WQ0008489_Monitoring - 09-2016_20161028

NON DISCHARGE APPLICATION REPORT Page 1 of t,
. SPRAY IRRIGATION SITE(S)
PERMIT NUM13ER: q 2 TOTAL NUMBER OF FIELDS: _ I_Z. MONTH: 5-F-CrAW YEAR: 2-01
FACILITY NAME: 1)1 1 4rJ --- CLASS: COUNTY:
Formulas
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] /[Area Sprayed (acres) x 43,560 (square feet(acre)]
Maximum Hourly Loading (inches) =Daily Loading (inches) / [Time Irrigated (minutes) / 60 (minutes(hour)] Monthly Leading (inches) =Sum of Daily Loadings (inches)
12 Month Floating Tots! (Inches) =Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading (inches/month) /Number of days in the month (days/month)] x 7 (days week)
* Weather Codes: S -sunny, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
OPERATOR IN RESPONSIBLE CHARGE (ORC) �[ EPH_SADC:a GRADE Jlf PO.9ONE 6- 222 -
CHECK BOX IF ORC HAS CHANGED •❑ '
Mail ORIGINAL and TWO COPIES to:
AT N: COMPLIANCE GROUP
DIV. OF ENVIRONMENTAL MGT. K4�A
-�---------
DEHNR (TUR OF OPERATOR IN RESPONSIBLE CHARGE)
P.O. Box 23535 S SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
RALEIGH, NC 27625-5;.35 AND COMPLETE TO T'rIE BEST OF MY KNOWLEDGE.
„ FIELD NUMBER: 601 F1ELD NUMBER:
AREA SPRAYED acres : 17-2-0 AREA SPRAYED (acres): 91(�
COVER CROP: PINE T
RFE-1S' COVER CROP: PINE Ers
Permitted HOURLY Rate (inches): A 2 Permitted HOURLY Rate (inches): n.
2^S
WEATHER CONDITIONS Permitted WEEKLY Rate (inches): Permitted WEEKLY Rate inches): 1 p
D
A
Temp- Storage Maximum Maximum
7-
Weather at Precipi- Lagoon Volume Time Hourly Daily Volume Time Hourly Daily
Time
E
Code* application radon Freeboard Applied Loading Loading Applied Irrigated Loading Loading
(T) inches feel gallons minutes inches inches gallons minutes inches inches
2
4
��C
_ M, `. .htY x f'. `5 _k F:.-_^k(�! f ,� � ..,F
•-Y 2't4-- '�,,
_-�`�
��
6
gg-
,7 T.,
•� • ..� .::: .-si . ...r• .. !..• ..r ..c .r..c.. s'F :.:.; > ... w. ... ....., }, to • 3 ,`£o; `i . ; , Z• <.
8
s9';.,,,.x<.:3£;�
�<,* �.,:::. �;�:._�:a. ..::, t ^:;...^.." :> .,...._ .`' „ aiii�„Y,, ,..•.• �'..:^>; E.a, x<,..> '', .Sad: .....s.'r. ^ , - '�� < �•,;<�: a:;Fa: , �>s � ,
10
, 1 161 0,12l8
12
i1
8
<,> «. ,._ ;,; „ ,T. L;h.: a ;.: .., .. .a3 ?, n. £>.. fir:
14
. `� •E s .: t L a� a .' {' iR* t $ z ;
- s-
16
A. .jy
: <„e
mum.,17, i.. >-:.s < 1,.,...:'�i. <::.,., ,i>.S, •. a,a, ... ., .,.s,o. ... ,..,.i> ., # ,<: ,.�>. <'. :.-. 3'.k,.;r SC:-. �t<>�
18
'�,. 3 s3 � �T:i a'^3 Z Zi LF
-r �
::3
_ ,>C £- M. ^ .4•oy k -.'n.-
f 'i _ �E ?, .>?, -k k,.. z.,
20
"emum=
.,-.. -s>£....,:. 'uS
22
x 2/ar - bW R E
MINE
£ 3 m
0.•:.^i<\ - �> ai £ -',i . ,...
24
� `, j,b 5 Cr �`�{ � 'x � 5 %�v
2 �
n f•,.: �s,s > £ r f >:: S� � { �1 � �`�, ,� 3 ,�<r
2 6
-:> §.x f' '{>,£ - ti`x?--. - Y . r i r . < -- � s n �` - •'<- '� a #<ia t ?�'� - � �k i„.`
_ ,E.3a ,i.c
28
_ y.a'>C. ;,,.. g::<.,..t:.7;� >.^ ,^<.:zs.<^, •<.�c.�.: £= ,c. -tea ` , ✓ -
30
..........
... .. < ..<,. .. ..<. .:. ... <. ^ ..4,. ... .. ..... .. d. .. .. ........« -,r.<>,...
>�,.. SYk,.. k . .# ... T. Zs n�>.i.w... £Y9 kfi£.2k»:Y>.:::
., .. .. .... .. �.. :.. < ... .:. . .. .,..> ,...5,,.. ..:... ..n .
:. �.> .? ..... ... .. : ,c.<
... ....Sw ..: ....,a„,,.,.,.. .... o: ., . ,. .3,.. Yn< .... ..<. .., #., ,r..'k.. a. ...<,..:•..:, .: .,.X a.; si... y.. F<. •..,5v^,.:: a d
. .. .. .w .., ... ,.v ,.^ ^ ... ..•..>..., .. .,.•. ....<...:.:....... ... .. ... %., ,;„c ,.<>-^•.a.• r.'i<• :<aTa:... �. z`.x �:'Ro?ii'.w<. .....5. <s:'%`::fF:c ,..S�
._..S.s x.�k 5.7.II...)... .i:
Monthly Loading- (inches)
12 Month Floating Total (inches)III ADA44
Average Weekly Loading (inches) ,7j-T<b
* Weather Codes: S -sunny, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
OPERATOR IN RESPONSIBLE CHARGE (ORC) �[ EPH_SADC:a GRADE Jlf PO.9ONE 6- 222 -
CHECK BOX IF ORC HAS CHANGED •❑ '
Mail ORIGINAL and TWO COPIES to:
AT N: COMPLIANCE GROUP
DIV. OF ENVIRONMENTAL MGT. K4�A
-�---------
DEHNR (TUR OF OPERATOR IN RESPONSIBLE CHARGE)
P.O. Box 23535 S SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
RALEIGH, NC 27625-5;.35 AND COMPLETE TO T'rIE BEST OF MY KNOWLEDGE.

- FACILITY STATUS:
Please indicate (by checking the appropriate box) whether the facility has been compliant or non-compliant
;:nigh the following permit it requirements: (Note: If a requirement does root apply to your facility put (NA) in the
compliant box.)
non-
compliant compliant
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.
"O C- col VjAS OUFS UrdI IM oN y4onr o Y 12- MoW-(u FLMTIW. `i'DTRL AND
AV GEKL� TbTAL5
ERGE50REn ENne-p uP I -ESS —rl+)%N a FEET
M
"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."
C0 ©P 4 \4 bF
(Permittee- Please print or type)
N,..II _ --�4'.0 PO, �nlz��2br6
(Soatu& of Peranitiee)* Wate)
(Permittee Address) { l�cne Number) (Permit Exp. Date)
if signed by ether than the permittee, delegation of signatory authority must be on Me with the state per 15A NCAC 2B.0506 (b) (2) (D).
rhe application rate(s) did not exceed the limit(s) specified in the permit.
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 vrith
the permit.
4.
All buffer zones as specified in the permit were maintained during each
application.
5.
The freeboard in the treatment and/or storage lagoon(s) was not less than the
limit(s) 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 noncompliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"O C- col VjAS OUFS UrdI IM oN y4onr o Y 12- MoW-(u FLMTIW. `i'DTRL AND
AV GEKL� TbTAL5
ERGE50REn ENne-p uP I -ESS —rl+)%N a FEET
M
"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."
C0 ©P 4 \4 bF
(Permittee- Please print or type)
N,..II _ --�4'.0 PO, �nlz��2br6
(Soatu& of Peranitiee)* Wate)
(Permittee Address) { l�cne Number) (Permit Exp. Date)
if signed by ether than the permittee, delegation of signatory authority must be on Me with the state per 15A NCAC 2B.0506 (b) (2) (D).

NON DISCHARGE APPLICATION REPORT Page ..—� . 01 3
SPRAY IRRIGATION SiTE(S)
PERMIT NUMBER: Le4Q 000 o 4g(L TOTAL L P UMBER OF FIELDS: �.� MONTH:.- YEAR: 2011
FACILITY NAME:_�—��JD�—----- CLASS: _'_— COUNTY:
Formulas .
Daily Loading (inches) = [ Volume Applied (gallons) x 0.1336 (cubic feeVgalIon) x 12 (inches/Coot)] / [Area Sprayed (acres) x 43,560 (square feeVacre)]
Maximum dourly Loading (inches) = Daily Loading (inches) / [Time Irrigated (minutes) / 60 (minutes/hour)] Monthly Lon dine (inch -e;) =Sum of Daily Loadings (inches)
12 Mouth Floating Total (inches-) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Leading finches.) = [Monthly Loading (inches/month) / Number of days in the month (days/month)) x 7 (days/week)
Weather Codes: S -sunny, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
OPERATOR IN RESPONSIBLE cIa �R� 4O�Ol � P SA O LE�IaI=
CHECK BOX IF QRC HAS CHANGED n
Mail ORIGINAL and TWO COPIES to:
ATTN: COMPLIANCE GROUP
DIV. OF ENVIRONMENTAL MGT.
DEHNR
P.O. BQ)( 29-355
RALEIGH, N -C 27620-535
(SI TURE F OPERATOR IN RESPONSIBLE CHARGE)
BY IS SIGNATURE, I CERTIFY THAT THIS REPORT Is ACCIUR-ATEc
AND COMPLETE TO THE BEST OF MY KNOWLEDGlE.
FIELD NUMBE•P,:
HELD NUMBER: 0ng
AREA SPRAYED acres): 10. /o
ARE,. SPRAYED acres : p 'I t-%
COVER CROP: ! /AJL- -!S EE�
COVER CROP: / V -
Permitted HOURLY Rate (inches):
Permitted HOURLY Rate (inches):
WEATHER CONDITIONS
_
Permitted WEEKLY Rate inches): io e C
Permitted WEEKLY Rate inches): .� 3
Temp.
Maximum
Maximum
D
A
Storaee
T
Weather at Precipi-
Lagoon
Volume Time Hourly Daily
Volume Time Holy Daily
E
Code° application tation
Freeboard
Applied Irrigated Loading Loading
Applied Irrigated Loading Loadinz -
(T) inches
feet
gallons minutes inches inches
gallons minutes inches inches
2
C.1 74 1 O
O Ov l O
\t i
)
w AMA=
N.
4
s' �
\ �� k ? :.���
.,7•
...mow. : � � �
.:.�.
.i .: -S S c ;s .Sy< „i1.�� f ,
,I
s
10amp
,
12
14Now
'..
IM
16
G
O
©!3
i
s W
:1 7.
r
u r.... „
18
i
S 115
M
YR 7?{
20
MOW
22
24F
I
,n
26
'
28
Monthly Loading (inches)
12 Month Floating Total (inches)
AVPrart P. WaLoadino (inches) �. (
n aakly
Weather Codes: S -sunny, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
OPERATOR IN RESPONSIBLE cIa �R� 4O�Ol � P SA O LE�IaI=
CHECK BOX IF QRC HAS CHANGED n
Mail ORIGINAL and TWO COPIES to:
ATTN: COMPLIANCE GROUP
DIV. OF ENVIRONMENTAL MGT.
DEHNR
P.O. BQ)( 29-355
RALEIGH, N -C 27620-535
(SI TURE F OPERATOR IN RESPONSIBLE CHARGE)
BY IS SIGNATURE, I CERTIFY THAT THIS REPORT Is ACCIUR-ATEc
AND COMPLETE TO THE BEST OF MY KNOWLEDGlE.

fl,e se jo-dica'te (by Checking the appropriate bo;:) whether the rae ity luras been compfl n or fl -ion -compliant
u -h taee o�flo�'i�flg er aunt U egn6u en�ent✓: (Note: If a requirement does not r. jpp1 y to you7- facilii)l Put (N -A) ill the
c: ou l'oliaill boxj
Y3olrfl-
sd��snl§arui: ca�nu pliant
1, •Ftp;, application rate(s) did not exceed the lindt(s) specified in the. permit. ED
Lpt
1, Adequate measures were taken to prevent wastewater runoff from the site(s). L_.
3� .'= suitable vegetative cover was maintained on the site(s) in accordance with El
the. pernit.
V• Al! buffer zones as specified in the permit were maintained during each 0
application.
5. be- freeboard in the treatment and/or storage lagoon(s) was not less -than the
lirflit(s) specified in the pernst,
ti� tl}e facility is upon -compliant, please explain in the space below the reason(s) the facility was riot in compliance with its
fsermnit. Provide in your explanation the date(s) of the noncompliance and describe the corrective action(s) taken_ Attach
ad: litional sheets if necessary.
z.oryES -¢ 4 wEgG (OVER Um n s ON MONAD-x�c�mo�v i N 1=W_014 N6 -
S LS Nom'= cLY 7th 5
F9GF BOARD ENDED LL—P LESS-Ff4ab3 2 RF C- 1 A T TH k )E 1Y n 0 F i Ef I
r
"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
stibnaitted. used 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines
and imprisonment for knowing violations."
COUNT 6) F HI S
(Permittee- Tease print or iypD )
D. do U SW IW C U641A7 1U.
t Fy�9-rrdtt.ee Address)
( lh&ne, Namber) (Permit EXP. Date)
)LE 51gr4eti by tYihiZ4• tha4a the permittee, delegation of slgnatorY authority must oA file ivith it:e state per 15A I CAC 2B.0506 N (y) (D).

NON DISCHARGE APPUCATION REPORT Page a of
SPRAT IRRIGATION SITE(S)
PERMIT PLUMBER: ((�� q ono _ TO"fAL1 �01 E— NUMBER OF FIELDS: � � �_ MONTH;YEAR:
C �Ofb
FACILITY NAME: _Ldno — 1 �------- CLASS: _ COUNTY:
Formulas
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/root)] /[Area Sprayed (acres) x 43.560 (square feetlacre)]
Maximum Hourly Loading (iocb+K) =Daily Loading (inches) / [Time Irrigated (minutes) /60 (minutes/hour)] NJonthly Lendiog (inches) =Sum of Daily Loadings (inches)
Ill Month Floating Total (inches) =Sum of this month's Monthly Loading (inches) and previous 11 month's Ntonthly Loadings (inches)
Average Weeldy Leading (incbes) = [Monthly Loading (inches/month) / Number of days in the month (days/mond?)] x7 (days/week)
Weather Codes: S -sunny, PC -partly cloudy, CI -cloudy, R-rain,
5n-snow, bl-steel
OPERATOR IN RESPONSIBLE CHARGE (ORC) F� — GRADE — P�IONE q 24� — �"f
CHECK BOX IF ORC HAS CHANGED ❑
Mail ORIGINAL and TINO COPIES to:
A'1`1 N: COMPLIANCE GROUP
DIV. OF ENVIRONMENTAL MGT -
DEHNR
P.O. BOX 295135
RALEIGH,'NC 27626-52.5
(SI ATUR OF OPERATOR IN RESPONSIBLE CHARGE)
RY HIS SIGNATURE,,ICe RTIFY' THAT I'H1S REPORT ISACCURATE
AND COMPLETE TO THE BEST 0F.MY KNOWLEDGE.
FIELD NUMBER: —`� FIELDNUh1BER:
AREA SPRAYED (acres): 130AREA SPRAYED (acres
COVER CROP: COMER CROP:C Ey
Permitted HOURLY Rate (inches): e �(� Permitted HOURLY Rate (inches):
WEATHER CONDITIONS
Permitted WEEKLY Rate (inches): ®, DA Permitted WEEKLY Rate inches): ® r
Maximum ' Maximum
'
D
Temp. Storage
A
Weather at Precipi- Lagoon
Volume Time Hourly Daily Volume Time Hourly Daily
T
E Code* ap licad n cation Freeboard
Applied Irrigated LoedWK Loading Applied Irrigated Loading Loading
(T) inches ted
gallons minutes inches inches gallons minutes orches orches
S' \. l
2
NEW
AM
:. ..
6
8 G D'
7/ s L.
K
10
f 9
a'
®, L.
,2 G o 9
0
1�
4
s..
15 y
1
6
t
-
1 8
F'
1.8mil
20 x 4
{
a mug mum
i ': •; i rt. �s : x.'. z s .-;' .c ice; .. :.{-a f`�:' i u
> s :.. r -
12� !^2f
24
k
76p (03 e ,
S
28
Abu
30 s r..f.
! w:.r< ..r.>^ <.( <•'r ,",d ..
..5 `Y ')„i,> '” 'tom....
�s )a
s_J
..: `j S. ) .�. C�:.o\ .4,.... w.�:4}.<5>::f� ...�`
31 :X.s a�
Monthly Loading (inches)
O
12 Month Floating Total (inches)
Average Weekly Loading (inches)
Weather Codes: S -sunny, PC -partly cloudy, CI -cloudy, R-rain,
5n-snow, bl-steel
OPERATOR IN RESPONSIBLE CHARGE (ORC) F� — GRADE — P�IONE q 24� — �"f
CHECK BOX IF ORC HAS CHANGED ❑
Mail ORIGINAL and TINO COPIES to:
A'1`1 N: COMPLIANCE GROUP
DIV. OF ENVIRONMENTAL MGT -
DEHNR
P.O. BOX 295135
RALEIGH,'NC 27626-52.5
(SI ATUR OF OPERATOR IN RESPONSIBLE CHARGE)
RY HIS SIGNATURE,,ICe RTIFY' THAT I'H1S REPORT ISACCURATE
AND COMPLETE TO THE BEST 0F.MY KNOWLEDGE.

FACILITY STATUS.
Please indicate (by checking the appropriate box) whether the facility ltas been compliant or rtoin-corn_ lid
.with tine foliowing permit requirements: (Note: If a requirement does not apply to your facility put (MA) in the
"- o;n )1 ' ant box.)
non-
compliant compliant
1. The application rate(s) did not exceed the limits) specified in the permit. EI M
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.
4. All buffer zones as specified in the permit were maintained during each
application.
S. The freeboard in the treatment and/or storage lagoon(s) was not less than the
liinit(s) specified in the permit.
If the facility is non-compliant, please explainn 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.
_:Z6NE S WAS o VEP, LIMITS ©b) MON) ELY APO WEMLY L.OAOIIUC 7 <�4L-S
_ZONE % W15-5, OVER Lr�JTS OAJ WHOA/ T I UY, U2-IMON jR R A T I11G- TaT 5 A NO
A VERAG 6 W CEkLY ?oT14CS
F, EE8QAW ENOEb C4P G-EsS rffftiJ -1 f EET Ai MOIVTff EN D
ALREAoy- lief CotuorTloO MD OEavi RAW FRom s Mm Eg.MWIE,IMIDE
CDN bnno NS W 0 RS E -
"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
corriplete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
and imprisonment for knowing violations."
(Permittee- Please print or type)
1012-t /20
(sig ature of Permittee).* (Date)
t �, SWAN Q (A2 TER / M t 27 Rim 2�,-- ML 0,21-31112
tPerm ittee �.ddre-s) (Phone Nunab� r) - (Permit ;cp. Date)
a: Ir signed by other than the permittee, delegation of signatory authority must be or, rile with the state per 15A NCAC 2ia.0506 (b) (2) (D).

NON DISCHAnGE APPLICATION REPORT Page —4�— of
SPRAY IRRIGATION SITE(S)
PERMIT NUMBER: WQQa-�� TOTAL NUMBER OF FIELDS: —1-2— N)ONTH: —C&S K YEAR: 20/6
FACILITY NAME: �lvvp W Q0�5 �tJ 1.t� (� -- CLASS: _� COUNTY: —HUE
Formulas
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/Foot)] / (Area Sprayed (acres) x 43,560 (square feet/acre)]
Maximum Hourly Leading (inches) = Daily Loading (inches) / [Time Irrigated (minutes) / 60 (minutes/hcur)] lbiontbIy Leading (inches) =Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous I I month's Monihly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading (inches/month) / Number of days in the month (days/month)] x 7 (days/weA)
Weather Codes: S -sunny, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
OPERATOR IN RESPONSIBLE CHARGE (flRC) EP F SfVDC� GRADE Z F'IiONE �—
CHECK BOX IF ORC HAS CHANGED ❑
Mail ORIGINAL and TWO COPIES to:
ATTN: COMPLIANCE GROUP
DIV. OF ENVIRONMENTAL MGT. ----------
DEHNR (SI ATUR OF OPERATOR IN RESPONSIBLE CHARGE)
P.O. BOX 29535 BY THIS SIGNATURE, 1 CERTIFY THAT THIS REPORT IS ACCURATE
RALEIGH, NC 27626-535 AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
NDAR•r (7/94)
FIELD NUMBER: CO -7 FIELD NUMBER:
C}
AREA SPRAYED (acres):pp 1 • Z7 AREA SPRAYED (acres):
COVER CROP: INF— COVER CROP:
Permitted HOURLY Rate (inches): (D , 2S— Permitted HOURLY Rate (inches):
WEATHER CONDITIONS
Permitted WEEKLY Rate (inches): ®• 2—S Permitted WEEKLY Rate(inches): ®�
Maximum Maximum
D
Storage
A
T WeatherPrecipi- Lagoon
Volume Time Hourly Daily Volume Time Hourly Daily
E Code* Cation Freeboard
Applied Irrigated Loading Loading Applied irrigated Loading Loading
inches feel
gallons minutes inches inches gallons minutes inches inches
ba
1
Q
k
haig
Z a
y ..� S swam
489M
es
0
5 .
0 S
d o l s -o ®13G o,34o
- >" k Fr
- own
goo
12
1.3. ,: . J .:: ...S- mS::' . y
mug=
1k4
5.;5 3
Sr ':`a., I 3 3 t -
„x 7..- s?,,.» .. ♦> . �.:.. { ..tk, f
16
F �'
17sa
D ow
20 io^
Mow
22
24
[ / 1.,4.1 qk. ! 5 $ }..-} Q
.3
l, T�O�
[2B
V p
2.g
S �
�
Y { J -. �-✓CNF S �C3 r � 3k 1 .'E d - F' � � �3 Y .>> R..,.:: ".. xK .,
i.. YjCU�.. ... � . E>.
L, _ L�;� 4c
p
1�
4U0 0
Monthly Loading (inches)
12 Month Floating Total (inches)
Average Weekly Loading (inches)
Weather Codes: S -sunny, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
OPERATOR IN RESPONSIBLE CHARGE (flRC) EP F SfVDC� GRADE Z F'IiONE �—
CHECK BOX IF ORC HAS CHANGED ❑
Mail ORIGINAL and TWO COPIES to:
ATTN: COMPLIANCE GROUP
DIV. OF ENVIRONMENTAL MGT. ----------
DEHNR (SI ATUR OF OPERATOR IN RESPONSIBLE CHARGE)
P.O. BOX 29535 BY THIS SIGNATURE, 1 CERTIFY THAT THIS REPORT IS ACCURATE
RALEIGH, NC 27626-535 AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
NDAR•r (7/94)

FACILITY STATINS:
Please inclicnte (by checking the appropriate box) whether the facility has leen compliant or non-compliant
with thefoliowing permit requirements: (Mote: If a requirement does not apply to your facility put ([SIA) in the
compliant box.)
non-
c-onn lei compliant
1. The application rate(s) did not exceed the limits) specified in the permit. ® 91
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 ® E
the permit.
4. All buffer zones as specified in the permit were maintained during each
application.
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the
limit(s) 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 noncompliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
ZONE I+'a UjEge OUEp LIMt Ts ©nJ M 0 N lµ`Y Atj0 12- Motvi rf RoIMN6 To MS
f:QEE goNgo EN DEQ UP LESS 114 -kW a -FET
WMA11191WOW
"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."
nu AJT� n E HUE-
(Permittee- Please print or type)
(S gbatd'fe of Permittee)* (Fate)
6wam C?(Aae-re(�, kc-, 021311Q017
(Permittee Address) (Phone Number) (Permit xp. Bate)
* If signed by other than the permittee, delegation of signatory authority must be on Cie with the state per 15A NCAC 2B.0505 (b) (2) (D).

MOM DISCHARGE APPLICATION REPORT Page S- of
SPLAY IRRIGATION SITE(S)
PERMIT NUMBER: � �� C( �� TOTAL NUMBER OF FIELDS: t2- MONTH: �&Ra YEAR: ZD/6
FACILITY NAME: ®C�p 5. L4)U) 7:P — CLASS: COUNTY: --
Formulas
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)]
Maximum Hourly Loading (inches) =Daily Loading (inches) / [Time Irrigated (minutes) / 60 (minutes/hour)] 14lonth1y Leading (inches) =Sum of Daily Loadings (inches)
12 Mouth Floating Total (inches) =Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading (inchestmonth) /Number of days in the month (days/month)] x 7 (days(week)
FIELD NUMBER: FIELD NUMBER:
AREA SPRAYED acres): 1 AREA SPRAYED acres
COVER CROP COVER CROP:
Permitted HOURLY Rate (inches): ®, Permitted HOURLY Rate (ioches): Q. 2 -S -
9
WEATHER CONDITIONS Permitted WEEKLY Rate(inches): ®. ( Permitted WEEKLY Rate
D
(inches):
A
Temp. Storage Maximum Maximum
T
Weather at Precipi- Lagoon Volume Time Hourly Daily Volume Time Hourly Daily
E
Code* application tation Freeboard Applied Irrigated Loading Loading Applied Irrigated Loading Loading
inches feet gallons minutes inches inches gallons minutes inches inches
2
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':
Monthly Loading (inches) 6 I
12 Month Floating Total (inches) 2� '
Average Weekly Loading (inches) ®oa(®Q 2
t
vvealner t,oaes: 5 -sunny, f -U -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
OPERATOR IN RESPONSIBLE CHARGE (ORC) jp- Sep/4 F s5n4mEk GRADE _:jZ_ PHONEq.2
CHECK BOX IE ORC HAS CHANGED ❑
Mail ORIGINAL and TWO COPIES to:
ATTN: COMPLIANCE GROUP
DIV. OF ENVIRONMENTAL MGT.
DEHNR
P.O. BOX 29 535
RALEIGH, NC 27626-535
X—= ---------
(S G ATU E OF O ERATOR IN RESPONSIBLE CHARGE)
BY I SIGNATURE, I CERTIFY THAT THIS RE@�C�R�' IS s1 C19; a "iTE
AND COMPLETE TO THE BEST OF MY KNOW,, LEDGE.

FACILITY STATUS:
Tease indicate (by checking the appropriate boas) whether the facility has been- compliant or non-compliant
with the fallowing permit requirements. (Note: If a requirement does not apply to your facility put (NIA) in the
com..pliaiit box.)
non-
compliant compliant
I. The application rate(s) did not exceed the limit(s) specified in the permit.
22, 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 El
the permit.
4. All buffer zones as specified in the permit were maintained during each
application.
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the
limit(s) specified in the pen -nit.
H the facility is non-compliant, please explain in the. space below the reason(s) the facility was not in compliance with its
per_ -nit. provide in your explanation the date(s) of the noncompliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
�oNLS c18 j 9C 1A)fge ©UEje LinlriS OA/t z mors T H PLoATirV�- ZoTRLS
EREEba►412a t,J�s 1�SS ffArJ 2 FEES -
`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 knowing violations"
C()uAi1V ©F L- ynE
(Permittee- Please print or type)
CDate)
C�Rt?u 6� 5WA N CQuQTE�. n1.G 2-189-9-CaS�� q?�-- 41 IL1�017
(€ ermittee Address) (Phone Number) - (Pea it Ecp. Bate)
if signed by oilier than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (h) (2) (D).

NON DISCHARGE APPLICATION REPORT Rage � of
SPRAY IRRIGATION SITE(S)
PERMIT NUMBER: WG TOTAL NUMBER OF FIELDS: 12— MONTH:SEPMAW YEAR: a06
FACILITY NAME: Ptiv-RI- _D_S__W T I? CLASS: -� COUNTY:
Formulas
Daily Loading (inches) = (Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)) /.[Area Sprayed (acres) x 43560 (square feet/acre)]
Maximum Hourly Loading (inches) =Daily Loading (inches) / (Time Irrigated (minutes) / 60 (minutes/hour)] Monthly Loading (inches) =Sum of Daily Loadings (inches)
12 Month Floating Total (inches) =Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = (Monthly Loading (inches/month) /Number of days in the month (days/month)] x 7 (days/week)
Weather Codes: S -sunny, PC -parity -cloudy, CI -cloudy, Fl -rain, Sn-snow, SI -sleet
OPERATOR IN RESPONSIBLE CHARGE (ORC) �5 �/-� SAOLErZ GRADE --tr RHONE �!
CHECK BOX IF ORC HAS CHANGED O
Mail ORIGINAL and TWO COPIES to:
ATTN: COMPLIANCE GROUP
DIV. OF ENVIRONMENTAL MGT.
DEHNR
P.L. BOX 23535
RALEIGH, PIC' 27626-535
X-- -- +—----------
(SIG-34,ORE OF OPERATOR IN RESPONSIBLE CHARGE)
BYS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE IE BEST OF IMV KNOWLEDGE.
FIELD NUMBER: C?bFIELD NUMBER: l E
AREA SPRAYED acres): 3.)_1 AREA SPRAYED (acres): 3,�C
COVER CROP: G— JjS COVER CROP:
_
Permitted HOURLY -Rate (inches): Permitted HOURLY Rate (inches): 0, 2-67
WEATHER CONDITIONS
Permitted WEEKLY Rate inches): to.% Permitted WEEKLY Rate inches): O. DL
D
A Temp.
Storage
Maximum Maximum
T Weather at Precipi-
Lagoon
Volume • Time Hourly Daily Volume Time Hourly Daily
E Code* application talion
Freeboard
Applied Irrigated Loading Loading Applied Irrigated Loading Loading
("F) inches
feel
gallons minutes inches inches gallons minutes inches inches
2
t
MEN=
F»3:::rr .,.:s•..>. r.',.. ,_x t
.:..,..
: ..:.Fs43 > :..�.. ,.... -,
4
z
,,IF
6
V °L � F.
V
k.8" > 3 �
�s<.<:
3 3 ,--...,x'., .. :0.1 : ...:.¢.:.. < .<::.:-...��✓>:b 'F d'�}°<<c.:':
8
10
-
12
Y
':: -.. >,., �. VS.S.... h.. .:,5'..',F
,. h>..:..>..
_:: .;.:.. .,.tin. aS. ..»',..e.r>..-,- ..o ..-♦...0 ..->: Y. :.F...r 3u..£... Si.:.. r., x. fC.b ,3 F �:,>:,.:
'>•
�14
!� x; F _: - '<.y'L....- r:k
L #i,...r ..
Fi... < 9{ ' n<i....r C i -'...: rx � t .. .: .;....; . 3 �.-:i :: 6 TX ,>3t ,fi- ,>°,... uC
rI'F i!..F s: .;b>..: fl. >.> f' f<•'
''S,. .. 3`:
k4cF. ,£ s. b. <. .. y £� - >' S 4' -,2 fi ``>s $ :<a��� Sear j
18
20
i
F
22
24
31jr..F
26
� � k £ £' -
1< � y
,,,D k z � ;'. x �` -,( ' �'�; >;'x ' 3 << � �. ? 4>�3' Y 5 a "'R� .Y" � � �
Mi' +`n,cN1
� L7
c.S �>.•�..�'
28
h,.,
-L:.
30
?;y
..:.�.^>
{:w
3'. ':;'jT:tx
<.. .... ... ..uw ✓<&. ..a ,...
3.<t . ... ..... ........,t. .. . <., t...�.<x.. ,
....,._> .....,..
.. .. .. -c .......... .. nr i.r. ... >:, .>i..
a....:... -.i.. ,.. r.:.. <, ..<..>z. .k:<�> ';£>ery;:
Monthly Loading (inches) ; S�
12 Month Floating Total (inches)
Average Weekly Loading (inches)
Weather Codes: S -sunny, PC -parity -cloudy, CI -cloudy, Fl -rain, Sn-snow, SI -sleet
OPERATOR IN RESPONSIBLE CHARGE (ORC) �5 �/-� SAOLErZ GRADE --tr RHONE �!
CHECK BOX IF ORC HAS CHANGED O
Mail ORIGINAL and TWO COPIES to:
ATTN: COMPLIANCE GROUP
DIV. OF ENVIRONMENTAL MGT.
DEHNR
P.L. BOX 23535
RALEIGH, PIC' 27626-535
X-- -- +—----------
(SIG-34,ORE OF OPERATOR IN RESPONSIBLE CHARGE)
BYS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE IE BEST OF IMV KNOWLEDGE.

. F, ACIL TY STATUS:
Please indicate (by checking the appropriate box) whether the facility has been compliant or non-compliant
SC'itl4.the following permit requirements: (Note_ If a requirement does not apply to your facility put (NA) in the
COMPlianf box.)
non-
compliant Compliant
I, The application rate(s) did not exceed the limit(s) specified in the permit.
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 El
th permit.
4. All buffer zones as specified in the permit were maintained during each
application.
S. The freeboard in the treatment and/or storage lagoon(s) was not less than the
.. Ii-mit(s) 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_ 1 rovide in your explanation the date(s) of the noncompliance and describe the corrective action(s) taken. Attach
additional sleets if necessary.
2OtuFS q/J 4 4 1�' WERE oUER L401I T S ON 12 rnoluj FF FI -0,41106, -GOEWLS AND
"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."
(Permittee- Please print or type)
14
(*nature of Permittee)* (Dhte)
Po fox �� s�v�N Q����e� �y,c. a_7�85 _ �►�� �- orb �
(Permittee Address) (Picone INTumber) (Per it Ap. Date)
if Agreed by father than the permittee, delegation of signatory authority :nest be on rile with the state per 15A NCAC 2B.0506 (b) (2) (D).