WQ0029653_Monitoring - 08-2016_20161004

., -.
FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: •11 •653
Facility Name:
SCOTCH HALL PRESERVE VVVVTP
.
.
August
1
• irrigation occur
this facility?
Area (acres):
Area (acres):
at
Cover Crop:
Cover Crop:
Cover Crop:
■YES NO
Hourly-.te fin):
Hourly -.
. -.
. -.
Annual Rate (iny
-1MrM(n, 11
Mir. W 1714M
I ... .
Field irrigated?
■ ■ •
. .. .
■
■ ,•
. .. r
■
■ •1111111111110
. I w .. •.
■
■ •
111MMMN1,MMN1,MMN1MMNM
Loading.ig
Monthly
�■aiiii,.
• ••iiiiaoiiia
• ,•
aai;o
ilii
• ,•
iaiioiiii,.
• ••

FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
Did the application rates exceed the limits in Attachment B of your permit? ❑compliant [I Non-compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑compliant [I Non-compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑compliant EI Non-compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ❑compliant E] 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 action(s) taken.
Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: RICK HARRELL
Permittee:
SCOTCH HALL PRESERVE VVVVTP
Certification No.: S1986118
Signing Official: MARK DONACHIE
Grade: Phone Number: 252-724-1663
Signing Official's Title: GENERAL MANAGER
Has the ORC changed since the previous NDAR-1? ❑ Yes ❑ No
Phone Number: 2-48 - Permit Exp.: 2/29/20
9/22/16
9/22/16
Signature Date
Signature Date
By th sign ure,I certify that this r port 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 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