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NON-DISCHARGE'APPLICATION REPORT., Page _of_
SPRAY IRRIGATION .SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0002161
FACILITY NAME: Carolina Friends School
MONTH: August: YEAR:', 2016
COUNTY- Orange
Formulas:
Dally Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 Cinches/foot)] / [Area Sprayed (acres) x43,560 (square feetlac e)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x27,152 (gallDnslacre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / (Tme irrigated (minutes) / 60 (minutes/hour)] , ,., Monthly; Loading (inches) =Sum of Daily Loadings (inches)
12 Month Floating Total (Inches) = Sum of Nis month's Monthly Loading Cinches) and previous 11 month's Monthly Loadings (inches)
Did Irrigation occur At This Facility:
Yes: No:
Did Irrigation Occur On This Field:
Yes:
No:
Did Irrigation Occur On This Field:
Yes: ,
No:
FIELD NUMBER: A
AREA SPRAYED (acres): 1.8
COVER cRoP:j Hardwood Forest
PERMITTED HOURLY RATE (inches): 0.142
FIELD NUMBER: B
AREA SPRAYED (acres): 1.9
COVER CROP: I Hardwood Forest
PERMITTED HOURLY RATE (inches): 0.142
D
A
T
E
WEATHER CONDITIONS
I'storage
weather Temperature Lagoon
code• atapplication Precipita4lon Free -board
I PERMITTED YEARLY RATE (inches): 19.72
Maximum
Volume Time Daily Hourly
Applied Irrigated Loading Loading
PERMITTED YEARLY RATE (inches):
-
Volume Time Daily
Applied Irri ated Loading "•
19.72
Maximum
Hourly
Loading
ff) Inches feet
gallons
minutes .
Inches
Inches
gallons
minutes
inches
Inches
1
NA
820
10
0.02
0.10
840
10
0.02
0.10
2
NA
820
10
0.02
0.10
840
10
0.02
0.10
3
NA
820
10
0.02
0.10
840
10
0.02
0.10
4
Cl 78 2.5 NA
820
10
0.02
0.10
840
10
0.02
0.10
5
NA
1210
15
0.02
0.10
850
10
0.02
0.10
6
NA
1210
15
0.02
0.10
850
10
0.02
0.10
7
NA
1210
15
0.02
0.10 '
'850
10
0.02
0.10
8
NA
1210
15
0.02
0.10
850
10
0.02
0.10
9
NA
1210
15,
0'.02
0.10
850
10
0.02
0.10
10
NA.
1210
15
0.02
0.10
850
10
0.02-
0.10
11
NA
1210
15
0.02
0.10
850
10.
0.02
0.10
12
NA
1210
15
0.02
0.10
850
10
0.02
0.10
13
NA
1210
15
0.02
0.10
850
10
0.02
0.10
14
C 90 1.9 NA
1210
15
0.02
0.10
330
4
0.01
0.10
15
NA
850 ;
10
0.02
0.10
50
'0
0.00.
#DIV/0!
16
NA
850
10
0.02
0.10
50
0
0.00
#DIV/0!
17
NA
850
10
0.02
0.10
50
0"
0.00
#DIV/0!
18
NA
850
10
0.02
0.10
50
0
'0.00,
#DIV/01
19
NA
850
10
0.02
0.10
50
0
0.00
#DIV/0!
20
C 81 0.05 NA
850
10
0.02
0.10
50
0
0.00
#DIV/0!
z1
NA
500
6
0.01
0.10.
400
5.
0.01
0.09
22
C 75 0 NA
500
6
0.01
0.10
400
5
0.01
0.09
23
NA
610
7
0.01
-0.11
1060
13
0.02
0.09
z4
NA
610
7
0.01
0.11
1060
13
0.02
0.09
25
NA
610
7. ,•
0.01
0.11
1060
13
0.02
0.09 "
26
NA
610
7
0.01
0.11
1060
13
0.02
0.09
27
NA
610
7
0.01
0.11
1060
13
0.02
0.09
28
NA
610
7
0'.01
0.11
1060
13
0.02
0.09
29
NA
610
7
0.01
0.11
1060
13
0.02
0.09
30
NA
610
7
0.01
0.11
1060
13
0.02
0.09
31
NA
610
7
0.01
0.11
1060
13
0.02
0.09
Total Gallons/Monthly Loading (inches)
26970
0.55
21980
0.43
12 Month Floating Total (inches)
8.79
7.05
Average Weekly Loading (inches)0.1245216
0.0961414
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Spray Irrigation Operator in Responsible Charge (ORC): Chad Leinbach Phone: 919 260-7301
ORC Certification Number: 23928 Check Box if ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR "P
Division of Water Quality (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mai[ Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
RALEIGH, NC 27699-1617 TO THE BEST OF MY KNOWLEDGE. '
DENR FORM NDAR-1 (512b03)
NON' -DISCHARGE APPLICATION REPORT Page -of -
SPRAY IRRIGATION SITE(S)
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box.)
Com liant N
1. The application rate(s) did not exceed the limit(s) specified in the permit.
Y
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit..
0
4. All buffer zones as specified in the permit were maintained during each application.
0
5.- The freeboard in the treatment and/or, storage lagoon(s) was not less than the limit(s) .
0
specified in the permit.
If the facility is non=compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken.
Attach
additional sheets if necessary.
"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 ail 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 owing .violations." .
Chad Leinbach
(Signature of Permittee)". Date (Name of Signing Official -Please print or type)
Carolina Friends School ORC
(Permittee -Please print or type) (Position or Title)
919260-7301 2/29/16
4809 Friends School Road '(Phone Number) (Permit Ftp. Date)
Durham, NC27705-6602
(Permittee Address)
• If signed by other than the permittee, delegation of signatory authority must be on file with the state per 16A NCAC 28.0606 (b)(2)(D).
DENR FORM NDAR-1 (5/2003)