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• • •
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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
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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