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HomeMy WebLinkAboutWQ0028666_Monitoring - 11-2016_20170103 (2)FORM: NDMR 10-13 NON-DISCHARGE MONITORING REPORT (NDMR) Page_of_ aermit•No.: WQ0028666 Faciiiry Name: Cannonsgate at Bogue Sound county: Carteret moncn: November vear. 2016 uen �+ uent o ow genera[e n uen � uec mun wa er owenn u ace a er PPI: 001 Flow Measuring k' in`�: Parame er Mo onng b nt: Parameter Code -► 50050 003'10 00940 31616 00610 00620 00400 70300 OU530 00076 c O A .o 'e ' N � �y 3 b 9 j� � C N j N L ui �-' Q a E E y ° O � a�i � E � a p N o o cy o a U� V LL m L LL O E 2 ~ N Vl � N 41 � O � U U Q p � H O 24-hr hrs GPD mglL mglL #I100 mL mg/L mglL su mglL mglL NTU 1 08:00 1 14,000 7.63 0.719 2 08:00 1 13,000 5 66 <5 <0.2 1.28 7.65 510 8.7 0.137 3 11:00 1 15, 000 7.71 0.113 4 08:00 1 15.000 7.63 0.128 5 15,000 <10 6 15,000 <10 7 15:00 1 14,000 7.66 0.134 8 14:00 1 8,000 7.55 0.111 9 13:45 1 18,000 7.68 0.131 -- 10 16:00 1 3,000 7.77 0.124 �_>.-�' -� '�, J N 09:30 1.5 14,000 7.66 0.136 't^ �- '12 14,000 <70 � 13 14,000 <10 14 10:00 1 13,D00 7.65 D,176 �� ({;=�' N1 15 07:00 4 15,D00 7.69 0.133 N. "" �` 16 07:00 1.5 15,000 <2 <5 <0.2 33.4 7.86 <2.6 0.176 � 17 1530 1 13,000 7.81 0.13 18 13:30 1 7 3, 333 7.84 0.147 '19 73,333 <10 20 13,333 <10 21 08:00 1 14,000 7.87 0.168 22 07:45 1 16,000 7.64 0.174 23 08:00 3 14,400 7.9 D.181 24 14,400 <10 25 14,400 <10 26 14,400 <10 27 14,400 <10 28 08:00 1 20,000 7.76 0.122 29 12:30 4 4,000 � 7.71 0.133 30 08:00 1 21,000 7.79 0.157 31 Averege: 13,833 2.50 66.00 1.00 0.00 17.34 510.00 4.35 0.09 Daily Maximum: 21,D00 5.00 66.00 5.00 020 33.40 7.87 510.00 8.70 10.00 Daily Minimum: 3,000 2.00 66.00 5.00 0.20 1.28 7.55 570.00 2.60 0.11 Sampling Type: Recorder Composite Composite Grab Composite Composite Grab Composi�e Composite Recorder Monthly Avg. Limit: 200,000 10 14 4 5 Daily Limit: 15 25 6 6-9 10 10 Sample Frequency: Continuous 2 x Month 3 x Year 2 x Monih 2 x Month 2 x Month 5 x Week 3 x Year 2 x MOnth Continuous FORM: N�MR �0-13 NON-DISCHARGE MONITORING REPORT (NDMR) Page of - Sampling Person(s) Certified Laboratories � Name: Raymond Lacy Braxton - Name: Environmental Chemists, INC Name: Name: �✓ Compliant ❑ Non-Compliant Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 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 necessarv. � Operator_in Responsible Charge (ORC) Certification . Permittee Certification oRc: Raymond Lacy Braxton ❑ ves p rv° Permittee: AquB, NC. INC Certification No.: 999895 Signing Official: Christopher A. Collins Grade: IV Phone Number: 910-431-9248 Signing Official�s'ritie: _, Coastal Reginal Supervisor Has the ORC changed since the previous NDMR? Phone Number: 910 779-0794 � Permit Expiration: 5/31/2019 2-19=1G �� i�-a�-�,� ,�: Signature Date Signature Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certiry, 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 an 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 imprisonmenl for knowing violations. Mail Original and Two Copies to: ' Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1677 s FORM: N�MR 1'0-13 NON-DISCHARGE MONITORING REPORT (NDMR) Page - of FORM: NDMR 10-13 NON-DISCHARGE MONITORING REPORT (NDMR) Page' of . Sampling Person(s) Name: Raymond Lacy Braxton Certified Laboratories Name: Environmental Chemists, INC Name: II Name: Does all monitoring data and sampiing 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: Raymond Lacy Braxton � Permittee: Aqua, NC. INC � - Certification No.: 999895 Signing Official: Christopher A. Collins Grade: IV Phone Number: 910-431-9248 Signing O�cial�s ritie: Coastal Reginal Supervisor Has the ORC changed since the previous NDMR? ❑ ves p rvo Phone Number: 910 779-0794 Permit Expiration: 5731/2019 . Z-/ 9 ��' �a�� 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 propedy gathered and evaluated the information �_ � submitted. Based on my inquiry of the person or persons who manage the system, orthose persons directly responsible toF .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 penailie� for submftting false information, including the possibility of fines and imprisonmenl for ' ' knowing violations. . Mail Original and Two Copies to: Division of Water Resources Information Processing Unit ?617 Mail Service Center Raleigh, North Carolina 27699-1617 FORM: NDMR 10-13 NON-DISCHARGE MONITORING REPORT (NDMR) Page of FORM: NDMR 10-13 Sampling Person(s) Name: Raymond Lacy Braxton NON-DISCHARGE MONITORING REPORT (NDMR) Certified Laboratories Name: Environmental Chemists, fNC Page � of � Name: Name: � Compliant ❑ Non-Compliant Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit� 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. � t Operator in Responsible Charge (ORC) Certification Permittee Certification - . oRc: Raymond Lacy Braxton ❑ Yes � rvo Permittee: Aqua, NC. INC Certification No.: 999895 siyning ofeciai: Chrisopher A. Collins Grade: IV Phone.Number: 910-431-9248 Signing Official�s rit�e: Coastal Regiorial Supervisor Has the ORC changed since the previous NDNVR? Phone Number: 910 779-0794 Pe�mit Expiration: 5/31/2019 /2->F /� - 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 vnder my di�ection or supervision in accordance with a system designed to assure that all qualified personnel properly gathered and eyaluated the information submitted. Based on my Inquiry of the person or persons who manage the system, or those persons directly responsible for . gathering the informatibn, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are sign�cant penalties for submitting false information, including the possibility of fines and imprisonmenl for � knowing violations. Mail Original and Two Copies to: Division of Water Resources Information Processing Unit � 1617 Mail Service Center Raleigh, North Carolina 27699-1617 FORM: NDMR 10-13 NON-DISCFIARGE MOfdITORING REPORT (NDMR) - Page of wll :... • • •_ — :�� • • � . — — . • — �— 1 . 11 . � - �� � �. . .• � - ��� � . . . � - .� - ir, - , '- • '. . - - . . 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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-compliarice and describe the corrective action(s) taken. Attach additional sheets if necessary. ' Operator in Responsible Charge (ORC) Certification • • Permittee Certification � ottc: Raymond Lacy Braxton ❑ Yes. p"o Permittee: Aqua, NC. INC Certification No.: ' 999895 - Signing Official; Christopher A. Collins Grade: IV Phone Number: 910-431-9248 Signing OfficiaPs Titie: Coastal Regional Supervisor - � Has the ORC changed since the previous NDMR7 _ Phone Number: 910 779-0794 Permit Expiration: 5/31/2019 l Z�l 9��� ��� C� -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 ior 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, ineluding the possibility of fines and imprisonmenl for , knowing violations. Mail Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 FORM: NDMR 10-13 NON-DISCHARGE MORIITORIMG REPORi' (NDMR) Page of .�•. 1111 :... • • • • �_ - :�• - • • -- �� •t� ' • ■ �� . � " . • - •- � II . -_ , - •• •.-. � • �� ' • � . . .. � .-��. .n,- _ . •. - - . . �, . : - ..• . . ��.�� i�.o� �i,:� �_ _�_�_�_ _ • . • ' • ,��. � a � � - . . - - � 1: 11 � - - - - - -�- - � 1: �1 � - - - - - - - - � 1� � - - - - - - - -. � �: �� � - - - - - - - -. � - - � - - � " �' - - - - - - - - � � �� � - - - - - - - - ��� - - - - - - - � m . 1 1 � - - - - - � - - m '• ' � - - - - - - - - m - - ..�_- - - - -� - - - - m 1 11 � - � - - - - - - - m � 11 � - - - - - - - - � � 11 � BI � e .e .�,I - � - - - - -. m�� - - - - - - - - ����-�- -�- - - - -, �-- - _ - - - _ - - m_-' - - - _ - - - - m 1 : 11 � - - - - - - - - m�� - � - - - - - - m �: 11 �C - - - - - - - - m - - .� _- - � - - - - - � ��- - - _ - - - � - m - - � �: �1 � - - - � - - - - m�� � - - - - - � - - � � : • 1 � - - - - -�-�- - � .. .._ . . � �-�- . .�.•- il 01 1 1 �� - � _ .. - �- -�- � . , . - . � 1 � 1 1 1 ���-�-���- -�- �.. / 1 1 1 . 1 1.���-�-�-�-�-�-� . . • .- . e ���i �--- -�-�-�-�. . � � .. . �� -_-�-�- -�-���-. l. �-�-�-�-�-�-�_�_ - � • " • ' �����-���-�- FORM: NDMR 10-1'3 Sampling Person(s) Name; Raymond Lacy Braxton Name: NON-DISCHARGE MONITORING REPORT (NDMR) Certified Laboratories Name: Environmental Chemists, INC Name:. Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Page of 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 0 Yes � No Permittee: Agua,_NC. ING - _ Certification No.; 999895 Signing Official: Christopher A. Collins � Grade: IV Phone Number: 910-431-9248 Signing Official�s'ritle: Coastal Regional Supervisor Has the ORC changed since the previous NDMR? Phone Mumber: 910 779-0794 Permit Expiration: 5/31/2019 - z�9� a��-- Signature Date Signature Date By this signature, I certify that this report is accurrate and complete to the best of my Ifnowledge. 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 of4he 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 sign�cant penalties for submitting false information, including the possibility of fnes and imprisonmenl for knowing violations. Mail Original and Two Copies to: Divislon of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 FORM: NDMR 10-13 NON-DISCHARGE MONITORING REPORT (NDMR) Page of Sampling Person(s) Name: Raymond Lacy Braxton Name; Certifled Laboratories nfame: Environmental Chemists, INC Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 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 slieets if necessarv. � � Operator in Responsible Charge (ORC) Certification • Permittee Certification ortc: Raymond Lacy Braxton ,❑ res p No Permittee: Aqua, NC. INC Certification No.: 999895 Signing Official: ChristopherA. Collins Grade: IV ' Phone Number: 910-431-924$ Signing Official�s'ritie: Coastal Regional Supervisor Has the ORC changed since the previous NDMR? Phone Number: 910 779-0794 Permit Expiration: 5/31/2019 . _ Z �9 � �� ��?�- � .� .. Signature Date Signature Date By thls signature, I certffy that this report is accurrate and complete to lhe best of my knowledge. I certify, under penalty oT Iaw, that lhis 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 Informatlon submi@ed. Based on my inquiry of the person or persons who manage the system, or those persons directiy responsibte far � , gathering lhe fnformation, the informaHon submitted is, to the best of my knowledge and belief, true, accurate, and camplete. I am aware that there are slgnificant penalties for submitting false information, including lhe possibility of fines and imprisonmenl for � � knowing violations. Mail Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 FORM: NDAR-2 10-13 NON-DISCHARGE APPLICATION REPORT (NDAR-2) Page of Permit No.: V11Q0028666 Facility Name: CaM011s Gat@ at BOgUe SoUl1d County: C8rte1'2t Month: November Year: 2016 DICI I17'Flltl'8t1011 OCCUf at "Site Name ._ :' �. 1 Site Name: 2 :_ �Site Name �� 3` . Site idame: �4 , ti11S faCliltj/? y�" Area (acres) , 1.66 � t' Area (acres): 0.67 �Area� (acres) u 1 32 Area (acres): 0.36 ' � ves � No �-v. Rate (GPD/ft�) ; ,4:145 Rate (GPD[ftZ): 1.145 �'Rate (GPD/ft2) 1.145 Rafe (GPD/ft ): 1.145 Weather Freeboard �_S�te-Infiltrated? :�=YE5 ,[] No '" Site Infiltrated? 0 YES � NO °: Sife Infiltrated? °; I] YES ,'` � NO°' ', Site Infiltrated? � YES ❑ NO m � � m � d x : �5,� �. ` :� V �, � �. v . o ° a N a � �o �a � , � . �o � �o � 'a � v • 'o � .. :.. d a+, v ' rn` m. v� y � m�o ., m ,� d�o m rn � V �° ;`�3 rnu o'� E m m� �.c @O° m -m+� �� -' f0O d � d'+. >.� �O- d m+r .�,c RO p � d a �- �� �,a � � ca�a �° � �'c, E � �'v a° y �'o, ' 'E � aa "� a y � �'a � y �o'v ,°Q'� d Q' •v� . r a� � a o a ,:�i- i,,, � � c� y�=�� o a H,� c o d� o a r. i=; t� p p ` d G•" o a � F. �� p p y c � E m t/� � G co �,>`Q c ..�:� H ., � °'�F > Q � J � � > Q � . J .. � °*; > Q � J � � �p CI � y� �� . �:;'r x � ,,.. LL . LL . lL m LL m � � �- a .� "' `. � ` . �- m . °° ` " _. : `, " °F in ft ft ,-gal s min_ .�'GPD/ft2.; ft �x gal min GPD/ftZ ft ,gal, ,.` mm _, . Gpp/f�2r- „" �ftr � gal min GPD/ftZ ft 1 C 76 6.4 :� 14,000 ° ;:` 0.19. ,. 3:00:°`; 2 70�:;s '' : 2.80 :�;'' •', 2:60 ,: 2 C 77 6.4 : '13',000� ` ` - :: �0.18' °' 3:00.°�; M 2 80 ; . ; . ;:' , :' , ' 2:80 <<. ;�;;� 2.60 `, : 3 C 78 6.4 : �15';000 = °� 0:21.. , 2.90°;;:: ` , 2 80 w� '� " 2:80';': . < 2 �0 ' 4 R 70 0.19 6.4 i:�15;000 '� 0.21= ' S2.90 e;�� 2 8D �: ,�•"- : 2.90? ` """2.X0 '' _ � . ; 5 C 69 6.4 ?.5;000 . �,�, .. _ `� 0.21? 2.80.:°a= 2;90,:� . <.-: . ,_ ; ;. , ,- . � '• 2:9b �; �; 2:70 .• 6 C 73 6.4 :1.5�,000 `� 0:2�1; � � � 2.80�� � .� 2 90`� .• ; ` _" ��' ��� � 2.90 _', '" �2:80 � �� 7 C 65 6.4 � : • _ � - ; 2 70 :`w� ;. 14,000 0.48 2:80 ° . �; �, , ,- ' 2:90 -», , :,. 2:$0 „_' 8 CL 66 . 6.1 �� � . 2 7fl��.�'� 8,000 _ 0.27 �� 2.8� :'; � a� - � � �n_ ,2.90�'r . � ;`=. 2.$0, _' 9 R 65 0.01 6.1 ' . 2.80�,�a•r 18,000. - - 0.62 2.70�'.�; ,.;" ' ' �• � 2 90. '� •."� 2.80 `' 10 CL 62 6.1 2..80�'�°: 3,000 0.10 27,0 ;, - �*� ,; 3.00 :: "-,2.�0 . 11 CL. 73 - � 6.1 - 2:80t` 14,000. _�0.48 �= 2.70��s, �� �3.00`'' -- - '.'-,2_90;`;.� 12 C 61 6.1 a �,� ., :. - :. : �• �� 2 80�s: - 14,000 0.48 2 7,0.'; ., .: ,.. : ` `: ��; . �`o, , , 3.00 t - �;, 2:90 , ; 13 R 67 0.13 6.1 _ 2:80-'"" 14,000 0.48 �° 2,70 x "' 3.10 :: `;.� 2:90 `� 14 R 74 0.48 6.1 2 80',;,; . 2.70 �:3 ,� 1r3,000 �0 23 ` = :3.10 �,; . >` =3,p0 ` 15 C 65 � 6.1 � � - 2 70 �`�� " 2:80,'� 1'5r000 �� , a -:U��6,� ` �,'" �.3.Q0. ��.I ,' �3.00 _' 16 CC 69 6.1 2.�70.x � 2.80 i' 1;5�000 ,�0 26 �. ' 3.00 •„`; ; 3,00 �` 17 CL 70 6.1 � � 2.$0�; `; 2 80a:: ,,13,000 , y �-0 23 `' 2 90 ,'' _:3 QO ,._ 18 CL 75 ; . 6.1 "x',.; , � � . . . :". , ; , 2.80:x "` 2 8,0 ';'" , 13;333 �.� "_: ;;_0 23" '. !: "w2.90 :•''- - . ;� 3.` 0 °` 19 C 71 6.1 ' " _ :� � ,� 2 90 ti;' ° 2:90..':< . ,13�333 g• � , ` `0 23_ �, ;- 2 90 =.: � =3.10 ;' 20 CL 53 6.1 w �"'- 2 90'��w �,._ 2.90 ,�° �, 13�33 �° �' �.,�=��;0 23, �'° �2.90; �; :�_. 3.�Q.'" 21 C 58 . 6.1 `' .-' � ` ` � 2 90�;;.�i ' 2 :90F ` � �;. ; � 2.90, ` ` 14,000 • 0.89 � -3. 0 <'. 22 • CL 58 ' � 6.1 �� a� � 3 00=� � - � 90 ; ,. �` ' 2.90. ' �16,000 ' 1.02 � " 3:60 .' �' 23 C 62 6.1 r. , -.. �.a � �,w ,: . . : � _ 300;=y; A 300�:,. ,.::F. ` �7� . �':;.�.K�"r. : 300`':;: 14,400,_ 0.92 � 3;60��• 24 C 75 6.1 ;, �_� � 3 10 ;��; 3 00 ;` ., 4A �;• 'y ,3 00 �;:` 14,400 0.92 "'_� 3 0: ,' 25 C, 72 6.1 � `" 310 -w_' , 3 00 ' ^` ';3:10 � '., 14,400 ` 0.92 : 3:00 ,. 26 - R 65 0:21 � 6.1 3 20 �n; � �� 3.10.a o �� �: u3 90 ''�' 14,400 0.92 � 3 0'-�� 27 C �'��56 � �6.1 ;�,,�,µa ��� 320_� ' ' ', 3.'t0'?� '�; 320�� 14,400 0.92 .,0 3`00 �'; 28 CL 67 6.1 �20;p00 � 0 28 '. 3.10;"s , 3:10 �" ': 3 20 �=. ,:: "3.Q0' m� 29 CL 74 � 6.1 "�4;000 `� � .. = � " 0:06. _300�_::' � ; �3.20 `;; � . ,. , _ " .}:'" . �:''° ',3:30 w 3 �0; �; 30 C 73 6.1 � 21;000 . .- ry" . � . _.' 0:29 = 3 00;=�r: 3.20 ,r; fi , " � ` � 3,30. `_.; - , 3,10 . _� . , ,, . 37 6.1 , , , _ � � -_�;�, � � Nionthl v .__ P _ � .� . ,._ �. . .�. , k ,�, _ _ a , ,:,. `>- y Loading (GPD/ft2): Y° 0:20- . 0.42. �' }',0 24" 5"= 0.93 - Year to Date Loadin (GPD/ft2 : '�; 2.94 `, 9.29 }w3 26-: °' 12.37 FORn�: rv�AR-210-13 � NON-DISCHARGE APPLICATION REPORT (NDAR-2) Page of 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? � p comPra�t ❑ Non-compra�t If not a basin, were there any instances of effluent ponding in or runoff from the sites? � Compliant ❑ Non-Compliant If a basin, were there any instances of breakout from the berms? p Compliant ❑ Non-Compliant Was the onsite automatically activated standby power source tested and operational2 � 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, North Carolina INC Certification No.: 999895 _� Signing O�cial: Christopher A. Collins - Grade: IV Phone Number: . 910 431-9248 Signing Official�s'rtt�e: Coastal Regional Supervisor . Has the ORC changed since the previous NDAR-2? ❑ Yes � No . Phone Number: 910 779-0794 Permit Exp.: 5/31/19 _ /2-/ � I� � a -ag� 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, thaf this document and all attachments were prepared under my direction or supervision in accordance � with a system designed to assure that all qualified personnel proper(y gathered and evaluated the information submitted. Based on my inquiry of the person or persons whomanage the system, or those persons directly responsible for gathering the information, the Information submitted is, to the best of my knowledge end belief, true, accurate, and complete. I am aware that there are significant -- penalties for submitting false inTormation, including the possibility of fines and imprisonment for knowing violations. Mail Original and Two Copies to: - Division af Water Resources Information Processing Unit • 7617 Mail Service Center ' � Raleigh, North Carolina 27699-1617 FORM: NDAR-2 10-13 NON-DISCHARGE APPLICATION REPORT (NDAR-2) Did tFie application rates exceed the limits in Attachment B of your permit? If not a basin, were the sites kept free of vegetation and raked? If not a basin, were there any instances of effluent ponding in or runoff from the sites? Page of [f Compliant ❑ Non-Compliant � Complfant ❑ Non•Compliant 0 Compliant ❑ Non-Compliant If a basin, were there any instances of breakout from the berms? Cd7 comp��a�t ❑ NomCompilant Was the onsite automaticaliy activated standby power source tested ans! operatBon�l? p' compliant ❑ Non-Compllant 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 necessarv. Operator in Responsible Charge (ORC) Certification Permittee Certification oRc: Raymond Lacy Braxton Permittee: � ' Aqua, North Carolina INC Certiflcation No.; 999895 Signing Official: Christopher A. Collins � Grade: IV Phone Number: 910 431-9248 Signing Official's Title: Coastal Regional Supervisor Has the ORC changed since the previous NDAR-2? ❑ Yes (] tvo Phone Number: 910 779-0794 Permit Exp.: 5/31/19 - �?�l� �� a -a9� Signature Date Signature Date ' By this signature, I certify that tfiis report Is accurrale end complete to the best of my knowiedge. " I ceAify, 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 qualifled persannel praparly gathered and evaluated the information submftted. Based on my Inquiry of the person or persons who manage the system, or those persons directly responsible for gaihering the inFormatlon, the Intormation submitied is, to the best of my knowledge and belief, true, accurate, and complete.,l am aware that there are significant penalties for submftting faise information, InGuding the possibiliry of fines and imprisonment for knowing vlolatlons. Mail Original and Two Copies to: Division of Water Resources Information Processing Unit 1677 Mail Service Center Raleigh, fVorth Carolina 27699-1617