WQ0008489_Monitoring - 03-2020_20200506

FORM. NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of
Permit No.: WQ0008489
Facility Name: Hyde Correctional.Institution WWTF
County: Hyde
Parameter Monitoring Point: influent Effluent roun wa er owering
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT 1NDMR1 Page_ of I
Sampling Person(s) Certified Laboratories
Name: goiggY r On Name: NVI R0A% iM 1= IV NC_.
Name: C6EI W F. SfWLE(Z Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 59 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: TOSEP 44 F S R D LE tz Permittee: COuN " (0 F H y 0 c
Certification No.:
Grade: = Phone Number: (a5�) ct Z (o ^ 2-2-2-4f
Has the ORC changed since the previous NDMR? ❑ Yes V�,No
Signing Official: J-OSEID 14 ("', S A I i-E Q
Signing Official's Title: I" n N 14G E K d RC
Phone Number: C:2 J a, Cr2_G ^ 2Z 2- q Permit Expiration: 08 Ot - ao.2-Z
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Signature Date V 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

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rzrrvit No.: w111:4:9
•- Correctional Institution
Did irrigation occur
Field Name:
Field Name:;
facility?
Area (acres):
Area (a c res):
Area (acres):
at this
Cover Crop:
Cover Crop:'
Cover Crop:
YES
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FORM NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _ of �F
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Permit No.: �III:�:•
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NaField
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• irrigation occur—
Area (acres):
Area (arres):
at this facility?
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rvrtm. rvvfVIrc Uo-I/ NUN-UI5GHARGE MONITORING REPORT (NDMR)
Sampling Person(s) Certified Laboratories
Name: BOBBY FoX Name: �NUI R0tJ L NT I-- �C
Name: Z-C6EPH F. Sf�bLECZ Name:
rage 2—_ oT
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
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification vPermitteeCertification
ORC: .106E'1 O F Sf1tM--E1? Permittee: CouN" 0 F f� 10
I Certification No,:
Grade: Phone Number: Ca�ja� 9 -2 ^ ZZz-4
Has the ORC changed since the previous NDMR? \ ❑ Yes $,No
Signing Official: J-OSEP 14 F, S A W—E Q
Signing Official's Title: wt N 14G E K (.0 R c
Phone Number: Ca,5),, (�2_(o " 22.2- 4 Permit Expiration: Cie- OI - ao.2Z
t. 1 ..-..— ..- -1 - I
- — - - -
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

NON DISCHARGE APPLICATION REPORT Page of
SPRAY IRRIGATION SITE(S)
PERMIT NUMBER: W6 C OO 12489 TOTAL NUMBER OF- FIELDS: 12- MONTH: M ARCY -- YEAR: -40--W
FACILITY NAME: ala Wwlos 14/'111rp- CLASS: COUNTY:
�T Formulas `
Daily Loading (inches) = (Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] / (Area Sprayed (acres) x 43,560 (square•feet/acre)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / (I"une Irrigated (minutes) / 60 (minutesthour)] Monthly Loading Cinches) = Sum of Daily Loadings (inches).'
12 Mouth Floating Total (inches) = Sum of this months Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading (inches/mouth) / Number of days in the month (days/month)] x 7 (daystweek)
FIELD NUMBER: <
HELDNUMBER: I C.
AREA SPRAYED acres : 1
AREA SPRAYED (acres): .1
COVER CROP:
COVER CROP:
Permitted HOURLY Rate Cinches): Q. 2S'
Permitted HOURLY Rate (inches): Q .
WEATHER CONDITIONS
Permitted WEEKLY Rate Cinches): . 2
Permitted WEEKLY Rate inches
Temp.
Maximum
Maximum
D
A
Storage
T
Weathei
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Volume
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Wealher Codes: S-sunny, PG -partly cloudy, CI -cloudy, R-raln, Sn-snow, Si -steer
GRADE �— PHONE 222
OPERATOR IN RESPONSIBLE CHARGE (ORC) u
CHECK BOX IF ORC HAS CHANGED 0
Mail ORIGINAL and TWO COPIES to:
ATTN: COMPLIANCE GROUP
DIV. OF ENVIRONMENTAL MGT.
DEHNR
P.O" BOX 29535
RALEIGH, NC 27626-535
(SI&ATUEOPERATOR IN RESPONSIBLE CHARGE)
BYTURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.

FACILITY STATUS:
Please indicate (by checking the appropriate box) whether the facility has been compliant or non -compliant
with the following permit requirements: (Note: If a requirement does not apply to your facility put (NA) in the
compliant box.) non-
compliant compliant
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 El
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) specked 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 noncompliance 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 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."
(Perrnittee- lease printortype)
��//n _ / `'
(Sigoturdof Permittee)x kMv LL j
i� 4151 og�or-�ozz
(Permittee Address) (Phone Number) (Perj!nit Flip. Date)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b) (2) (D).

NON DISCHARGE APPLICATION REPORT Page
SPRAY IRRIGATION SITE(S)
PERMIT NUMBER: �a9- TOTAL NUMBER OF FIELDS: 1'Z MONTH: MAC 9 YE�IAJR�::aO
FACILITY NAME:�_— �JA)TP — CLASS: rl_____ COUNTY:
Formulas
Daily Loading (inches) = (Volume Applied (gallons) x 0.1336 (cubic feettgallon) x 12 (inches/foot)] / (Area Sprayed (acres) x 43560 (square.feet/aae)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / (Time Irrigated (minutes) / 60 (minures/hour)] Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Mouth Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
FIELD NUMBER: qD
PIELD NUMBER:
AREA SPRAYED (acres):
AREA SPRAYED (acres : • 2-
/I y�
D G-OS
COVER CROP:
COVER CROP.
Permitted HOURLY Rate (inches):
Permitted HOURLY Rate (inches): • 245­
WEATHER
CONDITIONS
Permitted WEEKLX
Rate inches : ©.
Permitted WEEKLY
Rate (inches):
d
Temp.
Maximum
Time Hourly
Daily
Volume
Time
Maximum
Hourly
Daily
0
A
Storage
T
E
Weather
Code-
at
application
Precipi-
tation
Lagoon
Freeboard
Volume
Applied
Irrigated Loading
Loading
Applied
Irrigated
Loading
Loading
('F)
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inches
feel
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Average Weekly Loading (inches)
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Weather Codes: S-sunny, PC -partly cloudy, CI -cloudy, R-rain, Sn-snow, Zt-sieet
OPERATOR IN RESPONSIBLE CHARGE (ORC) JOSEPH E. •x"�XJE9 GRADE � PHONE q +Z6ZZ2-
CHECK BOX IF ORC HAS CHANGED O
Mail ORIGINAL and TWO COPIES to:
ATTN: COMPLIANCE GROUP
DIV. OF ENVIRONMENTAL MGT.
DEHNR
P.O. BOX 29535
RALEIGH, NC 27626-535
X&ATUSIE
J�jjIIA-
a--------------
OPERATOR IN RESPONSIBLE CHARGE)
BTURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.

FACILITY STATUS:
Please indicate (by checking the appropriate box) whether the facility has been compliant or non -compliant
with the following permit requirements: (Note: If a requirement does not apply to your facility put (NA) in the
compliant box.) non-
compliant compliant
I. The application, rate(s) did not exceed the limit(s) specified in the permit. M
❑
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.
rul
4. All buffer zones as specified in the permit were maintained during each
application.
El
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the ®
limit(s) 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
permit. Provide in your explanation the date(s) of the noncompliance and describe the corrective action(s) taken.
additional sheets if necessary.
with its
Attach
" 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 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."
raw 414
(Eermittee- PI ase print Qr type)
of Permittee)*
2-1 L 0Zo
(Date)
GAD �nx[�� SW�4ti Q�ar -r r�____�c �7gsss� �5�..-gZro-Ll dg-o�, aoZZ -
(Permittee Address) (Phone Number) (PerAiit Flxp. Date)
,k If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b) (2) (D).