WQ0019331_Monitoring - 10-2016_20161222 (2)

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 NUMBERNQOO 19331 COUNTY: Carteret
FACILITY NAME: NC Aquarium CLASS: III MONTH:
Formulas:
(]aily I nadinn (nallnns/-mare feet)=Vnlume Annlied(oallons)/Site Area (sauare feet)
OCT YEAR 2016
OPERATOR IN RESPONSIBLE CHARGE (OF Daniel E. Fortin GRADE: 11 PHONE: [phone]
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
CHECK BOX IF ORC HAS CHANGED
a, -
(SIGNATURE OF 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)
SITE NUMBE Field 1 & 3
SITE AREA (sq. ft.): 8,320
SITE NUME
SITE NOME Field 2 & 4
SITE AREA (sq. ft.): SITE AREA (sq. ft.): 8,320
WEATHER CONDTIONS PERMITTED RATE (gpd/E 1.5
PERMITTED RATE (gpd/E
PERMITTED RATE (gpd/E 1.5
A
T
E
Weather Temp. Precip Volume Time
Code ` Applied Irrigated
(*F) tation
Daily Loading
Volume Time
Applied 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
.
2
4855.5
0.58359375
4855.5-0.58359375
3
4047
0.48641827
4047
0.48641827
4
3847
0.46237981
3847
0.46237981
5
3688.5
0.44332933
3688.5
0.44332933
6
3379.5
0.4061899
3379.5
0.4061899
7
3810.5
0.45799279
3810.5
0.45799279
8
2797.5
0.33623798
2797.5
0.33623798
9
1379.5
0.16580529
1379.5
0.16580529
10
1379.5
0.16580529
1379.5
10.16580529
11
3154.5
0.37914663
3154.5
0.37914663
12
3809.5
0.4578726
3809.5
0.4578726
13
2624
0.31538462
2624
0.31538462
14
3245.5
0.39008413
3245.5
0.39008413
15
2745
0.32992788
2745
0.32992788
16
3848.5
0.4625601
3848.5
0.4625601
17
3391.5
0.40763221
3391.5
0.40763221
18
4093.5
0.49200721
4093.5
0.49200721
19
3046
0.36610577
3046
0.36610577
20
2583
0.31045673
2583
0.31045673
21
3320
0.39903846
3320
0.39903846
22
5336
0.64134615
5336
0.64134615
23
2226
0.26754808
2226
0.26754808
24
3376
0.40576923
3376
0.40576923
25
1933,
0.23233173
1933
0.23233173
26
2367.5
0.28455529
2367.5
0.28455529
27
3135
0.37680288
3135
0.37680288
28
3371.5
0.40522837
3371.5
0.40522837
29
3247.5
0.39032452
3247.5
0.39032452
30
2429
0.29194712
2429
0.29194712
31
2042
0.24543269
2042
0.24543269
Monthly
bading (galloLns7sq. .11.9W1514
U1
OEM 11.9
ear- o- ate Loading ga ons sq. .197.72
* Weather Codes: S - sunnv. PC - nartiv cloudv. Cl - cloudv.
R - rain. Sn - snow. SI - sleet
OPERATOR IN RESPONSIBLE CHARGE (OF Daniel E. Fortin GRADE: 11 PHONE: [phone]
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
CHECK BOX IF ORC HAS CHANGED
a, -
(SIGNATURE OF 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)

NON -DISCHARGE APPLICATION REPORT
HIGH RATE INFILTRATION SITE(S)
FACILITY STATUS:
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
in the permit.
3. The Automatically Activated Standby power source is on site and 0
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. Providein 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-nquiry 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."
DANIEL E. FORTIN
Signature of Permittee * Date (Name of Signing Official -Please print or type)
Stuart E. May, Husbandry/Operations Mgr.
NC Aquarium @ Pine Knoll Shores Operator Responsible in Charge
Permittee - Please print or type .(Position or Title).
P.O Box 580
Pine Knoll Shores, NC 28512 252-393-8720 05/31/17
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 26.0506 (b) (2) (D).
DENR FORM NDAAR-2(5/2003)