WQ0022725_Monitoring - 08-2023_20231010

Monitoring Report Submittal
Permit Number#* WQ0022725
Name of Facility:* Slash Creek
Month: * August
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2023
Upload Document*
SLC August 2023.pdf 3.56MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * Shannon Bracy
Signature:
Date of submittal: 10/10/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0022725
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 10/10/2023

FORM: NDMR 05.16
NON -DISCHARGE MONITORING REPORT (NDMR)
Page _L_ of
Permit No.: WQ0022725 Faculty Name: Slash Creek WWTP County: Dare Month: August Year: 2023
PPI: 001 Flow Measuring Point: 7 Influent [? Effluent O No now generated Parameter Monitoring Point: O Influent 0 7ent O Groundwater Lowertno O Surface water
Parameter Code b0050 00310 �ia1e. Casio ; ObB 00620 •088 .. 00400 00666 : • 00530 �oa%8 ' 00545
S.
m m rA C 'p i •C M
O o x C q
c� i= m to
m ct t3 z rn rn
0 it Q U)
O ..
24-hr hrs tom; mg1L t !IOOsrq mg1L `iftt mglL su mg/L-fil►t). mLIL
1 10:30 1 7.36 3A .
2 08:30 1 :...9i$:.." 2 0.3 1.74 ::' :2.'$. � �'. 7.61 � :•fl:0;:.:. 2.5 • .: •��... ...•c1••:..:- :.. • = : ..
3 09:30 1 ?::.;... 7.77
4 01:30 7.73 ;_d:`:'.•:• :e'1: :...
,.
6 09:30 17.44
7 03:00 1 7.7.44 Y:
8 04:30 1 3" 7.5
1 7.4
10 03:00 1�;2a9.. `.: 4 1': • .: 0.03:. 0.02 �t$ ; ::` 7.5 q.it% ': 2.5
11 02:30 1 U '4.'M J.7.49�1.
12
13 08:30 1 i7 7.69 +t '
14 1:001 17.48
15 11:00 : Z�51s'1:.: 7.59
16 12:00 1 :4;8Q8:...
171 11-00 1 8 '{ `. 2.2 $ 0.77 3 $ :::' 1 r 2.5
18 03:00 1 7.44 $$
19 11:00 1� . 7.5
7.4
21 10:00 1 2; 7.5
22 11:00 f 749'=:,:. 7.4
23 11:45 1 :Y�7: •. 7 1; ::. 6.7 8:g.: •.: 20.5 30 T.6 4.7 ` 5.8
24 10:30 1 4, s 7.49
25 10:30 1 2 :..:...: 7.4
26 02:00 1 7.89 3;1" <
27 12:30 1 . 4 7.62
281 06:00 x;�Y9', 2 '�.' 1 2 4.11 '$,}..`::': 7.44 4;23 2.5 {i::'
29 1 3': :0>i • K1
30 12:30 1 7.3 $ 4
31
7.39 Z r
Average:' ,�;8 $'::` 0.68 1:$P.:.; 0.33 :;•q;f22 0.88 ::.1,, " 038.'-• 0.51 Ae, 0.00
0.00
.
Dally Maximum:: ':, 8.00 1. i 6.70 :'.$:...: 20.50 '
30:Q0:_.• #REF! 4,7p.':: 5.80 ti:ZO .. 1.00 O.oO
DallyMinimum: _ :i 2.00 ..1:Sft}' 0.03 08ST':' 0.02 150 #REFI A:54. '. 2.50 x-4 :' 1.00 0.00
Sampling Type: , RetXxder Grab 13f . Grab .7if,7eb: Grab ter .. ' Grab Ort3b Grab ReC4ffier:
Monthly Limit: t&;ODA 10 44 `•: • 4 10 5
Daily Limitt,... 15 6 10 10
Sample Frequency: C.orlimu'o
rini# w. See Permit gee PeSee Permit Smpom*j See Permit ee SPeoria 5 X Week See 0enMI See Permit Co *uetie

� z
0 0
24-hr hrs fgqoo.�'l mglL
® 1 11-
®
El
1 1-
1 11
©��-
El1 1:1-

1 10:30 1
2 08:30 1
3 09:30 1
4 01.30
5 1
6 0990
71 03-00 11
8 04.30 1
9 05:00 1
10 03:00 1
11 02:30 1
12 1
13 08:30 S
14 1.001 1
15 11:00
16 12:00 1 '
17 11:00
181 03:00 1
191 11:00 7
20

FORM: NDMR 06-16
NON -DISCHARGE MONITORING REPORT (NDMR)
Page _A_ of —A
Sampling Person(s) ` Certified Laboratories
Name: 411117. -4Z 6%.� Name: r'wt-* ••
Name: 541ck 0�—_ Name:
Ji
Does all monitoring data and sampling frequencies meet the requirements In Attachment A of your permit? ii ciomaiant XNcn 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.
44;teaJ-4 / 0 .
LL•:�t•"fS Ctr/tat�t� vRr
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: David Pharr
Permittee: Slash Creek
Certification No.: WW426526 S121101
Signing Official: '5Xc~s, , .
Grade: IV Phone Number: 2527253871
Signing Official's Title: O
Has the ORC changed since the previous NDMR? U Yes i No
Phone Number: 2 S-Ak . " I /L 1- 44 Permit Expiration:
04 ` 3
Signature Date
Signat Date
By this sionalure. I certify that Oils report is aCttXtrrate and complete to the best of my kn wledoe.
I certify, underpenalty of taw, that this document and all attachments were prepared under my direction or supervision to
accordance with a system designed to assure that aft qualified personnel property gathered and evaluated the hformation
submitted. Based on my inquiry of the person or persons who manage the system, or those persons dkectfy responsible for
gathering the Information. the information submitted is, to the best of my knowledge and bekef, true, accurate. and complete. i am
aware that there are significant penalties for submftttng false information, inckrding the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page L of
Permit No,: WQ0022725
Facility Name: Slash Creek VVWTP
County: Dare
Month: August
Year: 2023
Did irrigation occur
Field Name:
1
Field Name:
2
Field Name:
5
Field Name:
6
this facility
Area (acres):
0.04
Area (acres):
0.04
Area (acres):
0.04
Area (acres):
0.03
at
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
7 Yr � I I NO
Hourly Rate (In):
0.4
Hourly Rate (in):
0.4
Hourly Rate(%):
0.4
Hourly Rate (In):
0.4
Annual Rate (in):
343
Annual Rate (in):
343
Annual Ratv(itya
343
Annual Rate (in):
343
Weather
Freeboard
Field Irrigated?
fJ YES ❑ NO
Field Irrigated?
7 Ye5 ❑ NO
Fletd Irrigated?
0 YES Cl NO
Field Irrigated?
71 vet J NO
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0.56
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0.09
23
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89
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168
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89
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189
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0.23
0.23
25
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90
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285
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0.26
0,26
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0.26
0.26
285
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0.26
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0.35
26
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95
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265
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0.24
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0.33
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92
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247
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Monthly Loading:
7.908 7.28
7,908
7.28
7,908
7.28
7.908
9.7t
1Mnnth Flnatinn Tntnf (in)-

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page-4-of I
Permit No.: W00022725
Facility Name: Slash Creek VVWTP
County: Dare Month: August
Year: 2023
Did irrigation occur
at this facility?
❑ YES ❑ NO
Field
7
Field Name:
8
Fleid Nsms:..
•9 :.
Field Name:
10
--.
Area (a`0"):..
0.05
Area (acres):
0.04
AreO (R}C1Ml6j'.:".
0, 5:
Area (acres):
0.04
Cover Crop:
Cover Crop:
Coverr iI6n
Cover Crop:
Hourty bets (In):
0.4
Hourly Rate (in):
0.4
Hourly Rata
0.4
Hourly Rate (in):
0.4
Annual Rate (In):
343`..:
Annual Rate (in):
343
-Ah l"tii*
343
Annual Rate (in):
343
Weather
Freeboard
Flod Irrigate¢?
❑ YES CI NO
Field Irrigated?
❑ YES ❑ NO
i is d 11 7
' OYES ❑ NO
Field Irrigated?
❑ YES 7 NO
o
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'Q;1D
135.:.
80
0.12
0.12
1.. .::
:- Q0 ::
0:1G` :=
0:10.
:: ;x.35 ::
0.12
0.12
22
C
93
0
<5
<5
75 _ .:
60
O 08'
O.t
75 ` '
. 60 .:
0.07
0.07
: ?5 °, .."
::8
0:06 ...:::.
�f.�l:::
'' . • T 6=..::
80
0.07
0.07
23
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89
0
<5
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t68i,
60
0:12
012
1$8::•:'
::'BO
0.15
0.15
188 "
''80
6.12 '
.:1l;t' •
- `:189 :
:: 60
0.15
0.15
24
CL
89
0
<5
<5
189-. '
60
0.14 �i
OJ4
':11A8'_ •.:.:
6ti
0.17
0.17
: 189
60
0.14 `:
4i.14 ".
189'.
::,:6(1.. '
0.17
0.17
25
C
90
0
<5
<5
285,` ,
60,
0 23.1.
.'::p 1 • .
:. 2g5 -
" '80 '::
0.26
0.26
i5
8ti :::
0.2}:
fl�2# '
: ` 2$5
' ..
0.26
0.26
26
CL
95
0
<5
<5
265
285
60' :
0.24
0.24
2t35
8d
D,20 :..
': d p24:.
Z66 ' .
-:: 6!?. , •
0.24
0.24
27
CL
92
0
<5
<5
247
80..::.
0;re,
0':18 :
.: i247.
60
0.23
0.23
i47
$0''.•
: " Or16 `:
7..¢:i8 .:
': `.%t47
?l3O '';
0.23
0.23
28
R
86
0.58
<5
<5
152
60
0,11
0.11
1 'L...
60
0.14
0.14
162 .
8Q•::
.:4.'11 :
'til ;
: `'15�.
0.14
0.14
29
R
93
0.28
<5
<5
20
60
0,01
O:OT,
"; 2
: ".6p :
0.02
0.02
:: :2t):'
..':'
,..:0.01
0.02
0.02
30
R
87
0.1
<5
<5
39
60
0 03 `.'.
' `bA- .
39... '
7' `-
0.04
0.04
39.
:. 8Q'..
0.03
0.0$
3g::
60
0.04
0.04
311
R
75
2.85
<5 1
<5 11
125
60
0- : 1.F.
125 1;;,.;6(1,
-
0.12
0.12
12e5''.:
::':.
"'0.09.
0.69
V. 126"
-80�,
0.12
0.12
Monthly Loading:
7;9QB`
`5.82';
7,908
7.28
7,908
5.6Z
7,908
7.28
12 Month Floatina Total fin):

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 17 If
Permit No.: W00022725
Facility Name: Slash Creek WWTP
County: Dare
Month: August
Year: 2023
Did irrigation
Field Name:
11
Field Name:
12
Field Name:
13
Field Name:
14
occur
-
Area (acres):
0.05
Area (acres):
0.05
Area (acrg):
0.05
Area (acres):
0.05
at this facility?
Cover Crop:
Cover Crop:
CovgrCr*
Cover Crop:
Li YES I NO
Hourly Rate (In):
0.4
Hourly Rate (in):
0A
Hourty Ro (In):
0.4
Hourly Rate (in):
0.4
Annual Rate (In):
343
Annual Rate (in):
343
Annual Rate (in):
343
Annual Rate (in):
343
Weather
Freeboard
Field Irrigated?
L YES 111 NO
Field Irrigated?
L YES No
FISW I lgated?
.0 YES Cl NO
Field Irrigated?
- YES ; No
T
°
t
?
c
E
°
I9
,a
y
°1
°
to
d
0 .0
T Q
m °
.`
SQ
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r-
C
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C
J
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o as
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E m
F= -
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o o
J
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E �a
% o 0
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3
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)
� � ,
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�=
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1Q
y
E m
g'
D
o o
J
E 'v
i o
J
OF
in
ft
ft
I
m1h
In
in
gal
min
in
in
gal
min
In
in
gal
min
in
in
1
C
88
0
<5
<5
3$1
60
0.28
0.28
381
60
0.28
0.28
381
60
048
0.28
381
60
0.28
0.28
2
C
83
0.19
<5
<5
162
60
0.12
0.12
162
60
0.12
0.12
162
60
0.12"_
0.12
162
60
0.12
0.12
3
C
83
0
<5
<5
429
60
0.32
0.32
429
60
0.32
0.32
429
60
0.32
0.32
429
60
0.32
0.32
4
CL
82
0
<5
<5
433
60
0.32
0,32
433
60
0.32
0.32
433
60
0.32
0.32
433
60
0.32
0.32
5
R
88
0.68
<5
<5
325
60
0.24
0.24
325
60
0,24
0.24
325
60
0.24 1
0.24
325
60
0.24
0.24
6
CL
89
0
<5
<5
455
60
0.34
0.34
455
60
0.34
0.34
455
60
0.34
0.34-
455
60
0.34
0.34
7
C
93
0
<5
<5
533
60
0,39.
0.39
533
60
0.39
0.39
533
60
0.39 "
...0130
533
60
0.39
0.39
8
R
92
0.21
<5
<5
83
60
0.05
0.05
77"63
60
0.05
0.05
63
60
0; 05
05
63 :..
60'
0.05
0.05
9
C
91
0
<5
<5
-79
60
0.06
0.06
-79
60
0.06
0.06
79
60
0.06
0.06
79
; 60, . `
0.06
0.06
10
C
87
0
<5
<5
438
60
0.32
0.32
438
60
0.32
0.32
438
60
0.32
0.32
438 ',
....60
0.32
0.32
11
R
90
0.26
<5
<5
175
60
0,13 :
_ 0.13
175
60
0,13
0.13
175
60
0.13
0.13
176
60
D.13
0.13
12
CL
93
0
<5
<5
527
60
0.39
0.39
527
60
0.39
0.39
527
60
0.39
0.39
527
60
0.39
0.39
13
C
96
0
<5
<5
231
60
0.17
0.17
231
60
0.17
0.17
231
60
0.17
0.17
231
60::
0.17
0.17
14
C
96
0
<5
<5
162
60
0.12.
0.12
162
60
0.12
012
162
60
0.12
0.12
162
80`"
0.12
0.12
15
C
94
0
<5
<5
489 ';•
60
0.36
0.36
469
60
0.36
0.36
489
60
0.36
0.36
489
60•.• -
0.36
0.36
16
C
90
0
<5
<5
162
60
0.12
0.12
162
60
0.12
0.12
162
60
0.12
0.12
162
.61)
0.12
0.12
17
R
90
0.22
<5
<5
331
60
0.24
0.24
331
50
0 24
0.24
331
60
0.24
0.24
331
.60
0.24
0.24
18
C
91
0
<5
<5
156
60
0.11
0,11
156
60
0.11
0.11
17 '
>30
0,11
0.11
156
0,11
0.11
19
C_
93
0
<5
<5
217
60
0.16
0.16
217
60
0.16
0.16
217
60
0.16
0;18:.
217
$Q .
0.16
0.16
20
CL
92
0
<5
<5
460
60
0.34
0.34
460
60
0.34
0.34
460
60
0.34
0.34
460
60'
0.34
0.34
21
C
96
0 1
<5
<5
135
60
0.10_
0.10
135
60
0.10
0.1C
135
80
0.10
0.10
135
60
0-10
0.10
22
C
93
0
<5
<5
75
60
0.08-'
0.06
75
$0
0.06
0.06
.75
60..:0.06
0.ii6>`
75
60
0.05
0.06
23
C
89
0
<5
<5
168,
60
0.12
0.12
168
60
0.12
0 12
168
60
0.12
0.12
168
60
0,12
0.12
24
CL
89
0
<5
<5
180
60
0,14
0.14
189
60
0.14
0,14
189
60
0.14
0.14
189
60
0.14
0.14
25
C
90
0
<5
<5
265
60
0.21
0.21
285
60
0.21
0.21
285
60
0.21
0.21
285
60
0.21
0.21
26
CL
95
0
<5
<5
285
60
0.20
0.20
265
t3Q
0.20
0.20
265
60
0.20
0:20
285
60
020
0.20
27
CL
92
0
<5
<5
147
60
0.18
0.18
247
ed-
0.18
0.18
247
60
0.18
0.9$
247
60
0.18
0.18
28
R
86
0.58
<5
<5
152
60
0.11
0.11
152
60
0.11
0.11
152
60
0.11
A11
152
60
011
0.11
29
R
93
0.28
<5
<5
20
60
0.01
0.01
20
60
0,01
0.01
20
60
0.01
0.01
20
60
0.01
0.01
30
R
87
0.1
<5
<5
39 1
80 1
0.03
0.03
39
60
0,03
0.03
39
60
0.03
0.03
39
60
0.03
0,03
31
R
75
2.85
<5
<5
125 1,,
60 1
0.09
0.09
125
60
0.09
0.09
125
80
0.09 1
0.09
125
66 0.09
0.09
Monthly Loading:
i'1 11I....1. CI.. •.�1nn T..f•.I 11..1•
7,808
5.82
7,908
. �.,...a .. ,..
5.82
7,9W
5.62
7,908
5.82

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I at
Permit No.: W00022725
Facility Name: Slash Creek WWTP
County: Dare
Month: August
Year: 2023
Did irrigation
Field Name:
15
Field Name:
16
Field Name:
17
Field Name:
18
occur
Area (acres):
0.06
Area (acres):
0.04
Arom,(IAcres):
0.06
Area (acres):
0.05
at this facility?
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
❑ YFs J NO
Hourly Rate (In):
0.4
Hourly Rate (in):
0.4
Hourly Rlllle (In):
0.4
Hourly Rate (in):
0.4
Annual Rate (In):
343
Annual Rate (In):
343
Allnua! P(In):
30
Annual Rate (in):
343
Weather
Freeboard
Field Irrigated?
❑.YES NO
Field Irrigated?
71 YFs L. NO
Field Irrigated?
0 YES.:.: 0 NO
Field Irrigated?
Yr.,; ; NO
v
3
~
°
a
n
2
ui a
❑a .am
�
Lo
2
o
?,
E '
�
d
°
o
E
°o3
�
E
a
tea❑
'a
o
E
acEE
E
ro°a o
OF
in
It
ft
gal
Min
in
in
gal
min
in
in
!1
min
In
In
gal
min
in
in
1
C
88
0
<5
<5
381
60
0.23
0.23
381
60
0.35
0.35
.381
80
023
0.23
381
0.28
0.28
2
C
83
0.19
<5
<5
162
60
0.10
0.10
162
60
0.15
0.15
162
60
016 `.
0.10
16217.•M:0.12
0.12
3
C
83
0
<5
<5
429
60
0.26
0.26
429
60
0.39
0.39
429
60
0.26
0.26
429
70
0.32
0.32
4
CL
82
0
<5
<5
433
60
0.27
0.27
433
60
0.40
0.40
433
60
0.27
0.2t. `.
433 " :.
60
0.32
0.32
5
R
88
0.68
<5
<5
325
60
0.20
0.20
325
60
0.30
0.30
"325
60
0,20
0.20
325
60
0.24
0.24
6
CL
89
0
<5
<5
455
60
0.28
0.28
455
60
0.42
0.42
.455
60
0.28
0.28
455
60
0.34
0.34
7
C
93
0
<5
<5
633
60
0.33
0.33
533
60
0.49
0.49
533
60
0,33
0.33
533
60
0.39
0.39
8
R
92
0.21
<5
<5
63
60
0.04
0.04
63
60
0.06
0.06
63
80
0.04
0.04
133
80
0.05
0.05
9
C
91
0
<5
<5
79
60
0.05
0.05
-79
60
0.07
0.40
0.07
19
60
0.05
0.05
7g"
G0"-.
0.06
0.06
10
C
87
0
1 <5
<5
4$8
60
0.27
0.27
438 ;._
., 60
0.40
438
60
0.27`!_.':
0.27
438 ' '
60..
0.32
0.32
11
R
90
0261
15
<5
175
60
0.11
0.11
175
60
0.16
0.16
175
60
0.11
0.11
175
60
0.13
0.13
12
CL
93
0
<5
<5
527
60
0.32
0.32
527
60
0.49
0.49
527
60
0.32
0.32
527
60
0.39
0.39
13
C
96
0
<5
<5
231
60
0.14
0,14
231
60
0.21
0.21
231
60
0.14
0.14
231
60
0.17
0.17
14
C
96
0
<5
<5
162
60
0.10
0.10
182
60
0.15
0.15
162
60
0.10
0.10
162
60".
0.12
0.12
15
C
94
0
<5
<5
489
60
0.30
0.30
489
60
0.45
0.45
469
60
0:30
0.30
489 ;:.
:, 00.
0.36
0.36
16
C
90
0
<5
<5
162
60
PAO
0.10
162
60
0.15
0.15
162
60
0. t0
0,10
167
331 ..:.
60 -:.
80r?
0.12
0.24
0.12
0.24
17
R
90
0.22
<5
<5
331
60
6.20
0.20
331
60
0.30
0.30
331
60
0.20
0.20
18
C
91
0
<5
<5
156
8Q
0.10
0.10
156
60
0.14
0.14
156
6c)
0.10
0.10
156 77
60
0.11
0.11
19
C
93
0
<5
<5
217
60
0.13
0.13
217
60
0.20
0.20
217
60
0.13
0.13
217
60
0.16
0.16
201
CL
92
0
<5
<5
460
60
0.28
0.28
460
60
0.42
0.42
460
60
0.28
..0.28
460
60
0.34
0.34
21
C
96
0
<5
<5
135
60
0.08
0.08
135
60
0.12
0.12
135
60
0.08
0.08
135
60
0.10
0.10
22
C
93
0
<5
<5
75
60
0.05
0.05
75
60
0.07
0.07
76
60
0.05
0.05
75
60
0.06
0.06
23
C
89
0
<5
<5
168
60
0.10
0.10
168
60
0.15
0.15
168
60
0.10
0.10
168
60
0.12
0.12
24
CL
89
0
<5
<5
189
60
0.12
0.12
189
60
017
0.17
189
60
0.12
0.12
189
60
0.14
0.14
25
C
90
0
<5
<5
255
60
0.17
0.17
285
60
0.26
0.26
285
W
0.17
0A7
285
60
0.21
0.21
26
CL
95
0
<5
<5
265
60
0.16
0.16
265
80
0.24
0.24
265
t(
0.16
0.16
265
60
0.20
0.20
27
CL
92
0
<5
<5
247
60
0,15 :
0.15
247
60
0.23
0.23
247
60
0.15
0.15
247
60
0 18
0.18
28
R
86
0.58
<5
<5
152
60
152
60
0.14
0.14
152
60
0.09
0.09.
152
6.0.
0.11
0.11
29
R
93
0.28
<5
<5
20
60
20
60
0.02
002
20
60
0.01
0.01
20
0.01
0.01
30
R
87
0.1
<5
<5
39
60
EL
39
60
0.04
0.04
39
60
0.02 '.
0.02
39
0 03
003
31
R
75
2.85
<5
<5
,125
60
125
60
012
0.12
125
60
0.08 `
0.08.�71,
25
LL
0.09
0.09
Monthly Loading:
19 Month Flnafinn Tnral rinl
7,908
7,908
7.28
7,808
4.85
908
5.82

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page —Aof-I—
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?
O Compliant ❑ Non -Compliant
C Compliant ❑ Non -Compliant
17 Compliant ❑ Non -Compliant
:3 Compliant ❑ Non -Compliant
El Compliant ❑ Nan -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: David Pharr
Permittee:s�tp� /, ceer—
Certification No.: WW426526 S121101
Signing Official: SL�ONU ��c
Grade: IV Phone Number: 2527253871
Signing Official's Title:S��1�111 �'�C�l
Has the ORC changed sin the previous NDAR-1? ❑ Yes ❑ No
Phone Number..' D`t� - ld�� Permit Ex p.:
Signature Date
Signature Oate
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BS'this signature, I certify that this report is axurrate and complete to the beat of my knowledge.
I certify, under penalty of law, that into document and ag attaarmen were p d under my direction cr supervision in acoordanoe
with a system designed to assure that ar qualified personnel property gathered and evaluated the Informatlon submitted. Based on my
Inquiry of the person or persons who manage the system, or those persans dredly 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