WQ0020809_Monitoring - 08-2016_20160926

V
FORM: NDMR-1 08-11
it No WQ0020809
Field Name:
Did irrigation
Field Name: Zone 2
occur
11.87
at this facility?
Cover Crop:
YES LK NO
Cover Crop: Bermuda Grass
Weather
@o
o
2 C
o
U
.2
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L
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�
0 a
F a
�
°F in
2.25
0.50
0.20
12 Month
Freeboard
im ad
N 7 U
(n m n
LO
ft ft
Total
NON -DISCHARGE MONITORING REPORT (NDAR-1)
Facility Name: Farmville Golf & Country Club Reclaimed Water
Field Name:
Zone 1
Field Name: Zone 2
Area (acres):
11.87
Area (acres): 9.96
Cover Crop:
Bermuda Grass
Cover Crop: Bermuda Grass
Hourly Rate (in):
0.20
Hourly Rate (in): 0.20
Annual Rate (in):
4.90
Annual Rate (in): 4.90
Field Irrigated?
YES NO
Field Irrigated? YES 0 NC
�
Annual Rate (in):
a
Annual Rate (in):
4.90
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gal min
in in
gal min in in
Page 1 of 2
County:
Pitt
Month: August
Year: 2016
Field Name:
Zone 3
Field Name:
Zone 4
Area (acres):
11.79
Area (acres):
14.58
Cover Crop:
Bermuda Grass
Cover Crop:
Bermuda Grass
Hourly Rate (in):
0.20
Hourly Rate (in):
0.20
Annual Rate (in):
4.90
Annual Rate (in):
4.90
Field Irrigated?
El YES ® NO
Field Irrigated?
YES [g] NO
52
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gal min
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gal min
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11
FORM: NDAR-01 08 11
NON -DISCHARGE MONITORING 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',
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
Page 2 of 2
X❑
Compliant
F-1 Non-Compllan
X❑
Compliant
❑ Non-Complian
❑X
Compliant
❑ Non-Compllan
X❑
Compliant
Non -Compliant
FK
CompliantEl
Non-Complian
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 sheet if necessary
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: James Shoulders
Permittee: Town Of Farmville
Certification No.: 966266
Signing Official: Gary Stainback
Grade: 4 Phone Number: 252-753-3913
Signing Official's Title Consultant
Has the ORC changed since the previous NDAR-1? El Yes [�] X
Phone NuBO -722-04 9 Permit Expiration: 07/31/2014
Signature DaleSignature
Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge,
lty 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
athering the information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I a
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
N

FORM: NDMR-1 08-11 NON -DISCHARGE MONITORING REPORT (NDAR-1)
Page 2 of 2
Permit No.: WQ0020809
Facility Name: Farmville Golf & Country Club Reclaimed Water
County:
Pitt
Month: August
Year:
2016
Did irrigation
occur
at this facility?
YES ® No
Weather
Freeboard
Field Name:
Area (acres):
Cover Crop:
Hourly Rate (in):
Annual Rate (in):
Field Irrigated?
Zane 5
18.03
Bermuda Grass
0.20
4.90
® YES NO
Field Name:
Area (acres):
Cover Crop:
Hourly Rate (in):
Annual Rate (in):
Field Irrigated?
El YES D NO
Field Name:
Area (acres):
Cover Crop:
Hourly Rate (in):
Annual Rate (in):
Field Irrigated?
YES ❑ NO
Field Name:
Area (acres):
Cover Crop:
Hourly Rate (in):
Annual Rate (in):
Field Irrigated?
[:] YES ❑ NO
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Roca
N 2
J
T in
ft ft
gal min
in in
gal min
in
in
gal min
in
in
gal
min
in
in
01
02
03
04
05
06
07
08
2.25
09
10
11
12
13
14
15
16
17
18
191
10.50
20
21
22
23
24
251
1
26
27
28
29
0.30
30
0.20
31
Monthly Loading
12 Month Floating Total (in):

FORM: NDAR-01 08 11
NON -DISCHARGE MONITORING REPORT (NDAR-1) Page 2of2
Did the application rates exceed the limits in Attachment B of your permit?X�
Permittee Certification
Compliant
❑ Non-Compllan
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
❑X
Compliant
F-1Non-Complian
Was a suitable vegetative cover maintained on all sites as specified in your permit?
IX
Compliant
Non-Complian
Were all setbacks listed in your permit maintained for every application to each permitted site'
XX
Compliant
Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?X❑
law, that this document and allattachments were prepared under my direction or supervision in
Compliant
❑ Non-Complian
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)
Attach additional sheet if necessary
of the non-compliance
and describe the corrective action (s) taken.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: James Shoulders
Permittee: Town Of Farmville
Certification No.: 986266
Signing Official: Gary Stainback
Grade: 4 Phone Number: 252-753-3913
Signing Official's Title Consultant
Has the ORC changed since the previous NDAR-1? Yes a X
Phone Numb00 2-04 Permit Expiration: 07/31/2014
Signature DateSignature
Date
By this signature, I certify that this report is accurcate and complete to the best of my knowledge,
law, that this document and allattachments were prepared under my direction or supervision in
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
athering the information, the Information submitted is, to the bast of my knowledge and belief, true, accurate, and complete. I a
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 Mall Service Center
Raleigh, North Carolina 27699-1617