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HomeMy WebLinkAboutWQ0028693_Monitoring - 05-2013_20130619NEWR708-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page J_ ofio_ P!!it No.: W00028693 Facility Name: Mountaintop Golf & Lake Club WWTF County: Jackson Month: May Year: 2013 Did irrigation occur at this facility? 0 YES ❑ NO Field Name: 01 Field Name: 02 Field Name: 03 Field Name: 04 Area (acres): 3.09 Area (acres): 4.35 Area (acres): 4.32 Area (acres): 4.26 Cover Crop:Blue rass/Bent ras 9 9 Cover Crop: P� Blue rass/Bent ras 9 9 Cover Crop: P� Blue rass/Bent ras 9 9 Cover Crop: P� Blue rass/Bent rass 9 9 Hourly Rate (in): 0.15 Hourly Rate (in): 0.15 Hourly Rate (in): 0.15 Hourly Rate (in): 0.15 Annual Rate (in): 18.2 Annual Rate (in): 18.2 Annual Rate (in): 18.2 Annual Rate (in): 18.2 Weather Freeboard Field Irrigated? ❑� YES ❑ NO Field Irrigated? E YES ❑ No Field Irrigated? ❑ YES El NO Field Irrigated? ❑ YES El NO o m 'o U f�0 3 w m o E E ~ ° `" a a m o ) / �/ r m °1 o.A �` a O N am -a E T =a O a > Q 'o dP: E F. .` CD %c mv� p J E rn 3 e x �'o m t0 2 0 J m y E d =a O G Q o m a; E i= •� rn ac O p J E o� T E E o m 2 p J a� a E m =a O C. � Q o w E m i= rn �,c ii 0p J E rn T c E =-o X O p = J m a E 2 =a o O. � Q o m E 2 _ rn �v p _jj E CD �, E �a X 0 _ J °F in ft ft gal min in in gal min in in gal min in in gal min in in 1 C 48 0 6.5 17 4,800 20 0.06 0.06 7,200 20 0.06 0.06 0 0 0.00 0.00 0 0 0.00 0.00 2 CL 47 0 6.5 18.5 4,800 20 0.06 0.06 7,200 20 0.06 0.06 0 0 0.00 0.00 0 0 0.00 0.00 3 CL 46 0 6.5 16.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 4 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 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 CL 38 5 7 16 4,800 20 0.06 0.06 7,200 20 0.06 0.06 0 0 0.00 0.00 0 0 0.00 0.00 7 C 44 0 9 16 4,800 20 0.06 0.06 7,200 20 0.06 0.06 0 0 0.00 0.00 0 0 0.00 0.00 8 CL 60 0 11.5 15.5 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 65 0 13.5 15.5 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 C 43 0 13.5 14 4,800 20 0.06 0.06 7,200 20 0.06 0.06 0 0 0.00 0.00 0 0 0.00 0.00 ill 1 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 4,800 20 0.06 0.06 7,200 20 0.06 0.06 0 0 0.00 0.00 0 0 0.00 0.00 13 C 32 0.1 13 15.5 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 C 32 0 13 15.5 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 C 52 0 12.5 15.5 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 66 0 12.5 15.5 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 54 0 12.5 15 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 4,800 20 0.06 0.06 7,200 20 0.06 0.06 0 0 0.00;, Q.0 0 0 0.00 0.00 19 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.0Q 0.60 11,1 0 0 0.00 0.00 20 C 50 0.5 11.5 15 0 0 0.00 0.00 0 0 0.00 0.00 0 0 , Q OQ_ 0.00 0 0 0.00 0.00 21 C 74 0 11.5 15 4,800 20 0.06 0.06 7,200 20 0.06 0.06 0 0 11 a : 1 0 0.00 0.00 22 PC 72 0.7 11 15 4,800 20 0.06 0.06 7,200 20 0.06 0.06 0 0 0.00 0.00 ` '^ 0 0.00 0.00 23 PC 73 0.2 10.5 14.5 '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 58 0 10.5 14.5 4,800 20 0.06 0.06 7,200 20 0.06 0.06 0 0 1 0.wO , ; 0.00"� -_0 0 0.00 0.00 25 0 0 0.00 0.00 0 0 0.00 0.00 0 0 / udl '! U,a 00' ,# �7,,0 _'_ `�0`. 0.00 0.00 26 0 0 0.00 0.00 0 0 0.00 0.00 0 01 0.00 0.00 "-� 0' 11 0 1 0.00 0.00 27 4,800 20 0.06 0.06 7,200- 20 0.06 0.06 0 0 0.00 f ,Fr 0.00 0 0 0.00 0.00 28 PC 70 0 14 10.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.0 j? j 0 Oj 0.00 0.00 29 PC 68 0 13 13 4,800 20 0.06 0.06 7,200 20 0.06 0.06 0 ° 0 ' 1 P)t0,0,0 _ 0.00 0 9 0.00 0.00 30 PC 70 0 13.5 12.5 0 0 0.00 0.00 0 0 0.00 0.00 0 % 0 000 ' '`/Eo;pp", __ 0 i0 0.00 0.00 31 C 62 0 13 12.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 ��:b(ir�. Pox " U'dico �0 0.00 0.00 Monthly Loading: 57,600 0.69 86,400 0.73 0 0.0070 0.00 12 Month Floating Total (in):W 4.35 4.64 700 0.00 FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) 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? Page 79 ❑� Compliant ❑ Non -Compliant ❑ Compliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? P1 Compliant ❑ Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? Ej 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 additional sheets if necessary. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Michael Beck Permittee: Mountaintop Golf &Lake Club Certification No.: SI-991669 WWIV-7930 Signing Official: Robert Barr Grade: SI WWIV Phone Number: (828) 251-1900 Signing Official's Title: Signatory Has the ORC changed since the previous NDAR-1? ❑ Yes 0 No Phone Number: (828) 251-1900 Permit Exp.: 7/31/14 Signature Date Signature Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. Mail Original and Two Copies to: Division of Water Quality Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 AR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2- Of/ -0 jit No.: WQ0028693 Facility Name: Mountaintop Golf & Lake Club WWTF County: Jackson Month: May Year: 2013 Field Name: 05 Field Name: 06 Field Name: 07 Field Name: 08 Did irrigation occur Area (acres): 3.37 Area (acres): 3.95 Area (acres): 4.02 Area (acres): 2.31 at this facility? Cover Crop:Blue sass/Bent ras Cover Crop: Blue rass�Bent ras Cover Crop: Blue rass�Bent ras Cover Crop: Blue rass/Bent rass g 9 P 9 9 P= 9 9 P 9 9 ❑ YES ❑ No Hourly Rate (in): 0:15 Hourly Rate (in): 0.15 Hourly Rate (in): 0.15 - Hourly Rate (in): 0.15 Annual Rate (in): 18.2 Annual Rate (in): 18.2 Annual Rate (in): 18.2 Annual Rate (in): 18.2 Weather Freeboard Field Irrigated? ❑ YES 2 NO Field Irrigated? ❑ YES Ej NO Field Irrigated? ❑ YES 0 NO Field Irrigated? ❑ YES No T O A a+ y .0 ® G7 d C 3 ?? C N N d �. C 7 0 C .N _ N d . ?i C 7 }` C 01 G1 d T C 7 �` C 10 z` - V `m _ ° u 3- E v E o �'- E v E �'v E'- E �'- E in M a CL >oa ~.� ❑ o �= o oCL 0 a i= ❑ o �= o - to - ❑.J.. _� >°a ~ ❑� �= 00 3 ~ a OF in It ft gal min in in gal min in in gal min in in gal min in in 1 C 48 0 6.5 17 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 CL 47 0 6.5 18.5 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 CL 46 0 6.5 16.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 4 • 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 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 CL 38 5 7 16 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 C 44 0 9 16 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 CL 60 0 11.5 15.5 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 65 0 13.5 15.5 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 C 43 0 13.5 14 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 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 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 13 C 32 0.1 13 15.5 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 C 32 0 13 15.5 0 0 0.00- 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 151 C 1 52 0 1 12.5 15.5 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 66 0 12.5 15.5 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 54 0 12.5 15 0 - 0 - 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0100 0 0 0.00 0.00' 18 0 0 0.00. 0.00 0 0 0.00 0.00 0 0 0.00 0.00 _ 0 0 0.00 19 0 0, 0.00 0:00 0 0 0.00 0.00 0 0 0.00 0.00, .A, 0 .00 .00 20 C 50 0.5 11.5 15 0 0 `0.00 0.00 0 0 0.00 0.00 0 0 0.00. 10.00 M 0 .00 0.00 21 C 74 0 11.5 15 0 0, 0.00 '0.00 0 0 0.00 0.00 0 0 0.00 j0.00 0 0 0.00 P .00 22 PC 72 0.7 11 15 0 , 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 10.00 ^A' 0.00 .00 23 PC 73 0.2 10.5 14.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 10.00 0 0.00 0.00 24 PC 58 0 10.5 14.5 0 0. 0.00. 0.00 0 0 0.00 0.00 0 0 0.00 }'0.00 0 0 ,�0 00 25 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 �0.00 v' ' ' b.00 26 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0 00 _ !�iTe f qie I _b.00 27 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 70 0 14 10.5 6 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 68 0 13 13 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 70 0 13.5 12.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 311 C 62 0 13 12.5 0 0 0.00 F 0.00 1 0 6 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 Monthly Loading: 0 0.00 0 0.00 0 . 0.00 0 0.00 12 Month Floating Total (in)- 0.00 M 0.00 0.00 0.00 FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) 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? Page FYI Compliant ❑ Non -Compliant Compliant ❑ Non -Compliant ❑ Compliant ❑ Non -Compliant i] Compliant ❑ Non -Compliant El 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: Michael Beck Permittee: Mountaintop Golf & Lake Club Certification No.: SI-991669 WWIV-7930 Signing Official: Robert Barr Grade: SI WWIV Phone Number: (828) 251-1900 Signing Official's Title: Signatory Has the ORC changed since the previous NDAR-1? ❑ Yes 0 No Phone Number: (828) 251-1900 Permit Exp.: 7/31/14 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 1. ! RECEIVED inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the R- 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. JUL culJ AAh vijiG Mail Original and Two Copies to: Division of Water Quality Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 PFA1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page J of Vo it.: WQ0028693 Facility Name: Mountaintop Golf & Lake Club WWTF County: Jackson Month: May Year: 2013 Did irrigation occur Field Name: 09 Field Name: 10 Field Name: 11 Field Name: 12 this facility? Area (acres): 2.77 Area (acres): 2.22 Area (acres): 2.16 Area (acres): 3.88 at Cover Crop:Blue rass/Bent ras 9 9 Cover Crop: P� Blue rass/Bent ras 9 9 Cover Crop: P� Blue rass/Bent ras 9 9 Cover Crop: P� Blue rass/Bent rass 9 9 Q YES ❑ No Hourly Rate (in): 0.15 Hourly Rate (in): 0.15 Hourly Rate (in): 0.15 Hourly Rate (in): 0.15 Annual Rate (in): 18.2 Annual Rate (in): 18.2 Annual Rate (in): 18.2 Annual Rate (in): 18.2 Weather Freeboard Field Irrigated? ❑ YES 0 No Field Irrigated? ❑ YES 2 No Field Irrigated? ❑ YES NO Field Irrigated? ❑ YES No (D c` y 3 2 c0 o E E- r_ o i a y 2 a a)m 07 c - - _ °' y �� t9 a U m d E o �a > Q v Gl G1 a+ E� 2 ~ _`- rn �, C M Inon J E �,o� 7 C Z E M= J �a >¢ m° ad. E� F- = �,c �� p J E'`� �, E�� M 2 p J Ems°_' �a 0 0 Q 61 m Em F- •C a ,�w 0 p J > >,� _ E» 2 �O J my E N �Q p CL Q N E v co H •r = o� �. C B'v p 0 J E rn T C Env m 2 0 J OF in ft ft gal min in in gal min in in gal min in in gal min in in 1 C 48 0 6.5 17 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 CL 47 0 6.5 18.5 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 CL 46 0 6.5 16.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 4 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 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 CL 38 5 7 16 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 C 44 0 9 16 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 CL 60 0 11.5 15.5 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 65 0 13.5 15.5 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 C 43 0 13.5 14 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 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 1 0.00 0 0 0.00 0.00 12 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 13 C 32 0.1 13 15.5 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 C 32 0 13 15.5 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 C 52 0 12.5 15.5 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 66 1 0 1 12.5 15.51 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 "0- _0 0 0.00 0.00 17 PC 54 0 12.5 15 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 10.00 �, _g _ 0 0.00 18 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 j 0.00 q Lot; I [DJ C: ^0.00 0.00 19 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 i 0.00 0 0 `®�0.00 /0.00 20 C 50 0.5 11.5 15 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 ; / 0 0.00 f 0.00 21 C 74 0 11.5 15 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 61j f i 0.00 0.00 22 PC 72 0.7 11 15 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 QIQ 0_ 0 0.00 0.00 23 PC 73 0.2 10.5 14.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 + 0.00 '111tdlieqjorjo p A.00 0.00 24 PC 58 0 10.5 14.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 --0:0 ` !C"t Q~ Pir, 0"I)0 0.00 25 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 _q -` U �- =Q 00 0.00 26 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 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 70 0 14 10.5 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 68 0 13 13 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 70 0 13.5 12.5 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 C 62 0 13 12.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 Monthly Loading: 0 0.00 0 0.00 0 0.00 0 FA0.00 12 Month Floating Total (in): 0.00 0.00 0.00 0.00 FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) 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? Page '14 2 Compliant ❑ Non -Compliant ❑� Compliant ❑ Non -Compliant Compliant ❑ Non -Compliant Q Compliant ❑ Non -Compliant El 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: Michael Beck Permittee: Mountaintop Golf & Lake Club Certification No.: SI-991669 WWIV-7930 Signing Official: Robert Barr Grade: SI WWIV Phone Number: (828) 251-1900 Signing Official's Title: Signatory Has the ORC changed since the previous NDAR-1? ❑ Yes 0 No Phone Number: (828) 251-1900 Permit Exp.: 7/31/14 - 6 `9 —/J 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 property gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. Mail Original and Two Copies to: Division of Water Quality Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 AR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page +-& 110 it No.: WQ Pr 00286933 Facility Name: Mountaintop Golf &Lake Club WWTF County: Jackson Month: May Year: 2013 Did irrigation occur at this facility? ❑� YES ❑ No Field Name: 13 Field Name: 14 Field Name: 15 Field Name: 16 Area (acres): 3.38 Area (acres): 2.81 Area (acres): 4.16 Area (acres): 1.76 Cover Crop:Blue rass/Bent ras 9 9 Cover Crop: P� Blue rass/Bent ras 9 9 Cover Crop: P� Blue rass/Bent ras 9 9 Cover Crop: P� Blue rass/Bent rass 9 9 Hourly Rate (in): 0.15 Hourly Rate (in): 0.15 Hourly Rate (in): 0.15 Hourly Rate (in): 0.15 Annual Rate (in): 18.2 Annual Rate (in): 18.2 Annual Rate (in): 18.2 Annual Rate (in): 18.2 Weather Freeboard Field Irrigated? , ❑ YES El N0 Field Irrigated? ❑ YES 21 No Field Irrigated? ❑ YES [21 No Field Irrigated? ❑ YES ❑� NO 0 U df t M E a CD F ii 'V ` a `o - co o.m o y, C {0 a � co E m _° o ° C. ,Q m y E �_ •� = �.c E e O J=J :3 E c O °' m 0 0 O. �JQ ° m E m P 'a. _ g,c �a 0° J=J >>.� `B x° C m m � 'a 0 G �Q an d E _ P 21 �,e E 'v 0 0 J=-°.1 3 ae E� 'o x° E m � 'a 6 G. Q an d E _ P 2' ac E v 0 �0 J ac E o x° l0 g=J °F in ft ft gal min in in gal min in in gal min in in gal min in in 1 C 48 0 6.5 17 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 CL 47 0 6.5 18.5 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 CL 46 0 6.5 16.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 4 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 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 CL 38 5 7 16 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 C 44 0 9 16 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0100 0 0.00 0.00 8 CL 60 0 11.5 15.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 1 P100 ab0 9 PC 65 0 13.5 15.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0{00de00 0.00 101 C 43 0 13.5 14 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 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0100 0 •: _(41 ^. ^ D.00 0,100 12 D 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0 00 0 0 0.00 0100 13 C 32 0.1 13 15.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0!00 0 , 0 9-0 • 0,00 14 C 32 0 13 15.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00,-` `,11n"� ` ]`' a, 0100 15 C 52 0 12.5 15.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 X-d.m - F'rC?IG_,,Yl6).U0 __0j00 161 PC 1 66 0 1 12.5 15.5 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 54 0 12.5 15 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 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 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 20 C 50 0.5 11.5 15 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 C 74 0 11.5 15 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 221 PC 1 72 0.7 1 11 15 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 23 PC 73 0.2 10.5 14.5 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 58 0 10.5 14.5 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 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 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 0 0 0.00 1 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 281 PC 1 70 0 14 10.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 PC 68 13 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 d PC 70 �LU 12.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 C 62 12.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 D 0.00 0.00 Monthly Loading: 0 0.00 0 0.00 0 0.00 0 0.00 12 Month Floating Total (in): 0.00 1 0.00 OMWI, 0.00 0,0 n nn FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page "qq 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 -compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑.r compliant ❑ 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? 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 additional sheets if necessary. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Michael Beck Permittee: Mountaintop Golf & Lake Club Certification No.: SI-991669 WWIV-7930 Signing Official: Robert Barr Grade: SI WWIV Phone Number: (828) 251-1900 Signing Official's Title: Signatory Has the ORC changed since the previous NDAR-1? ❑ Yes [21 No Phone Number: (828) 251-1900 Permit Exp.: 7/31/14 12 -1 l5 �l 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 propedy gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing violations. Mail Original and Two Copies to: Division of Water Quality Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 EMPFPP AR-'108-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Z-D Pp!irrit No.: W00028693 Facility Name: Mountaintop Golf & Lake Club WWTF County: Jackson Month: May Year: 2013 Did irrigation occur at this facility? ❑r YES ❑ NO Field Name: 17 Field Name: 18 Field Name: 19 Field Name: 20 Area (acres): 3.93 Area (acres): 3.26 Area (acres): 3.64 Area (acres): 3.96 Cover Crop:Blue rass/Bent ras 9 9- Cover Crop: P� Blue rass/Bent ras 9 9 Cover Crop: P�, Blue rass/Ben ras 9 t9 Cover Crop: P� Blue rass/Bent rass 9 9 Hourly Rate (in): 0.15 Hourly Rate (in): 0.15 Hourly Rate (in):, 0.15 Hourly Rate (in): 0.15 Annual Rate (In): 1B.2 Annual Rate (in): 18.2 Annual Rate (in): •. - - 18:2: Annual Rate (in): 18.2 Weather Freeboard Field Irrigated? ` ❑ YES No Field Irrigated? ❑ YES [] NO Field Irrigated? ❑ YES 0 NO Field Irrigated? ❑ YES Q NO �. o o N r ' R m ° E y a y � °' rn r m ai a M2 >, a M p• 01 v E d �a O O_ iQ v mad E� j= '` -' _ a� a, c m� p _! E �,. a ;. te e Ex�'a N S 0 _l m a E 2 �o 0 CL iQ D m :; E� 1- 2 �- a� � c ,�� � p J E a rn �_ c E0� m 2 p J 010 E m oQ O C. >Q " m •;; E� i= 2 rn- a. c �� G p J E a = E» w 0 0 .J m y E m �a o a iQ v m :; E� H .� rn �, c Ev p 0 J E o� > >` c E�� X o 0 =J OF in ft ft gal min in in gal min in in gal min in in gal min in in 1 C 48 0 6.5 17 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 -CL 47 0 6.5 18.5 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 CL 46 0 6.5 16.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 4 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 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 CL 38 5 7 16 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 C 44 0 9 16 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 CL 60 0 11.5 15.5 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 65 0 13.5 15.5 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 C 43 0 13.5 14 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 1 0.00 11 1 0 0 1 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 12 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 13 C 32 0.1 13 15.5 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 C 32 0 13 15.5 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 C 52 0 12.5 15.5 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 66 0 12.5 15.5 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 54 0 12.5 15 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 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 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 20 C 50 0.5 11.5 15 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 C 74 0 11.5 15 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 " 0:00-- 0.00 kt 0----- � io0 V n ___ 0 00 0.00 22 PC 72 0.7 11 15 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 I ® ®- r" , 0.00 j 0.00 23 PC 73 0.2 10.5 14.51 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 - -_. 0 ` Os �' 0.00 0.00 24 PC 58 0 10.5 14.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 1 0.00 0 0 0.00 0.00 25 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 1 0.00 j jj 0 i f 0.00 0.00 26 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 j 0.00 271 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 XU. Qe ,iIG g, ,,M-, . 0.00 I 0.00 28 PC 70 0 14 10.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 " 0 , ` 00 0.00 29 PC 68 0 13 13 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00- - 0--` ! 00 0.00 30 PC 0 P62 0 13.5 12.5 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 C 0 1 13 1 12.5 0 0 0.00 1 0.00 1 0 0 1 0.00 1 0.00 1 0 0 1 0.00 0.00 11 0 0 0.00 0.00 Monthly Loading: 0 0.00 0 0.00 0 0.00 0 0.00 12 Month Floating Total (in): 0.00 0.00 0.00 0.00 FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) 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? Page I] Compliant ❑ Non -Compliant (] Compliant ❑ Non -Compliant El Compliant ❑ Non -Compliant E] Compliant ❑ Non -Compliant 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: Michael Beck Permittee: Mountaintop Golf &Lake Club Certification No.: SI-991669 WWIV-7930 Signing Official: Robert Barr Grade: SI WWIV Phone Number: (828) 251-1900 Signing Official's Title: Signatory. Has the ORC changed since the previous NDAR-1? ❑ Yes R) No Phone Number: (828) 251-1900 Permit Exp.: 7/31/14 Signature Date Signature Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, Including the possibility of fines and Imprisonment for knowing violations. Mail Original and Two Copies to: Division of Water Quality Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 rNWQ00286 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page � ofl � 93 Facility Name: Mountaintop Golf & Lake Club WWTF County: Jackson Month: May Year: 2013 Did irrigation occur at this facility? YES ❑ NO Field Name: 21 Field Name: 22 Field Name: 23 Field Name: 24 Area (acres): 5.33 Area (acres): 5.49 Area (acres): 2.99 Area (acres): 3.81 Cover Crop:Blue rass/Bent ras 9 9 Cover Crop: P� Blue rass/Bent ras 9 9 Cover Crop: P� Blue rass/Bent ras 9 9 Cover Crop: P� Blue rass/Bent rass 9 9 Hourly Rate (in): 0.15 Hourly Rate (in): 0.15 Hourly Rate (in): 0.15 Hourly Rate (in): 0.15 Annual Rate (in): 18.2 Annual Rate (in): 18.2 Annual' Rate (in): 18:2 Annual Rate (in): 18.2 Weather Freeboard Field Irrigated? . ❑ YES NO Field Irrigated? ❑ YES NO Field Irrigated? ❑ YES 0 NO Field Irrigated? ❑ YES FZI NO m v C�i, 3 E wR F c a m Imga N am c M C• o m my n o > ; E a p E a �s _ 2 J E m 3 > •� c p �E >1 c p J E �o . oQE C .J E = EV CC = 2J E � p C �!Q gw • r � �E !, Ckr J o rnC 3 C) 2=J OF in ft ft gal min in in gal min in in gal min in in gal min in in 1 C 48 0 6.5 17 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 CL 47 0 6.5 18.5 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 CL 46 0 6.5 16.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 4 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 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 CL 38 5 7 16 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 C 44 0 9 16 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 CL 60 0 11.5 15.5 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 65 0 13.5 15.5 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 C 43 1 0 1 13.5 14 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 0 0 0.00 0.00 0 1 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 12 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 13 C 32 0.1 13 15.5 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 C 32 0 13 15.5 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 C 52 0 12.5 15.5 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 66 1 0 1 12.5 15.5 0 0 0.00 1 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 17 PC 54 0 12.5 15 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 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 it-00-a 0 0.00 0.00 19 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 10.00 r?,0 0 0.00 20 C 50 0.5 11.5 15 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 j 0.00 E 00.00 10.00 21 C 74 0 11.5 15 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 l 0.00 0 0 0.00 10.00 22 PC 72 0.7 11 15 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 1 0.00 j Q 0 $ -1 0.00 1 0.00 23 PC 73 0.2 10.5 14.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 r �8 f - 0.00 0.00 24 PC 58 0 10.5 14.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 clgo mi-0, 0 0.00 0.00 25 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 r0° �Utbaf 26 1 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0 = t -"v� $ee-I fi , n 0.00 ' 0.00 271 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0� .00- 0.00 28 PC 70 0 14 10.5 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 68 0 13 13 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 70 0 13.5 12.5 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 C 62 0 13 12.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 Monthly Loading: 0 0.00 0 0.00 0 0.00 0 0.00WAO 12 Month Floating Total (in): 0.00 0.00 0.00 0.00 FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Did the application rates exceed the limits in Attachment B of your permit? Page ❑� Compliant ❑ Non -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 ❑ 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 additional sheets if necessary. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Michael Beck Permittee: Mountaintop Golf &Lake Club Certification No.: SI-991669 WWIV-7930 Signing official: Robert Barr Grade: SI WWIV Phone Number: (828) 251-1900 Signing Official's Title: Signatory Has the ORC changed since the previous NDAR-1? ❑ Yes 0 No Phone Number: (828) 251-1900 Permit Exp.: 7/31/14 (p Signature Datei Signature Date By this signature; I certify that this report is accurrate and complete to the best of my knowledge. I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. Mail Original and Two Copies to: Division of Water Quality Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 P PV P_ AR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page - od o mitW00028693 Facility Name: Mountaintop Golf & Lake Club WWTF County: Jackson Month: May Year: 2013 Did irrigation occur at this facility? Field Name: 25 Field Name: 26 Field Name: 27 Field Name: 28 Area (acres): 4.56 Area (acres): 4.05 Area (acres): 3.47 Area (acres): 2.28 Cover Crop:Blue rass/Bent ras 9 9 Cover Crop: P� Blue rass�Bent ras 9 9 Cover Crop: P= Blue rass�Bent ras 9 9 Cover Crop: P� Blue rass/Bent rass 9 9 ❑� YES ❑ NO Hourly Rate (in): • 0.15, Hourly Rate (in): 0.15 Hourly Rate (in): US' Hourly Rate (in): 0.15 Annual Rate (in): -1,8:2 Annual Rate (in): 18.2 Annual Rate (In): -18.2 Annual Rate (in): 18.2 Weather Freeboard ' Field Irrigated? ❑ YES NO Field Irrigated? ❑ YES R] No Field Irrigated? ❑ YES (21 NO Field Irrigated? ❑ YES ❑� NO M o> W .cama�0.i CL F ` v n a� . a¢ th ~�° m a Im Ego aJ � �� �p 13ma E oo �_� °oo x �,o rn E rn o J a�� o ia Q o _ JEo o � 'vJCM� Eco xE Om OF in ft ft gal min in in gal min in in gal min in in gal min in in 1 C 48 0 6.5 17 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 CL 47 0 6.5 18.5 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 CL 46 0 6.5 16.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 4 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 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 CL 38 5 7 16 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 C 44 0 9 16 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 CL 60 0 11.5 15.5 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 65 0 13.5 15.5 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 C 43 0 13.5 14 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 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 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 13 C 32 0.1 13 15.5 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 C 32 0 13 15.5 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 C 52 0 12.5 15.5 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 66 0 12.5 15.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 171 PC 54 1 0 1 12.5 15 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 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 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 20 C 50 0.5 11.5 15 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 C 74 0 11.5 15 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 22 PC 72 0.7 11 15 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 ---0-- 0.00 231 PC 73 0.2 1 10.5 14.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 ' ' 24 PC 58 0 10.5 14.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 - 6.00 c- LU0.00 25 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 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 JUL - A ti 0.00 27 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 70 0 14 10.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 %0U1'1 011A P ,Q,W_, 000 291 PC 68 0 13 13 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 7i,•, 30 PC 70 0 13.5 12.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 o-- ' M(It)no.o0 311 C 62 0 1 13 1 12.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 Monthly Loading: 0 0.00 0 0.00 0 0.00 0 0.00 12 Month Floating Total (in): 0.00 0.00 0.00 0.00 FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) 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? Page Q Compliant ❑ Non -Compliant ❑� Compliant ❑ Non -Compliant 0 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 necessary. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Michael Beck Permittee: Mountaintop Golf & Lake Club Certification No.: SI-991669 WWIV-7930 Signing official: Robert Barr Grade: SI WWIV Phone Number: (828) 251-1900 Signing Officials Title: Signatory Has the ORC changed since the previous NDAR-1? ❑ Yes R1 No Phone Number: (828) 251-1900 Permit Exp.: 7/31/14 vvorl� Signature Date Signature Date By this slgnature, I certify that this report is accurrate and complete to the best of my knowledge. I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. Mail Original and Two Copies to: Division of Water Quality Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 rWQO00286� 8-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 4a of / 0 No3 Facility Name: Mountaintop Golf & Lake Club WWTF County: Jackson Month: May Year: 2013 Did irrigation occur at this facility? YES ❑ No Field Name: 29 Field Name: 30 Field Name: 31 Field Name: 32 Area (acres): 4.24 Area (acres): 5.34 Area (acres): 4.74 Area (acres): 4.8 Cover Crop:Blue rass/Bent ras 9 9 Cover Crop: P� Blue rass/Bent ras 9 9 Cover Crop: P� Blue rass/Bent ras 9 9 Cover Crop: Bluegrass/Bentgrass Hourly Rate (In): 0.15 Hourly Rate (in): 0.15 Hourly Rate (In): 0.15 Hourly Rate (in): 0.15 Annual Rate (in): 18.2 Annual Rate (in): 18.2 Annual Rate (In): 18.2 Annual Rate (in): 18.2 Weather Freeboard Field Irrigated? 0 YES ❑ NO Field Irrigated? (] YES ❑ NO Field Irrigated? ❑r YES ❑ NO Field Irrigated? � YES ❑ NO Q m o V 5 d 3 m �' a E H c B a d m c vn •- N a am �� m a M Lh m E m °a >¢ v m� E� ~ o� a,c ivy °� - E T o� c Eom `_� m y E d °a >°¢ y ;; E� ~ 1 rn �,c ,�� ° J E M >>,c E°v io2 c J , m •e E m °o c a i Q a m E� m = 0 �� o c J E a� �� E°v �= c .� J a, o 2 �a o a i Q v arm, E° H °� o� �,c ;�v o c J= E rn ° c E°Z x° c J °F in ft It gal min in in gal min in in gal min In in gal min In in 1 C 48 0 6.5 17 7,200 20 0.06 0.06 4,800 20 0.03 0.03 15,482 20 0.12 0.12 16,568 20 0.13 0.13 2 CL 47 0 6.5 18.5 7,200 20 0.06 0.06 4,800 20 0.03 0.03 15,536 20 0.12 0.12 16,614 20 0.13 0.13 3 CL 46 0 6.5 16.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 4 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 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 CL 38 5 7 16 7,200 20 0.06 0.06 4,800 20 0.03 0.03 15,519 20 0.12 0.12 16,581 20 0.13 0.13 7 C 44 0 9 16 7,200 20 0.06 0.06 4,800 20 0.03 0.03 15,493 20 0.12 0.12 16,537 20 0.13 0.13 8 CL 60 0 11.5 15.5 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 65 0 13.5 15.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 101 C 1 43 0 13.5 14 1 7,200 20 0.06 0.06 4,800 20 0.03 0.03 15,507 20 0.12 0.12 16,633 20 0.13 0.13 11 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 7,200 20 0.06 0.06 4,800 20 0.03 0.03 15,475 20 0.12 0.12 16,525 20 0.13 0.13 13 C 32 0.1 13 15.5 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 C 32 0 13 15.5 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 C 52 0 12.5 15.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 161 PC 1 66 0 1 12.5 15.5 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 54 0 12.5 15 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 7,200 20 0.06 0.06 4,800 20 0.03 0.03 15,563 20 0.12 0.12 16,587 20 0.13 0.13 19 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 20 C 50 0.5 11.5 15 0 0 0.00 0.00 0 0 0.00 0.00 0 00.00 0.00 0 0 0.00 0.00 21 C 74 0 11.5 15 1 7,200 20 0.06 0.06 4,800 20 0.03 0.03 15,448 20 0.12 0.12 16,612 20 0.13 0.13 221 PC 72 0.7 11 15 7,200 20 0.06 0.06 4,800 20 0.03 0.03 15,504 20 0.12 0.12 16,586 20 0.13 0.13 23 PC 73 0.2 10.5 14.5 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 58 0 10.5 14.5 7,200 20 0.06 0.06 4,800 20 0.03 0.03 15,477 20 0.12 0.12 16,513 k?0� 'It Uj0.13 25 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 1 0.00 0 0 0.00 0.00 26 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 ,0,00- 0.00 27 7,200 20 0.06 0.06 4,800 20 0.03 0.03 15,589 20 0.12 0.12 16,493 d %Y1 J 0.13 281 PC 1 70 1 0 1 14 10.51 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 68 0 13 13 7,200 20 0.06 0.06 4,800 20 0.03 0.03 15,814 20 0.12 0.12 1-6 VI eCgjQl:la p7>I9e 30 PC 70 0 13.5 12.5 0 0 0.00 0.00 0 PO 0.00 0.00 0 0 0.00 0.00 0 al✓ofA� PI�QD'C1101Q.o0 31 C 62 0 13 12.5 0 0.00 0.00 0 0.00 0.00 0 0 0.00 0.00 _ 0 0 .00 0.00 Monthly Loading: 8�64�00 0.75 57,600 0.40 186,407 1.45 198,875 jE.53 12 Month Floating Total (in): 486 2.52 9.20 FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) 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? Page 0 Compliant ❑ Non -compliant Compliant ❑ Non -Compliant Q Compliant ❑ Non -compliant Q Compliant ❑ Non -Compliant Fz] 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 actionts) iaKen. muacn aouluonal slicers u Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Michael Beck Permittee: Mountaintop Golf & Lake Club Certification No.: SI-991669 WWIV-7930 Signing Official: Robert Barr Grade: SI WWIV Phone Number: (828) 251-1900 Signing Official's Title: Signatory Has the ORC changed since the previous NDAR-1? ❑ Yes No Phone Number: (828) 251-1900 Permit Exp.: 7/31/14 VW� -)2r13 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 Quality Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Pi3IF03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page o� o No.: WQ0028693 Facility Name: Mountaintop Golf & Lake Club WWTF County: Jackson Month: May Year: 2013 PPI: 001 Flow Measuring Point: ❑ Influent ❑ Effluent ❑ No flow generated Parameter Monitoring Point: ❑ Influent Q Effluent ❑ Groundwater Lowering ❑ Surface Water Parameter Code -- 0 50050 00310 00680 00940 50060 31616 00610 00620 00400 70300 00530 00076 o Tv v c v m u v o U � m_ LL U E z o y U) o L wi U) ca 24-hr hrs GPD mg/L mg/L mg/L mg/L #1100 mL mg/L mg/L su mg/L mg/L NTU 1 06:30 1 4,200 2.2 6.7 0.92 2 09:30 1 4,800 2.1 6.7 0.9 3 09:30 1 4,200 2.2 6.7 0.88 4 12,900 0.9 5 12,900 14 0 - 0.87 6 06:30 1 13,000 2 6.7 0.91 7 09:30 1 6,800 < 2.0 1.8 IF-_5`600N 0.25 7.2 6.7 3.4 0.92 8 11:30 1 4,800 2.2 6.7 0.93 9 13:00 1 200 2.2 6.7 0.89 10 06:00 1 8,300 2.2 6.7 0.94 11 6,900 0.9 12 6,900 0.9 13 07:30 1 7,000 2.2 6.7 0.95 14 06:30 1 6,100 2.1 6.7 0.96 15 06:30 1 9,000 2.2 6.7 0.95 16 10:30 1 5,600 2.2 6.7 1 17 07:30 1 7,600 2.1 6.7 1.05 18 9,500 1 19 9,500 0.98 20 06:00 1 9,500 2.2 6.7 0.94 21 11:30 1 7,300 <2.0 2.1 <1.0 0.45 1.2 6.7 < 2.5 1.22 22 12:00 1 9,200 2.2 6.7 0.89 _ 23 14:30 1 8,600 2 6.7 1.31 I _ M k v E 11, 24 14:00 1 8,900 2 6.7 1.42 25 16,900 1.4ri 261 16,900 1.5 J t 4 27 holiday 17,000 1.55 28 10:30 1 17,000 2 L" 6.7 1.72 ,� ►C 1f111@ 'try t(; j,,}��in 29 10:00 1.5 9,200 2.2 6.7 2.32 Aquife Prat r,,;:; 30 11:30 1 13,500 2.2 / 1 6.7 2.94 31 10:30 1 1.5 8,200 2 6.7 3.42 Average: 9,110 0.00 2.12 1.00 0.35 4.20 1.70 1.24 Daily Maximum: 17,000 2.00 2.20 `1" 0 0.45 7.20 6.70 3.40 3.42 Daily Minimum: 200 2.00 1.80 1.00 0.25 1.20 6.70 2.50 0.87 Sampling Type: Recorder Composite Grab Grab Grab Grab Composite Composite Grab Grab Composite Recorder Monthly Limit: 120,000 10 14 4 5 Daily Limit: 15 25 6 6-9 10 10 Sample Frequency: Continuous See Permit L3x Yearl 3 x Year 5 x Week See Permit See Permit see Permit 5 x Week 3 x Year See Permit Continuous FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page Sampling Person(s) Certified Laboratories Name: Michael Beck Name: Environmental Testing Solutions, Inc Name: Name: Prisim Laboratories, Inc Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑ compliant on -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. S-7 TA15LE- FUMP, f'IV* Vl Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Michael Beck Permittee: Mountaintop Golf & Lake Club Certification No.: SI-991669 WWIV-7930 Signing Official: Robert Barr Grade: SI WWIV Phone Number: (828) 251-1900 Signing Official's Title: Signatory Has the ORC changed since the previous NDMR? ❑ Yes 0 No Phone Number: (828) 251-1900 Permit Expiration: 7/31/2014 Signature Date Signature Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. Mail Original and Two Copies to: Division of Water Quality Information Processing Unit 1617 Mail Service Center RalPinh_ Nnrth Carnlina 27699-1617 pp- ppp' _,,r603-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of m Facility Name: Mountaintop Golf & Lake Club WWTF County: Jackson Month: May 002 Flow Measuring -. ■ Influent■Effluent ■ Imanj ipme MW ■ 0 Ge more ' 0---------------- m l 0 --------------®�' FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page Sampling Person(s) Certified Laboratories Name: Michael Beck Name: Environmental Testing Solutions, Inc Name: Name: Prisim Laboratories, Inc Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? b 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 11 Permittee Certification ORC: Michael Beck Certification No.: SI-991669 WWIV-7930 Grade: Si WWIV Phone Number: (828) 251-1900 Has the ORC changed since the,previous NDMR? ❑ Yes i) No Signature Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. Permittee: Mountaintop Golf & Lake Club Signing Official: Robert Barr Signing Official's Title: Signatory Phone Number: (828) 251-1900 Permit Expiration: 7/31/2014 (o 5 r13 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 property gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. Mail Original and Two Copies to: Division of Water Quality Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617