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Home My WebLink AboutWQ0029169_Monitoring - 09-2016_20161031FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of Permit No.: • 0029169 Facility Name: Town of • Olive . - -• - •- 1 Name:Field Did irrigation occur Area (acres): Area (acres): at this facility? Cover Crop: Cover Crz;v F,_1 YES . -.:Hourly Rate (in): Hourly Rate (in): W_-r1r1TFFl1;T1VxcrBj��ff Annual Rate (iny Annual Rate (in): MonthlyIMP1,191,101mmm • . ••jjjj%/,j%jj%/jjjj/jjjj�j/;�,/�jjj��jj/�j/��jjjjj/� jjjj�j/ j�jjj�j/��/®' jjj�jj/%jjj�jjj/%j/�jj '.�1jjj�j/ijjjjjj/j�jjjj/.�j/�j�jj Month12 • . . •�jjjjjjjj�/®" FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Did the application rates exceed the limits in Attachment B of your permit? a Page of i ❑✓ Compliant ❑Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑� Compliant ❑Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑� Compliant ❑Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? ❑l Compliant ❑Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ElCompliant ❑Non -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 action(s) taken. Attach additional sheets if necessary. Mail Original and Two Copies to: Division of Water Quality Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Glenn Holland Permittee: Town of Mount Olive Certification No.: 27255 Signing Official: Charles S. Brown Grade: SI Phone Number: 919-658-6538 Signing Officials Title: Town Manager Has the ORC changed since the previous NDAR-1? ❑Yes EZNo Phone Number: 919-658-9539, ext. 107 Permit Exp.: 3/31/20 Signature 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 FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2 of 3 Permit No.: • 0029169 Facility Name: Town of MountOlive - Month: September1 . • irrigation Occur at this facility? ■ YES ■ NO OEM=�- -. E=z= -. Monthly • . • • •�j�j/�/�jjjjj/ j��jj/jjjjjjj/'��jjjjj/jjjj/j%jjjj/j%/j�•j�jjj/ijjj�jj/j�jjj�jjjjjjj/ ,jjjjj��j�jj�j;�%�jjjjfi,��jjjj/ �jj/��/� %/ 12 Month Floating_Total�jjj�/ • FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Did the application rates exceed the limits in Attachment B of your permit? (]Compliant []Non-compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ElCompliant ❑Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? I21Compliant ❑Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? [ZCompliant ❑Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ElCompliant ❑Non -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 action(s) taken. Attach additional sheets if necessary. Mail Original and Two Copies to: Division of Water Quality Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 n Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Glenn Holland Permittee: Town of Mount Olive Certification No.: 27255 Signing Official: Charles S. Brown Grade: SI Phone Number: 919-658-6538 Signing Official's Title: Town Manager Has the ORC changed since the previous NDAR-1? ❑Yes ONO Phone Number: 919-658-9539, ext. 107 Permit Exp.: 3/31/20 Signature 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 n 'FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 3 of ? Permit No.: w 0029169 Facility Name: Town of • Olive - Month: September- irrigation • occur at this facilit .. .. .. .. P-1 YES R NO ... ■ ■ • ■ ■ • ■ • D ■ • Kamm=m= M=11=11=11M M=11=11=11M M=11= -11M M=11=11=11M ---- FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Did the application rates exceed the limits in Attachment B of your permit? Page of • G ❑✓ Compliant []Non-compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 2Compliant ❑Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑� Compllant ❑Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? ❑✓ Compliant ❑Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? OCompliant ❑Non -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 action(s) taken. Attach additional sheets if necessary. Mail Original and Two Copies to: Division of Water Quality Information Processing Unit 1617 Mail Service Center Raleigh, North Carolira 27699-1617 Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Glenn Holland Permittee: Town of Mount Olive Certification No.: 27255 Signing Official: Charles S. Brown Grade: Sl Phone Number: 919-658-6538 Signing Officials Title: Town Manager Has the ORC changed since the previous NDAR-17 ❑Yes i]No Phone Number: 919-658-9539, ext. 107 Permit Exp.: 3/31/20 (0 (2-,(- Signature Date I t 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 Carolira 27699-1617