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NON -DISCHARGE APPLICATION REPORT Page _of
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0002161 MONTH: October YEAR: 2016
FACILITY NAME: Carolina Friends School COUNTY: Orange
Formulas:
Daily Loading (Inches) =[Volume Applied (gallons) x 0.1336 (cubic feetigallon) x 12 (nchesttoot)) / [Area Sprayed (acres) x43,560 (square feegacre)) OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gailonslacre-inch))
Maximum Hourly Loading (inches) = Daily Loading (riches) / [rime Irrigated (minutes) / 60 (minutes/hour)I Monthly Loading (inches) =Sum of Daily Loadings (inches)
12 Month Floating Total (Inches) = Sum of this month's Monthly Loading (inches) and previous 11 months Monthly Loadings (inches)
Ayers a Week! 1 nndinn finnhael = r nnihl., i n°Aron frnrh°<Imnnihl / M„mh°r ofd.- in fhn month (.1-1mnnthl1.7 elay.°t-M
Did Irrigation Occur At This Facility:
Yes: No:
Did Irrigation Occur On This Field:
Yes:
No:
Did Irrigation Occur On This Field:
Yes:
No:
FIELD NUMBER: A
AREA SPRAYED (acres): 1 1.8
COVER CROP: Hardwood Forest
PERMITTED HOURLY RATE (inches): 0.142
FIELD NUMBER: B
AREA SPRAYED (acres): 1.9
COVER CROP: Hardwood Forest
PERMITTED HOURLY RATE (inches): 0.142
D
A
T
E
WEATHER CONDITIONS
storage
Weather Temperature Lagoon
Code at application Precipita-tion Free -board
PERMITTED YEARLY RATE (inches): 19.72
Maximum
Volume Time Daily Hourly
Applied Irrigated LoadingLoadingApplied
PERMITTED YEARLY RATE (inches):
Volume Time Daily
Irrigated LoadingLoading
19.72
Maximum
Hourly
(°F) inches feet
gallons
minutes
inches
Inches-
gallons
minutes
Inches
Inches
1
NA
3067
38
0.06
0.10
1283
16
0.02
0.09
2
NA
3067
38
0.06
0.10
1283
16
0.02
0.09
3
NA
3067
38
0.06
0.10
1283
16
0.02
0.09
4
NA
3067
38
0.06
0.10
1283
16
0.02
0.09
5
NA
3067.
38
0.06.
0.10
1283
16
0.02
0.09
6
C 68 0.9 NA
3067
38
0.06
0.10
1283
16
0.02
0.09
7
NA
2257
28
0.05
0.10
1171
14
0.02
0.10
8
NA
2257
28
0.05
0.10
1171
14
0.02
0.10
9
NA
2257
28
0.05
0.10
1171
14
0.02
0.10
10
NA
2257
28
0.05
0.10
1171
14
0.02
0.10
11
NA
2257
28
0.05
0.10
1171
14
0.02
0.10
12
NA
2257
28
0.05
0.10
1171
14
0.02
0.10
13
C 70 4.8 NA
2257
28
0.05
0.10
1171
14
0.02
0.10
14
NA
1657
20
0.03
0.10
700
8
0.01
0.10
15
NA
1657
20
0.03
0.10
700
8
0.01
0.10
1s
NA
1657
20
0.03
0.10
700
8
0.01
0.10
17
NA
1657
20
0.03
0.10
700
8
0.01
0.10
18
NA
1657
20
0.03
0.10
700
8
0.01
0.10
19
NA
1657
20
0.03
0.10
700
8
0.01
0.10
20
C 80 0 NA
1657
20
0.03
0.10
700
8
0.01
0.10
21
NA
1214
15
0.02
0.10
614
7
0.01
0.10
22
NA
1214
15
0.02
0.10
614
7
0.01
0.10
23
NA
1214
15
0.02
0.10
614
7
0.01
0.10
24
NA
1214
15
0.02
0.10
614
7
0.01
0.10
25
NA
1214.
15
0.02
0.10
614
7
0.01
0.10
26
NA
1214
1 15
0.02
0.10
614
7
0.01
0.10
27
C 68 0 NA
1214
15
0.02
0.10
614
7
0.01
0.10
28
NA
713
8
0.01
0.11
950
11
0.02
0.10
29
NA
713
8
0.01
0.11
950
11
0.02
0.10
30
NA
713
8
0.01
0.11
950
11
0.02
0.10
31
NA
713
8
0.01
0.11
950
11
0.02
0.10
Tota[ Gallons/Monthly Loading (inches)
57150
1.1728893
0.56
12 Month Floating Total (inches)
8.89
7.12
Average Weekly Loading (Inches)
0.2638639
0.1263791
- weather coxes: c -clear, Fl.; -partly clouay, cl-clouay, K -ram, an -snow, tsisieel:
Spray Irrigation Operator in Responsible Charge (ORC):
Chad Leinbach
ORC Certification Number: 23928 Check Box if ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance ,Ik.*
DENR
Division of Water Quaff
1617 Mail Service Con tV,,p
RALEIGH, NC 27699-1617jouh '
1/'o U< �o O16,
GLl
Phone: 919 260-7301
(SIGNXTURE OF OPERATOR INR PONSIBLE CHARGE)
BY THIS SIGNATURE, 1 CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (5/2003)
NON -DISCHARGE APPLICATION REPORT
Page of
SPRAY IRRIGATION SITE(S)
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
1. The did limit(s) in
Com liant N
application rate(s) not exceed the specified the permit
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with.the permit
Y.
4. All buffer zones as specified in the permit were maintained during each application.
0
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
0
specified in the permit.
If the facility is non-compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance 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 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."
Chad Leinbach
(Signature of Permittee)*. Date . (Name of Signing Official -Please print or type) .
Carolina Friends School ORC
(Permittee -Please print, or type) (Position or Title)
919 260-7301 2129/16
4809 Friends School Road (Phone Number) (Permit Exp. Date)
Durham, NC 27705-6602
(Permittee Address) -
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 16A NCAC 26.0606 (b)(2)(D).
DENR FORM NDAR-1 (512003)