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FORM: NDMR 10-13
NON -DISCHARGE MONITORING REPORT (NDMR)
Page / of 3
Permit No.: W00004823
Facility Name:
Pine Island / Currituck Club
County:
Currituck
Month:
December
Year: 2016
PPI:001
Flow Measuring Point:
❑influent Q Effluent ❑ No Flow generated
Parameter Monitoring Point:
El Influent
Q Effluent
Groundwater Lowering El surface water
Parameter Code 10
50050
WQ01
00310
00680
00940
31616
00610
00620
00400
70295
00530
00076
m
C
d 0
E E "
v
0
O
p
U.
d �-
'�C is
�3p
N
O
m
2
is
A C
Of .0
O
p V
1-
0
`
o
Li
E
v w
d
LL V
'C
O
E
4
ad+
Z
_
a
d
;� > .O
O °w o
to
3 C 'O
O o
~ �W
H
24 -hr hrs
GPD
gallons
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
su
mg/L
mg/L
NTU
1
10:00 1
36,270
36,270
2.39
2
10:00 1
37,990
37,990
1,15
3
00:00 0
42,620
42,620
2,07
4
00:00 0
43,440
43,440
1.73
5
09:00 2
25,950
25,950
1,68
6 1
09:30 2
27,910
27,910
<2
1
<0.1
6.42
4.4
1.8
7
11:00 1
36,210
36,210
0.96
8
10:00 2
31,670
31,670
1.91
9
12:00 1
28,130
28,130
1.78
10
00:00 0
36,200
36,200
1,83
11
00:00 0
33,690
33,690
4,2
121
11:00 2
32,490
32,490
6.65
13
10:00 2
26,600
26,600 1
6.21
14
09:30 2
24,600
24,600
4.48
15
09:00 2
27,180
27,180
<2
<1
<0.1
6.48
<1
3.123
16
09:30 2
38,540
38,540
4.25
17
10:45 1
43,060
43,060
7,84
181
09:15 1
46,120
46,120
7.69
"� ► •'
19
09:30 2
43,730
43,730
6.13
5.43
ti
20
09:00 2
30,340
30,340
6.62
1" '
21
10:00 2
35,990
35,990
5.64
CV� lu
� ` ttdi li
22
10:00 1
36,700
36,700
6.31
.. •",.f
23
10:00 2
47,650
47,650
6.71
241
00:00 0
62,340
62,340
4.46
25
00:00 0
57,350
57,350
6.15
26
00:00 0
66,400
66,400
3.75
27
10:20 2
87,400
87,400
2.8
28
09:50 2
93,150
93,150
6.29
4.3
29
00:00 0
93,010
93,010
3.73
301
09:40 2
98,220
98,220
3.59
311
00:00 0
111,810
111,810
4.89
Average:
47,831
47,830.97
0.00
1.00
0.00
2.20
4.07
Daily Maximum:
111,810
2.00
1.00
0.10
6.48
4.40
7.84
Daily Minimum:
24,600
24,600.00
2.00
1.00
0.10
6.13
1.00
0.96
Sampling Type:
Recorder
Calculated
Grab
Grab
Grab
Grab
Grab
Grab
Calculated
Grab
Grab
Monthly Avg. Limit:
600,000
10
14
4
5
Daily Limit:
15
25
6
6 min 9 mak
10
Sample Frequency:
Continuous
Monthly
See Permit
3 x Year
3 x Year
See Permit See Permit
3 x Year
See Permit 1
3 x Year
See Permit
FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Jimmy Bliven Name: Universal Labs
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment kof your permit? p 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
taken. Auacn aaanionai sneers it necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Jimmy Bliven
Permittee: Rolf Blizzard
Certification No.: 28243
Signing Official: William G Freed by Authority
Grade: SI Phone Number: 2522022435
Signing Officials Title: President of Envirotech
Has the ORC changed since the previous NDMR? ❑ Yes El No
Phone Number: 2524915277 Permit Expiration: 2/28/2018
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.
It -
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2 of 3
Permit No.: W00004823
Facility Name:
Pine Island / Currituck Club
County: Currituck
Month:
December
Year:
2016
Did irrigation occur
at this facility?
❑ YES ❑ No
Field Name:
Golf Course
Field Name:
Field Name:
Field Name:
Area (acres): 66
Area (acres):
Area (acres):
Area (acres):
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Hourly Rate (in): 0.4
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in).
Annual Rate (in): 101.4
Annual Rate (in):
Annual Rate.(In):
Annual Rate (in):
Weather Freeboard
Field Irrigated?
❑ YES
NO
Field Irrigated?
❑ YES
❑ NO
Field Irrigated?
❑ YES
❑ NO
Field Irrigated?
❑ YES
❑ No
c 3 2 d d 2
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J=J
E m
T
o c
E_5v
K° o
OF in ft ft
gal min
in
I in
gal min
in
in
gal min
In
in
gal min
in
in
1
C 64 0.2
0 0
0.00
1 0.00
2
C 50 0
0 0
0.00
0.00
3
C 50 0
0 0
0.00
0.00
4
PC 48 0
0 0
0.00
0.00
5
PC 48 0.7
0 0
0.00
0.00
61
R 53 0
0 0
0.00
0.00
7
PC 46 0.5
0 0
0:00
0.00
8
PC 49 0
0 0
0.00
0.00
9
C 40 0
0 0
0.00
0.00
10
C 36 1 0 1
0 0
0.00
0.00
11
C 39 0
0 0
0.00
0.00
121
PC 64 0
0 0
0.00
0.00
13
PC 50 0.5
0 0
0.00
0.00
14
C 45 0.3
0 0
0.00
0.00
15
C 46 0
0 0
0.00
0.00
16
PC 30 1 0 1
0 0
0.00
0:00
17
PC 56 0
0 0
0.00
0.00
181
PC 62 0
0 0
0.00
0.00
19
R 42 0.2
0 0
0.00
0.00
20
PC 44 0.5
0 0
0.00
0.00
21
C 44 0
0 0
0.00
0.00
22
C 56 0
0 0
0.00
0.00
23
C 54 0
0 0
0.00
0.00
241
R 50 0
0 0
0.00
0.00
25
CL 51 0
0 0
0.00
0.00
26
CL 56 0
0 0
0.00
0.00
27
PC 64 0
0 0
0.00
0.00
28
PC 58 0
0 0
0.00
0.00
29
R 52 0.25
0 0
0.00
0.00
30
C 460
0 0
0.00
0.00
314
C 42 0
0 0
0.00
0.00
Monthly Loading:
12 Month Floating Total (in):
1 0
0.00
0
0.00
0
0.00
0
0.00
FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
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?
D Compliant
❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
El 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?
F±1 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.
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
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Jimmy Bliven
Permittee:
Rolf Blizzard
Certification No.: 28243
Signing Official: William G Freed by Authority
Grade: SI Phone Number: 2522022435
Signing Official's Title: President of Envirotech
Has the ORC changed since the previous NDAR-1? ❑ yes [21 No
Phone Number: 2524915277 Permit Exp.: 2/28/18
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 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 3 of 3
Permit No.:
W00004823
Facility Name:
Pine Island / Currituck Club
County:
Currituck
Month:
December
Year:
2016
Did infiltration occur at
this facility?
❑ YES ❑ NO
Site Name:
Infiltration Pond
Site Name: RCW Storage Pond
Site Name:
Spray Bed
Site Name:
Area (acres): 7.81
Area (acres): 5.5
Area (acres): 3.8
Area (acres):
Rate (GPD/ft2): 7
Rate (GPD/ft): 7
Rate (PPD/ft): 7
Rate (GPD/ft2):
Weather Freeboard
Site Infiltrated?
❑ YES
❑ NO
Site Infiltrated?
❑ YES
❑ No
Site Infiltrated?
❑ YES
❑ NO
Site Infiltrated?
❑ YES
❑ NO
d w
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M
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i Q
am
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Ed
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6L M
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O
®®
F
C
�,
0
U. M
E d
O d
>
OE
od` 0m
N
cylE.
LL m
°F
in ft ft
gal
min
GPDIft2
ft
gal
min
GPD/f2
ft
gal
.min
GPD/ft2 '
ft
gal min
GPD/ft2
ft
1
C
64
0.2
0
0
0.00
36,270
138
0.15
0
0
0.00
2
C
50
0
0
0
0.00
37,990
156
0.16
0
0
0.00
3
C
50
0
0
0
0.00
42,620
163
0.18
0
0
0.00
4
PC
48
0
0
0
0.00
43,440
168
0.18
0
0
0.00
5
PC
48
0.7
0
0
0.00
25,950
102
0.11
0
0
0.00
61
R
53
0 1
0
0
0.00
27,910
108
0.12
0
0
0.00
7
PC
46
0.5
0
0
0.00
36,210
144
0.15
0
0
0.00
8
PC
49
0
0
0
0.00
31,670
126
0.13
0
0
0.00
9
C
40
0
0
0
0.00
28,130
120
0.12
0
0
0.00.
10
C
36
0
0
0
0.00
36,200
144
0.15
0
0
0.00
11
C
39
0
0
0
0.00
33,690
138
0.14
0
0
0:00
121
PC
64
0
0
0
0.00
32,490
132
0.14
.0
0
0.00
13
PC
50
0.5
0
0
0.00
26,600
108
0.11
0
0
0.00
14
C
45
0.3
0
0
0.00
24,600
96
0.10
0
0
0.00
15
C
46
0
0
0
0.00
27,180
114
0.11
0
0
0.00
16
PC
30
0
0
0
0.00
38,540
156
0.16
0
0
0.00
17
PC
56
0
0
0
0.00
43,060
174
0.18
0
0
0:00
18
PC
62
0
0
0
0.00
46,120
126
0.19
0
0
0:00
19
R
42
0.2
0
0
0.00
43,730
174
0.18
0
0
0.00
20
PC
44
0.5
0
0
0.00
30,340
126
0.13
0
0
0.00
21
C
44
0
0
0
0.00
35,990
150
0.15
0
0
0:00
22
C
56
0
0
0
0.00
36,700
150
0.15
0
0
0.00
23
C
54
0
0
0
0.00
47,650
186
0.20
0
0
0.00
24
R
50
0
0
0
0.00
62,340
252
0.26
0
0
0.00
CL
51
0
0
0
0.00
57,350
236
0.24
0
0
0.00
26
CL
56
0
0
0
-0.00
66,400
228
0.28
0
0
0.00
125
27
PC
64
0
0
0
0:00
87,400
342
0.36
0
0
0.00
28
PC
58
0
0
0
0.00
93,150
360
0.39
0
0
0.00
291R
52
0.25
0
0
0.00
93,010
360
0.39
0
0
0.00
30
C
46
0
0
0
0.00
98,220
390
0.41
0
0
0.00
311
C 42 0
Monthly Loading (GPD/ft):
Year to Date Loading GPD/ft2
0
0
0.00
0.00
111,810
426
0.47
0.20
0
0
no
0.00
0:00
#DIV/0!
FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page of
Did the application rates exceed the limits in Attachment B of your permit?
121 Compliant
❑ Non -Compliant
If not a basin, were the sites kept free of vegetation and raked?
0 Compliant
❑ Non -Compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites?
p 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 operational?
Q 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.
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Jimmy.Bliven
Permittee:
Rolf Blizzard
Certification No.: 28243
Signing Official: William G Freed by Authority
Grade: Si Phone Number: 2522022435
Signing Official's Title: President of Envirotech
Has the ORC changed since the previous NDAR-2? ❑ Yes ❑ No
Phone Number: 2524915277 Permit Exp.: 2/28/18
07-1-7
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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699=1617