WQ0022870_Monitoring - 03-2020_20200506

FORM: NDMR 03-12
'M
NON -DISCHARGE MONITORING REPORT (NDMR) Page of Z
Permit No.: WQ0022870
Facility Name: Aqua North Carolina, Inc.- Chapel Ridge
County: Chatham
Month: March
Year: 2020
PPI:
2 Ll Influent o Effluent L] No flow generated
❑ Influent n Effluent 7 Groundwater Lowering C1 Surface Water
Parameter Code -►
50050
00400
50060 1
00310
00610
00530
31616
00545
00076
00620
00615
70295
00680
00940
00665
00625
E
O
C
OCIDUFE
X
O
O
O 0
L
O
O
E
E
N
°
15 Q
F"U)n
1
LL a)
U
0
d
Q
Z
Z
:°
O
OO
v_
O
.ow
O
CU
r
U
(n_
_O
a
Fi
a)U)
o
M
Z
t
24-hr
hrs
GPD
su
mg/L
mg/L
mg/L
mg/L
#1100 mL
mL/L
NTU
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
1
28,876
2
2
1330
2
69,691
7.2
0.81
2-1
3
1230
2
49,919
7.1
0.95
<2.0
<0.045
<2.5
<1.0
2
39
<0.017
480
6.2
65
4.6
<0.26
4
08:00
2
34,553
7.2
0.7
2
5
13:30
3
76,058
7.1
0.67
2
6
09:30
3
30,454
7
0.72
2
7
38,646
2
8
39,270
2
9
09:00
3
97,534
7
0.69
2
10
0930
3
26,162
7
0.74
2
11
13:00
2
34,123
7.1
0.59
2
12
11:30
3
35,941
7
0.73
2
13
09.30
1
96,458
7.1
0.42
2
14
47,591
2
15
55,543
2
16
10:00
3
38,215
7
0.49
2.1
17
11:45
3
52,041
7.1
0.63
<2.0
<0.045
<2.5
<1.0
2.1
43
<0.017
5.6
0.82
18
13:30
3
52,305
7.2
0,45
1,9
19
1100
2
25,902
7.2
0.58
2
20
09:45
2
34,478
7.1
0,81
2
21
36,137
2
22
85,076
2
23
13:45
2.15
45,675
7.2
0.72
2
24
13:30
3
62,637
7.1
1.01
2
25
13:45
2
58,536
7.2
0.73
2
26
10:15
1.75
57,532
7.1
0.55
2
27
09:45
1
60,339
7.1
0.62
2
28
59,045
2
29
1
61,691
2
301
09:30
1 2.1
58,271
7
1.19
2
311
09:00
1 2
53,742
7
0.74
2
Average:
51,692
0,71
0.00
0.00
0.00
1.00
2,01
41.00
0.00
480.00
6.20
65.00
5,10
0.41
Daily Maximum:
97,534
7.20
1.19
2.00
0.05
2.50
1.00
2.10
43.00
0.02
480.00
6.20
65.00
5.60
0.82
Daily Minimum:
25,902
7.00
0.42
2.00
0.05
2.50
1.00
1.90
39.00
0.02
480.00
6.20
65.00
4.60
0.26
Sampling Type:
Monthly Avg. Limit:
Daily Limit:

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page Z of 2-
Sampling Person(s) Certified Laboratories
Name: Eric Riggins Name: ENCO 591
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ra Compliant 11 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: Eric Riggins
Permittee: Aqua North Carolina
Certification No.: 1004049
Signing Official: Jackie Jackson
Grade: II Phone Number: 919-757-8212
Signing Official's Title:
Has the ORC changed since the previous NDMR? 11 Yes o No
Phone Number: 919-653-5773 Permit Expiration:
r,2zz.�4-ZI-
64�?
ZO
2
Signature Date
it It
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

Chapel Ridge Spray Irrigation Fields
12 MONTH ROLLING TOTAL APPLICATION IN INCHES
FIELD
Jan-20
Feb-20
Mar-20
Apr-19
May-19
Jun-19
Jul-19
Aug-19
Sep-19
Oct-19
Nov-19
Dec-20
12 MONTH
TOTAL
1
0.01
0
0.02
0
0.37
1.17
1.8
1.8
0.63
0.99
0.1
0.1
6.99
2
0
0
0.00
0
0.18
0.91
1.4
1.4
0.75
1.96
0.59
0.59
7.78
2B
0.03
0
0.06
0
0.36
0.91
1.4
1.4
0.4
1.2
0
0
5.76
3
0
0
0
0
0.38
1.04
1.6
1.6
0.77
1.38
0.191
0.19
7.15
3B
0.04
0
0.09
0
0.44
0.91
1.4
1.4
0.67
1.06
0.13
0.13
6.27
4
0.02
0
0.04
0.00
0.45
1.43
2.2
2.2
0.72
1.43
0.08
0.08
8.65
5
0.01
0
0.02
0
0.5
1.53
2
2.2
0.77
1.31
0.06
0.06
8.46
6
0.01
0
0.02
0
0.49
1.68
2.3
2.4
1
1.82
0.11
0.11
9.94
7
0.01
0
0.02
0
0.18
0.39
0.6
0.6
0.33
0.51
0.13
0.13
2.89
8
0.04
0
0.08
0
0.39
0.65
1
1
0.4
0.58
0.07
0.07
4.28
9
0.02
0
0.03
0
0.34
0.91
1.4
1.4
0.68
1.13
0.24
0.24
6.39
10
0
0
0
0
0.4
1.3
2
2
1.02
1.9
0.1
0.01
8.73
1013
0.02
0
0.05
0.00
0.32
0.91
1.4
1.4
0.59
1.03
0.21
0.21
6.14
11
0.03
0
0.06
0
0.11
1.04
1.6
1.6
0.07
0.13
0
0
4.64
11 B
0
0
0
0
0.32
1.04
1.6
1.6
1.14
2.57
0.43
0.43
9.13
11C
0
0
0
0
0.75
2.47
3.8
0
0.76
1.46
0.11
0.11
9.46
12
0
0
0
0
0.21
1.04
1.6
1.6
1.05
2.41
0.83
0.83
9.57
12B
0.09
0
0.17
0
0.28
0.52
0.8
0.8
0.13
0.16
0.26
0.26
3.47
13
0.02
0
0.03
0
0.36
1.171,8
1.98
0.64
1.19
0.23
0.23
5.85
13B
0
0
0
0.00
0.25
0.91
1.4
1.54
0.65
1.4
0.05
0.05
6.25
14
0.01
0
0.03
0
0.45
1.43
2.2
2.2
0.83
1.32
0.17
0.17
8.81
15
0.03
0
0.06
0
0.33
1.17
1.8
1.8
0.67
1.15
0.21
0.21
7.43
16
0.01
0
0.03
0
0.48
1.56
2.4
2.4
0.82
1.38
0
0
9.08
17
0.02
0
0.05
0
0.54
1.82
2.8
2.8
0.8
1.19
0
0
10.02
18
0.01
0
0.02
0.00
0.39
1.17
1.8
1.8
0.77
1.17
0.08
0.08
7.29
DR
0.01
0
0.02
0
0.14
0.26
0.4
0.4
0.2
0.43
0.08
0.08
2.02
CH
0
0
0.00
0
0
0
0
0
0
0
0
0
0
0
0
0

-7
FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I Of _ '
Permit No.: W00022870
Facility Name: Chapel Ridge WWTP
County: Chatham
Month: March
Year: 2020
Field Name:
F-2
ielftl jqame.,
Field Name:
F-3
Did irrigation occur
Area (acres):
114
Area (acres):
5.56
Area (acres):
422
Area (acres):
10.66
at this facility?
Crop:
Turf
Cover Crop:
Turf
Cover Crop:
Turf
Cover Crop:
Turf rf
Cover
Hourly Rate (in):
01
Hourly Rate (in):
0.1
Hourly Rate (in):
01
Hourly Rate (in):
0.1
F] YES LJ NO
Annual Rate (in):
20A7
Annual Rate (in):
20.47
I Annual Rate (in).-
7A3
Annual Rate (in):
20.47
Weather
Freeboard
Field Irrigated?
I,'YES I NO
Field Irrigated?
El YES E NO
Field Irrigated?
�.s NO
Field Irrigated?
El YES F1 NO
!t
o
.2
E
E
0
E C*
0
E 2
'rod
E
E 2
a
a
E
E
m
S
5
E 2D
S
E
o
CD
(D
CL
a
.3
0
Z3
CL
CL
t M
.9
M1 I
Ems`
E
P C
M
0
0 M
0
Z
0
0
-6
M
0
R 0 M
0
:E
E
U)
M CL
>
0
M _j
>
M
2
>
2
>
2
M
0)
a.
9 M
Ln
�4n
—F
OF
in
ft
ft
gal
min
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
2
3
yl
5
6
7
8
9
10
11
12
131
14
15
16
17
18
19
201
21
22
23
C
47
0
5.5ft
1,800
60
0,01
0.01—A
1,800
1,800
60
60
0,02
002
0.02
0102
24
C L
52
0
5.5ft
1,800
60
0,01
0',
25
26
27
281
1
29
30
j31
C
LL5
69
0
5.5ft
1,800
60
0�01
0-0-1
1.800
6
0 C
3
0
5.5ft
1,8
60
0.01
0.0
Monthly Loading:
7100
0.02
0
000
12 Month Floating Total (in):
6,99
7.78
536
7. 5

FORM: NUAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page / of Z'
Permit No.: WQ0022870
Facility Name: Chapel Ridge WWTP
County: Chatham
Month: March
Year: 2020
Did irrigation occur
Fiet%trse:-13
Field Name:
F-4
Field dame:
F
Field Name:
F-6
this facility?
Area {acres):
3.01
�
Area (acres):
7.18
-- ---
Area (acres):
13.22
Area (acres):
16.48
at
Cover Crop:Turf
Cover Crop:
P:
Turf
Cover Crop:
p:
'' Tu,
Cover Crop:
p:
Turf
❑ YES ❑ No
Hourly Rate (in):
0.1_
Hourly Rate (in):
0.1
Hourly Hate (in):
; 0.1
Hourly Rate (in):
0.1
Annual Rate (in):
7,43
Annual Rate (in):
20.47
Annual Rate (in):
20A7
Annual Rate (in):
7.43
Weather
Freeboard
Field Irrigated?
YES ND
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
. _' Y LLs NO
Field Irrigated?
2 YES ❑ No
m
o
U
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J
F
in
ft
ft
gal
min
in
in
gal
min
in
in
y
gal
min
in
_ in
gal
min
in
in
3
4
5
6
8
10
--
11
,
12
�-
13
14
;
15
16
17
18__
19
-
20
21
22
231
C
47
0
5.5ft
1,800
60
0024
0.02
1,800
60
0.01
0.01
1,800
60T
�0,01^
0.01
1,800
60
0.00
0.00
24
CL
52
0
5.5ft
1,800
60
002
_0.02
1,800
60
0.01
0.01
1,800
60
0.01
0.01
1,800
60
0.00
0.00
251
1
26
27
28
29
;
30
C
69
0
5.5ft
1,890
6�0
002u
002
1,800
60
0.01
0.01
1„100
60
0.,?i
0,01
1,800
60
0.00
0.00
311
CL 1
53 1
0 1
5.5ft 1
1 <60C3a0
7{)p3.09
0,02 .M'
627
0.02 :
1,800
60
0.01
0.01
_
1.800
60
_ _
001
1,800
60
0.00
0.00
Monthly Loading:
12 Month Floating Total (in):
7,200
0.04-
8.65
;7 0.02
8,46
7,200
Eff-0
-M
9.94

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I of 2-
Permit No.: W00022870
Facility Name: Chapel Ridge WWTP
County: Chatham
Month: March
Year: 2020
"Field Wattle;
1~-7
Field Name:
F-8
ieidName:
F-3'
Field Name:
F-10
Did irrigation occur
Area (acres):
16A8
Area (acres):
4.06
Area (acres):
10.11
Area (acres):
5.76
at this facility?
Cover Crop:Turf
Cover Crop:
p:
Turf
P-
Cover Crop:
Turf
Cover Crop:
p:
Turf
El YES ❑ No
Hourly Rate (in)
0.1
Hourly Rate (in):
0.1
Hourly Rate (in):
0.1
Hourly Rate (in):
0.1
Annual Rate (in):
_ 20.47
Annual Rate (in):
20.47
Annual Rate (in):
20.47
---
Annual Rate (in):
20.47
Weather
Freeboard
Field Irrigated?
.., YES NO
Field Irrigated?
O YES ❑ NO
Field irrigated?
, _ YES No
Field Irrigated?
❑ YES O NO
A
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o
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a
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i= LM
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f0o
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xOo
_
J
°E
in
ft
ft
gal
min
inin
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
2
3
4
5
6
w
r.
_
8
9
10
11
- --
12
13
14
15
16
_
17
18
_-
19
20
21
22
_
23
C
47
0
5.5ft
2,250
60
0.01
0 01
2,250
60
0.02
0.02
__
1,800
60
0.01
0.01
24
CL
52
0
5.5ft
2.250
60
0,01
0,01
2,250
60
0.02
0.02
1,800
60
0.01
0:01
25
26
-
-
27
28
29
301
C
69
0
5.5ft
2. 50
0
0 01
11 t 1
2,250
60
0.02
0.02
1,800
60
0 01
0 o1
31
CL
53
0
5.5ft
2,250
9,000
60
0.01
0.02
__2.89. _
`_�.€11
2,250
60
0.02
0.02
1,800
60
001
0.0111,
Monthly Loading:
12 Month Floating Total (in):
9,000
0.08
4.28
0 37
6.39
0
0.00
8.73

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page / of 2—
Permit No.: WQ0022870
Facility Name: Chapel Ridge WWTP
County: Chatham Month: March
Year: 2020
Pield Name-
F-_lob
Field Name:
F-11
ietrT Name":""FA
IS
--
Field Name:
F-11 C
Did irrigation occur
- - - --
Area (ages):
5.69
Area (acres):
4.79
— -
Area (acres):
4,2
Area (acres):
9.37
at this facility?
-----------
CoverCrop:
Tur
Cover Crop:
Turf
Cover Crop:
Turf
Cover Crop:
turf
❑ Yes ElNO
Hourly Rate (in):
0.1
Hourly Rate (in):
0.1
Hourly Rate (in):
0.1
Hourly Rate (in):
0.1
Annual Rate (in):
743
Annual Rate (in):
20.47
Annual Rate (in):
20.47
Annual Rate (in):
7.43
Weather
Freeboard
Field Irrigated?
- Ye:=. nay
Field Irrigated?
El YES ❑ NO
Field Irrigated?
Tts NO
Field Irrigated?
❑ YES F❑Id9
p
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in
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_
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gal
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in
gal
min
in
in
1
2
3
4
5
1
_
—. _._..__.
7
8
9
10
---
11
r—
13
14
15
16
17
18
19
i
20
21
22
23
C
47
0
5.5ft
1,800
60
001
0.01
1,800
60
0.01
0.01
_
24
CL
52
0
5.5ft
1,800
60
0.01
0.01
1,800
60
0.01
0.01
25
261
271
28
29
30
C
69
0
5.5ft
1,800
60
0 C)1
0,01
1,800
60
0.01
0.01
31
CL
53
0
5.5ft
1;800
50
0;01
0,05
6A4
0,01
1,800
60
0.01
0.01
Monthly Loading
12 Month Floating Total (in):
7,200
0.06
4.64
.HL)� ._..
0
9
0
]E946

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of 21

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page % of Z

FORM NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page / of Z

FORM: NDAR-1 05-16
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page L- of
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
El Compliant ❑ Non -Compliant
21 Compliant ❑ Non -Compliant
M Compliant ❑ Non -Compliant
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.
I Operator in Responsible Charge (ORC) Certification II Permittee Certification I
ORC: William Brian Peters
I Certification No.: 987582
Grade: SI Phone Number: 919-545-2201
Permittee:AO�k.
Signing Official:
Signing Official's Title:
Has the ORC changed since the previous NDAR-1? ❑ Yes O No Phone Number: q(C.,— tiS3-5773 Permit Exp.: 2-0
L�j►
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: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: W00022870
Facility Name: Buck Mountain Development
County: Chatham
Month: March
Year: 2020
Field Name:
OS-1
Field Name:
OS-2
Field Name:
OS-3
Field Name:
OS-6/OS-7
Did irrigation occur
Area (acres):
7.4
Area (acres):
2.3
Area (acres):
0.7
Area (acres):
5.6
at this facility?
Cover Crop:
p�
Turf Grass
Cover Cro P�
Turf Grass
Cover Cro P�
Turf Grass
Cover Cro p'
Turf Grass
El YES L1 NO
Hourly Rate (in):
0.1
Hourly Rate (in):
0.1
Hourly Rate (in):
0.1
Hourly Rate (in):
0.1
Annual Rate (in):
20.4
Annual Rate (in):
20.4
Annual Rate (in):
20.4
Annual Rate (in):
20.4
Weather
Freeboard
Field Irrigated?
n YES ❑ NO
Field Irrigated?
F1 YES 0 NO
Field Irrigated?
❑ YES 2 NO
Field Irrigated?
D YES ❑ NO
QT
m
a
o
U
5
d
E
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0
Co
a
a�
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a0.
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oa R
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1
H
_
p0
0
J
=9
0
J
_
o
o
c
=
J
o
;
__
J
p po°
a
> Q
_`
T
Jc
0
0
>x>3,
vJ�m
K OaCL
00
3
°F
�inj
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
PC
30
0
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
2
PC
48
0
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
3
PC
58
0
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
4
R
53
0.21
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
5
PC
50
0
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
6
PC
45
0.5
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
7
PC
40
0
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
8
PC
33
0
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
9
PC
43
0
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
10
PC
62
0
5.5
0
0
0.00
0.00
0
0
0.00
1 0.00
0
0
1 0.00
0.00
0
0
0.00
0.00
11
PC
59
0
5.5
0
0
0.00
0.00
0
0
0.00
1 0.00
0
0
0.00
0.00
0
0
0.00
0.00
12
PC
57
0
5.5
0
0
0.00
0.00
0
0
0.00
1 0.00
0
0
0.00
0.00
1 0
0
0.00
0.00
13
PC
69
0
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
14
PC
57
0
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
15
PC
53
0
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
16
PC
49
0
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
17
PC
55
0
5.5
0
0
0.00
1 0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
18
PC
51
0
5.5
0
0
0.00
0.00
0
0
0.00
1 0.00
0
0
0.00
0.00
0
0
0.00
0.00
19
PC
64
0.01
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
20
PC
71
0
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
21
PC
56
0
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
22
R
52
1 0.07
5.5
1
1 720
60
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
1 0
0.00
1 0.00
23
R
49
1 0.26
5.5
0
0
0.00
0.00
0
1 0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
24
R
55
0.09
5.5
720
60
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
25
R
51
1.13
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
1.0
0
0.00
0.00
26
PC
53
0
5.5
720
60
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
27
PC
57
0
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
28
PC
68
0
5.5
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
29
PC
74
0
5.5
60
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
30
PC
69
0
5.5
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
31
PC
51
0
5.5
L31
60
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
Monthly Loading:
0.02
0
0.00
0
0.00
0
0.00
12 Month Floating Total (in):
13.08
13.06
7.38
7.26

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
o Compliant O 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?
o Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
o Compliant 0 Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
a Compliant 0 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: Perry Lloyd Jordan
Certification No.: 1006237
Grade: SI Phone Number: 919-795-9313
Has the ORC changed since the previous NDAR-1? ❑ Yes o No
�Z� �/ L t _ Cr — L
ignature ` Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee: Pv. q J A, I Yc.
Signing Official: , �CdL Sic -
Signing Official's Official's Title: r tti1 C �u�t�✓ tJt� —
Phone Number: q 1ok �. �? Permit Exp.: 2 �!
Signature Date
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
vith a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on m
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. 1 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