WQ0020809_Monitoring - 12-2016_20170130

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FORM: NDMR-1 08-11 NON -DISCHARGE MONITORING REPORT (NDAR-1) Page 1 of 2
Permit No WQ0020809
Field Name:
Did irrigation
Field Name:
occur
Area (acres):
at this facility?
Area (acres):
YES NO
Cover Crop:
Weather
a
O
2 o
A U
L
m N
Op_ Q
Hourly Rate (in):
O N
H a
Annual Rate (in):
°F in
0.75
0.20
0.10
0.50
0.30
AM
Freeboard
N N
p7 Q a
� � U
(n N Q
CU
LO
ft ft
Monthly Loading
12 Month Floating Total (in):
Facility Name: Farmville Golf & Country Club Reclaimed Water
Field Name:
Zone 1
Field Name:
Zone 2
Area (acres):
11.87
Area (acres):
9.96
Cover Crop:
Bermuda Grass
Cover Crop:
Bermuda Grass
Hourly Rate (in):
0.20
Hourly Rate (in):
0.20
Annual Rate (in):
4.90
Annual Rate (in):
4.90
Field Irrigated?
YES® NO
Field Irrigated?
E] YES ® NO
a
0 YESX NO
�
T)
a
m m X o m
o- ro a)>
Q E m
:3
a E
� aa)
Q E m
o E o
E
-
m0 N 2 O
m
O
E
ca x 0 EU
O 2
_
J J
3 _
J J
gal min
in in
gal min
in in
gal min
in in
County:
Pitt
Month: December
Year: 2016
Field Name:
Zone 3
Field Name:
Zone 4
Area (acres):
11.79
Area (acres):
14.58
Cover Crop:
Bermuda Grass
Cover Crop:
Bermuda Grass
Hourly Rate (in):
0.20
Hourly Rate (in):
0.20
Annual Rate (in):
4.90
Annual Rate (in):
4.90
Field Irrigated? YES® NO
Field Irrigated?
0 YESX NO
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m Ern
m m X o m
E 0
m m o m
E F- .`
D O m 2 O
a)
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gal min
in in
gal min
in in

FORM: NDAR-01 08 11
NON -DISCHARGE MONITORING REPORT (NDAR-1)
Page 2 of 2
Did the application rates exceed the limits in Attachment B of your permit?O Compliant ElNon-Complian
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? IX Compliant Non-Complian
Was a suitable vegetative cover maintained on all sites as specified in your permit? X❑ Compliant Non-Compllan
Were all setbacks listed in your permit maintained for every application to each permitted site', 51 Compliant El Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Fx Compliant Non-Complian
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 sheet If necessary
Operator in Responsible Charge (ORC) Certification I Permittee Certification
James Shoulders
No.: 986266
Grade: 4 Phone Number: 252-753-3913
Has the ORC changed since the previous NDAR-1? Yes 1XI X
Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge,
Permittee: Town Of Farmville
Signing Official: Gary Stainback
Official's Title Consultant
.Number:
Permit Expiration: 07/31/2014
I certify, under penalty law, t this document and all attachments were prepared under my direction or supervision In
accordance with a to esigned 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
athering the information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I ar
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
k %

FORM: NDMR-1 08-11
No.: WQ0020809
Did irrigation
occur
at this facility?
YES ® No
Weather
o m 0
cc
U
m N d
Y E
� m
F a
°F in
0.75
0.30
0.20
1171 1 1 0.10
1181 1 1 0.50
1191 1 1 0.30
0.60
Freeboard
� v d
rn an
O ZU
n w O'
N
ft ft
Monthly Load
12 Month Floating Total (I
NON -DISCHARGE MONITORING REPORT (NDAR-1)
Facility Name: Farmville Golf & Country Club Reclaimed Water
Pitt
Field Name:
Zone 5
Field Name:
Area (acres):
18.03
Area (acres):
Cover Crop:
Bermuda Grass
Cover Crop:
Hourly Rate (in):
i 0.20
Hourly Rate (in):
Annual Rate (in):
4.90
Annual Rate (in):
Field Irrigated?
YES® NO
Field Irrigated?
DYES NC
Field Irrigated?
EE
-o
T
E` C
Q O d
76
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J
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J
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0
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gal min
in in
gal min
In
In
Page 2 of 2
County:
Pitt
Month: December
Year: 2016
Field Name:
Field Name:
Area (acres):
Area (acres):
Cover Crop:
Cover Crop:
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
Annual Rate (in):
Field Irrigated?
EYES NO
Field Irrigated?
YES ❑ NO
-o
T
E` C
v
d
d N
C T O)
Ea)
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T
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aa)
E
0 O
Co 2 O
w -
E F- `'.
O m= O
J
_
J �
gal min
In
in
gal min
in in

FORM: NDAR-01 0811 NON -DISCHARGE MONITORING REPORT (NDAR-1) Page 2 of 2 c I. a
Did the application rates exceed the limits in Attachment B of your permit?❑X
Compliant
1:1Non-Complian
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?I—XICompliant
Non-Complian
Was a suitable vegetative cover maintained on all sites as specified in your permit?
FX Compliant
Non-Compllan
Were all setbacks listed in your permit maintained for every application to each permitted site I
FX Compliant
El Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
IX Compliant
Non-Complian
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 sheet If necessary
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: James Shoulders Permittee: Town Of Farmville
Certification No.: 986266 Signing Official: Gary Stainback
Grade: 4 Phone Number: 252-753-3913 Signing Official's Title Consultant
Has the ORC changed since the previous NDAR-1? Yes E] X Phone. Number: 00-72 Permit Expiration: 07/31/2014
C� I - 2-U � ��
Signature // _?
Date Sig eture Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge, I certify, under ena y aw, that this document and all attachments were prepared under my direction or supervision In
accordance with a system designed to assure that all quallfied 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
athering the Information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I a
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