WQ0024694_Monitoring - 06-2022_20220725

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) 1 Rese �of

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Sampling Person(s) Certified Laboratories
Name: Rickie Daniels Name: Water Tech Labs
Name: Name:
%. eN r.aa. ff—i— dote end eemniinn fran ocon ice moot the remrirempnte in Attachment A of vour thennit? Lf(mtpllme ❑ woCompcmt
If the facility is noncompliant, please explain in the space below the reasons) the facility was not in compliance. Provide in your explanation the date(s) of the noncompliance and dascnbe Me carective
actions) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permitiee Certificalion
ORC: Rickie Daniels
permMee: AQUA NORTH CAROLINA2
Certification No.: 1009769
j
Signing Official: S�ncn V
Grade: 3 Phone Number: 704-507-3415/
Signing Official's Title: ri CJ-
Has the ORC changed since the previous NDMR? o yes 01ao
Phone Nunter,919.467.8712 Permft Espiratime 10.31.2024
Rickie Daniels %_
.S✓� 7-QO' Z z
Signature Date
Signature Data
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wiNaalslem aaemaassure . MA all ceffil imeen. pmpmy IsmaceI aq emiamad the Witlxi6 tlon w ml mam.
mrimwramecemm aamasscawmaraca ore syalem. adwae pmaoma:edyreapmr akmryad�erns meimamae ne
iNprtetion suEmitlea ¢. b tle Eert ar my km W e5ae aM C¢liel. trio. acwak. aq arn[Iete. I am aware ttIX tl ere are sgNcanl
PemIl�OraGmil4m rabe mlamaam,urltli^31heP bJMafr aH vnF^somrtNfmkmr.'F9 hdatims.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

FORM: NDAR-1 06-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1Page f of) ::� '�I:..fc�......
Permit No.: W00024694
Facility Name: Bright's Creek Golf Club
County: Polk
Month: June
trazr- 2022
Field Name:
B
Field Name:
D
Did irrigation occur
at this facility?
s dot -
Ana(aeres):
25.1
� -
Ara.(aeres):
214
Cwercmn:
Cmvercmo:
0+ YS ❑ No
z- _ _
Hourly Rate (in):
0A
_
Hourly Rate (m):
0.4
N..,
Annual Rate (in):
52
_
Annual Rate (in):
52
Weather
Freefmartl
Field lrrigate-7
0'"� ❑No
Field Irrigated?
Q� 73 rr�
c
3
E
—
a`
m
E m
o a
m B
E
v
z` 6
o
y,— a
1
a
2
3
25
675
4
5
7
9
10
25
57513
12
14
t6ia:
16
17
25
675
20
21
r,
22
23
��;:,
24
2.5
6.75
-.y Gp-� ,,
25
- -F-^x
26
27
28
29
CA90A
70,000
20
0.10
30
PC
32,299
10
p06
e06
MorMIYI-oatlmg:
12 Month Floating Total (in):
24,b xu *'P' '.. 70,00
';: 82=1L-
0.52
32,299
0.06
p_3g

FORM: NOAR-1 0841 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page a of .3
Permit No.: W00024694
FacilityName: Bright's Creek Golf Club
County: Polk Month: June
Yex. 2022
Did irrigation
-
Feld Name:
F
,44
Field N.
occur
'�
Area (acres):
11.3
Area (acres):
_
at this faClili)
Cover Crop:
CoverCmp:
v6s ❑ rv0
Hourly Rate (in):
0.4
_ Y'
Hourly Rate (m).
Annual Rate (In):
52
Annual Role tiny
y ,;;_
Weather
Freeboard
Field irtiga[etl?
El No
kr
Fieltl lrcigatedP
Q� []+No
= E
=a
E a
E'2
Em
�=
of
L
>6
�i�w:..-
>a
J
J
3
1=
n
2
3
25
675
,
11
�7
12
13
h
14
15
17
2.5
6.75
18
20
21
22
24
25
675
25
26
s
27
28
29
CABb
,30 .)'11 dA '^;1ii 32,000
20
0.10
010
30
31
u
MontNy Loading:
`, B ''%.=61 32,000
12 Month Floating Total (in):

FORM: NDAR-108-11 NON -DISCHARGE APPLICATION REPORT(NDAR-1) Page of�3
Did the application rates exceed the limits in Attachment B of your permit?
D conro art
0marc eara<
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
El CnmpnaM
E. Ndnfnnpsmt
Was a suitable vegetative cover maintained on all sites as specified in your permit?
ED Complunt
❑aa.manram
Were all setbacks listed in your permit maintained for every application to each permitted site?
O camplhrn
❑rwmc -Maas
Were all freeboards maintained in accordance with the specified freeboard heights in your permit7
p oranda x
❑rmnr rn
If the facility's noncompliant, posse explain in the space below the reasons) the facility was not in compliance. Provide in your explanation the date(s) of
the noo-compliance and
descrbe the corrective
actlan(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Pennine, Certification
ORC: Ken Deaver
Pennittee:
AQU�A{ NC
certification No-: 992372
pp
Signing Official: �{aoa �.n xI
Grade: SI Phone Number: 828-657-1810
)`13e(t�a/
Signing Official's Title: rJC �roy sae.—L
Has the ORC changed since the previous NDAR-17 ❑yea 2Nu
Phone Number: 910-467- 2 Permit Exp.: 10/31/24
7 z zz
su 7-Zv z2
Signature Date
Signature pate
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arrogy UntlerIMM1401ca Mantra tacurandend all allaGlmanb WEre I+merea under mralrernon asupernsianNeaadanre
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ale persabel pmpercy gememL and erwuared Ne inmrmagm smnerNd. easmmmy
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irnonreM1m suhmilud ,-.Rothe bestalmy knovietlge end betlN,hue,awrale, antl wmpeM,lem awaetlgtYere as
ledge and beg ,"a winsda arad lipid ry
pe,alties rwsuEmitlin0 rakeiNormaticn. inOunng Ne possJv4yalfines and imprsrnme,Rlork,evng Wrdy[y¢.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617