WQ0000948_Monitoring - 09-2016_20161101

- --11-f uw I WON -DISCHARGE APPLICATION REPORT (N®ARA) Page _(—of
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Permit No.: W00000948
�fi� (1G�'6�0`1�0©9� ®CC01J6'
Sit 'Ns. fadft?•(aGi"e�)::.
OYES ❑ NO
� Weather Freeboard
120 E9 °
„ IIio ❑+�. �Qca
�•
E A
in ft ft
~m "" —l
97
!J2
77 1.5 G' +
�c �o
Pr 9 +g
e. 9 G' o
Facility Name:
!'lolil'Namc:
TOWN OF JACKSON
.l T
County' Nor(hampton
� Month.
Field Name:
Year:
4
Field Name:
2
Field Name:
3
Cover; Crop:
lal Rate (In):
Cielct Irripated'i'
.27E.
,1
galri
�o.
11.'22 " :
Fescue
KI YES
Es a
GNl_pSt
...
in in
♦ a
,.
Area (acres):
cover crop:
Hourly Rate (in):
Annual Rate(in):
12.40
Fescue
Area arise '
Ccivgr Croix
Ilow IU bate (I'll):
Al!nual Rato (In):
15-. 55
:Fescue ..,
Area (acres):
cover crop:
Hourly Rate (in):
Annual Rate (in):
12.26
Fescue
Field Irrigated?
mv
'
1 Q.E
gal min
o96)
o3
E] YES
O
.
❑ NO
E pr
O
O
a
klel(I 11'498ted?
a
_ i
mill
n.
®'YES- NO
6)
aam
ro O f
Field Irigated7
E m
CL
gal
mtn
g�al1
-TYES NO
E7
E A+
Cdo
7i' 'eO
C3 o x:0 a
J J
+In ,ate in
mr. „
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43
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9
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12
13
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8:
300
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90
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20
21
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2430
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Monthly Loading:
'12 Month Floating Total in
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I UIN-LAZ5UI-i41NUE APPLICATION REPORT (NDAR-1) nano i of o2
Permit Mo,- WG200009,18
[Nd OfPf<'�g�1 ��Vu ®Ccufl'
-I u S fl'81CflKy?
C,4 YES ❑ No
Weather Freeboard
-w
o y d
12 Ba [2 CL'.-'
❑ O. 'p,y
c v >, a
h a W ❑
OF in ft ft
2.3
Facility Maine:
Fleld Plaltie:
TOWN Of- JACKSON
5
Field Maine: �
County: Noitll
1=1oId:Nan]e:
I I)JOn Month'
Field Name:
..
�1't'ea (aci'ec):;
. :T'1:':.59
Area (acres):
:Area (acres);
Area (acres):
., Cover Crop:
01b Ll R"]te {iri):..
NeIE1 Irrlgated;
cS1 . N
`o tRi 1- ul
`( '.
min
o
.6
' Fescue
] YFg ❑ 1a�7
Cn r•.
,..N E j C
r.] cu ie n a
�° r o
min an
_
,':. _ '"� %vZ
Cover Crop:
1-louriy Rate (in):
Annual Rate (in):'
Field Irrigate?
d
E ai E
° � °�
Q 1- C
gal min
❑Yes ❑ Np
a 17 '-, C
m m � v
❑ '� Z J
In In _
Cover CI`op:
Wourij rate (in):
i?ate (in):
Field lair. ated7
J
..
'v.' C .� w
a •r C `°
>' 1�
gel li]ii1
_
. '
' : `
(] YES. ❑ pip
..,, G .a >` C'
ru o ' r-. � `E
o o
Iiil In _
Cover Crop:
p:
ourRate (in):
Annual Rate (in):
Field Irrigated?
E y ai
� _ E �
> d t t
C
gal min
❑ YES El NO
C A a�
r -0 E s c
0 is Z O
J
in in
4
6
-
7777
101
,
..
.i.•
q q,
,i G
i 7
i9
20
22
---
23
24Ar_
'-
2$26
o,lp
o
28
29
—
30Zj—
�Monthli Loading:
12 Month Floating ioffal
_.:..
, r
1
_

- • -FORM: NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT (NDAR-1) Page / of
Did the application rates exceed the limits in Attachment B of your permit? i!d'Compllant ❑ Non-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 51 1pllant ❑ Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? DCompllant ❑ Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 2 Compllant ❑ Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? LCompliant ❑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 necessarv.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Johnny G. Young .
Permittee: Town of Jackson
Certification No.: 2 312 9
Signing Official: Jason S. Morris
Grade:l collection Phone Number: 252-534-3811
Signing Official's Title- Mayor
Has the ORC changed since the previous NDAR-1? ❑ Yes 9No
Phone Number: 252-534-3811 Permit Exp.: 12-31-16
G Q --Z • ll �
at�.�b / /
Signature Date
Sig ure Date
By this signature. I certify that this report is accurrale and complete to the best of my knowledge.
I certify, under penally 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617