Loading...
HomeMy WebLinkAboutWQ0029169_Monitoring - 08-2016_20161004FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of 3 Permit No.! • 0029169 Facility Name! Town of • •IF 7 -• / . Did irrigationoccur at this facility? ®� •' j I • Cover CroV" EIJ YES Hourly Rate (in). Hourly Rate (in) -i Hourly Rate (in): Annual Rate (in): Annual Rate (in): Field Irrigated? Field Irrigated?! oil Monthly• • • • ;!%O%%//%///ice %�%%//////i, • ••%%%/"'%%///////%%///%%%�;'%%%%%%�/ • "%%%%%%%� Month%%//////%%%/%%%%i,.l��%%%/%��%%%%%%%%%�%%%%%moi:%%%///�%%%%%%%%/ , • •%%/O%O%//O%�%%%/O�%%%%%%%/ FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Did the application rates exceed the limits in Attachment B of your permit? 'Compliant �?Non-Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ElCompiiant CINon-Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? Elcompiiant CINen-Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? 211Compliant _Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Compliant Non -Compliant If `:he facility is non-compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the dates) of the non-compliance and describe the corrective actions; taken. Attach additional sheets if necessary. Operator in Responsible Charge {ORC) Certification Permittee Certification ORC: Glenn Tolland Permittee: Town of Mount Olive 1 Certification No.: 27255 Signing Official: Charles S. Brown Grade: SI Phone Number: 919-658-8538 Signing Official's Title: Town Manager Has the ORC changed since the previous N AR-1?Yes i�!No Phone Number: 919-658-9539, ext. 137 Permit Exp.: 3131,120 \ �7 Signa. re Date Signature Date By this signature, 1 certify that this report is accurraie and complete to the best of my knowledge t certify, under penatty of law, that this document and ali attachments were prepared under my direction or supervision in accordance with a system designed to assure mat all qualified personnel property 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 sign fiCant 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 FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Z of J__ Permit No.: 0029169 Facility Name: Town of • -Wayne .nth: August1 • Did irrigation occur .. at this facility? i Area Area (acres): COVW� Cover Crop: i Hourlj -. -. -. -. AnnuA�kate(in)-� Annual Rate (in): Anripal Kate (in): ... .Field Ir rigate...Field •. • ■ • . .. . ■ s . .. . ■ oil FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of ' I Did the application rates exceed the limits in Attachment B of your permit? F�ICompliant 7INon-Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? DCompliant ❑Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? 'Compliant []Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? Talcompliant ,:]Non-Compiiant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? !Compliant Non-Ccmpliant 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-compiiance and describe the corrective action(s) taken. Attach additional sheets if necessary. Operator in Responsible Charge (ORC) Certification Permittee Certification DRC: Glenn Holland � Permittee: Town of Mount Olive I Certification No.: 27285 Signing Official: Charles S. Brown Grade: SI Phone Number: 919-658-6538 1 Signing Officials Title: Town Manager Has the ORC changed since the previous NPAR-1? 'Yes ? No llj Phone Number: 919-658-9539, ext. 197 Permit Exp.: 3131,20 ,2 Signa re Date Signature Date By this signature, I certify that mts report is accurrate and complete tome Desi of my knowledge. t certify: under penalty of law. that this document and ail attachments were prepared under my direction or supervision in accordance with a system designed to assure tnat 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 fne 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. Mai) Original and Two Copies to: Division of Water Quality Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 FORM NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _J__ of Permit No.: VVQ 0029169 Facility Name: Town of Mount Olive County: Wayne Month: August •. irrigation occur Area (acres): Area (acres).. •. •• at this facility? M YES —1 NO Hourly Rate (in):' Hourly Rate (in): Hourly Rate (in): Annual Rate (in): Annual Rate (in): W_,T@Tj7FF19ZF1UWFFs1H .... .. ■ eField Irrigated?,■Field Irrigated?■ o .. -. ■ e . m0===Monthly � Loacling:��R 12 M4,nth Floating . a %%%%%%/ %%%%%/ %%%%%%%/ %%/O%/�%/ '%/O/%%%///� i %//////%%%///%%%/%/��///%%%%%///'�///�%%%%%%%%�%%%�%%//////%% i ORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION! REPORT (NDAR-1) Page of Did the application rates exceed the limits in Attachment B of your permit? 21compliant Won -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ElCornpilant ❑Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? D� Ccmpuant ❑n No- ampfiant Were all setbacks listed in your permit maintained for every application to each permitted site? Compliant Non-Compltant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? JCompliant _lNon-Ccmpliant 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 Glenn Holland i Permittee: Town of Mount Olive I Certification No.: 27255 I Signing Official: Charles S. Brown. Grade: SI Phone Number: 919-658-6538 Signing Official's Title: Town Manager Has the ORC changed since the previous NpAR-1? _yes ,;v� Phone dumber: 919-658-9539, ext. 107 Permit Exp.: 3131;20 16 Signa, re Date Signature Date By ;h+s signature, I cert fy that this repos is accurrate and com--ieie to the best of my knowledge certify, under penaity of law. that !his document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that all qualified personnel oropeny gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons direGty responsible for gathering the information, the information submitted is. m the best of my knowledge and belief, true, accurate, and complete i am aware Inal tnere 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