WQ0004823_Monitoring - 08-2016_20161004

FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page -3 of 3
Permit'No.:
WQ0004823
Facility Name:
Pine Island / Currituck Club
County:
Currituck
Month:
August
Year:
2016
Did infiltration occur at
this facility?
❑✓ YES ❑ NO
Site Name:
infiltration Pond
Site Name: RCW Storage Pond
Site, Name:
Sl'! -ray -,Bed-
Site Name:
Area (acres): 7:81
Area -(acres): 5.5.
Area (acres):, 3.8
Area (acres): .
2
Rate (GPD/ft ): 7
Rate (GPD/ft):7
• _
Rate (GPD/ft 2). 7
Rate (GPD/ft2):
Weather Freeboard
Site Infiltrated?
❑ YES
0 No
Site Infiltrated?
0 YES
❑ No
Site Inflltrated?
❑ YES
NO
Site Infiltrated?
❑ YES
❑ No
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ii .1y0
m
OF
in ft ft
gal
min
GPD/fe
ft
gal
min
GPD/ft2
ft
gal
min
GP13/ft2'
ft
gal min
GPD/ft2
ft
1
PC
86
0.4
0
0
0.00
0
0
0.00
0
0
0:00
2
PC
82
0.5
0
0
0.00'
0
0
0.00
0
0
0:00
3
C
82
0.5
.0,
0
0.00
0
0
0.00
0
6.
0.00•
4
C
86
0
0
0
0:00
0
0
0.00
0
0
_
0.00
5
C
86
0
0
0
0.00
0
0
0.00
0
0
0:00
6
C
88
0.5
0
0
0.00
0
0
0.00
0
0
0.00
7
CL
86
1.5
0
0
0.00
0
0
0.00
0
0 .',
0.00
8
R
76
0.7
0
0
0.00
3261730.
1860
1.36
0
0
0.00;
.
9
C
82
0.5
1 0
0
0.00-
497,150
1940
2.08
_0
6
0.00
10
C
80
0
0
0
0.00
350,980
2262
1.46
0
0, . _
0.00
11
C
84
0
0
0
0.00
436,950
'2125
1.82
0
0-
0.00 =
12
C
86
0
0
0
0:00
483,790
2358
2.02
0
-.0
0.00
,
13
C
84
0
0
0
0.00
337,310
1987
1.41
0
0
0.00
,
14
C
84
0
0
0
0.00
294,200
1176
1.23
0
0
0.00,.
15
C
86
0
0
0
0.00
336;840
1344
1.41
0
0
0:00.
161
C
1 85
0 1
0
0
0.00
387,150 '
1548
1.62
0
0
0.00 _
17
C
84
0
0
0
0.00,
321,780
1288
1.34
.0
.0
0.00_
_
18
C
84
0
0
0
0.00
360,230.
1440
1.50
0
01
0:00
19
PC
82
0
0
0
0.00
433,280 '
1732
1.81
0
0
0.00
20
C
90
0.2
0
0
0.00
268,880 ,
1075
1.12
0
0
0.00
21
C
90
0
0
0
0.00
252;840
1011
1.06
0
0.
0:00`..
'
221
C
86.
0.2
0
0
0.00
277,110
1108
1.16
0
; 0;,
0.00,
23
C
80
0
0
0
0.00
352,560
1410
1.47
0
0
0.00,-,
24
C
82
0
0
0
0.00
324,350:
1297 -
1.35
0
0
0.00`_
25
C
82
0
0
0
0.00
319,630.
1278
1.33
0
0.
0.00-,
26
C
84
0
0
0
0.00
351,420-
1405
1.47
b
0.-
0.00,
27
C
84
0
0
0
O.OQ
282,390
1129
1.18
0-
0.
O:OU
28
C
82
0
0
0
0.00
246,270
985
1.03
0
Q
0.00,
29
C
90
0
0
'0
0.00
239,240
957
1.00
0
0
0.60
30
C
84
0
0
0
0.00
260,970
1043
1.09
0
0
0.00
31
C
86
0
0
0
0.00
246,100
983
1.03
0
01'
0.00
`
Monthly Loading (GPD/ft ):
Year to Date Loading GPD/ft2
:
0:00
1.08
0.00
#DIV/0!

FORM: NDAR-2 10-13 NON-DISCHARGE APPLICATION REPORT (NDAR-2) Page 3 of 3
Did the application rates exceed the limits in Attachment-.B of-your:permit? : El'Compliant. ❑ Non-Compliant
If not a basin, were the sites kept free .of vegetation and raked? p compliant ❑ Non-Compliant
If not a basin, were there any instances of effluent ponding'in or runoff from the sites? R1 compliant ❑ Non-Compliant
If a basin, were there any, instances of breakout from the berms? p Compliant ❑ Non-Compliant
Was the onsite automatically activated standby-power source'tested and=operational? p 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: Jimmy Bliven
Permittee:
Rolf Blizzard
certification No.: 28243
Signing Official:- . William G. Freed by Authority
Grade: SI Phone Number: 2522022435
Signing Official's Title: -Pres of Envirotech
Has the ORC changed since the previous NDAR-2? - ❑. Yes No
-Phone Number: 2524915277 : Permit Exp.: 2/28/1.9
Signature Date
Y
Ignature Date
By this signature, I certify 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 propedy.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 imprisonmentdor, knowing violations.
Mail Original and Two,Copies:to:
Division of Water Resource's
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-961.7