WQ0013027_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 W00013027 COUNTY: Carteret
FACILITY NAME: Sea Isle Plantation CLASS: II MONTH: Septembei YEAR 2016
Formulas:
Dailv Loadina (aallnnslsauare feet)=Volume Annlied(aallons)/Site Area (sauare feet)
* Weather Codes: S - sunny, PC - partly cloudy, Cl - cloudy, R - rain, 5n - snow, 51 - sleet
OPERATOR IN RESPONSIBLE CHARGE (Ot Robert C. Howard GRADE: III PHONE: [phone]
ORC Certification Number: 996013
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-2(5/2003)
U
SITE NUMBE Zone 1
SITE NUMBE Zone 2
SITE NUMBE
SITE AREA (sq. ft.): 4,071 SITE AREA (sq. ft.): 4,071
SITE AREA (sq. ft.):
WEATHER CONDTIONS
PERMITTED RATE (gpd/sp
5
PERMITTED RATE (gpd/sp
5
PERMITTED RATE (gpd/sp.ft.):
D
A
T
E
Temp. Precip
Weather i
Code " ('F) tation
Volume Time
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
1550
0.380742
1550
0.380742
3
3400
0.835176
3400
0.835176
4
3350
0.822894
3350
0.822894
5
2850
0.700074
2850
0.700074
6
3250
0.798330
3250
0.798330
7
1700
0.417588
1700
0.417588
8
1500
0.368460
1500
0.368460
9
1400
0.343896
1400
0.343896
10
700
0.171948
700
0.171948
11
1150
0.282486
1150
0.282486
12
1300
0.319332
1300
0.319332
13
1450
0.356178
1450
0.356178
14
750
0.184230
750
0.184230
15
350
0.085974
350
0.085974
16
1050
0.257922
1050
0.257922
17
50
0.012282
50
0.012282
18.
1250.
0.307050
1250
0.307050
19
1700
0.417588
1700
0.417588
20
700
0.171948
700
0.171948
21
850
0.208794
850
0.208794
22
1150
0.282486
1150
0.282486
23
2700
0.663228
2700
0.663228
24
850
0.208794
850
0.208794
25
1350
0.331614
1350
0.331614
26
1400
0.343896
1400
0.343896
27
1300
0.319332
1300
0.319332
28
1300
0.319332
1300
0.319332
29
850
0.208794
850
0.208794
30
1650
0.405306
1650
0.405306
31
0.000000
0.000000
Monthly Loading (gallons/sq.ft.)
10.8941
10.8941
Year -To -Date Loading (gallons/sq.ft.)
147.41
147.41
* Weather Codes: S - sunny, PC - partly cloudy, Cl - cloudy, R - rain, 5n - snow, 51 - sleet
OPERATOR IN RESPONSIBLE CHARGE (Ot Robert C. Howard GRADE: III PHONE: [phone]
ORC Certification Number: 996013
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-2(5/2003)
U

NON -DISCHARGE APPLICATION REPORT
HIGH RATE INFILTRATION SITE(S)
FACILITY STATUS:
the following permit requirements: (Note: If a requirement does not apply to your facility put "NA" in the
compliant box.
Compliant )
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 reasons) 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."
0_1v%/ C O Robert C. Howard
Signature of Permittee " Date (Name of Signing Official -Please print or type)
Daniel E. Fortin
Permittee -Please print or type
P.O. Box 4188
.Emerald isle, NC 28594 .
Permittee Address
Operator Responsible in Charge
(Position or Title)
252-393-8720. 02/28/13
(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 26.0506 (b) (2) (D).
DENR FORM NDAAR-2(5/2003)