WQ0029653_Monitoring - 09-2016_20161101

+CRM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page
Permit No.: �G�-OO�C%(v5�
Facility Name:
Scotch Hall Preserve WWTP
County: Bertie
Month:
September
Year:
2016
Did
irrigation
Field Name:
ZONE 1
Field Name:
Field Name:
Field Name:
occur
Area.(acres):
13 ACRES
Area (acres):
Area (acres):
Area (acres):
at this facility?
Cover Crop:
GRASS
Cover Crop:
Cover Crop:
Cover Crop:
DYES ❑� NO
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather Freeboard
Field Irrigated?
DYES ONO
Field Irrigated?
DYES
ONO
Field Irrigated?
DYES
ONO
Field Irrigated?
DYES
[:]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
2
3
4
5
61
1
7
8
9
1,
10
12
13
14
15
16
17
J
18
19
20
21
22
23
24
25
26
27
281
1
29
30
31
0 n,,, -', : I:
0.00
Monthly Loading:
0
0.00
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0
0.00
12 Month Floating

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
cmL_
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
❑Compliant []Non-compliant
❑Compliant ❑Non -Compliant
❑Compliant ❑Non -Compliant
❑Compliant ❑Non -Compliant
❑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
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: RICK HARRELL
Permittee:
SCOTCH HALL PRESERVE WWTP
Certification No.: S1986118
Signing Official: DANIEL SUMEREL
Grade: Phone Number: 252-724-1663
Signing Official's Title: GENERAL MANAGER
Has the ORC changed since the previous NDAR-1? ❑Yes ❑No
Phone Number: 919-30040Ua Permit Exp.:
i0
(� �t
l� 3A
Signature Date
Signature Date
By this signatur I certify that this report 's 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