Loading...
HomeMy WebLinkAboutWQ0004438_Monitoring - 08-2016_20160926NON -DISCHARGE APPLICATION REPORT SPRAY IRRIGATION SITE(S) THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED. PERMIT NUMBER: WQ1 O U O'f -+3 MONTH: Au _&y.5 `r Page 3 of FACILITY NAME: s •T W o O I_QJ CC RP —R EW 13 "R COUNTY: Q-•R`i4"1I IQA Formulas: Daily Loading (inches) - f Volume Applied (gallons) x 0.1336 (cubic feeUgMn) x 12 (mdhesHM)]! [Area Sprayed (acres) x 43,SW (square feeUaae)] OR = Voku- Applied (g H—) I [Area Sprayed (aces) x27,152 (gailonsraae-Snrli)) Monthly Hourly Loading (Inches) = maximum incites appffed avers one hour periW for that day Monthly Loading (inches) =Sum of Darr Load'mgs (inches) 12 Month Floating Total (inches) = Sum of this month's MonthFy Load'mg (mdhes) and previous 11 march's Monthly Loadings (inches) YEAR- 2 O 5d —IrrigaUon Occur At This Facility. Yes:►' ■ Did Irrigation Occur On This Field: is ■■ Did Irrigation Occur On This Field: ■ ,-' — rm Volume• Applied 'NO Applied oma® • r �����_����������� mmffg�MOM MROXON ��������■� mH1 KWWMM� Weather Codes: C -clear, PC -partly cloudy, Cl -cloudy, R -rain, Sn-snow, Sl -sleet Spray Irrigation Operator in Responsible Charge (ORC): (S1COR C'E � cj'�u- 15Ot4 ORC Certification Number: IJf$ 1 Z Check Box if ORC Has Changed: O Mail ORIGINAL and TWO COPIES to: DENR Division of Water Quality ATTN: Information Processing Unit 1617 Mail Service Center RALEIGH, NC 27699-1617 Phone: � R, (SIGNA'T'URE OF OPERATOR IN RESPONSIBLE CHARGE) BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. DENR FORM NDAR-1 (1112005) Nt 4.DiSCHARM APPLICATION REPORT SPRAY IMGATlom sf f w) FacwhE sfa6s;_ please irk (€ry i gY(es) nr Wo) in the apprapdraf9 bm) w#reffrerlhe #ac iftY has #air comniiant mamthefoi owirm pewftFeM&ffiuM : (##tote: rfa reqL&mwtdi wnutaPPlytaYOurfdOTdYPut (NA) is the cwW arrtbm ) -Q. �e app �ate(a) d� mote �Fitetbruf(s}sgac�d in ate 1. �. s e �i a ve res>s�►aha` a mff own ffie is). �.�i see"taba} � � � see t�essr�e(s) aED ar�o�iaest� �a the each amocaum- ':�'6irefi nn �a�ors�nr2�e t�t�s) � �t��itaae the ) soerified ht�a peEsut Paw or--)+ ifthefas+r�3y is �� P� in i#n3 spare be#� the reasorr(s) � farxTity�as rrot irz ice � iss pounL Provide inymue)pisraflanihadoWs)afihe non-ccrnPftm and descnbe-the wrsective acrion(s) taken. Attach additional draft tf -1Cify, UftdW PeNIRVga€law, Im sdommutandaH mft wm-prepmed undermy direction orsupervisFon in m=rdancemM a system dedsrted to wmmMWt2F1 g0fiffed pmrtli property gathered and evaMMod the inforrrzabon submitted- an mykqMDfgm Pmw ori whatrrarragethe sYSWR'6 orthose pemns dfmcffy resgnnsUe fnrga{frer5rgtineu�trzta s, #° ab my � M= 215. and s..L gie�. t amine t#mtSrrre ate forsng fake irrfaraation, iruttrdirx3 the poss�iCtcy of fines Gliu rrrrprr� ��'•� �'n • ZO oB�tz ti L, t-�NT..�R, grrrrt or#yps) ST Wbbi fit- C09EQUYT100 (Pe�� pfmwAwpo 409) sae Addles) i71V 151 oto. M A-NI�G �R �asitiort ogTdie) ( 37-jf2l' -� 1 ) Ncant>Br� [sai�a -1f3iowbyauw1b=9repasrills!►e Yr El sf t �2 sc�lt�taf- RENR FORM fWA431 (11= 95)