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Home My WebLink AboutWQ0024694_Monitoring - 09-2016_20161121FORM. NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page / of J •11 •ht's Creek Golf• •• -• - •- irrigation 9eiilYYlo;'.0 . .. �0 • occur ®® at this facility? ISIYES E1 NO R� � 0 •M _--MEi ---- Mm ---Elm= - MM--® ---- ®___ ---_ .. MM • M MM .=Ml FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of 3 Facility Name: Bright's Creek Golf Club Did irrigation occur this facility? ®- at ■YES■ .��- FORM: Iv'1DAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of 3 C, Did the application rates exceed the limits in Attachment B of your permit? Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Was a suitable vegetative cover maintained on all sites as specified in your permit? Were all setbacks listed in your permit maintained for every application to each permitted site? Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 21 Compliant ❑ Non -Compliant 0 Compliant ❑ Non -Compliant 0 Compliant ❑ Non -Compliant ❑✓ Compliant ❑ Non -Compliant 0 Compliant ❑ 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 the non-compliance and describe the corrective action(s) taken. Attach additional sheets if necessary. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Ken Deaver Permittee: AQUA NC Certification No.: 992372 Signing Official: Grade: SI Phone Number: 828-657-1810 Signing Official's Title: Has the ORC changed since the previous NDAR-1? ❑ Yes (] No Phone Number: 919-467-8712 Permit Exp.: 12/31/18 10/20/16 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 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. Mail Original and Two Copies to: Division of Water Quality Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617