WQ0005790_Monitoring - 10-2016_20161207 (3)

FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page , of -7
Permit No.:
W00005790
Facility Name:
Oak Island WWTF
County:
Brunswick
Month:
June
Year:
2016
Did irrigation occur
Field Name:
14
Field Name:
ZONES 1,2, &3
Field Name:
ZONES 4 & 4A
Field Name:
ZONES 5 & 5A
Area (acres): 0.98
Area (acres): 6.3Area
(acres): 2.2
Area (acres): 2.5
at this facility'?
❑� YES ❑ NO
Cover Crop:
Grass
Cover Crop:
Trees
Cover Crop:
Grass - .
Cover Crop:
Grass
Hourly Rate (in): 0.2
Hourly Rate (in): 0.4
Hourly Rate (in): 0.4
Hourly Rate (in): 0.4
--Annual Rate (in): 127
Annual Rate (in): 156
Annual Rate (in): 52
Annual Rate (in): 156
Weather
Freeboard j
Field Irrigated?
❑ YES
NO
Field Irrigated?
21 YES
❑ NO
Field'Irrigated?
OYES
Q NO
Field Irrigated?
YES
❑ NO
❑
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in
ft
ft
gal min •
in
in.
gal
min
in
in
gal
min
in -,
in,
gal
min
in
in
1
CL
69
0.2
3.8
3.5
0
0
0.00
0.00
41,664
290
0.24
0.05
0
0
0.00
'0.00
48,000
240
0.71
0.18
2
CL
72
0.3
3.7
3.7
0
0
0;00
0.00,
79,609
530
0.47
0.05
•0
0
0.00
0.00
48,000
240
0.71
0.18
3
C
65
0
3.7
3.7
0
0
0.00
0.00,-
79,609
530
0.47
0.05
0 =
0-
0.00.
0.00
0
0
0.00
0.00
41
CL
69
0
3.6
3.9
0
0
0,00
0.00
74,691
496
0.44
0.05
0'•
0
0.00, .
0.00°
48,000
240
0.71
0.18
5
CL
68
0
3.6
4
0
0
0.00
0.00 ••
82,452
544
0.48
0.05
0,
0
0.00
0.00
0
0
0.00
0.00
6
CL
66
0
3.5
4
0-
0
0.00
0.00
82,416
543
0.48
0.05
0
0
0.00- .
0.00
0
0
0.00
0.00
7
CL
76
0.25
3.5
4
0
0
.0.00
0.00
51,383
365
0.30
0.05
0:
0
0.00
0.00
0
0
0.00
0.00
8
CL
77
2.8
3.4
4
0
0
0.00
0.00
51,383
365
0.30
0.05
0 - _
0
0.00
0.00.
0
0
0.00
0.00
9
C
62
0.4
3.4
4
0
0
0:00
- 0.00
30,760
188
0.18
0.06
0
0
0.00
0.00
0 1
0
0.00 1
0.00
10
C
55
0
3.3
4
0
0
0.00
0,00
31,405
176
0.18
0.06
0
0
0.00
0.00
48,000
240
0.71
0.18
11
CL
51
0
3.3
3.8
0
0
0.00
0.00 •
51,274
364
0.30
0.05
0 "
0
0.00
0.00
48,000
240
0.71
0.18
12
CL
60
0
3.2
3.8
0
0
0.00
0:00
79,134
520
0.46
0.05
0
0
0.00
0.00
48,000
240
0.71
0.18
13
C
62
0
3.2
3.8
0
0
0.00
0.00
80,634
533
0.47
0.05
-0.'
0
0.00
0.00
0
0
0.00
0.00
14
PC
60
0
3.2
3.8
0
0
0.00
0.00,
74,447
497
0.44
0.05
0
0,
0.00
0.00,•
48,000
240
0.71
0.18
15
C
57
0
3.2
3.9
0
0
0.00
0.00
41,481
589
0.24
0.02
0
0
0.00-
0.00
0
0
0.00
0.00
16
PC
59
0
3.1
3.9
0
0
0.00
1 0.00
41,381
589
0.24
0.02
0.
0
0.00
0,00
0
0
0.00
0.00
17
C
61
0
3.1
3.9
0
0
0.00
0:00
70,527
468
0.41
0.05
0
0
0.00
0:00
48,000
240
0.71-
0.18
18
C
62
0
3.1
3.9
`0
0
0.00
0.00
70,527
469
0.41
0.05
0`
0
0:00
0.00
48,000
240
0.71
0.18
19
C
65
0
3.1
3.9
0
0
0.00
0.00
41,795
290
0.24
0.05
0
0
0.00
0.00 ,
48,000
240
0.71
0.18
20
C
65
0
3.1
3.9
0
0
0.00
0.00
41,664
290
0.24
1 0.05
0
0 .
0.00
0.00
0
0
0.00
0.00
21
C
62
0
3.2
4
0
0
0.00
1 0.00
41,581
290
0.24
0.05
0
0
0.00
_ 0.00
0
0
0.00
0.00
22
C
53
0
3.2
4
0
0
0.00
0.00
41,642
290
0.24
0.05
0
0
0,00
0.00
0
0
0.00
0.00
231
C
46
0
3.2
4
0
0
0:00
0.00
41,472
290
0.24
0.05
0-
0
0,00
.0.00
0
0
0.00
0.00
241
C
54
0
3.2
4
0
0
0,00
•0,00
41,198
290
0.24
0.05
0
0
0.00
0.00
48,000
240
0.71
0.18
25
C
53
0
3.3
4
10
0
0.00
0.00
20,156
108
0.12
0.07
0
0 -
0.00
0.06 '
0
0
0.00
0.00
26
C
49
0
3.3
4
0
0
'0.00
0.00
0
0
0.00
0.00
0.
0
0.00
.'j 0.00
0
0
0.00
0.00
27
C
54
0
3.3
4
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
48,000
240
0.71
0.18
28
C
64
0
3.3
4
5,716 33
0.21
0.21
35,251
293
0.21
0.04
0,
0
0.00
0.00
48,000
240
0.71
0.18
29
C
63
0
3.4
4
5,716 33
0.21
0.21
55,459
401
0.32
0.05
0
0
0.00
0.00
0
0
0.00
0.00
30
C
72
0
3.4
4
0
lo
1 0.00
0.00
41,411
290
0.24
0.05
0-
0
0.00
0.00.
48,000
240
0.71
0.18
311
C
66
0
3.4
1 4
10
io
i 0.00
0.00
41,516
290
0.24
0.05
0,
0
0.00
0.00
48,000
240
0.71
0.18
Monthly Loading:
12 Month Floating Total (in):WZ11,e30.85
11,432
- .0.43
_
1,557,922
9.11
60.34
0
OAO
0.00
720,000
10.61
119.34

FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Certification
E] Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 121 Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 2] Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? I1 Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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
taKen. Atiacn auufflunal sneeLS it necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Sunny Wright
Permittee: Town of Oak Island
G[J 2 J
Certification No.: o b f
Signing Official: Lisa Stites
Grade: Z Phone Number: [phone]
Signing Official's Title: Interm Manager / Town Clerk
Has the ORC changed since the previous NDAR-1? ❑ Yes p No
Phone Number: [phone] Permit Exp.: 7/31/21
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 property 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

•FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page C of -1
Permit No.:
WQ0005790
Facility Name:
Oak Island WWTF
County:
Brunswick
Month:
June
Year:
2016
Did irrigation occur
Field Name:
6
Field Name:
7
Field Name:
8
Field Name:
9
Area (acres): 1.25.
Area (acres): 1.7
Area (acres): -.1.65
Area (acres):
1.99
at this facility/?
❑� YES ❑ NO
Cover Crop:
Grassrrrees
Cover Crop:
Grass
Cover Crop:
Grass
Cover Crop:
Grass/Trees
Hourly Rate (in): 0.2
Hourly Rate (in): 0.2
Hourly Rate (in): 0.2
Hourly Rate (in): 0.2
Annual Rate (in): 12.7
Annual Rate (in): 127
Annual Rate (in): 127
Annual Rate (in): 127
Weather
Freeboard
Field Irrigated?
YES
[1,N6
Field Irrigated?
Q YES
❑ NO
Field irrigated?
0 YES
❑ NO
Field Irrigated?
2) YES
❑ NO
�
s
16
3
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in
ft
ft
. gal
min
in
in
gal min
in
in
.gal
min '
in
'in;
gal
min
in
in
1
CL
69
0.2
3.8
3.5
5,712
40
0.17
0:17
0 0
0.00
0.00
6,780
31
0.16
0.16
6,553
30
0.12
0.12
2
CL
72
0.3
3.7
3.7
5,760
40
0.17
0.17:
0 0
0.00
0.00
0
0
0.00.
0:00
6,614
30
0.12
0.12
3
C
65
0
3.7
3.7
5,773
40
0:17
0.17
0 0
0.00
0.00
0
0
0.00
0.00 .6,614
30
0.12
0.12
4
CL
69
0
3.6
3.9
5,773
40
.0.17
0.1.7
0 0
0.00
0.00
5,999
28
0.14
.0.1.4
6,505
30
0.12
0.12
5
CL
68
0
3.6
4
5,725
40
0.17
- 0.1.7
0 0
0.00
0.00
5,999
28
6.14
1 0.14
6,501
130
0.12
1 0.12
6
CL
66
0
3.5
4
5,821
40
0.17 -
0.17 .
0 0
0.00
0.00
6,793
31
0:.16
0.16
6,693
30
0.12
0.12
7
CL
76
0.25
3.5
4
5,877
40
'0.17 ,
0.17
0 0
0.00
0.00
6,867
31
0.16
0.16 ,
6,758
30
0.13
0.13
8
CL
77
2.8
3.4
4
5,877
40
0.17
.0.17
0 0
0.00
0.00
6,867
31
0:16
0.16
6,758
30
0.13
0.13
9
C
62
0.4
3.4
4
5,703
40
0.17
0.17
0 0
0.00
0.00
6,775
31
0.16
0.16.
6,618
30
0.12
0.12
10
C
55
0
3.3
4
0
0
0,00
0.00
0 10
0.00
0.00
0
0
0.00-
0.00, :
0
0
0.00
0.00
111
CL
1 51
0 1
3.3
3.8
0
0
0.00'
0.00
0 0 1
0.00
0.00
10
0
0.00 ,
0.00-
0
0
0.00
0.00
12
CL
60
0
3.2
3.8
5,794
40
0.17
0.17
0 0
0.00
0.00
6,784
31
0.16
0.16
6,540
30
0.12
0.12
13
C
62
0
3.2
3.8
5,794
40
0.17.-
0.17
0 0
0.00
0.00
16,784
31
0116.
0.16
6,540
30
0.12
0.12
14
PC
60
0
3.2
3.8
5,624
40
0.17-
0.17
0 0
0.00
0.00
4,399
22
0.10
0.10-
7,434
30
0.14
0.14
15
C
57
0
3.2
3.9
15,524
40.
0.16
'0.16 .
0 0
0.00
0.00
4,399
22
0,10
D.10
7,434
30
0.14
0.14
16
PC
59
0
3.1
3.9
5,546
40
0,16
0.16
0 0
0.00
0.00
6,348
31
0.15.
0.15
6,902
30
0.13
0.13
17
C
61
0
3.1
3.9
5,607
40
0.17
0.17
0 0
0.00
0.00
6,832
32
0.16
0.16
6,222
130
0.12
0.12
18
C
62
0
3.1
3.9
5,651
40
0.17
0.17
0 0
0.00
0.00
6,832
32
0.16
0.16
6,440
30
0.12
0.12
19
C
65
0
3.1
3.9
5,651
40
0.17
0.17
0 0
0.00
0.00
6,505
31
0.15
0.15
6,440
30
0.12
0.12
20
C
65
0
3.1
3.9
5,598
40
0.16
0.16
0 0
0.00
0.00
6,505
31
0.15
0.15.
6,431
30
0.12
0.12
21
C
62
0
3.2
4
15,528
40
0.16
0.16
0 0
0.00
0.00
5,533
28
0.13
0.13
6,431
30
0.12
0.12
22
C
53
0
3.2
4
5,467
40
0.16
0.16
0 10
0.00
1 0.00
5,533
28
0.13
0.13.
6,309
30
0.12
0.12
23
C
46
0
3.2
4
5,467
40
0.16
0.16-
0 0
0.00
0.00
4,748
27
0.11-
1 0.11
6,584
130
0.12
0.12
24
C
54
0
3.2
4
5,533
40
0.16
0.16
1,199 7
0.03
0.03
0
0
0.00
0.00
7,717
35
0.14
0.14
25
C
53
0
3.3
4
5,533
40
0.16
0.16
1,199 7
0.03
0.03
0
0
0.00
'0.00
7,717
35
0.14
0.14
26
C
49
0
3.3
4
0
0
0.00
0.00
0 0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
271
C
54
0
3.3
4
0
0
0.00
0.00
0 0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
28
C
64
0
3.3
4
0
0
0.00
0.00
3,776 20
0.08
0.08
0
0
0.00
0.00
4,425
20
0.08
0.08
29
C
63
0
3.4
4
5,694
40
0.17
0.17
3,776 20
0.08
0.08
0
0
-0.00
1 0.00
6,444
130
0.12
0.12
30
C
72
03.4
4
5,694
40
0.17
0.17
0 0
0.00
0.00
0
0
0.00
0.00
6,483
30
0.12
0.12
31
C
66
0
3.4
4
5,651
40
0.17
0.17
0 0
0.00
0.00
0
0
0.00
0.00
6,483
30
1 0.12
0.12
Monthly Loading:
12 Month Floating Total (in):
147,377
4.34
25,77
9,950BE
0.22
25.73
117,284
2.79
19.21,'
178,590
3.31
42.36

FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Certification
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
❑Q
Compliant
❑ Non -Compliant
Q
Compliant
❑ Non -Compliant
❑Q
Compliant
❑ Non -Compliant
Phone Number: [phone] Permit Exp.: 7/31/21
Compliant
❑ Non -Compliant
❑�
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: Sunny Wright
Permittee:
Town of Oak Island
Certification No.: Z_sv 13
Signing Official: Lisa Stites
Grade: 7— Phone Number: [phone]
Signing Official's Title: Interm Manager/ Town Clerk
Has the ORC changed since the previous NDAR-1? ❑ Yes Q No
Phone Number: [phone] Permit Exp.: 7/31/21
L 4/_t� - /4W
ignature 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

-FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ? of2
Permit No.:
W00005790
Facility Name:
Oak Isiand WWTF
County: Brunswick
Month:
October
Year:
2016
Did irrigation occur
at this facility?
❑� YES ❑ No
Field Name:
-
10
Field Name:
11
Field Name:
-
- 12
Field Name:
13
Area (acres): 1.75
Area (acres): 2.47
Area (acres): -1.62
Area (acres): 1.19
Cover Crop: Grass
Cover Crop: Grass
p.
Cover Crop: Grass
Cover Crop: Grass
Hourly Rate (iri): 0.2
Hourly Rate (in): 0.2
Hourly Rate (in): 0.2
Hourly Rate (in): 0.2
Annual Rate (in): 127
Annual Rate (in): 127
Annual Rate (in): 127
Annual Rate (in): 127
Weather
Freeboard
Field Irrigated?
[f YES
❑ No
Field Irrigated?
21 YES
❑ NO
Field Irrigated?
21 YES
❑ No
Field Irrigated?
YES
❑ NO
3
~
(L
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N
Cc CL
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E
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c
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7E
O CL
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fix
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Ed
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=
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o
EEa)
o-
Em
oa
o a
m
Em
�c
o 0oE
2,E2
E
ct9
o
OF
in
ft
ft
gal min
in
in
gal min
in
in
= gal min
in
in
gal
min
in
in
1
CL
69
0.2
3.8
3.5
0 0
0.00
0.00
0 0
0.00
0.00
0 0
0.00,
0:00
9,841
44
0.30
0.30
2
CL
72
0.3
3.7
3.7
0 0
0.00
0.00
0 0
0.00
0.00
0 0
0.00.
'0.00"
10,233
45
0.32
0.32
3
C
65
0
3.7
3.7
0 0
0.00
0:00
0 0
0.00
0.00
0 0
0.00
0.0
10,617
46
0.33
0.33
4
CL
69
0
3.6
3.9
0 0
0.00
0.00
0 0
0.00
0.00
0 0
0,00;
0.00
10,617
46
0.33
0.33
5
CL
68
0
3.6
4
0 0
0.00
0.00
0 0
0.00
0.00
0 0
0:00
0.00
9,841
44
0.30
0.30
6
CL
66
0
3.5
4
0 0
0.00
-0,00
0 0
0.00
0.00
0 0
0,00 ,1
0.00
10,168
144
0.31
0.31
7
CL
76
0.25
3.5
4
0 0
0.00
0.00
0 0
0.00
0.00
0 0
0.00
0.00
10,168
44
0.31
0.31
8
CL
77
2.8
3.4
4
0 0
0.00
0.00
0 0
0.00
0.00
0 0
0.00-
0.00
10,272
46
0.32
0.32
9
C
62
0.4
3.4
4
0 0
0.00
0.00
0 0
0.00
0.00
0 0
0.00
'0.00
10,272
46
0.32
0.32
10
C
55
0
3.3
4
10 0
0.00
0.00
0 0
0.00
0.00
0 0
0.00
0.00
0
0
0.00
0.00
11
CL
51
0
3.3
3.8
0 0
0.00
0,00
0 0
0.00
0.00
0 0
0.00.
.0.00
0
0
0.00
0.00
12
CL
60
0
3.2
3.8
0 0
0.00
0:00-
0 0
0.00
0.00
0 0
0.00,
1 0.00
9,845
144
0.30
0.30
13
C
62
0
3.2
3.8
0 0
0.00
0.00
0 0
0.00
0.00
0 0
0.00
0.00
9,845
44
0.30
0.30
14
PC
60
0
3.2
3.8
0 0
0.00
0.00
0 0
0.00
0.00
0 0
0.00
0.00
9,679
44
0.30
0.30
15
C
57
0
3.2
3.9
0 0
0.00
0.00
0 0
0.00
0.00
0 0
0.00
0.00
10,564
43
0.33
0.33
161
PC
59
0 1
3.1
3.9
0 0
0.00
0.00
0 0
0.00
0.00
0 0
0.00
0.00
10,577
43
0.33
0.33
17
C
61
0
3.1
3.9
0 0
0.06
0.00
0 0
0.00
0.00
0 0
10.00
0.00
10,577
43
0.33
0.33
18
C
62
0
3.1
3.9
0 0
0.00
0.00
0 0
0.00
0.00
0 0
0.00
1 0,00
10,569
43
0.33
0.33
19
C
65
0
3.1
3.9
0 0
0.00 ' 0.00
0 0 1
0.00
0.00
0 0
0.00
0.00
9,605
43
0.30
0.30
20
C
65
0
3.1
3.9
0 0
0.00
0.00
0 0
0.00
0.00
0 0
0.00
0,00
9,605
43
0.30
0.30
21
C
62
0
3.2
4
0 0
0.00
0.00
0 0
0.00
0.00
0 0
0.00
0.00
9,418
43
0.29
0.29
221
C
53
0
3.2
4
0 0
0.00
0.00
0 0
0.00
0.00
0 0
0.00 ,
0.00
9,500
43
0.29
0.29
23
C
46
0 1
3.2
4
0 0
0.00
0.00
0 0
0.00
0.00
0 0
0.00
0.00
9,500
43
0.29
0.29
24
C
54
0
3.2
4
1,535 6
0.03
0.03
2,538 11
0.04
0.04
4,582 23
0.10
0.10
11,101
49
0.34
0.34
25
C
53
0
3.3
4
1,535 6
0.03
0.03
2,538 11
0.04
0.04
4,582 23
0.10
0.10
11,101
49
0.34
0.34
26
C
49
0
3.3
4
10 0
0.00
0.00
0 0
0.00
0.00
10 0
0.00
0.00
0
0
0.00
0.00
271
C
54
0
3.3
4
0 0
0.00.
0.00
0 0
0.00
0.00
0 0
0.00
0.00
0
0
0.00
0.00
281
C
64
0
3.3
4
12,701 54
0.27
0.27
3,854 21
0.06
0.06
16,742 95
0.38
0.24
5,777
29
0.18
0.18
29
C
63
0
3.4
4
12,701 54
0.27
0.27
3,854 121
0.06
0.06
16,742 95
0.38
0.24
9,483
F4s___j
0.29
0.29
30
C
72
0
3.4
4
5,637 24
0.12
0.12
0 10
0.00
0.00
0 0
0.00
1 0:00
19,483
46
0.29
0.29
31
C
1 66
1 0 1
3.4 1
4
6,749 129
0.14
0.14
0 0
0.00
0.00
0 0
0.00
0.00
9,405
146
1 0.29
0.29
Monthly Loading:11
12 Month Floating Total (in):
40,858 M
0.86
46:95
12,784
0.19
13.65
42,650
0.97
31.43
267,660
8.28
61.22

FORM: NDAR-1 07-11
Certification
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Page of
Q Compliant ❑ Non -Compliant
❑✓ Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? FZ] Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ❑✓ Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 2] 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: Sunny Wright
Permittee:
Town of Oak Island
Certification No.: Z $ iS 13
Signing Official: Lisa Stites
Grade: 7 Phone Number: [phone]
Signing Official's Title: Interm Manager/ Town Clerk
Has the ORC changed since the previous NDAR-1? ❑ Yes 0 No
Phone Number: [phone] Permit Exp.: 7/31/21
3o'.2D1.6
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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617