WQ0028693_Monitoring - 11-2016_20170103 (2)

FORM NDAR-� 08-� i NON-DISCHARGE APPLICATION REPORT (NDAR-1) Page � of 1L
Permit No.: WQ0028693 Faciliry Name: Mountaintop Golf & Lake Club WWTF Counry: Jackson Month: November Year. 2016
Field Name: Oi Field Name: 02 Fieid Name: 03 Field Name: 04
Did irrigation occur --� --
Area (acres): 3A9 Area (acres): 4.35 Area (acresl: 4.32 Area (acres): 426
at this facility� r ': ---
-� Cover Crop: Bluegra>slBzntqras Cover Crop: Bluegrass/Bentgras Cover Crop: Bluegrass/Bentgras Cover Crop: Bluegrass/Bentgrass
❑No -- 3���� Haurly Rate (in): 0.� 5 Hourly Rate (in): 0.75 Hourty Rate (in): 0.15 Hourty Rate (in): 0.15
���rEs �
Annual Rate (in): 162 Annual Rate (in): 182 Annual Rate (in): 182 Annual Rate (in): 782
i�'
r„ .F�e9boa�d. Field Irrigated9 [IrEs ❑No Field Irrigated? ❑'ves ❑No Field Irrigated7 ❑vE5 '�No Pield Irrigated? �ves �rvo
m � ° ' �
� � � m m°1 d a a rn E T a m a � rn E T rn o a a m E T a w a a rn E r rn
T U � y � a� E y ry � }, C J t E y y T C J C E d W i T C J C E N y � T C � C
pA n c' o �" � o' E m '° m x o A ' a E rn q m x'o m ' a E� �'° m x o m '°� E rn �'^ m x o m
t� 'u a, a o a ��. o o ti y a o a i- �c o p m x o o a i- �� o p m x a o a r� ❑ o A= p
� F a Ul Q N i Q _ � � J i Q _ J � J i Q � J � �l i Q J � J
; "' -
°F in ft ft gal min in in gal min in in gal min in in gal min in in
1 C 44 0 18.5 22 0 0 0.60 Q.00 0 0 0.00 0.00 0 � 0 G 00 0.00 0 0 0.00 0.00
2 C 68 0 18 22 0 0 OAO 0.00 0 0 0.00 0.00 0 0 0.0�0.00 0 0 0.00 0.00
3 C 66 0 18 22 0 0 OAO 0 UO 0 0 0.00 0.00 0 0 D.OG 0.00 0 0 0.00 0.00
a c so o ia zz o 0 o.no a.00 0 0 0 00 0 00 0 0 0.00 0.00 0 0 0.00 0 00
s o 0 0.00 0.00 0 0 0.00 0 00 0 0 0.00 � o0 0 0 0.00 0 00
s o 0 0.0o n.00 0 0 0.00 0.00 0 0 0.00 0,00 0 0 0.00 0.00
7 C 28 0 1 B 22 0 0 0 OD 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00
8 CL 42 0 18 22 0 0 O.CG 0.00 0 0 0.00 0.00 0 u O.OD D.00 0 0 0.00 0.00
9 CL 43 0 18 22 U 0 0.�0 G.UO 0 0 0.00 0.00 0 0 0.00 O.00 0 0 0.00 0.00
10 C 66 0 18 22 0 0 0.00 0.00 0 0 0.00 0.00 C 0 0.00 0 GC 0 0 0.00 0.00
11 CL 58 0 18 22 0 0 D.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00
12 0 0 0.00 OAO 0 0 0.00 0.00 0 0 0.00 0.00 0 0 ODO 0.00
73 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.�0 000 0 0 0.00 0.00
14 C 25 0 17.5 22 4,A00 2Q OA6 0.06 7,200 20 0.06 0.06 0 0 OAO 0.00 0 0 0.00 0.00
15 C 30 0 77.5 22 0 0 0.D0 Q00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00
16 PC 36 0 17 22 4,800 20 OA6 0.06 7,200 20 0.06 0.06 0 0 0.00 0.00 0 0 0.00 0.00
17 C 38 0 17 22 0 0 OAD � 0.00 0 0 0.00 0.00 0 6 OAO ^v.00 0 0 0.00 0.00
78 C 32 0 17 22 0 0 4.��J 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00
19 0 0 OAO 0.00 0 0 0.00 0.00 0 0 C.00 0 UO 0 0 0.00 0.00
20 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00
21 C 28 0 17 22 0 0 0.00 0 00 0 0 0.00 0.00 0 D OAO O.OU 0 0 0.00 0.00
22 C 20 0 17 22 0 0 0.00 G.00 0 0 0.00 0.00 C 0 0.00 O.OG 0 0 0.00 0.00
23 C 30 0 17 22 4,800 20 0.06 0.06 72D0 20 0.06 0.06 0 0 0.00 Q00 0 0 0.00 0.00
24 0 0 0.00 OAO 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 OAO
25 C 31 0 17 22 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00
26 0 0 OAO 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00
27 0 0 ODQ 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00
26 CL 35 0 16 22 0 0 O.DO 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00
29 R 50 2 75.5 22 4,800 20 0.06 OA6 7,200 20 0.06 0.06 0 0 0.00 0.00 0 0 0.00 0.00
30 CL 54 02 15S 22 0 I 0 OAO_ �. O:C 0 0 0.00 0.00 C 0 � 0.00 Q00 0 0 0.00 0.00
31 C ��� ".�0 I � 00 0 0 D 00 0 00 I G 0 I 0.00 � 00 0 0 OAO 0.00
Monthly Loading: 79,kC � E�- � ; ' .Z � _ I ,�y�' 28 800 's�� : Q24 �i�_�� � x,�`s_ 0.00 ;� ,II 0 . .... 0.00 -.
12 Month Floating Total (in): `� � . . � 5.66 + - ,� I 0.00 - 0.00

FORM: NDAR-1 08-11 � NON-DISCHARGE APPLICATION REPOIZT (NDAR-1) Page �_ of�Q
� ! r
Did the application rates ex�ceeciYthe'limits"in"Attachment B of your permit? i❑� Compliant ❑Non-Compliant �
- i
Were adequate measures 4aken to prevent effluent ponding in or runoff from the sites? pcomP��a�c �Non-Compliant
Was a suitable vegetative:cover maintained on all sites as specified in your permit? ❑� Compliant ❑Non-Compliant
. , ;.
Were all setbacks liste'd�'Bn�your permit maintained for every application to each permitted site? OCompliant�� ❑Non�ompliant
Were all freeboards maintained in accordance with��tlie specified freeboard heights in your permit? ❑✓ 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: Michael Beck Permittee:
Mountaintop Golf & Lake Club �
Certification No.: SI-991669 WWIV-7930 siynin9 ofticiai: Robert Barr � �
Grade: SI WWIV Phone Number: [phone] Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? ❑yes ONo ' Phone Number: [phone] Permit Exp.: 7/31/14
i�.�� �� %Z�.3o l�
Signature Date � Signature Date
By this signature, I ceAify that this report is accurrate and complete to the best of my knowledge. I certify, under penalty of law, that this documeot 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 possibiliry 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

FORM: NDAR-1 08-11
° - ,
Fermit No.: WQ0028693
Did irrigation occur
at this facility?
❑� YES ❑NO
Weather Freeboard
=
� °.' c "
Y
Q � Y � y �
� V � :° � a m
� � a Q Y � �
r � d � � a
Qi �
� F, a � to
°F in ft ft
1 C 44 0 18.5 22
2 C 68 0 18 22
3 C 66 0 18 22
4 C 60 0 18 22
5
6
7 C 28 0 18 22
8 CL 42 0 18 22
9 CL 43 0 18 22
10 C 66 0 18 22
11 CL 58 0 18 22
12
13
14 C 25 0 17.5 22
15 C 30 0 17.5 22
16 PC 36 0 17 22
17 C 38 0 17 22
18 C 32 0 17 22
19 -
20
21 C 28 0 17 22
22 C 20 0 17 22
23 C 30 0 17 22
24
25 C 31 0 17 22
ss
z�
28 CL 35 0 16 22
29 R 50 2 15.5 22
30 CL 54 0.2 15.5 22
31
� Monthly Loading
12 Month Floating Total (in):
►�O�l-DISCHARGE APPLICATION REPOCaT (i�D�►R-'!)
Faci�ity Name: Mountaintop Golf & Lake Club WWTF county:
' F�e1d�iUame > �. 05 Fieid Name: 06 "� '", �eid
� . _. �
;
�=asa.. � .3. �.� � ._ - .. _ . , :x_. . .,.
` = ,�C�a4(�icresj �,; a 3'.3i Area (acres): 3.95 � � IAC�a�(;
�;� �nue�'"Crap' Blue�rass/Bentgras� Cover Crop: Bluegrass/Bentgras �:: Cta�ei
Haurt�r Ffa�e {�n) , 6.'ia Hourly Rate (in): 0.15 Ho�urly Ra
�
Arinual t�ate {ar1) " 98.2 , r ;, Annual Rate (in): 18.2 At�ri'u�l t��
t�
��eltl irr¢gate�? �[��lES � " �(�[�0 ',' Field Irrigated? ❑YES �No �6�I�l�r�;�
,.. ,w ��_, :_ �.u>. � M �
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�e�Y Qi �'J 3 Qi y �J1 �i 1 ��� r.. Qi Qi W i� C � ` C � iV
���_ � k � E �� re� � � � '� � 3 c, E �0 •� =o E � =a ,� -`a.
aFc�, �t- � a .� sXa ���.: o a i= •a' o o �_-o o:��
."�'��"r�� p��'�`� ,,.1 �, ,,,d ' Q � J rL J .~+ 4C� �
si� ?` Ff
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��. � �� � ^�
��yy�{ ,� �����nan. an (t� �='�� gal min in in gal _
8._..�
F >0 �, , ` ��..: �G� -° :_, t3 O[i �,V Q D.f}.."' 0 0 0.00 0.00 _..p" '� :
���<0 ��,�fr: f0� _ �'UOQ�.�' . .O�QiI ;.i; 0 0 0.00 0.00 U:'� `� '`
f_�� _
�, �7 `�"`�°{ , � '; ,4 :' � Ot} ,: ' ., U.OQ '.:' 0 0 0.00 0.00 _,' Q:: . �., . ::
�° �`� °�.� . : �_. � r:; � 00,... .. .400 �fi. 0 0 0.00 0.00 0:;
� �� �.'� . :-:� 4.3. ��(3a0Q� ', �, O,OQ, �;; 0 0 0.00 0.00 0'.; � ,
:t#Mh . � ,Q,'4 .�„�4 OC�� , �, � OU�Qw :, 0 0 0.00 0.00 � .: �':- �t. .�:
. ;E} � i (} .. _ Q�O� �' � „�? �3t};�=„; 0 0 0.00 0.00 ��` 0,�'�� .t;�
,8::�4J�� a3 _r t{/ *4 � V���z'���:.�a � ��.ti�A'., � � Q.�O Q.�� .,�•�_f � �
^�:V ,� � V1 �� fJ�F� 4': �i ���:a� � � Q.�� Q.�Q O�: �i +e
.: D. .... ..�;� Q..��� .z� �i U0� �"`` ,..oi3 OC}M:;,� 0 0 0.00 0.00 0���. �`a
_.
T: Q....�, .F_,�3 �`��,w;,�OQ��.-;�� �ttlt�,�'+; O O O.00 O.00 �....��4; ��^
~��� F��(? „��O4�rs�;��.�,_�'< 0 0 0.00 0.00 ��,0��
:Q _�� � ,� ;s;.�4�0�� :� 40�#:�', 0 0 0.00 0.00 � .0:�� -
,-p � {} _ " U 00 , � OQ : 0 0 0.00 0.00 _ �`�
p .. ��.all .�`'0 ��.� .,�UOQ `= t3�€1 ��: 0 0 0.00 0.00 .0 �'�
y`,���Y ��` �' �� �� j�kV�ry� Lf iJ�:,;CB 0 Q Q.OQ �.�Q � V-_E1
��1, . ��` . �'�: U. �; ��. � �. .:'; _ 0 QE3 °.� 0 0 0.00 0.00 ., .. �. � . :.
��.+.'�. � �� : �� , ,.:��U QG?, �', ;Q pf# ::.:; 0 0 0.00 0.00 0_'- ��
k{n=� .�.. �.,.,'� Q,..;� .a;t�.�� � E,..�4 QO,:�`; O O O.00 O.00 fl-�..=
�0, � .. �..:x 0 . �.. ,.' �Q ESt� , ,�, t} U(}: _,; 0 0 0.00 ' 0�:00 _ . _D:. _ w �
,Q' ,�� .��.: t?, ?`: f} E�? .:' f3 flU �° 0 0 0.00 0.00 fl;° ..
U f� r'.f} �,:� 0 U�3 ;..; . D QE} :'>; 0 0 0.00 0.00 � 0:: �`
�`� x�,. `.�:;. 0�..e .t}UC� ::4 O,DQ ;>,: 0 0 0.00 0.00 _._0:;
fl..��� .:� �i..,_.. t 0_UCi ..: U_Oi3, `;�:: 0 0 0.00 0.00 ��:�.,a �
: � ,�&,� .. �.(� �. ��t? ;i, v.oD.:,r�, o 0 0.00 0.00 �0:._. _ :.:.
. .. �. ; _
�;:���. _ _ =: o, .� � � � A� _: . a�oo� ���,.��� o 0 0.00 � o.00 o:, . . _
� b `�� �._ `.'�� o.a�� �- o o�:� �, o 0 0.00 0.00 ��;�
�� :`; �_ ..m o att.� ��' o oo';�;', o 0 0.00 0.00 0���
�f3 '� �I �,' f} t3D'�: � ti 00:'��^� 0 0 0.00 0.00 �0?��
�i? : p =. Q{}Q= Q OE�,,°:: 0 0 0.00 0.00 ;il,=
..:0 ��e . .� t} .. ;` U �UU" ` (i,Q.Q.,'.. 0 0 0.00 0.00 D;, .... :;
t? ':° 0 O(3, 0 ,�:; �'� 0.00 N�� 0`°. t.u'
DDO � ° � � *°
: �� .� _ , ;,,;, 0.00 �';, .
Jackson I �nonth:
Page �i of �
November � � Year: 2016
Field Nam�: 08
Area (acres): 2.31
Cover Crop: Bluegrass/Bentgras
Hourly Rate (iri): 0.15
Annual Rate (in): 18.2
Field Irrigated? �YES � ❑✓ NO
d-o � o� � E T o�
ai Qi �. � � �
o • �o E � �o
o a �•°� o 0 0
>Q _ .� �_�
gal min in in
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
� 0 �.�Q 0.��
� � �.�� 0.��
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
Q � D.OQ Q.��
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 � 0; 00
0 0 � -0.00 • � 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
%'l/ 3
0 ��:",'� ; �.�� .:�.-.�-
�-, . ,� ;!; �� 0.00 a�� ,r�

FORM: NDAR-1 OS-1'I NON-DISCHARGE APPLICATION REPORT (NDAR-1) Page Z of�
.�f . .
�
Did the application rates exceed the limits in Attachment B of your permit? �Compliant ❑Non-Com{iliant
�
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑� Compliant ❑Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? OCompliant ❑Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Ocomp��a�t ❑Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑✓ 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: Michael Beck Permittee: Mountaintop Golf & Lake Club
Certification No.: SI-991669 WWIV-7930 signing officiai: Robert Barr
Grade: SI WWIV Phone Number: [phone] Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? ❑yes Orvo Phone Number: [phone] Permit Exp.: 7/31/14
� ` �a�a.'�!� 1 3a ��
Signature Date Signature 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 quatified personnel properiy 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

`FORM: NDAR-1 08-11
' • .
Permit No.: WQ0028693
Did irrigation occur
at this facility?
QYES ❑NO
Weather Freeboard
d� � �
� �
w
m
O a' "' p� N Q
�p (,) � ;ia lp Q N
� ` Q, Q o � �
w � .y f/i �0 pQ,
N � a � f0 x
� �
°F in ft ft
1 C 44 0 18.5 22 �
2 C 68 0 18 22
3 C 66 0 18 22
4 C: 60 0 18 22
5
6
7 C 28 0 18 22
8 CL 42 0 18 22
9 CL 43 0 18 22 ,
10 C 66 0 18 22
11 CL 58 0 18 22 �
12
13
14 C 25 0 17.5 22
15 C 30 0 17.5 22
16 PC 36 0 17 22
17 C 38 0 17 22
18 C 32 0 17 22
19 �,
20
21 C 28 0 17 22 �
22 C 20 0 17� 22
23 C 30 0 17 22 "�
24
25 C 31 0 17 22 `
26
27
28 CL 35 0 16 22
29 R 50 2 15.5 22
30 CL 54 0.2 15.5 22
31
12 Month Floating Total
� � tdOBV-DiSCHARGE APPLICATION REPORT �l�DAR-�)
Faciiity n►ame: Mountaintop Golf & Lake Club WWTF county: Jackson
F�e1d:W�me ` 4 d, �0'� Field Name: 10 ���':��QT�i��mt�
Ar��_{acr�sj : ' z:7'� e � Area (acres): 2.22 �,- ;:At�a ���res� `"
Cpvar.Crop Btuegr3sslBentgi'as Cover Crop: Bluegrass/Bentgras ` Gbv�r;�wc3p; Blue
HouYly f�ate�i�t):, .: ' 0.�5 Hourly Rate (in): 0.15 kEou�Igf.R�te �itij
.4nnual F�te�(�p) ',' 18 � ;' Annual Rate (in): 18.2 ��r►a�uai Rate (rm� ;<'
, . � , �_r
,, �eld Irrdgated? (]Y�S QNo Field Irrigated? ❑YES Orvo �ietdlrPigafe�' ]�`
F
�; sa � a;s,
F -� •
�m , a�� a,� �'�i�F' �d m� �.c ��c �� �a�,� '�
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�N °� '- J im��.:,,1, i Q � J �= J `..�' '!� z, a'r
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x N , 7.
. 4 � .., ;a % �� ��
, 9��, .. ...°rrg�n ° �n, _: F, . �ass';;�; gal min in in g�! ���sttt� . .:;u ":i
•" �.� ': o.Q : D#l0 <" �.00;�°` 0 0 0.00 0.00 _Q � .. �``.p.. < <,;:�;
a�... . ' Q .:. „ .. E3 #30 :,'" 0_00 ;;". 0 0 0.00 0.00 :.. . Q` , ' ;a 0 a , �«.p!
`.4 . s . '° , �. ,. . .�.:, ti 40 �. :, 4,Q4�:: `; 0 0 0.00 0.00 � - Q' �. .��.°:.0, __ ,v �. �.Q;
: �� . . ;� o. . , . o ao �;' o oo: _ . o 0 0.00 0.00 �'°o' �.� � . o .. =:.o:
-=` f5 � �- ` {1,;. si Q UO , :' 4 Of3,'; ,` 0 0 0.00 0.00 � :,�:� �' � � ;"F , �0 �'°:r{i;
, :� , .'; ;Q,�.. ��g .U;UD � ' t3 Q(�,;.� 0 0 0.00 0.00 � �' {l, „ - Q ,� :4;
. � ��
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�:�.F .. � .. o, .- ,o t�o � va�,.w� o 0 0.00 0.00 ' ... �?, � ., _ .�� �.... . ��o;.
u'0 ��` (� U flU fJ:0�3;'� m' . 0 0 0.00 0.00 '��, :t3, ` :; 0�' :0`.
�� £i �_.�� v,�� 0� �. . _.; D UO _'�� . .�?�(i0;.,°� 0 0 0.00 0.00 r. .. �� � �.�,. ��Q'�
^;
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:`'17,� ' �. . , v'- (! UO a' � D i?0`4�;:', 0 0 0.00 0.00 �� .zQ. . .�., . Y d': Q . ��i?;
, �. _.., .. 4. .� . . Ct t3d ,' . 0 OCl�-=,r, 0 0 0.00 0.00 4 ...�..a �. .'�,�: �� . , q;:0
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D.OQ =� � 0.00 s% r% ° t ';Q
Page 3 of � �
IIIlionth: November Year: 2016
Field Name: 12
�V, : I ' Area (acres): 3.88
�nfgT�s„ Cover Crop: Bluegrass/Bentgras:
Hourly Rate (in): 0.15
Annual Rate (in): 18.2
�NO ="'': Field Irrigated? ❑YEs �No
; F�
cn' m�o v rn E rn
S�" C: � d N N a C 7,` C
Q� '°' �o� ��� Xom
3�,J'.�', 9Q ~ � �J �=J
3 �.
[�+ : gal min in in
"U f}0� :� ' 0 0 0.00 0.00
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t3 UI� �,,;' 0 0 0.00 0.00
� �o�� "��� o � o o.00 o.00
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(�
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V_�� yi�v O O O.00 O.00
i3 p0 •_;�: 0 0 0.00 0.00
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� �i i..

FORM: NDAR-1 OS-11 NON-DISCHARGE APPLICATION REPORT (NDAR-1) Page -�` of 1 d
� � �
Did the application rates exceed the limits in Attachment B of your permit? �Compliant ❑Non-Compliant '
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? �Compliant ❑Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? �Compliant ❑Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? �✓ Compliant ❑Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑� 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: Michael Beck Permittee: Mountaintop Golf & Lake Club .
Certification No.: SI-991669 WWIV-7930 Signing otficia�: Robert Barr
Grade: SI WWIV Phone Number: [phone] Signing Official's Title: Slgnatory
Has the ORC changed since the previous NDAR-1? ❑yes �No Phone Number: (828)�251-1900 Permit Exp.: 7/31/14
�'�;,. �� � � -�t�-r� / 2%3 ��/ 6
Signature Date Signature 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 atlachments 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

FORM: NDAR-1 08-11
,, �
Permit No.: WQ0028693
Did irrigation occur
at this facility?
❑� YES ❑NO
� Weather Freeboard
� `7 C
�
w
� p l+''0 lr�C � N �
V .. � a ca
❑ � Q �Q- `p � �
r � d � � a
d �
� F a � �o
°F in ft ft
1 C 44 0 18.5 22
2 C 68 0 18 22
3 C 66 0 18 22
4 C 60 0 18 22
5
6
7 C 28 0 18 22
8 CL 42 0 18 22
9 CL 43 0 18 22 �
10 C 66 0 18 22
11 CL 58 0 18 22
12
13 k
14 C 25 0 17.5 22
15 C 30 0 17.5 22
16 PC 36 0 17 22
17 C 38 0 17 22
� 18 C 32 0 17 22
19
20
21 C 28 0 17 22
22 C 20 0 17 22
23 C 30 0 17 22
24
25 C 31 0 17 22
26
27
28 CL 35 0 16 22
29 R 50 2 15.5 22
30 CL 54 0.2 15.5 22
31
Monthly Loading:
12 Month Floating Total (in):
NOf�-DISCHARGE APPLICATION REPORT (NDAR-1) Page � of �
Faci�ity n►ame: Mountaintop Golf & Lake Club WWTF county: Jackson Month: November Year: 2016
i F�eld ��tT3e � ;"'�3 E Field Name: 14 g F[eid I��tne, r, � 1� Field Name: 16 �
;'�� At�ea�(acres) ! � �-3.38 Area (acres): 2.81 �� ��4��:a (a�resj �-, z4��� Area (acres): ' 1.76
"° Couer,Crop: BluegrasslBen#gras Cover Crop: Bluegrass/Bentgras �; Covec Grop; BluegrasslBentgras Cover Crop: Bluegrass/Bentgras
Houlrty� Ra��,(tnj ��, 0:�� Hourly Rate (in): 0.15 �Ho�1Hy Rate (in): Qr15 ;� Hourly Rate (in): 0.15
Aiinual�Rate ��n� �:8 2 Annual Rate (in): 18.2 Ar�nua[ �fate {in): �� � 1�$;2 Annual Rate (in): 18.2
�ield f��gatediG �Y�S _�_ [�i�o ;-°,_ Field Irrigated? ❑Yes �No Fretd l�tvgated? j�1'ES �� j�NO ;•: Field Irrigated� ❑ves �No
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;O.Ob �.�-. �� �,-'�..q�.�

FORM: NDAR-1 08-11
NON-DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
Page 4" of� �
❑� Compliant ❑Non-Compliant '
❑✓ Compliant ❑Non-Compliant
�Compliant ❑Non-Compliant
❑� Compliant ❑Non-Compliant
❑� 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: Michael Beck Permittee: Mountaintop Golf & Lake Club
Certification No.: SI-991669 WWIV-7930 Signing Official: Robert Barr
Grade: SI WWIV Phone Number: [phone] Signing Official's Title: Signatory �
Has the ORC changed since the previous NDAR-1? �Yes �No Phone Number: [phone] Permit Exp.: 7/31/14
1M.� fa� c� � �3��%�
Signature Date Signature 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 alI 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

� FORM: NDAR-1 08-11
,� , .
Permit Plo.: WQ0028693
Did irrigation occur
' at this facility?
❑� YES ❑NO
Weather Freeboard
�
N � � v
Y
y� � f�'0 f�0 m N�
� U � _• � a co
� � Q Q p � c�
r E d � � a
N �
? � a � l0
' °F in ft ft
1 C 44 0 18.5 22
2 C 68 0 18 22
3 C 66 0 18 22
4 C 60 0 1 S 22
5
6
7 C 28 0 18 22
8 CL 42 0 18 22
9 CL 43 0 18 22
10 C 66 0 18 22
11 CL 58 0 18 22
12
13
14 C 25 0 17.5 22
15 C 30 0 17.5 22
16 PC 36 0 17 22
17 C 38 0 17 22
18 C 32 0 17 22
19
zo
21 C 28 0 17 22
22 C 20 0 17 22
23 C 30 0 17 ' 22
24
25 C 31 0 17 22
26
z�
28 CL 35 0 16 22
29 R 50 2 15.5 22
30 CL 54 0.2 15.5 22
31
Monthly Loading
12 Month Floating Total (in);
�iOR9-D[SCHARGE APPLiCATION REPORT (R9DAR-1)
Faci�ity Name: Mountaintop Golf & Lake Club WWTF county: Jackson
` �Field.Nata�e• -=� 37 Field Name: 18 Fielci,l�tam�
-' Are� (acres) =~ .3:�3 Area (acres): 3.26 "rAr�a,��cr��` � '
�:' Cov+ar Crop.- BtuegrasstSerttgras Cover Crop: Bluegrass/Bentgras : Cqvar;Grpga� Bf�ie
FlouTly t�ake {�n) Q;;"15 Hourly Rate (in): 0.15 Ht`suF�ty Ra"�e (in)
Annual Etate (on) ; 18 2 -� 4� Annua� Rate (in): 1 s.2 mnnuai Rate �rn}
w�
Field frr�gat�d? .,�YES ;[jtvo :a= Field Irrigated? ❑YES �rvo , EieFd Irr��agetl? y[]�
,.�� C `" S� i3 iR
: ,, '.. .' . �
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tt
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,
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�` fi {�(} . ' � �F�'� ; 0.00 x: � ��' ;. 0;
Page � of ! �
�onth: November Year: 2016
Field Name: 20
� � ' Area (acres): 3.96
�ntgras�, Cover Crop: Bluegrass/Bentgras
t�
' Hourly Rate (in): 0.15
Annual Rate (in): 18.2
]No °': Field Irrigated? �YES �rvo
S ,
9.� C.� � d N N a C 7?' C
� �:' � °- E � �fO � K o �
��.�. pz,; O Q. F- •:, 0 p �p = p
x� �1�..,. � Q �- J � J
� ���
¢t� gal min in in
C! {?Q =_` 0 0 0.00 0.00
0{3(3 ,_���� 0 0 0.00 0.00
,sfl �Q ' 0 0 0.00 0.00
fl t10 ="; 0 0 0.00 0.00
,�•��<=."' 0 0 0.00 0.00
'£3t�Q ;; 0 0 0.00 0.00
�0 �i0 ,,_: 0 0 0.00 0.00
a���o_,:= o 0 0.00 0.00
;�.�?O,, Y O O O.00 O.00
ib,i�t� � 0 0 0.00 0.00
Ct�Q ��;� 0 0 0.00 0.00
C%QO � 0 0 0.00 0.00
�} 0� a';� 0 0 0.00 0.00
t� Ot� :x` 0 0 0.00 0.00
ti iIO,,, .. 0 0 0.00 0.00
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d6 fl0��"�� 0 0 0.00 0.00
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FORM: NDAR-1 08-11
NON-DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? �
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
Page �'�' of � �
❑� Compliant ❑Non-Compliant
❑✓ Compliant ❑Non-Compliant
OCompliant ❑Non-Compliant
❑� Compliant ❑Non-Compliant
�✓ 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: Michael Beck Permittee:
Mountaintop Golf & Lake Club
Certification No.: SI-991669 WWIV-7930 Signing Official: Robert Barr
Grade: SI WWIV Phone Number: [phone] Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? DYes Orvo Phone Number: [phone] Permit Exp.: 7/31/14
�
�'h:�,� ►a_a�-r 1 3 ����
Signature Date Signature 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

t
FORM: NDAR-1 08-11
Permit No.: WQ0028693
Did irrigation occur
a� this facility?
❑� YES ❑NO
d
�
A �
� U
� �
L
m
�
1 C
2 C
3 C
4 C
Weather Freeboard
;�
d c --
7 0 � � d
N 9
d � � � .C�7
Q
� V � l0 Q"
� a` o �o
�
°F in ft ft
44 0 18.5 22
68 0 18 22
66 0 18 22
60 0 18 22
C 28
CL 42
CL 43
C 66
CL 58
,
C 25
C 30
PC 36
C 38
C 32
C 28
C 20
C 30
C 31
18 22
18 22
18 22
18 22
18 22
0 17.5 22
0 17.5 22
0 17 22
0 17 22
0 17 22
17 22
17 22
17 22
17 22
CL 35 0 16 22
R 50 2 15.5 22
CL 54 0.2 15.5 22
montniy �oaaing
12 Month Floating Total (in):
iUO�-�9�CHARGE,4PPLIC,4TION REPORT (�di�AEZ-�)
Facio3ty �ame: Niountaintop Golf & Lake Club WWTF county:
�ee��r N�m�', �� � �, ��1 � '� _' Field Name: 22 � £����d'
. �' _ s. .�: . ����� _ .: ti_. � �n ��,�.
;
a A�� {��rEas�r� "���3�� 33 as ` Area (acres): 5.49 ��:A����{;
�E �<t. u: u.. �"�. E's. s � �
-:: �ove� C�p �It��gr�S1B�T��r�s; Cover Crop: Bluegrass/Bentgras t�cs+r�
Ho�arly E3afis {dnj a'�` ,�C1�"���� Hourly Rate (in): 0.15 �i���'����
_ . s,._ - :� �, .<< ,.r�,�.. �.�..:.�: �.:; . .�:5
Arte►ct�1 t�afi.e {�r3�� �a�� �1��;� � � �,' Annual Rate (in): 18.2 ��`rt�t�t ��
�� r .r� _ . ���.
��elt��(r�[�a%d'� °���' '' �hiC��"� ' Field Irrigated? ❑YES Orvo �ret+�'��'�i
� � . .� � �� '��.� � . �� : �� ,��.,
� ` � � �''f�z� , � � � "�
. � �k . SH�S � c � ' \
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: `�-,y�'"� ti'� � [ � �� �.{�}} �:�. ���� W,1 : � Q � J � Z J r �' �
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rr
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�
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:
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={1 � i ,Q._ . i} £�Q,` �; ,ti�?(��, .° 0 0 0.00 0.00 0' �'
,
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�.:� �. � � II�E�,� :�'• � � � � ���� 0 0 0.00 0.00 � Q � �a�
=k�� �, �� �I . t� tip � �� ���1#�.` `v 0 0 0.00 0.00 ��,�:. 0'
t�
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&''� ,'� l #?�l3t���<:, � � ' ` � 0.00 �
JaCkSflYi � Month
Page � of L V
November Year: 2016
Field Mame: 24
Area (acres): 3.81
Cover Crop: Bluegrass/Bentgras
Hourly Rate (in): 0.15
Annual Rate (in): 18.2
Field Irrigated? ❑YES ONo
� � � m
°� � y a; y, c � � c
o .a � °� p � � o �
i Q � J � = J
gal min in in
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 � Q.�� �.�0
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 , 0.00 � „
a 0.00 ii ,

FORM: NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT (NDAR-1) Page �o of ��
Did the application rates exceed the limits in Attachment B of your permit? �
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
❑� Compliant
❑� Compliant
❑� Compliant
�Compliant
❑� Compliant
❑Non-Compliant
❑Non-Compliant
❑Non-Compliant
❑Non-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: Michael Beck Permittee: Mountaintop Golf & Lake Club -
Certification No.: SI-991669 WWIV-7930 Signing Official: Robert Barr
Grade: SI WWIV Phone Number: [phone] Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? �Yes ONo Phone Number: [phone] Permit Exp.: 7/31/14
� ' 1:30.� � oZ- � ^ � �c ��-�l �/� �O
1
Signature Date Signature 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

FORM: iVDAR-1 08-11
�_
: .
Permit No.: WQ0028693
Did irrigation occur
at #hi� facility?
❑✓ YES ❑NO
d
'D
� O
� U
❑ �
N
L
N
�
1 C
2 C
3 C
4 C
Weather Freeboard
�
` C �
7 }'
O � N �
y � � � V
a
� � +�'' A Q
� a` � o m
�
°F in ft ft
44 0 18.5 22
68 0 18 22
66 0 18 22
60 0 18 22
C 28
CL 42
CL 43
C 66
CL 58
C 25
C 30
PC 36
C 38
C 32
C 28
C 20
C 30
C 31
18 22
18 22
18 22
18 22
18 22
0 17.5 22
0 17.5 22
0 17 22
0 17 22
0 17 22
17 22
17 22
17 22
17 22
CL 35 0 16 22
R 50 2 15.5 22
CL 54 0.2 15.5 22
Montniy �oaaing:
92 iVlonth Floating Total (in):
�90�-�9SCFi�,IiGE APPLICATION REPORT (fi�D�R-'f )
Faci�iry �lame: Mounfaintop Golf & Lake Club WWTF county:
� ,�� � � �9aYr�� � � � :
�
�;� �� � � �� y �, � Field iVame: 26 � ��at3�#�
A4`������i'��) �,� .�R �a� ���` Area (acres): 4.05 � � ���`�� �;
, 5
�.,�.., :_. _._ . ,._ .�,.A��R r. .. ,. . ,. ... _„ �d���F
° �r��s �rc3p� �tt�egtas�l���st�r�+s ' Cover Crop: Bluegrass/Bentgras � �Go��iei
�,
�Ioulrty Ra�r {ia1} : b��'�� ;, ,. Hourly Rate (in): 0.15 iiat� �y� 9�a
��:. y��� . <��..,�_
��lr�{c�� �a�e ��c�� _ � ` Annual Rate (in): 18.2 �rtuai ��
����x� , �;R� �8 2 ��;
��a��d�lrrtg�f�c#� �]YES � ; (�€�o �G£ Field Irrigated? ❑YES ONo < F�ld irrs+
�_. ����.
'��t c 3 � a� F �ta�`�u�' #^�2avO .�� � : ,
' �- r. �r z � � _���.'�`� � z
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;�F; �" �kS�� -z '�9'��� �. � � ��'� 7 Q E � '� 'O � � 'O a'�T ��' ,�'m�
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� .'�. ' `" $e'��,� � �. � � �T C O �p 2 O �-�� � `r
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JaCksoll � �onth
Page � of `�
November Year: 2016�
Field Name: 28
Area (acres): • 2.28
Cover Crop: Bluegrass/Bentgras
Hourly Rate (in): 0.15
Annual Rate (in): 18.2
Field Irrigaied? �YES Otvo
� y y d a C 7` C
7 g � p� �p. � E � �
> Q ~ � � J � a J
gal min in in
0 0 0.00 0.00
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FORM: NDAR-1 08-11
NOI�-DISCHi4R(s'E APPLIC�4TION REPORT (NDAFt-1)
Did �he application rates exceed �he lis�its in �4itachment B of your permit?
VVere adequate rneasures $aEcen t� prevec�t ef�luent ponding in or runoff from #he sites?
1�as a suitable vegetative cover ax�aia�t�inecl on all sites as specifiec9 in your permit?
�lere a9B setbac,ks lasted in youa� p�rrnit maintainee9 for every application to each per�mtted sote?
�/ere all freeboarcls ax�ain�aaned 'on acco�ciance with the specified freeboard heights ir� your permit?
Page l of � D
� :
OCompliant ❑Non-Compliant
�Compliant ❑Non-Gompliant
❑� Compliant ❑Non-Compliant
❑� Compliant ❑Non-Compliant
❑✓ 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 expfanation 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: MiChael BeCk Permittee:
Mountaintop Golf & Lake Club
Certification iVo.: SI-991669 WWIV-7930 siyning officiai: Robert Barr
Grade: SI WWIV Phone Number: [phone] Signing Official's �'itle: Signatory
Has the ORC changed since the previous NDAR-1? ❑ves ONo Phone Nuenber: [phone] Permit Exp.: 7/31/14
'���--� ( 2�-��-f w � Z�36�� �
Signature Date Signature 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-'i617

FORM: NDAR-1 08-11
,� � t
Permit No.: WQ0028693
Did orrigati�n occur
at ihis facility?
❑� YES ❑NO
Weather Freeboard
'.�`-�
� ` C
a+
� � G1
� (j � r � O. m
o � Q a o � �
r � � y � a
o � a o m
� �
°F in ft ft
1 C 44 0 18.5 22
2 C 68 0 18 22
3 C 66 0 18 22
4 C 60 0 18 22
C 28
CL 42
CL 43
C 66
CL 58
C 25
C 30
PC 36
C 38
C 32
C 28
C 20
C 30
C 31
18 22
18 22
18 22
18 22
18 22
0 17.5 22
0 17.5 22
0 17 22
0 17 22
0 17 22
CL 35 0 16 22
R 50 2 15.5 22
CL 54 0.2 15.5 22
n�ontniy �oaaing:
12 Month Floating Total (in):
F1�P�-D9SGHARGE APPLICATION REPORT (ND�R-�ij
Faciiity Name: Niountaintop Golf & Lake Club WWTF county:
' �i� t� Narite ��� � ���9 � � � � Field Name: 30 � � a ��eia,�
: ��:
� e = �.�.u.� A w...�__ . _�„ -,-'�..
r� � � ��_ ��� �
', ,�� (��res) �;��� r .�� 2�� �� �,�: 4, Area (acres): 5.34 r ��� ,�� ��a
', �cr��'$r �rpp �` C�s Ca��?�eC�� P�s,` Cover Crop: Bluegrass/Bentgras �': G� ` i
.�. ..,. .. � ....� �.�.�...��H«... �.� .:.: �•�,
�
Hats�'1 k�2rt� �in) �� �� ���''i5 `� "' � Hourly Rate (in): 0.15 Hsia,��� ��
� � a ��
w
p�i�u�� F�a�e �iti�_ „� a �� � �..$ 2<� � �� '�� Annual Rate (in): 18.2 ,�,t1€�iai� �9��
�� ����� �. ....���a �
�ae1� ig��ec�? °[����'� �� C���� , ' Field Irrigated? Q✓ YES ❑rvo , ����� �e�ci
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�� �, �s��e��� � � a.z ' �t �y��
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��� � .�'�� � � � � � as � Q, E R m 'o E � -a `� � a.
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= Q .� �����.� , ff � ,� '��1��f?',..� 0 0 0.00 0.00 . .. .�` �. ��
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4�
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f�
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-m,`� _ _�:-1-�, �,��� kMM � {S�8'4 : .'L.��::.,� =. � � �.�� �.0� � °� ...
�
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?.;2�it� �. ^���.��� '',_ f} i�, :�!�3 fi�:�;: 4,800 20 0.03 0.03 ���-�k� � r�
Ci� F s��(����; €ii�i3.�, �.17i7£i;,_ O O O.00 O.00 �;� '�� �,,
,
3 � .F
7,�€IA�� ��k ��� ,. �il�a ����tl(I�i : 4,800 20 0.03 0.03 'C ,��3� � ,
�i ��� �,i��`��T��� � � t� �#tl��'� (T�t�„ ; 0 0 0.00 0.00 ' "� �`� ` ,
��1 ,'�.. ����� � �, �EI,q(}.�. � ..9�.[#;.. `, 0 0 0.00 0.00 \.�.�.: �� � s
�
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��
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� e " �' � `
� '���{t � � �� ��. : _� {i f?t�� , , � {JU,k �: '�� 0 0 0.00 0.00 ��- "�' ��,� . � _.
».�,�
7,2i?0_.." `.A��2�� s LJ��� ..yfltJ6;;'=' 4,800 20 0.03 0.03 �'�°��#�...p,`',
'Q �,�:�� Ai��, U t}C3�,� ��7 f3�=,: '; 0 0 0.00 0.00 ��
't3. ,� ;� ���., _': �}`�t��, ,�(� tlti:�', 0 0 0.00 0.00 '` ... .��. . .� :
°��.�t E; ��.� � .: €� ��F� , �,Q t��ff..,.�; o 0 0.00 0.0o a � <.�u..� .a� :
ta
� r� � ��;E �� , .; v t� �'; , �o ��- ;� o 0 0.00 0.00 0��-� ,� , �
��,� � ����� � a������ o,�t�` 4 0 0 0.00 0.00 � � � � ��
tt � �
7•;2!?Ci =, ��� �,��, it{36�,', ��{i��'�: 4,800 20 0.03 0.03 �'3,�;�6�,
;� � � ,�.€ ��; €} t3U�` ' � �I, C!£�",°�r: 0 0 0.00 0.00 ��� �..� ' .''
�.#.. _
s:t� '.r�� � � t� at� � { �. ��` o 0 0.00 0.00 �i � �-� �
)g� x�� ��., �s.. E1�5...: s^`� 19,200 0.13 ,, ��5��"�Z_;d�
= " � m: «�,
�' � �' S�9� �. p ���� � _ 3.08 m- ,�,, ��
Jackson 1 Month:
Page � of �"�
November vear: 2016
Field Name: 32
Area (acres): 4.8
Cover Crop: Bluegrass/Bentgras:
Hourly Rate (in): 0.15
Annual Rate (in): 18.2
Field Irrigated? ❑✓ YES ❑No
� N G1 N �, C 7` C
� - E � • a E � 'v
>°a ~�`� �� �_�
=
gal min in in
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 � �.�0 �.�Q
0 0 0.00 0.00
0 0 0.00 0.00
16,639 20 0.13 0.13
0 0 0.00 0.00
16,674 20 0.13 0.13
0 0 0.00 0:00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
16,618 20 0.13 0.13
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
16,582 20 0.13 0.13
0 0 0.00 0.00
0 0 0.00 0.00
66,513 0.51 ��
_ � � 11.60 ; ��

FORM: NDAR-1 08-11
NON-DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
Page � of ��
� ❑✓ Compliant ❑Non-Compliant
r ..
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑� Compliant ❑Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? OcomP��a�t ❑Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ❑� Compliant ❑Non-Compliant
VVere all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑✓ 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 necessaN.
;
Operator in Responsible Charge (ORC) Certification � Permittee Certification
oRc: Michael Beck Permittee:
Mountaintop Golf & Lake Club
Certification No:: SI-991669 WWIV-7930 signin9 officia�: Robert Barr
Grade: SI WWIV Phone Number: [phone]� Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? ❑ves Otvo Phone Number: (82$) 251-1900 Permit Exp.: 7/31/14
� w.��,� � �- ��-I� i2�3a�/�
Signature Date Signature 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 properiy 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

FORM: NDMR 03-12 R�O�tl-DISCtiARGE f1�Oi�9TORING REPORT (IVDIV1Fz) Page � of C�

FORM: NDMR 08-11 NON-DISCHARGE MONITORING REPORT (NDMR) Page�, of %�
Sampling Person(s)
Name: Michael Beck
Name:
Certified Laboratories
Name: Environmental Testing Solutions, Inc
Name: Prisim Laboratories, Inc
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
�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: Michael Beck Permittee: Mountaintop Golf & Lake Club
Certification No.: SI-991669 WWIV-7930 Signing Official: Robert Barr
Grade: SI WWIV Phone Number: [phone] Signing Official's Title: Signatory
Has the ORC changed since the previous NDMR? ❑Yes Orvo Phone Number: [phone] Permit Expiration: 7/31/2014
l 2 ° /l� � jZ 3� �
Signature Date Signature Date
By this signature, I certify th8t this report is accurrate and complete to the best of my knowledge. I certify, under penalty of law, tfiat 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 lhat 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

�
, FORM: NDMR 03-12 �10N-DISCHARGE 6U906VITORING REPORT (PdDMR) Page j� of ZJ
�. .

FORM: NDMR 08-11 NON-DISCHARGE MONITORING REPORT (NDMR) Page � of �a
Sampling Person�s)
Name: Michael Beck
Name:
Certified Laboratories
Name: Environmental Testing Solutions, Inc
r+ame: Prisim Laboratories, Inc
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your pertnit?
OComplian[ ❑Non-Compliant
If the faciliry is non-compliant, please ezplain 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
mnci i. nua�� � aaan�oi iai ai �oem n i�cwaaai y.
Ope2tor in Reaponaible Charge �ORC) Certificatlon Pertnittee Certiflwtlon
oRc: Michael Beck Pem�iaee: Mountaintop Golf & Lake Club
Certiflcation No.: SI-991669 WWIV-7930 Slgning official: Robert Barr
Grade: SI WWIV Phone Number: [phone] Slgning Omcial's 7itie: Signatory
Has the ORC changed since the previoua NDMR7 ❑ves Orio Phone Number: ($28) 251-1900 Pertnit Expirallon: 7/31/2014
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Signature Date Signature Date
By this signature, I ce�ily �hat ihis repon is accunate an0 complete to Ihe best of my knovAeOge. I certity, untlar penalry ol law, lhel this tloament antl all atlechments were prepereC unCer my Eirection or aupervision in
accartlance wiN a syslem tlesignetl to assure ihal all qualRed peBonnel proparly gatlrereA aM evaluale0 the intartnation
suGmitted. Basetl on my inquiry of the person or persons who manage the system, w iMse persons directty responsi0le for
gal�enng ttre iMormalion, Me iMamation submittetl is, to �ha bes� of my knowletlge anA Dalie(, We, accurate, aM complele. I am
aware Ihal Uere are signRcanl penatlies (ar wbmitling falsa informatlon, indutling lhe possibility of lnes arM impnsonment fw
knovn�g vialations.
Mail Original and Twa Copies to:
Division oi Water Quality
Informatlon Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617