(Position or Title)
336-582-8247 10/31/2005
(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 213.0506 (b) (2) (D).
DENR Form NDAR-1 (5/2003)

Page _3_ of —5—
NON-DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERMIT NUMBER: W00024508 MONTH: October YEAR: 2016
FACILITY NAME: Smithers Viscient COUNTY: Alamance
Formulas:
Daily Loading (Inches) = [Volume Applied (gallons) x 0.1336 (cubic feel/gallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feet/acre) or
= [Volume Applied (gallons) / [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 Loading (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 Al This Facility:
Did Irrigation Occur On This Field:
- Did Irrigation Occur On This Field:
Yes: ❑ No: ❑
Yes: ❑
No: ❑
Yes: ❑
No: ❑
Field Number:
1 - Hydrant # 3
Field Number:
1 - Hydrar
•
Area Sprayed (acres):
0.6
Area Sprayed (acres):
0.6
Cover Crop:
Fescue
Cover Crop:
Fescue
Permitted Hourly Rate (inches):
Permitted Hourly Rate (inches
WEATHER CONDITIONS
Permitted Yearly Rate (Inches):
Permitted Yearly Rate (inches
D
A
Weather Temperature
Storage
Maximum
T
Code. at Preeipita-
Lagoon Volume Timc
Daily
Hourly Volume Tim.
Daily
1
upplimtion lion
Frec-board Applied Irrigated
Loading
Loading Applied Irrigated
Loadini
(T) inches
fcm gallons minmu
inches
inches gallons minutes
inches
Maximum
Hourly
� r I 1 rll I I t I I
*Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Steven Yarbrough Phone: [phone]
ORC Certification Number: 986612 Check x if ORC Has Changed: ❑
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit X
DENR IGNA OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality By this signature, I certify that this report is accurate and
1617 Mail Service Center complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR Form NDAR-1 (5/2003)

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.)
Compliant (Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit.
F
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.
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
EP
limit(s) 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 a qualified personnel properly gather and evaluate 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
info ation ubmitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant
pen lties for jubmitting false igormation, includigg the possibility of fines and imprisonment for knowing violations."
of
(Permittee -Please print or type)
9683 Kerr's Chapel Road
Gibsonville, NC
(Permittee Address)
James M. Cheshire
(Name of Signing Official -Please print or type)
President R & A Laboratories
(Position or Title)
336-582-8247 10/31/2005
(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 213.0506 (b) (2) (D).
DENR Form NDAR-1 (5/2003)

Page _4_ of —5—
NON-DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERMIT NUMBER: W00024508 MONTH: October YEAR: 2016
FACILITY NAME: Smithers Viscient COUNTY: Alamance
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 (gallons) / [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 Loading (Inches)
12 Month Floating Total (inches) ee 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:
Did Irrigation Occur On This Field:
Did Irrigation Occur On This Field:
Yes: ❑ No:
❑
Yes: ❑ No: ❑
Yes: ❑
No: D
Field Number: 1 - Hydrant # 5
Field Number:
1 - Hydrant # 6
Area Sprayed (acres): 0.3
Area Sprayed (acres):
10.3
Cover Crop: Fescue
Cover Crop:
IFescue
Permitted Hourly Rate (inches):
Permitted Hourly Rate (inches):
®®
WEATHER CONDITIONS
I
Permitted Yearly Rate (inches):
Permitted Yearly
Rate (inches):
D
A
Weather Temperature
Storage
Maximum
Maximum
T
Code' at Precipita-
Lagoon
Volume Time Daily
Hourly Volume Time
Daily Hourly
E
applicmm
tion
Face -board
Applied Irrigated Loading
Loading Applied Irrigared
Leading Loading
('F)
inches
feet
gallons minutes inches
inches gallons nummes
inches inches
2
h3,
C 160 ,
0't
4
*Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R rain, Sn-snow, SI -sleet
Mail ORIGINAL and Two COPIES to:
ORC Certification Number: 986612 Check Box if ORC Has Changed: ❑
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit X
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality By this signature, I certify that this report is accurate and
1617 Mail Service Center complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR Form NDAR-1 (5/2003)
®®
1
I
Tnt.1 G.11—IM-thly Leading (finch.)
,�- ^-
Monfla Fl,a ling Tom I (inches)
1P[
[ [12
A,c,.gc Weekly Loading, (indnes)
[ y°
*Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R rain, Sn-snow, SI -sleet
Mail ORIGINAL and Two COPIES to:
ORC Certification Number: 986612 Check Box if ORC Has Changed: ❑
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit X
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality By this signature, I certify that this report is accurate and
1617 Mail Service Center complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR Form NDAR-1 (5/2003)

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.)
Compliant (Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
IV
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
EP
4. All buffer zones as specified in the pen -nit were maintained during each application.
EP
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the
limit(s) 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 a qualified personnel properly gather and evaluate 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
inform submitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant
pen ties for ubmitting f e ' ormation, including the possibility of fines and imprisonment for knowing violations."
James M. Cheshire
(Sin re of Permi ee) to (Name of Signing Official -Please print or type)
James M. Cheshire (Authorized Agent) President R & A Laboratories
(Permittee -Please print or type) (Position or Title)
9683 Kerr's Chapel Road 336-582-8247 10/31/2005
Gibsonville. NC (Phone Number) (Permit Exp. Date)
(Pennittee Address)
* If signed by other than the Permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b) (2) (D).
DENR Form NDAR-1 (5/2003)

Page _5_ of —5—
NON-DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERMIT NUMBER: W00024508 MONTH: October YEAR: 2016
FACILITY NAME: Smithers Viscient COUNTY: Alamance
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feetlacre) or
= [Volume Applied (gallons) / [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 Loading (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)
.n Occur At This Facility:
Yes:.
!� IIEl.R
Did Occur On This Field:
Yes:E
Did
Irrigationn
R
Area Sprayed (acres): 1 .
1
Permitted Hourly Rate (inches):
Arpli-W- ..
Maximum Maximum
Hourly Houfly
Loading Applied Loading
•;11 �
I I
I 1 ----
®0�0�
m0�0�
••II ®
1 I
I I ----
•
I .I
I I
12 Month Floating Total (inches)
weekly Loading (I.clues)
,d. a' re•'" 6.
I 1 [%'mac
�1[
[
9�r'..E ''°q
o
o..e.Average
*Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Steven Yarbrough Phone: [phone]
ORC Certification Number: 986612 Check B ORC Has Changed: ❑
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit X
DENR (SIGNAT OFOPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality By this signature, I certify that this report is accurate and
1617 Mail Service Center complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR Form NDAR-1 (5/2003)

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.)
Compliant (Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit. EF
2. Adequate measures were taken to prevent wastewater runoff from the site(s). EP
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit. EP
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) 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 a qualified personnel properly gather and evaluate 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
infon submitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant
pe )ties for submitting fats t fo ation, includi g the possibility of fines and imprisonment for knowing violations."
James M. Cheshire
(Sig re of ermit )* \Dat (Name of Signing Official -Please print or type)
James M. Cheshire (Authorized Agent) President R & A Laboratories
(Permittee -Please print or type) (Position or Title)
9683 Kerr's Chapel Road 336-582-8247 10/31/2005
Gibsonville, NC (Phone Number) (Permit Exp. Date)
(Permittee Address)
* If signed by other than the Permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b) (2) (D).
DENR Form NDAR-1 (5/2003)