WQ0019665_Monitoring - 09-2016_20161031

Page 3 of 8
NON DISCHARGE APPLICATION REPORT
SPRAY IRRIOATI01Y SME(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00019666 MONTH: September YEAR: 2016
FACILITY NAME: Swan Quarter Sanitary District COUNTY: Hyde
Formulas:
Dally Loading (inches) = (Vol- Applied (gallons) x 0.1338 (cubicteft.lon) x 12 fmdhes/faot)] / [Area Sprayed (saes) x43.560 (square feev.)] OR
= Volume Appried (garons) / (Area Sprayed (aces) x 27,152 (gailons/acre-inch)]
Maximum Hourly Loading (Inches) = Daily loading (inches) / [Time Irrigated (minutes) 160 (minutesfiour)] Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (Inches) - Sum of this month's Monthly Loading finches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (Inches) = [Monody Loading (inchealmonth) / Number of days in the month (dayafrnordh)] x 7 (daysAMeek)
Did Irrigation Occur At This Facii]I
Yes: NO.
X
Did Irrigation Occur On This Field:
Yes. W.
X
Did Irrigation Occur On This Field:
Yes: No:
X
_
77
FIELD NUMBE 1
AREA SPRAYED faces): 2.98
COVER CROP:
PERMITTED HOURLY RATE (inches): 0.25
FIELD NUMBER: 2
AREA SPRAYED acres : 3.28
COVER CROP:
PERMITTED HOURLY RATE (inches): 0.25
D
T
E
WEATHER CONDITIONS
Temper
at
Weather app�licatio PrecIpi
Code* n tier h-
Storage
LaLagoonvolume
Freeboard
PERMITTED YEARLY RATE (inches):
Daily
Applied Time irrilasted Loading
32.5
Maximum
Hourly
LoadI121L
PERMITTED YEARLY RATE (inches):
Volume Time Daily
Applied Irrigated Loading
32.5
Maximum
Hou rly
Loading
(°F)
1 Inches
feet
gallons
minutes
inches
Inches
gallons
minutes
inches
Inches
1
R
87
1 0.11
5
0
.0
0.00
#DIV10
1 0
0
0.00 1
#DIV/01
2
R
77
2.57
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
3
R
76
1.55
1
0
0
0.00
MIMI
0
01
0.00
#DIV/01
4
PC
77
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
5
PC
72
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
6
PC
86
0
5
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
7
R
Be
0.08
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
8
R
84
0.02
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
9
CL
86
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
10
PC
85
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
11
R
88
0.22
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
12
R
80
0.52
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
13
PC
82
0
4.5
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
1n
PC
85
0
0
0
0.00
#DIV/0!
0
0
0.00.
#DIV/01
15
CL
84
0
0
0
0.00
#DIV/0!
0
0
0.00•
#DIV/0!
16
PC
81
0 1
0
0
0.00
#DIVIO!
0
0
0.00
#DIV/0!
17
PC
83
0
0
0
0.00
#DIV/0! 1
0
0
0.00
#DIV/01
1s
CL
85
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
19
PC
85
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
20.
R
79
0.67
4.5
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
21
R
80
0.2
0
0
0.00
#DIV/01
0
0
0.00 1
#DIV/0!
22
R
83
0.37
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
23
R
82
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
24
PC
85
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
25
PC
75
0
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/01
26
PC
78
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
27
CL
80
0
4.5
0
0
0.00
#DN/Ol
0
0
0.00
#DIV/01
28
R
83
0.01
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
29
R
81
0.15
0
0
0.00
#DIV/01
.0
0
0.00
#DIV/01
30
R
82
0.59
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
31
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
Total Gallons/Monthly Loading (inches)
0
0.00
0
0.00
12 Month Floating Total (itches)
... <_n=
0.00
:. , - �; .'.
«�� ..
- ,,.
0.00
Average Weekly Loading (Inches)
0
0
weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC):
ORC Certification Number: 996725
Mall ORIGINAL and TWO COPIES to:
Allen Bliven
Check Box if ORC Has Changed:
Phone: [phone]
DENR .-
Division of Water Quality
AITN: Information Processing Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT is ACCURATE AND
RALEIGH, INC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
NON -DISCHARGE APPLICATION REPORT
DENR FORM NDAR-1 (11/2005)

Page 3 bf 8
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. )
1. The application did the limit(s) in the
Com dantY N)
rate(s) not exceed specffied permit
ly
2. Adequate measures were taken to prevent wastewater runoff' from the site(s).
3. A suitable vegetative cover was maintained on the sfte(s) in accordance with the permit
I_�_
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)
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 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."
/'T - — jr William G. Freed
(Signature of P&Fnkteer Date (Name of Signing Official -Please print or type)
Wayne Hodges, Chairman By Authority, President Enviro-Tech
(Permittee -Please print or type) (Position or Title)
252-491-5277 9/30/2006
(Phone Number) .(Permit Exp. Date)
PO Box 21, Swan Quarter, NC 27885
(Permittee Address)
N signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 26.0506 (b)(2XD).
DENR FORM NDAR-1 (11/2005)

Page 4 of 8
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00019665 MONTH: September YEAR: 2016
FACILITY NAME: Swan Quarter Sanitary District COUNTY: Hyde
Formulas:
Daily Loading (Inches) = [Volume Applied (gallons) x 0.1336 (cubic feettgaft) x 12 (mcheslfooQ] l [Area Sprayed (acres) x 43,560 (square feetfarxe)] OR
= Volume Applied (gallons) / [Area Sprayed (saes) x27.152 (gaitoWscraminch))
Maximum Hourly Loading (Inches) = Deny Loading (inches) / dime irrigated (minutes) / 60 (minutesthour)] fly 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 (dayshnonth)] x 7 (dars/week)
Did Irrigation Occur At This Facllit
-Yes: No: X
Did Irrigation Occur On This Field:
-Yes: No:
X
ation Occur On This Field:
No: X
FIELD NUMBER: 3
AREA SPRAYED (acres): 3.43
COVER CROP:
PERMITTED'HOURLYRATE (inches): 025
ELD NUMBER: 4
AYED acres : 3.73
COVER CROP:
R14OURLYRATE(incties):025
D
T
E
WEATHER CONDITIONS
weather Temper- ature at Prectpita- Lampoon
coda' ap canon non Free4wwd
PERMITTED YEARLY RATE (inches): 32.5
Maximum
Volume Daily Hourly
Applied Time lrr( ted Loading LoadingApplied
tMITTED YEARLY RATE (inches):
Volume Time Daily
Irri ated LoadingLoading
32.5
Maximum
Hourly
(7)
Inches feet
gallons
minutes
inches
inches
gallons
minutes
inches
Inches
I
R
87
0.11 5
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
2
R
77
2.57
0
1 0
0.00
#DIV/O!
0
0
0.00
#DIV/0!
3
R
76
1.55
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
4
PC
77
0
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/01
5
PC
72
0
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
$
PC
.86
.0 5
0
D
0.00
#DIV/01
0
.0
0.00
#DIV/01
7
R
86
0.08
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/01
a
R
84
0.02
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
9
CL
86
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
10
PC
85
0
0
0
0.00
#DTV/0!
0
0
0.00
#DIV/01
11
R
88
0.22
0
0
0.00
#DIV/0I
0
0
0.00
#DIV/01
12
R
80
0.52
0
0
0.00
#DIV/01
0
0
0.00
#DlV/01
13
PC
82
0 4.5
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/01
14
PC
85
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
15
CL
84
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
16
PC
81
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
17
PC
83
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
18
CL
85
0
0
0
0.00
#DIV/0!
0
0
0.00 1
#DIV/01
19
PC
85
0
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/01
20
R
79
0.67 4.5
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/01
21
R
80
0.2
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/01
22
R
83
0.37
0
0
0.00
#DIV/01
0
0
0.00
#DIV/O!
23
R
82
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
24
PC
85
0
0
0
0.00
#DIV/0!
0
0
0.00 1
#DIV/O!
25
PC
75
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/O1
26
PC
78
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
27
CL
80
0 4.5
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
28
R
83
0.01
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/01
29
R
81
0.15
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
30
R
82
0.59
0
0
0.00
#DIV/01
0
0
0.00
#DIV/O!
31
0
0
0.00'
#DIV/0!
0
0
0.00#DIV/0!
Total GallonslMonthly Loading (inches)
0
0.00
0
0.00
12 Month Floating Total (inches)
0.00
` : '
0.00
Average Weekly Loading (inches)l,,,,,,.
0
' Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, Sl -sleet
Spray Irrigation Operator In Responsible Charge (ORC): Allen Bliven Phone:
ORC Certification Number: 0 Check Box If ORC Has Changed:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
491-5277
(SIGNATURE 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 NOAR-1 (1112005)

Page 4 of 8
NON -DISCHARGE APPLICATION REPORT
.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. )
1, The application rate(s) did not exceed the Amit(s) specified in the Permit
Com liant N)
Y
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
0
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.
6. The freeboard in the treatment andlor 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 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 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."
(Signa ure o Permittee)* Data
Wayne Hodges, Chairman
(Permittee Blease paint or type)
PO Box 21, Swan Quarter, NC 27885
(Permittee Address)
William G. Freed
(Name of Signing Official -Please print or type)
By Authority, President Enviro-Tech
(Position or Title)
252491-5277 9/30/2006
(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 2B.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT
.SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00019665 MONTH: September
FACILITY NAME: Swan Quarter Sanitary District COUNTY:
Formulas;
Dally Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (incheslfoot)) /[Area Sprayed (acres) x43,560 (square feet/acre)) OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gaAons/ams4r ch))
Page 5 of 8
YEAR: 2016
Hyde
Maximum Hourly Loading (Inches) = Daily Loading (inches) /[lime Irrigated (minutes) 160 (minulesihour)) ily Loading Qnches) =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 finches/month) /Number of days in the month (days/month)] x 7 (daysAyeek)
Did Irrigation Occur At This
-Yes:
Facillt!
-No: -X
Did Irrigation Occur On This Field:
-Yes: -No:
-X
Did Irrigation Occur On This Field:
-Yes: No: x
FIELD NUMBER: 1 5
AREA SPRAYED (acres): 4.03
COVER CROP:
PERMITTED HOURLY RATE (inches): 0.25
FIELD NUMBER: 6
SPRAYED (acres): 4.18
COVER CROP:
MITTED HOURLY RATE (inches): 0.25
D
A
T
E
WEATHER CONDITIONS
Temper- Storage
Weather atureat Predplta Lagoon
cOdO� applicatlon Hon Free -board
PERMITTED YEARLY RATE (Inch!! : 32.5
Maximum
Volume Dally Hourly
Applied Time Irrigated- - LoadingLoadingApplied
tMITTED YEARLY RATE (inches):
Volume Time Daily
Irr sled Loading
32.5
MaximumHourl
y
-Loading
CF) I
inches feet
gallons
minutes
Inc es
Inches
gallons
minutes
Inches
Inches
1
R
87
0.11 5
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
2
R
77
2.57
0
0
0.00
#DIV/01
0
1 0
0.00
#DIV/0!
3
R
76
1.55
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
4
PC
77
0
0
0
0.00
#DIV/0!
0
0
0.00 1
#DIV/0!
5
PC
72
0
0
0
0.00
#DIV/01
0
0
0.00 1
#DIV/01
.s
-PC -
.86
.0 -5
-0
_0
0.00
#DIV/al
0
-0
0:00 I
#DIV/01
7
R
86
0.08
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
8
R
84
0.02
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
9
CL
86
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
10
PC
85
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
11
R
88
0.22
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
12
R
80
0.52
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
13
PC
82
0 4.5
0
0
0.00
#DIV/01
0
0
0:00
#DIV/01
14
PC
85
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
15
CL
84
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
16
PC
81
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
17
PC
.83
.0
.0
-0
.0,00
#DIV/0!
0
-0
-0:00 -
#DI -W01
1a
CL
85
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
19
PC
85
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
20
R
79
0.67 4.5
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
21
R
80
0.2
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
22
R
83
0.37
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
23
R
82
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
24
PC
85
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
25
PC
75
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
26
PC
78
0
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/01
27
CL
80
0 4.5
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
28
R
.83
.0.01
.0
.0
.0:00
4DIV/0!
.0
.0
.0.00
#DIV/01
29
R
81
0.15
0
0
0.00
#DIV/Ol
0
0
0.00
#DIV/0!
30
R
82
0.59
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
31 1
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
Tota[ Gallons/Monthly Loading (inches)
0
0.00
0
0.00
12 Month Floating Total (Inches)
0.00
0.00
Average Weekly Loading (inches)
0
0
Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R-ra[n, Sn-snow, Slaleet
Spray Irrigation Operator in Responsible Charge (ORC): " Allen Bliven Phone: [phone]
ORC Certification Number: 996725 Check Box if ORC Has Changed:
Mail ORIGINAL and TWO COPIES to: I
DENR
Division of Water Quality
ATTN: -Information-?rocessing Unit {SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 276994617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

Page 5 of 8
NON -DISCHARGE APPLICATION REPORT
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. )
1. The application did the limit(s) in the
Compliant N)
rate(s) not exceed specified permit
Y�
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
0
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 permrt 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 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."
/G -.2r - "—c William G. Freed
(Signature o ermittee)" Date (Name of Signing Official -Please print or type)
Wayne Hodges, Chairman
(Permittee -Please print or type)
PO Box 21, Swan Quarter, NC 27885
(Permittee Address)
By Authority, President Enviro-Tech
(Position or Title)
252-491-5277 9/30/2006
(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 2B.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00019665 MONTH: September
FACILITY NAME: Swan Quarter Sanitary District COUNTY:
Formulas:
Dally Loading (inches) =[Volume Applied (gallons) x 0.1336 icubicfeet/gallon) x 12 (mchesffoot)] /(Area Sprayed (acres) x 43,560 (square fes/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallonsfacre4rich))
Page 6 of 8
YEAR: 2016
Hyde
Maximum Hourly Loading (Inches) = Daily Loading (inches) / [Time Irrigated (minutes) / 60 (minute~)] fly Loading (Inches) -Sum of Dalry Loadings (inches)
12 Month Floating Total (Inches) =Sum of this month's Monthly Loading Cbrich s) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading pnches) = [Monthly Loading (mcheahnonth) / Number of days in the morth (days/month)] x 7 (dayshveek)
Did Irrigation Occur At This Pacillk
Yes: No: X
Did Irrigation Occur On This Field:
Yes: No:
x
Irrigation Occur On This Field:
Yes: No: x
FIELD NUMBER: 7
AREA SPRAYED (acres): 4.48
COVER CROP:
PERMITTED HOURLY RATE (inches): 0.25
kDild
FIELD NUMBER: 8
SPRAYED (acres), 4.18
COVER CROP:
TEDHOURLY RATE (inches): 0.25
D
A
T
E
WEATHER CONDITIONS
Temper- Storage
Weatheratureat Predpna Lagoon
tea. application tion Free -board
PERMITTED YEARLY RATE (inches): 32.5
Maximum
Volume Daily Hourly
Applied TIME. Irri ated Loading Loed[n
ITTED YEARLY RATE (inches):
Volume Time Daily
Applied Irrigated LoadingLoading
32.5
Maximum
Hour IY
PF)
inches.. feet
gallons
minutes
Inches
inches
gallons.
minutes
Inches
inches
1
R
87
0.11 5
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/01
2
R
77
2.57 1
0
0
0.00
#DIV/01
1 0
0
0.00
#DIV/0!
3
R
76
1.55
0
0
0.00
#DIV/01
0
0
0.00
#DIV/Ol
4
PC
77
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
5
PC
72
0
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/01
6
PC
86
0 5
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
7
R
s6
0.08
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
8
R
84
0.02
0
0
0.00
#DIV/0!
0
0
0.00
#DIVIO!
9
CL
86
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
10
PC
85
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
11
R
a8
0.22
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
12
R
80
0.52
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
13
PC
82
0 4.5
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
14
PC
85
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
15
CL
84
0
0
0
0.00
#DIV/Ol
0
0
0.00
#DIV/0!
16
PC
81
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
17
PC
83
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
18
CL
85
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/O!
19
PC
85
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/Ol
20
R
79
0.67 4.5
0
0
0.00
#DIV/01
0
0
0.00'
#DIV/01
21
R
80
0.2
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
22
R
83
0.37
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
23
R
82
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
24
PC
85
0
0
0
'0.00
#DIV/O!
0
0
0.00
#DIV/Ol
25
PC
75
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
26
PC
78
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
27
CL
80
0 4.5
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
28
R
83
0.01
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
29
R
81
0.15
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
30
R
82
0.59
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
31
1
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
Total Gallons/Monthly Loading (inches)
0
0.00
0
0.00
12 Month Floating Total (inches)
0.00
0.00
Average Weekly Loading (inches) .
_,' .
0
0
• Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Allen Bliven Phone: [phone]
ORC Certification Number: 996725 Check Box If ORC Has Changed:
Mall ORIGINAL and TWO COPIES to:
DENR r
Division of Water Quality�-
ATTN: Information Processing Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

Page 6 of 8
NON -DISCHARGE APPLICATION REPORT
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. )
1. The did limit(s)
Com liant ,N)
application rate(s) not exceed the specified in the permit.
ly
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
0
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.
5- The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
L�
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 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."
(Signaturb ofPermittee)* Date
Wayne Hodges, Chairman
(Permittee -Please print or type)
PO Box 21, Swan Quarter, NC 27885
(Permittee Address)
William G_ Freed
(Name of Signing Official -Please print or type)
By Authority, President Enviro-Tech
(Position or Title)
252-491-5277 9/30/2006
(Phone Number) (Permit Ftp. Date)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)

Page 7 of 8
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00019665 MONTH: September YEAR: 2016
FACILITY NAME: Swan Quarter Sanitary District COUNTY: Hyde
Formulas:
Daily Loading (Inches) = [volume Applied (gallons) x 0.1338 (cubic feetfodon) x 12 (incheslfoo0l /[Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / [Pune Irrigated (minutes) /60 (minuteslhour)] hly 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 Cinches/month) / Number of days in the month (days/month)] x 7 (dayslweek)
Did Irrigation Occur At This Fac Ilty
Yes: No: X
Did Irrigation Occur On This Field:
Yes: No:
X
Did Irrigation Occur On This Field:
Yes: No: X
FIELD NUMBER:
AREA SPRAYED (acres):
9
4.93
FIELD NUMBER:
MA SPRAYED (acres):
10
5.08
COVER CROP:
PERMITTED HOURLY RATE (inches): 0.25
COVER CROP:
MITTED HOURLY RATE (Inches):1
0.25
D
A
'r
E
WEATHER CON ITIONSI
Temper- storage
weather
store a< PreciPlla• Lagoon
- application tion Free -boars
PERMITTED YEARLY RATE (inches): 32.5
Maximum
Volume Daily Hourly
[ed Time Irri Loading Loading
WITTED YEARLY RATE (inches):
Volume Time Daily
lied Irrigated LoadingLoading
1 32.5
Maximum
Hourly
CF)
Inches feet
gallons
minutes
inches
Inches
gallons
minutes
Inches
inches
1
R
87
0.11 5
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
2
R
77 1
2.57
0
01
0.00
#DIV/0!
0
0
0.00
#DIV/01
3
R
76
1.55
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
4
PC
77
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
5
PC
72
0 -
0
0
0.00
#DIV/D!
0
0
0.00
#DIV/0!
6
PC
86
0 5
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
7
R
86
0.08
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
8
R
84 1
0.02
0
0
0.00
#D!V/01
0
0
0.00
#DIV/01
9
CL
86
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
10
PC
85
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
11
R
88
0.22 1
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
12
R
80
0.52
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
13
PC
82
0 .4.5
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
14
PC
85 1
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
15
CL
84 1
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
16
PC
81
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
17
PC
83
0
0
0
0.00
#DIV/0!
0
0
0.00 1
#DIV/0!
18
CL
85
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
19
PC
85
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
20
R
79
0.67 4.5
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
21
R
80 1
0.2
0
0
0.00
MV/O!
0
0
0.00
#DIV/0!
22
R
83
0.37 1
0
0
0.00
#DIV/01
0
0 1
0.00
#DIV/0!
23
R
82
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
24
PC
85
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
25
PC
75
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
26
PC
78
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
27 1
CL 1
80
0 4.5
0
0
0.00
#DIV/0!
0 1
0
0.00
#DIV/0!
28
R
83
0.01 1
0
0
0.00
#DIV/0!
0
0
0.00 1
#DIV/01
29
R
81
0.15
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
30
R
82
0.59
0
0
0.00
#DIV/D!
0
0
0.00
#DIV/0!
31
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
Total Gallons/Monthly Loading (inches)
00.00
0
: `
0.00
12 Month Floating Total (inches)
0.00
0.00
Average Weekly Loading (inches)[,
0
0
Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn•snow, Sl -sleet
Spray Irrigation Operator in Responsible Charge (ORC):
Allen Bliven Phone: [phone]
ORC Certification Number: 996725 Check Box if ORC Has Changed:
Mail ORIGINAL and TWO COPIES to:
DENR FORM NDAR-1 (11/2005)

DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Page 7 of 8
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
NON -DISCHARGE APPLICATION REPORT
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: /f a requirement does not apply to your facility put (NA) in the
compliant box. )
Compliant ,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). l
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)—�
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 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."
(Signaturd of ermittee)* Date
Wayne Hodges, Chairman
(Permittee -Please print or type)
PO Box 21, Swan Quarter, NC 27885
(Permittee Address)
William G. Freed
(Name of Signing Official -Please print or type)
By Authority, President Enviro-Tech
(Position or Title)
252-491-5277
(Phone Number)
9/30/2006
(Permit Exp. Date)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b)(2)(D).
DENR FORM NDAR-1 (1112005)

Page 8 of 8
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00019665 MONTH: September YEAR: 2016
FACILITY NAME: Swan Quarter Sanitary District COUNTY: Hyde
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet(gallon) x 12 (ndieslfoot)] / [Area Sprayed (acres) x 43,560 (squarefeet/acre)] OR
= Volume Applied (gallons) /[Area Sprayed (acnes)x27.1162 (galions/acre•indl))
Maximum Hourly Loading (Inches) = Daly Loading (inches) / [lane Irrigated (minutes) 160 (minutesMour)] rly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (Inches) = Sum of this month's Monthly Loading (inches) and previous 11 mordh's Monthly Loadings (inches)
Ave nne WWk1v Lending itnehen) = Wordhty i oadinn finchastrnonth) / Number of days in the month (dava/morith)I x 7 (darJweek)
Old Irrigation occur At This Facility:
Yes: No: X
Did Irrigation Occur On This Field:
Yes: No:
X
Did Irrigation Occur On This Field:
Yes: No: X
:..'
FIELD NUMBER: 11
AREA SPRAYED acres : 4.78
COVER CROP:
PERMITTED HOURLY RATE (Inches): 0.25
FIELD NUMBER: 12
SPRAYED acres: 3.43 /
COVER CROP:
IMITTED HOURLY RATE (inches): 0.25
WEATHER CONDITIONS
PERMITTED YEARLY RATE (inches): 32.5
WMITTEDD YEARLY RATE (inches):
32.5
D
A
T
Weather
code
Temper-
ature at
a canon
Storage
Preciptta- lagoon
tion Free -board
Volume
Applied
Time Irrigated
Dally
LoadingLoadinglied
Maximum
Hourly
Volume
Time
Irrigated
Daily
Loadin
Maximum
Hourly
Loading
E
(°F)
Inmos fed
gallons
minutes
Inches
Inches
gallons
minutes
Inches
inches
1
R
67
0.11 5
0
0
0.00
#DMO!
0
0
0.00
#D(V/0!
2
R
77
2.57
0
0
0.00
#DIV/Ol
0
0
0.00
#DIV/0!
3
R
76
1.55
0
0
0.00
#DIV/Ol
0
0
0.00
#DIV/01
4
PC
77
0
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/01
5
PC
72
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
6
PC
86
0 5
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
7
R
86
0.08 1
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
8
R
84
1 0.02
0
0
0.00
#DIV/O!
1 0
0
0.00
#DIV/O!
9
CL
86
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
10
PC
65
0
0
0
0.00
#DiV/01
0
0
0.00
#DIV/0!
11
R
88
0.22
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
12
R
80
0.52
0
1 0
0.00
#DIV/01
0
0 1
0.00
#DIV/01
13
PC
82
0 4.5
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
14
PC
85
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
15
CL
84
0
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/0!
16
PC
81
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
17
PC
83
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/Ol
18
CL
85
0
0
0
0.00
#DIV/01
0
0
0.00
#D V/01
19
PC
85
0
0
0
0.00
1 #DIV/0!
0
0
0.00
#DIV/01
20
R
79
1 0.67 4.5
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/Ol
21
R
8o
0.2
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
22
R
83
0.37
0
0,
0.00
#DIV/01
0
0
0.00
#DIV/01
23
R
82
0 1
0
0
0.00
#DIV/01 1
0
0
0.00
#DIV/O!
24
PC
85
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
25
PC
-75
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
26
PC
78
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
27
CL
80
0 4.5
0
0
0.00
#DIV/Ol
0
0
0.00
#DIV/0!
26
R
83
0.01
0
0
0.00
#DIV/Ol
0
0
0.00
#DIV/01
29
R
81
0.15 1
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
30
R
82
0.59
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
31
0
0
0.00
#DIV/O!
0
0.00
#DIV/01
Total Gallons/Monthly Loading (inches)
0
0.00
:"
0
0.00
12 Month Floating Total (Inches)
,,, ,, "< .. ,
.. ;
0.00
0.00
Average Weekly Loading (inches),'
0
0
Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, K -ram, an -snow, s1-sIeet
Spray Irrigation Operator in Responsible Charge (ORC): Alien Bliven Phone: [phone]
ORC Certification Number: 996725 Check Box if ORC Has Changed:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 276994617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

Page 8 of 8 ,
NON -DISCHARGE APPLICATION REPORT
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. )
the limit(s) in the
Compliant ,N)
`
r]
1. The application rate(s) did not exceed specked permit
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
[Y
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.
L'
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 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 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines
and imprisonment for knowing violations."
��(% � tT - �S� Ig(Signatu f PwAitteer Date
Wayne Hodges, Chairman
(Permittee -Please print or type)
PO Box 21, Swan Quarter, NC 27885
(Permittee Address)
William G. Freed
(Name of Signing Official -Please print or type)
By Authority, President Enviro-Tech
(Position or Title)
252-491-5277 9/30/2006
(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 2B.0506 (b)(2)(D).
DENR FORM NDAR 1 (11/2005)