WQ0000193_Monitoring - 08-2020_20201006

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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of -A,-
Sampling 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? [A 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
Perm ittee Certification
ORC: David Suther
Permittee: Kennith Dwain Bowling
Certification No.: 27326
Signing Official: Kennith Dwain Bowling
Grade: 3 Phone Number: 910-448-0624
Signing Officials 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
9/29/2020---
. .. 9/29/2020
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

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of k
Permit No.: WQ00001 •
• Head Island Club,AugustI
1
11
'• ■ No flow generated
Parameter Monitoring •. Groundwater r F1 Surface Water
Parameter Code 10
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FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page ol— of �+
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? 2] 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 2 No
Phone Number: 910457-7351 Permit Expiration: 11/30/2020
, zz��
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-2 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-2)
1W
Page of
Pertnit No.: W000001 93
Facility Name: The Village of Bald Head Island
County: Brunswick
Month: August
Year: 2020
• infiltration occur atI�
y-
this facility?
0.32
Area (acres):
p YES■ NO
'•
5,43
- '•
Aate -.
....NOp
■ I•Monthly
Sita Infiltrated?
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FORM: NDAR-2 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page :?, of
Didtihe application rates exceed the limits in Attachment B of your permit? ❑✓ 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? ❑✓ Compliant ❑ 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
I Certification No.: 27326
Grade: 3 Phone Number: 910-448-0624
Has the ORC changed since the previous NDAR-2? ❑ Yes 0 No
Permittee Certification
Permittee:
Kennith Dwain Bowlin
Signing Official:
Kennith Dwain Bowling
Signing Official's Title: Utilities Director
Phone Number: 910-457-7351 Permit Exp.
11 /30/20
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 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. 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

'FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-11 Page I of
Pormit No.: W00000193
Facility Name: Bald Head Island Club, Inc.
County: Brunswick
Month: August
Year: 2020
Did irrigation occur
Field Name:
NC-1
Field Name:
Field Name:
Field Name:
Area (acres):
46.3
Area (acres):
Area (acres):
Area (acres):
at this facility?
0 YES ❑ NO
Cover Crop:Cover
Crop:
p�
Cover Crop:
P:
Cover Crop:
P:
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?
El YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES [] NO
Field Irrigated?
❑ YES ❑ NO
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w 2
3
°F
in
ft
ft
gal
min
in
in
gal
min
In
in
gal
min
in
in
gal
min
in
in
1
C
89
0
0.3
203,855
600
0.16
0.02
2
C
87
0
0.4
144,971
600
0.12
0.01
3
CL
83
0
0.5
206,893
660
0.16
0.01
4
C
86
2.5
0.4
291,405
780
0.23
0.02
5
PC
87
0
0.3
0
0
0.00
0.00
6
PC
85
0
0.6
0
0
0.00
0.00
7
PC
86
0.94
0.4
0
0
0.00
0.00
8
PC
85
0.34
0.6
0
0
0.00
0.00
9
C
88
0
0.75
1 223,176
660
0.18
0.02
101
C
1 87
0
1 0.8
206,933
600
0.16
0.02
11
C
1 85
0.25
0.2
0
0
0.00
0.00
12
PC
85
0
-0.3
0
0
0.00
0.00
13
PC
84
2
-0.1
0
0
0.00
0.00
14
PC
85
0.17
0.4
0
0
0.00
0.00
15
CL
85
0
0.6
1 0
0
0.00
0.00
16
CL
85
0.3
0.6
0
0
0.00
0.00
17
PC
82
0.17
0.6
225,302
720
0.18
0.01
18
C
84
0
0
240,650
720
0.19
0.02
19
PC
82
0
-0.5
206,774
600
1 0.16
0.02
20
PC
81
0.43
-0.8
188,812
660
0.15
0.01
21
PC
82
0.1
0.5
144,647
600
0.12
0.01
22
PC
85
0.55
0.35
148,004
600
0.12
0.01
23
C
83
0
0
0
0
0.00
0.00
24
CL
84
3.8
0.5
0
0
0.00
0.00
251
CL 1
84
0.6
1
0
0
0.00
0.00
261
C 1
88
0
1 0.6
165,246
600
0.13
0.01
27
PC
88
0
0.7
176,568
660
0.14
0.01
28
PC
89
0
0.5
176,568
660
0.14
0.01
29
PC
88
0
0.45
169,201
660
0.13
0.01
30
PC
89
0.55
0.3
169,201
660
0.13
0.01
31
C
87
0
0.1
215,454
660
0.17
0.02
Monthly Loading:
12 Month Floating Total (in):
3,503,660
2.79
1.20
0
0.00
0
0.00
0
0.00

'FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2 of -.),-
bid 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?
E] Compliant ❑ Non -Compliant
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? FZ] Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? E] 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: Joseph Tyler Brown
Certification No.: 1009188
Grade: Phone Number: [phone]
I Has the ORC changed since the previous NDAR-17 ❑ yes P] 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
Signing Official:
Kennith Dwain Bowling
Signing Official's Title: Utilities Director
Phone Number: 910-457-7351 Permit Exp.: 11/30/20
f
Signature i 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