WQ0011313_Monitoring - 09-2016_20161115

NON DISCHARGE APPLICATION REPORT Page 2 of 2
HIGH RATE INFILTRATION SITE(S)
THERE ARE THREE SITES PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER W00011313 COUNTY: Carteret
FACILITY NAME: Peppertree CLASS: II MONTH: SEPT
Formulas:
Dailv Loadina (aallons/sauare feet)=Volume ADDlied(aallons)/Site Area (square feet)
YEAR 2016
- vveamer L;oaes: z:o - sunny, t -L; - partly clouay, L;I - cloudy, K - rain, 5n - snow, 51 - sleet
OPERATOR IN RESPONSIBLE CHARGE (OI Joe Lawrence
ORC Certification Number: 6418
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
5
GRADE: III PHONE: [phone] •
CHECK BOX IF ORC HAS CHANGED
x
GNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-2(5/2003)
SITE NUMBE Zone 1
SITE AREA (sq. ft.):
6,300
SITE NUMBE Zone 2
SITE AREA (sq. ft.):
6,300
SITE NUMBE
SITE AREA (sq. ft.):
WEATHER CONDTIONS PERMITTED RATE (gpd/sp 14.40
PERMITTED RATE (gpd/sp 14.40
PERMITTED RATE (gpd/sp.ft.):
D
A
T
E
Temp. Precip
Weather i Volume Time
Code • (•F) tatlon Applied Irrigated
Daily
Loading
Volume Time
Applied Irrigated
Daily
Loading
Volume Time Daily
Applied Irrigated Loading
low inches gallons minutes
gallons/sq. ft.
gallons minutes
gallons/sq. ft.
gallons minutes gallons/sq. ft.
1
2
7456
1.18349
7456
1.18349
3
17073
2.71000
17073
2.71000
41
13631.5
2.16373
13631.5
2.16373
5
13946
2.21365
13946
2.21365
6
12622.5
2.00357
12622.5
2.00357
7
5381
0.85413
5381
0.85413
8
11842
1.87968
11842
1.87968
9
8120.5
1.28897
8120.5
1.28897
10
9411
1.49381
9411
1.49381
11
10178.5
1.61563
10178.5
1.61563
12
6403.5
1.01643
6403.5
1.01643
13
7798
1.23778
7798
1.23778
14
7700.5
" 1.22230
7700.5
1.22230
15
6559.5
1.04119
655 .5
1.04119
16
6762
1.07333
6762
1.07333
17
10738.5
1.70452
10738.5
1.70452
18
11128.5
1.76643
11128.5
1.76643
19
7983.5
1.26722
7983.5
1.26722
20
.4730.5
0.75087
4730.5
0.75087
21
9741
1.54619
9741
1.54619
22
8096
1.28508
8096
1.28508
23
2558.5
0.40611
2558.5
0.40611
24
3531.5
0.56056
3531.5
0.56056
25
15708
2.49333
15708
2.49333
26
6918
1.09810
6918
1.09810
27
1181
0.18746
1181
0.18746
28
10853.5
1.72278
10853.5
1.72278-
29
4620
0.73333
4620
0.73333
30
8165.5
1.29611
8165.5
1.29611
31P
1
0.00000
0.00000
Monthly Loading (gallons/sq.ft.)
40.87
40.87
Year -To -Date Loading (gallons/sq.ft.)
321.28
MIJUN11
321.28
- vveamer L;oaes: z:o - sunny, t -L; - partly clouay, L;I - cloudy, K - rain, 5n - snow, 51 - sleet
OPERATOR IN RESPONSIBLE CHARGE (OI Joe Lawrence
ORC Certification Number: 6418
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
5
GRADE: III PHONE: [phone] •
CHECK BOX IF ORC HAS CHANGED
x
GNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-2(5/2003)

NON -DISCHARGE APPLICATION REPORT
HIGH RATE. INFILTRATION 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 "Win the compliant box.
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 noncompliance 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 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."
jocz„,,r Joe Lawrence
Signature of Permittee * Date
Compliant Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit.
2. The site was kept free of vegetation and raked at intervals specified
Operator Responsible in Charge
in the permit.
(Position or Title)
3. The Automatically Activated Standby power source is on site and
operational.
252-393-8720 09/30/12
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 noncompliance 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 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."
jocz„,,r Joe Lawrence
Signature of Permittee * Date
(Name of Signing Official -Please print or type)
Jerline Craine, Gen. Mgr. .
Peppertree Atlantic Homeowners Assoc., Inc.
Operator Responsible in Charge
Permittee - Please print or type
(Position or Title)
P.O. Box 1068
Atlantic Beach, NC 28512
252-393-8720 09/30/12
Permittee Address
(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 2B.0506 (b) (2) (D)
DENR FORM NDAAR-2(512003)
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