WQ0011313_Monitoring - 08-2016_20161013

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NON DISCHARGE APPLICATION REPORT Page 2 of 2
HIGH RATE INFILTRATION'SITE(S)
THERE ARE THREE SITES PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER W00011313 COUNTY: Carteret
FACILITY NAME: Peppertree CLASS: II MONTH: AUGUST
Formulas:
Dailv Loadino (oallons/square feet)=Volume Annlied(aallons)/Site Area (srnjare feet)
YEAR 2016
Weather Codes: S - sunny, PC - partly cloudy, CI - cloudy, R - rain, Sn - snow, SI - sleet
OPERATOR IN RESPONSIBLE CHARGE (OI -
ORC Certification Number:
Joe Lawrence
6418
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
GRADE: III PHONE: [phone]
CHECK BOX IF ORC HAS CHANGED
X
,�09NATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-2(5/2003)
SITE NUMBE Zone 1
SITE NUMBE Zone 2
SITE NUMBE
SITE AREA (sq. ft.): 6,300
SITE AREA (sq. ft.): 6,300
SITE AREA (sq. ft.):
WEATHER CONDTIONS
PERMITTED RATE (gpd/sp 14.40
PERMITTED RATE (gpd/sp 14.40
PERMITTED RATE (gpd/sp.ft.):
D
A
T
E
Temp. Precip
Weather i
Code ` (=F) tation
Volume Time
Applied Irrigated
Daily
Loading
Volume Time
Applied Irrigated
Daily
Loading
Volume Time Daily
Applied Irrigated Loading
low inches
gallons minutes
gallons/sq. ft.
gallons minutes
gallons/sq. ft.
gallons minutes gallons/sq. ft.
1
2
12510.5
1.98579
12510.5
1.98579
3
13708
2.17587
13708
2.17587
4
13998
2.22190
13998
2.22190
5
. 11424.5
1.81341
11424.5
1.81341
6
13981.5
2.21929
13981.5
2.21929
7
11484
1.82286
11484
1.82286
8
9164
1.45460
9164
1.45460
9
8911
1.41444
8911
1.41444
10
10889.5
1.72849
10889.5
1.72849
11
16677.5
2.64722
.16677.5
2.64722
12
10703
1.69889
10703
1.69889
13
11049
1.75381
11049
1.75381
14
12189
1.93476
12189
1.93476
15
11212.5
1.77976
1-1212.5
1.77976
16
6271.5
0.99548
6271.5
0.99548
17
10027
1.59159
10027
1.59159
18
11064
1.75619
11064
1.75619
19
10571.5
1.67802
10571.5
1.67802
20
10820
1.71746
10820
1.71746
21
10924.5
1.73405
10924.5
1.73405
22
9740
1.54603
9740
1.54603
23
5816
0.92317
5816
0.92317
24
11044.5
.75310
11044.5.
1.75310
25
7885.5
1.25167
7885.5
1.25167
26
8250.5
1.30960
8250.5
1.30960
27
8280.5
1.31437
8280.5
1.31437
28
11236.5
1.78357
11236.5
1.78357
29
5202.5
0.82579
5202.5
0.82579
30
3320.5
0.52706
3320.5
0.52706
31
8134.5
1.29119
8134.5
1.29119
Monthly Loading (gallons/sq.ft.)
50.581H
50.58
Year -To -Date Loading (gallons/sq.ft.)
308.42
308.42
Weather Codes: S - sunny, PC - partly cloudy, CI - cloudy, R - rain, Sn - snow, SI - sleet
OPERATOR IN RESPONSIBLE CHARGE (OI -
ORC Certification Number:
Joe Lawrence
6418
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
GRADE: III PHONE: [phone]
CHECK BOX IF ORC HAS CHANGED
X
,�09NATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
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:
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 "Win 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.
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 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."
Sign re of Permittee " Date
Jerline Craine, Gen. Mgr.
Peppertree Atlantic Homeowners Assoc., Inc.
Permittee - Please print or type
P.O. Box 1068
Atlantic Beach, NC 28512
Joe Lawrence
(Name of Signing Official -Please print or type)
Operator Responsible in Charge
(Position or Title)
252-393-8720 09/30/12
Permittee Address (Phone Number) (Permit Exp. Date)
If signed by other.than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 28.0506 (b) (2) (D).
DENR FORM.NDAAR-2(512003)