WQ0001664_Monitoring - 11-2016_20161230 (2)

FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page _ of
Permit No.:
WQ0001664
Facility Name: Belvedere Plantation WWTF
County: Pender
Month:
November Year: 2016
Did infiltration occur at
§jtQjA ame:, 'A
Site Name:
B
S1t6;,,Nm'&
C5, o�
Site Name:
this facility?
Area (acres):
0.27
',
acres.,
`i,
427 g
Area (acres):
DYES
DNO
Rate 8.55
t6 (&
Rate
(GPD /ft):
8.55
(QPIJ , Ift
8.55
Rate (GPD
Weather Freeboard
Site Infiltrated?l, �N6
YES
Site Infiltrated?
DYES
EINOSite
'Sij�Infiltrated,;,,1[:]YES
&DYES
Infiltrated? DYES DNO
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in ft ft
gal
gal
min
GPD /ft2
ft
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gal min ft
GPD Ift2
1
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60
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37,300
503
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16
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.
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614
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42,600
498
3.62
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47;3004 ,
,
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24
CL
41
0
0, 00'
33,160
582
2.82
0.00
0,00
25
CL
68
0
33,9,4
33,160
623
2.82
0.00
36 64
3.d§'�
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26
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Q,:00
33,160
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4,
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0
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0.00
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3,09 0
28
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14'
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66
33,9�&`��,\�f`\,`,�304 0.00-
33,160
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364'
,3.
0
29
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30
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0.2
52,800 444 19
0,`�
0.0`,
49,000
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4, 80 "
0. 00
31
F1
Monthly Loading (GPD
S�36
24
3. 6
r111 IV/O! K
Year to Date Loading (GPDJTV):
A .4
....... . ....
16.78
Min

FORM: NDAR-2 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-2)
Did the application rates exceed the limits in Attachment B of your permit?
If not a basin, were the sites kept free of vegetation and raked? .
If not a basin, were there any instances of effluent ponding in or runoff from the sites?
If a basin, were there any instances of breakout from the berms?
Was the onsite automatically activated standby power source tested and operational?
Page of
[ ompliant ❑Non -Compliant
PW_­21compliant
,Compliant ❑Non -Compliant
❑Non -Compliant
P�_
❑✓ Compliant ❑Non -Compliant
7­11Compliant ❑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: Eddie Baldwin
Permittee:
Carolina Water Service, Inc N.C.
Certification No.: 18533
Signing Official: Danny lassiter
Grade: si Phone Number: 910-376-4175
Signing Officials Title: Regional Manager
Has the ORC changed since the previous NDAR-2? C* s ❑No
Phone Number: 800-348-2383 Permit Exp.: 1/31/20
Signature Date
Date
�documentttnd
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 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