WQ0014391_Monitoring - 10-2016_20161207 (3)

NON -DISCHARGE APPLICATION REPORT Page)of -1
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0014391 MONTH: October YEAR: 2016
FACILITY NAME: Goldston -Apex Properties, L.L.C. COUNTY: Chatham
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 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 Loadinq (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: Q
Did Irrigation Occur On This Field:
Yes: ❑
No: !_)
FIELD NUMBER: 1 1
AREA SPRAYED (acres): 0.38
COVER CROP: Grass, Pine
PERMITTED HOURLY RATE (inches): 0.4
FIELD NUMBER: 2
AREA SPRAYED (acres): 0.38
COVER CROP: Grass, Pine
PERMITTED HOURLY RATE (inches): 0.4
WEATHER CONDITIONS
PERMITTED YEARLY RATE (inches):
22.48
PERMITTED YEARLY RATE (inches):
22.48
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
Applied
Time Dail y
Irrigated Loading
Maximum
Hourly
y
Loading
(°F) Inches
feet
gallons
minutes
inches
Inches
gallons
minutes
inches
Inches
1
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
2
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
3
PC 75 1.06
NA
0
1 0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
4
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/O!
5
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
6
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
7
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
8
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
9
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
10
C 61 7.93
NA
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
11
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
12
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
13
NA
0
0
0.00
#DIV/0!
0
.0
0.00
#DIV/0!
14
NA
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
15
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/O!
16
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
17
C 75 0
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
18
NA
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
19
NA
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
20
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
21
NA
0
0
0.00
#DIV/0!
0
0
0.00
DIV/0!
22
NA
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
23
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
24
C 54 0.03
NA
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
25
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
26
NA
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
27
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
28
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
29
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
30
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
31
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
Total Gallons/Monthly Loading (inches)
0
0.00
0
0.00
12 Month Floating Total (inches)
22.00
14.13
Average Weekly Loading (inches)
0
i
0
Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, 5n -snow, 5I -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Randall Jarrell
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
23925 Check Box if ORC Has Changed: ❑
Phone: [phone]
(SIGNATURE OF OPERATOR IN RFjSPONSIBLE 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)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
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 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).
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 limit(s)
specified in the permit.
Page Ui of i
Compliant (Y,N)
Y
0
0
0
0
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."
'Z& y "( VC6,/(0
(Signa urt a of Per ittee)* Date
Goldston -Apex Properties, L.L.C.
(Permittee -Please print or type)
Randall Jarrell
(Name of Signing Official -Please print or type)
ORC
(Position or Title)
919 210-2500
11305 Derby Lane (Phone Number)
Raleigh, N.C. 27613
(Permittee Address)
4/30/2013
(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)

NON -DISCHARGE APPLICATION REPORT Page a of
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00014391
MONTH: October YEAR: 2016
FACILITY NAME: Goldston -Apex Properties, L.L.C. COUNTY: Chatham
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) / (rime Irrigated (minutes) / 60 (minutes/hour)] Monthly Loading (inches) =Sum of Daily Loadings (inches)
12 Month Floating Tota[ (Inches) =Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Averaoe Weeklv Loadina (inches) = rMonthiv Loadino (inches/month) / Number of days in the month (days/month)! x 7 (days/week)
Did Irrigation Occur At This Facility:
Yes: ❑ No:
0
Did Irrigation Occur On This Field:
Yes: ❑ No: Q
Did Irrigation Occur On This Field:
Yes: ❑
No: Cj
FIELD NUMBER: 3
AREA SPRAYED (acres): 0.38
COVER CROP: Grass Pine
PERMITTED HOURLY RATE (inches): 0.4
FIELD NUMBER: 4
AREA SPRAYED (acres): 0.38
COVER CROP: Grass, Pine
PERMITTED HOURLY RATE (inches): 0.4
WEATHER CONDITIONS
PERMITTED YEARLY RATE (inches):
22.48
PERMITTED YEARLY RATE (inches):
22.48
D
A
T
E
Temper-
Weather ature at Precipita-
Code' application tion
Storage
Lagoon
Free-
board
V011lme
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
Applied
Time
Irri ated
Daily
Loading
Maximum
Hourly
Loadin
(`F) inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
Inches
1
NA
0
0
0.00
#DIV/0!
2
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
3
PC 75 1.06
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
4
NA
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
5
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
6
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
7
NA
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
8
NA
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
9
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
10
C 61 7.93
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
11
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
12
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
13
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
14
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
151
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
16
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
17
C 75 0
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
18
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
19
NA
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
20
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
21
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
22
NA
0
0
0.00
#DIV/0I
0
0
0.00
#DIV/0!
23
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
24
C 54 0.03
NA
0
1 0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
25
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
26
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
27
NA
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
28
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
29
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
30
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
31
NA
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
Tota[ Gallons/Monthly Loading (inches)
0
0.00
0
0.00
12 Month Floating Tota[ (inches)
21.54
19.09
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):
Randall Jarrell Phone: [phone]
ORC Certification Number: 23925 Check Box if ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
RALEIGH, NC 27699-1617 TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (5/2003)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
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. )
Com liant Y,N)
Y
Pageof
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).
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 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 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."
Q6 rG
(Signature of Per ittee)* Date
Goldston -Apex Properties, L.L.C.
(Permittee -Please print or type)
11305 Derby Lane
Raleigh, N.C. 27613
(Permittee Address)
Randall Jarrell
(Name of Signing Official -Please print or type)
ORC
(Position or Title)
919 210-2500 4/30/2013
(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 2B.0506 (b)(2)(D).
DENR FORM NDAR-1 (5/2003)