WQ0012696_Monitoring - 10-2016_20161109 (3)

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page, . of
Permit No.: W00012696
Facility Name: Pamlico River Ferry Term'inc,
county: Beaufort Month: Q.C7�; Yeo.:.dZ o 1h
Did irrigation occur
at this•facility?
��//ES' NO
YQY❑
Fletd Name ri
Field Name:
1 Feld Name P •
Field Name:
Area facies);' 0 8
Area (acres): ,,
�� ` Area (acres)
Area (acres):
CovCrop ; . w
er
Cover Crop:
r
Cover Crop r.4
Cover Crop:
HourlyiRate (In);' t]174
Hourly Rate (In):
Hourly Rafe (In) Y
Hourly Rate (in):
Annue) Rate (In) 81 a
Annual Rate (In):Andual
} Rae (in) _. ,
Annual Rate (in):
Weather Freeboard
Fletd'lrrlgated? ❑YEs ❑No"
Field Irrigated? ❑YEs❑No
141 04 [Q YES Not
Field Irrigated? ❑YES' ❑No
a o m
a, ° as
X
h t0 p,
y� E
oa {- C� 3 ' S°`$
E�i
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oa 1='E. o� '�xp1p0
v: F=E qo y$.`
oCL j_t
J J
°p in ft ft
gal _ m_ln In t . _ ,in
gat min In In
gal t.,.. mTn in :"in, '
gal min in In
Aa
-
3
,.
777777777, -7,77` :gip' d
77777
7
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10
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12
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13
r4
1477777
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15
s
s
18
q -
17 DPT
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18
19
20
7777
21
22;
23,
24
25
28
i
27Z.
28
V.
29 r]
30
ev :.
31
n
Monthly Loading:
12 Month Floating Total (in):

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?E9<5mpllarrt ❑ Non-compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? _ Q Compliant ❑ Non Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? p c mpliant ❑ Non-compliant
Were all setbacks listed. in your permit maintained for every application to each permitted site? p compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified. freeboa rd heights in your permit? nmpliant ❑ 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 thi3 non-compliance and describe the corrective
actions) taken. Attach additional sheets if necessary.
in Responsible Charge (CIRC) Certification
Permittee Certification
AOperator
CIRC:
—
Permittee: Nt rP% 0
Certification No.:
Signing official:
Grade: % Phone Number. a 7 9 b ft✓ `' 'C��
Slgning; Official's Tltle: e r
Has the ORC changed since the previous NDARA? ❑ yes �
Phone Number: 2 S -Z- qbJ —�S �/ Permit'Exp.:' 9� 30 2 Z�
Signature Date/
Signature Date
By this signature, I certify that this report is 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 qualifled'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. l 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