WQ0004059_Monitoring - 09-2016_20161115

NON DISCHARGE APPLICATION REPORT
HIGH RATE INFILTRATION SITE(S)
THERE ARE THREE SITES PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER WQO 004059 COUNTY:
FACILITY NAME: Atlantic Station CLASS: III MONTH:
Formulas:
nnuv I narlinn /nallnnc/cnuarP fPPtl=VnhmnP AnnIiPrl(nallnncl/Sita Area kruinrP fact)
Page 2 of 2
Carteret
SEPT. YEAR 2016
* Weather Codes: S - sunny, PC - partly cloudy, Cl - cloudy, R - rain, Sn - snow, SI - sleet
OPERATOR IN RESPONSIBLE CHARGE (ORC
DRC Certification Number:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
Joe Lawrence
GRADE: III PHONE: [phone]
CHECK BOX IF ORC HAS CHANGED
X�"
GNAT E 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 NUMBER Zone 1
SITE NUMBER Zone 2
SITE NUMBER
SITE AREA (sq. ft.):
7,850 SITE AREA (sq. ft.):
7,850
SITE AREA (sq. ft.):
WEATHER CONDTIONS PERMITTED RATE (gpd/sp.ft.): 10 PERMITTED RATE (gpd/sp.ft.):
10
PERMITTED RATE (gpolsp.ft.):
D
TCode'
E
Weather Temp. Precip Volume
(•F) talion Volume Time Irrigated Daily Loading
Volume
Applied Time Irrigated
Daily Loading
Volume
Applied Time Irrigated Daily Loading
inches gallons minutes gallons/sq. ft.
gallons minutes
gallons/sq. ft.
gallons minutes gallons/sq. ft.
1
13800
125 1.75796178
0
0 0
2
22100
210 2.81528662
0
0 0
3
22000
210 2.80254777
0
0 0
4
43200
407 5.50318471
0
0 0
5
43300
403 5.51592357
0
0 0
6
32500
303 4.14012739
0
0 0
7
23000
214 2.92993631
0
0 0
8
16000
140 2.03821656
0
0 0
9
26300
250 3.35031847
0
0 0
10
20800
180 2.649681531
0
0 0
11
26500
242 3.37579618
0
0 0
12
30800
287 3.92356688
0
0 0
13
22200
206 2.82802548
0
0 0
14
14700
121 1.87261146
0
0 0
15
17500
164 2.22929936
0
0 0
16
28800
272 3.66878981
0
0 0
17
24900 .223
3.17197452
0
0 0
0
18
31600
296 4.02547771
0
0 0
O
19
31600
275 4.02547771
0
0 0
20
16700
153 2.12738854
0
0 0
21
16700
153 2.12738854
0
0
VIA
22
2900
15 0.36942675
0
0 0cl
`
23
16200
158 2.06369427
0
0 0
24
38000
361 4.84076433
0
0 0
25
28300
257 3.60509554
0
0 0
26
38400
360 4.89171975
0
0 0
27
18600
162 2.36942675
0
0 0
28
18600
162 2.36942675
0
0 0
29
22700
181 2.89171975
0
0 0
30
23200
193 2.95541401
01
01 0
31
0
01
0 0
Monthly Loading (gallons/sq.ft.)
93.2356688
0
Year -To -Date Loading (gallons/sq.ft.)
504.13
313.32
* Weather Codes: S - sunny, PC - partly cloudy, Cl - cloudy, R - rain, Sn - snow, SI - sleet
OPERATOR IN RESPONSIBLE CHARGE (ORC
DRC Certification Number:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
Joe Lawrence
GRADE: III PHONE: [phone]
CHECK BOX IF ORC HAS CHANGED
X�"
GNAT E 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) r
FACILITY STATUS:
the following permit requirements: (Note: If a requirement does not apply to your facility put "Win the compliant
box.
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
in the permit.
3. The Automatically Activated Standby power source is on site and
operational.
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."
Joe Lawrence
jigVu&reof Permittee * Date (Name of Signing Official -Please print or type)
Sugarloaf Utilities, Inc.
Centre Group Operator Responsible in Charge
Permittee - Please print or type (Position or Title)
514 Daniels Street, Suite 414
Raleigh, N(C 27605-1317 252-393-8720 12131 12017
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 28.0506 (b) (2) (D).
DENR FORM NDAAR-2(5/2003)