WQ0008489_Monitoring - 12-2022_20230130 (2)

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ I of
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page �_ of
SamplingPerson(s) Certified Laboratories
Name: 80136Y C, oK Name: F.IVVL RO tJ W\ L= N T AI C--
Name: TC5E10IH 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: T0,56P # F. S PA D LE K Permittee: CAN Ty 6 F WO
Certification No.: Signing Official: TOSEP 14 F, 5 A O LE Q
Grade: Phone Number: ra�� — ZZZ`f Signing Official's Title: Nt R N 14% PC
Has the ORC changed since the previous NDMR? \ ❑ Yes No Phone Number: C.1 SD) 2-to--- 2Z.2- Lt Permit Expiration:
l
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
O! 23 z,3
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

rurcwc ivur�rc-, iv-io NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page r_of_
Permit No.: VVQ0008489
Facility Name: Hyde Correctional
Institution WWTF
County: Hyde
Month: ECEM'6E(Z
Year: L)2_
Did irrigation occur
>�
h i V'
`_ ,1'�
Field Name:
2
F e)1d m
C
r
1,,s.
FIeId Name:
4
r"rp.
(acres):
Area acres
9.5
cP r°�'"r�5
ti
1 nY t�f
(acres):
Area acres
9.7
at this facility-?`
k �i�ea
:sa ,,d l.ttr: n
Cover Crop:
s�
Cover Crop:
❑ YES [ Nok�rt
/i
s
' !,
R!at�t
Hourly Rate (in):
0.25
Liour) Rat
L�j
F t
.;�' �• t
`, q
Hourly Rate (in):
0.25
>t-.
A'fl'rR�£.4(l�
o
Annual Rate (in):
14.56
Ana'
:' '-'
Annual Rate (in):
14.56
tiax
+
W.VS
H,1Q4,
Weather
Freeboard
S J N.*'+iT
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rev.
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[R'1'ES
❑ No
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RYES
❑ NO
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FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Sampling Person(s)
Name: SN381I eGY
Name: —J_6sC:P�4 F. SPo tlCp
Certified Laboratories
Name: G IJ U I (Zo N M E W T 71� 1 NC- °
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? [0'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) ofthe non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification ji Permittee Certification
oRc: T�% psPN F—, 5 Ptpl._,E2
Permittee: [ 4"(Ioe Cpu)UT /yW )S'rf W i�TG I
Certification No,: 's`5 11 Signing Official: ToS L PH F. S P, o LE (z
Grade: _11� Phone Number: Casa) Ct 72-2-7-4 Signing Official's Title: hn ftN 14(�-E%Z G QC
Has the ORC changed since the previous NDMR? ❑ Yes Lk; --No Phone Number: (asa,) 9 )_Lo — 1 Z y Permit Expiration:
aki� ' 0 23
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
- �� __+1 IZ04UA O I r 12-312-3
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, 1 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

poRmwoAR-1 10-13 NON -DISCHARGE APPLICATION REPORT <NDAR4> Page '?�o« L�
Permit No.: WQ0008489
Facility Name: Hyde Correctiona I I
Institution
County; Hyde
Month:,jRCfflggg
Year'�07_?
Did irrigation occur
Field Name:
6
goo d'ftffi'q.
Field Name:
8
Area (acres):
7.67
at this facility?
Cover Crop:
Hourly Ra
nn
Weather
Freaboard
Field Irrigated?
YES NO
0,110011 U41
Val
YOUR now.
min
In
OW
I
17
18
REUNIONS MUM,
0:011"ONN,
NOW
23
27
28
29
30
Monthly LoadIng:
12 Month Floating Total (in):

r-VKIVI: NUHK-1 1u-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2— of
Did the application rates exceed the limits in Attachment B of your permit? []'Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? [ Compllant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ['Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? [Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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
0RC: S-ogE P H LE
Permittee: COUN 1 OF
Certification No.: j SSI t
Signing Official: 3 6S EPH (^. SAOiGR-
Grade: Phone Number: caS1) q)-lo^ ZZZ4
Signing Official's Title: O— Y� t1 06GEZ
2 Z
Has the ORC changed since the previous NDAR--1? ❑ Yes ❑ No
Phone Number: Ca,Sa) �-� _ Permit Exp.:
C��,yAj L�L 0 1 2- 2
AL0112 3 123
1
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

NON DISCHARGE APPLICATION REPORT Page of _
SPRAY IRRIGATION SITE(S)
PERMIT NUMBER: CAJ(QnC)0!g4 $q TOTAL NUMBER OF FIELDS: _12 MONTH: !U CE/11 iE4YEAR: aQ2
FACILITY NAME: �1�(�—t�s20� _�Ll� 1 P CLASS: _= _ COUNTY: _j4 yi1jC _
Formulas
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/galIon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square, feet/acre)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / [Tune Irrigated (minutes) / 60 (minutes/hour)] Monthly Loading (inches) = Sum of Daily Loadings (inches) ,'
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading (inchestmonth) / Number of days in the month (days/month)] x 7 (daystweek)
FIELD NUMBER: 98 ,
FIELDNUMBER:
AREA SPRAYED (acres): 73,116
AREA SPRAYED (acres
COVER CROP: IMIXECI akASS
COVER CROP:
Permitted HOURLY Rate (inches): n
Permitted HOURLY Rate (inches):
WEATHER CONDITIONS
Permitted WEEKLY Rate inches :
Permitted WEEKLY Rate (inches): 0.21
Temp.
Maximum
Maximum
D
A
Storage
T
Weather
at
Precipi-
Lagoon
Volume
Time
Hourly
Daily
Volume
Time
Hourly
Daily
E
Code*
application
tation
Freeboard
Applied
Irrigated
Loading
Loading
Applied
Irrigated
Loading
Loading
('F)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1:
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Loading
(inches)
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10,2 1
12 Month Floating Total (inches)
s
01 1 9S
Average Weekly Loading (inches)
Weather Codes: S-sunny, PG -partly cloudy, CI -cloudy, R-rain, Sn-snow, Si -sleet
OPERATOR IN RESPONSIBLE CHARGE (ORC) e70SkPN !- S�DLE� GRADE �_ PHON�2_)) �Q��^�
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_ ----------------
(SIG TUR OF ERATOR IN RESPONSIBLE CHARGE)
BY IS SIGNATURE, 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 application rate(s) did not exceed the limit(s) specified in the permit. ✓❑r ❑
2. Adequate measures were taken to prevent wastewater runoff from the site(s). a ❑
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."
P CD. CQo x 1a6 SI U) a LtA RTER 19 C 11885 252 926 22Z4
(Permittee Address) (Phone Number) (Perrhit Flip. Date)
11-751- 2028
* 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).

N
Page -—
NON DISCHARGE APPLICATION REPORT of
SPRAY IRRIGATION SITE(S)
PERMIT NUMBER:TOTAL NUMBER OF' FIELDS: _(2 MONTH: MUEAR:
AGILITY NAME: D LlJ CLASS: COUNTY:
�— --
F Formulas
Daily Loading Cinches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)) / [Area Sprayed (acres) x 43560 (square, feet/aae)]
Maximum Hourly Loading (iincbes) = Daily Loading (inches) / [Tune irrigated (minutes) / 60 (minutes(hour)) Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (ioebes) = Sum of this month's Monthly Loading (inches) and previous I I month's Monthly Loadings (inches)
.._i.......m.v . 7 ld�..ehvmkl
Average Weekly
Loading (inches) = [Monttuy
t.oaamg pncnesrmunur/ r m-- "
'
FIELD NUMBER:
FIELD NUMBER:
AREA SPRAYED acres : .
AREA SPRAYsaes :
ED A,—n�I y�ll
&RR
COVER CROP:
COVER CROP: D
4
Permitted HOURLY Rate (inches): ,
Permitted WEEKLY Rate mcbes : .
Permitted HOURLY Rate (inches): /- •
permitted WEEKLY Rate ines ch: d
WEATHER
CONDITIONS
Maximum
wcahcr
Temp.
at
Precipi-
D
n
T
Storage
lagoon
Maximum
Volume Time Hourly Daily
volume Tune Hourly Daily
lied Irrigated Loading Loading
Applied
E
Code'
application
tabon
Freeboard
Applied irrigated IAadln Loading
minute inches inches
C1"
f ' /
inches
feet
allons minutes inches inches
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12 Month Floating Total (inches)
Average Weekly Loading (inches)
Z
Weather Codes: S-sunny, PC -partly cloudy, CI -cloudy, R-rain, Sn-snow, SI-sleety
OPERATOR IN RESPONSIBLE CHARGE (ORC) GRADE PHONE
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-- ---ljj — -------------------
(SI ATU E OF OPERATOR IN RESPONSIBLE CHARGE)
BY IS SIGNATURE, 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 application-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 Q ❑
application.
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the Rr ❑
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
subrtted. 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."
14f=
(Permittee- PI ase print or type) 1
d1123 12-3
(SignatuiWof Pdrmittee)* I (!late)
�D flnx l S1J�4ti QUARI]EQ NC �7gXS� aQ - 9 " - 4IQ6 �- 3/-AO)8�
(Permittee Address) (Phone Number) (]PerrSiit F1xp. Date)
* 1f signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0504 (b) (2) (D).