WQ0022870_Monitoring - 09-2016_20161101 (3)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0022870
FACILITY NAME: Buck Mountain Development
MONTH: Sept YEAR: 2016
COUNTY: Chatham
Formulas:
Daily Loading (inches) = ]Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/fool)]! [Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) / lArea Sprayed (acres) x 27,152 (gallonslacre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / [rime Irrigated (minutes) 160 (minutes/hour)] Monthly Loading (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 (days/month)] x 7 (days/week)
Did Irrigation Occur At This Facility:
Yes: x No:
Did Irrigation Occur On This Field:
Yes: x No:
Did Irrigation Occur On This Field:
Yes: No: x
FIELD NUMBER: F1
A SPRAYED (acres): 11.4
COVER CROP: turfgrass
ITTED HOURLY RATE (inches): 0.1
FIELD NUMBER: F2
EA SPRAYED (acres): 5.56
COVER CROP: tuf­�c rass
WITTED HOURLY RATE (inches): 0.1
WEATHER CONDITIONS
ITTED YEARLY RATE (inches):
20.47
RMITTED YEARLY RATE (inches): 20.47
D
A
T
E
Temper-
weather atumat Precipita-
Code' application tion
storage
Lagoon
Free -board
Volume Time
Applied Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume Time
Applied Irrigated
Maximu
Daily mHourly
Loading Loading
(°F) inches
feet
gallons minutes
inches
inches
gallons minutes
inches inches
1
loft
2
3
4
5
6
7
8
9
C 65 0
loft
25200 240
0.06
0.02
54001 10
0.04 0.10
10
11
12
13
C 62 0
1 oft
25200 240
0.06
0.02
5400 10
0.04 0.10
14
C 61 0
loft
25200 240
0.06
1 0.02
5400 10
0.04 0.10
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Total Gallons/Monthly Loading (inches)
75600
0.18
16200
0.12
12 Month Floating Total (inches)
3.06
2.06
Average Weekly Loading (inches)
0.04
0.03
Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Brian Peters Phone: [phone]
ORC Certification Number: 987582 Check Box if
Mail ORIGINAL and TWO COPIES to: ,;PF:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality (SIGIN OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
RALEIGH, NC 27699-1617 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: if a requirement does not apply to your facility put (NA) in the
compliant box. )
Compliant (Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit. YY
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 p(FY —1
4. All buffer zones as specified in the permit were maintained during each applicatior Y�
5. The freeboard in the treatment andlor storage lagoon(s) was not less than the limit0
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."
(Sign attu ermittee)* Da e'
Aqua North Carolina
(Permittee -Please print or type)
202 MacKenan Ct
Cary NC. 27511
(Permittee Address)
Roger B. Tupps
(Name of Signing Official -Please print or type)
Waste Water Supervisor
(Position or Title)
919-467-8712
(Phone Number)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 26.0506 (b)(2)(D).

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0022870
MONTH: Sept YEAR: 2016
FACILITY NAME: Buck Mountain Development COUNTY:
Chatham
Formulas:
Daily Loading (inches) = (Volume Applied (gallons) x 0.1336 (cubic feeVgallon) x 12 (incheslfoot)] /(Area Sprayed (acres) x 43,560 (square feet/acre))
= Volume Applied (gallons) /[Area Sprayed (acres) x27,152 (gallons/acre-inch))
Maximum Hourly Loading (inches) = Daily Loading (inches) / [rime Irrigated (minutes) /60 (minutes/hour)}nthly Loading (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 (days/month)] x 7 (daysAveek)
Did Irrigation Occur At This Facility:
Yes: x No:
Did Irrigation Occur On This Field:
Yes: x No:
Did Irrigation Occur On This Field:
Yes: No: x
- -
.'
-
FIELD NUMBER:F2B
A SPRAYED acres : 4.22
COVER CROP: tuff raSs
TTED HOURLY RATE (inches): 0.1
FIELD NUMBER: F3
A SPRAYED (acres): 10.66
COVER CROP: turf rass
ITTED HOURLY RATE (inches): 0.1
D
A
T
E
WEATHER CONDITIONS
temper- storage
r
weathegoo„
Code' orate at Preoipita- La
application tion Free -board
lITTED YEARLY RATE (inches): 7.43 ITTED YEARLY RATE (inches): 20.47
Maximum Maximum
Volume Time Daily Hourly Volume Time Daily Hourly
Applied Irrigated Loading Loading Applied Irrigated Loading Loading
(°F) inches feet
gallons minutes
inches inches
gallons minutes
inches inches
1
2
3
4
5
6
7
8
9
C 65 0 loft
85501 240
0.08 0.03
22500 240
0.06 0.01
10
11
12
13
C 62 0 loft
8550 240
0.08 0.03
22500 240
0.06 0.01
14
C 61 0 loft
8550 240
0.08 0.03
22500 240
0.06 0.01
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Total Gallons/Monthly Loading (inches)
25650
0.24
67500
0.18
12 Month Floating Total (inches)-
_
2.19
3.08
Average Weekly Loading (inches)[
0.05
0.04
Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Brian Peters Phone: [phone]
ORC Certification Number: 987582 Check Box if C H s Ch n d:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
RALEIGH, NC 27699-1617 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: if a requirement does not apply to your facility put (NA) in the
compliant box. )
Compliant (Y,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). YO
3. A suitable vegetative cover was maintained on the site(s) in accordance with •C=
4. All buffer zones as specified in the permit were maintained during each applit�
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the YO
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."
'4,/ Roger B. Tupps
(Si ature of Permit t)*` /Date (Name of Signing Official -Please print or type)
Aqua North Carolina Waste Water Supervisor
(Permittee -Please print or type) (Position or Title)
919-467-8712
202 MacKenan Ct (Phone Number)
Cary NC. 27511
(Permittee Address)
' If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 28.0506 (b)(2)(D).

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE, USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00022870
FACILITY NAME: Buck Mountain Development
MONTH: Sept YEAR: 2016
COUNTY: Chatham
Formulas:
Daily Loading (inches) _ (Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 Cinches/foot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)]
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) /[Time Irrigated (minutes) / 60 (minutes/hour)hlthly Loading (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 (days/month)] x 7 (daystweek)
Did Irrigation Occur At This Facility:
Yes: x No:
Did Irrigation Occur On This Field:
Yes: x No:
Did Irrigation Occur On This Field:
Yes: x No:
'.
.. -
-
FIELD NUMBER: F3B
A SPRAYED (acres): 3.01
COVER CROP: turf raSS
ITTED HOURLY RATE (inches): 0.1
FIELD NUMBER: F4
A SPRAYED (acres): 7.18
COVER CROP: tuff rays
ITTED HOURLY RATE (inches): 0.1
WEATHER CONDITIONS
ITTED YEARLY RATE (inches): 7.43
ITTED YEARLY RATE (inches): 20.47
D
A
T
E
Temper- Storage
Weather
afore at Precipita- Lagoon
Code* application tion Free -board
Volume Time
Applied Irrigated
Maximum
Dail Hourly Volume Time
Y Y
Loading Loading Applied Irrigated
Maximum
Dail Hourly
Y Y
Loading Loading
(°F) inches feet
minutes
inches inches
gallons minutes
inches inches
1
2
3
4
5
6
7
8
9
C 65 0 loft
7650 1 180
0.08 0.03
20700 360
0.10 0.02
10
11
12
13
C 62 0 loft
7650 180
0.08 0.03
20700 360
0.10 1 0.02
14
C 61 0 10ft
7650 180
0.08 0.03
207001 360
0.10 0.02
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Total Gallons/Monthly Loading (inches)
22950
0.24
62100
0.30
12 Month Floating Total (inches)
2.16
3.96
Average Weekly Loading (inches)
- 1
0.05 1
0.07
Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Brian Peters Phone: [phone]
ORC Certification Number: 987582 Check Box i Has ha ged:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
RALEIGH, NC 27699-1617 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: if a requirement does not apply to your facility put (NA) in the
compliant box. )
Compliant (Y,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), Y�
3. A suitable vegetative cover was maintained on the site(s) in accordance with
4. All buffer zones as specified in the permit were maintained during each applit�
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the Y�
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.
Drought conditions during summer required extra irrigation to maintain healthy turfgrass.
"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."
( nature of P�ee)* Date
Aqua North Carolina
(Permittee -Please print or type)
202 MacKenan Ct
Cary NC. 27511
(Permittee Address)
Roger B. Tupps
(Name of Signing Official -Please print or type)
Waste Water Supervisor
(Position or Title)
919-467-8712
(Phone Number)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 26.0506 (b)(2)(D).

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0022870 MONTH: Sept YEAR: 2016
FACILITY NAME: Buck Mountain Development COUNTY:
Chatham
Formulas:
Daily Loading (inches) = (Volume Applied (gallons) x 0.1336 (cubic feet/oallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)I
= Volume Applied (gallons) / IArea Sprayed (acres) x 27,152 (gallons/acre-inch))
Maximum Hourly Loading (inches) = Daily Loading (inches) / [Time Irrigated (minutes) / 60 (minutes/hour)] mthly Loading (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading Cinches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading (inches/month) / Number of days in the month (days/month)] x 7 (daysAveek)
Did Irrigation Occur At This Facility:
Yes: x No:
Did Irrigation Occur On This Field:
Yes: x No:
Did Irrigation Occur On This Field:
Yes: x No:
-
FIELD NUMBER: F-5
A SPRAYED (acres): 13.22
COVER CROP: turfr rays
ITTED HOURLY RATE (inches): 0.1
FIELD NUMBER: F-6
A SPRAYED (acres): 4.94
COVER CROP: turfgrass
ITTED HOURLY RATE (inches):. 0.1
D
WEATHER CONDITIONS
1ITTED YEARLY RATE (inches): 20.47
ITTED YEARLY RATE inches): 20.47
A
T
E
Temper- storage
Weather p goon
ature at Preci rta- La
Code' application tion Free -board
Volume Time
Applied Irrigated
Maximum
Daily Hourly
Loading Loading
Volume Time
Applied Irrigated
Maximum
Daily Hourly
Loading Loading
(°F) inches feet
gallons minutes
inches inches
gallons minutes
inches inches
1
2
3
4
5
6
7
8
9
C 1 65 0 1 loft
360001 360
0.10 0.02
17550 240
0.10 0.03
10
11
12
13
C 62 0 loft
36000 360
0.10 0.02
17550 240
0.10 0.03
14
C 61 0 loft
36000 360
0.10 0.02
17550 240
0.10 0.03
15
16
17
18
19
20
21
- -
22
23
24
25
26
27
28
29
30
31
Total Gallons/Monthly Loading (inches)
108000
0.30
52650
0.30
12 Month Floating Tota[ (inches)
4.73
3.28
Average Weekly Loading (inches)l
7
0.07
0.07
Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Brian Peters Phone: [phone]
ORC Certification Number: 987582 Check Box' O C Ha Gtaanged:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
RALEIGH, NC 27699-1617 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: if a requirement does not apply to your facility put (NA) in the
compliant box. )
Compliant (Y,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). Y�
3. A suitable vegetative cover was maintained on the site(s) in accordance with t0
4. All buffer zones as specified in the permit were maintained during each applic Y�
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the Y�
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."
i�
Roger B. Tupps
(St ture of Perrg; e)* DSte (Name of Signing Official -Please print or type)
Aqua North Carolina Waste Water Supervisor
(Permittee -Please print or type) (Position or Title)
- 919-467-8712
202 MacKenan Ct (Phone Number)
Cary NC. 27511
(Permittee Address)
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).

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00022870
MONTH: Sept YEAR: 2016
FACILITY NAME: Buck Mountain Development COUNTY: Chatham
Formulas:
Daily Loading (inches) = IVolume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 Criches/foot)) I [Area Sprayed (acres) x43.560 (square feet/acre)]
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallonslacre-inch))
Maximum Hourly Loading (inches) = Daily Loading Cinches) I plme Irrigated (minutes) /60 (minules/hour)jnthly Loading (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches
Average Weeklv Loadina finches) = fMonthly Loadina finches/month) / Number of days in the month (dans/month)) x 7 (days Neck)
Did Irrigation
Occur At This Facility:
Yes: x No:
Did Irrigation Occur On This Field:
Yes: x No:
Did Irrigation Occur On This Field:
Yes: x No:
.
FIELD NUMBER: F-7
EA SPRAYED (acres): 16.48
COVER CROP: turff rass
ITTED HOURLY RATE (inches): 0.1
FIELD NUMBER: F-8
A SPRAYED acres : 4.06
COVER CROP: turfc rass
ITTED HOURLY RATE (inches): 0.1
D
WEATHER CONDITIONS
ATTEDYEARLYRATE (inches):1 20.47
1ITTEDYEARLYRATE (inches): 20.47
A
T
E
Temper- Storage
weather
Code' azure at Precipita- Lagoon
application Can Free -board
Volume Time
Applied Irrigated
Maximum
Dail Hourly
Y Y
Loading Loading
Volume Time
Applied Irrigated
Maximum
Dail Hourly
Y Y
Loading Loading
(°F) inches feet
gallons minutes
inches inches
gallons minutes
inches inches
1
2
3
4
5
6
7
8
9
C 65 0 loft
11700 180
0.02 0.01
9450 180
0.07 0.02
10
11
12
13
C 62 0 loft
11700 180
0.02 1 0.01
94501 180
0.07 0.02
14
C 61 0 loft
11700 180
0.02 0.01
9450 180
0.07 0.02
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Total Gallons/Monthly Loading (inches)
35100
0.06
28350
0.21
12 Month Floating Total (inches)
1.65
2.29
Average Weekly Loading (inches)
0.01
0.05
' Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Brian Peters Phone: [phone]
ORC Certification Number: 987582 Check Bo C Has C nged:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
RALEIGH, NC 27699-1617 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: if a requirement does not apply to yourfacility put (NA) in the
compliant box. )
Compliant (Y,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). YO
3. A suitable vegetative cover was maintained on the site(s) in accordance with 1 Y�
4. All buffer zones as specified in the permit were maintained during each appli�
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the Y�
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."
nature o Pte` ee)* �% Date
Aqua North Carolina
(Permittee -Please print or type)
202 MacKenan Ct
Cary NC. 27511
(Permittee Address)
Roger B. Tupps
(Name of Signing Official -Please print or type)
Waste Water Supervisor
(Position or Title)
919-467-8712
(Phone Number)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 28.0506 (b)(2)(D).

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: VVQ0022870
FACILITY NAME: Buck Mountain Development
MONTH: Sept
COUNTY:
YEAR: 2016
Chatham
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] / lArea Sprayed (acres) x 43,560 (square feet/acre)] 0
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / mime Irrigated (minutes) 160 (minutes/houfbnthly Loading (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 (days/month)] x 7 (days/week)
Did Irrigation Occur At This Facility:
Yes: x No:
Did Irrigation Occur On This Field:
Yes: x No:
Did Irrigation Occur On This Field:
Yes: No: x
FIELD NUMBER: F-9
A SPRAYED (acres)i 10.11
COVER CROP: turfr rass
ITTED HOURLY RATE (inches): 0.1
FIELD NUMBER: F-10
iA SPRAYED (acres): 5.76
COVER CROP: turf rass
ZMITTED HOURLY RATE (inches): 0.1
D
AMaximum
T
E
WEATHER CONDITIONS
Weather Temper- Storage
ature at Precipita- Lagoon
code a lication tion Free -board
pp
AITTEDYEARLYRATE (inches): 20.47
Volume Time Daily Hourly
A Iled Irri ated Loadin Loadin
PP 9 9 9
MITTED YEARLY RATE inches : 20.47
Maximum
Volume Time Daily Hourly
A Iced Irri ated Loading Loading
PP 9 9 g
(°F) inches feet
gallons minutes
inches inches
gallons minutes
inches inches
1
2
3
4
5
6
7
8
9
C 65 0 10ft
19800 240
0.08 0.02
18000 180
0.12 0.04
10
11
12
13
C 62 0 loft
19800 240
0.08 0.02
18000 180
0.12 0.04
14
C 61 0 loft
19800 240
0.08 0.02
18000 180
0.12 0.04
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Total Gallons/Monthly Loading (inches)
59400
0.24
54000
0.36
12 Month Floating Total (inches)l
2,79
4.12
Average Weekly Loading (inches)
0.05 1 10.08
. 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:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Brian Peters Phone: [phone]
987582 Check Box if O as F Fhanged:
1 /�

Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
(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: if a requirement does not apply to your facility put (NA) in the
compliant box. )
Compliant (Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s)i J
3. A suitable vegetative cover was maintained on the site(s) in accordance with
4. All buffer zones as specified in the permit were maintained during each appli�
5. The freeboard in the treatment and/or storage lagoon(s) was not less than th 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."
(Sigfffture of Perms e)* l Date
Aqua North Carolina
(Permittee -Please print or type)
202 MacKenan Ct
Cary NC. 27511
(Permittee Address)
Roger B. Tupps
(Name of Signing Official -Please print or type)
Waste Water Supervisor
(Position or Title)
919-467-8712
(Phone Number)
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).

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0022870
FACILITY NAME: Buck Mountain Development
MONTH: Sept YEAR: 2016
COUNTY: Chatham
Formulas:
Daily Loading (inches) = (Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] I (Area Sprayed (acres) x43,560 (square feettacre)]
= Volume Applied (gallons) /(Area Sprayed (acres) x 27,152 (gallonslacre-inch))
Maximum Hourly Loading (inches) = Daily Loading (inches) / ITimeJrrigated (minutes) / 60 (minutes/hour)lnthly Loading (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 (days/month)] x 7 (days/week)
Did Irrigation Occur At This Facility:
Yes: x No:
Did Irrigation Occur On This Field:
Yes: x No:
Did Irrigation Occur On This Field:
Yes: x No:
FIELD NUMBER: F -1 0B
A SPRAYED (acres)71 5.69
COVER CROP71 turfrgrass
ITTED HOURLY RATE (inches): 0.1
FIELD NUMBER: F-11
A SPRAYED (acres): 4.69
COVER CROP: turf rass
ITTED HOURLY RATE (inches): 0.1
D
WEATHER CONDITIONS
ITTED YEARLY RATE (inches): 7.43
ITTED YEARLY RATE (inches): 20.47
A
T
E
Temper- storage'
Weather p; goon
Code' azure at Preci ta- La
application tion Free -board
Volume Time
Applied Irrigated
Maximum
Daily Hourly
Loading Loading
Volume Time
Applied Irrigated
Maximum
Daily Hourly
Loading Loading
(°F) inches feet
gallons minutes
inches inches
gallons minutes
inches inches
1
2
3
4
5
6
7
8
9
C 65 0 loft
9450 180
0.05 1 0.02
3600 120
0.03 0.01
10
11
12
13
C 62 0 loft
9450 180
0.05 0.02
3600 120
0.03 0.01
14
C 61 0 loft
1 9450 180
0.05 0.02 1
3600 120
0.03 0.01
is
16
17
18
19
20
21
-
22
23
24
25
26
27
28
29
30
31
Tota[ Gallons/Monthly Loading (inches)
28350
0.15
10800
0.09
12 Month Floating Total (inches)
2.22
0.95
Average Weekly Loading (inches)
0.03
.-,.
0.02
Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Brian Peters Phone: [phone]
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
987582 Check Box if O s Changed:
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
TO THE BEST OF MY KNOWLEDGE.

or r r.l
r
�i 41
91 : &.N0N-01$GHAkdE AF�P-LIC#T10N �!*iPQRT.; . ). .'..� � � ��;.
t; + �I SPRAY'IfR�GATIQN.iSI}fE(�'� a
Please indican;( byinsertjng;Y(zs) or N(o) in'the 0ai;etkpir whetherthe,facility hag been cpm.pliank
e 4th the folloMir)g *mit requirements: (jVafe:!ifa requiremar)1+Obes noY apply to your facility put (NA) in the
rr compliant box.) t ! r ^ 1
Com:, liant (Y;,N)
1: The application rate(s) did not exceed the limit(s) specified in the permit. U
2. Adequate measures were taken to prevent wastewater runoff from the site(s). YY
3. A suitable vegetative cover was maintained on the site(s) in accordance with
4. All buffer zones as specified in the permit were maintained during each appli(0
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the0
`%pecified in the permit.
)•:1 Ifith tacil'tX.is non-compliant, please explain in the space below the reason(s) tlie facility was_not-in complianoe +hitt(. its :;
i.- .. b�.Qy de in yougexplanation the dat�(s) afhe non-compliance end describe fhe;co(re�iive ectaon(s) ta� el ;Attach"'
haPs��a�s if necessary.
"I certify, underpenalty 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.persdns who manage the system, or those persons directly responsible.
for gathering the iriformation, 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:"
�i% / Roger B. Tupps
(SiRA ture of Perriiit Date' Perriiit Date r (Name of Signing Official -Please print or type)
Aqua North Carolina Waste Water Supervisor
(Permittee -Please print or type) (Position or Title)
202 MacKenan Ct (Phone Number)
Cary NC. 27511
(Permittee Address)
' If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 28.0506 (b)(2)(D).

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0022870
FACILITY NAME: Buck Mountain Development
MONTH: Sept YEAR: 2016
COUNTY: Chatham
Formulas:
Daily Loading (Inches) _ [Volume Applied (gallons) x 0.1335 (cubic feet/gallon) x 12 (inches/foot)) / [Area Sprayed (acres) x43,560 (square feet/acre))
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch))
Maximum Hourly Loading (inches) = Daily Loading (inches) /[Time Irrigated (minutes) /60 (minutes/hour)lnthly Loading (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 (days/month)) x 7 (days/week)
Did Irrigation Occur At This Facility:
Yes: x No:
Did Irrigation Occur On This Field:
Yes: No: x
Did Irrigation Occur On This Field:
Yes: No: x
-. -
FIELD NUMBER: F-11 B
A SPRAYED (acres): 4.2
COVER CROP: turfr rays
TTED HOURLY RATE (inches): 0.1
FIELD NUMBER: F-11 C
A SPRAYED (acres): 9.37
COVER CROP: tu!lc raSS
ITTED HOURLY RATE (inches): 0.1
D
WEATHER CONDITIONS
ITTED YEARLY RATE inches): 20.47
JITTED YEARLY RATE (inches): 7.43
A
T
E
Temper- storage
Weather
atureat preclpita- Lagoon
Code. application tion Free -board
Volume Time
Applied Irrigated
9
Maximum
Daily Hourly
Loading Loading
9 9
Volume Time
Applied irrigated
P 9
Maximum
Daily Hourly
Loading Loading
9
(°F) inches feet
gallons minutes
inches inches
gallons minutes
inches inches
1
2
3
4
5
6
7
8
9
C 65 0 loft
9000 180
0.08 0.03
21600 240
0.08 0.02
10
11
12
13
C 62 0 1Oft
9000 180
0.08 0.03
21600 240
0.08 0.02
14
C 61 0 loft
9000 180
0.08 0.03
21600 240
0.08 0.02
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Total Gallons/Monthly Loading (inches)
27000 _
0.24
64800:1
0.24
12 Month Floating Total (inches)
-
2,88
3.48
Average Weekly Loading (inches)
-
0.05
0.05
Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Brian Peters Phone: [phone]
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
987582 Check So C a h ! ged:
---'a--7
(SIGMATURE 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)
FacilitV 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. )
Compliant (Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit. N�
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
4. All buffer zones as specified in the permit were maintained during each applit�
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the0
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.
Drought during the summer required extra irrigation to maintain healthy turgrass.
"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."
Roger B. Tupps
(Si ture o br Date (Name of Signing Official -Please print or type)
Aqua North Carolina
(Permittee -Please print or type)
202 MacKenan Ct
Cary INC. 27511
(Permittee Address)
Waste Water Supervisor
(Position or Title)
919-467-8712
(Phone Number)
If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 28.0506 (b)(2)(D).

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0022870 MONTH: Sept YEAR: 2016
FACILITY NAME: Buck Mountain Development COUNTY:
Chatham
Formulas:
Daily Loading (inches) _ [Volume Applied (gallons) x 0.1336 (cubic feettgallon) x 12 (incheslfoot)) / [Area Sprayed (acres) x 43,560 (square feet/acre)]
= Volume Applied (gallons) I [Area Sprayed (acres) x 27,152 (gallons/acre-inch))
Maximum Hourly Loading (inches) = Daily Loading (inches)! [Time Irrigated (minutes)160 (minutes/hour))nthly Loading (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 (inchesimonth) I Number of days in the month (dayslmonth)] x 7 (days/week)
Did Irrigation Occur At This Facility:
Yes: x No:
Did Irrigation Occur On This Field:
Yes: No: x
Did Irrigation Occur On This Field:
Yes: x No:
-
FIELD NUMBER: F-12
A SPRAYED (acres): 2.62
COVER CROP: turfr rasS
ITTED HOURLY RATE (inches):1 0.1
FIELD NUMBER: F -12B
A SPRAYED (acres): 1.54
COVER CROP: turf rass
ITTED HOURLY RATE (inches): 0.1
D
WEATHER CONDITIONS
ITTED YEARLY RATE (inches): 20.47
ITTED YEARLY RATE (inches): 7.43
A
T
E
Temper- Storage
wencher atureat Precipita• Lagoon
Code' application tion Free -board
Volume Time
Applied Irrigated
PP� 9
Maximum
Daily Hourly
Loading Loading
9 9
Volume Time
Applied Irrigated
PP 9
Maximum
Daily Hourly
Loading Loading
9 9
(°F) inches feet
gallons minutes
inches inches
gallons minutes
inches inches
1
2
3
4
5
6
7
8
9
C 65 0 loft
7200 120
0.10 0.05
4500 180
0.11 0.04
10
11
12
13
C 62 0 loft
7200 120
0.10 1 0.05
4500 180
0.11 0.04
14
C 61 0 loft
7200 120
0.10 0.05
4500 180 1
0.11 0.04
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
'
31
Total Gallons/Monthly Loading (inches)
21600
0.30
13500
0.33
12 Month Floating Total (inches)
3.26
2.67
Average Weekly Loading (inches)
0.07
0.07
Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Brian Peters Phone: [phone]
ORC Certification Number: 987582 Check Bo ' R Ha C ged:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit i
DENR
Division of Water Quality (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
RALEIGH, NC 27699-1617 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: if a requirement does not apply to your facility put (NA) in the
compliant box. )
Compliant (Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit. N�
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 - YO
4. All buffer zones as specified in the permit were maintained during each appli(YO
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the Y�
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.
Drought during the summer required extra irrigation to maintain healthy turfgrass.
"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."
(SW ature of tee)* Date
Aqua North Carolina
(Permittee -Please print or type)
202 MacKenan Ct
Cary NC. 27511
(Permittee Address)
Roger B. Tupps
(Name of Signing Official -Please print or type)
Waste Water Supervisor
(Position or Title)
919-467-8712
(Phone Number)
If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 28.0506 (b)(2)(D).

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0022870 MONTH: Sept YEAR: 2016
FACILITY NAME: Buck Mountain Development COUNTY:
Chatham
Formulas:
Daily Loading (inches) = lVolume Applied (gallons) x 0.1336 (cubic feeVgallon) x 12 (inches/foot)]/ [Area Sprayed (acres) x43,560 (square feet/acre)]
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / [Time Irrigated (minutes) /60 (minutes/hour)lnthly Loading (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 (days/month)] x 7 (daysMeek)
Did Irrigation Occur At This Facility:
Yes: x No:
Did Irrigation Occur On This Field:
Yes: x No:
Did Irrigation Occur On This Field:
Yes: No: x
-
-:
FIELD NUMBER: F-13
A SPRAYED (acres): 8.49
COVERCROP: turfr rays
TTED HOURLY RATE (inches): 1 0.1
FIELD NUMBER: F -13B
A SPRAYED (acres): 2.2-
.2COVER
COVER CROP: tuff raSS
ITTED HOURLY RATE (inches): 0.1
D
WEATHER CONDITIONS
ITTED YEARLY RATE (inches)d 20.47
[TTED YEARLY RATE (inches): 7.43
.A
T
E
Temper- - storage
weather code atureat Precipita- Lagoon
application tion Free -board
Volume Time
Applied Irrigated
Maximum
Daily Hourly
Loading Loading
.
Volume Time
A lied Irrigated
Maximum
Daily Hourly
Loading Loading
(°F) inches feet
gallons minutes
inches inches
gallons minutes
inches inches
1
2
3
4
5
6
7
8
9
C 65 0 loft
15750 240
0.05 0.01
4500 180
0.08 0.03
10
11
12
13
C 62 0 loft
15750 240
0.05 1 0.01
4500 180
0.08 0.03
14
C 61 0 loft
15750 240
0.05 0.01
4500 180
0.08 0.03
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Total Gallons/Monthly Loading (inches)
47250
0.15
13500
0.24
12 Month Floating Total (inches)
2.39
2.02
Average Weekly Loading (inches)
0.03
0.05
Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Brian Peters Phone: [phone]
ORC Certification Number: 987582 Check Box if OR Ch Mied:
Mail ORIGINAL and TWO COPIES to: /
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
RALEIGH, NC 27699-1617 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: if a requirement does not apply to your facility put (NA) in the
compliant box. )
Compliant (Y,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). Y�
3. A suitable vegetative cover was maintained on the site(s) in accordance with
4. All buffer zones as specified in the permit were maintained during each applit�
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the0
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."
(Sipa ure of Pefyt e)* Date
Aqua North Carolina
(Permittee -Please print or type)
202 MacKenan Ct
Cary NC. 27511
(Permittee Address)
Roger B. Tupps
(Name of Signing Official -Please print or type)
Waste Water
(Position or Title)
919-467-8712
(Phone Number)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 28.0506 (b)(2)(D).

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: VV00022870
MONTH: Sept YEAR: 2016
FACILITY NAME: Buck Mountain Development COUNTY:
Chatham
Formulas:
Daily Loading (Inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)) / [Area Sprayed (acres) x 43,560 (square feet/acre)) C
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / [rime Irrigated (minutes) / 60 (minutes/hour)Aonthly Loading (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 (days/month)] x 7 (days/week)
Did Irrigation Occur At This Facility:
Yes: x No:
Did Irrigation Occur On This Field:
Yes: x No:
Did Irrigation Occur On This Field:
Yes: x No:
_.:
FIELD NUMBER: F-14
A SPRAYED (acres): 9.91
COVER CROP: turfr rass
ITTED HOURLY RATE (inches): 0.1
FIELD NUMBER: F-15
EA SPRAYED (acres): 4.79
COVER CROP: tuff rass
MITTED HOURLY RATE (inches): 0.1
WEATHER CONDITIONS
11ITTED YEARLY RATE (inches): 20.47
WITTED YEARLY RATE (inches): 20.47
D
AMaximum
T
E
Weather WthTemper- storage
atureat Precipita- Lagoon
Code' application tion Free -board
Volume Time
Applied Irrigated
P 9
Daily Hourly
Loading Loading
9 9
Volume Time
Applied Irrigated
PP� 9
Maximum
Daily Hourly
Loading Loading
9 9
(°F) inches feet
gallons minutes
inches inches
gallons minutes
inches inches
1
2
3
4
5
6
7
8
9
C 65 0 10ft
22950 360
0.07 0.01
11250 180
0.07 0.02
10
11
12
13
C 62 0 1Oft
22950 360
0.07 0.01
11250 180
0.07 0.02
14
C 61 0 1Oft
22950 360
0.07 0.01
11250 180
0.07 0.02
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Total Gallons/Monthly Loading (inches)l
68850
0.21
33750
0.21
12 Month Floating Tota[ (inches)l
4.99
1.32
Average Weekly Loading (inches)l
0.05
0.01
Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Brian Peters Phone: [phone]
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
987582 Check Box if O C Ha Cfi'nged:

Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
(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: if a requirement does not apply to your facility put (NA) in the
compliant box. )
Compliant Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit. I YY
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 tl�
4. All buffer zones as specified in the permit were maintained during each applic�
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the
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."
(Si ature of PP ittee)* Date
Aqua North Carolina
(Permittee -Please print or type)
202 MacKenan Ct
Cary NC. 27511
(Permittee Address)
Roger B. Tupps
(Name of Signing Official -Please print or type)
Waste Water Supervisor
(Position or Title)
919-467-8712
(Phone Number)
* 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).

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0022870 MONTH: Sept YEAR: 2016
FACILITY NAME: Buck Mountain Development COUNTY:
Chatham
Formulas:
Daily Loading (inches) _ [Volume Applied (gallons) x 0.1336 (cubic feettgallon) x 12 (inches/fool)] / [Area Sprayed (acres) x 43,560 (square feet/acre)]
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / [Time Irrigated (minutes) /60 (minutes/hour))nthly Loading (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 (days/month)l x 7 (devslweek)
Did Irrigation Occur At This Facility:
Yes: x No:
Did Irrigation Occur On This Field:
Yes: x No:
Did Irrigation Occur On This Field:
Yes: x No:
FIELD NUMBER: F-16
A SPRAYED (acres): 9.05
COVER CROP: turfr rass
TTED HOURLY RATE (inches):1 0.1
FIELD NUMBER: F-17
A SPRAYED (acres): 5.37
COVER CROP: turf ras5
ITTED HOURLY RATE (inches): 1 0.1
D
WEATHER CONDITIONS
ITTED YEARLY RATE (inches): 20.47
IITTEDYEARLYRAT (in6hes):j (inches):20.47
A
T
E
Temper- storage
weather ature r Precipita- Lagoon
code• application tion Free -board
Volume Time
Applied Irrigated
Maximum
Daily Hourly
Loading Loading
Volume Time
Applied Irrigated
Maximum
Daily Hourly
Loading Loading
(°F) inches feet
gallons minutes
inches inches
gallons minutes
inches inches
1
2
3
4
5
6
7
8
9
C 65 0 loft
229501 240
0.09 0.02
17550 420
0.11 0.11
10
11
12
13
C 62 0 loft
22950 240
0.09 0.02
17550 420
0.11 0.11
14
C 61 0 loft
22950 240
0.09 0.02
17550 420
0.11 0.11
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Total Gallons/Monthly Loading (inches)
68850
0.27
52650
0.33
12 Month Floating Total (inches)
3,88
3.19
Average Weekly Loading (inches)
'
0.06
0.07
Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Brian Peters Phone: [phone]
ORC Certification Number: 987582 Check Bo if OR H s C nged:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
RALEIGH, NC 27699-1617 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: if a requirement does not apply to your facility put ( NA) in the
compliant box. )
Compliant (Y,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). YO
3. A suitable vegetative cover was maintained on the site(s) in accordance with Y�
4. All buffer zones as specified in the permit were maintained during each applii Y�
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the Y�
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."
P
Roger B. Tupps
(Sjeature of Perm bate (Name of Signing Official -Please print or type)
Aqua North Carolina Waste Water Supervisor
(Permittee -Please print or type) (Position or Title)
-- 919-467-8712
202 MacKenan Ct (Phone Number)
Cary NC. 27511
(Permittee Address)
If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 26.0506 (b)(2)(D).

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0022870 MONTH: Sept YEAR: 2016
FACILITY NAME: Buck Mountain Development COUNTY: Chatham
Formulas:
Daily Loading (inches) = IVolume Applied (gallons) x0.1336 (cubic feet/gallon) x 12 (inches/foot)] / [Area Sprayed (acres) Y43,560 (square feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / (Time Irrigated (minutes) 160 (minuteslhour)] onthly Loading (inches)
12 Month Floating Total (inches) April
Average Weekly Loading (inches) = [Monthly Loading (inches/month) / Number of days in the month (days/month)) x 7 (days/week)
Did Irrigation
Occur At This Facility:
Yes: x No:
Did Irrigation Occur On This Field:
Yes: x No:
Did Irrigation Occur On This Field:
Yes: x No:
FIELD NUMBER: F-18
AREA SPRAYED acres : 17.8
COVER CROP: turfr rays
PERMITTED HOURLY RATE (inches): 0.1
FIELD NUMBER: DR
A SPRAYED (acres): 14.9
COVER CROP: turfc rays
ITTED HOURLY RATE (inches): 0.1
D
WEATHER CONDITIONS
PERMITTED YEARLY RATE (inches):
20.47
ITTED YEARLY RATE (inches): 20.47
A
T
E
Temper- Storage
Weather
Code' -tuna at Preeipita- Lagoon
application tion Free -board
Volume Time
Applied Irrigated
Dail Y
.Loading
Maximum
Hourly
Y
Loading
Volume Time
Applied Irrigated
Maximum
Dail Hourl
Y y'
Loading Loading
(`F) inches feet
gallons minutes
inches
inches
gallons minutes
inches inches
1
-
2
3
4
5
6
7
8
9
C 65 0 1Off
38250 360
0.08
0.01
6300 180
0.02 0.01
10
11
12
13
C 62 0 loft
38250 360
0.08
0.01
6300 180
0.02 0.01
14
C 61 0 loft
38250 360
0.08
0.01
6300 180
0.02 0.01
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Total Gallons/Monthly Loading (inches)
114750
0.24
18900
0.06
12 Month Floating Total (inches)
4.58
2.68
Average Weekly Loading (inches)
0.05
0.01
Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Brian Peters Phone: [phone]
ORC Certification Number: 987582 Check Bo (O C Hs�Ch ngAd:
Mail ORIGINAL and TWO COPIES
ATTN: Non -Discharge Compliance Unit
DENR IAE/nL�
Division of Water Quality (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
RALEIGH, NC 27699-1617 TO THE BEST OF MY KNOWLEDGE.
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)

FacilitV 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. )
Compliant (Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit. YO
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 F Y�
4. All buffer zones as specified in the permit were maintained during each applicatio Y�
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limi YO
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."
C�
(S,LgKature 6f-PerTgWFj1Date
Aqua North Carolina
(Permittee -Please print or type)
202 MacKenan Ct
NC. 27511
— -- (Permittee Address)
Roger B. Tupps
(Name of Signing Official -Please print or type)
Waste Water Supervisor
(Position or Title)
919-467-8712
(Phone Number)
` 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).