HomeMy WebLinkAboutWQ0029475_Monitoring - 11-2016_20170103 (2)WQ0029475
NON-COMPLIANT DMR
November 2016
The Sterling Farms VWVTP was non-compliant during the month of November.
The daily limit for TSS was exceeded November 3rd and 10"' resulting in exceedance of
the daily limit These exceedances were caused by membrane degradation. I lowered
the permeate gpm and increased membrane backwash frequency to improve treated
water quality. These membranes are due for replacement in 2017..
INFLUENT
NPDES Permit No. WQ0029475 Discharge Na Month November 2016
Facility Name Sterling Farms County Onslow
00010 00400 00310 00610 00530
x ENTER PARAMETER CODE ABOVE, NAME AND UIVITS
� � °� o � z � �, BELOW
¢ o �' a��i � x N °� ° Q., o
q � 'N ra, •�, a' �j � on E-' � �n
aNi �. � °' � y� �o v]
� o �o � z 3
F� U o
w
� �S °C Lrt�Ts mg/L mg/L mg/L GPD
1 52, 878
2 38,117
3 65,637
4 45,687
5 45,687
6 45,687
7 47,854
8 65,469
9 38, 850
10 57, 032
11 46, 966
12 46, 966
13 46, 966
1 50,260
15 43,070
16 58,540
17 36,439
18 48,144
19 48,144
20 48,144
21 51,717
22 45,482
23 46,261
24 46,261
25 46,261
26 46,261
2 46,261
28 48,905
29 ` 62,393
30 33,024
31 52,878
Average 48,312
Maximum 65.637
Minimum 33,024
Com .(C)/Grab(G)
i�� C� lZ/ic/�I �
C�— �� r�- ag-��
DWQ Form MR 2(Revised 7/2000)
FORM: NDMR 03-12 � NON-DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0029475 Facility Name: Sterling Farms WWTF County: Onslow month: November Year: -2016
PP�: 001 Flow Measuring Point: ❑ Influent ❑✓ Effluent ❑ No flow generated Parameter Monitoring Point: ❑ tnFluent � Effluent ❑ Groundwater Lowering ❑ Surface Water
_ .,; . . . ,
Parameter Code --► '' 50d50.; � 00310 � 00940; �-� 31616 00610 ; 00620 00400 70295 �Q0530'' ` 00076 °' � ' -
� ,
c�
> � - �� d € �" � y d �+ �
R a E F� �� ° � O ,�° a�i"� eE4 � a o°'� o�°''°Y a
c �i= � LL m V LLU �,a Z �o n �_;�v � -_ .
0 0 -.,�,
24-hr hrs �' GPD�"o mg/L mglL �, #/100 mL � m;g/L' � mg/L � su n' mg/L �,.mg/L� NTU �
1 14:00 2.5 ; 53,402-�' - - 7.8 : ` - 0.44 . "
2 15:00 1.5 : � 3,2,436.�'F : � � .. � 7 8 �� ;.' � ` ' . ..` 0.76 „ '. ,t ::'= °
_ �. ..,�. .
3 OS:00 2 ' 70,539 :_' 3 ° ° ;. . ' <5 ;<Q2 , 4.41 , ; : " � ; ,
" 7.9 ;'� ; `12,8 � . 0.95
. � .__ , � � - :�. ;
4 08:00 1 ' 44,215;.' , , : ,, ,` . 7 8 <° . , _
.:.
_ - � 0.46 W , - ,, - '
� . . �.
5 = A9,215.t. ,: � �.,: •,i :,,: ��_ �� ,.
l , ,
:, w�
.. 0 ` ' -
6 :' 44;215�'° � ,E: __ ' . ` .. : , <� . � .
,. . , ,
0
� . , •, •. . . ,,.
. , . , ,; . .
-, _
7 08:00 1.5 _25,725;`.; �;, � .^ -' ' 7.9r: - ,:F-. . 0.56 . - .. , ,
8 OS:00 1 '�"72,�83���' '���. _ , 7.9���� 0.99 ��''
9 15:50 1 � 35,278`": , � 7.8� ,' � �, � 0.42 - � •
a' _ 62,569�; 2 48 , � <1 ' <0.2. ` ' 6.15 7.8, ° 366 .
10 07:50 2.5 .12.3 . � 0.56 : : _ ` ' `
11 16:30 3 -47,25�"�, - . ,,. � 0.3 . 3 { , '
' ,7 8 ' � q
. ; , . , .
12 � d7,257,;. _ �' "�u � <10 � � �
.: ... - ., .. . - , . � .,♦:
,,
�:
13 :, 47,257� .: • j - : ;x � � - ,. .
._ .
<10
: . ,__
14 13:00 1 '.>��44,47,Q..�•r _ ;`;,,: � , ."� ' .,,', �.:' 7.8; �.: °� �� ;._� 0.14
, :,
15 13:00 1 . -_39,600 :: . ' : ' . - : ., ,- • , 7.9 .- "'' ;'_ - , ,� 0.52 - , � �_
.�:�
,��, ,
16 10:00 1 � .�61 860: . - `` .` . 7.9-"'`. - 0.61 - `
17 14:00 1 � 32,777;.;_ ,;� . ' 7 9yR : 0.69 `c'�; "' - t,��.
. . �� �� _ �. , _ , � � . .
18 08:00 2.5 " : 47,�47 ; - . < < �; � � `. ,. 7.8�. � �.'� . 0.71 y • � , . , ,i ; ..: ,. .
19 >47�347 :, - , . . , : �- <10 . • -
� -.�
,
- , - i - -
, :: ,�w - n _
_
20 47 �47 � "�'
� .�, • � , :
„ , . ,' . `
. . ; <10 -^ ,
.
_ �i
^ � �
, . .. .. , _. .. ; ..._ ,._. , . .,.... �. ,:._ ;^_ .. , n
,rc
21 08:00 1.5 $5,804 .:, . , �' _. �. ' '� ` 7 8 :`.. . a2.7 0.74 : -; .; `. . G�;. _ -.
' ,
...
22 08:00 1.5 , 45,.730� �: � °.. _ _ • � `c' ,� - �' 7.8 r� e2.6,,.� 0.84 � ` ` �,= ,�
23 07:50 2 � ,45�SZ9 �': '' ;„ :. `. y .: , " . ', 7 8 �"� � , E2.6 OJ5
24 ` 45 629'. `
_ 3:
F �, . ,
, ; . _
- . _ <10 ', �
25 � 45,629 : - <� p �
26 "°'95 �29 � - „ <� p
. .
:;. .- ,
. ,
s
�, . , � � , , .
. . -,' .. -
27 10:00 1 �' 45 629°_` ` . - , _ <2 9 �: _ <10 n . � ` � ,.,, � � y , _
_ _. _ -,
�} , :-_ _ ,
28 07:50 3 ; 22,480;, - �, . . , : , , „ 7.9 m�, z2:7 ... 0.48 � :' � . . _-. " , .
29 08:00 5 �;:65 565 .:' ` ' -; <2.7' "�. 0.94 " -- '
„„ E � . �r.� 7 8� � :�, , ,
, .,
, , r. �. =� . �
:.
30 15:00 2 '-32,718;'- - 78"'., ,<2.9 - 0.36 -;::
31 . • - -
Average '. _ 46, 595 ,:; 2.50 4$ 00.=:` 1.00 y d� 00. , 5.28 , � � � . ;; 366.00 2-.79,�, ` = 0.41 ' ' ` , ,° ' �
�a .��
„ M ..: ,'_ _`. ,��_
_ , ;..
Daily Maximum: ' '72,283 �.. 3.00 48.00, ; 5.00 -�0,2Q ' � 6.15 '� .7.9b;�'' 366.00 12.80 '. 10.00 ; �� ., . . }. , °
_ ....
Daily Minimum: � 22,480y;.; , 2.00 ,4_ 8.00•,,_ 1.00 '0.2Q. ; 4.41 � 7 80= . 366.00 2.60 "�, ' 0.14 ` " � " - �
.� . ,: .. �� _ <'_ :°:- � ,
Sampling Type: ;, :RecordeC.,� Composite Composite Grab Conjposite Composite � Gra�e Composite Coipposite, Recorder �; �,� '� ,;,_-
Monthly Limit: �'135OOOy:' 10 a �..- �' 14 "#4 .-:•; ;_ ' ;^5;.� �
��
Daily L�mit. :; ;•_ , . , .�> , - _
= zr_ 15 0,-.: ,-° 25 : 6:' 6 9`; �:�0.,. 10 ; -';' �
Sample Frequency: "Continuoi�s" 2 x Month �3rXYear+:, 2 x Month -2x Month'� 2 x Month a5 xlWeek-> 3 x Year 2�xEMonth • Continuous � • s� � s
Sampling Person(s)
Narrr�: Charles G. Bryan
Name:
Name: Envirochem
Name:
Certified Laboratories
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. -
Sterling Farms WWTP exceeded daily TSS on November 3rd and the 10th. These exceedences were caused by membrane� .
degradation. I lowered the permeate gpm and increased membrane backwash frequency to improve treated water quality.
These membranes are due for re lacement in 2017. �
Operator in Responsible Charge (ORC) Certification - Permittee Certificatiori
oRc: � Charles Bryan Permittee: Aqua NC ,
Certification No.: 1002563 � Signing Official: Chris Collins
Grade: II � Phone Number: 910-431-9265 Signing Official�s'ritie: Coastal Area Manager
Has the ORC changed since the previous NDMR? ❑ Yes 0 No Phone Number: 910-635-7479 Permit Expiration: 4/30/2020
� /z �� Ilo �i�`-- — 7� �?� .
' nature 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
acwrdance with a system designed ta assure that all qualified personnel properly gathered and,evaluated the information
submitted. Based on my inqulry of the persan 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
RaleigFi, North Carolina 27699-1617
Sampling Person(s)
Name: Charles G. Bryan
Name:
Name: Envirochem
Name:
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑ Compliant ❑✓ Non-Complfant
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.
Sterling Farms WWTP exceeded daily TSS on November 3rd and the 10th. These exceedences were caused by membrane
degradation. I lowered the permeate gpm and increased membrane backwash frequency to improve treated water quality.
These membranes are due for re lacement in 2017.
Operator in Responsible Charge (ORC) Certification 1 Permittee CertiFcation
oRc: Charles Bryan Permittee: Aqua NC
Certification No.: 1002563 Signing Official: Chris Collins
Grade: II Phone Number: 910-431-9265 Signing Official�s Tit�e: Coastal Area Manager
Has the ORC changed since the previous NDMR? ❑ Yes 0 No Phone Number: 910-635-7479 Permit Expiration: 4/30/2020
�- � /7. � � � - - 9- 6
ignature Date Signature ' Date
By this signature, I certify that this report is accumate 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 syslem 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 possibllity 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 . . NON-DISCHARGE M�NITORING R.EPORT (NDMR) � Page of ,
Sampling Person(s)
�vam�: Charles G. Bryan
Name:
�ame: Envirochem
Name:
Certified Laboratories
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.
Sterling Farms WWTP exceeded daily TSS on November 3rd and the 10th. These exceedences were caused by membrane
degradation. I lowered the permeate gpm and increased membrane backwash frequency to improve treated water quality.
These membranes are due for re lacement in 2017.
Operator in Responsible Charge (ORC) Certi£cation Permittee Certification
oRc: Charles Bryan Permittee: Aqua NC
Certification No.: 1002563 Signing Official: Chris Collins
Grade: II Phone Number: 910-431-9265 Signing Official's Title: Coastal Area Manager
Has the ORC changed since the previous iVDMR7 ❑ Yes � No Phone Mumber: 910-635-7479 Permit Expiration: 4/30/2020
,��� i z �y �� �� �� l�--�9�f�
Signa r 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 tor
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 imprisonmenl for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 illfail Service Center
Raleigh, North Carolina 27699-1617
Name: Charles G. Bryan
Name:
Sampling Person(s) �� Certified Laboratories
Name: Envirochem
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑ Compllant � Non•Complfant
If the facility is non-compliant, piease explain in the space below the reason(s) the facility was not in compliance. Provide (n your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach atlditional sheets if necessary,
Sterling Farms WWTP exceeded daily TSS on November 3rd and the 10th. These exceedences were caused by membrane
degradation. I lowered the permeate gpm and increased membrane backwash frequency to improve treated water quality.
These membranes are due for re lacement in 2017. -
Operator in Responsible Charge (ORC) Certification Permittee Certlfication
oRc: Charles Bryan Permittee: Aqua NC
Certiflcatloh No.: 1002563 Signing Officlal: Chrls C011lns ' •
Graile: II Phone Number: 910-431-9265 Signing Official's Tltle: Coastal Area Manager �
Has the ORC changed since the previous NDMR? ❑ Yes � No Phone Number: 910-635-7479 Permit Expiration: 4/30/2020
. ���� ,�Z �tr�� �� �� 10�-�9-��
., . � � �
Signa Gr � � Date Signature Date
By thls slgnature, I certlfy that thls repart Is accurrate and complete to the best of my knowledge. I certify, under penalry of law, that thfs document and,all attachments were prepared under my directlon or superv(slon In
� accordance wlth a system desfgned to assure lhat all qualified personnel properly gathered and evaluated 1he Informatlon
submftted. Based on my Inqufry of the person or persons who manage the system, or those persons direc0y responsfble tor
gathering lhe informatfon, lhe information submftted fs, to the best of my knowledge and beliet, true, accurate, and complete, I am
aware that there are significant penalties for subm(lting false infortnatlon, including the possfbillty of fines and 'unpr(sanmenl far
knowing violaUons.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
S�
FORM: NDAR-1 0&11 NON-DISCHARGE APPLICATION REPORT (NDAR-1) Page_of_
PermitNo.: WQ0029475 Facility Name: Sterling Farms WWfF county: Onslow Month: November vear. 2016
_. _..
� Field Name: 5 Field Name: 6 Field Name 7 Field Name: 8
�,., . .
� �rrigation occur .
Area (acres): 1.93 Area (acres): 2.3 Area (acres) �; f; 22 ° Area (acres): 2.48
��t4��g facility? CoverCrop: � � o: � CoverCrop: . CoverCrop:
� '
Hourly'Rate (in): 0.1 Hourry Rate (in): 0.1 Hourly Rate (in): •, ° 0.1 Houriy Rate (in): 0.1
qnnual Rate (in): ' 48.88 Annual Rate (in): 48.88 ilnnual Rate.(in): . "` 48.88: Annual Rate (in): 48.88
Weather Freeboard Field Irrigated7 - Field Inigated? � Field Irtigated7 Field Irtigated?
d i o m d
3 .. m Ha , d.o ,,. :v, , rn E Ta ma v rn E arn mv , v _ rn, E.a;vi dv v oi E arn
�, � �a rn a� �m ,d:M T� � e Em m� �.c �`e Em md �,c �`e Em m« �.c �`c
� V m a :°. �- g,g E� Rv E3.v �Q E� �v E�v �o, E`° ..ma' E�v �g E� ��o E�a
O y c, o �. n. �m - ��a .x. p m rn m X p m . m. .�y , x a W rn m X p A
n m C, �o G.' �F � �,O.p � p. o a f.` p � � Q � Q �y �. .F=. Q. p .@..= p o a �=. ` p p �= p
i E ` ( n O t R �! Q � J �= J i Q _ J �= J �/ Q ,� , J � J i Q � J � J
a1Oi H a �n :i- - .
� °F in ft ft gal min in in gal min in in gal min� �in in gal min in in
1 PC 73 2.1 5,500 25 0.09 0.09 5,740 20 0:10 , b.10 5,500 25 0.09 0.09
.
5,500 25 0.09 0.09 5,740 20 0.10 0.10 5,500 25 0.09 0.09
Z C 79 5,500 25 0.09 0.09 5,740 20 : 0.10� D:10 5,500 25 Q.09 0.09
_ -
5,500 25 0.09 0.09 5,740 20. 0 10 . 0.10 5,500 25 0.09 0.09
� � � �_ �---- 5,500 25 0.09 0.09 5,740 = 20 ' -0c10 0.70 - 5,500 25 0.09 0.09
3 PC 82 � 5,500 25 0.09 0.09 5,740.,', 20, ,. ,° 0.10 , 0;,10 5,500 25 0.09 0.09
.,t , ��, , � � � � � � . � . , � ,
4 R 69 02 22 ,,- , , . , . � , ,
_ _ _ ,
5 C 66 5,500 25 0.09 0.09 5,740 2D ` 0.90 Oi10 _ 5,500 25 0.09 0.09
` 5,500 25 0.09 0.09 5,740 20 0.10 _ 0.10 5,500 25 0.09 0.09
6 C 72 � 5,500 25 0.09 0.09 5,740 20 0.10 0.10 5,500 25 0.09 0.09
5,500 25 0.09 0.09 5,740 20 0.10 0.10' 5,500 25 0.09 0.09
7 C 63 22 5,500 25 0.09 0.09 5,740 20 0:10 0.10 5,500 25 0.09 . 0.09
5,500 25 0.09 0.09 5,740 20 , Q'.10 0.10 5,500 25 0.09 a.09
8 C 66 ' S,500 25 0.09 0.09 5,740 20. 0.10 0.10 5,500 25 0.09 0.09
5,500 25 0.09 0.09 5,740 ' 20 0.1D' 0.10 5,500 25 0.09 0.09
9 PC 61 5,500 25 0.09 0.09 5,740 20 0:10. 0.10 5,500 25 0.09 0.09
" 5,500 25 0.09 0.09 5,740 20 0.10 0.10 5,500 25 0.09 0.09
10 C 61 5,500 25 0.09 0.09 5,740 20 0.10 0.70 5,500 25 0.09 0.09
' 5,500 25 0.09 0.09 5,740 20 0.10 -0.90 5,500 25 0.09 0.09
11 C 72 2A 5,500 25 0.09 0.09 5,740 20 0:10 0.10 , 5,500 25 0.09 0.09
5,500 25 0.09 0.09 5,740 20 0.10 ' 0.10, 5,500 25 0.09 0.09
12 C 59 ° _,', 5,500 25 0.09 0.09 5,740 20 .0:10 ,' 0.10 5,500 25 0.09 0.09
__ ' ` '! ` 5,500 25 0.09 0.09 5,740 , 20 0.10 . 0;10 5,500 25 0.09 0.09
13 R 62 028 , . .< .. _ � ` , - ' ' ' , ,
14 R 64 0.57 2.6
�5 PC 64
16 C 68 5,500 25 0.09 0.09 5,Z40 20 0:10 0.10 5,500 25 0.09 0.09
5,500 25 0.09 0.09 5,740 20 0.70 0.]0 5,500 25 0.09 0.09
17 C 68 5,500 25 0.09 0.09 5;740 20 0.10 0.10 5,500 25 0.09 0.09
; ". • 5,500 25 0.09 0.09 5,740 20 .,0:'10', ' 0.10 5,500 25 0.09 0.09
18 C 74 2.6 �. 5,500 25 0.09 0.09 5',740 ' 20..' 0:10' 0.10 5,500 25 0.09 0.09
5,500 25 0.09 0.09 5,740 , 20 �0,10 0.10 5,500 25 0.09 0.09
19 C 76 -- -' 5,500 25 0.09 0.09 5,740 20 9:10 0:10 5,500 25 0.09 0.09
5,500 25 0.09 0.09 5,740 20 =;0.70 0.10 5,500 25 0.09 0.09
20 C 53 ' 5,500 25 0.09 0.09 5;740 20 , 0.10 0:10 5,500 25 0.09 0.09
��- � � � -- � �� ��� -. 20� '� 0.10 ' 0:10 �� 5,500 25 0.09 0.09
. 5,500 25 0.09 0.09 5,740
21 C 57 2.6 _ 5,500 25 0.09 0.09 5,740 20 ° 0.1p 0.10 5,500 25 0.09 0.09
'� 5,500 25 0.09 0.09 5,740 20 0.10 ' Q.10 5,500 25 0.09 0.09
22 C 57 � 5,500 25 0.09 0.09 5,740... 20; ' 0.70 0.10 5,500 25 0.09 0.09
' 5,500 25 0.09 0.09 5,740 20 0.40 0.10 5,500 25 0.09 0.09
23 C 60 2.7 � 5,500 25 0.09 0.09 5,740 20' 0.10 . 0:10 5,500 25 0.09 0.09
5,500 25 0.09 0.09 5,740 20 ' 0.10 0.10 5,500 25 0.09 0.09
24 C 77 1.9 5,500 25 0.09 0.09 5,740 20 0_10 0.10 5,500 25 0.09 0.09
5,500 25 0.09 0.09 5,740 20 0.10 0.10 5,500 25 0.09 0.09
25 C 77 5,500 25 0.09 0.09 5,740 20 0:10 0:10 5,500 25 0.09 0.09
�� •�. . 5,500 25 0.09 0.09 5,740 �' 20 .�. 0.10 0:10 5,500 25 0.09 0.09
.._. . .. , . .. ,-.
26 R 64 , � , " . .' _ . '
27 C 54 ' ' � " `• . - • • 5,500 25 0.09 0.09 5,740 � ' `20 ; 0.10 , ' 0.10 ° 5,500 25 0.09 0.09
5,500 25 0.09 0.09 5,740 • 20, .' D.QO 0.10 5,500 25 0.09 0.09
28 PC 63 2.7 " ° 5,500 25 0.09 0.09 � 5,740 20 0.10 0.10 5,500 25 0.09 0.09
5,500 25 0.09 0.09 5,740 ' 20 0.10 0.10 5,500 25 0.09 0.09
29 R 73 0.01 5,500 25 0.09 0.09 5,740 20 ` 0:10 0.10 5,500 25 0.09 0.09
30 R 73 0.07 2.7
�T�GTiflilPl[.F.U16Tiil� ����� � � � ������� : � � ������������������� �i�������� : � � ����i/.�i
�������� �������������������� ������������������� ������1�������������������
C 57
C 60
FORM: NDAR-1 0&11 NON-DISCHARGE APPLICATION REPORT (NDAR-1) � Page _ of_
FORM: NDAR-10&11 NON-DISCHARGE APPLICATION REPORT (NDAR-7) Page _ of_
FORM: NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT (NDAR-1) ' Page 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 ❑ Non-Complfant,
� Compliant ❑ Non-Compllant.
� Compliant ❑ Non-Compliant
� Compliant ❑ NomCompllant
� 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: Raymond Lacy Braxton Permittee: . AQUA NC
Certification No.: 994483 Signing Official: Chris Collins
Grade: SI Phone Number: 910-431-9248 Signing Official's Title: COASTAL SUPERVISOR
Has the ORC changed since the previous NDAR-17 ❑ Yes � tvo Phone Number: 910-635-7479 Permit Exp.: 4/30/20
` - � �Z�i �-j� /�2-as-�
Signature Date Signature Date
By tfiis 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
wfth a system designed to assure that atl 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 infortnation, 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 intormafion, including the possibitity 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