WQ0008489_Monitoring - 05-2022_20220615

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Nage I OT _I
_ • •- V : r
Permit No.: •11 •:•:• •-CorrectionnGroundwater Lowering j Surface Water
meter Monitoring Point: influent Effluent
Flow Measuring Point: R Influent Effluent No flow generated Para
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Daily Minimum:
Sampling Type:==
Monthly Avg. Limit:'
SampleDaily
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FURM: NDMK 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page --I— of _L
Sampling Person(s) Certified Laboratories
Name: 80131s+t#Y OK Name: ENO ROtJ M LE1VT L _ l �C-'
Name: TC 6EfH SRDLE12 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: T05EP44 F. SROLEK
Permittee: COLINTy OF H \f 0E
Certification No.:
Signing Official: J_QSE p 14 f � 5 A 1) L-E R
L/
Grade: � Phone Number: �aJ� Z - 22-2-�
Signing Official's Title: In R N ►4G E K 0 RC
Has the ORC changed since the previous NDMR? ❑ Yes �ANo
Phone Number: C:2 Sa, (�Z�o ^ ZZZ Permit Expiration: ©�R- Of " aO.22-
2-
O
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 r off_
Permit No.: VVQ0008489
Facility Name: Hyde Correctional Institution WWTF
County: Hydo
Month:
Year: go
FieldName:
i
Field Name:
2
Field Name:
3
Field Name:
4
Did irrigation occur
----- ;
--- ---
—
Area (acres):
Area (acres):
9.5
Area (acres)
10.3
Area (acres):
9.7
at this facility?
~Cover
Cover Crop:
p
Cover Crop:
p:
Crop:!
p',
Cover Crop:
p:
❑ YES ❑ No
Hourly Rate (in)`.,
G,25
Hourly Rate (in):
0.25
Hourly Rate (in) M
0.25
Hourly Rate (in):
0.25
Annual Rate On):!
14.56
Annual Rate (in):
14.56
Annual Rate (in)
14,56
Annual Rate (in):
14.56
Weather
Freeboard
Field Irrigated?!
vEs
�, ,yo
Field Irrigated?
YES
❑ No
Field Irrigated?
_ YES
t,o
Field Irrigated?
❑YES
❑ No
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Monthly Loading
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12 Month Floating Total (in):
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: 13b1313y COY Name: E�J U I12o fJ MEWT t NC -
Name: —J_6SEPH F. SI'T Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? [4] cmpliant ❑ 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
artinn(g) takan attach arl(litional sheets if necessarv.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: J-65LY14 I^, SPt0LjEiZ
Permittee: H406 C_001U'r% l) j+57f W A-TE�
Certification No.: ( 56, 11 Signing Official: SOS L PH 1- • S R D LE R
Grade: ff� Phone Number: (-),Sa) 9 1L&_ 72ZZ'"{ Signing Official's Title: M frN h4 r-EJ — D QC
Has the ORC changed since the previous NDMR? ❑ Yes �' o Phone Number: �as�, 9 )-6 — 2 2 L4 Permit Expiration: U ig — 202.�
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
v Signature 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 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 - jek, of _ 4- _
Permit No.: WQ0008489
Facility Name:
Hyde Correctional Institution
County: Hyde
Month:
Year 4L,)Z?i
Field Name:
5
Field Name:
6
Field Name:
7
Field Name:
8
Did
Irrigation OCCUr
Area (acres):
9.3'
Area (acres):
9.2
Area (acres):
9.3
Area (acres):
7.67
at this facility?
Cover Crop:
drnnual
Cover Crop:
Cover Crop:
-
Cover Crop:
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Hourly Rate (in):
0 rw
Hourly Rate (in):
0.25
❑ YES ❑ No
Annual Rate;(in):
1.4.56
Rate (in):
14.56
Ann+�a! Rate ifn} +
— - .
Annual Rate (in):
14.56
Weather
Freeboard
Field Irrigated?
❑ YES ❑,Noield
Irrigated?
❑ YES ❑ No
-=
r,eic9lrrrgattir+� ,_! NorE
eld Irrigated?
❑ YES ®'NO
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Monthly Loading:
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12 Month Floating Total (in):
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rVKIVI: IVUAK-1 1u-Is NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Z. of-4—,
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?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
[Compliant ❑ Non -Compliant
[{]Compliant ❑ Non -Compliant
[9-Compliant ❑ Non -Compliant
&;-Compliant ❑ Non -Compliant
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 necessarv.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: -S-pgE H �, SIgpSCR
Permittee: CouN'CJ OF l+\{ tJt
Certification No.: JrSI`1
Signing Official: JOSEPH (^, srro ez
Grade: Phone Number: CaSl) CULG-2_22-4
Signing Official's Title: 0�2C. i�ti�F11�t�'ECZ
Has the ORC changed since the previous NDAR--1? ❑ Yes [AJ-No
Phone Number: (a,Sa) Ct �-� ^ 222- `f Permit Ex d i " LO 22—
Signature Date
Signature Pate
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 0002489 TOTAL NUMBER OF, FIELDS: 12- MONTH: MAY YEAR: 2p22—
FACILITY NAME:CLASS:_ COUNTY:(-i�
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) / [Tune Irrigated (minutes) 160 (minutes/hour)] Monthly Loading Cinches) = Sum of Daily Loadings (inches)
12 Mouth Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous I 1 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = (Monthly Loading Cinches/month) / Number of days in the month (days/month)] x 7 (daystweek)
FIELD NUMBER:
FIELD NUMBER: C .
AREA SPRAYED acres :
AREA SPRAYED (acres):
COVER CROP:
COVER CROP:
Permitted HOURLY Rate (inches): 0. 2 5
Permitted HOURLY Rate (inches): 0 . 2.5- 1
WEATHER CONDITIONS
Permitted WEEKLY Rate (inches): Z
Permitted WEEKLY Rate inches
Tcmp_
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Maximum
D
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E
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Irrigated
Loading
Loading
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Monthly
Loading (inches)
11,913
12 Month
Floating Total (inches)
O1-0-46
C3'O`ib
Average Weekly
Loading (inches)
Weather Codes: S-sunny, PC -partly cloudy, CI -cloudy, R-rain, 5n-snow, St -steer
OPERATOR IN RESPONSIBLE CHARGE (ORC)
F. �p(� GRADE
. :7e PHONE -2
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
(SI ATU OF OPERATOR IN RESPONSIBLE CHARGE)
BY IS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.

nI
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. 0
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.
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) 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."
(Permittee- lease print or type)
(-� � J - _Q_ no.. n� 1,-41 Zz
Permittee)*
(Permittee Address)
(Phone Number) (Perxfnit FAp. Date)
* If signed by other than the permittee, delegation or signatory authority must be on rile with the state per 15A NCAC 2$.0506 (b) (2) (D).

NON DISCHARGE APPLICATION REPORT Page of
SPRAY IRRIGATION SITE(S)
PERMIT NUMBER: Q t �_ 1 TOTAL NUMBER OF, FIELDS: 12- MONTH: M YEAR: ��
FACILITY NAME: DES uJr.JTP CLASS: _ COUNTY: 6
Formulas
Daily Loading (inches) = (Volume Applied (gallons) x 0.1336 (cubic fecYgallon) x 12 (inches/foct)] / (Area Sprayed (acres) x 43.560 (squam feet/acre)]
Maximum Hourly Loading Cinches) = Daily Loading (inches) I (1 one irrigated (minutes) / 60 (minutes/hour)) Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (ioches) = Sum of this month's Monthly Loading (inches) and previous I 1 months Monthly Loadings (inches)
•--"-- in the month (days/month)) x 7 (days/week)
Average Weekly
ag
y Loading
g mcnes = Monuu
Wauuf r
r • •>W�-' -. --z- ••• -•- ------ -- --
-
qQ.FIELD
NUMBER:
FIELD NUMBER:
(acre :
AREA SPRAYED (acres). . L^ /I rat
AREA SPRAYED
COVER CROP:
COVERCROP: D
Permitted HOURLY
Permitted WEEKLY
Rate (inches): r
Rate (inches):
Permitted HOURLY Rate (inches): .! •�
Permitted WEEKLY Rate (inches: id
WEATHER
CONDITIONS
U
A
Storage
Maximum
Hourly Daily
Maximum
Volume Time Hourly
Daily
Tcmp.
T
Weather
at
Precipi-
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Volume
Time
irrigated L.oadin Loading
Applied Irrigated Loading
Loading
E
Code*
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ration
Freeboard
A plied
,
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rF)
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t
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6,130
Monthly
Loading (inches)
O
4
Z �5y
o..0
12 Month
Floating Total (inches)
o , dsz
Average Weekly
Loading (inches)
Weather Codes: S-sunny, PC -partly cloudy. CI -cloudy, R-rain, Sn-snow, SI-sleety
Z14
OPERATOR IN RESPONSIBLE CHARGE (ORC) �OS�P�} / •� GRADE_ PHONE z%• Z2
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_&ATUSIE
— -------------------
(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 applicaiion_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
the permit.
❑
4. All buffer zones as specified in the permit were maintained during each a
application.
❑
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the [
lirnit(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 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."
('j9CM ��
(Permittee- PI ase print or t pe)
(Si ►ature of Permittee)*
©4113 /ZZ
OD. gn x t,L _'S A Q_OARTER Nc 7g S��'� a&L-_aiA-_gLVo o 8-ol , ao 2Z _
(Permittee Address) (Phone Number) (Peribit FJxp. Date)
" If signed by other than the permittee, delegation of signatory authority must be on rile with the state per 15A NCAC 2B.0506 (b) (2) (D).