WQ0012630_Monitoring - 09-2016_20161108 (2)

NON -DISCHARGE APPLICATION REPORT Page ` of_�
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0012630
MONTH: September YEAR: 2016
FACILITY NAME: H & H Truckwash COUNTY: Duplin
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feettgallon) x 12 (incheslfoot)] /(Area Sprayed (acres) x 43,560 (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) / 60 (minuteslhour)) Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Avnraan Weekly Loadlna tinchesl = [Monthly Loadino finches/monthl / Numher of days in the month Idnvs/mnnthll s 7 Irl-Mveekl
Did Irrigation Occur At This Facility:
Yes: ❑ No: Q
Did Irrigation Occur On This Field:
Yes: ❑ No: 21
Did Irrigation Occur On This Field:
Yes: I]
No: ❑
FIELD NUMBER: Zone 1
AREA SPRAYED (acres): 0.42
COVER CROP: Fescue Hay
PERMITTED HOURLY RATE (inches):
FIELD NUMBER:1 Zone 2
AREA SPRAYED (acres): 0.42
COVER CROP: Fescue Ha
PERMITTED HOURLY RATE (inches):
D
A
T
WEATHER CONDITIONS
Storage
Temper• Lagoon
weather ature aPrecipita- Free-
Code. application tion board
PERMITTED YEARLY RATE (inches):
Volume Time Daily
Applied Irrigated Loading
Maximum
Hourly
Loading
PERMITTED YEARLY RATE (inches):
Volume Time Daily
Applied Irrigated Loading
Maximum
Hourly
Loading
(°F) inches feet
gallons
minutes
inches
inches
gallons
minutes
inches
incites
1
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
2
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
3
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
4
2.2
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
5
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
6
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
7
8
9
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
10
0
0
0.00
#DIV/0!
11
2.2
0
0
0.00
#DIV/01
12
13
14
15
16
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
17
18
19
2.2
0
0
0.00
#DIV/0!
20
21
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
22
0
0
0.00
#DIV/0!
23
24
0
0
0.00
#DIV/0!
25
26
2.2
27
28
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
29
30
31
Total Gallons/Monthly Loading (Inches)
0
0.00
0
0.00
12 Month Floating Total (inches)
0.00
F-,
3.95
Average Weekly Loading (Inches)
0
0
- vwVdlller l•uuuS: WVICdI, rl-Pdllly VLuu Uy, l+l-VR/uuy, m-rdin, oii-snow, oi.51eet
Spray Irrigation Operator in Responsible Charge (ORC): Ronnie G. Kennedy Jr. 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
22788 Check Box if ORC Has Changed: ❑
252-568-2648
(SIGNAT RE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THI SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
TO TIA BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (5/2003)

NON -DISCHARGE APPLICATION REPORT
Page I of
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. )
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 f An ing violations."
( Jeff Harrell
(S oat a of ermittee)* Date (Name of Signing Official -Please print or type)
Jeff Harrell
(Permittee -Please print or type)
2004 Hallsville Road
Beulaville NC 28518
(Permittee Address)
Owner
(Position or Title)
910-296-0561 2/28/2018
(Phone Number) (Permit Exp. Date)
* 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).
DENR FORM NDAR-1 (5/2003)
Com 11 ant 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).
0
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
L'
4. All buffer zones as specified in the permit were maintained during each application.
0
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
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 f An ing violations."
( Jeff Harrell
(S oat a of ermittee)* Date (Name of Signing Official -Please print or type)
Jeff Harrell
(Permittee -Please print or type)
2004 Hallsville Road
Beulaville NC 28518
(Permittee Address)
Owner
(Position or Title)
910-296-0561 2/28/2018
(Phone Number) (Permit Exp. Date)
* 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).
DENR FORM NDAR-1 (5/2003)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00012630
MONTH: September
Page J— of�
FACILITY NAME: H & H Truckwash COUNTY: D
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feetigallon) x 12 (inchesKoot)j / [Area Sprayed (acres) x 43.560 (square feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
YEAR: 2016
Maximum Hourly Loading (inches) = Daily Loading (inches) / [rime Irrigated (minutes) / 60 (minutes/hour)] Monthly Loading (inches) = Sum of Daily Loadings (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: ❑ No: Q
Did Irrigation Occur On This Field:
Yes: ❑ No: Q
Did Irrigation Occur On This Field:
Yes: ❑
No: 0
FIELD NUMBER: Zone 3
AREA SPRAYED (acres): 0.42
COVER CROP: Fescue Hay
PERMITTED HOURLY RATE (inches):
FIELD NUMBER: Zone 4
AREA SPRAYED (acres): 0.42
COVER CROP: Fescue Ha
PERMITTED HOURLY RATE (inches):
D
A
T
E
WEATHER CONDITIONS
Storage
Temper- Lagoon
Weather ature at Preclplta- Free-
Coda* application tion board
PERMITTED YEARLY RATE (inches):
Volume Time Daily
Applied Irrigated Loading
Maximum
Hourly
Loading
PERMITTED YEARLY RATE (inches):
Volume Time Daily
Applied Irrigated Loading
Maximum
Hourly
Loading
(°F) inches feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
2
3
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
4
2.2
5
6
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
7
0
0
0.00
#DIV/0!
8
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
9
10
11
2.2
12
13
14
15
0
0
0.00
#DIV/01
16
0
0
0.00
#DIV/01
17
18
19
2.2
20
21
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
22
0
0
0.00
#DIV/0!
23
24
25
26
2.2
0
0
0.00
#DIV/0!
27
0
0
0.00
#DIV/01
28
29
30
0
0
0.00
#DIV/0!
31
0
0
0.00
#DIV/0!
Tota] Gallons/Monthly Loading (inches)
0
0.00
0
0.00
12 Month Floating Total (inches)l
0.00
0.00
Average Weekly Loading (inches) 10
0
Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Ronnie G. Kennedy Jr.
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
22788 Check Box if ORC Has Changed:
I]
Phone: [phone]
(SIGN URE OF OPERATOR IN RESPONSIBLE CHARGE)
BY Ty S SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
TO ZH
E BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (5/2003)

NON -DISCHARGE APPLICATION REPORT Page 2f 2
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. )
1. The did the limit(s) in the
Compliant (Y,N)
application rate(s) not exceed specified permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
0
4. All buffer zones as specified in the permit were maintained during each application.
0
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
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."
Jeff Harrell
(Si re of ermittee)* Date (Name of Signing Official -Please print or type)
Jeff Harrell Owner
(Permittee -Please print or type) (Position or Title)
910-296-0561
2004 Hallsville Road (Phone Number)
Beulaville, NC 28518
(Permittee Address)
2/28/2018
(Permit Exp. Date)
` 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).
DENR FORM NDAR-1 (5/2003)