WQ0008489_Monitoring - 01-2023_20230214

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page I of I
Permit No.: l0I084
•-Correctional•
•-
:
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LL
GPD
MOM
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MRIBUFAM
Daily Maximum:
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FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page --i— of
Sampling Person(s) Certified Laboratories
Name: B013BY CON Name: CNVI R010 iM L IV �— I NC-'
Name: rtaS��Pi-i �, SM)LE2 Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? [io 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: T06EPO F SAbI_E12 Permittee: (20UW `I (OF H \106-
Certification No.: 15517
Grade: Jr Phone Number: (a5�) 9 -?- is — 22-2—q
Has the ORC changed since the previous NDiVIR? ❑ Yes �4,No
Signing Official: -rOSEID 14
Signing Official's Title: I" R N I4G E K n Rom,
Phone Number: Ca S_2, Cy 2_6 ^- 2,Z2_ Lt Permit Expiration: q' y
Signature Date V Signature bate
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

rUrvvl: INLYAM-, Iu-Ia NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page_Lof _
Permit No.: WQ0008489
Facility Name: Hyde Correctional
Institution WWTF
County: Hyde
Month:37WL4 AR
Year:
Did irrigation occur
Field Nn�
ry 1 e
Field Name:
2
Field Naiie:
3
Field Name;
4
Area (acre§ '
V
t �s "9z275
v' �"
Area (acres):
( )
9.5
Area (acres):
9.7
Area (acres):,
at this facility?
_3
Cover Crop; i
Ctve
Cror's
Cover Crop:
Cover Crop:
[]'YES ❑ No
Hourly Rate (in):
0.25
�_.iiourl"ji Rlatei
f�)
u 5
Hourly Rate (in):
0.25
Or25 Hourly Rate (in):
14 55 Annual Rate (in):
Anit�I,Rate`'j
Yj4,5 *'
Annual Rate (in):
14.56
Annual Rath (in)
14.56
Weather Freeboard
' ✓r Feld fr'r=gae`
i 1 S y x+r1<
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ _ of
Sampling Person(s) Certified Laboratories
Name: SbBB q COY TNaIJ U ItZo rU iVIGNT 7�1 t Ne
Name: —j7C)5Ef�4 . 15 10t t L_,e 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) ofthe non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: F, S FipC..E2
Permittee: t-4,410,e C-oulUT-1 W I+STC W
Certification No.: S15 11 Signing Official: TOS L P H i . S R 0 LE tZ
Grade: Phone Number: r) Sa) Ct 1&- Z2-Z y Signing Official's Title: M PrN h(,-EP -- O RC..
Has the ORC changed since the previous NDMR? ❑Yes L%;�'do Phone Number: C� Sa� a (9 — Z y Permit Expiration: G '� e I _2Q 2$
c 2 to]23�
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 penally of law, that this document and all attachments were prepared under my dlrection 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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page_ o ,Of-L• -
Permit No.. WQ0008489
Facility Name: Hyde Correctional
Institution
County: Hyde
Month: IA-PUARY
Year: o 2-3
Field Name:
F1
6
w 7,
Field Name:
8
Did irrigation occur
­2
.... ..... .......til
Area (acres):
9.2
NArea
(acres):
7.67
at this facility?
-Ia
Cover Crop:
Cover Crop'.
YES NO
Hourly Rate (in):
U5
I' ?
Hourly Rate (in):
0.25
Annual Rate in
14.56
Annual Rate (in
Weather Freeboard
WIND,
e rField rigated?
&?YES NO
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A I- I

t-UNVI: IN1J1AK-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? o-Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? [Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? [i'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? fj 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: 7:y_0SE 1p H F, S P1) LC- (Z
Permittee: COUNTI D F RN OE
Certification No.: 15511
Signing Official: TOS EPH 1^1 SAO _EIZ
Grade: _r Phone Number: `aS1) 0(;Llo-2-Z7-4
Signing Official's Title: OfZC_ �' r0tJ146EfZ
Has the ORC changed since the previous NDAR--1? ❑ Yes g-No
Phone Number: �a.5�) �-� ' 2 �L Permit Exp.: l al3 i l 2.0 28
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 -3-- of --4-
SPRAY IRRIGATION SITE(S)
PERMIT NUMBER: LJQn()Q $4 8 !j TOTAL NUMBER OF FIELDS: - 12 MONTH: YEAR: ;ZO2,3
FACILITY NAME: PIN--G_(__1W-00U=5 - 111 J P CLASS: _ _ COUNTY: _L4 y 0 E _
Formulas
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43560 (square.feet/acre)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / [Time Jrrigated (minutes) / 60 (minutes/hour)] Monthly Loading (inches) = Sum of Daily Loadings (inches) ,'
12 Mouth Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous I I month's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading (inches/mouth) / Number of days in the month (days/month)] x 7 (daystweek)
FIELD NUMBER:
FIELD NUMBER:
AREA SPRAYED (acres):
AREA SPRAYED (acres):
COVER CROP:
COVER CROP:
Permitted HOURLY Rate (inches):
Permitted HOURLY Rate (inches):
WEATHER CONDITIONS
Permitted WEEKLY Rate (inches): dIrl.
Permitted WEEKLY Rate (inches): 0.21
D
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at
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Monthly Loading (inches)
Qi
Q
1-
12 Month Floating Total (inches)
Average
Weekly Loading (inches)
0. IA'
0,116
Weather Codes: S-sunny, PC -partly cloudy, CI -cloudy, R-rain, Sn-snow, SI-sleet
OPERATOR IN RESPONSIBLE CHARGE (ORC) e 0$1C�PF± SADGRADE M_ PHON 252)424-2Z
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---tJL--------------
(SIGNAUJREIDF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
i

FACILITY STATUS:
Please indicate (by checking the appropriate box) whether the facility has been compliant or non -compliant
with the following permit requirements: (Note: If a requirement does not apply to your facility put (NA) in the
compliant box.)
non-
compliant compliant
I. The application rate(s) did not exceed the limit(s) specified in the permit. ❑
2. Adequate measures were taken to prevent wastewater runoff from the sit e(s). ❑
3. A suitable vegetative cover was maintained on the site(s) in accordance with ® ❑
the permit.
4. All buffer zones as specified in the permit were maintained during each ❑
application.
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the ❑
limit(s) specified in the permit.
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the noncompliance and describe the corrective action(s) taken- Attach
additional sheets if necessary.
" I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
and imprisonment for knowing violations."
(rl (1 Ty OE HV-O r
(Permittee- Please print or type)
(SignattV of
1 Z--3
(Date)
U' QO X 6b %W RIJ (�j uR RTER � C IM%5 252 926 xZZ4
(Permittee Address) (Phone Number) (Perthit Fiicp. Date)
2028
" If signed by other than the permittee, delegation of signatory authority must be on rile with the state per 15A NCAC 213.0506 (b) (2) (D).

NON DISCHARGE APPLICATION REPORT Page —4- of1-
SPRAY IRRIGATION SITE(S)
PERMIT NUMBER: IW a 0008484__ TOTAL NUMBER OF FIELDS: .-(Z,__ MONTH: .J AAJ(AAPq YEAR:djQj
WW FACILITY NAME: WoC�DS —WA _-- CLASS: _ COUNTY: .,lyZx— _
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) / [Time 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 I I month's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading (inches/month) / Number of days in the month (days/month)] x 7 (days/week)
" Weather Codes: S-sunny, PC -partly cloudy, CI -cloudy, R-rain, Sn-snow, SI-sleet
OPERATOR IN RESPONSIBLE CHARGE (ORC) JoSEPµ F. SADL�It GRADE — _ PHONE1503) l U-17272+L4
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- -
--------
(SSATOR IN RESPONSIBLE CHARGE)
BY THIS 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). ❑
3. A suitable vegetative cover was maintained on the site(s) in accordance with Q ❑
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."
Counay DE H `I O E
(Pe ittee- Please print or ttype)(J I
Permittee)*
PO.RoX Into SWAN QUART l?., AIP— 17885 jR2--42(*'2-2-Z4
(Permittee Address) (Phone Number) (Permit Exp. Date)
lz-31-20:Z8
* 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).
a.