WQ0019665_Monitoring - 10-2016_20161207

Page 3 of 8
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0019665 MONTH: October YEAR: 2016
FACILITY NAME: Swan Quarter Sanitary District COUNTY: Hyde
Formulas.,
Dally Loading (Inches) = [Volume Applied (gallons) x 0.1336 (euble feetlgauan) x 12 (nchosifoa)1I [Area Sprayed (acres) x 43,560 (square feelletxe)] OR
= Volume Applied (gallons) I (Area Sprayed (acres) x 27,152 (ga.bnslaae-fact))
0aximurll Hourly Loading (inches) - Daily Loading (inches) I rfkne Irrigated (minutes)160 (mim,teslhout)] Monthly Loading (Inches) - Sum.of Daily Loadings (inches)
12 Month Floating Total (Inches) -Sum of this month's Monthly Loadsq (inches) and previous 11 mentWe Monthly Loadings (orches)
Avarnno Wnekfv Loadina finchast = [Monthly Loadina linrhealmonth) i Number of days in the month (days/month)] x 7 (daysMeek)
Did Irrigation
Yes:
Occur AMThla Milli!
No:
X
Did Irrigation Occur On This Feld:
You: No:
X
Did irrigation Occur On This Field:
Yes: No:
X
FIELD NUMBER: 1
AREA SPRAYED (acres): 2.98
COVER CROP:
PERMITTED HOURLY RATE (Inches): 0.25
FIELD NUMBER: 2
AREA SPRAYED (acres): 3.28
COVER CROP:
PERMITTED HOURLY RATE inches): 0.25
D
A
T
E
WEATHER CONDITIONS
Temper
atureat
weather applleatlo Prociplta-
Code' n eon
Storage
lagoon
Froo.board
PERMITTED YEA RLY RATE (inches):
Volume Daily
Applied Time Irrl ated Loadin
32.5
Maximum
Hourly
Loadin
PERMITTED YEARLY RATE Inches :
Volume Time Daily
lied irri ated Loadin
32.5
Maximum
Hourly
Loading
('F)
Inches
foot
gallons
mintriea
inches
inches
gallons
minutes
inches
inches
1
R
81
0.19
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/O!
2
R
80
0.39
0
0
0.00
#DIV/01
1 0
0
0.00
#DIV/01
3-1
PC
60
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV101
4
R
110
0.01
0
0
0.00
#DIV/O!
0
0
0.00
#DIV101
5
R
80
0.04
4.5
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
6
R
79
0.26
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
7
R
79
1 0.58
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
6
R
79
1.58
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/01
q
R
78
0.04
0
0
0.00
1 #DNlO!
0
0
0.00
#DIV/O!
10
PC
78
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
1t
PC
78
0
0
0
0.00
#DIV/01
0
0
0.00
#DNIO!
12
PC
76
0
4.4
0
0
0.00
#DIV/0!
0
0
0.00
#DIVIO!
13
PC
77
0
0
0
0.00
#DIV/01
0
0
0.00
#D!V/01
14
CL
77
1 0
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/01
16
PC
77
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
16
PC
76
0
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
1T
PC
76
0.
0
0
0.00
#DIV/01
0
0
0.00
#DIViO!
18
PC
76
0
4.4
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
19
PC
76
0
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
20
C
75
0
0
0
0.00
1 #DIV/01
0
0
0.00
#DIV/0!
21
R
75
0.02
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
22
PC
75
0
0
0
0.00
#DIV/O!
.0
0
0.00
#DIV/O!
23
PC
74
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
24
C
74
0
0
0
0.00
#DN/01
0
0
0.00
#DIV/01
25
C
74
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
26
C
74
0
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/01
27
PC
73
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
28
C
73
1 0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/O!
29
C
73
0
0
0
0.00
#D!V/01
0
0
0.00
#DIV/O!
301
PC
72
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
311
PC
72
0
4.3
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
Tota[ GallonslMonthly Loading (inches)
0
0.00
0
0.00
12 Month Floating Total (inches)
-.---__ _..,
__ ..,__.. __ ___.:
0.00
-
0.00
Average Weekly Loading (inches)
:'
0
0
Weather Codes: clear, PC -partly cloudy, Cl -cloudy, R -rain, Sn-snow, SI -Sleet
Spray Irrigation Operator in Responsible Charge (ORC):
ARC Certification Plumber:
Allen Bliven Phone: [phone]
996725 Check Box if ORC Has Changed:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIG-PIATUROPERATOR IN RESPONSIBLE CHARGE)
1617 Mai( Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 276994617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
NON -DISCHARGE APPLICATION REPORT
DENR FORM NDAR-1 (1112005)

Page 3 of 8 ,
SPRAY IRRIGATION SITE(S)
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box) whetherthe.facility has been compliant
with the following permit requirements: (Note: if requirement does not apply to your facility put (NA) in the
compliant box. )
1. The application rate(s) did not exceed the limits) specified in the permit cY g
am N)
2. Adequate measures were taken to prevent wastewater runoff from the ske(s). ; r�
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit. ly
u
4. All buffer zones as specified In the permit were maintained during.each application.
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
"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.possibilityof fines
and imprisonment for knowing violations.
William G. Freed
(Signature of Permittee)* Data (Name of Signing Official -Please print or type)
Wayne Hodges, Chairman By Authority, President Enviro-Tech
(Permittee -Please print or type) _ (Position or Title)
.252-491-5277 9/30/2006
(Phone Number) (Permit Exp. Date)
PO Box 21, Swam Quarter, NC 27885
(Permittee Address)
• if signed by other than the permlitee, delegation of signatory authority must be on file with the state per ISA NCAC 26AWS (b)(2)(D).
DENR FORM NDAR-1(11=05)

Page 4 of 8
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE.. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WOOD19666 MONTH: October YEAR: 2016
FACILITY NAME: Swan Quarter Sanitary District COUNTY: Hyde
Formulas:
Dally Loading (Inches) = [Volume Applied (gallons) x 0.1336 (cubic keetlgallon) x 12 (mchosilool)) I [Area Sprayed (acres) x 43.560 (square feetlacre)] OR
= Vo%na Applied (galons) I [Area Sprayed (acres) x 27.152 (gdmrJacre-Mch)]
Maximum Hourly Loading (Inches) = Dairy Loading (Inches) l [Tune Irrigated (minutes)160 (minuteslhour)] fly Loading (Inches) =Sum of Daly Loadings (inches)
12 Month Floating Total (inches) =Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly LoadMgs (Inches)
Avorano Wookiv Loadina finches) -[Monthly Load' ma (inchaVrnonth) I Number of days in the month (dayslmonth)l x 7 (dayslweek)
Did Irrigation Occur At Me Fac Ilt
Yes: No.
X
Did Irrigation Occur On This Field:
Yes: No:
X
Did irrigation Occur On This Field:
Yes: No: X
-PERMITTED
FIELD NUMBER: 3
AREA SPRAYED (acres): 3.43
COVER CROP:
HOURLY RATE (inches): 0.25
FIELD NUMBER: 4
EA SPRAYED (acres): 3.73 .
COVER CROP:
MITTED HOURLY RATE (inches), 0.25
D
A
T
E
WEATHER CONDITIONS
Temper-
Weatheratureat Prctfplta
Cod*' application tion
Storage
Lagoon
Free -board
PERMITTED YEARLY RATE (inches):
Volume Daily
Applied Time irri ated Loading-Loadin
32:5
Maximum
Hourly
MITTED YEARLY RATE (inches):
Volume Time Daily
A lied Irri aced LoadingLoading
32.5
Maximum
Hourly
('F)
Inches
foot
gallons
minutes
Inches
Inches
gallons
minutes
inches
Inches
1
R
81
0.19
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/O!
2
R
80
0.39
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/0!
3
PC
8o
0
0
0
0.00
#DIV/01
a
0
0.00
1 #DIV/01
4
R
80
0.01
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
5
R
80
0.04
4.5
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/0!
8
R
79
0.26
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
7
R
79
0.56
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
8
R
79
1.58
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
9
R
78
0.04
0
0
0.00
#DIV/01
0
0
0.00.
#DIV/01
10
PC
78
0
0 -
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
11
PC
78
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
12
PC
78
0
4.4
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
13
PC
77
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/Ol
14
CL
77
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
1s
PC
77
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/O!
16
PC
76
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
17
PC
76
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/O!
18
PC
76
0
4.4
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
19
PC
76
0
0
0
0.00
#DIV/Ol
0
0
0.00
#DIV/0!
20
C
75
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
21
R
75
0.02 1
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/O!
22
PC
75
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
23
PC
74
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
74
C.
74
0
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
25
C
74
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
26
C
74
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/O!
27
PC
73
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
28
C
73
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
29
C
73
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
30
PC
72
0
0
0
0.00
#DIV/01
0
0
0.00
#DMO!
31
PC
72
0
4.3
0
0
0.00
#DIV/01
0
0
.0.00
#DIV/O!
Tota{ GallonsRAonthly Loading (inches)
Q
0.00
-
0
0.00
_
12 Month Floating Total (inches)
0.00
0.00
Average Weekly Loading (Inches)l
1
0
1
0
Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R-raln, Sn-snow, Sl -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Allen Bliven Phone: [phone]
ORC Certification Number: 996725 Check Box if ORC Has Changed:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mall Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 276 9 9-1 61 7 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

Page 4 of 8
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
Facility Statue:
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 application rate(s) did not exceed the limit(s) specified in the permit.
Cro�m
L'�
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
u
3. A suitable vegetative cover was maintained on the site(s) In accordance with the permit.
4. All buffer zones as specified in the permit were maintained during each application.
S. The fiveboard in the treatment andforstorage lagoon(s) was not less than the timit(s)
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."
(Signature of Perinittee)- Data
Wayne Hodges, Chairman
(Permittee -Please print or type)
PO Box 21, Swan Quarter, NC 27885
(Permittee Address)
William G. Freed
(Name of Signing Official -Please print or type)
By Authority. President Enviro-Tech
(Position or Title)
252-491-5277 9/30/2006
(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 26.0508 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)

Page 5 of 8
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00019665 MONTH: October YEAR: 2016
FACILITY NAME: Swan Quarte_ r Sanitary District COUNTY: Hyde
Formulas:
Daily Loading (Inches) = [Volume Appfied (gallons) x 0.1336 (0&c feotlgat an) x 12 (indmsRool)) / [Area Spmyed (aces) x 43.560 (square feet/acm)[ OR
= Volume Applied (gallons) / (Area sprayed (acres) x 27.152 (gallons/aue-indf))
Maximum Hourly Loading (inches) c Daily Loading (inches) r [Trema Irrigated (minutes)160 (mhuRosfhour)) ily Loading (inches) -Sum of Dairy Loadings onches)
12 Month Floating Total (inches) = Sum of Ws month's Monthly Loading (inches) and previous 11 morrWs Monthly Loadings (mores)
Average Weekly Loading (inches) c [Monthly Loading oncheslmornh) / Numtmr of days in line month (dayshnonth)) x 7 (daysAmek)
Did Irrigation Occur At This Facillh
Yes: No:
X
Did Irrigation Occur On This Field:
Yes: No:
X
Did Irrigation Occur On This Field:
Yes: No: x
-
FIELDNUMBER:1 5
AREA SPRAYED (acres): 1 4.03
COVER CROP:
PERMnTED HOURLY RATE (inches): 0.25
FIELD NUMBER: 6
tEA SPRAYED (acres): 1 4.18
COVER CROP:
JIMITTED HOURLY RATE (inches): 0.25
D
A
T
E
WEATHER CONDITIONS
Temper
Weather ntureat Preciptta•
Codeap tleation tion
storage
Lagoon
Fna nerd
PERMITTED YEARLY RATE (inches):4Hourly
Volume Daily
Applied Time Irrigated Loadingdin
.5
mum
MIn ED YEARLY RATE (inches):
Volume Time Daily
A lied Irri aced Loadln
32.5
Maximum
Hourly
Loading
('F)
Inches
toot
gallons
minutes
Inches
hes
gal ora
minutes
Inches
Inches
1
R
81
0.1s
0
0
0.00
V/01
0
0
0.00
#DIV/0!
a
1 R
80
0.39
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/01
3
1 PC
80
a
0
0,
0.00
#DIV/O!
0 1
0
0.00
1 #DIV/01
4
R
so
0.01
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
5
R
80
0.04
4.5
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
a
R
79
0.26
0
0
0.00
#DIV101
0
0
0.00
#DIV/O!
7
R
79
0.56
0
0
0.00
#DIV101
0
0
0.00
#DIV/O!
a
R
79
1.58
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
9
R
78
0.04
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
10
PC
78
0
0
0
0.00
#DIV101
0
0
0.00
#DIV101
11
Pc
78
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/O!
12
PC
78
0
4.4
0
0
0.00
#DIV/01
0
0
0.00
4DIV/01
13
PC
77
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
14
CL
77
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
15
PC
77
0
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/0!
16
PC
76
0
0
0
0.00
#DIV101
0
0
0.00
#DIV/O!
17
PC
76
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV101
1s
PC
76
0
4.4
0
0
0.00
#DIV101
0
0
0.00
#DIV/o!
19
PC
76
0
0
0
0.00
#DIV101
0
0
0.00
#DIV/Ol
20
C
75
0
0
0
0.00
#DIV/O!
0
0
0.00
#DIV101
21
R
75
0.02
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
22
PC
75
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/Ol
23
PC
74
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
24
C
74
o
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
25
C
74
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/O!
26
C
74
0
0
0
0.00
#DIV/Ol
0
0
0.00
#DIV/01
27
PC
73
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV101
28
C
73
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/O!
29
C
73
0
0
0
0.00
#DIV/Ol
0
0
0.00
#DIV101
30
PC
72
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
31
PC
72
0
4.3
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
Total GallonslMonthly Loading (inches)
0
-° ° =
0.00
0
0.00
12 Month Floating Total (inches)
; .
0.00
0.00
Average Weekly Loading (inches)i
0
0
Weather codes: c -clear, PC -partly cloudy, Cl -cloudy, R -rain. Sn-snow, 51 -sleet
Spray Irrigation Operator In Responsible Charge (ORC):
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATrN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
996725
Allen Bliven
Phone: [phone]
Check Box if ORC Has Changed:
(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-1 (1112005)

Page 5 of 8
NON -DISCHARGE APPLICATION REPORT
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 pennit requirements: (Note: if.a requirement does not apply to your facility put (NA) in the
compliant box. )
did limits) in the
Com Ilant N)
Y
1. The application rate(a) not exceed the specified permit
2. Adequate measures were taken to prevent wastewater runoff from the sfte(s).
0
3. A suitable vegetative cover was maintained on the site(s) In accordance with the permit
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 limits)
u
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."
(Signature of Permittee)` Date
Wayne Hodges, Chairman
(Permittee -Please print or type)
PO Box 21, Swan Quarter, NC 27885
(Permittee Address)
William G. Freed
(Name of Signing Official -Please print or type)
By Authority, President Enviro-Tech
(Position or Title)
252491-5277 9/30/2006
(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 2B.0$08 (bx2)(D).
DENR FORM NDAR-1 (1112005)

Page 6 of 8
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00019665 MONTH: October YEAR: 2016
FACILITY NAME: Swan Quarter Sanitary District COUNTY: Hyde
Formulas:
Dally Loading (Inches) _(Volume Applied (gallons) x 0.1336 (cubic teattgailan) x 12 (incheslfoot)] / (Area Sprayed (acres) x 43,580 (square feevarre)) OR
= Volume Applied (gallons) I (Area Sprayed (acres) x 27,152 (gallonslacro4rco h))
Maximum Hourly Loading (inches) = Da3y Loading (Inchos) / (rune Irrigated (minutes)160 (mimdeuhourp Ily Loading (Inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadmlls (niches)
Average Weekly Loading (Inches) = [Monthly Loading (mcheshnanth) I Number of days in the month (dayslmonlh)] x7 (dayshveek)'
Did Irrigation O=ur At This Fae fir
Yes: No:
X
Did Irrigation Occur On This Field:
Yes: No:
x
Did Irrigation Occur On This Field:
Yes: No: x
FIELD NUMBER: 7
AREA SPRAYED (acres): 4.48
COVER CROP:
PERMITTED HOURLY RATE (inches): 0.25
FIELD NUMBER: 8
SPRAYED (acres): 4.18
COVER CROP:
MITI HOURLY RATE (inches): 0.25
D
A
T
E
WEATHER CONDITIONS
Temper•
weathar attire at Precipita
fie- a Ilcation tion
Storage
Lagoon
Free -board
PERMITTED YEARLY RATE (inches):
Volume Daily
Applied Time LoadingLoadingA
32.5
Maximum
Hourly
IMITTED YEARLY RATE (inches):
Volume Time Daily
tied Irrigated LoadingLoading
32.5
Maximum
Hourly
y
('F)
Inches
feet
gallons
-Irrigated
minutes
Inches
Inches
gallons
minutes
Inches
Inches
1
R
81
0.19
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
2
R
80
0.39
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
3
PC
eo
0
0
0
0.00
#DIV/01
0
1 0
0.00
#DIV/01
4
R
80
0.01
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/0!
5
R
80
0.04
4.5
0
0
0.00
#DIV/01
0
0
0.00
#DIV/O!
6
R
79
0.26
0
0
0.00
#DIV/Ol
0
0
0.00
#DIV/01
7
R
79
0.56
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/01
a
R
79
1.58
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
9
R
78
0.04
0
0
0.00
#DIV/O!
1 0
0
0.00
#DIV/O!
10
PC
78
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/O!
11
PC
78
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
12
PC
78
0
4.4
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
13
PC
77
0
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/01
14
CL
77
0
0.
0
0.00
#DIV/01
0.
0
0.00
#DIV/O!
IS
PC
1 77
0 1
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/Ol
16
PC
76
0
0
0
0.00
#DIV/01
0
.0
0.00
#DIV/0!
17
PC
76
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/O!
16
PC
76
0
4.4
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/0!
19
PC
76
a
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
20
C
75
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
21
R
75
0.02
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
22
PC
75
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
23
PC
74
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
24
C
74
0
0
0
0.00
#DIV/01,
0
0
0.00
#DIV/01
25
C
74
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
26
C
74
1 0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
27
PC
73
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
26
C
73
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
29
C
73
0
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/01
30
PC
72
0
0
0
0.0 1
#DIV/01
0
0
0.00
#DIV/01
31
PC
72
0
4.3
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/01
Total GallonsiMonthly Loading (inches)
0
=
0.00
0
0.00
12 Month Floating Total (inches)l
0.00
0.00
Average Weekly Loading (inches)l
V
0
0
Weather codes: C -clear, PC -partly cloudy, CI -cloudy, R•rain, Sn.snow, Si -sleet
Spray Irrigation Operator in Responsible Charge (ORC):
ORC Certification Number: 996725
Mall ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 276994617
Allen Biiven
Phone: [phone]
Check Box if ORC Has Changed:
(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-1 (1112005)

Page 6 of 8
NON -DISCHARGE APPLICATION REPORT
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 the limit(s) in the
Com Ilant N)
Y
application rate(s) not exceed specified 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
0
4. All buffer zones as specified in the permit were maintained during each application.
0
6. The freeboard In the treatment andfor storage lagoon(s) was not less than the limits)
0
specified In the permlt
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."
(Signature of Permittee)" Date
Wayne Hodges. Chairman
(Permittee -Please print or type)
PO Box 21, Swan Quarter, NC 27885
(Permittee Address)
William G. Freed
(Name of Signing Officlal-Please print or type)
By Authority, President Enviro-Tech
(Position or Title)
252-491-5277 9/30/2006
(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 28.0508 (b)(2)(0).
DENR FORM NDAR-1 (1112005)

Page 7 of 8
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00019665 MONTH: October YEAR: 2016
FACILITY NAME: Swan Quarter Sanitary District COUNTY: Hyde
Formulas:
Daily Loading (inches) a Nohmhe Appaed (gallons) x 0.1338 (auWc feelfgatlon) x 12 (inchesBool)] l [Area Sprayed (acres) x43.560 (square feetlacre)) OR
= Volume Applied (germs) I (Area Sprayed (acres) x 27,152 (galonslacre-inch))
Maximum Hourly Loading (Inches) - Daly Loading (Inches) l [lime Irrigated (minutes) 160 (minutesmour)] hly Loading (inches)' = Sum of DaRy.Loadings (inches)
12 Month Floating Total (inches) - Shan of INS month's Monft Loading (inctw) and previous 11 month's Monthly Loadings (mc hes)
Averane Weeklv Loadina (inches) - [Mon#* Loadina (Incheslmmtlh) f Number of dans in ure month MaWmonth)) x 7 (dansMeW
Did Irrigallon
Occur At Wra
Yes:
ra-cilKDid
No:
X
Irrigation Occur On This Field:
Yes: No:
X
Did Irrigation Occur On This Field:
Yes: No: X
-
FIELD NUMBER: 9
AREA SPRAYED acres : 4.93
COVER CROP:
PERMITTED HOURLY RATE (inches): 0.25
FIELD NUMBER: 10
SPRAYED acres : 5.08
COVER CROP:
)TIED HOURLY RATE (inches): 0.25
D
A
T
E-
WEATHER CONDITIONS
Tompor-
weath®. ature at Precl
Code
application tion
storage
Lagoon
Freeboard
PERMITTED YEARLY RATE (Inches): 32.5
Maximum
Volume Daily Hourly
Applied Time Irrigated Loading Loading
IMITTED YEARLY RATE (inches):
Volume Time Daily
Applied Irrl ated Loadin
32.5
Maximum
Hourly
Loading
('F)
Inches
feet
gallons
minutes
Inches
Inches
gallons
minutes
Inches
Inches
1
R
81
0.19
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/0!
2
R
80
0.39
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/0!
3
PC
80
0
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
4
R
so
0.01
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/01
5
R
80
0.04
4.5
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
6
R
79
0.26
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
7
1 R
79
0.56
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
8
R
79
1.58
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
9
R
78
0.04
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
10
PC
78
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
11
PC
78
.0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/O!
12
PC
78
1 0
4.4 1
0
0
0.00
#DIV10!
0
0
0.00
#DIV/0!
13
PC
77
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
14
CL
77.
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
15
PC
77
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
16
PC
76
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
17
PC
76
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/Ol
181
PC
76
0
4.4
0
0
0.00
#DIV/O!
D
0
0.00
#DIV/01
19
PC
76
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/O!
20
C
75
0
0
0
0.00
#DIV/01
-0
0
0.00
#DIV/01
21
R
75
0.02
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/01
22
PC
75
0
0
0
0.00
#DIV/0
1 0
0
0.00
#DIV/01
23
PC
74
1 0
1 0
0
0.00
#DIV/01
0
0
0.00
#D V101
24
1 C
74
0
0
0
0.00
#DIV/01
-0
0
0.00
#DIV/01
25
C
74
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
26
C
74
0
0
0
0.00
#DIVIO!
0
0
0.00
#DIV/01
27
PC
73
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
29
C
73
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
29
C
73
0
1 0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
30
PC
72
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
31
PC
72
0
4.3
0
0
0.00
#DIV/01
0
0
0.00
Total GallonslMonthly Loading (inches)
0
: "
0.00
0
0.00
12 Month Floating Total (inches)
0.00
0.00
Average Weekly Loading (inches)
0
0
• Weather Codes: C -clear, PC -partly cloudy, Cl -cloudy, R-raln, Sn-snow, Sl-slest
Spray Irrigation Operator in Responsible Charge (ORC): Allen Biiven Phone: [phone]
ORC Certification Number: 996725 Check Box if ORC Has Changed:
Mail ORIGINAL and TWO COPIES to:
DENR FORM NDAR-1 (1112005)

Page 7 of 8
DENR
Division of Water Quality
ATTN: Information Processing. Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, 1 CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
NON -DISCHARGE APPLICATION REPORT
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 application rate(s) did the limit(s) in the
Com liant ,N)
not exceed specified 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.
0
4. All buffer zones as specified in the permit were maintained during each application.
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 cerfify, 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 informafion, including the possibility of fines
and imprisonment for knowing violations."
(Signature of Permittee)' Date
Wayne Hodges; Chairman
(Permittee -Please print or type)
PO Box 21, Swan Quarter, NC 27885
(Pennittee Address)
William G. Freed
(Name of Signing Official -Please print or type)
By Authority,President Enviro-Tech
(Position or Title)
252-491-5277 9/30/2006
(Phone Number) (Permit Exp. Date)
` ff signed by other than the permittee, delegation of signatory authority must be on file with the state per 1 SA NCAC 2B.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)

Page 8 of 8
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE Two APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WOOO19865 MONTH: October YEAR: 2016
FACILITY NAME: Swan Quarter Sanitary District COUNTY: Hyde
Formulas:
Daily Loading (Inches) = [Volume Applied (gallons) x 0.1338 (arhlc teeVgal1on) x 12 Circlum foog)1(Area Sprayed (acres) x43.560 (square feellacre)) OR
- volume Appried (garmrs) / [Ama Sprayed (acres) x 27,152 (galmWaou4nch))
Maximum Hourly Loading (Inches) - Daily Loading (inches)1lrmo Irrigated (0 160 (minuW11tow)] try Loading pnches) = Sum of o* Loadings (tnrhes)
12 Month Floating Total (Inches) = Sum of this month's Monthy Loading (Imes) and previous 11 monWs Morift Loadings (orches)
Average Weekly Loading finches) _ [Monthly Loafing Wchoswtn Ot) I Nuinber of days in Ota month (dayslm")l x 7 (dayshveek)
Old Irrigation Occur Al This Facility:
Yes: No: X
Did Irrigation Occur On This Fleld:
Yes: No:
X
JDM13 Irrigation Occur On This Field:
I Yes: No: X
-
FIELD NUMBER 1 11
AREA SPRAYED (acres): 4.76
___C0VERCROP:j
PERMITTED HOURLY RATE (inches): 0.25
FIELD NUMBER: 12.
FA SPRAYED acres : 3.43
COVER CROP.
MITTED HOURLY RATE (inches): 0.25
D
A
T
E
WEATHER CONDITIONS
Temper. Storage
weather at,ve at Predplta Lagoon
Cods' cation lion Free -board
PERMITTED YEARLY RATE inches :
Volume Daily
Applied Time IrN ated LoadingLoadingApplied
32.5
Maximum
Hourly
ITTED YEARLY RATE (inches):
Volume Time Daily
Irrigated Loadin
32.5
Maximum
Hourly
Loading
C)
Inches feet
gallons
minuoos
Inches
Inches
gallons
minutes
Inches
Inches
1
R
81
1 0.19
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/0!
z
1 R
80
0.39
0
0
0.00
#DIV/Ol
0
0
0.00
#DIV/0!
3
PC
80
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
4
R
80
0.01
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
5
R
80
0.04 4.5
0
0
0.00
#DIV/01
1 0
0
0.00
#DIV/01
6
R
79
0.26
0.
0
0.00
#DIV/01
0
0
0.00
#DIV/01
7
R
79
0.56
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
a
R
79
1.58
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
9
1 R
78
0.04
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
10
PC
78
0
0
0
0.00
#DIV/01
0
0
0.00
#D1V/O!
11
PC
78
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
12
PC
78
0 4.4
0
0
0.00
#DIV/01
1 0
0
0.00
#DIV/01
13
PC
77
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
14
CL
77
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
0.5
PC
77
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
16
PC.
76
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
17
PC
76
0
0
0
0.00
#DIV/01
0
0
0.OD
#DIV/01
18
PC
76
0 4.4
0
0
0.00
#DIV/01
0
0
0.00
#DIWO!.
19
PC
76
0
0
0
0.00
#DIV/01
0
0
0.00
#DIVi01
20
C
75
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/O!
21
R
75
0.02
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
22
PC
75
0
0
0
0.00
#DIV/0!
1 0
0
0.00
#DIVIO!
23
PC
74
0
0
0
0.00
#DIV/O
1 0
0
0.00
#DIV/0!
24
C
74
0
0
0
0.00.
#DIV/01 .1
0
0
0.00
#DIV/01
25
C
74
0
0
0
0.00
#DIV/01
1 0
0
0.00
#DIV/01
26
C
74
0
0
0
0.00
#DIV/01
1 0
0
0.00
#DIV/O!
27
PC
73
0
0
0
0.00
#DIV/01
1 0
0
0.00
#DIV/01
28C
73
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/O!
29
C
73
0
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/01
30
. PC
72
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01.
31
PC
72
0 4.3
0
0
0.00
#DIV/01
0
0.00
#DIV/0!
Total GaltonsiMonthly Loading (inches)
0=
_
0.00
".
0
_`
0.00
_
12 Month Floating Total (inches)
_ -
0.00
0.00
Average Weekly Loading (inches)
," " , :
71 i0
0
Weather Codas: C -clear, PC -parry cloudy, Cl -cloudy, R -rain, 5n -snow, 51 -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Allen Bliven Phone: [phone]
ORC Certification Number.
Mall ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: information Processing Unit
1617 Mail Service Center
RALEIGH, NC 276994617
995725
Check Box if ORC Has Changed:
(blidRATIJRE 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-1 (I WOOS)

Page 8 of 8
NON -DISCHARGE APPLICATION REPORT
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 the limit(s) in the
compliant N)
Y
application rate(s) not exceed specified permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
0
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
4. All buffer zones as specified in the permit were maintained during each application.
5. The freeboard In the treatment andlor storage lagoon(s) was not lees 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."
(Signature of Permittee)* Date
Wayne Hodges, Chairman
(Permittee -Please print or type)
PO Box 21, Swan Quarter, NC 27885
(Permittee Address)
William G. Freed
(Name of Signing Official -Please print or type)
By Authority, President Enviro-Tech
(Position or Title)
252-491-5277 9/30/2006
(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 NDAR-1 (1112005)