WQ0004823_Monitoring - 10-2016_20161207

FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page 3 of 3
Permit No.:
W00004823
Facility Name:
Pine Island / Currituck Club
County:
Currituck
Month:
October
Year:
2016
Did infiltration occur at
this facility?
❑ YES ❑ NO
Site Name:
Infiltration Pond
Site Name: RCW Storage Pond
Site Name:
Spray Bed
Site Name:
Area (acres): 7.81
Area (acres): 5.5
Area (acres): 3.8
Area (acres):
Rate (GPD/ft): 7
Rate (GPD/ft2): 7
Rate (GPD/ft): 7
Rate (GPD/ft):
Weather Freeboard
Site Infiltrated?i
❑ YES
❑ No
Site Infiltrated?
❑ YES
❑ NO
Site In Itrated?l
❑ YES
❑ NO
Site Infiltrated?
❑ YES
❑ NO
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% S2
Am�
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Am
mEO
O2
c0
u.
_
OF
in ft ft
gal
min
GPD/ft2
ft
gal
min
GPD/ft'
ft
gal
min
GPD/ft2
ft
gal min
GPD/ft2
ft
1
C
70
0
0
0
0.00
177,130
636
0.74
0
.0
0:00
2
PC
74
0
0
0
0.00
136,720
462
0.57
0
0
0.00.
3
PC
72
0
0
0
0.00
130,050
438
0.54.
0
'0
0.00
4
PC
72
0
0
0
0.00
133,590
420
0.56
0
0
O.Ob
5
PC
70
0 1
0
0
0.00
161,440
552
0.67
0
0
0.00
61
C
70
0
0
0
0.00
156,650
552
0.65
0
0
0.00
7
CL
70
1.1
0
0
0.00
120,010
408
0.50
0
0
0.00
8
PC
72
0.2
0
0
0.00
193.,680
664
0.81
0
0
0.00
9
CL
74
6
0
0
0.00
35,660
138
0.15
0
0
0.00
10
R
70
0
0
0
0.00
320,100
744
1.34
0
0'
0.00
11
PC
62
0
0
0
0.00
281,280
774
1.17
0
0
0.00
121
C
65
0
0
0
0.00
223;670
672
0.93
0
0
0.00
13
C
64
0
0
0
0.00
278,620
852
1.16
0
0
0.00
14
C
65
0
0
0
0.00
327,020
1038
1.36
0
0
0.00
15
C
64
0
0
0
0.00
1
268;740
840
1.12
0
0 ;
0.00
16
C
72
0
0
0
0.00
274,790
804
1.15
0
0
0.00
17
C
70
0
0
0
0.00
224,600
702
0.94
0
0
0.00
181
C
70
0
0
0
Q.00
135,050
408
0.56
0
0
0.00
19
C
72
0
0
0
0.00
127,030
456
0.53
0
0
0.00
20
C
72
0
0
0
0.00
108,880
390
0.45
0
0
0.00
21
C
72
0
0
0
0.00
131,960
426
0.55
0
0
0:00
22
CL
62
0
0
0
0:00
126,530
402
0.53
0
0
0.00
23
C
54
0
0
0
0.00
88,060
276
0.37
0
0
0.00
241
C
64
0
0
0
0.00
77,690
282
0.32
0
0
0.00
251
C
58
0
0
0
0.00
58,040
356
0.24
0
0
0.00
26
C
60
0
0
0
0.00
77,970
318
0.33
0
0
0.00
27
C
60
0
0
0
0.00
104,350
347
0.44
0
0
0.00
_
28
PC
64
0
0
0
0.00
91,880
306
0.38
0
0
0.00
60
0
0
0
0.00
70,940
236
0.30
0
0
0.00
jj.t66
0
0
0
0.00
50,980
170
0.21
0
0
0.00
'
62
0
0
0
1 0.00
35,470
1183
0.15
0
0
0.00
Monthly Loading (GPD/ft2:
Year to Date Loading GPD/ft2 .
IMAPEM0.00
0.64
0.00
#DIV/01

FORM: NDAR-2 10-13 MN -DISCHARGE APPLICATION REPORT (NDAR-2) Page of
i.
Did..the application.rates exceed the limits in.Attachment B. of-your,permit? p compliant , 'Cl Non compliant
If not a basin, -were the_sites-kept free. of vegetation and raked? p compliant ❑ Non -Compliant
If'not a basin, were. thereany instances of`.effluent ponding in or-runoff:from the sites? .- O compliant ❑ Non -Compliant
If a basin, were there any_ instances_ of breakout from-the.berms?- p compliant ❑ Non -Compliant
Was the onsite automatically:activated=standby power source.teste..d-and operational? p Compliant ❑ Non-compliant
If the facility is non-compliant, please explain in -the space below the reasons) 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 -it necessary.
Operator -in Responsible Charge (ORC) Certification
Permittee Certification .
Ar
-ORC: Jimmy Bliven
Permittee:.
Rolf Blizzard.
Certification No.: 28243
signing Official: William G Freed by Authority
Grade: SI - Phone Number: 2522022435
Signing Official's Title: Pres of Envirotech
Has the ORC-changed since the-previous-NDAR-2? ❑ Yes Q No
Phone -Number: 2524915277 Permit Exp.: -2/28/18-
2/28/18-Signature
SignatureDate
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 properlygathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system:.o-rthose persons directly responsible for gathering the Information, the
Information submitted Is; to the best of myknowledge:and belief; true,:accurate, and complete. I -am aware that there are significant
penalties for submitting false.Ihformation, Including the possibility of fines and Imprisonment forknowing violations.
Mail -Original -and Two'Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center -
Raleigh; North Carolina 27699=1617