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FORM: NDAR-2 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page _'� of S
Permit No.: WQ0002519
Facility Name:
Minzie's Creek Sanitary District WWTP
county: Perquimans
Month:
August
Year:
2016
Did infiltration occur at
this facility?
Site Name:
1
Site Name:
2
Site Name:
3
Site Name:
Area (acres): 0.19
Area (acres): 0.19
Area (acres): 0.19
Area (acres):
0 YES ❑ NO
Rate (GPD/ft2):
0.197
Rate (GPD/ft2):
0.197
Rate (GPD/ft):
0.197
Rate (GPD/ft2):
Weather Freeboard
Site In Itrated?l AYES
NO
Site Infiltrated? AYES
E] NO
Site Infiltrated? El YES
0 N
Site Infiltrated?
❑YES
❑NO
0
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°F in ft ft
gal
min
GPD/f2
ft
gal
min
GPD/ft2
ft
gal min
GPD/ft2
ft
oal min
GPD/ft2
ft
1
CL
3,415
1440
0.41
3,415
1440
0.41
2
CL
2,270
1440
0.27
2,270
1440
0.27
3
C
0.3
4,275
1440
0.52
4,275
1440
0.52
4
C
0.6
2,045
1440
0.25
2,045
1440
0.25
5
C
1,195
1440
0.14
1,195
1440
0.14
61
C
1
2,005
1440
0.24
2,005
1440
0.24
71
C
1
1,985
1440
0.24
1,985
1440
0.24
8
R
1.5
2,100
1440
0.25
2,100
1440
0.25
9
R
0.7
7,425
1440
0.90
7,425
1440
0.90
10
C
2,160
1440
0.26
2,160
1440
0.26
11
C
1,025
1440
0.12
1,025
1440
0.12
12
C
3,680
1440
0.44
3,680
1440
0.44
13
C
1,155
1440
0.14
1,155
1440
0.14
14
C
2,005
1440
0.24
2,005
1440
0.24
15
C
995
1440
0.12
995
1440
0.12
16
C
1,095
1440
0.13
1,095
1440
0.13
17
C
2,040
1440
0.25
2,040
1440
0.25
18
CL
0.1
1,085
1440
0.13
1,085
1440
0.13
191
CL
1,855
1440
0.22
1,855
1440
0.22
201
C
1
1,255
1440
0.15
1,255
1440
0.15
21
R
0.5
1,010
1440
0.12
1,010
1440
0.12
22
C
1,975
1440
0.24
1,975
1440
0.24
23
PC
2,005
1440
0.24
2,005
1440
0.24
24
C
1,110
1440
0.13
1,110
1440
0.13
25
C
820
1440
0.10
820
1440
0.10
26
C
1,265
1440
0.15
1,265
1440
0.15
27
C
1,115
1440
0.13
1,115
1440
0.13
28
C
1,500
1440
0.18
1,500
1440
0.18
29
CL
1,805
1440
0.22
1,805
1440
0.22
30
C
2,040
1440
0.25
2,040
1440
0.25
31
CL
835
1440 1
0.10
835
1440 1
0.10
Monthly LoadingGPD/ft2:
Year to Date Loading GPD/ft2 .
0.24
0.24
#DIV/0!
#DIV/0!
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? ❑✓Compliant ❑Non-compliant
If not basin, were the sites kept free of vegetation and raked? ❑Compliant ❑Non -Compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites? Qcompliant ❑Non -Compliant
If a basin, were there any instances of breakout from the berms? Ocompliant ❑Non -Compliant
Was the onsite automatically activated standbyr power source tested and operational? ❑Compliant QNon-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
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Charles A. Jones, Jr.
Permittee:
Minzie's Creek Sanitary EXistrict
Certification No.: 985305
Signing Official: Ly, �..�� OL
Grade: IV Phone Number: 252.333.8766
Signing Official's Title:
Has the ORC changed since the previous NDAR-2? ❑Yes ®No
Phone Number: 7as1 — Lt Z G - t11. b : Permit Exp.: 9/30/17
gnature Date
Signature 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617