WQ0020809_Monitoring - 09-2016_20161101

FORM: NDMR-1 08-11 NON -DISCHARGE MONITORING REPORT (NDAR-1) Page 1 of 2
Permit No W00020809
Field Name:
Did irrigation
Field Name: Zone 2
occur
11.87
at this facility?
Cover Crop:
YES ® NO
Cover Crop: Bermuda Grass
Weather
O
2 o
cc U
w
@ }6
❑ @C
CL n
F a
1:1 YES® NO
°F in
4.25
0.15
0.10
2.60
0.70
0.65
0.15
75
Freeboard
w a�
n
D U
65 @ d
LO
ft ft
Facility Name: Farmville Golf & Country Club Reclaimed Water
Field Name:
Zone 1
Field Name: Zone 2
Area (acres):
11.87
Area (acres): 9.96
Cover Crop:
Bermuda Grass
Cover Crop: Bermuda Grass
Hourly Rate (in):
0.20
Hourly Rate (in): 0.20
Annual Rate (in):
4.90
Annual Rate (in): 4.90
Field Irrigated?
1:1 YES® NO
Field Irrigated? YES ® NC
d N
7
m
d m m
Ern
T� �.o)
@m Rom
T `
Eo) @m Xo'm
E
aa)
m
Q a
-
m
n o
J J
gal min
in in
gal min in in
County:
Pitt
Month: September
Year: 2016
Field Name:
Zone 3
Field Name:
Zone 4
Area (acres):
11.79
Area (acres):
14.58
Cover Crop:
Bermuda Grass
Cover Crop:
Bermuda Grass
Hourly Rate (in):
0.20
Hourly Rate (in):
0.20
Annual Rate (in):
4.90
Annual Rate (in):
4.90
Field Irrigated? E:1 YES® NO
Field Irrigated?
E] YES® NO
m
Q a
rn E T rn
m
n o
rn E Trn
E �rn
❑o m=o
E �rn
❑o m=o
O _
-
J � J
gal min
in in
gal min
in in
L_ 12 Month Floating Total (in): I I I I I I I I I I I I I I

FORM: NDAR-01 08 11 NON -DISCHARGE MONITORING REPORT (NDAR-1) Page 2 of 2
Did the application rates exceed the limits in Attachment B of your permit?
O
Compliant
❑ Non-Compllan
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
51
Compliant
Non-Complian
Was a suitable vegetative cover maintained on all sites as specified in your permit?
XE
Compliant
Non-Compllan
Were all setbacks listed in your permit maintained for every application to each permitted sitelf
XI
Compliant
Non -Compliant
Were all freeboards maintained in accordance With the specified freeboard heights in your permit?
I certify, and pe Ity aw, that this document and all attachments were prepared under my direction or supervision In
Compliant
❑ Non-Complian
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 sheet if necessary
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: James Shoulders
Permittee: Town Of Farmville
Certification No.: 986266
Signing Official: Gary Stainback
Grade: 4 Phone Number: 252-753-3913
Signing Official's Title Consultant
Has the ORC changed since the previous NDAR-1? Yes EXI X
Phone. Number: 00-722 469 Permit Expiration: 07/31/2014
Signature Dale
Si ature ate
By this signature, I certify that this report is accurrate and complete to the best of my knowledge,
I certify, and pe Ity aw, that this document and all attachments were prepared under my direction or supervision In
accordance with a s stem 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
alhering the information, the Information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I a rt
aware that there are slgnifcant 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 Mall Service Center
Raleigh, North Carolina 27699.1617

FORM: NDMR-1 08-11 NON -DISCHARGE MONITORING REPORT (NDAR-1) Page 2 of 2
Permit No.: W00020809
Pitt
Field Name:
Did irrigation
Field Name:
Field Name:
occur
Area (acres):
18.03
at this facility?
Area (acres):
YES No
Bermuda Grass
Cover Crop:
Weather
Freeboard
Hourly Rate (in):
d c
0 0
-
CU
U m 6
N N La_
rn an
U
4.90
m Ed
&5
U N
EL
OCL
m
N
Field Irrigated?
T in
fl ft
01
3.25
v
02
4.25
rn
03
0.15
�, C E`
Facility Name: Farmville Golf & Country Club Reclaimed Water
Pitt
Field Name:
Zone 5
Field Name:
Field Name:
21
Area (acres):
18.03
Area (acres):
Area (acres):
Cover Crop:
Bermuda Grass
Cover Crop:
Cover Crop:
Hourly Rate (in):
0.20
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
4.90
Annual Rate (in):
Annual Rate (in):
Field Irrigated?
1:1 YES® NO
Field Irrigated?
YES E NC
ami
CL
Em
m E a
m
¢ E m
v
E 5 0
m
v
rn
rn
EE
O_ .�_.
cu
�, C E`
_
J J
3 _
J
J
E F_
o
0
CT
cC J0
gal min
in in
gal min
in
in
County:
Pitt
Month: September
Year:
2016
Field Name:
21
Field Name:
22
0.15
Area (acres):
Area (acres):
Cover Crop:
Cover Crop:
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
Annual Rate (in):
Field Irrigated?
YES ❑ NO
Field Irrigated?
YES ❑ NO
ai
n v
rn E mn.
m
v
rn
rn
EE
O_ .�_.
cu
�, C E`
ca
E
E H
❑J0 =
E F_
o
0
CT
cC J0
J
� J
gal min
In in
gal min
in
in
181 1
0.10
19
2.60
20
0.70
21
0.65
22
0.15
0.75
12 Month Floating Total

FORM: NDAR-01 08 11 NON -DISCHARGE MONITORING REPORT (NDAR-1) Page 2of2
Did the application rates exceed the limits in Attachment B of your permit?x�
Permittee Certification
Compliant
❑ Non-Complian
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
x❑
Compliant
ElNon-Complian
Was a suitable vegetative cover maintained on all sites as specified in your permit?
X�
Compliant
Non-Complian
El
Were all setbacks listed in your permit maintained for every application to each permitted site
X�
Compliant
El Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
X�
Compliant
Non-Complian
r
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 sheet If necessary
knowing violations.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: James Shoulders
Permittee: Town Of Farmviile
Certification No.: 986266
Signing Official: Gary Stainback
Grade: 4 Phone Number: 252-753-3913
Signing Official's Title Consultant
Has the ORC changed since the previous NDAR-1? El Yes [K] X
Phone. Number: 800-722- Permit Expiration: 07/31/2014
Lo -z14--1
6
Signature Date
Signal e D to
By this signature, I certify that this report is accurrate and complete to the best of my knowledge,
1 -certify, under pnattyaw 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
athering the Information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I a
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