HomeMy WebLinkAboutWQ0000731_Monitoring - 06-2021_202107231
ppp� _.XR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page --- L_ of 2,
Tffit No.: •0000Company
. •. ■ 0 ■
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too
Sampling Person(s) Certified Laboratories
PPprypNorton Name: Enviromental Testing Solutions, Inc
Name. Richard McCrary Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? C9compllant ❑ Non -compliant
If the facility is non -compliant, please explain in the space below the reasons) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
vu�ar .onc.b rluauI GYYIUVol. 0 Ica 11
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Gary Norton
Pelmittee: Lake Toxaway Company
Certification No.: 21853
Signing Official: Scott McCall, by signatoryauthority
Grade: 11 Phone Number: 828-553-2990
Signing Official's Title: Broker, Lake.Toxaway Company .
Has the ORC changed since the previous NDMR? ❑ yes 0 No
Phone Number: 828-966-4260 Permit Expiration: 10/31/2021
d.
Ignature Date
Signature D e
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 trellef, 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
-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page I of (o
W000007 31
PDid
Facility Name: Lake Toxaway Company
County: Transylvania County: Transylvania
June
Year: 2021
irrigation
Field Name:
FW-1&9
Field Name:
FW-2
Field Name:
T-3&8
Field Name:
FW-3
occur
Area (acres):
2.3
Area (acres):
0.68
Area (acres):
0.97
Area (acres):
3.07
at this facility?
Cover Crop:Turf
9 rass
Cover Crop:
P:
Turf rass
9
Cover Crop:
P:
Turfgrass
g
Cover Crop:
P�
Turf rass
9
0 YES ❑ NO
Hourly Rate (in):
0.22
Hourly Rate (in):
0.15
Hourly Rate (in):
0.21
Hourly Rate (in):
0.23
Annual Rate (in):
13.93.
Annual Rate (in):
32
Annual Rate (in):
31.26
Annual Rate (in):
10.97
Weather
Freeboard
Field Irrigated?
AYES ❑ No
Field Irrigated?
YES ❑ NO
Field Irrigated?
Q YES ❑ NO
Field Irrigated?
❑ YES ❑r NO
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2
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3
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4
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930
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460
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930
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0.04
9
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5.5
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151
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77
930
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460
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0.02
930
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0.04
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2.5
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5.5
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68
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460
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PC
77
930
10
0.01
0.01
460
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0.02
0.02
930
10
0.04
0.04
31
Monthly Loading:
3,720
0.06
1,840
0.10
3,720
0.14
0
0.E1.75
12 Month Floating Total (in):
1.17
1.09
1.61
DAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page_J_of��
Fidhe application rates exceed the limits in Attachment B of your permit? p Compliant ❑ Non -compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? El 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? p compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? p 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 additinnni shppk if nPrrecnm
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Gary Norton Permittee.
Lake Toxaway Company
Certification No.: 29126 Signing Official: Scott McCall, by signatory authority
Grade: SI Phone Number. 828-553-2990 signing official's Tittle: Broker, Lake Toxaway Company
Has the ORC changed since the previous NDAR-1? ❑ Yes El No Phone Number. 828-966-4260 Permit Exp.: Oct. 31, 2021
��Z Z
Signature Date Signature Date
By this signature. I oertity that this report is accunate and complete to the best of my knowledge. I may, under penally of taw, that this document and all attachments were, Prepared under my drection or supervLsion in aorordanre
a system designed to assure that all qualified personnel Propedy gathered and evaluated the information submitted. Based on
F
quryof Qho peen or persons who manage the system, or those persons direr y responsible for gathemg the information. theermation submitted is, to the best of my knowledge and belief, true, accurate. and complete. I am aware Rat there are significant
penalties for submitting false information, including the possWity of fines and impi sonmerd for Vmwng violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page I of (o
P,itrNo.:wQ0000731
Facility Name: Lake Toxaway Company
County: Transylvania
Month: June
Year: 2021
Did irrigation
Field Name:
FW-4
Field Name:
T-5
Field Name:
T-6
Field Name:
FW-6
occur
Area (acres):
1.06
Area (acres):
2.11
Area (acres):
0.68
Area (acres):
1.33
at this facility?
cover Crop:Turf
9 rass
Cover Crop:
P�
Turfgrass
9
Cover Crop:
P�
Turfgrass
9
Cover Crop:
P�
Turfgrass
9
0 YES ❑ No
Hourly Rate (in):
0.19
Hourly Rate (in):
0.24
Hourly Rate (in):
0.15
Hourly Rate (in):
0.23
Annual Rate (in):
26.25
Annual Rate (in):
16.55
Annual Rate (in):
32
Annual Rate (in):
24.99
Weather
Freeboard
Field Irrigated?
0 YES ❑ No
Field Irrigated?
❑� YES ❑ No
Field Irrigated?
EIYES <. ❑ NO .
Field Irrigated?
0 YES ❑ No
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gal
min
in
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min
in
in
gal
min
in
in
gal
min
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in
1
CL
5.5
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3
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72
930
10
0.03
0.03
2,320
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0.04
0.04
460
10
0.02
0.02
1,390
10
0.04
0.04
9
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10
PC
11
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5.5
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14
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77
930
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0.03
0.03
2,320
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0.04
0.04
460.
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'0.02
1,390
10
0.04
0.04
16
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2.5
17
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18
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5.5
19
CL
68
930
10
0.03
0.03
2,320
10
0.04
0.04
460
10
0.02
0.02
1,390
10
0.04
0.04
201
R
0.5
21
CL
2.5
22
R
0.5
23
PC
24
PC
25
PC
5.5
261
C
2
27
PC
28
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29
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30
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77
93.0
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0.03
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2,320
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0.04
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1 460
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.0.02.
0,02,
1,390
10
0.04
0.04
31
-
--
Monthly Loading:
3,72-0M
0.13
9,280
0.16
1,840
MA
0.10
5,560
0.15
12 Month Floating Total (in):
1.51
1.88
1.14
1.78
nopp""p,
ORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page_ Of
Did the application rates exceed the limits in Attachment B of your permit?- p Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? p Compliant ❑ Non�omplant
Was a suitable vegetative cover maintained on all sites as specified in your permit? p Compliant 0 Non -compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? p Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? . p Compliant [I 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 necessarv.
Operator in Responsible Charge (ORC) Certification
ORC: Gary Norton
Certification No.: 29126
Grade: SI Phone Number.
Has the ORC changed since the previous NDAR-1?
828-553-2990
❑ Yes 0 No
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Perrnittee Certification
Pertn"tttee:
Lake Toxaway Company
Signing Official: Scott McCall, by signatory authority
Signing official's Title: Broker, Lake Toxaway Company
Phone Number. 828-966-4260 _ Permit Exp.: Oct. 31, 2021
Signature Date
1 certify, under penalty of taw, that this document and all attachments were prepared under my direction or supervision in accordance
vith a system designed to assure that all quardied personnel property gathered and evaluated the information submitted. Based on
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 bwMedge and belief. true, am rate. and complete. I am aware that there are signt►icant
penalties for submitting Use information, indudmg 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 276994617
s //„
000
._
-
Did irrigation
. 1 � M-1 IT-M
Field Name:
Field Name-
Field Name:
occur
Ar(
Area (acres):
Area (acres):
at this facility?
Cover Crop-,
El YES El NO
Hourly Rate (in),
I __Hourly Rate (in)-
W-RUMMIMINIM11
Annual Rate (in):
W-T.."MET" M.
Annual Rate (in):�
....SIM
....
o ■ .
..
■ o .
..
■ o ,Field
lrriga
■ o .
PP
Rine: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 3 of �o
Did the application rates exceed the limits in Attachment B of your permit? O Compliant ❑ Nan -compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? p compliant ❑ Non -compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? p Compliant 0 Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? p Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? p Compliant ❑ Non -compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Proiride 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: Gary Norton
Certification No_: 29126
Grade: SI Phone Number. 828-553-2990
IHas the ORC changed since the previous NDAR-1? 0-yes 0 No
Signature Date
By tiffs signature. I certify that tt& report is accurate and complete to the best of my knoWedge.
Permittee Certification
Permittee.
Lake Toxaway Company.
Signing Official: , Scott McCall, by signatory authority
Signing Official's Title: Broker, Lake Toxaway Company
Phone Number. 828-966-4260 Permit Exp.:. Oct. 31, 2021
Signature Date
tl I ceritty, under penalty of law. that this document and all attachments were prepared hider my direction or supervision in accordance
with a system designed to assure that all qualified personnel property gathered and evaluated the information submitted_ Baud on my
inquiry of the person or persons who manage the system, or those persons dkectty responsitle for gathering the information, the
information submitted is, to the best of my age and belief. true. am rate, and complete. I am aware that there are signfi ant
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 276994617
y/e,
mirI.:w Q0000731
Facility Name: Lake Toxaway Company
County: Transylvania
Month: June
Year: 2021
Did irrigation occur
Field Name:
02-FW-15
Field Name:
02-FW-16
Field Name:
02-T-10
Field Name:
02-T-11
this
Area (acres):
2.02 -
Area (acres):
1.34
Area (acres):
1.11
Area (acres):
1.62
at facility?
Cover Crop:Turf
grass
9
Cover Crop:
P:
Turfgrass
9
Cover Crop:
P�
Turfgrass
g
Cover Crop:
P�
Turfgrass
9
❑� YES ❑ NO
Hourly Rate (in):
0.3
Hourly Rate (in):
0.23
Hourly Rate (in):
0.28
Hourly Rate (in):
0.25
Annual Rate (in):
10.77
Annual Rate (in):
12.16
Annual Rate (in):
17.75
Annual Rate (in):
11.08
Weather
Freeboard
Field Irrigated?
0 YES ❑ No
Field Irrigated?
0 YES ❑ NO
Field Irrigated?
❑ YES ENO `
Field Irrigated?
E YES ❑ NO
�.
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in
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gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
in
in
in
1
CL
5.5
2
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3
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4
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5.5
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6
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2
7
R
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72
2,780
10
0.05
0.05
1,390
10
0.04
0.04
1,860
10
0.04
0.04
9
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0.3
101
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2.5
5.5
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1,780
10
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1,390
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10
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161
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171
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18
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68
2,780
10
0.05
0.05
1,390
10
0.04
0.04
1,860
10
0.04
0.04
20
R
0.5
21
CL
2.5
22
R
0.5
231
PC
24
PC
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26
C
2
27
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28
R
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5.5
291
CL
30
PC
77
2,780
10
0.05
0.05
1,390
10
0.04
0.04
1,860
10
0.04
0.04
31
Monthly Loading:
10,120
0:18
5,560
0.15
0
0.00
7,440
0.17
12 Month Floating Total (in):
2.35
1.78
2.16
1.98
NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _ of
rrFMM:NDAR-107-11
Did the application rates exceed the limits in Attachment B of your permit? p Compliant ❑ Non -Compliant
Were adequate measures taken 'to prevent effluent ponding in or runoff from the sites? p cornplarrc ❑,ion compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? p comprent ❑ Non-compriant
Were all setbacks listed in your permit maintained for every application to each permitted site? p Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? p Compliant 0 Non-compriam
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 addhinnal shPPts if nPrpcsnru
Operator in Responsible Charge. (ORC) Certification
ORC: Gary Norton
Certification No.: 29126
Grade: SI Phone Number. 828-553-2990
Has the ORC changed since the previous NDAR-1? DYes [D No
_J r
- Signature Date
By this signature, I certify that this report is acanrate and complete to the best of my knowledge.
Permittee Certification
Permittee:
Lake Toxaway Company
Signing Official: Scott McCall, by signatory authority
Signing official's Title: Broker, Lake Toxaway Company
Phone Number. 828-966-4260 Permit Exp.: Oct. 31, 2021
/ Signature DAte
certify, ruder penalty of taw, that this document and all attachments were prepared ruder 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
inqu6y of the person or persons who manage the system, or those persons directly responsil){e for gathering the eKormation. the
information submitted Is, to the best of my knowted<je and belief. true. acarrate. and complete. I am aware flit there are significant
penalties for submitting false information. indudmg the possMty of fines and imprtsonmerd for toow'srg violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 276994617
s /,(
F. No.: WQ0000731
Facility Name: Lake Toxaway Company
County: Transylvania
Month: June
Year: 2021
Did irrigation occur
Field Name:
02-FW-17
Field Name:
02-FW-18
Field Name:
02-T-17
Field Name:
02-T-18
this facility?
Area (acres):
1.87
Area (acres):
2.64
Area (acres):
1.58
Area (acres):
1.25
at
Cover Crop:Turf
grass
9
Cover Crop:
P:
Turfgrass
9
Cover Crop:
P�
Turfgrass
9
Cover Crop:
P:
Turf rass
9
21 YES ❑ No
Hourly Rate (in):
0.27
Hourly Rate (in):
0.35
Hourly Rate (in):
0.26
Hourly Rate (in):
0.25
Annual Rate (in):
10.42
Annual Rate (in):
9.41
Annual Rate (in):
11.67
Annual Rate (in):
14.04
Weather
Freeboard
Field Irrigated?
2 YES ❑ No
Field Irrigated?
21 YES ❑ No
Field Irrigated?
❑YES ❑ NO,
Field Irrigated?
El YES ❑ NO
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in
ft
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gal
min .
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
CL
5.5
2
CL
2.5
3
CL
4
R
0.1
5.5
5
R
0.1
6
CL
2
7
R
0.5
8
PC
72
2,320
10
0.05
0.05
4,180
10
0.06
0.06
1,390
10
0.04
0.04
9
R
0.3
10
PC
11
PC
2.5
5.5
12
PC
13
C
14
C
151
C
77
2,320
10
0.05
0.05
4,180
10
0.06
0.06
1,390
10
0.04
0.04
16
C
2.5
17
C
18
C
5.5
19
CL
68
2,320
10
0.05
0.05
4,180
10
0.06
0.06
1,390
10
0.04
0.04
20
R
0.5
21
CL
2.5
22
R
0.5
23
PC
241
PC
25
PC
5.5
26
C
2
27
PC
28
R
0.2
5.5
29
CL
30
PC
77
2,320
10
0.05
0.05
4,180
10
0.06
0.06
1,390
10
0.04
0.04
31
Monthly Loading:
9,280
0.18
16,720
0.23
0
0.00
5,560
0.16
12 Month Floating Total (in):
2.15
2.66
2.05
1.89
M: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _,S'- of
7. 7
P'__d the application rates exceed the limits in Attachment B of your permit? p compliant ❑ Non -compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? pcoriiant ❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? p compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? p Compliant ❑Noncompliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 0 Compliant ❑ Non-Gompliant
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(sl taken_ Attach nrlditinnni chpptc if nprpacnm
Operator in Responsible Charge (ORC) Certification
ORC: Gary Norton
Certification No.: 29126
Grade: SI Phone Number. 828-553-2990
IHas the ORC changed since the previous NDARA? 0 Yes [D No
--- — —;tr
Signature Date
By this signature. t certify that this repoft is aaaurate and complete to the best of my knowledge.
Permittee Certification
Permittee:
Lake Toxaway Company
Signing Official: Scott McCall, by signatory authority
Signing Official's Title: Broker, Lake Toxaway Company
Phone Number. 828-966-4260 Permit Exp.: Oct. 31, 2021
/ Signature Date
certify. under penalty of taw, that tilts document and all attachments were prepared fmder my direction or supervision in accordance
with a system designed to assure that all quardied personnel properly gathered and evaluated the information submitted_ Based on
ingL6y of the pion or persons who manage the system, or those persons directly responsble for gathering the information. the
information submitted is, to the best of rfry knowledge and belief. true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, utdudmg the possnn0ty of Imes and Imprisonment for knowing vitiations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 276994617
G �G
PF00o.:W000731
Facility Name: Lake Toxaway Company
County: Transylvania
Month: June
Year: 2021
'
Did irrigation
Field Name:
02-DR-01
Field Name:
02-FW-11
Field Name:
02-FVV-12
Field Name:
02-FW-14
occur
Area (acres):
1:631
Area (acres):
1.79
Area (acres):
2.35
Area (acres):
1.64
at this facility?
Cover Crop:Turf
9 rass
Cover Crop:
P�
Turfgrass
9
Cover Crop:
P�
Turfgrass
9
Cover Crop:
P:
Turfgrass
9
[] YES ❑ NO
Hourly Rate (in):
0.31
Hourly Rate (in):
0.34
Hourly Rate (in):
0.31
Hourly Rate (in):
0.31
Annual Rate (in):
13.79.'
Annual Rate (in):
13.75
Annual Rate (in):
9.28
Annual Rate (in):
13.6
Weather
Freeboard
Field Irrigated?
YES ❑ No
Field Irrigated?
0 YES ❑ NO
Field Irrigated?
2 YES; ❑ No
Field Irrigated?
❑ YES ❑� NO
❑�`
v
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y
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-
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Em Co
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0_0E
�Em
C:
EX7
`o vm
r F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
CL
5.5
2
CL
2.5
3
CL
4
R
0.1
5.5
5
R
0.1
6
CL
2
7
R
0.5
8
PC
72
930
10
0.02
0.02
460
10
0.01
0.01
930
10
0.01
0.01
9
R
0.3
10
PC
11
PC
2.5
5.5
12
PC
13
C
14
C
151
C
1 77
1
930
10
0.02
0.02
460
10
0.01
0.01
930
10
0.01
0.01
16
C
2.5
17
C
18
C
5.5
19
CL
68
930
10
0.02
0.02
460
10
0.01
0.01
930
10
0.01
0.01
20
R
0-5
211
CL
1
1 2.5
221
R
1
0.5
23
PC
24
PC
25
PC
5.5
26
C
2
27
PC
281
R
0.2
5.5
29
CL
30
PC
L77
930
;10
0,02
0.02
460
10
0.01
0.01
930.
10
0.01
0,01
31
--
Monthly Loading:
3,720
0.08JEJ
1,840
0.04
3,720
0.06
0
0.00
12 Month Floating Total (in):
2.45
2.69
2.29
2.46
PPRM:NDAR-107-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 6 of
Did the application rates exceed the limits in Attachment B of your permit? p compliant ❑ Non -compliant
Were adequaie measures taken to prevent effluent ponding in or runoff from the sites? p comptiam ❑ Non -compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? p Gomphant p Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Elcomptiaot ❑ Non -compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? O compliant ❑ Non-compram
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: Gary Norton
Certification No.: 29126
' Grade: ' SI Phone Number. 828-553-2990
IHas the ORC changed since the previous NDAR-1? ElYes [A Na
01
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Petmittee:
Lake Toxaway Company
Signing official: Scott McCall, by signatory authority
Signing Official's Title: Broker, Lake Toxaway Company
Phone Number. 828-966-4260 Permit Exp.: Oct. 31, 2021
_71Z3z
Signature Date
I oerttiy, under penalty of taw, that this document and all attachments were prepared under my direction or superm. in accordance
vith a system designed to assure Burt all qualified personnel properly gathered and evaluated the information submitted. Based on
directlyinquiry of the person or persons who manage the system, or those persons directlyresponsible for gathering the information. the
information submitted is. to the best of my knowledge aunt belief, true, accurate, and complete. I am aware tW there are signs icant
penalties for submitting false information, including the possubaity of Tunes and imprisonment fix knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617