WQ0000193_Monitoring - 03-2020_20200429 (2)

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page Z of
Sampling Person(s) Certified Laboratories
Name: David Suther Name: Environmental Chemist's
Name: Nate Lindsay Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑� 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
ClUtIUI IkbI IdKUI I. MUCIGn dual L I U I ldr Sr rCCIJ II
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: David Suther
Permittee: Kennith Dwain Bowling
Certification No.: 27326
Signing Official: Kennith Dwain Bowling
Grade: 3 Phone Number: 910-448-0624
Signing Official's Title: Kennith Dwain Bowling
Has the ORC changed since the previous NDMR? El Yes 2] No
Phone Number: 910-457-7351 Permit Expiration: 11/30/2020
}
4/20/2020
i` 4/20/2020
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

NON -DISCHARGE MONITORING REPORT INDMRI
Page __Z_ of
Permit No.: WQ00001 93
Facility Name: Bald Head Island Club, Inc.
County: Brunswick
Month: March
Flow Measuring Point: 21 Influent 0 Effluent 0 No flow generated
Parameter Monitoring Point: 0 Influent [A Effluent El Groundwater Lowering ■ Surface Water
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FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page Z of z--
Sampling Person(s) Certified Laboratories
Name: Name:
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? El 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: Joseph Tyler Brown
Permittee: Kennith Dwain Bowling
Certification No.: 1009188
Signing Official: Kennith Dwain Bowling
Grade: Phone Number: [phone]
Signing Official's Title: Kennith Dwain Bowling
Has the ORC changed since the previous NDMR? ❑ yes 0 No
Phone Number: 910-457-7351 Permit Expiration: 11/30/2020
f
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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM:DA- /• • • ••- D.- Page If
Permit No.: W00000193
Facility Name: The Village of Bald Head Island
County: Brunswick
Month: March
Did infiltration occur at
Site Name:
Basin 4
ra z 17MAT-311
this facility?
Area (acres):
0,32
Area (acres):
Area (acres):
0YES NO
,D
......
Site Infiltrated?■
■
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FORM: NDAR-2 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page r __If
Did the application rates exceed the limits in Attachment B of your permit? 2 Compliant ❑ Non -Compliant
If not a basin, were the sites kept free of vegetation and raked? ❑✓ Compliant ❑Non -Compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites? QCompliant ❑Non -Compliant
If a basin, were there any instances of breakout from the berms? ❑✓ Compliant ❑Non -Compliant
Was the onsite automatically activated standby power source tested and operational? ❑� 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
ORC: David Suther
Certification No.: 27326
Grade: 3 Phone Number: 910-448-0624
Has the ORC changed since the previous NDAR-2? ❑ Yes ❑� No
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee:
Kennith Dwain Bowlin
Signing Official:
Kennith Dwain Bowling
Signing Officials Title: Utilities Director
Phone Number: 910-457-7351 Permit Exp.: 11/30/20
: �,/ —F�� 4/20/20
Signature Date
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

F(1RM NnAR-1 1n-1.1 N(1N_r1ICr'_41ARrUr APPI ICATIIIIN PPPr1RT /NIIAR_11 Page ( of _
Permit No.: WQ0000193
Facility Name: Bald Head Island Club, Inc.
County: Brunswick
Month: March
Year: 2020
Field Name:
NC-1
Field Name:
Field Name:
Field Name:
-
Did irrigation occur
at this facility?
Area (acres):
46.3
Area (acres):
Area (acres):
Area (acres):
Cover Crop:Cover
Crop:
P�
Cover Crop:
P�
Cover Cro P:
2 YES ❑ No
Hourly Rate (in):
0.2
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
91
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES ❑ No
Field Irrigated?
❑ YES ❑ 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 1
C 1
51
0
0.7
0
0
0.00
0.00
21
PC
1 64
0
0.7
347,987
660
0.28
0.03
31
PC
1 65
0.32
0.05
0
0
0.00
0.00
4
CL
62
0
0.25
0
0
0.00
0.00
5
R
53
0.41
0.4
0
0
0.00
0.00
6
C
61
1.25
0.6
0
0
0.00
0.00
7
C
55
0
0.8
0
0
0.00
0.00
8
C
58
0
0.8
0
0
0.00
0.00
9
C
66
0
0.8
301,866
600
0.24
0.02
10
CL
65
0
0.45
311,532
600
0.25
0.02
11
C
68
0
0.1
245,525
600
0.20
0.02
12
PC
68
0
0
0
0
0.00
0.00
13
C
69
0
0.6
0
0
0.00
0.00
14
C
66
0
0.7
0
0
0.00
0.00
15
PC
60
0
0.65
0
0
0.00
0.00
16
C
65
0
0.65
324,380
600
0.26
0.03
171
R
61
0
0.2
313,540
600
0.25
0.02
181
PC
1 64
0.64
0.6
0
0
0.00
0.00
191
C
1 72
0
0.2
337,329
600
0.27
0.03
201
C
1 72
0
0
0
0
0.00
0.00
211
C
1 74
0
-0.1
0
0
0.00
0.00
22
PC
57
0
0
0
0
0.00
0.00
23
PC
66
0
0.2
0
0
0.00
0.00
24
R
62
0.05
0.2
0
0
0.00
0.00
25
PC
72
0.76
0.2
90,821
360
0.07
0.01
26
PC
60
0
0
0
0
0.00
0.00
27
C
73
0
-0.1
0
0
0.00
0.00
28
C
73
0
-0.5
238,479
600
0.19
0.02
29
C
74
0
1 -0.7
238,479
1 600
0.19
0.02
30
C
73
0
-0.7
0
1 0
0,00
0.00
311
CL
1 65
0
-0.3
0
0
0.00
0.00
Monthly Loading:
2,749,938
2.19
0
0.00
0
0.00
0
0.00
12 Month Floating Total (in):
1.20

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page Z— of �-
Did the application rates exceed the limits in Attachment B of your permit?
O Compliant
❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
O Compliant
❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
El Compliant
❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
O Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? El 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.
IOperator in Responsible Charge (ORC) Certification II Permittee Certification I
ORC: Joseph Tyler Brown
Certification No.: 1009188
Grade: Phone Number: [phone]
Has the ORC changed since the previous NDAR-1? ❑ Yes P1 No
-,F- z.,)z a
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee:
Kennith Dwain
Signing Official:
Kennith Dwain Bowling
Signing Officials Title: Utilities Director
Phone Number: 910-457-7351 Permit Exp.: 11/30/20
/ b,G �G
Signature Date
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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617