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HomeMy WebLinkAboutWQ0019755_Monitoring - 11-2016_20170105,, PERMIT NUMBER: _NDN,DIS-C TARGE._WASTEINATER.MONITDRING_.REPORT W00019755 FACILITY NAME: Oak Ridge Commons Page -- Of MONTH: November YEAR: 2016 COUNTY: Guilford Flow Monitoring Point: Effluent: Certified Laboratories (1): Influent: Person(s) Collecting Samples: ............................... Mail ORIGINAL and TWO COPIES to: ATTN: Non -Discharge Compliance Unit 69 I'd (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DENR v ` BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE Division -of -Water -Quality SAND COMPLETE"TO THE BEST OF MY°KNOWLEDGE. �> � Parameter Monitoring Point: Effluent: RALEIGH, NC 27699-1617 Influent: Surface Water (SW): Ka SW Code/Name: Reclaim Pond Was There Effluent Flow For This Month Generated At This Facility: Yes: DQ No: .00626 •00076 D A T E Operator Arrival Operator ORC Time 2400 lime on on Clock site Site? 50060 Dally Rate (Flow) Into Treatment System 00400 pH 50060 Residual Chlorine 00310 BOD -5 20°C 00610 00530 NH3•N TSS 31616 Fecal coliform (Ge metric Mean•I 00620 NO3 TKN 00666 Total Phosph orus 00600 Total Nitrogen Turbidityl HRS YIN GALLONS UNITS UG/L MG/L MG/L MG/L /100ML MG/L MG/L MG/L IVIG/L NTU 1 16:00 1 Y 0 6.84 2.2 11.9 2 17:45 0.5 B 0 6.77 2.2 17.3 3 17:45 0.5 B 0 6.91 2.2 15.1 4" -'11-:30-. -0:75-- -B- -0- -6:88_ -2 .11-16-5- 5 0 15.4 6 0 7 1 16:20 0.75 B 0 6.94 1.46 16.3 8 11:15 2.5 Y 0 6.79 1.54 42.6 9 18:15 0.5 B -0 6.79 2.2 11.9 10 16:50 0.25 B 0 6.91 2.2 <2 0.9 <2.778 42" 12.5 3.58 1.2 16.08 16.9 11- - -0 12 0 131 1 0 14 18:25 0.75 B 0 6.84 1.49 35.8 16 13:30 2.5 Y 0 6.71 1.33 17.1 16 15:35 0.5 B 0 6.79 0.84 18.32 17 19:45 0.5 B 0 6.91 0.71 34.9 18 15:00 0.75 B 0 6.78 0.49 35.8 191 1 0 20 0 21 16:40 0.75 B 0 6.69 0.81 69.5 22 10:50 1.67 Y 0 6.81 1 2.2 50 23 16:30 0.5 B" 0 6.81 2.2 49.8 24 0 261 0 213- -0 - 27 0 28 18:20 1 B 0 6.79 0.88 9.38 29 13:30 1.67 Y 0 6.94 0.61 9.5 30 17:50 1 0.5 1 B -21,000 6.99 2.2 11.1 31 1 10 Average 677.41935 : : : : : : : : 1.5721 #DIV/0! 0.9 #DIV/0! 42 12.5 3.58 1.2 16.08 25.205 -Daily -Maximum- 21000 - -6:99 22- -0- 0:9 -0- -42- 12-.5- 3-.58- 1-.2 16:08 - "-69:5 Daily Minimum 0 6.69 0.49 0 0.9 0 42 12.5 3.58 1.2 16.08 9.38 Monthly Limit(s) 10 4 5EG 4 Composite (C) / Grab (G) 6 to 9 G C C C G G G G G Operator in Responsible Charge (ORC): Chad Leinbach Grade: . II/SI Phone: 919 260-7301 Check Box if ORC Has Changed: ORC Certification Number: 23928 Certified Laboratories (1): Conner Consulting, LLC (2): Statesville Analytical #440 Person(s) Collecting Samples: Chad Leinbach/Bradley Flynt �� Mail ORIGINAL and TWO COPIES to: ATTN: Non -Discharge Compliance Unit 69 I'd (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DENR v ` BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE Division -of -Water -Quality SAND COMPLETE"TO THE BEST OF MY°KNOWLEDGE. �> � 1617 Mail Service Center =� + P, / RALEIGH, NC 27699-1617 Ka `G3 DENR FORM NDMR-1 (5/2003) G NON DISCHARGE WASTEWATER MONITORING REPORT Facility Status: Page of Please answer the following question: Compliant (Y,N) 1. Does all monitoring data and sampling frequencies meet permit requirements? DY 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, in luding the possibility of fines and imprisonment for knowing violations." Z 30 Chad-Leinbach (Si nature of Permittee) Date (Name of Signing Official -Please print or type) JPC Utilities, LLC (Permittee -Please print or type) 1690 NC Hiohwav 68 North Oak -Ridge; -NC 27310 - (Permittee Address) Parameter Codes: (Position or Title) (919) 260-7301 (Phone Number) ORC 01002 Arsenic 31504 Coliform, Total 00600 Nitrogen, Total 00929 Sodium 01022 Boron 00094 Conductivity 00630 NO2&NO3 00931 BAR 00310 BOD5 01042 Copper 00620 NO3 00745 Sulfide 01027 Cadmium 00300 Dissolved Oxygen 00556 Oil -Grease 70295 TDS 00916 Calcium 31616 Fecal Coliform WQ09 PAN Plant Available) 00010 Temperature 00940 Chloride 01051 Lead 00400 pH 00625 TKN 50060 Chlorine, Total Residual 00927 Magnesium 71900 Mercury00665 32730 Phenols Phos horus, Total 00680 00530 01034 Chromium 00610 NH3asN 00937 Potassium 00076 iEj 00340 COD 01067 Nickel 00545 Settleable Matter 01092 11/30/20 (Permit Exp. Date) Parameter Code assistance may be obtained by calling the Water Quality Compliance/Enforcement Unit at (919) 733-5083 ext. 529. The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the reporting facility's permit for reporting data. * If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 26.0506 (b)(2)(D). DENR FORM NDMR-1 (5/2003) NON -DISCHARGE APPLICATION REPORT t , SPRAY IRRIGATION SITE(S) THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED. Page _ of _ PERMIT NUMBER: WQ0019755 MONTH: November YEAR: FACILITY NAME: Oak Ridge Commons COUNTY: Guilford Formulas: Daily Loading (Inches) = [Volume Applied (gallons) x 0.1330 (cubic feet/gallon) x 12 (inches/foot)] I [Area Sprayed (acres) x 43,500 (square feel/acre)] OR =Volume Applied (gallons) I [Area Sprayed (acres) x 27,152 (galionslacre-Inch)] Maximum Hourly Loading (Inches) =Daily Loading (inches) / i rime Irrigated (minutes) / 00 (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) 2016 Did Irrigation Occur At This Facility: Yes: No: Did Irrigation Occur On This Field: Yes: F 1 No: Did Irrigation Occur On This Field: M Yes: M No: FIELD NUMBER: AREA SPRAYED (acres): COVER CROP: PERMITTED HOURLY RATE (inches): FIELD NUMBER: 2 Reclaimed Water AREA SPRAYED (acres): 17 COVER CROP: Grass, R e/Fescue PERMITTED HOURLY RATE (inches): 0.7 D A T E WEATHER CONDITIONS Storage weather Temperature Lagoon Code' at application Precipitation Freeboard PERMITTED YEARLY RATE (inches): Volume Time Daily Applied Irrigated PERMITTED YEARLY RATE (inches): Maximum Hourly Volume Time Daily Loading Applied Irrigated Loading 22.21 Maximum Hourly Loading ('F) Inches feet _Loading gallons minutes Inches inches gallons minutes Inches Inches i Cl 67 6.25 1,373 0 0.00 #DIV/0! 2 PC 76 6.33 4,008 0 0.01 #DIV/0! 3 CL 72 6.33 0 0 0.00 #DIV/01 4 PC 74 6.33 0 0 0.00 #DIV/01 5 0 0 0.00 #DIV/01 6 0 0 0.00 #DIV/0! 7 C 64 6.67 5,390 0 0.01 #DIV/0! 8 Cl 66 6.75 3,240 0 0.01 #DIV/0! 9 PC 55 6.92 4,890 0 0.01 #DIV/0! 10 C 38 7 3,370 0 0.01 #DIV/0! 11 Holiday 2,820 0 0.01 #DIV/01 12 2,820 0 0.01 #DIV/0! 13 2,820 0 0.01 #DIV/0! 14 PC 46 7.33 2,820 0 0.01 #DIV/0! 16 C 48 7.42 3,830 0 0.01 #DIV/0! 161 C 1 58 7.5 3,650 0 0.01 #DIV/0! 17 C 62 7.58 4,210 0 0.01 #DIV/0! 18 C 80 7.67 3,670 0 0.01 #DIV/0! 19 2,637 0 0.01 #DIV/01 20 1 2,637 0 0.01 #DIV/0! 21 C 47 7.92 0 0 0.00 #DIV/0! 22 C 39 7.92 0 0 0.00 #DIV/0! 23 CL 56 7.92 0 0 0.00 #DIV/0! 24 10LIDAY 0 0 0.00 #DIV/0! 25 iOLIDAY 0 0 0.00 #DIV/0! 26 0 0 0.00 #DIV/0! 27 0 0 0.00 #DIV/0! 28 CL 49 7.92 0 0 0.00 #DIV/0! 29 PC 64 7.92 0 0 0.00 #DIV/01 30 CL 69 7.92 0 0 0.00 #DIV/0! 31 0 0 0.00 #DIV/01 Total Gallons/Monthly Loading (inches) 0 1 0.00 54185 0.12 12 Month Floating Total (inches) 0.32 Average Weekly Loading (inches) 0 0.027372 WMAL OF \ WUVb: VtiWdr, r\.-P4141y GIVVuy, VI-GIVVuy, Ic-rain, an -snow, OivAUU[ Spray Irrigation Operator in Responsible Charge (ORC): Chad Leinbach Phone: (919) 260-7301 ORC Certification Number: 23928 Check Box if ORC Has Changed: ❑ Mail ORIGINAL and TWO COPIES to: ATTN: Non -Discharge Compliance Unit DENR0,�d 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 Page _of 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: /f a requirement does not apply to your facility put (NA) in the compliant box. ) 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." -�', 30 114 —(21 "') - S:-, / (Signature of Permittee)* ate JPC Utilities, LLC (Permittee -Please print or type) 1690 Highway 68 North Oak Ridge, NC 27310 (Permittee Address) Chad Leinbach (Name of Signing Official -Please print or type) ORC (Position or Title) 919 260-7301 (Phone Number) * If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 28.0506 (b)(2)(D). 11/30/20 (Permit Exp. Date) DENR FORM NDAR-1 (5/2003) Compliant N 1. The application rate(s) did not exceed the limit(s) specified in the permit. Y 2. Adequate measures were taken to prevent wastewater runoff from the site(s). YO 3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit 0 4. All buffer zones as specified in the permit were maintained during each application. YO 5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s) �J 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." -�', 30 114 —(21 "') - S:-, / (Signature of Permittee)* ate JPC Utilities, LLC (Permittee -Please print or type) 1690 Highway 68 North Oak Ridge, NC 27310 (Permittee Address) Chad Leinbach (Name of Signing Official -Please print or type) ORC (Position or Title) 919 260-7301 (Phone Number) * If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 28.0506 (b)(2)(D). 11/30/20 (Permit Exp. Date) DENR FORM NDAR-1 (5/2003) -NORDISCHARGE . -'El1lI= - ..AAGNITOPM a_REPORT PERMIT NUMBER: W00019755 FACILITY NAME: Oak Ridge Commons MONTH: November COUNTY Page of _ YEAR: 2016 Guilford Flow Monitoring Point: Effluent: Influent: ... .............................. . Parameter Monitoring Point: Effluent: N Influent: Lj Isurface Water (SW): SW Code/Name: Upset Pond Was There Effluent Flow For This Month Generated At This Facility: Yes: DQ No: D A T E Operator Arrival Operator ORC Time 2400 Time on on Clock site Site? 50050 Dally Rate (Flow) Into Treatment System 00400 pH 50060 Residual Chlorine 00310, BOD -5 20"C 00610 00530 NH3-N TSS 31616 625 FSI Coliform lce' metric mean-) TKN 630 Nitrate + Nitrite 665 Total Phosph orus HRS Y/N GALLONS UNITS UG/L MG/L MGIL MG/L /100ML MG/L MG/L MG/L 1116:001 1 Y 23,000 7.48 0.4 2 17:45 0.5 B 17,000 3 17:45 0.5 B 15,000 -4 _.11.:30 - -0:75— -13 _ _ 114,000 5 15,000 6 1 21,000 71 16:20 0.75 B 21,000 8 11:15 2.5 Y 15,000 7.41 0.76 9 18:15 0.5 B 15,000 10 16:50 0.25 B 14,000 11- - - -16;000- 12 16,000 131 16,000 14 18:25 0.75 B 16,000 15 13:30 2.5 Y 11,000 7.52 0.71 16 15:35 0.5 B 25,000 17 19:45 0.5 B 16,000: 18 15:00 0.75 B 14,000 191 21,000 20 21,000 21 16:40 0.75 B 21,000 22 10:50 1.67 Y 22,000 6.53 0.74 23 16:30 0.5 B 20,000 24 19,000 261 19,000 26 1-9;-000 27 19,000 28 18:20 1 B 19,000 29 13:30 1.67 Y 18,000.. 6.77 .0.91. 30 17:50 0.5 B 0 - 31 Average 17266.667 : : : : : : : : 0.704 #DIV/0! #DIV/0! #DIV/0! #NUM! #DIV/01 #DIV/0! #DIV/0! -Daily-Maximum- 25000 % 7-m-52 -0:91-- -0 -0- -0 __0_ -0 - -0 0 - Daily Minimum 01 6.531 0.41 01 0 0 0 0 0 0 Monthly Limit(s) 36000 Composite'(C) / Grab (G) G G G I G G G G G Operator in Responsible Charge (ORC): Check Box if ORC Has Changed: 7 Chad Leinbach Grade: ORC Certification Number: II/SI Phone: 919 260-7301 23928 Certified Laboratories (1): Conner Consulting; LLC (2): ENCO Person(s) Collecting Samples: Chad Leinbach Mail ORIGINAL and TWO COPIES to: ATTN: Non -Discharge Compliance Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DENR BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE -Division -of -Water -Quality AND-COMPL-ETE TOTHE-BEST-OF-MY-KNOWLEDGE. 1617 Mail Service Center RALEIGH, NC 27699-1617 DENR FORM NDMR-1 (5/2003) NON DISCHARGE WASTEWATER MONITORING REPORT Facility Status: Page of Please answer the following question: Compliant (Y,N) 1. Does all monitoring data and sampling frequencies meet permit requirements? DY 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. "Tcertify, under penalty of law, that this document and-alrattachments 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, includi g the possibility of fines and imprisonment for knowing violations." 4�� Z -Chad-. Chad Leiribach (Signature of Permittee)* Date (Name of Signing Official -Please print or type) JPC Utilities, LLC (Permittee -Please print or type) 1690 NC Highway 68 North -Oak-Ridge, NC 273 -10 - (Permittee Address) Parameter Codes: ORC (Position or Title) (919) 260-7301 11/30/20 (Phone Number) (Permit Exp. Date) 01002 Arsenic 31504 Coliform, Total 00600 Nitrogen, Total 00929 Sodium 01022 Boron 00094 Conductivity 00630 NO2&NO3 00931 SAR 00310 BOD5 01042 Copper 00620 NO3 00745 Sulfide 01027 Cadmium 00300 Dissolved Oxygen 00556 Oil -Grease 70295 TDS 00916 Calcium 31616 Fecal Coliform WQ09 PAN Plant Available 00010 Temperature 00940 Chloride 01051 Lead 00400 pH 00625 TKN 50060 Chlorine, Total Residual 00927 Magnesium 71900 Mercury 32730 Phenols 00665 Phosphorus, Total 00680 TOC 00530 TSSIrSR 01034 Chromium 00610 NH3asN 00937 Potassium 00076 Turbidity 00340 COD 01067 Nickel 00545 Settleable Matter 01092 Zinc Parameter Code assistance may be obtained by calling the Water Quality Compliance/Enforcement Unit at (919) 733-5083 ext. 529. The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the reporting facility's permit for reporting data. * If signed by other than the permittee, delegation of signatory authority must be on file with the state per 16A NCAC 2B.0506 (b)(2)(D). DENR FORM NDMR-1 (5/2003) 4 1 01 NON -DISCHARGE APPLICATION REPORT Page _of__ SPRAY IRRIGATION SITE(S) . THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED. PERMIT NUMBER: WQ0019755 MONTH: November , YEAR: 2016 FACILITY NAME: Oak Ridge Commons COUNTY- Guilford Formulas: Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cutlic feettgallon) x 12 (mcheslfoot)] /[Area Sprayed (acres) x43,560 (square feetlacre)] OR . . = Volume Applied (gallons) / [Area Sprayed (acres) x27,152 (gallonslacre-inch)] Maximum Hourly Loading (Inches) =Daily Loading (inches) / rrime 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) .. IH1wwL1,. 1 woAi-•. /i..wl.nnl - .. .... ......... ..... -... ... o ....... ..... •-n4\ Did Irrigation 8ccurAt This Facility: Yes: No: Di Irrigation Occur On This Field: Yes: No: Did Irrigation Occur On This Field: Yes: F1 No: El FIELD NUMBER: 1 - N Upset Pond AREA SPRAYED (acres): 7.32 COVER CROP -1 Grass, R fe/Fescue PERMITTED HOURLY RATE (inches): 0.5 FIELD NUMBER: AREA SPRAYED (acres): COVER CROP: PERMITTED HOURLY RATE (inches): D WEATHER CONDITIONS PERMITTED YEARLY RATE (inches): 22.21 PERMITTED YEARLY RATE (inches): A T E storage Weather Temperature Lagoon Code• at application Preeipita-tion Free -board Volume Time Applied Irrigated Daily Loading Maximum Hourly Loading Volume Time Applied Irrigated Maximum Daily Hourly Loading Loading ('F) inches feet gallons minutes Inches -Inches gallons minutes Inches Inches 1 Cl 75 0 8.88 17,856 452 0.09 0.01 2 16,983 429 0.09 0.01 3 16,983 429 0.09 0.01 4 16,983 429 0.09 0.01 6 16,983 429 0.09 0.01 6 16,983 429 0.09 0.01 7 16,983 429- 0.09 0.01 8 C 70 0 8.95 16,983 429 0.09 0.01 9 17,247 436 0.09 0.01 10 17,247 436 0.09 0.01 11 17,247 436 0.09 0.01 12 17,247 436 0.09 0.01 13 17,247 436 0.09 0.01 14 17,247 436 0.09 0.01 161 C 60 0 8.94 17,247 436 0.09 0.01 16 16,929 428 0.09 0.01 17 16,929 428 0.09 0.01 1s 16,929 428 0.09 0.01 19 16,929 428 0.09 0.01 20 16,929 428 0.09 0.01 21 16,929 428 0.09 0.01 22 C 45 0 8.96 16,929 1428 0.09 0.01 23 1 18,577 470 0.09 1 0.01 24 18,577 470 0.09 0.01 26 18,577 470 0.09 0.01 26 18,577 470 0.09 0.01 27 18,577 470 0.09 0.01 28 18,577 470 0.09 0.01 29 Cl 72 0.65 9 18,577 470 0.09 0.01 301 1 1 3,220 81 0.02 0.01 31 Total Gallons/Monthly Loading (inches) 509228 2.56 0 0.00 12 Month Floating Total (inches) 14.33 Average Weekly Loading (inches} 0.5974173 0 vveamer %10005: t. -clear, rt. -partly clouay, %.rcwuuy, m -ram, an -snow, w-sieet Spray Irrigation Operator in Responsible Charge (ORC): Chad Leinbach ORC Certification Number: 23928 Check Box if ORC Has Changed: Mail ORIGINAL and TWO COPIES to: ATTN: Non -Discharge Compliance Unit DENR Division of Water Quality 1617 Mail Service Center RALEIGH, NC 27699-1617 Phone: (919) 260-7301 (SIGNATURE OF OPERATOR IN RESPONSIBLE 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' Page _ofi SPRAY IRRIGATION SITE(S) a 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. Compliant N Y 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. 3/2/16 Found control panel at upset pond without power. Fuse was replaced 8/3/16 by Electrician. Problem resolved within 24 lours. Chad - ORC , "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." 61, b V Ks Chad Leinbach (Signature of Permittee)* Date (Name of Signing Official -Please print or type) JPC Utilities, LLC (Permittee -Please print or type) (Position or Title) 919 260-7301 1690 Highway 68 North (Phone Number) Oak Ridge, NC 27310 (Permittee Address) * If signed by other than the permittee, delegation of signatory authority must be on file with the state per 16A NCAC 28.0506 (b)(2)(D). 11/30/20 (Permit Ftp. Date) DENR FORM NDAR-1 (5/2003)