HomeMy WebLinkAboutWQ0034881_Monitoring - 08-2016_20161004FORM: NDAR-2 08-11
NON -DISCHARGE APPLICATION REPORT (N -DAR -2)
Page
of
Permit No.:
WO0034881
Facility Name: Cypress.Station
County: Pender
Month:
August
Year:
2016
Did infiltration occur at
Site Name "''
Site Name:2
SEte Name 3 °
Site Name:
4
-
this facility
A rea (acres) 03'
Area (acres):
0.33
Area (acres} 0 33 _
Area (acres):
0.33
El YES.
❑ NO
Rate (GPDIft2)t 0.53
Rate (GPD/ft?):
0.53
Rote (GPD/ft2} 0.53
Rate (GPD/ft2):
0.53
Weather Freeboard
ated? C1YEs
5telnfilt❑NO _
Sitelnfiltrated.
ElYES
❑No
S�felnfUtretet4? DYesINOt�
Sitelnfiltrated?
DYES ❑No
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Monthl
Loadin GPD/ft2:
0.03.x- _
F//////
0.03
Year to Date Loadins� (GPD/ft21:
e 8 63
8.63
8,631°
FEW/
8.63
�%
FORM: NDAR-2 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-2)
Page of
Did the application rates exceed the limits in Attachment B of your permit?
21 Compliant
❑Non-Compt!dnt-
If not a basin, were the sites kept free of vegetation and raked?
o Compliant
❑ Non -Compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites?
121 Compliant
❑ Non -Compliant
If a basin, were there any instances of breakout from the berms?
o Compliant
❑ Non -Compliant
Was the onsite automatically activated standby power source tested and operational?
O 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 nerescary
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
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Randy Hoffer
Permittee:
Cypress station / Jimmy Ellington
Certification No.: 23922
Signing Official: Randy Hoffer
Grade: 4 Phone Number: 910-852-0630
Signing Officials Title: Operator In Charge
Has the ORC changed since the previous DAR -2? ❑ Yes 121 No
Phone Number: 910-852-0630 Permit Exp.. 12/31/16
S i4tl5re Date
ig a 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 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