WQ0019331_Monitoring - 08-2016_20161012

NON DISCHARGE APPLICATION REPORT Pane
HIGH RATE INFILTRATION SITE(S)
THERE ARE THREE SITES PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBERN000 19331
FACILITY NAME: NC Aquarium CLASS: III
COUNTY: Carteret
MONTH: AUGUST YEAR
Formulas:
Dailv Loading (Gallons/sauare feet)=Volume ADDlied(aallons)/Site Area (square feet)
2016
' Weather Codes: S - sunny, PC - partly cloudy, Cl - cloudy, R - rain, Sn - snow, SI - sleet
OPERATOR IN RESPONSIBLE CHARGE (OF
Daniel E. Fortin GRADE: II PHONE: [phone]
SITE NUMBE Field 1 & 3
SITE NUME
SITE AREA (sq. It.): _
PERMITTED RATE (gpd/t
SITE NOME Field 2 & 4
SITE AREA (sq. R.): 8,32. 0
PERMITTED RATE (gpdh 1.5
SITE AREA (sq. m.): 8,320
PERMITTED RATE (gpd/i 1.5
WEATHER CONDTIONS
A
T
E
Weedier Terep. Preap
Coda • ('F) ie0on
_
LOW it
Volume
Applied
gallons
Time
Irrigated
minutesgallons/sq.
Daily Loading
n.
Volume
Applietl
gallons
Time
Imgeted Daily Loading
minutes gallons/sq, fl.
Volume Time
Applied Imgated
gallons minutes
Dom' Loading
gallonslsq. R
1617 Mail Service Center
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
RALEIGH, NC 27699-1617
10.66448317
5528.5
0.66448317
5528.51
93.5
647
0.70835337
5893.5
0.70835 37
_
.77860577
---- _-__ _-_
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--- 8
638
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6305.5
6007.5
7
0.7786057
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0.84723558
0.7671875
0.68347354
0.7578726
0.72205529
35
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671875
5686.51 34:
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63055578726
8007.5
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6377646635
6720
6744.5
7439.5
7940.5
6272.5
5426.5
5981
6078
5985
62101
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5370.5
5015.5
5035
.807692310
0.81063702
. 9417067
0.95438702
0.75390625
0.65222356
0.71887019
- 0.73052885
0.71935098
0.74630423
0.6761418S
0.64549279
0.58395W
0.60282452
0. 0516827
0769
13
8 7 2
4
-7439.5
7940.5
1
5438702
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627.5
5.426.5
5981
0.75390625
.65222356
0.71887019
ff
6078
0.73052885
598&
1935096
100.74639423
_ 5625.5
5370.5
48505
0.67614183
0.64549279
0. 395433
23
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5013.5
0.60282452
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0.6 516827
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0.56652544
0.43942308
0.64194712
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0.64194712
303656
31 - 5341
oyOadin gallon q01
- n earate Loagin-s sq . .
' Weather Codes: S - sunny, PC - partly cloudy, Cl - cloudy, R - rain, Sn - snow, SI - sleet
OPERATOR IN RESPONSIBLE CHARGE (OF
Daniel E. Fortin GRADE: II PHONE: [phone]
ORC Certification Number:
CHECK BOX IF ORC HAS CHANGED ,
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
x
Division of Water Quality
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE(
1617 Mail Service Center
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
RALEIGH, NC 27699-1617
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-2(5/2003)

NON -DISCHARGE APPLICATION REPORT
HIGH RATE INFILTRATION SITE(S)
FACILITY STATUS:
the following permit requirements: (Note: If a requirement does not apply to your facility put "NA" in the compliant
box.
Compliant (Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit.
2. The site was kept free of vegetation and raked at intervals specified
in the permit.
3. The Automatically Activated Standby power source is on site and
operational.
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 noncompliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
1 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 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 kntions." 9- 30-/6
,-nn PP DANIEL E. FORTIN
vC� -
Signature of Permittee • Date (Name of Signing Official -Please print or type)
Stuart E. May, Husbandry/Operations Mgr.
NC Aquarium @ Pine Knoll Shores Operator Responsible in Charge
Permittee - Please print or type (Position or Title)
P.O Box 580
Pine Knoll Shores, NC 28512 252-393-8720 05/31/17
Permittee Address (Phone Number) (Permit Exp. Date)
If signed by ogar than the permittee, deiepatbn of sipratay au#xxity must be on file with the state per 15A NCAC 28.0508 (b) (2) (D).
DENR FORM NDAAR-2(5/2003)