WQ0022870_Monitoring - 03-2021_20210506

' F9RM: NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page of
4:1
Permit No.: WQ0022870 Facility Name: Aqua North Carolina, Inc.-Chapel Ridge County: Chatham Month: March Year: 2023-
PPI: 2 Li Influent ❑ Effluent ❑ No flow generated ❑ Influent O Effluent ❑Groundwater Lowering I Surface Water
Parameter Code --► 50050 00400 50060 00310 00610 00530 31616 00545 00076 00620 00615 70295 00680 00940 00665 00625
l9 0 i9 c N ` m C
t m E °' = m c in
o o m c a o -13
ty m c s d rn
a ° a o, ;� •o O E o a•o m - a, •o ;2- „ o N •o pro _o o N Y o
U R. L4 1- d t co E I- N w ILL O fn 7 2 2 I- N N L ~
occ wU Q 7 U 1- 0 Tu. O = oZ
O N I- 0 F-
24-hr hrs GPD su mg/L mg/L mg/L mg/L #/100 mL mL/L NTU mg/L mg/L mg/L mg/L mg/L mg/L mg/L
1 13:00 2 46,388 7.4 0.44 2.1
2 08:00 2.5 110,015 7.3 0.62 11 0.052 <2.5 <1.0 2 54 <0.017 530 6 69 5.9 1.2
3 11:00 1.5 35,712 7.5 0.72 2
4 10:00 2 41,961 6.9 0.59 2
5 11:007 1 98,752 7.2 0.68 2
6 _ 52,722 2
7 36,097 2
8 10:00 4 36,859 7.2 0.32 _ 2
9 14:30 2 93,928 7.1 0.41 2
10 12:00 4.5 36,633 7 0.19 2
11 09:30 2.5 37,480 7.1 0.55 2
12 08:00 1.5 41,527 7 0.44 2 ‘,1 -
13 60,814 2 '1 2 -\
14 59,957 2
15' 12.30 4 42,644 7 0.57 2.1
16 08:00 3.5 60,328 7 1.13 2_.8 <0.045 <2.5 2.1 57 0.35 ti
r' ��,c���r 4,', 75 0.8
17 08:00 4 64,697 7 0.41 2.1
18 08:00 2.5 61,035 7.1 0.97 <1.0 2.1
19 08:00 2.5 35,392 7.1 0.88 2
20 41,636 2
21 36,935 2
22 15:00 1.5 107,006 7 0.19 2
23 08:00 4 12,722 7 0.15 2
24 08:00 4 75,577 7 0.21 r 2
25 12.30 3.5 74,943 7.1 0.24 2
26 08:00 3 39,924 7.1 0.35 2
27 46,578 2
28 57,309 2
29 08:00 4.5 55,794 7.1 0.29 2.1
30 12:00 4 45,381 7.1 0.42 2.1
31 13:00 3.5 47,500 7.1 0.13 2.1
Average: 54,653 0.47 6.90 0.03 0.00 1.00 2.03 55.50 018 530.00 6.00 69.00 6.70 1.00
Daily Maximum: 110,015 7.50 1.13 11.00 0.05 2.50 1.00 2.10 57.00 0.35` 530.00 6.00 69.00 7.50 1.20
Daily Minimum: 12,722 6.90 0,13 2.80 0.05 2.50 1.00 2.00 54.00 0.02 530.00 6.00 69.00 5.90 0.80
Sampling Type:
Monthly Avg. Limit:
Daily Limit:

FORM:NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page of Z'
Sampling Person(s) Certified Laboratories
Name: Eric Riggins Name: ENCO 591,AQUA 5051
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? O 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: Eric Riggins Permittee: Aqua North Carolina
Certification No.: 1004049 Signing Official: Peter Rhodes
Grade: II Phone Number: 919-757-8212 Signing Official's Title: Field Supervisor
Has the ORC chang since the previous DMR? ❑Yes 0 No Phone Number: 910-502-4008 Permit Expiration: 2/28/2025
15-Li -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

Chapel Ridge Spray Irrigation Fields
12 MONTH ROLLING TOTAL APPLICATION IN INCHES
FIELD Jan-21 Feb-21 Mar-21 Apr-20 May-20 Jun-20 Jul-20 Aug-20 Sep-20 Oct-20 Nov-20 Dec-20 12 MONTH
TOTAL
1 0 0 0.38 0.1 0.06 0.54 1.37 0.3 0.65 0.99 0 0 4.39
2 0 0 0.58 0 0 0.81 2.09 0.47 1.06 1.65 0 0 6.66
2B 0 0 0.27 0.2 0.11 0.44 1.08 0.24 0.42 0.58 0 0 3.34
3 0 0 0.45 0 0 0.63 1.62 0.36 0.81 1.26 0 0 5.13
3B 0 0 0.41 0.2_ 0.21 0.67 1.61 0.35 0.61 0.83 0 0 4.89
4 0 0 0.48 0.10 0.07 0.71 1.8 0.4 0.83 1.25 0 0 5.64
5 0 0 0.46 0.1 0.05 0.71 1.81 0.4 0.81 1.24 0 0 5.58
6 0 0 0.21 0.1 0.05, 0.31 0.78 0.17 0.36 0.54 0 0 2.52
7 0 0 0.21 0.1 0.05 0.31 0.78 0.17 0.36 0.54 0 0 2.52
8 0 0 0.27 0.2 0.14 0.5 1.2 0.26 0.38 0.5 0 0 3.45
9 0 0 0.43 0.1 0.05 0.61 1.54 0.34 0.73 1.11 0 0 4.91
10 0 0 0.58 0 0 0.81 2.07 0.46 1.04 1.61 0 0 6.57
10B 0 0 0.41 0.10 0.08 0.61 1.53 0.34 0.68 1.01 0 0 4.76
11 0 0 0.07 0.1 0.1 0.12 0.26 0.06 0.06 0.03 0 0 0.8
11 B 0 0 0.75 0 0 1.05 2.7 0.6 1.35 2.1 0 0 8.55
11 C 0 0 0.44 0 0 0.62 1.59 0.35 0.8 1.24 0 0 5.04
12 0 0 1.01 0 0 1.42 3.64 0.81 1.82 2.83 0 0 11.53
12B 0 0 0.54 0.4 0.3 0.84 1.98 0.43 0.75 0.99 0 0 6.23
13 0 0 0.47 0.1 0.07 0.67 1.69 0.37 0.8 1.22 0 0 5.39
13B 0 0 0.34 0.00 0 0.47 1.22 0.27 0.61 0.95 0 0 3.86
14 0 0 0.49 0.1 0.05 0.69 1.75 0.39 0.85 1.3 0 0 5.62
15 0 0 0.47 0.1 0.1 0.68 1.7 0.37 0.77 1.14 0 0 5.33
16 0 0 0.39 0.1 0.05 0.57 1.42 0.31 0.67 1.01 0 0 4.52
17 0 0 0.45 0.1 0.09 0.69 1.73 0.38 0.74 1.1 0, 0 5.28
18 0 0 0.41 0.10 0.05 0.59 1.5 0.41 0.72 1.1 0 0 4.88
DR 0 0 0.12 0.1 0.05 0.14 0.35 0.09 0.18 0.26 0 0 1.29
CH 0 0 0.00 0 0 0 0 0 0 0 0 0 0
0
0
0

FC--RM NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I of '2
Permit No.: WQ0022870 Facility Name: Chapel Ridge WVVTP
County: Chatham
I Month: March
Year: 2021
rie:
Did irrigation
F-1
F-Field Name:
F-2
Field Name:
F-2B
Field Name:
F-3
occur
,V Area (acres).
11.4
Area (acres):
5,56
Area (acres):
4,22
Area (acres):
10.66
at this facility?
Cover Crop,
- -----
Turf
Cover Crop:
Turf
Cover Crop,
Turf
Cover Crop:
Turf
YES F-1 NO F oour!y Rate (in):
Annual Rate (in):
0,1
20.47
Hourly Rate (in):
Annual Rate (in):
0.1
20.47
Hourly Rate (in):
Annual Rate (in):
0.1Hourly
7.43
Rate (in):
Annual Rate (in):
0.1
20.47
Weather
Freeboard Field Irrigated?
YES 'No
Field Irrigated?
YES ❑ NO
Field Irrigated?
YES NO
Field Irrigated?
YES El NO
0
CL
E
.0l
cis
Cu)L -am E S,
.2 a
-a 0 a
Cc CL > 4C
C?
L0
E
V
E
z
E
:3
-0 CL
>
CU
2)
M
0
E
E = -a
0 M
0
_j
= a
>
M
Ao Z
E
= 2� s
:3
x
_j
E T
>
CD
_j
E
E
-T, 0 0
'F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
M 7,n_
in
in
gal
min
in
in
2
3
4
5
6
7
8
PC
42
0
5ft
3,400
480
0.08
0,01
17,550
480
0.12
0.01
6,300
480
0,05
0.01
26,100
480
0.09
0.01
9
PC
54
0
5ft
23.400
480
0.08
0 01
17,550
480
0.12
0.01
6,300
480
0-05
0.01
26,100
480
0.09
0.01
10
C
59
0
5ft
23,400
480
0,08
0,01
17,550
480
0.12
0.01
6.300
480
0.05
0.01
26,100
480
0.09
0.01
11
PC
61
0
5ft
23:400
480
0.08
0.01
17,550
480
0.12
0.01
6-300
480
0.05
0.01
26,100
480
0,09
0.01
12
PC
66
0
5ft
23,400
480
0.08
0.01
17,550
480
0.12
0.01
6,300
480
0.05
0,04
26,100
480
0.09
0.01
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
L
5.13 3
12
Month
Monthly Loading:
Floating Total
(in):llllllllllllll
0 8
17 711
A
W
-0758
6.66
5,00
3-34

FORM:NDAR-1 05-16 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page _of
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? 0 Compliant ❑Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 0 Compliant ❑Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Q 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: William Brian Peters Permittee: AQUA NC
Certification No.: 987582 Signing Official: POI
Grade: SI Phone Number: 919-545-2201 Signing Official's Title: Field Supervisor
b5' (
Has the ORC chang since the revious NDAR-1? ❑Yes ❑No Phone Number: 919-653-53 Permit Exp.: 2/28/25
\27 1+,IC-21 // 4-),(-2.1
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 05-16 NON-DISCHARGE APPLICATION REPORT (NDAR-1) Page of
•
Permit No.: WQ0022870 Facility Name: Chapel Ridge WWTP County Chatham Month: March Year: 2021
r r Field Name: F-6
� Field Name: F-4
Did irrigation occur
Area{ Area(acres): 7.18 Area(acres): 16.48
at this facility? .Cover . Cover Crop: Turf
Cover Crop: Turf ;.,
lt.. ,'1•4t d1•E
Pettily Rate(ntj f?.1 Hourly Rate(in): 0.1 . Hourly Rate(in): 0.1
❑YES ❑� NO rc R d �'.r.,L s
Annual Rate tin)11
i 7.43 Annual Rate(in): 20.47 Atittrn�s e, Annual Rate(in): 7.43
Weather Freeboard Field ir�tgated? YES Field Irrigated? ❑YES ❑No t it3tdf • _ • Field Irrigated? ❑YES ❑NO
w 1: hex nl11 i P
m �, ar m a a w £ a� y 33 °' ° -a a) E >. c
T o y Qf ' t# ? s» F m m ;; ?_ c a c m drd > c
m V a � I a _a E m v F 2 c _E .. : £ m a � � a
p d •a .� a E. * p{ r m ° rn m ,� •X o a ,. a rn •ra m X o
° E •{.1 0 >� Q. " ty' l"" y 6• a Q� F •L a = a { . '',r a Q. •L a a
°r in ft ftgal
_rti i # (-~in
- gal min in in gal min p�. in in gal min in in
1 1 i______._.n .,
--t - tl -
3 ., _ __. __ . _ . _n_
5 , E ! ¢
_ Ii _
6 _ _. T.__ ._ _ _.
8 PC 42 0 5ft 6.750 480 O.QB 0.01 18,900 480 0.10 0.01 33,30u 48C C#9 0Q1 18,900 480 0.04 0.01
9 PC 54 0 5ft f 6i,750 w 480 0a 8 3 01 18,900 480 0.10 0.01 33,80 480 3.89 Q.t}1 18,900 480 0.04 0.01
10 C 59 0 5ft 6,750 ( 480 0.08 i).Q1 18,900 480 0.10 0.01 33.300 80_ 0.09 0.01 18,900 480 0.04 0.01
11 PC 61 0 5ft 6;75Q 480 b 0.08 I 001 18,900 480 0.10 0.01 33,w00 _ 480 0.Q9 1w 0.011 18,900 480 0.04 0.01
12 PC 66 0 5ft 6,75Q 480 ' 0.08 u.L1 18,900 480 0.10 0.01 mm33a 00 480 u.u9 _ fl.01 18,900 480 0.04 0.01
13 € _ 1.
14
15
16
17 {{ _
18
19
20
21
22 1 _ ❑._ _
23 ( I .
24 �.
25
27, ._, ,
! I _
28 :s.,!:,,,,,,,,,„....,A,,n1, 3 �,44 ,;z:,,,,;,: ---F L
,,,
31 �� ��
Monthly Loading 0 0.41 94 50030
• 0 48 r . • 94,500 0.21 564 ' / 252fitill.,,i1.;•,,-,•.,,
12 Month Floating Total(in): 4.81 , „/% ..,.

FORM: NDAR-1 05-16 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page 2-of
Did the application rates exceed the limits in Attachment B of your permit? Q Compliant ❑Non-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 2 Compliant ❑Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? E Compliant ❑Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 0 Compliant ❑Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 0 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: William Brian Peters Permittee: AQUA NC
Certification No.: 987582 Signing Official: i of r �L.1
Grade: SI Phone Number: 919-545-2201 Signing Official's Title: Field Supervisor
Gc,6(
Has the ORC changed since t evious NDAR-1? ❑Yes 2 No Phone Number: 919-653-57g-3 Permit Exp.: 2/28/25
Signature Date Sign ure 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 sign cant
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 05-16 NON-DISCHARGE APPLICATION REPORT (NDAR-1) Page I of `"
•
Permit No.: W00022870 L,Facility Name: Chapel Ridge WWTP County: Chatham Month: March Year: 2021
Ole : 3,., Field Name: F-8 ii��Name i ; - Field Name: F-10
Did irrigation occur ft '_
tea Area(acres): 4.06 �s 1 11t-A Area(acres): 5.76
at this facility? Cover Crop: i
i, Cover Crop: s..n: P
rA
YES El NO Hourly Rate(i ):I S• _y ts l. t- • 1 �H# a`4 1 • 1
•,Armnuai Rate(in): 20, 1 Q Artn1 #ate lrt} M ' - .-' Annual Rate(in): 20.47
Weather Freeboard Field irrigated? YES —I NO . .. s F a �, p Irrigated? p •
i p � �
o :° rn IiJiTiTiñm
U y •Q `co d aRi f- d i E
r r0al 1 minin s in gal min in ga3 rrris� in ' a •. in
1 1 * 1-- —I— — Ili'
<I min in
ir- --i—
i .8,900 , 480 I 0 04yl 0.01 5,850 4800 : 18,000 480 0.12 0.01
9 PC 54 0 189fl0 Tm448 0 1 €1.04 �.Q'1 0 �:+l � � � � ���o �#8£} � _� � : 00 :+l 0 +l0� 1 ,90080 0.04 0 3? � 3 t3 _ : +1��� � �
IF 18, 30 480 0_04 0,01 : 0 480 .. 0.09 0.01 :' 18,000 480
12 PC .. 0 i18,900 4£30 0,04 0.01 5,850 480 0.05 0.01 •0 480 0.09
000 480 0.12 0.01
15
H III
. , 4— 4 _L.
19
--- ---4 --ii
20 ._..
Loading:El
s ':::,_._...._ .. :.,„..,,.. ,,_ :,,„,. ,_,,,
Monthly a. a ittiMill 29,250 0 27 %WAR r: : 90,000 j,:��j; 0.58 PIoi°/,
Month12 Floating . 345 i /FV4."3 i 23111
/ /'i f,'r 657i/,

FORM: NDAR-1 05-16 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page 2- of
Did the application rates exceed the limits in Attachment B of your permit? 2 Compliant ❑Non-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? E]Compliant ❑Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 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? 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: William Brian Peters Permittee: AQUA NC
Certification No.: 987582 Signing Official: Pet r. MJAK
Grade: SI Phone Number: 919-545-2201 Signing Official's Title: Field Supervisor
`(1 1
Has the ORC changed sin . e pj evious NDAR-1? ❑Yes 2 No Phone Number: 919-653 S . Permit Exp.: 2/28/25
4-1S--2-1
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 05-16 NON-DISCHARGE APPLICATION REPORT (NDAR-1) Page li of Permit No.: WQ0022870 Facility Name: Chapel Ridge WWTP 1 County: Chatham Month: March Year: 2021
1.'! ild NaMil.:- ' F-10B '1 Field Name: F-11 Field Name: F-116 Field Name: F-11c
Did irrigation occur ':. ea(acres): 5.69 Area(acres): 4 79 Area(acres): 4.2 Area(acres): 9.37
at this facility? ,
''. Cro • Turf over Crop , Cover Crop: Turf Cover Crop: Turf Cover Crop: turf
...
El YES NO
,•'q..l5'fly Rate(111): 0.1 Hourly Rate(in): 0.1 Hourly Rate(in): 0.1 Hourly Rate(in): 0.1
2 ':
Annual Rate(in): 7.43 Annual Rate(in): 20.47 Annual Rate(in): 20.47 Annual Rate(in): 7.43
Weather Freeboard Field Irrigated? YES No Field Irrigated? 2 YES 7._-]NO Field Irrigated? YES , NO Field Irrigated? fl YES FEdso
i .
E En E a., a) -0 -a c
0 0
s '12 ° a) t G; /3 12i ,t?1 z >, cm ,C1) '3„ 171) „ F g >, F g ii 47 13t) >,.0 ,.. T'S E .2 CD 2 4‘•F- E -s 4 t,', Ill ) th ID ' P v ;-
(•,., 0 L. , co a 2 t 1-
1.-
ci, 1- CL 6
°F in ft ft gal min in in gal min in in gal min in in gal min in in
2 3
-I I
4
5
6
7 .
8 PC 42 0 5ft 12.600 480 0,08 001 1,800 60 0.01 0.01 -17,100 480 0.15 0.02 22,500 480 0.09 0.01
9 PC 54 0 5ft 12,600 480 0.08 0.01 1,800 60 0.01 0.01 17,100 480 0 15 0.02 22,500 480 0.09 0.01
10 C 59 0 5ft 12.600 480 0.08 001 1.800 60 0.01 0.01 17,100 480 0.15 0 02 22,500 480 0 09 0.01
11 PC 61 0 5ft 12,600 480 0 08 0.01 1,800 60 0.01 001 17.100 480 0.15 0 02 22,500 480 0.09 0.01
12 PC 66 0 5ft 12,600 480 0.08 0.01 1,800 60 0.01 0 01 17,100 480 0.15 0 02 22,500 480 0.09 0.01
13
=
14
15
16 ail
17
18 1
19
20
,
21
I
22 I .
--- -- AIIIIIIIIIIIIM
23
24 _
ILI-/eiI/ ' •-,
, .
--- - ------1.--
•,,,
27 1
29 4; /-/ / _ - ,
30 1 /I --I--- -.. ..... -,
1
31
Monthly Loading:1, 03 000 , - -' -- 0 41 '',' '' - ''''':''' - 0 07 , - - -- 0 44 gk ' '.'"2
Mrlit4AV 85 500 -' 0, `';:l.` 112.500 ; --440., :..,,,
12 Month Floating Total(in): 470 ';'11,„',;,,„,,:..,,e;r' '%, 2,.;;',,,:''''',' 0 80 i::.:-, ' -1.':'-

• FORM: NDAR-1 05-16 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page of Z_
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? 0 Compliant ❑Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? Q Compliant ❑Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Q Compliant ❑Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 0 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: William Brian Peters Permittee: AQUA NC
Certification No.: 987582 Signing Official: i et er 1 .L J(S
Grade: SI Phone Number: 919-545-2201 Signing Official's Title: Field Supervisor
VG
Has the ORC changed sin e previous NDAR-1? ❑Yes 0 No Phone Number: 919-653- Permit Exp.: 2/28/25
Li-I -�1 4,") Y1(
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

FIDRM: NDAR-1 05-16 NON-DISCHARGE APPLICATION REPORT (NDAR-1) Page of ,
Permit No.: WQ0022870 Facility Name: Chapel Ridge WWTP I County: Chatham Month: March Year: 2021
Field Flarne1 F-12 Field Name: F-12B Field Name: F:13 Field Name: F-13B
Did irrigation occur Area(acres): 2.�2 " ` Area(acres): 1.54 Area(acres): 8.49 Area(acres): 2.2
at this facility? ;I - Cover Crop: Turf Cover Crop: Turf -� Cover Crop: Turf Cover Crop: Turf
❑YES ❑NO iL Hourly Rate(in): 0.1 HourlyRate(in): 0.1 HourlyRate(in): 0_1 HourlyRate(in): 0.1
li Annual Rate(in): 20.47 Annual Rate(in): 7.43 Annual Rate(in): 20.47 Annual Rate(in): 7.43
Weather Freeboard Field Irrigated? YES NOl Field Irrigated? FL YES NO Field Irrigated? YES NC Field Irrigated? ❑YES ❑NO
a, c
a y z 17 tzi E 2' a' -o -o a� E rn ca cis IT
rip'
o a> E rn
> U cv V. c a 6 - m - ? E .d m a; >, c 3 c E rl U :: >, c g E .p m a; >, c 3 >, c
p ,_ I
I
= a 2m3 a Fi: .c._, In f9 a :> Q '' J g, J > Q _ J J › .4 a.- J J 1 Q J J
0 co
°F in ft ft gal train t in I in gal min in in gal min in in gal min in in
1
2 1
3 I_
4
5 _
6
7
8 PC 42 0 5ft 14,400 480 0.20 0.03 4,500 480 0.11 0.01 21600 480 0 09 0.01 4,050 480 0.07 0.01
9 PC 54 0 5ft 14.400 480 0.20 0.03 4,500 480 0.11 0.01 21,600 480 0 09 r. 0.01 4,050 480 0.07 0.01
10 C 59 0 5ft 14;400 480 0.20 0.03 4,500 _ 480 0.11 0.01 21,600 480 0.09 0.01 4,050 480 0.07 0.01
11 PC 61 0 5ft 14,400 480 0.20 0.03 4,500 480 0.11 0.01 21,600 480 0.09 0.01 4,050 480 0.07 0.01
12 PC 66 0 5ft 14,400 480 0.20 0.03 4500 480 0.11 0.01 21,600 480 0.09 0.01 4,050 480 0.07 0.01
13
14 _ _..
15
16
17 -I �
18 IF---
,
19
20
21 _- W
22
23
24 _
-
25
26 I r _ , __�.
27
28 ,
g
29
31 _he..
Monthly Loading: to 000 1 01 5" "" 22,500 ggitigl 0 54 ;/"2 % 10 000 0'47 2U != 1 " y 0.34 7%;,:
12 Month Floating Total(in): 11,53 .�. u, .. 6 23 5 39 a< , <-. ,.,.- 3 86 i %'

Page �of FORM: NDAR-1 05-16 NON-DISCHARGE APPLICATION REPORT(NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit? Q 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? 2 Compliant ❑Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 0 Compliant ❑Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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: William Brian Peters Permittee: AQUA NC
Certification No.: 987582 Signing Official: l ettr• lCS
Grade: SI Phone Number: 919-545-2201 Signing Official's Title: Field Supervisor
Has the ORC changed since the previous NDAR-1? ❑Yes 0 No Phone Number: 919-653-53 Permit Exp.: 2/28/25
e
j\d,Q
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

FRM: NDAR-1 05-16 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page r of
Permit No.: W00022870 Facility Name: Chapel Ridge WWTP•
County: Chatham Month: March Year: 2021
Field a� Field Name: F-15 Field ,,v Field Name: F-17
Did irrigation occur k
(acres):- 9. Area(acres): 4.79 € Area(acres): 5.37
at this facility? . »
Cover Crop: Turf Cover Crop: Turf Coster Grti i. Tur Cover Crop: Turf
Hourly Rate{mt):;, i?.'l Hourly Rate(in): 0.1 Houriy date in): 0.i Hourly Rate(in): 0.1
❑� YES ❑NO .,.
\ tetanal Rate{in). 20.47 Annual Rate(in): 20.47 Annual Rate(n): 20 47 Annual Rate(in): 20.47
Weather Freeboard Field Irrigated? Y No Field Irrigated? YES ❑No Meld Irrigated? s Field Irrigated? tI YES ❑No
m c
�o ° y y •°' r - e rn E a) - m a a rn E rn
a 0 ill
N c E m m ;; c c E , 5 - ,.. g E. E m a a; > c c
U _ a � m v E > � o { `i ' Ec3 • o Ego
i a a o D u 8 t m o . F °� o a • = o = 3 r gg ° ° F' Q1 o = o
°F in ft ft gal wait in R I _ its gal min in in gal I mir ira In gal min in in
2
4 i I _ ,
5 I
r ,
8 PC 42 0 5ft 25,55t 46 ( 0.10 0.01 12,150 480 0.09 0.01 19, 504800_ # 0,0 0.04 �� 13050 480 0.09 0.01
9 PC 54 0 5ft 26,550 480 0.10 001 12,150 480 0.09 0.01 91 350 48 0.03 ti 31 13,050 480 0.09 0.01
10' C 59 0 5ft 26.550 1 480 0.10 0.01 - 12,150 480 0 09 0.01 '193-5 t g[ 480 0.08 0 01 13,050 480 0.09 0.01
11' PC 61 0 5ft 26 55 i 4c 0 s 0 10 _ `. 1 12,150 480 0.09 0.01 19,350 f 480 0.08 0 01 13,050 480 0.09 0.01
12 PC 66 0 5ft L 6,5513 !- 430 01t? 0.01 12,150 480 0.09 0.01 £,3 0 480 0,08 0a31�� 13,050 480 0.09 0.01
14 ��
15
16 t � g
17
18 1. !
1 - '-a t
i
210 t m 1 e
22 i 1
_ N& F 1 i
23 \
24 a ' : ,
25 .
v
26
27 , E
28
30
31 i ,+ :r � s,, • /,
Monthly Loading: i ! 4 s "y € 65,250 0.45 g7,t'/' �r
, 60 750 �� .�s/y 0.47 my /i t s rf�
/�/W0,1,„ 528
12 Month Floating Total(in): e F 5 33 ;i,. pry/1,

FORM: NDAR-1 05-16 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page of
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? E Compliant ❑Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 2 Compliant ❑Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? E Compliant ❑Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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: William Brian Peters Permittee: AQUA NCI
Certification No.: 987582 Signing Official: PC-er ? Loits
Grade: SI Phone Number: 919-545-2201 Signing Official's Title: Field Supervisor
Has the ORC changed since th• • i• s NDAR-1? ❑Yes 0 No Phone Number: 919-653 6773 Permit Exp.: 2/28/25
ki
0
IL(v.,_ -,
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 05-16 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page j of /'
Permit No.: W00022870 Facility Name: Chapel Ridge WWTP County: Chatham Month: March Year: 2021
�' Field Name:I F-18 Field Name: DR Field Name• CH Field Name:
Did irrigation occur - -{
Area(acres):I 17.8 1 Area(acres): 14.9 Area(acres): 1.34 y Area(acres):
at this facility? Cover Crop: Tun Cover Crop: Turf Cover Crop: Turf Cover Crop:
❑YES ❑NO r
Hourly Rate(in); 0.1 Hourly Rate(in): 0.1 Hourly Rate(in): 0.5 Hourly Rate(in):
Annual Rate(in)., 20.47 I Annual Rate(in): 20.47 Annual Rate(in): 17.58 I Annual Rate(in):
Weather Freeboard 1 Field Irrigated`. YES NO 1 Field Irrigated? -1 YES ❑NO Field Irrigated? YES NO I Field Irrigated? E YES ❑NO
I
m
a c
-a o a a) a' a -ca .a ! co E co m a -a ai E o) -o is oa E m -a n rn E m
T O cp y co N -F,,' N ar ,w I � C � i C E a N ,«; T C C S C E a8 aD w+ ^,-+• C s.. E a+
m V 2 a0 E .: m �p l_ = -a a °'' a� 70 E a15, 3 E co 'v E 3 n
d a .Q ° >.fl Pa M °c 8 12 oa ~ .m oo xio 7a u-- - ea0_1 2xa oa F °' oo >4io
°F in ft ft gal min i in in gal min in in gal min in in gal min in in
1 f j
• 3 (
2
3
4
5 I
6
8 PC 42 0 5ft 39,600 480 0.08 0.01 9,450 240 0.02 0.01
9 PC 54 0 r 5ft 39.600 480 0.08 0 01 9,450 240 0.02 0.01
10 C 59 0 5ft l 39,600 480 0,08 0 01 9,450 240 0.02 0.01 F
11 PC 61 0 5ft 39.600 480 0.08 0.01 9.450 240 0.02 0.01
12 PC 66 0 5ft 39600 480 0.08 0.01 9,450 240 0.02 0.01 1
13
14
15
16
17
W
18 ._.
19
20
21,
22 _ ;
23 I i
24
25 ¢ ..
26 1
:; a
27 {
30 i
31 "1- ,, -
Monthly Loading ••t,Ua t • 0 41 - 47 250 ;. 0 12 o o 0-0 i, . o 0.00 i�l� '
12 Month Floating Total(in): "4.88 �`' "r , 1.29 ,2,., 0 00 )' " y ,'',

Page _ of
FORM: NDAR-1 05-16 NON-DISCHARGE APPLICATION REPORT(NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit? 0 Compliant ❑Non-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? E Compliant ❑Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? Q Compliant ❑Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? E 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 Permittee Certification
ORC: William Brian Peters Permittee: AQUA NC
Certification No.: 987582 Signing Official: PCk-ee L jet
Grade: SI Phone Number: 919-545-2201 Signing Official's Title: Field Supervisor
Has the ORC changed since •- previous NDAR-1? ❑Yes E No Phone Number: 919-653- Permit Exp.: 2/28/25
�► q .-15-24 - -i-1i
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 1 of lk
Permit No.: WQ0022870 1 Facility Name: Buck Mountain Development l County: Chatham Month: March Year: 2021
Field Name: OS-1 Field Name: OS-2 Field Name: OS-3 Field Name: OS-610S-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: Turf Grass Cover Crop: Turf Grass Cover Crop: Turf Grass Cover Crop: Turf Grass
P P- P
I .l 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): 20.4 Annual Rate(in): 20.4 Annual Rate(in): 20.4 Annual Rate(in): 20.4
Weather Freeboard Field Irrigated? U YES ❑NO Field Irrigated? U Yrs El NO Field Irrigated? L'i YES ❑NO Field Irrigated? U YES n NO
m m c
° CO a) m e v rn or m zs o rn E 0, w v v rn E rn m y a w E rn
T U f1,' ro & . 75 E CJ d la >, C g . c N °: >, c c ?, c Cl W ! >, c 3 C E ., 4, :, >,.c
E .0 0
ii ii m =a E c 'a
o ti o .2- 0 7 a o cis, i rn 0 o ro o g o a. i£ a' D o x 0 g o a R •a' o g m s o o a .,, o o R 2° g
L E W U7 N a, Q �- J , J > Q J J �'' d J ram„ J ? Q J J
�°F in ft ft gal min in In gal min ' In in gal min in in gal min in in
1 PC 0 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 0 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 0 5 0 0 0 00 0.00 0 0 0.00 0.00 0 0 I 0.00 0.00 0 0 0.00 0.00
4 PC 0 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 0 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 0 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 0 8 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 0 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 0 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 0 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
11 PC 0 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
12 PC 0 5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0,00 0 I 0 0.00 0.00
13 PC 0 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 0 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 0 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 0 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 0 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
18 PC 0 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
19 PC 0 5 0 0 0.00 I 0.00 0 0 0.00 0.00 0 0 ^ 0.00 0.00 0 0 0.00 0.00
20 PC 0 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 0 5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 I 0 0 0.00 0.00
22 PC 0 5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 mm 0.00 0 0 0.00 0.00
23 PC 0 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
24 PC 0 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
25 PC 0 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
26 PC 0 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
27 PC ' 0 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 0 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
29 PC 0 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
30 PC 0 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
31 PC 0 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
MonthlyLoading: 0
0 00 :i 0 ', 0.00 j 0 0.00 ::.:7?:,-:,:-. k�. . 0.00 0
12 Month Floating Total(in): . M:14.50 a g,�. 14 40 = 8,10 o .. 8.20 t.

FORM: NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page 1 of01•-
Did the application rates exceed the limits in Attachment B of your permit? 0 Compliant Li Non-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? E Compliant LI Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? Ed ❑Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 2 Compliant ❑Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? DCompliant ❑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: Perry Lloyd Jordan Permittee: AQUA NC
Certification No.: 1006237 Signing Official: Peter Rhodes
Grade: SI Phone Number: 919-795-9313 Signing Official's Title: Field Supervisor
Has the ORC changed since the previous NDAR-1? E yes Di NO Phone Number: 919-757-2149 Permit Exp.:
7( 1.—...--)1 c _.., _C, , _ -
-k Signat ire Date gnature Date
By this sign ,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 at 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 sutxnitted.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,rtciuding the possibility of flues and imprisonment for knowing violations.
it
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mall Service Center
Raleigh, North Carolina 27699-1617