WQ0012630_Monitoring - 10-2016_20161207 (2)

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page -of
Permit No.: W00012630
Facility Name:
H & H Truckwash
County: Duplin
Month:
October
Year:
2016
Did
irrigation
Field Name:
Zone 1
Field Name:
Zone 2
Field Name.
Field Name:
occur
Area (acres):
0._42
Area (acres):
0.42
-
Area'(acres) _
-.
Area (acres):
at this facility?
Cover. Cro p:
Fescue Ha y.
Cover Crop:
p:
Fescue Cro p
Cover Cro p. _
Cover Crop:
❑ YES <] NO,'.Hou
rly Rate (in):
_ = 0:5
Hourly Rate (in):
0.5
Hourly Rate -(in): -
Hourly Rate (in):
Annual Rate (in):.
Annual Rate (in):
Annual'Rate (in)
Annual Rate (in):
Weather Freeboard
Field Irrigated?
' ❑YES_ ' . ❑ N0 `.
Field Irrigated?
❑YES Q No
Field Irrigated? • .❑YES - .
❑ N0:.:,
Field Irrigated?
❑YES
❑ NO
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°F in ft ft
g'al - > mm
m_' m
gal min
in in
'gal_ mm : m
m
gal min
in
in
1
2
31
2.2
x
4
5
6
t.
7
8
'-
9
101
2.2
11
-
12
13
14
15
161
2.2
17
18
19
20
_
21
22
...
_..
.
23
R.O
24
25
26
27
281
29
30
31
Monthly Loading:
0
0.00
0
0.00
0 0.00
0 ;w4:, „•:
0 00
77
e
12 Month Floating

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page --,—Of ,
Did the application rates exceed the limits in Attachment 8 of your permit?
El Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 0 Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 21 Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? E Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? SCompliant ❑ 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: Ronnie Kennedy
Permittee:
Jeff Harrell
Certification No.: 22788
Signing Official: Jeff Harrell
Grade: Phone Number: 252-568-2648
Signing Official's Title: owner
Has the ORC changed since the previous NDAR-1? ❑ yes El No
Phone Number: 910-296-P561 Permit Exp.: 2/28/18
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 property 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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _ of ��
Permit No.: W00012630 Facility Name: H & H Truckwash County: Duplin Month: October Year: 2016
Field Name Zone 3 Field Name: Zone 4 Field Name Field Name:
Did irrigation occur
Area (acres) 0.42 r Area (acres): 0.42 Area (acres) Area (acres):
at this facility? Cover Cro Fescue Ha Cover Crop: Fescue Crop Cover Cro Cover Crop:
P Y p' p ..p- p'
El YES [21 NO Hourly Rate Hourly Rate (in): 0.5 Hourly Rate Hourly Rate (in):
Annual Rate (in) Annual Rate (in): Annual Rate (ui) Annual Rate (in):
Weather Freeboard Field Iii igated? ❑YES NO Field Irrigated? ❑ YES � NO Field Irrigated? <'.❑ YEs,: ❑ NO Field Irrigated? El YES ❑ No
Eo° .o. a3E aC E
ON .O -01-d CD d c_ EwEEE'
�pp_ O F 6 0 X O v , > o
'voE E >rnm
°F in ft ft ,-gal 1 min m , � ' m gal min in in gal - -, rinn' gal min in in
2
3 2.2
4
5
6
7
8
Y -
9 y
101 1 2.2.
12
13
14 ..z
15
16 2.2
17
18�
19
20uVrY
21
22 -
— — -- um
23 �9
24 z'
25 '
26
27
28 x _.
29 .. '
30_ .,,_.Le -u
31
Monthly Loading =0 0.00 0 pari 0.00 y 2 0 0.00 0 ;y, 0.00
12 ii t y 3
`�,,,x. s.• c.

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page o v
Did the application rates exceed the limits in Attachment B of your permit? Q Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? EJ Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? [A Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ❑✓ Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑., 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) Cert is .ion
Permittee Certification
ORC: Ronnie Kennedy
Permittee:
Jeff Harrell
Certification No.: 22788
signing Official: Jeff Harrell
Grade: Phone Number: 252-568-2648
Signing Official's Title: owner
Has the ORC changed since the previous NDARA? ❑ yeS R1 No
Phone Number: 910-296-0561 Permit Exp.: 2/28/18
dr
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 o urces
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617