WQ0024756_Monitoring - 10-2016_20161208

FQRM: NDAR-2 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page of
Permit No.: WQ0024756
Facility Name:
The Grove
County: Carteret
Month:
October
Year:
2016
Did infiltration occur at
Site Name:
Site Name:
this facility?
Area (acres):e
.
Fal
YES ■ NO
Rate (GPD/
Rate (GPD
Rate (Gir31/ft2):'
....Site
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` { FC)MVI: NDAR-210-13
NON -DISCHARGE APPLICATION REPORT (NDAR-2)
Did the application rates exceed the limits in Attachment B of your permit?
Page of
❑✓ Compliant ❑ Non -Compliant
(] Compliant ❑ Non -Compliant
If not a basin, were the sites kept free of vegetation and raked? 0 Compliant ❑ Non -Compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites? Compliant ❑Nan -Compliant
If a basin, were there any instances of breakout from the berms? I] Compliant ❑ Non -Compliant
Was the onsite automatically activated standby power source tested and operational?
If the facility is non-compliant, please explain in the space below the reason(s) th s taken. Attach not in
add t onlal sheets if necessary.
Operatin or
explanation the date(s) of the non-compliance and describe the corrective
a ()
Operator in Responsible Charge (ORC) Certification
ORC: Donald Omara
Certification No.: 22801
Grade: SI Phone Number: [phone]
Has the ORC changed since the previous NDAR-2? ❑
Yes ❑✓ No
Date
Signature
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee:
Signing Official:
Signing Official's Title:
Phone Number:
Permittee Certification
Permit Exp.:
Date
Signature
I certify, under penalty of law, that this document and all attachments were
rprepared and eva uer m the infdirection
submitted. in Bawd rdanonce
with a system designed to assure that all qualified personnel property gathered
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