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Home My WebLink AboutWQ0036557_Monitoring - 11-2016_20170103NON DISCHARGE WASTEWATER MONITORING REPORT Page_of_ PERMIT NUMBER: WQ0036557 MONTH: NOVembef YEAR: 2016 ¢ACILITY NAME: MBfk MIIIBf couNrr: Wake �— , : - � : • '�' ' "�" � "�' "�. ' "�' � "�. "�. ' "�' �. — ..: -. .' ��. �_�m '�' �� '�' ��-- �__- • • --------_— . • ---------- �—_- • • _---_----- �__- • • ---_------ • . _-------_— �__- • • --------_— �__- • • --_------- • • ---------- 0__- ' • ---------- m__- • • _---_---_— . • ---------_ m—_- • • ---------- m__- • • _---_----_ • • ----_----- m__- • • --_------- m__- • • --_—_----_ m__- • • --�—_----- m__- • • �—�----- . . ��-��L�'�� m�� ' ' ��P�� m�� ' ' ��E:��ias.�� m�� • ' ��E�Wa�� m�� ' ' ��f+l!'�J�� m�� ' ' ��>.��7r�� m�� ' ' ��i�� m�� ' ' ��E�Y�� m�� ' ' ��:�� m�� ' ' �� m�� ' ' �� m�� ' ' �� m�� ' ' �� .. ,� .. �p�. �p� �. � �. �� . �� .. �� Operetor in Responsible Charge (ORC�: Cory Brantley Grade: SI PFIOfIB: 352J]&3]21 Check Box if ORC Has Changed: ORC Certi£cation Number: 994484 Certifled Laboratories (7�: Person�s) Collecting Samples: Mail ORIGINAL and TWO COPIES to: DENR Division of Water Quality ATTN: Infortnation Processing Unit 1617 Mail Service Center RALEIGH, NC 27699-7617 (21: (SIGIQA�F OPEF�ATOR IN RE$�ONSIBLE CHARGE) BY THIS �S�IGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. DENR FORM NDMR-1 (11/2005) Page NON DISCHARGE WASTEWATER MONITORING REPORT � Faciliri Status: Please answer the following question: 1. Does all monitoring data and sampling frequencies meet permit requirements? of Compliant (Y � 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." (Signature of Pertnittee�' Date Mark Miller (Permittee-Please printortype) 2025 Cadenza Lane Raleigh, NC 27614 (Pertnittee Address) Paremeter Codes: Cory Brantley (Name of Signing Official-Please print or type) Operator (Position or Title) 252-478-3721 10/31/2018 (Phone Number) (Permit Exp. D� Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at (919) 715-6189. 7he monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use onlv the units desianated in the re�ortinq faciliN's oermit for reoortina data. ' If signed by other than the permlttee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)�2)�D). DENR FORM NDMR-1 (11/2005) NON-DISCHARGE APPLICATION REPORT Page_of_ SPRAY IRRIGATION SITE(S) 7HERE ARE 7W0 APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED. � PERMITNUMBER: WQ0036557 MONTX: NOVeRlbef YEAR: 2�16 FACILITV NAME: Mefk MIIIef COUNTY: Weke Formulea: Diily LOitlllle (IIIChB6) _ �VdumB ApplieE (palbna) x 0.1338 (cudc IeaUpalbn) x 12 (Irchaelfaol)j /[fvea Sprayetl (acree) x 43.560 (eQuerB teeVwe)� OR = �Vdume Pyplie0 (F = Volume Applie0 (9allons) / �Arae SprayeE (x+es) a 2],152 (W Ilona/eae-irich)� MOrMIJyHOUrlyLoading(InChBs) •maamumiricneaa0dieaovera«renourpemalammaey MoMhly Laading (inchea) = Sum m Daay Loaainpa (incrroa� 7I MonN Floatlng Tobl Qnthes) = Sum ol mis monm's Manmty Loadirp prclwa) anE previoua 11 montlfe M«Mly LoaEi�ps (incnea) Spray Irrigation OperaWr in Responsible Charge (ORC�: Cory Brantley Phone 252-4783721 ORC Certfication Number: 994484 Check Box'rf ORC Has Changed: Mall ORIGINAL and 7W0 COPIES to: DENR Division of Water �uality ATTN: Infortnation Processing Unit 1617 Mail Service Center RALEICaH, NC 27699-1617 1 / d (SI TUR F OPERATOR IN RESPONSIeLE � � BY THIS SI NATURE, I CERTFV THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BE3T OF MY KNOWLEDGE. DENR FORM NDAR-1 (11/2005) NON-DISCHARGE APPLICATION REPORT SPRAY IRRIGATION SITE(S) Fac'vliri�SNatus: � Please indicate ( by inserting Y(es) or N(o) in the appropriate box ) whether the facility has been comoliant with the following pertnit requirements: (Note: ifa requirement does not apply to your facility put (NAJ in the compliant box. ) 7. The application rete�s) did not exceed the limiys) speciTed in the pertnit 2. Adequate measures were taken to prevent wastewater runoff from the site(s). Page _ of Com Iiant N) Y 0 3. A su"rtable vegetative cover was maintained on the site�s) in accordance with the permit. YO 4. All buffer zones as specified in the pertnit were maintained during each application. Y� 5. The freeboard in the treatrnent andlor storege lagoon�s) was not less than the limiys) NA specified in the permit If the facility is noncomoliant, 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 adion(s) taken. Attach additional sheets if necessary. "I certify, under penalty of law, that this document and all attachments were prepared under my diredion or supervision in accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the infortnation submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the infortnation, 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." (Signature of Permittee►' Date Mark Miller (Pertnittee-Please print or type) 2025 Cadenza Lane Raleigh, NC 276'14 (Permittee Address) cory ereouev (Name of Signing Official-Please print or type) operator (Position or Title) 252�7&3721 (Phone Number) (Pertnit Exp. Date) H signetl by other Nan the permXMe, delegatlon of signatory authorlty muat be on file wkh the aLte par 15A NCAC 2BA506 (b��2)�D�. DENR FORM N�AR-1 (17/2005)