WQ0022870_Monitoring - 12-2023_20240123

Monitoring Report Submittal
.....................................................
Permit Number#* WQ0022870
Name of Facility:* Chapel Ridge
Month: * December
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2023
Upload Document*
CHPspray.pdf 1.14MB
PDF Only
CHRDMR (4).pdf 90.14KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Eric Riggins
1 /23/2024
This will be filled in automatically

Reviewer: Wanda.Gerald
Is the project number correct?* WQ0022870
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 2/10/2024

Chapel Ridge Spray Irrigation Fields
12 MONTH ROLLING TOTAL Appl ICATION IN WrNFs
FIELD
Jan-23
Feb-23
Mar-23
Apr-23
May-23
Jun-23
Jul-23
Aug-23
Sep-23
Oct-23
Nov-23
Dec-23
12 MONTH
TOTAL
1
0.03
0.02
0.03
0.34
0.67
0.85
1.01
0.87
0,57
0.61
0.36
0.02
5.38
2
0
0
0.00
0.47
1.23
0.97
1.31
1.34
0,87
0.99
0.58
0
7.76
2B
0.09
0.08
0.08
0.33
0.51
0.69
0.89
0.6
0.41
0.38
0.23
0.05
4.34
3
0
0
0
0.361
0.81
1
1.11
0.991
0.68
0.77
0.45
0
6.17
3B
0.17
0.11
0.14
0.521
0.82
0.891
1.34
0.95
0.62
0.56
0.33
0.08
6.53
4
1 0.06
0.04
0.05
0.451
0.86
1.19
1.34
1.11
0.73
0.78
0.46
0.03
7.1
5
0.03
0.02
0.03
0.431
0.83
1,19
1.28
1.07
07
0.76
0.45
0.02
6.81
6
0.03
0.02
0.03
0.21
0.42
0.42
0.56
0.49
0.32
0.33
0.2
0.01
3.04
7
0.03
0.02
0.03
0.2
0.42
0.45
0.56
0.49
0.32
0.34
0.2
0.02
3.08
8
0.12
0.08
0.1
0.38
0.6
0.52
0.94
0.591
0.38
0.33
0.2
0.06
4.3
9
0.04
0.03
0.03
0.38
0.82
0.851
1.1
0.98
0.64
0.691
0.41
0.02
5.99
10
0
0
0
0.46
0.97
1.44
1.46
1.32
0.86
0.98
0.58
0
8.07
10B
0.07
0.05
0.06
0.411
0.81
0.87
1.12
0.94
0.61
0.62
0.37
0.03
5.96
11
0.08
0.06
0.07
0,14
0.18
0.12
0.32
0.16
01
0.12
0.06
0.04
1.45
11 B
0
0
0
0.6
1.41
1.67
1.81
1.72
1.12
1.27
0.75
0
10.35
11C
0
0
0
0.35
0.76
1.08
1.11
1.02
0.66
0.75
0.44
0
6.17
12
0
0
0
0.81
2.04
1.85
2.35
2.33
1.52
1.72
1.01
0
13.63
12B
0.26
0.17
0.22
0.69
1.12
1.03
0.56
1.24
0.81
0.66
0.37
0.13
7.26
13
0.05
0.03
0.04
0.42
0.89
1.02
1.22
1.08
0.7
0.75
0.45
0.02
6.67
13B
0
0
0
0.27
0.57
0.84
0.87
0.78
0.51
0.58
0.34
0
4.76
14
0.04
0.03
0.03
0.43
0.88
1.14
1.28
1.13
0.74
0.81
0.47
0.02
7
15
0.08
0.06
0.07
0.46
0.89
0.981
1.28
1.07
0.7
0.71
0.43
0 04
677
16
0.04
0.03
0.04
0.36
0.65
1.04
1.1
0.91
0.59
0.63
0.37
002
578
17
0.07
0.05
0.06
0.46
0.79
1.14
1.32
1.03
0.67
0.69
0.41
004
673
18
0.03
0.02
0.03
0.36
0.72
1.03
1.1
0.94
0.61
0.67
0.4
0.02
593
DR
0.03
0.02
0.03
0.11
0.22
0.14
0.31
0.54
0.35
0.411
0.24
0.02
242
CH
0
0
0.00
0
0
0
0
0
0
01
0
0
0
0
0
0

FORM NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page / of 00
Permit No.; WQ0022870 Facility Name: Chapel Ridge WWTP
County: Chatham
Month: December
Year. 2023
Field Name:
Did irrigation occur
F-1
Field Name:
F-2
Field Name:
F-2B
Field Name:
F-3
at this facility?
Area (acres):
11.4
Area (acres):
556
Area (acres):
4.22
Area (acres):
10.66
Cover Crop:
Turf
Cover Crop:
Turf
Cover Crop:
Turf
Cover Crop:
Turf
O YES ❑ No
Hourly Rate (in):
0.1
Hourly Rate (in):
0 1
Hourly Rate (in):
0.1
Hourly Rate (in):
0.1
Annual Rate (in):
20A7
Annual Rate (in):
Annual Rate (in):
7.43
Annual Rate (in):
20.47
Weather
Freeboard
Field Irrigated?
O YES ❑ NO
Field Irrigated?�120.47
p No
Field Irtigated?
O YES O NO
Field Irrigated?
❑ YES Q No
m
a
m
3
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in
°F
I in
ft
ft
gat
min
in
in
gal
I min
in
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
F32
18
19
C
0
5.5ft
1,800
60
0.01
0.01
1
1,800
60
002
002
20
PC
28
0
5 5ft
1,800
60
0.01
0.01
1,800
60
0.02
0.02
21
1
1
22
231
CL
39
0
5.5ft
1,800
60
0.01
0.01
1,800
60
0.02
002
24
25
26
27
28
29
30
31
Monthly Loading:
5,400
OA2
0
0.00
5,400
0.05
_
0
0.00
12 Month Floating Total (in):1
5.38
7J6
4.34
,:i-' J;
6.17

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2— of S
Permit No.: W00022870
Facility Name: Chapel Ridge VVWTP County: Chatham
Month: December
Year. 2023
Did irrigation occur
I Field Name:
F-313
Field Name:
F-4 Feld Name:
F-6
Field Name:
F-6
at this facility?
Area (acres):
3.01
Area (acres):
7.18 Area (acres):
13.22
Area (acres):
16.48
Cover Crop:
Turf
Cover Crop:
Turf
Cover Crop:
Turf
Cover Crop:
Turf
21 YES ❑ NO
Hourly Rate (in):
0.1
Hourly Rate (in):
0.1
Hourly Rate (In):
0.1
Hourly Rate (in):
0.1
Annual Rate (in):
7.43
Annual Rate (in):
20.47
Annual Rate (in):
20A7
Annual Rate (in):
7.43
Weather
Freeboard
Field Irrigate]d?
l7 YES O No
Field Irrigated?
IO YES O No
Field Irrigated?
O YES O No
Field Irrigated?
O YES O No
o
U
r
�°
E
:.
�9
O.
d
a
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L°
N
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�' a
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6 G Z
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ro0
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x 0
OF
in
ft
ft
_ gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
2
4
5
6
8
10
11
12
13
---
14
15
16
17
11
I
18
19
C
32
0 1
5 5ft
2,250
60
0.03
003
1,800
60
001
001
1,800
60
0.01
0.01
1,800
60
0 00
600
20
PC
28
0 1
5 5ft
2,250
60
0.03
0.03 1
1,800
60
001
001
1,800
60
0.01
0.01
1.800
60
0.00
0.00
21
22
23
CL
39
0 1
5 5ft
2,250
60
0.03
0.03
1,800
60
0.01
001
1,800
60
0.01
001
1,800
60
000
0.00
24
25
26
---
-
27
28
29
30
31
Monthly
Loading:
6,750
008
5,400
0.03
5,400
0.02
5,4o0
0.01
12 Month Floating Total (in):
6.53
7 10
r7 1681
3.04

n
FORM. NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 3 of __
Permit No.: W00022870
Facility Name: Chapel Ridge WWTP
County: Chatham Month: December
Year: 2023
Did irrigation occur
Field Name:
F-7
Field Name:
F-8
; Field Name:
F-9
Field Name:
F-10
Area (acres):
16.48
Area (acres):
4 06
Area (acres):
10 11
Area (acres):
5 76
at this facility?
Cover Crop:Turf
Cover Crop:
P�
Turf
Cover Crop:
P�
Turf
Cover Crop:
P�
Turf
O YES ❑ NO
Hourly Rate (in):
0.1
Hourly Rate (In):
01
20.47
Hourly Rate (In):
0.1
Hourly Rate (in):
01
Annual Rate (in):
20.47
Annual Rate (in):
Annual Rate (in):
20.47
Annual Rate (in):
20.47
Weather
Freeboard
Field Irrigated?
O YES ❑ NO
Field Irrigated?
O YES ❑ No
Field Irrigated?
O YES Cl No
Field Irrigated?
❑ YES M NO
m
0
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In
gal
min
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in
gal
min
In
in
gal
min
in
in
1
2
3
4
61
8
9
—
10
11
12
13
14
15
16
17
18
-
191
C
32
0
5.5ft
2,250
60 1
0.01
0.01
2,250
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002
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1,800
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0,01
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5.5ft
2,250
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0.01
0.01
2,250
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0.02
0.02
1,800
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0,01
0.01
21
22
23
CL
39
0
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1 2,250
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0.01
0.01
2,250
60
0.02
0.02
1,800
60
0.01
a01
24
25
26
27
28
29
!
30
31
Monthly
Loading:
6.750
—
002
6,750
006
5,400
002
000
12 Month Floating Total (in):
-
3.08
430
'
5.99
E
1
8.07

FORM NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page T of e
Permit No.: W00022870
Facility Name; Chapel Ridge WWTP
County: Chatham
Month: December
Year. 2023
Did irrigation occur
Field Name:
F-108
Field Name:
F-11
Field Name:
F-11B
Field Name:
F-11C
at this facility?
Area (acres):
5.69
Area (acres):
4.79
Area (acres):
4.2
Area (acres):
9.37
Cover Crop:
P'
Turf
Cover P'
Turf
Cover P:
Turf
Cover P�
turf
2 YES O No
Hourly Rate (In):
0.1
Hourly Rate 11n):
0.1
Hourly Rate (in):
0.1
Hourly Rate (in):
0.1
Annual Rate (In):
7.43
Annual Rate (in):
_ 20.47
1 Annual mate (in):
20.47
Annual Rate (in):
7.43
Weather
Freeboard
Field Irrigated?
[DYES ❑ No
Field Irrigated?
O YES ❑ No
Field Irrigated?
❑ YES p No
Field Irrigated?
❑ YES FOdo
a
m
O
m
°
0
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a
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ar
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ft
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I gal
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in
gal
min
in
in
gal
min
I in
in
gal
min
in
In
1
2
- - -
3
4
5
6
8
—
9
i
10
11
12
13
14
15
_
16
17
18
19
C
32
0
5 511,
1,800
60
0.01
0.01
11800
60
001
0.01
20
PC
28
0
5.5ft
1,800
60
0.01
0.01
1,800
60
0.01
0.01
21
22
231
CL
39
0
5.5ft
1,800
60
0.01
0-01
1,800
60
0.01
0.01
24
25
--
26
27
28
29
'
30
31
Monthly Loading:
5,400
0.03
c, 4i G
0.04
0
0.00
;'
0
0.00
12 Month Floating Total (in):
5.96
1,45
10.35
6.17

FORM NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of VO
Permit No.: WQ0022870
Facility Name: Chapel Ridge WV TP
County: Chatham
Month: December
Year: 2023
Did irrigation occur
Field Name:
F-12
Field Name: F•12B
Field Name:
F-13
Field Name:
F-13B
facility?
Area (acres):
2.62
----
Area (acres): 1.54
Area (acres):
8.49
Area (acres):
2.2
at this
Cover Crop:
P'
Turf
Cover P'
Turf
Cover P�
Turf
Cover p:
Turf
El YES ❑ No
Hourly Rate (in):
0.1
Hourly Rate (in):
0.1
Hourly Rate (in):
0.1
Hourly Rate (in):
0,1
Annual Rate (In):
20,47
Annual Rate (in):
7.43
Annual Rate (in):
20.47
Annual Rate (In):
7.43
Weather
Freeboard
Field Irrigated?
❑ YES E) No
Field Irrigated?
21 Yes ❑ No
Field Irrigated?
E) YES ❑ NO
Field Irrigated?
❑ Yes p NO
m
im
U
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in
gal
min
In
in
gal
min
in
in
1
2
3
4
5
---
6
9
10
11
1
12
13
14
15
16
_
17
18
19
C
32 1
0
5.5ft
1,800
60
004
0.04
1,800
60
0.01
0.01
201
PC
28
0
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1,800 1
60
004
0.04
1,800
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0.01
0.01
21
22
23
CL
39
0
5.5ft
1,800
60
004
0,04
1,800
60
0.01
0.01
24
25
26
27
28
29
30
31
Monthly
Loading:
0
0.00
5,400
0.13
5,400
0.02
0
0.00
12 Month Floating Total (in):
,' -"' �.
ri'
13.63
-
7.26
6.67
4.76

FORM NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 6 of S
Permit No.: WQ0022870
Fatuity Name: Chapei Ridge WWTP
County: Chatham
Month: December
Year: 2023
Did irrigation occur
Field Name:
F-14
Field Name:
F-15
Field Name:
F-16
Field Name:
F-17
facility
Area (acres):
9.91
Area (acres):
4.79
Area (acres):
9.05
Area (acres):
5.37
at this
Cover Crop:
P'
Turf
Cover P�
Turf
Cover p:
Turf
Cover P:
Turf
O YES ❑ NO
hourly Rate (in):
01
Hourly Rate (in):
0.1
Hourly Rate (in):
0.1
Hourly Rate (in):
0.1
Annual Rate (in):
20.47
Annual Rate (in):
20.47
Annual Rate (In):
20.47
Annual Rate (in):
20.47
Weather
Freeboard
Field Irrigated?
2 YES ❑ NO
Field Irrigated?
0 YES ONO
Field Irrigated?
O YES O No
Field Irrigated?
D Yes ❑ No
a
m
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min
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1
i
21
3
5
6
7
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9
10
11
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-- -
13
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15
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1,800
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1 0.01
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PC
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1,800
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0.01
1,800
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0.01
0.01
24
25
26
27
28
29
30
31
Monthly Loading:
5,400
0 02
5,400
0.04
5,400
0.02
5,400
0.04
12 Month Floating Total (In):
'
7 00
6.77
5.78
6.73

FORM. NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 7 of
Permit No.: W00022870
Facility Name: Chapel Ridge WWTP
County: Chatham
IMonth: December
Year: 2023
Did irrigation occur
Field Name:
F-18
Field Name:
DR
Field Name:
CH
me:
Area (acres):
17.8
Area (acres):
14.9
Area (acres):
1.34
es):
at this facility?
Cover Crop:Turf
Cover Crop:
P
Turf
Cover Crop:
PCrop:
Turf
7Annuai
O YES ❑ No
Hourty Rate (in):
0A
Hourly Rate (in):
0.1
Hourly Rate (In):
0.5
(in):
Annual Rate (In):
20.47
Annual Rate (in):
20.47
Annual Rate (in):
1758
in):
Weather
Freeboard
Field Irrigated?
i] Yes 0 NO
Field Irrigated?
O YES ❑ NO
Field Irrigated?
❑ YES O NOed?
❑ YES ❑ NO
Q
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--
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Monthly Loading:
7,350
r
0.02
6,750
002
0
0.00
0
0.00
12 Month Fixating Total (in):
5.93
242
0.00
.,

FORM. NDAR-1 05 i6 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
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
❑• Compliant ❑ Non -Compliant
❑o Compliant ❑ Noa-C mpliant
0 Compliant ❑ Non -Compliant
❑o Compliant ❑ Non -Compliant
tf 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: William Brian Peters
Permittee:
AQUA NC
Certification No.: 987582
Signing Official:
Grade: SI Phone Number: 919-545-2201
Signing Officials Title: Field Supervisor
Has the ORC changed since pre sous NDAR-17 t7 Yes O No
Phone Number: 919-653-5773 Permit Exp.: 2/28125
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 penatly 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, a those persons direclty 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

Chapel Ridge Common Area Spray Fields
12 MONTH ROLLING TOTAL APPLICATION IN INCHES
FIELD
234an
23-Feb
23-Mar
23-Apr
23-Ma
23-Jun
23-Jul
23-Au
23-Se
23-Oct
23-Nov
23-Dec
12-MO TOTAL
OS-1
0
0
0
0
0
1.76
1.56
1.75
1.43
1.43
0
0
7.92
OS-2
0
0
0
0
0
1.76
1.36
1.76
1.44
1.44
0
0
7.76
OS-3
0
0
0
0
0
5.79
5.26
5.79
4.74
4.74
0
0
26.32
OS-6/OS-7
0
0
0
0
0
1.02
1.04
1.02
0.84
0.84
0
0
4.76

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page i of 2
Permit No.: WQ0022870
Facility Name: Buck Mountain Development
County: Chatham
Month: December
Year: 2023
Did irrigation occur
Field Name:
OS-1
Field Name:
OS-2
Field Name:
OS-3
Field Name:
OS-6/OS-7
at this facility?
Yes ' - NO
Area (acres):
7.4
Area (acres):
2.3
Area (acres):
0.7
Area (acres):
5.6
Cover Crop:Turf
Grass
Cover Crop:
P�
Turf Grass
Cover Crop:
P:
Turf Grass
Cover Crop:
P:
Turf Grass
Hourly Rats (In):
0.1
Hourly Rate (In):
0.1
Hourly Rabe (In):
0.1
Hourly Rate (In):
0.1
Annual Rate (In):
20.4
Annual Rate (In):
20.4
Annual Rate On):
Field Irrigated?
20.4
'YES NO
Annual Rate (In):
20.4
Weather
Freeboard
Field Irrigated?
YES No
Field Irrigated?
YES NO
Field Irrigated?
YES NO
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1
C
66
0
1 5.5
0
0
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0.00
0
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0.00
0
0
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0.00
0
0
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2
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0
0
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3
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71
0.06
1 5.5
0
0
0.00
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0
0
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0
0
0.00
0.00
0
0
0.00
0.00
4
PC
63
0
1 5.5
0
0
0.00
0.00
0
0
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0.00
0
0
0.00
0.00
0
0
0.00
0.00
5
SN
60
0
1 5.5
0
0
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0
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0.00
0.00
0
0
0.00
0.00
6
C
51
0.07
1 5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
7
SN
54
0.02
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
8
PC
64
0
5.5
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
70
0
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00 1
0
0
0.00
0.00
10
PC
68
0
5.5
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
11
R
48
2
F5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
12
SN
52
2.751
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
131
PC
60
0
1 5.5
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
SN
52
0
5.5
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
SN
60
0
5.5
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
61
0
5.5
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
R
56
0
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
18
R
59
2.85
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
191
SN
46
0
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
201
SN
5061
0
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00 1
0
0
0.00
0.00
21
PC
60
0
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00 1
0
0
0.00
0.00
22
PC
60
0
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00 1
0
1 0
0.00
0.00
23
PC
60
0
5.5
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
24
PC
68
0
5.5
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
C
66
0
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
261
C
63
0
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
271
R
66
1.13
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
28
PC
60
0.03
5.5
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
55
0
5.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
30
PC
51
0
5.5
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
SN
54
0
5.5
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:
12 Month Floating Total (in):
0
0.00
15.29
0
0.00
15.36
0
0.00
10.13
0
0.00
10.07

FORM NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page-2--of Z
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?
Corrrphant
❑ rya,-CmMllant
a cempiiamt
❑ "n-compfam
❑ Compiant
❑ Nan{ nnpgant
p Compliant
❑ Nw-C&Nhant
0 compault
❑ Norrcomprarn
If the facility is non-compliaK please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the dale(s) of the nan-corrtpllance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator In Responsible Charge (ORC) Certification Permlttee Certification
ORC: Perry Lloyd Jordan Pennittee;
AQUA NC
Certification No.: 1006237 Signing Official: Wesley Bishop
Grade: SI Phone Number: 919-795-9313 Signing Official's Title: Field Supervisor
Has the ORC changed since the previous NDAR-1? ❑ Ycs 2 NO Phone Number. Permit Exp.:
SI ure Date Signature Date
By this sig *h" I c m' fy that this report s acwrrate aria complete to the best of my mo vledge I certry, under penally of law, that his document and al ettacMwnta were prepared under my direction or supervtslghn In accordance
with a system designed to assure the all qualliied persorriel property patherad and evaluated the Wormetlon submitted. Based on my
Inquiry of the person or persons %bo manage the system, or those parsons dlradly raspaeslble for gathering the hsformatfon, the
Iriomheflon subm ted is, to the best of my knowledge and belef, true. ace we, and complete. I am aware that (hare are siweiicarm
penalties for submiling false Information, indudrng the possiblIty of nines and impdacnment for knowing volations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carollna 27699-1617