WQ0004823_Monitoring - 09-2016_20161031 (3)

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2 of 3
Permit No.: W00004823
Facility Name:
Pine Island / Currituck Club
County: Currituck
Month:
September
Year:
2016
Did irrigation occur
at this facility?
❑ YES ❑ NO
Field Name:
Golf Course
Field Name:
Field Name:
Field Name:
Area (acres): 66
Area (acres):
Area (acres):
Area (acres):
Cover Crop.:
Cover Crop'
Cover Crop:
Cover Crop:
Hourly Rate (in): 0.4
Hourly Rate (in):
Hourly Rate (In):
Hourly Rate (in):
Annual Rate (in): 101.4
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather Freeboard
Field Irrigated?
0 YES
❑ NO
Field Irrigated?
❑ YES
❑ NO
Field Irrigated?
g
❑ YES
❑ NO
Field Irrigated?
❑YES
❑ NO
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°F in ft ft
gal - min
In
In
gal min
in
in
gal min
In
in
gal min
in
in
1
C 78 0
275,000 620
0.15
0.01
2
CL 74 1
275,000 620
0.15
0.01
3
R 74 5+
275,000 620
0.15
0.01
4
PC 72 0
0 0
0.00
0.00
5
PC 74 0
0 0
0.00
0.00
61
C 70 0
0 0
0.00
0.00
7
C 72 0
275,000 620
0.15
0.01
8
R 74 0.5
275,000 620
0.15
0.01
9
C 84 0
275,000 620
0.15
0.01
10
C 84 1 0 1
275,000 620
1 0.15
0.01
11
C 78 0.4
275,000 620
0.15
0.01
121
PC 76 0
275,000 620
0.15
0.01
13
C 74 0
275,000 620
0.15
0.01
14
C 70 0
275,000 620
0.15
0.01
15
C 76 0
275,000 620
0.15
0.01
16
C 74 1 0 1
1 275,000 620
0.15
0.01
17
C 75 0
275;000 620
0.15
0.01
181
C 74 0
275,000 620
0.15
0.01
19
C 74 5+
275,000 620
0.15
0.01
20
R 72 1.2
275,000 620
0.15
0.01
21
R 76 0
275,000 620
0.15
0.01
22
C 76 1 0 1
1 275,000 620
0.15
0.01
23
CL 80 0
1 275,000 620
0.15
0.01
241
C 73 0
275,000 1 620
0.15
0.01
25
PC 72 0
275,000 620
0.15
1 0.01
26
C 70 0
275,000 620
0.15
1 0.01
27
PC 72 0
275,000 620
0.15
0.01
28
C 76 1 0
275,000 620
0.15
0.01
29
C 78 0
275,000 620
0.15
0.01
301
C 80 0
275,000 1 620
0.15
0.01
31
Monthly Loading:
12 Month Floating Total (in):
7,425,000
4.14
0
0.00
0
0.00
0
0.00

FORM: NDAR-1 10-13 NOWDISCHARGEAPPLICATION REPORT (NDAR-1)
Page. of
Did the application rates exceed the.,limits"in Attachment B of your permit?
p compliant
❑ Non -Compliant
'Were adequate measuresAaken to prevent effluent ponding in or runoff from the sites?
p compliant
❑ Non -Compliant
Was a suitable vegetative cover maintained on .all sites as specified in your permit?
❑r Compliant
❑ Non-compliant
Were all setbacks listed in your permit maintained for every application to -each permitted site?
[D Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
❑r Compliant
❑ 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
taken. Attacn a(]tlltlonal sneets it necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Jimmy Bliven
Permittee:
Rolf Blizzard
Certification No.: 28243
Signing official: William G Freed �by Authority
Grade: SI Phone Number: 2522022435
Signing Officials Title: Pres of Envirotech
Has the ORC changed since the previous NDAR-1? ❑ yes No
Phone Number: 2524915277 Permit Exp.: 2/28/19 -
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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617