WQ0013398_Monitoring Report_20151112

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
PermitNo.: W00013398
Facility Name:
Sandpiper Bay WWTF
County: Brunswick
Month:
September
Year:
2015
Field Name:
B -FW
Field Name:
B -GR
Field Name:
B -PER
Field Name:
B-RGH
Did irrigation occur
Area (acres):
23
Area (acres):
2.5
Area (acres);
5.5
Area (acres):
21
at this facility?
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
❑+ YES ❑ NO
Hourly Rate (in);
1
Hourly Rate (in):
1
Hourly Rate (in):
1
Hourly Rate (in):
1
Annual Rate (in):
51
Annual Rate (in):
51
Annual Rate (in):
51
Annual Rate (in):
51
Weather Freeboard
Field Irrigated?
❑Q YES
❑ NO
Field Irrigated?
❑Z YES
❑ NO
Field Irrigated?
❑ YES
[D NO
Field Irrigated?
❑ YES
❑� NO
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a
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4 vm n mm
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n
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m
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page —_ -_ 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? 0 Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? [0 Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? [2] 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
laMoll. MLLar ll aJUIIIUIIal JIIOOW II IIG�cJJal y.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Wilbur Allen Williams
Permittee:
Timothy P. Tilma
Certification No.: 15664
Signing Official:
Grade: S1 Phone Number: [phone]
Signing Official's Title: General Manager
Has the ORC changed since the previous NDAR-1? ❑ yes M No
Phone Number: [phone] Permit Exp.: 5/31/Y4
G
10%,16,1 1
2
Signature Date
Signature Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
I cagily, 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, lathe 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page __._-of
- � 1111 •:
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Did irrigation occur
17
Hit
7 YES NO
Field lrrigated?!��
111
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FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
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?
Page of _. __
❑✓ Compliant ❑ Non -Compliant
❑✓ Compliant ❑ Non -Compliant
❑✓ Compliant ❑ Non -Compliant
❑✓ Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? E 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
Operator in Responsible Charge (ORC) Certification
ORC: Wilbur Allen Williams
Certification No.: 15664
Grade: S1 Phone Number: [phone]
Has the ORC changed since the previous NDAR-1? ❑ yes 0 No
1L)
Permittee Certification
Permittee:
Timothy P. Tilma
Signing Official:
Signing Official's Title: General Manager
Phone Number: [phone] Permit Exp.: 5/31/11/
)U,
Signature Date Signature Date
By this signature. I cedity 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 submilled 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ____ of
Facility Name:
Sandpiper Bay WWTF
Did irrigation occur
07
Area (acres):
Hit
at this faci i y.
Cover Crop:
■YESNO
00
Hourly Rate
Annual Rate (in):
�®
I®

FORM: NDAR-1 0e-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _.__ 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? O Compliant ❑ 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
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Wilbur Allen Williams
Permittee:
Timothy P. Tilma
Certification No.: 15664
Signing Official:
Grade: S1 Phone Number: [phone]
Signing Official's Title: General Manager
Has the ORC changed since the previous NDAR-1? ❑ yes No
Phone Number: [phone] Permit Exp.: 5/31/1%()
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 penally 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Of
W00013398MWITI
kylvA I=
Did irrigation occur
at this facility'?
®-
■YES •
-
_�

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ___ 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? PI Compliant ❑ 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
Operator in Responsible Charge (ORC) Certification
ORC: Wilbur Allen Williams
Certification No.: 15664
Grade: S1 Phone Number: [phone]
Has the ORC changed since the previous Ni ❑ yes [ No
, (.f;r kk� / o -.4, -1
Signature Date
By this signature, I really that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee:
Timothy P. Tilma
Signing Official:
Signing Officials Title: General Manager
Phone Number: [phone] Permit Exp.: 5/31/1r/'
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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Q00Sandpiper
Did irrigation occuim
Area (acres):
Are, (acres).
at this facility'?
■ YES ■ No
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■
■ .
I■
■ 'Mon"
■
■ •
■
■
®i{
load
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12 Monthy
gg.�.�
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,✓fir•,
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.�_. IJ

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
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?
Page
❑✓ Compliant
❑✓ Compliant
[� Compliant
❑Q Compliant
of
❑ Non -Compliant
❑ Non -Compliant
❑ Non -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
Operator in Responsible Charge (ORC) Certification
ORC: Wilbur Allen Williams
Certification No.: 15664
Grade: S1 Phone Number: [phone]
Permittee Certification
Permittee:
Timothy P. Tilma
Signing Official:
Signing Official's Title: General Manager
Has th'e ORC changed since the previous NDAR-1? ❑ Yes No Phone Number: [phone] Permit Exp.: 5/31
I �_A
Signature Date Signature Date
By this signature, I certify that this report is accurrale and complete to the best of my knowledge. I certify, under penally 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ___. of
HourlyField
OEM=
Annual Aate (in):
®®
Irrigated?
Field Irrigated?00

FORM: NDAR-1 06-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
Q 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?
❑✓ Compliant
E] Non Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
E Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Q Compliant ❑ Non -Compliant
It 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
ORC: Wilbur Allen Williams
Certification No.: 15664
Grade: S1 Phone Number: [phone]
Has the ORC changed since the previous NDAR-1? ❑ yes ❑� No
Signature Date
By this signature, I certify that this report is accuume and complete to the best of my knowledge.
Permittee Certification
Permittee:
Timothy P. Tilma
Signing Official:
Signing Officials Title: General Manager
Phone Number: [phone] Permit Exp.: 5/31/14
Signature Date
I certify, under penally 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 tines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617