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Home My WebLink AboutWQ0020809_Monitoring - 10-2016_20161128Page 1 of 2 FORM: NDMR-1 08-11 NON -DISCHARGE MONITORING REPORT (NDAR-1) - Q11 1:1• Facility Name:- Golf : Country Club Reclaimed Water County:• October 1 ■ D • irrigation occur at this facility? . NO •1 •1 •1 •1 FORM: NDAR-01 08 11 NON -DISCHARGE MONITORING REPORT (NDAR-1) Did the application rates exceed the limits in Attachment,8 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 glecified freeboard heights in your permit? Page 2 of 2 OCompliant Permittee Certification ElNon-Compllan Permittee: Town Of Parmville Compliant Non-Complian r ACompliant Signing Official's Title Consultant Non•Compllan �X Compliant Non -Compliant _1 Compliant ElNon-Complian 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 sheet If necessary Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: James Shoulders Permittee: Town Of Parmville Certification No.: 986266 Signing Official: Gary Stainback Grade: 4 Phone Number: 252-,753-3913 Signing Official's Title Consultant Has the ORC changed since the previous NDAR-1? El Yes E] X Phone -Number: 800- 69 Permit Expiration: 07/31/2014 // 41% Signature Date Signature Date By this signature, I certify that this report Is accurrate and complete to the best of my knowledge, I certi, undedalf 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 lathering the Information, the Information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I an 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 F� FORM: NDMR-1 08-11 NON -DISCHARGE MONITORING REPORT (NDAR-1) Page 2 of 2 JAparmit Nc�. WQ0020809 Facility Name: Farmville Golf & Country Club Reclaimed Water Month: October t • irrigation occur at this facility? YES N • .. •� .. .. .. -. 11-MURN-11MMIN Nei Neil ED__-®____--®--®-_---_ FORM: NDAR-01 0811 NON -DISCHARGE MONITORING REPORT (NDAR4) Page 2 of 2 Did the application rates exceed the limits in AttachmentlB of your permit? ❑X CompliantElNon-Complian Permittee: Town Of Farmville Were adequate measures taken to prevent effluent ponding in or runoff from the sites? X❑ Compliant Non-Complian El r Was a suitable vegetative cover maintained on all sites as specified in your permit? 5_1 Compliant � Nan-Complian Were all setbacks listed in your permit maintained for evEiry application to each permitted site I ❑X Compliant Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? a Compliant ❑ Non-Complian r If the facility is non-compliant, please explain in the space below the reasori(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 sheet If necessary lathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I a aware that there are significant penalties for submitting false Information, Including the possibility of fines and imprisonment for Operator in Responsible Charge (ORC) Certification permittee Certification ORC: James Shoulders Permittee: Town Of Farmville Certification No.: 986266 Signing Official: Gary Stainback Grade: 4 Phone Number: 252•',753-3913 Signing Official's Title Consultant Has the ORC changed since the previous NDAR-1? Yes; X Phone.Number: 800-7 - 9 Permit Expiration: 07/31/2014 Signature Date Signature Date By this signature, I certify that this report is accurrate and complete to the br:st of my knowledge, I certify, er p ly 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 lathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I a aware that there are significant penalties for submitting false Information, Including the possibility of fines and imprisonment for knowing violations. Mall Original and Two Copies to: Division of Water Quality Information Processing Unit 1617 Mall Service Center Raleigh, North Carolina 27699-1617