WQ0008489_Monitoring - 11-2020_20201215

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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _j_ of _I , t
Sampling Person(s)
Name: BaI56Y C04
Name: 21MEf W F. SM)LE(Z
Certified Laboratories
Name: N V I R0 tN ►M L lU T� l N L
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
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: 0105EP 4 F. S A O LE I?
Permittee: C'OUN'" OF H N O
Certification No.:
Signing Official: TOSEI° 14 , S A b LE Q
Grade: = Phone Number: (a5g) ct rp — 2-2-2-4
Signing Official's Title: I" h N i46 E K O PC
Has the ORC changed since the previous NDMR? ❑ Yes V�,No
Phone Number: Ca J D,, Cf2-�p -- 22 2- 4 Permit Expiration: Oa" 01 - ZO.22-
avjl `Ize,S
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

� I - FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I of
Permit No.: W00008489
Facility Name: Hyde Correctional Institution WWTF
County:
Field Name
Field Name:
2
F16
Did irrigation occur
Area acres
Area (acres):
9.5
at this facility?
Cover Crop
_
Cover Crop:
Cb,
Rate {in) liouriyHourly
Rate (in):
0.25
kouriv:
❑ YES ❑ NO
An it
Annual R ate (in):
14.56
Weather
Freeboard
Feld Irrigated?Field
Irrigated?
❑ YES ❑ NO
Field
0
E a>
. ...... .
. . ..... r.,
m
0
U
C. M
E 2D
'a
21
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:FL
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.2
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E
U)
0 Cl
0 CL
>
0
_j
M 0
CD
of
F
in
ft
ft
gal
min
in
in
Hyde
Month: Aj11jjj.-Ajj2rjF I Year:
Field Name:
4
Area (acres):
9.7
Cover Crop:
Hourly Rate (in):
0.25
Annual Rate (in):
14.56
Field Irrigated?
E] YES
E] NO
E .2
0 a
>
1.-
0
E cm
r
0
�x J
aal 7
min I
in
in
OEM
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rd PU
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No=
No=
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0 W_
sm
IBM
MMMM==
M=====
EM
mmmmm=
MMMEMIMMA
WF"AMMUMPTRI
mmmmmm
mm
mmmmmm
mmmmmm
mmmmmm
mm
mmmm
=
mm
Em
mmmmmmmm
mmmmmmmm
mmmremm=
EMM
6=06
mm====
ED
EM
M
MM
Monthly Loading:�
z
MONO,,
w
0/0,0002MMMON.
Mr.
li-M-onthFloating Total (in)AVZ1,1,1,1,11
?M00/1

FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page I 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?
P Compliant ❑ Non -Compliant
Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? J? Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? [9compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Fircompliant ❑ 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: 'Tog E P H F. S A D L L tZ
Permittee: C pC(N y OF N y n E
Certification No.: s:Sl
-
Signing Official: 3OSEP14 l SAL R
Grade: 3z- Phone Number: .%. Cj ;-to— Z ZZ4
C
/� 1r
Signing Official's Title: O RC
Has the ORC changed since the previous NDAR-1? El Yes t% No
Phone Number: C�S�, �b 2 Permit Exp.: Qg - O I * -
a,&A 6,A - 4, 0
0� 26
Signature Date
Signature Date
By this signature, I certify that this report is accurrale 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

F ORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _ ;?�, of _ `- -

rVKIVI: NUAK-1 'IU-IJ NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page -2.-, of —4—_ '
Did the application rates exceed the limits in Attachment B of your permit?
[Compliant
❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Compliant
❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
EV Compliant
❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
[Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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
Permittee Certification
ORC: 1-6661PH f, S6iDLCR
Permittee: COuNT1 OF 1}\(66
Certification No.:
Signing Official: 36SEPH F, SAOL.Gl2
Grade: _r Phone Number: �.J51) 0j;Llo-2,Z24
Signing Official's Title: O�� 1 IMI�N�GE2
Has the ORC changed since the previous NDAR-1? ❑ Yes ® No
Phone Number: Ca ) Z-(o — 122 Permit Exp.: O $ — d I " -0 '12-
07/ZO
2
U 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. 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

NON DISCHARGE APPLICATION REPORT Page Of
SPRAY IRRIGATION SITE(S)
PERMIT NUMBER: TOTAL NUMBER OF - FIELDS: 12— MONTH: AIDU M1RFK_ YEAR�cZ :
FACILITY NAME: IJU L wios WkITP. CLASS: _ COUNTY: IICID��
Formulas
Daily Loading Cocbes) = [Volume Applied (gallons) x 0.1336 (cubic feet/galloo) x 12 (inches/foot)] / [Area.Sprayed (acres) x 43,560 (square•feedacre)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / (rune Irrigated (minutes) / 60 (minutes/hour)] Monthly Loading (inches) = Sum of Daily Loadings (inches) ;
12 Month Floating Total (iaehes) = Sum of this month's Monthly Loading (inches) and previous I 1 month's Monthly Loadings (inches)
Average Weekly Loading ('inches) = [Monthly Loading (inclirdmonth) / Number of days in the month (daysfmonth)] x 7 (days/week)
FIELD NUMBER: <
FIELD NUMBER C_
AREA SPRAYED acres •
AREA SPRAYED (acres): .:
COVER CROP:
COVER CROP:
Pemaitted HOURLY Rate (inches): Z S
Permitted HOURLY Rate (inches): 0 .2,S7
WEATHER CONDMONS
Permitted WEEKLY Rate inches : 2
Permitted WEEKLY Rate inches
Temp.
Maximum
Maximum
D
A
Storage
T
Weathec
at
Precipi-
Lagoon
Volume
Time
Hourly
Daily
Volume
Tune
Hourly
Daily
E
Code*
a plication
Cation
Freeboard
Applied
Irrigated
Loading
Loading
Ap lied
Irrigated
Loading
Loading
CF)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
aft
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Monthly
Loading
(inches)
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12 Month
Floating Total
Cinches)
O D 9
Average Weekly
Loading
(inches)
` Weather Codes: S-sunny, PC -partly cloudy, Clcloudy. H-ram, on-snuw, --„swi PHONE 222
OPERATOR IN RESPONSIBLE CHARGE (ORC) Z&Em E S ( x-- GRADE .—
CHECK BOX IF ORC HAS CHANGED ❑
Mail ORIGINAL and TWO COPIES to:
ATTN.- COMPLIANCE GROUP
DIV_ OF ENVIRONMENTAL MGT.
DEHNR
P.O. BOX 29535
RALEIGH, NC 27626-535
X_&ATUOPER&OR
-------------
(SIN RESPONSIBLE CHARGE)
BTURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.

M'
FACILITY STABS:
Please indicate (by checking the appropriate box) whether the facility has been connl t or "On -compliant
with the following permit requirements: (Note_ If a requirement does not apply to your facility put (NA) in tfie
compliant box) non-
coxnnliant comvliant
1. The application rate(s) did not exceed the limit(s) specified in the permit.
2. Adequ , ate measures were taken to prevent wastewater runoff from the site(s). Q
3. A suitable vegetative cover was maintained on the site(s) in accordance with Q
the permit.
4. All buffer zones as specified W the permit were maintained during each
a ❑►
application.
S. The freeboard in the treatment and/or storage lagoon(s) was not less than the
limits) 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 dates) 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 f the son or assure that qualified
s who managethesysterly em, or those persons directly responsible
athered and evaluated the
submitted. Based on my inqury p
for gathering the information, e are sinf� nificantrmation uenaities forubmitting false infobmitted is, to the best of my znzationin culding the possibility of fines
complete. I am aware that they g P
and imprisonment for knowing violations."
(Permittee- Tease print or
Permittee)*
asa-926' 1115L og of-.Iqo2Z _
' (]]tone Number) (Peribit Flxp. Date)
(l ermittee Address)
" Ir signed by other than the permittee, delegation or signatory authority must be on file with the state per 15A NCAC 2B.0506 (b) (2) (D).

NON DISCHARGE APPLICATION REPORT Page of
SPRAY IRRIGATION SITE(S)
PERMIT NUMBER: JAG) 0001�M TOTAL NUMBER OF -FIELDS: - �Z MONTH: M YEAR::-=
FACILITY NAME: �%y_�()DOOS 1,tJI.IITP CLASS: _ COUNTY:
Formulas
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)) / [Ares Sprayed (acres) x 43560 (square"feet/aae))
Maximum Hourly Loading (inches) = Daily Loading (inches) / (Tune 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 I I month's Monthly Loadings (inches)
A Weekl Loadin rmhl ) = [Monthly Loading (inches/month) / Number of days in the month (days/mouth)) x 7 (daystweek)
verage y g
FIELD NUMBER
FIELD NUMBER:
AREA SPRAYED (acres): 3,11
AREA SPRAYID saes : . 2—
COVER CROP:
COVER CROP: r4 a rzo & R
Permitted HOURLY Rate (inches)" ,
.�S-5
Permitted HOURLY Rate (inches):
WEATHER CONDITIONS
Permitted WEEKLY Rate (inches)-: ©.
Permitted WEEKLY Rate inches
Weather
Temp.
at
Precipi-
Volume
Time
Maximum
Houuly
Daily
Volume
Maximum
Time Hourly
irrigated Loading
Daily
Loading
D
A
T
Storage
Lagoon
E
Code*
application
tation
Freeboard
Applied
Irrigated
Loading
Loading
Applied
...
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Weather Codes: S-sunny, PC -partly cloudy, CI -cloudy, R-rain, Sn-snow, SI-sleety
OPERATOR IN RESPONSIBLE CHARGE (ORC) »SEPI�t ��iQ GRADE_ PHONE
CHECK BOX IF ORC HAS CHANGED ❑
Mail ORIGINAL and TWO COPIES to:
ATTN: COMPLIANCE GROUP
DIV. OF ENVIRONMENTAL MGT.
UNTO '0•
P.O. BOX 29535
RALEIGH, NC 27626-535
X&ATU,,E
J.
(SOPERATOR 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
1. The application,rate(s) did not exceed the limit(s) specified in the permit.
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2. Adequate measures were taken to prevent wastewater., unoff from the site(s). 0
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
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limits) 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 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."
or type)
n
of Permittee)*
SuJAA) '- aQ-qlk-y[Q6 08-or-ao2Z-
(Phone Number) (Perrhit Flxp. Date)
(Permittee Address)
" 1r signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (t) (2) (D).