WQ0024694_Monitoring - 12-2016_20170203

FORM: NDMR 03.12 NON -DISCHARGE MONITORING REPORT (NDMR) Page A— of—9-1
Permit No.: WQ0024694
Fasiliry Name: Bright's Creek Golf Club
County: Polk
Month: december
Year: 2016
PPI: 002 Flow Measuring Point: 6moent ❑ No now gererated
Parameter Monitoring Point: ❑ mnuent 0 Elnvuz ❑ Groundwater tav,enng ❑¢¢S.nace water
Parameter Code —s 00310 31616 00620
00530
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24 -hr brs "?-WII mg[L WIN mL mglL WXjjiisu-j,
mglL
1 16.00 1 3 OVA
2 14:45 0.5 _ 1 �WA20
W.?94'r3i
4
5 16:30 1.. �60,7�'^sa rc.::
` ,1,84.E
i
6 17:00 1
7 08:00 1 ?[709 x <2.0
8 09:00 1 MKOW
1,28R,
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9 17:30 1
<4.
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4.
12 07:30 5 =000 6.5
13 15:55 1 i0_ 0 6.7 °
1.91
14 15:30 1 3ft2idb0�' 15 = r r1 :.
1:8 .:
15 16:00 2 r.8
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16 08:18 1 i?dotC E?: C.6
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17
19 15:00 1 motti
201 18:00 1 2l00
21 07:16 1 z"4ad 6.
22 16:00 1
7 i
4
23 15:00 1 b,0 '.+ 6 7
,
24
3.9
,4
20
27 D9:DD 1diDtip
28 14:30 0.5 3 6 9 �
291 10:45 1 1110,660M 1 a 7s
1.02
301 11:15 1 2;"Q..Oblea" 0.0'..
_:1.22
Average: {51g 0.00 1.00 1850 ,
r t
1,22
Daily Mazimum: '00, i� C. -i-00 .<_ 1.00 18.00 4 7 20
� -,,71,
4.00.
11
—
Dail Minimwn: 116. ['.2.00 <1.00 15.00 640
_ .ilm
LG2-
Sampling Typo: $H__ er Compoalte Grob Compoa�.;c ._ c,a rcorn-=It,;
P.eecrder
Monthly Limit: 10}9. "0 10 14
Dally Limit:, 15 25
Sample Frequency: [G_an p. oy 2 x Monty 2 x Monty _ 2 x Month y- x tYeekti•',
2 x Month
7 ti rffiat
l
_

FORM: NDMRo3-12 NON -DISCHARGE MONITORING REPORT(NDMR) Page..;_Lof_D'
Sampling Person(s),
Name: David Sleigh
Name:
Name: Water Tech Labs
Name:
CaAified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? O Caaroimt ❑ tater
If the facility Is non-compliant, please eoplain in the space below the reasons) the facility was not in compliance. Provide In your exploration the date(s) of the noncompliance and describe the eon
action(s) taken. Attach additional sheets If noosesary.
Operator in Responsible Charge (ORC) CartiNcatlon
ORC: David Sleigh
Certification No.: 1001255
Grade: IV Phone Number. 704-507-8143
Has the ORO changed since the prevhRps NDMR? ❑ Ya 0 No
Signature � Date
aydit soctura, I Wlythat life repan h soonreb and oompMato earhan army 6mwedgc
Permittee Certification
Pemtifteo. AQUALI
NORTH CARRO/NA
Signing Official: 5��+-^ v •D �'K�f
Signing oNioiare ride: NL ?rrJ`1ft j
Phone Number 919.467.871% Permit Expiration: 12.31.18
1'(0"16
Signature Da
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ynmm derkned baeaaatlmt dgvelfied PasonaalpraPlrM yeawad nw ovalelad the hdoimetbn Iuhmale
ryolae Perloe ar peaauwlgmaMps IM eyCem, creme pennon dhaeayrerpauLlerm paewdnp are ha
nonpenned k.m in Mrtor fietaSon, Wasidha4f.hue.0yof&, m ImpNU,Iem awmoamtirosa
peruNn nor aumnatg IoW llknnatlar, hrl,Idnq ae pwWaryoiPom aM hnprWruneat for Wlawaq Noletl
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 .3
Permit No.: VV00024694
Facility Name: Bright's Creek Golf Club
County: Polk Month: December Year: 2016
Did Irrigation occur
at this facility?
t{y
FIeld Name:
ield Name: D
utros
Area (acres): 25.1
Area (acres): 214
:Ci04�eit�ori'ji!:
.s_r'c tt's ',';�''Q�.
Cover Crop:
Cover Crop:
❑ YES NO
¢a�.:.
�
Hourly Rate (in): 0.4ln
0.4
He tiny Rate (in): 0.4
�'(fIn•je.
Sa,11m-'¢Y.*
tfii.r*iiT.;t--t
f'2.4.�xry"*+.':f:'
Annual Rate (in): 5
al Rate): 52
A�>Non
n—nu('mmI°cn
Freeboard
am tgmom OvNnamSDmuaom ,
T�:F
igBti
Field Irrigated?❑Y❑
EN
rFWeather
Field Irrigated? o
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ln
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31
V�.; p
,;%"Otptl,.5;', 0 0.00
,.p(#?;; 0.02
Monthly Loading,
12 Month Floating Total (in):
$. 0 ..:-.
0 00 �;
m0`b1;;1
p 0.00
0 12

FORM: 140AR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2 of 3
Permit No.: WQ0024694
FacilltyName: Bright's Creek Golf Club
County: Polk Month: December Year: 2016
Did irrigation occur
facility?(
"r4q }
.,.
Field Namo: F
Area (acres): 11.3
)
t
$„
Fleld Name:
Area acres:
(acres):
at this
v`iaCt)Y °F'Ct3�t3a
cover Crop:
r G�tive C�Gp2
x t; "` " ` .
Cover Crop:
❑VES ❑NO
Y3'o rly ISaCe,
.._
?, 0,4a3>.
.,.-
Hourly Rate (in): 0A
aiftly fialot�ih(
-; a;a'
,
Hourly Rete (In):
Annual Rate (in): 52
ddL9(afli'.(In�2ti^.�
'�;`_
Annual Rate(in):
Weather Freeboard
v�'tr) irrlg3tad,
ti4J `�t5�^.
�.,
Field Irrigated? ❑ YES ❑ no(=(aid
JCrlpatied7
°ai�I".'rt
- ¢
>l�Jh'�t
`f,+�$i(
xo +"�'
�!.
Field Irrigated? ❑ YES a❑ NO
T�:,
%ro"EmEsaEqriwtit
.,� t
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gal min in in
2 4 5
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29
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31
-¢'•;-
0;00:=
0 0.00
0.00
;:x 0'-=::'. `:
;;0,00'."I.
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Monthly Loading
12 Month Floating Total (in):{T;3`•'d:

FORM: NOM-1 08.11 NON-DISCHARGE APPLICATION REPORT (NDAR-1) Page 3 of 3
Did the application rates exceed the limits in Attachment 13 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?
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0 ramPBM ❑ NmFfampn m
0 omnpaat ❑ Wn-Compaam
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if the facility Is noncompliant, pleas* explain In the space below the reason(*) the Willy was not In compliance. Previde In your explanation the date(s) of do noncompliance and describe the corrective
action(a) taken. Attach additional shunts If necaseary
Operator in Responsible Charge (ORO) Certification
Perminee Cortifleaaon
ORC: Ken Deaver
Pormidoo:
AQUA North Carolina
Certification No.: 992372
Signing Official: "k.v..rn t/ Reck-'l-
Grade. SI Phone Number. 828.857-1810
Signing ORlclet's flue: 1VC PlrN ► je.4"
Has the ORC changed since the previous NDAR-t 2 ❑ ves ❑ Na
Phone Number. 9919.487-871 Permit Esp.: 12/31/18
Signature Daft
Signature Date
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Nall Original and Two Copies to:
Division of water Quality
Infortnadon Processing Unit
1617 Nail Service Center
Raleigh, North Carolina 27699.1617