WQ0024694_Monitoring - 10-2016_20170111

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _/__ of _11-j=
Permit No.: W00024694
Facility Name:
Bright's Creek Golf Club
County: Polk
Month:
October
Year: 2016
PPI: 002
Flow Measuring Point:
❑ Influent D effluent
❑ No Flow geoeratetl
Parameter Monitoring Point: ❑ Influent Q Effluent
❑ Groundwater Lowering ❑ Surface Water
Parameter Code
''50050 `
00310
E`50060-;
31616
00610"
00620
00530
1 00076
m O
m m
O O
U:
N
Wid° O
_ c
o o.
E
mE
m
c
Q
a;
W
a
o c
ul
a -
~
. .
24 -hr hrs
GPD
ni
mg/L
#1100 mL
mg/L
mg/L
su -
mg/L
NTU
1
4,000
2
4,000
31
08:15 2
4,000
1
0.64
1
6.8
3.1 .
4
16:00 1
" 3,000
0.99
6.9
1
2.3
5
07:00 2
5,000
<2.0
1.98
<1
<0.2
7.3
<2.5
0.9
6
15:30 1
5,000
1.94
7.2
1.33
7
11:00 1
6,000
1.8
7.4
1.68
8
7,000
9
- 5,000
iso
10
07:00 2
4,000
1.8
7.1
0.7
11
09:00 1
- 4,000
1.74
7.3
0.8
12
0745 1
4,000
1.99
7
1.18
13
09:45 2
4.000
1.92
7.1
0.7
14
1715 1
3,000
1.88
7.2
0.9
15
6,000
16
5,000
17
14:00 2
3,000
1.04
6.5
1.41
18
10:45 2
4,000
1.18
6.8
2.53
19
08:25 1
3,000
<2.0
1_96
<1
<0.2
7
<2.5
1.76
0 1
7,000
1.98 -
7.1
1.31
0 1
2,000
1.88
T2
- "1.45
4,000
4,000 -
15 1
4,000
1.7
6.9
2.72
5 2
4,000
1.93
T3
1.14
-
0 1
J09:301
5,000
1.9
7.2
1.31
30 1
3.000
1.76
7
1.68
30 1
4,000
1.81
7.1
1.83
4,000
5,000
00 1
2,000
1.65
7.1
2
Average:
4,226
0.00
1.69
- 1.00
0.00
0.00
1.56
Daily Maximum:
7,000
c2.00
1.99
c-1.00
0.20
7.40
2.50
3.10
Daily Minimum:
2,000
c: 2.00
0.64
C� 1.00
0.20
6.50
G 2.50
0.70
Sampling Type:
Recorder
Composite
Grab
Grab
Composite
Composite
Grab
Composite
Recorder
Monthly Limit:
120,000
10
14
4
5
Daily Limit
15
25
6
6-9
10
10
Sample Frequency:
Continuous
2 x Month
5 x Week'
2 x Month
2 x Month
2 x Mon[h.
5 x Week
2 z Month
Continuous

a
FORM: NDMR 03-12
Sampling Person(s)
Name: David Bleigh
Name:
NON -DISCHARGE MONITORING REPORT (NDMR)
Name: Water Tech Labs
Name:
Certified
Certified Laboratories
Page /-- of _z—
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Ej compliant ❑ Non -Cor
If the facility is non-compliant, please explain in the space below the reasons) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the cot
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification II Permittee Certification
ORC: David Bleigh
Certification No.: 1001255
Grade: IV Phone Number: 704-507-8143
Has the ORC changed since the previous NDMR? ❑ yes I] No
J / Y
Signature ' Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee: AQUA NORTH CAROLINA
Signing Official: S"a, V 3Ccke./
Signing Official's Title: N C {�r-ci a j'Y.
Phone Number: 919.467.8712 _7 Permit Expiration: 12.31.18
Signature Da
I candy, under penalty of law, that this document and all attachments were prepared under my direction or supervision i
with a system designed to assure that all qualified personnel property gathered and evaluated the information submits
my inquiry of the person or persons who manage the system, w those persons directly responsible for gathering the int
information submitted is, to the best of my knovAedge and belief, true, accurate, and complete. I am aware that there a
penalties for submitting false information, including the possibility of fines and Imprisonment for knowing violati
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 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _ of
Facility Name:
Bright's Creek Golf Club
Did irrigation occur
this facility?
®®�
at
■ YEs D NO
Hourly Rate (in):�
Houriy Rate (in):
®n®®®
■
.
Field Irrigated?
■
■�
■ z
B .
■
A .

FORM NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Z Of
Facility Name:
Bright's Creek Golf Club
Month:
October
irrigation
• ccur
oat
Area (acres):
this facility?
Cover Crop:,
■ YES ■ NO
Hourly Rate (in):
Hourly Rate (in):
-
®®Annual
Rate (in):
Annual Rate (in):
-
Field Irrigated?
■
■ •Field
Irrigatedil■
■ •
■
■

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?
Pagel of 3
❑� Compliant ❑ Non -Compliant
❑� Compliant ❑ Non -Compliant
El Compliant ❑ Non -Compliant
El Compliant ❑ Non -Compliant
[D 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
rGnnn. MnaGn a(lOmOnEI e110OW n
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Ken Deaver
Permittee:
Aqua NC
Certification No.: 992372
Signing Official: 5�..,,,... ,, V
Grade: SI Phone Number: 828-6571-810
Signing Official's Title: A f f y`e.11 d e... �..
Has the ORC changed since the previous NDAR-1? ❑ res F±1 No
Phone Number: 919-467-8712 Permit Exp.: 12/31/18
1 17 i Ife
107C
Signature Date
Signature Date
By this signature, I certify that this report Is accunate and complete to the best of my knowledge.
1 certlty, under penalty of low, 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 evaWated 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 befief, 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