HomeMy WebLinkAboutWQ0013398_Monitoring - 03-2024_20240405 (3)Monitoring Report Submittal
.....................................................
Permit Number#* WQ0013398
Name of Facility:* 904 Georgetown Treatment Plant. LLC Sandpiper Bay WWTP
Month: * March Year: * 2024
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR 904 March 2024 NDAR.pdf 3.32MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * tim@sandpiperbaygolf.com
Name of Submitter: * Timothy P. Tilma
Signature:
0re 6 0 1 � I J� Z > ?
Date of submittal: 4/5/2024
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald
Is the project number correct?* W00013398
Is the monitoring report accepted?* Yes NO
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 4/15/2024
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Pj a wit
Permit No.: WQ0013398
Facility Name: Sandpiper Bay WWTF
County: Brunswick
Month: ebfl4<t
Year: 2024
Did irrigation occur
Field Name:
B-FW
Field Name:
B-GR
Field Name:
B-PER
Field Name:
B-RGH
at this facility
Area (acres):
23
Area (acres):
2.5
Area (acres):
5.5
Area (acres):
21
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
YES ElNO
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?
YES ❑ NO
Field Irrigated?
0 YES ❑ NO
Field Irrigated?
❑ YES NO
Field Irrigated?
YES ❑ No
ro
U
L°
n
Q1
o
.
a
dm
_
�
a
>Q
a ,c
p
E
c
om
CD
Mv
d
rn
E
rn
Ea
�
=
av
'g
ClM
~
coCD
�
E
E
a, vQ
�M
>
Cn
~
c
J=Jd
E a�arnE
E
_
1
F
in
ft
in
gal
10,000
min
10
in
0.15
in
0.15
gal
min
in
in
gal
min
in
in
2
3
60,000
60
0.10
0.10
4
5
11,000
10
0.16
0.16
6
7
C
66
3.9
2
10,000
10
0.02
0.02
8
9
C
70
3.9
2
60,000
60
0.10
0.10
11,000
11
0.16
0.16
10
PC
73
3.9
2
11
12
13
10,000
10
0.15
0.15
14
C
74
2
3.7
2
60,000
60
0.10
0.10
15
C
80
3.6
2
16
17
18
19
10,000
10
0.15
0.15
10,000
10
0.02
0,02
20
C
74
3.7
2
21
55,000
55
0.09
0.09
22
10,000
10
0,15
0.15
23
24
C
74
3.7
2
25
PC
60
3.7
2
10,000
10
0.02
0.02
26
10,000
10
0.15
0.15
27
PC
68
3.7
2
28
55,000
55
0.09
0.09
29
C
63
3.7
2
10,000
10
0.15
30
31
;311..76
Monthly Loading:
290,0006-7
0.46
.35
82,000
0
0.00
0.27
30,000
0.05
0.76
12 Month Floating Total (in):
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?
0 Compliant
❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Q Compliant
❑ Non-Compllant
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?
F±1 Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
[I 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
ORC: Wilbur Allen Williams
Certification No.: 15664
Grade: S1 Phone Number: (910)612-0913
Has the ORC changed since the previous NDAR-1? ❑ Yes 0 No
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee:
Timothy P. Tilma
Signing Official:
Signing Official's Title: General Manager
Phone Number: (910) 579-9120 Permit Exp.: 1/31127
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) ^ P0eA----_0f
ry v1,11 '
Permit No.: WQ0013398
Facility Name: Sandpiper Bay WWTF
County: Brunswick
Month:
ua
Year: 2024
Did irrigation occur
Field Name:
B-TEE
Field Name:
P-1
Field Name:
P-2
Field Name:
P-3
this facility?
Area (acres):
28
Area (acres):
4.59
Area (acres):
7.82
Area (acres):
1.16
at
Cover Crop:Cover
Crop:
p:
Cover Crop:
p'
Cover Crop:
p:
F/I 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?
0 YES ❑ NO
Field Irrigated?
❑ YES Q NO
Field Irrigated?
❑ YES NO
Field Irrigated?
❑ YES NO
a
C
u
M
M
a`)
E
a)F
O
5
ii
d
0.
m
2
N
N d
am
u
a A
�
N
E"—
� a
i Q
N 0
E M
~_
�, C
,� v
J
=`
E o
= J
N
E._
a s
i Q
ai v
E M
~ t
>, C
o
d J
7 ?+
E a
= J
y
E._
a
� Q
CD d
E_ m
~
>. C
•7 'v
J
7 a` C
E 'v
� '= J
d -
E._
a
� Q
m N
E m
F t
>, C
'o
O
J
�' C
E o
�= j
J
'F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
2
25,000
25
0.03
0.03
3
4
5
6
7
C
66
3.9
2
8
9
C
70
3.9
2
10
PC
73
3.9
2
11
12
13
14
C
76
2
3.7
2
15
C
80
3.6
2
25,000
25
0.03
0.03
16
17
18
19
20
C
74
3.7
2
21
22
23
24
C
74
3.7
2
25
PC
60
3.7
2
25,000
25
0.03
0.03
26
27
PC
68
3.7
2
28
29
C
63
3.7
2
30
31
Monthly Loading:
1 75,000
0.10
0
0.00
0
0.00
0
0.00
12 Month Floating Total (in):1
5.83
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Ad the application rates exceed the limits in Attachment B of your permit?
Q Compliant
❑ Non -Compliant
Nere adequate measures taken to prevent effluent ponding in or runoff from the sites?
Q Compliant
❑ Non -Compliant
Nas a suitable vegetative cover maintained on all sites as specified in your permit?
P1 Compliant
❑ Non -Compliant
Nere all setbacks listed in your permit maintained for every application to each permitted site?
Q Compliant
❑ Non -Compliant
Nere all freeboards maintained in accordance with the specified freeboard heights in your permit?
lA Compliant
❑ Non-Compllant
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 II Permittee Certification I
0RC: Wilbur Allen Williams
Certification No.: 15664
Grade: S1 Phone Number: (910)612-0913
Has the ORC changed since the previous NDAR-1? ❑ Yes 0 No
Signature Date
By thls signature, I certify that this report is accurrale and complete to the best of my knowledge.
Permittee:
Timothy P. Tilma
Signing Official:
Signing Official's Title: General Manager
Phone Number: (910) 579-9120 Permit Exp.: 1/31/27
Signature Date
1 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 informallon 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) �{Pa e._, , f
.Anl"V11 fl
Permit No.: , WQ0013398
Facility Name: Sandpiper Bay WWTF
County: Brunswick
Month:
Year: 2024
Did irrigation
Field Name:
P-4
Field Name:
P-5
Field Name:
P-6
Field Name:
P-7
occur
Area (acres):
7.23
Area (acres):
5.39
Area (acres):
2.6
Area (acres):
6.21
at this facility?
Cover Crop:Cover
Crop:
P�
Cover Crop:
P�
Cover Crop:
P:
❑ YES P1 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?
❑ YES 0 NO
Field Irrigated?
❑ YES NO
Field Irrigated?
❑ YES [] No
Field Irrigated?
❑ YES NO
ro
❑
v
o
U
B
12
o
°
a
`
a
L°
f!1
r'
a m
u
a
t9 G
❑ m
Lun
E v
n•
O Q
> Q
a� a
E_ �
F
=
a c
� o
❑ O
J
E rn
a c
E n v
txa 2 0
J
m y
E •R
_z o,
O a
> a
n
m ::
E�
P •E
rn
E
E v
❑ 0p
J
E rn
c
Ekk 5 0
N= p
J
m y
E D
� p
o a
> Q
v
d °�'
E_ �
F-
=
rn
> c
��
❑ p
J
E rn
T c
EE_ z v
tC T O
J
m o
E °°
� a
> Q
d P:
E m
~ '�
=
rn.
> s
E 'v
❑ 0O
J
E rn
c
EE z o
t0 S 0
J
°F
In
ft
ft
gal
min
In
In
gal
min
In
in
gal
min
in
in
gal
min
in
In
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
LLSi VH91Z eul!o-1e0 gIloN 'gB!a!eN
aalueo ao!rues I1eN L6g6
}!un Bu!ssaowd uol;ewJoJul
411enO ja;eM jo uo!s!n!p
:o} sa!doo onnl pue !eu!6!jp !!epy
'suopeioln 6UIMOU31 joj luawuosudwi pue snug jo Allpglssod oqj 6wpnloul 'uopewojul aslej 6u6ilwgns joj sallleuad
jueoijlu61s aje aiagl Iegl ajeMe we 1 'ololdwoo pue 'alemooe 'arid 'jalleq pue a6palraoul Aw jo lsaq eqj of 'sl palllwgns uollewJojul
84I 'uollewjojul aql 6up9gle6 joj alglsuodsai /poanp suosvad asogj jo 'walsAs aql a6euew oqM suosjad jo uosiad eqI jo MInbul
6w uo pose0 'palliwgns uopewjojul aql poleniena pue pajagle6 Aliedmd lauumad pagpenb lie jegj amsse of pau6isop walslls a gpm
eouepmoe ul uolslniadns uo uolloajlp Aw uapun paiedaid ajaM sluawgoelle Ile pue juawnoop slgl jegl 'Mel jo Alleued japun 141peo I
ale(] ajnjeu8!S
LZM4 :'dx3;!wa6d 0U6-6L9 (M) :jagwnN auogd
aa6euew IejauaO :aNll s,le!algo Bu!uB!g
:!e!ol} 0 Bulu616
ewIU 'd 410w!1
:aaP!waad
96pelMou> /w jo Isaq aqj of elaidwoo pue aleLnooe sl liodai s141 legl Ajluao I 'amleu6is s141 AB
alea ajn�eub!S
ON E saA ❑ L6-NVGN snolnaid aq) aou!s pa6uego OLIO aga seH I
£660-ZWOi 6) :jagwnN auogd bS :apejo
t,9996 :'ON uo!;e3lj!Pa0
swe!1!!M u@IIV jngl!M :31!10 1
Iuo!;eo!j!Pao SOMMIJ19d Il uo!aeo!p7poo (01:10) oBjego a!glsuodsa-d u! jojejado I
-fiesseoeu J! sjaags leuo!l,!ppe goeaay ua�ej (s)uoljoe
anlaoaJJoo 841 aquosap
pue eoue!Idwoo-uou eqj
)o (s)ejep aql, uopeueldxa moA ui ap!Aad aouelldwoo ui lou seen Allpoe; aLp (s)uoseei aqa nnoleq aoeds aqj ui u!e!dxa aseeld 'jue!Idwoo-uou s! Al!!!oe) eqj 11
luelldwo:)-uoN ❑
juelldwoDO
�j!wied inoA ui s}g6i9q pjeogeejl paipoods oqj gjiM eouepj000e ui pouiejuiew spaeogaaa} He aJaM
juelldwOD-uoN ❑
juelldwo:)❑
&91!s pa441wied goes 01 uoi}eoiidde AJ8A8 101 pouieluiew 1iwjed jnoA ui palsil sMoeglas lie ajaM
;uel!dwo:)-uoN ❑
auelidwo:) ❑r
&Ilwjod jnoA ui poi}ioads se saIis 11e uo pauieJuiew aanoa 0ni}e1a130n alge}ins a seM
juepdw:)-uoN ❑
luelldwoD 0
jsej!s eqj wojI gouni jo ui Cuipuod luenlj4e Juanajd of uaMej somseew ajenbope 910M
luepdwo:)-uoN ❑
luelldwoD 0
411wied jnoA j0 8 juawgoeud us sjiwil eqj poeoxe sa}ej uoijeoildde oLp pia
jo abed 4-UVON) W0d3U NOUVOI-Idd`a' 39UVH0SIa-N0N 6 �-90 6IdVaN :w2Jo-�
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) P of
Permit No.: WQ0013398
Facility Name: Sandpiper Bay WWTF
County: Brunswick
Month:
e
Year: 2024
Did irrigation occur
Field Name:
P-8
Field Name:
P-9
Field Name:
P-DR
Field Name:
S-1
at this facility
Area (acres):
1.21
Area (acres):
4.97
Area (acres):
4,45
Area (acres):
6.82
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?
❑ YES 0 NO
Field Irrigated?
❑ YES NO
Field Irrigated?
❑ YES NO
Field Irrigated?
❑ YES NO
'
❑
d
o
c�
v
,•�„
CU
2
'
"L°
a'
o
E
W
c
°
;9
a
v
4
a)
°'
�'
0
N
m °'
Q a
❑
M oo'•
❑ M
uO
d v
E 2
a
o a
> Q
•a
y °'
ro
E rn
i= ,
=
M
c
v
v m
❑
J
E T rn
' c 5
E_ v
f( o `°
ro z J
a
E .�
a
o a
> Q
o
m :'
E_
~_
M
c
co v
m
.01
E rn
c
E o
R o m
= J
v o
E d
o a
> Q
v
v:
E_ o�
_
~ t
_
a:
c
m v
m
❑ a
E rn
M c
E v
x o ro
= J
v o
a�
a
> Q
v
E m
m
~
rn
v
❑ O
E a�
E_ 5
_ @O
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
In
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
L69V!369LZ eu11oJeO WON'y6181BU
ia;ueo ao!naas !1eW 1-M
;!un Bu!ssaDoad u011ew101u!
fq!!ent) .la;eM;o uo►s!nt0
:o; sa!doo onnl pue !eu!B!ap 1!e1N
suogeloln Bulmou> jol luawuosudwl pue snug to Allpglssod egl 6ulpnloul 'uogewiolul aslel 6ullllwgns iol sellleuad
lueoulu6is We qJagl leg] aJeme we l 'alaldwoo pue 'aleinooe 'anil 'lallaq pue 96palmou,4 Aw to lsaq agl of 'sl palliwgns uopewolul
qgl 'uogewolul oql 6uuagle6 jol alglsuodsai Apaanp suosiad asog; jo 'walsAs aql a6euew otlm suosied jo uosiad aql to /Alnbul
Aw uo peseg pall!wgns uollewiolul oql palenlena pue pajegle6 Apadad lauuosiad pogpenb Ile legl ainsse of peublsap walsh a gllm
oouepj000e ul uolslniedns AO uolloaJlp Aw Japun pajedaid ajam sluawgoelle Ile pue luawnoop slgl legl wel to Alleuad japun 'Alluao l 'e6palmoq Aw to lseq aql of alaldwoo pue ale-unooe sl uodau slgl legl Apoao l 'amleuBls slgl AG
ale(] alnleub!S ale(] ainleub!S
LZ/6£/l :'dx3 t!wJad OZ�6-6L9 (M) :jegwnN auoyd ON 0 saA ❑ LVIAVON sno!naid ay; aou!s POBueyo ONO ay; seH
aaBeue!N !elauaE) :811!1 s,1e10140 BUIUBIS C L60-Z49(10W :legwnN auoyd t S :epeip
:le!01.40 BU!uBIS V999b :'ON u011e311!;JaO
ew!il 'd Aylow!1 :aa}}lwaad sole! 11!M ua11d angl!M :ONO
Iuo!1eo!M-laO aa};!wJad II uo!;eoilgiaO (pap) aBjego elq!suodsea u! jotejado
•njesseoeu 11 s;aags leuop!ppe goelly UeNe; Is)uolloe
an!loaaloo aq1 eq!losap
pue eouelldwoo-uou ag110
(s)alep a41 uol;eueldxe 1noR ui ap!nold 'aoue!ldwoo ul ;ou seM A111!oe1 ay; (s)uoseal aq; Molaq coeds all u1 u!eldxa aseald '1ue!1dwoo-uou s! Alll!oe1 ag111
luelldwo:)-uoN
luepdwoD 0
411wied .InoA ui slgBiaq paeogaaaj poispeds agj q}inn aouepaooae ui pauieluiew spaeogeaa} Ile aaaM
luelidwOD-uoN 0
luepdwoD Q
Lads pa}liwied goes of uotleoildde /Clans ao} pouieluiew Iiwaad JnoA ui palsil s)ioeglas Ile aaaM
luegdwOD-uoN M
auelldwo:) 0
41pied anoA ui poilpeds se sells Ile uo pauieIuiew JOA03 8AIJeJ8130n elgelins a seM
luelldwo:)-uoN M
luelldwoD
Lseps agl woaj }}ounj ao ui Buipuod luenige Juanaad of uoMej sainseaw alenbepe aaaM
luelldwOD-uoN
luelldwo:) E
L}iwaad inoA }o 8 juawgoej}d ui s}iwil eq} paaoxe sajea uoileoildde eqj pia
10 abed (V- JVCIN) 1210dMl N011V31-1ddV 3E)dVH0S1a-N0N W80 L-adaN W 30J
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) VAT �— of
PermltNo.: WQ0013398
Facility Name: Sandpiper Bay VVWTF
County: Bruns\Wick
WIn L
Did irrigation occur
Field Name:
Field Name:
Field Name:
at this facility?
Area (acres):
Area (acre
Area (acres):
Annual R.
l'
■
r
to
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?
[Z Compliant
❑ Non -Compliant -
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
❑r Compliant
❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
21 compliant
❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
0 Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
❑� compliant
❑ Non-Compllant
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 F_ Permittee Certification I
ORC: Wilbur Allen Williams
Certification No.: 15664
Grade: S1 Phone Number: (910)(312-0913
Has the ORC changed since the previous NDAR-1? ❑ Yes 0 No
Signature Date
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge.
Permittee:
Timothy P. Tilma
Signing Official:
Signing Officials Title: General Manager
Phone Number: . (910) 579-9120 Permit Exp.: 1/31/27
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. 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) Pa of
.1 1-1_,_
PermitNo.: WQ0013398
Facility Name: Sandpiper Bay WWTF
County: Brunswick
a:r�ivn �aa •
•irrigationoccur
at this facilit)
Area
Area (acres):
Area (acres):
f'?
Cover Crop:
Cover Cro
F-1 YES NO
Hourly Rate (in):
low
HouOyRate (in�.
Annual Rate (in):
Annual Rate (in
Field Irrigated?'
R611
Jill
Monthl y Loading:
12 Month Floating Total (in)-
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?
2 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? El Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 0 compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 21 Compliant ❑ Non -Compliant
If the facility is non-compllant, 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: Wilbur Allen Williams
Permittee:
Timothy P. Tilma
Certification No.: 15664
Signing Official:
Grade: S1 Phone Number: (910)612-0913
Signing Officials Title: General Manager
Has the ORC changed since the previous NDARA? ❑ yes 7 No
Phone Number: (910) 579-9120 Permit Exp.: 1/31/27
t
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the hest 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 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617