WQ0000224_Monitoring - 10-2016_20161219

NON DISCHARGE APPLICATION REPORT
HIGH RATE INFILTRATION SITE(S)
THERE ARE THREE SITES PER PAGE. USE ADDITIONAL PAGES AS NEEDED
PERMIT NUMBER: WQ0000224 TOTAL NUMBER OF SITES: 2. MONTH:
FACILITY NAME: POINT EMERALD VILLAS CLASS: III
Page 2 of 2
OCT YEAR: 2016
COUNTY: Carteret
Weather Codes: S - sunny, PC - partly cloudy, Cl - cloudy, R - rain, Sn - snow, SI - sleet
OPERATOR IN RESPONSIBLE CHARGE (ORC)
ORC Certification Number: 996013
M
0
Mail ORIGINAL and TWO COPIES to:
ATfN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
Robert C. Howard
Check
GRADE: III PHONE: [phone]
ORC has Changed:
x a 3 vv ��
(SIGN URE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
SITE NUMBER:
SITE AREA (sq. ft.):
1
4400
SITE NUMBER:
SITE AREA (sq. ft.):
2
3400
SITE NUMBER:
SITE AREA (sq. ft.):
WEATHER CONDTIONS PERMITTED RATE (gpd/sp.ft.
5
PERMITTED RATE (gpd/sp.ft.
5
PERMITTED RATE (gpd/sp.ft.):
D
a
t
e
Weather Temp,
Code ` ,F) (
Precipi Volume
- tation Applied Time Irrigated
Daily Loading
Volume
Applied Time Irrigated
Daily Loading
Volume
Applied Time Irrigated Daily Loading
low
inches gallons minutes
gallons/sq. ft.
gallons minutes
gallons/sq. ft.
gallons minutes gallons/sq. ft.
1
4
.33 9 93 4
4=0
774TOM
2
1595
0.3625
1595
0.4691176
3
1210
0.275
1210
0.3558824
4
1445
0.3284091
1445
.0.425
5
660
0.15
660
0.1941176
6
685
0.1556818
685
0.2014706
7
1030
0.2340909
1030
0.3029412
8
130
0.0295455
130
0.0382353
9
2530
0.575
2530
0.7441176
10
2530
0.575
2530
0.7441176
11
560
0.1272727
560
0.1647059
12
930
0.2113636
930
0.2735294
13
1100
0.25
1100
0.3235294
14
975
0.2215909
975
0.2867647
15
1715
0.3897727
1715
0.5044118
16
1345
0.3056818
1345
0.3955882
17
930
0.2113636
930
0.2735294
18
820
0.1863636
820
0.2411765
19
1035
0.2352273
1035
0.3044118
20
840
0.1909091
840
0.2470588
21
1050
0.2386364
1050
0.3088235
221
1
1 2350
0.5340909
2350
0.6911765
23
3555
0.8079545
3555
1.0455882
24
2720
0.6181818
2720
0.8
25
960
0.2181818
960
0.2823529
26
900
0.2045455
900
0.2647059
27
5751
0.1306818
575
0.1691176
28
865
0.1965909
865
0.2544118
29
890
0.2022727
890
0.2617647
30
1450
0.3295455
1450
0.4264706
31
2980
0.6772727
2980
0.8764706
ont ly oa Ing
ga ons sq. .
12.31
Year- o- ate Loading ga ons sq.
9.51
j@1Mjll11@@llM�
Weather Codes: S - sunny, PC - partly cloudy, Cl - cloudy, R - rain, Sn - snow, SI - sleet
OPERATOR IN RESPONSIBLE CHARGE (ORC)
ORC Certification Number: 996013
M
0
Mail ORIGINAL and TWO COPIES to:
ATfN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
Robert C. Howard
Check
GRADE: III PHONE: [phone]
ORC has Changed:
x a 3 vv ��
(SIGN URE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.

FACILITY STATUS:.
Please indicate (by inserting Y(es) or N(o) in the approriate 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.)
- Compliant(Y,N)
1. The application rate(s) did,not exceed the limit(s) specified in the permit.
2. The site was kept freed vegetation and raked at intervals specified
in the permit.
3. The Automatically Activated Standby power source is on site and
operational.
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.
14,17 /X e_2 Geo : C.-laX ,
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."
(Signature of Permittee)* Date
Daniel E. Fortin
(Pennittee-Please print or type)
P.O. Box 4188
DANIEL E. FORTIN
(Name of Signing Official -Please print or type)
Operator Responsible In Charge
393-8720.
(Phone Number) Permit Exp. Date
Emerald Isle, NC 28594
(Permittee Address)
If signed by other, than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).
DENR FORM NDAR-2 (5/2003)
El
N