WQ0003044_Monitoring - 11-2016_20161228

FARM: NDAR-2 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page of
__"Perrmt'No.: WQ0003044
Facility Name:
Dunescape
County: Carteret
Month:
November
Year:
2016
Did infiltration occur a
Site% Nar
Site Name:
Site_.Name:
_thi�; facility?
Area (acres):
Area (acres):
Area (acres):
D
YES ■ •
Rate (GPD
1111fey
DIW
...
p
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p
■ .
p
■ .
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FORM: NDAR-2 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page or
.&-
Did the application rates exceed the limits in Attachment B of your permit? [D Compliant ❑ Non -Compliant
If not a basin, were the sites kept free of vegetation and raked? 2] compliant ❑ Non -Compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites? 0 Compliant ❑ Non -Compliant
If a basin, were there any instances of breakout from the berms? 2 Compliant ❑ Non -Compliant
Was the onsite automatically activated standby power source tested and operational? p Compliant ❑ Non -Compliant
If the facility is non-compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification / Permittee Certification
ORC: Don Omara Permittee liiDf29� //&&//0`
Certification No.: 7904 Signing Official:
Grade: 3 Phone Number: 252-725-2129 Signing Official's Title: /4.,-
7 Yes No Phone Number: 4 r �rmit Exp.:
Has the ORC changed since the previous NDAR-2. ❑ ❑ �1 — l//
Signature
Date Signat Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. 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.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617