WQ0011313_Monitoring - 10-2016_20161219

NON DISCHARGE APPLICATION REPORT Page 2 of 2
HIGH RATE INFILTRATION SITE{S) +
THERE ARE THREE SITES PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER WQ0011313 COUNTY: Carteret
FACILITY NAME: Peppertree CLASS: 11 MONTH: OCT
Formulas:
nnily I nadinn (nallnns/scninre feet)=Volume Annlied(aallons)/Site Area (square feet)
YEAR 2016
* Weather Codes: S - sunny, PC - partly cloudy, Cl - cloudy, R - rain, 5n - snow, SI - sleet
OPERATOR IN RESPONSIBLE CHARGE (OI
ORC Certification Number:
Joe Lawrence
6418
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
GRADE: III PHONE: [phone]
CHECK BOX IF ORC HAS CHANGED
X u,•-�,��
GNATURE OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR'FORM 'NDAR=2(5/2003)
ri
SITE NUMBE Zone 1
SITE NUMBE Zone 2
SITE NUMBE
SITE AREA (sq. ft.): 6,300 SITE AREA (sq. ft.): 6,300
SITE AREA (sq. ft.):
WEATHER CONDTIONS
.PERMITTED RATE (gpd/sp 14.40
PERMITTED RATE (gpd/sp 14.40
PERMITTED RATE (gpd/sp.ft.):
D
TCode
E
Temp. Precip
Weather
(*F) tation
Volume Time
Applied Irrigated
Daily
Loading
Volume Time
Applied Irrigated
Daily
Loading
Volume Time Daily
Applied Irrigated Loading
low inches
gallons minutes
gallons/sq. ft.
gallons minutes
gallons/sq. ft.
gallons minutes gallons/sq. ft.
1
2
11969.5
1.89992
11969.5
1.89992
3
6144.5
0.97532
6144.5
0.97532
4
974
0.15460
974
0.15460
5
6083
0.96556
6083
0.96556
6
9137.5
1.45040
9137.5
1.45040
7
6859.5
1.08881
6859.5
1.08881
8
7879
1.25063
7879
1.25063
9
85260.5
13.53341
85260.5
13.53341
10
50
0.00794
50
0.00794
11
87677.5
13.91706
87677.5
13.91706
12
365.5
0.05802
365.5
0.05802
13
1193
0.18937
1193
0.18937
14
6009
0.95381
6009
0.95381
15
3673
0.58302
3673
0.58302
16
1
1 3864
0.61333
3864
0.61333
17
4947
0.78524
4947
0.78524
18
2559.5
0.40627
2559.5
0.40627
19
6434.5
1.02135
6434.5
1.02135
20
1629.5
0.25865
1629.5
0.25865
21
240
0.03810
240
0.03810
22
1964.5
0.31183
1964.5
0.31183
23
12009.5
1.90627
12009.5
1.90627
24
888
0.14095
888
0.14095
25
2353.5
0.37357
2353.5
.0.37357
26
4919.5
0.78087
4919.5
0.78087
27
7590
1.20476
7590
1.20476
28
5026.5
0.79786
5026.5
0.79786
29
5652
0.897141
56521
0.89714
30
5224.5
0.82929
5224.51
0.82929
31
5671.5
0.900241
5671.51
U.900241
I
Monthly Loading (gallons/sq.ft.)
49.78
49.78
Year -To -Date Loading (gallons/sq.ft.)
336.25
336.25
* Weather Codes: S - sunny, PC - partly cloudy, Cl - cloudy, R - rain, 5n - snow, SI - sleet
OPERATOR IN RESPONSIBLE CHARGE (OI
ORC Certification Number:
Joe Lawrence
6418
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
GRADE: III PHONE: [phone]
CHECK BOX IF ORC HAS CHANGED
X u,•-�,��
GNATURE OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR'FORM 'NDAR=2(5/2003)
ri

NOWDI-SCHARGE APPLICATION REPORT
HIGH RATE INFILTRATION 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.
Compliant (Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit.
2. The site was kept free of vegetation and raked at intervals specified I jVl/�•I
-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 noncompliance 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 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."
Joe.Lawrence
igna re of Permittee * Date
(Name of Signing Official -Please print or type)
Jerline Craine, Gen. Mgr.
Peppertree Atlantic Homeowners Assoc., Inc.
Operator Responsible in Charge
Permittee - Please print or type
(Position or Title)
P.O. Box 1068
Atlantic Beach, NC 28512
252-393-8720 09130112
Permittee Address
(Phone Number) (Permit Exp. Date)
*If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 28.0506 (b) (2).(D).
DENR FORM NDAAR-2(5/2003)