WQ0019665_Monitoring - 12-2016_20170203

PERMIT NUMBER:
NON DISCHARGE WASTEWATER MONITORING REPORT Page 1 of 8
W00019665
FACILITY NAME: Swan Quarter Sanitary District
MONTH:
December YEAR: 2016
COUNTY: Hyde
Flow Monitoring Point:
Effluent:
Influent
X
Parameter Monitoring Point:
Effluent:
Influent: X
Surface Water (SW):
SW Code/Name:
Was There Effluent Flow For This Month Generated At This Facility:
Yes:
No:X
D Operator
A Arrival
Time 2400 Operator
T Clock Time On
E Site
ORC
on
Site?
50050
Daily Rate
(Flow) into
Treatment
System
00400
PH
50060
Residual
Chlorine
00310 00610
BOD -5
20°C NH3-N
00530
TSS
31616
Fecal
Coliform
(Geometric
Mean*)
00010
Temp
00545
Settleable
Matter
HRS
YM
GALLONS
UNITS
UGIL
MG/L MG/L
MG/L
HOOML
C
545
1 6:45 6.5
Y
8727
2 6:45 6.5
N
8727
3
8727
4
8727
5 6:45 6.5
N
8727
6 6:45 6.5
N
8727
7 6:45 6.5
N
8727
s 6:45 6.5
Y
8727
r
9 6:45 6.5
N
9507
10
9507
c„
ill 1
9507
ti _
12 6:45 6.5
N
9507
13 6:45 6.5
N
9507
14 6:45 6.5
N
9507
15 6:45 6.5
Y
9507
16 6:45 6.5
N
9507
17
9507
18
9507
19 6:45 6.5
N
9507
20 6:45 6.5
N
9507
8.4
0.4
12 <0.04
51
136
20
0
21 6:45 6.5
N
10772
22 6:45 6.5
Y
10772
23 6:45 6.5
N
9034
24
9034
25
9034
26 6:45 6.5
N
9034
27 6:45 6.5
Y
9034
7.9
0.4
9.6 <0.04
27
62
19.4
0
28 6:45 6.5
N
10692
29 6:45 6.5
Y
10692
3o 6:45 1 '6.5 1
N
10692
31 1 1
10692
erage
9463.935
0.4
191.826
19.7
0
Maximum
10772
8.4
0.4
12 0
51
136
20
0
Minimum
8727
7.9
0.4
9.6 0
27
62
19.4
0
ly Limit(s)
125,000
6-9
NL
N rrtNL
NL
NL
NL
(C) I Grab (G)
C C'
C
G
Operator in Responsible Charge (ORC):
Check Box if ORC Has Changed:
Certified Laboratories (1):
Person(s) Collecting Samples:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
Allen Bliven
Environment 1
Allen Bliven
Grade: SI Phone: [phone]
ORC Certification Number: 996725
(2):
z��fP///l..
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (11/2005)

1617 Mail Service Center
RALEIGH, NC 27699-1617
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Please answer the following question:
1. Does all monitoring data and sampling frequencies meet permit requirements?
Page
Compliant (Y,N)
If the facility is non-compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
"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."
(Signalafe of Permittee)* Date
Wayne Hodges, Chairman
PO Box 21
Swan Quarter, NC 27885
(Permittee Address)
monthl
Parameter Codes:
William G. Freed
(Name of Signing Official -Please print or type)
By Authority, President, Enviro-Tech
(Position or Title)
252-491-5277
(Phone Number) (Permit Exp. Date)
01002
Arsenic
31504
Coliform, Total
00600
Nitrogen, Total
00929
Sodium
01022
Boron
00094
Con ducUvfty
00630
NO2&NO3
00931
SAR
00310
BOD5
01042
Copper
00620
NO3
00745
Sulfide
01027
Cadmium
00300
Dissolved Oxygen
00556
Oil -Grease
70295
TDS
00916
Calcium
31616
Fecal Coliform
WQ09
PAN (Plant Available)
00010
Temperature
00940
Chloride
01051
Lead
00400
pH
00625
TKN
50060
Chlorine, Total
Residual
00927
71900
Magnesium
Mercury
32730
00665
Phenols
Phosphorus, Total
00680
00530
TOC
TSS/rSR
01034
Chromium
00610
NH3asN
00937
Potassium
00076
Turbidity
00340
COD
01067
Nickel
00545
Settleable Matter
01092
Zinc
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 26.0506 (b)(2)(D).
DENR FORM NDMR-1 (11/2005)

FACILITY NAME: Swan Quarter Sanitary District
Page 2 of 8
COUNTY: Hyde
Flow Monitoring Point:
Effluent:
Influent:
X
Parameter Monitoring Point:
Effluent:
Influent: X
Surface Water (SW): SW Code/Name:
Was There Effluent Flow For This Month Generated At This Facility.
Yes:
No:X
D
A
T
E
Opera -tar Opera -tor ORC
Arrival me On on
Time
Time 2400 Site Site?
Clock
50050
Dally Rate (Flow)
Into Treatment
System
00620
NO3
00515
TOS
00680 00940
TOC Chloride
00625
TKN
HRS YIN
GALLONS
1
6:45 6.5 Y
8727
2
6:45 6.5 N
8727
3
8727
4
8727
5
6:45 6.5 N
8727
61
6:45 1 6.5 N 1
8727
7
6:45 6.5 N
8727
8
6:45 6.5 Y
8727
9
6:45 6.5 N
9507
10
9507
11
9507
12
6:45 1 6.5 N
9507
13
6:45 6.5 N
9507
14
6:45 6.5 N 1
9507
15
6:45 6.5 Y
9507
16
6:45 6.5 N
9507
17
9507
181
1
9507
19
6:45 6.5 N
9507
20
6:45 6.5 N
9507
21
6:45 6.5 N
10772
22
6:45 6.5 Y
10772
23
6:45 6.5 N
9034
241
1
9034
25
9034
26
6:45 6.5 N
9034
27
6:45 6.5 Y
9034
0.18
182
16.96
55
4.34
28
6:45 6.5 N 1
10692
29
6:45 6.5 Y
10692
30
6:45 1 6.5 N
10692
311
1
10692
. Average
9379.241
0.18
182
16.96
551
4.34
#DIV/0!
Daily Maximum
10772
0.18
182
16.96
55
4.34
0
Daily Minimum 1
8727
0.18
182
16.96
55
4.34
0
Monthly Limit(s) 1
125,000
NL
NL
NL
NL
NL
NL
Composite (C) / Grab (G
Operator in Responsible Charge (ORC): Allen Bliven Grade: SI Phone:
Check Box if ORC Has Changed:
Certified Laboratories (1):
Envomment 1
ORC Certification Number: 996725
(2):
Person(s) Collecting Samples: Allen Bliven
Mail ORIGINAL and TWO COPIES to:
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
ATTN: Information Processing Unit AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
NON DISCHARGE WASTEWATER MONITORING REPORT
491-5277
DENR FORM NDMR -1.1 (11/2005)
Facility Status:

Page 2 of 8
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? F Y
If the facility is non-compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
"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."
(Signature cWPermifteer Date
Wayne Hodges, Chairman
PO Box 21
Swan Quarter, NC 27885
(Permittee Address)
Parameter Codes:
William G. Freed
(Name of Signing Official -Please print or type)
by Authority, President, Enviro-Tech
252-491-5277
(Phone Number)
01002 Arsenic
31504 Coliform, Total
00600 N"en. Total
00929 Sodium
01022 Boron
00094.Conductivity
00630 NO2&NO3
00931 SAR
00310 BODS.
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556 Oil -Grease
70295 TDS
00916 Calcium
31616 Fecal Coliform
WQ09 PAN Plant Available
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
71900 Mercury
32730 Phenols
00665 Phosphorus, Total
00680 TOC
00530 TSSrrSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel .
00545 Settleable Matter
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
9/30/2006
(Permit Exp. Date)
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the reporting faciliVs permit for
reporting data.
` If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).
DENR FORM NDMR -1.1 (11/2005)

Page 3 of 8
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00019665 MONTH: December YEAR: 2016
FACILITY NAME: Swan Quarter Sanitary District COUNTY: Hyde
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (Inches/foot)] /[Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-Inch)]
Maximum Hourly Loading (inches) =Daily Loading (inches)/ [Time Irrigated (minutes) / 60 (minutes/hour)] Monthly Loading (inches) =Sum of Dally Loadings (inches)
12 Month Floating Total (inches) =Sum of this month's Monthly Loading (Inches) and previous 11 month's Monthly Loadings (inches)
.
Average vveeR y Loumny pnc -I - lmuuuny wau'-'2 r,��,.w,,,,,,�.,.��, ....�.......... ....,,.... _._ ..._..-"--•-....-..- •• --
Did Irrigation Occur At This Facllit Did Irrigation Occur On This Field:
- •--•-_. -9 .
Did Irri ation Occur On This Field:
Yes:
No: X
Yes:
No:
X
Yes:
No:
X
FIELD NUMBER:
1
FIELD NUMBER:
2
AREA SPRAYED (acres):
2.98
AREA SPRAYED (acres):
3.28
COVER CROP:
COVER CROP:
PERMITTED HOURLY RATE (inches):LHourly
5
PERMITTED HOURLY RATE (inches):
0.25
WEATHER CONDITIONS
PERMITTED YEARLY RATE (inches):5
PERMITTED YEARLY RATE (inches):
32.5
D
A
Temper-
storage
mum
Maximum
Hourly
T
Weather
store at
applicatio Precipita• Lagoon
Volume
Dally
Volume
Time
Daily
Loading
E
Code
n
tion Free -board
A lied
Time Irri ated
Loadin
inA
Ifed
Irri sled
Loadin(°F)
Inches feet
gallons
minutes
inches
es
gallons
minutes
Inches
Inches
1
R
70
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
2
C
58
0
0
0
0.00
#DIV/01
0
0.
0.00
1 #DIV/0!
3
C
54
0
0
0
0.00
#DIV/0!
0
0
0.00
1 #DIV/0!
4
PC
53
0
0
0
0.00
#DIV/01
0
0
0.00
1 #DIV/0!
5
R
59
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
6
R
65
4
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
7
PC
57
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
8
PC
58
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
9
C
45
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
10
C
45
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
11
PC
57
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
12
R
66
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
13
R
54
4
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
14
R
54
0
0
0.00
#DIV/0!
0
0
-0.00
#DIV/0!
151
C
1 47
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
16
Pc
1 45
0
0
0
0.00
#DIV/01
0
0
0.00'
#DIV/0!
17
R
65
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
18
R
72
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
19
R
55
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
20
R
44
4
1 0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
21
PC
53
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
22
C
60
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
23
PC
54
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
24
PC
63
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
25
PC
61
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
26
PC
62
0
1 0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
27
R
69
4
0
0
0.00 1
#DIV/0!
0
0
0.00
#DIV/0!
281
PC
60
1 0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
29
R
63
0
0
0.00
#DIV/01
0
� 0
0.00
#DIV/0!
30
PC
49
0
0
0
0.00
#DIV/0!
0
0
0.00
1 #DIV/0!
31
PC
56
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
Total Gallons/Monthly Loading (inches)
0
0.00
0
0.00
12 Month Floating Total (inches)
0.00
0.00
Average Weekly Loading (inches)
0
0
" Weather Codes: C -clear, PC -partly cloudy, Ci -cloudy, R -ram, an -snow, 01-51eer
Spray Irrigation Operator in Responsible Charge (ORC): Allen Bliven Phone: [phone]
ORC Certification Number: 996725 Check Box if ORC Has Changed:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
NON -DISCHARGE APPLICATION REPORT
DENR FORM NDAR-1 (11/2005)

Page 3 of 8
SPRAY IRRIGATION SITE(S)
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box ) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
1. The application rate(s) did the limit(s) in
Com liant N)
not exceed specified the permit
Y
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
0
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
0
4. All buffer zones as specified in the permit were maintained during each application.
0
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
0
specified in the permit.
If the facility is non-compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"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."
ignatur ermitteer Date
Wayne Hodges, Chairman
(Permittee -Please print or type)
PO Box 21, Swan Quarter, NC 27885
(Permittee Address)
William G. Freed
(Name of Signing Official -Please print or type)
By Authority, President Enviro-Tech
(Position or Title)
252-491-5277 9/30/2006
(Phone Number) (Permit Exp. Date)
If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0019665 MONTH: December
FACILITY NAME: Swan Quarter Sanitary District COUNTY:
Formulas:
Daily Loading (Inches) = [Volume Applied (gallons) x 0.1336 (cubic feettgallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Page 4 of 8
YEAR: 2016
Hyde
Maximum Hourly Loading (Inches) = Daily Loading (inches) / [rime Irrigated (minutes) / 60 (minutes/hour)] fly Loading (inches) =Sum of Daily Loadings (inches)
12 Month Floating Total (inches) =Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loadina linchesl = IMnnthly, Loadino (inches/monthl / Number of days in the month (days/month)l x 7 (daysAveek)
Did Irrigation Occur At This Facilit!
Yes: No:
X
Did Irrigation Occur On This Field:
Yes: ' No:
X
Did Irrigation Occur On This Field:
Yes: No: X
FIELD NUMBER: 1 3
AREA SPRAYED (acres): 3.43
COVER CROP:
PERMITTED HOURLY RATE (inches): 0.25
FIELD NUMBER: 4
EA SPRAYED (acres: 3.73
COVER CROP:
MITTED HOURLY RATE (Inches): 0.25
WEATHER CONDITIONS
PERMITTED YEARLY RATE (Inches): 32.5
RMITTED YEARLY RATE finches);
32.5
D
A
T
E
Weather
Code•
Temper.
ature at
application
Precipita
tion
Storage
lagoon
Free -board
Volume
Applied
Time Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
(°F)
Inches
feet
gallons
minutes
Inches
Inches
gallons
minutes
Inches
inches
1
R
70
0
0
0.00
#DIV/0!
0
0
0.00
1 #DIV/0!
2
C
58
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
3
C
54
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
4
PC
53
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0! .
5
R
59
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
6
R
65
4
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
7
PC
57
0
1
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
6
PC
58
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
9
C
45
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
10
C
45
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
11
PC
57
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
12
R
66
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
13
R
54
4 1
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
14
R
54
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
15
C
47
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
16
PC
45
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0! .
17
R
65
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
18
R
72
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
19
R
55
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
20
R
44
4
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
21
PC
53
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
22
C
60
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
23
PC
54
.0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
24
PC
63
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
25
PC
61
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
26
PC
62
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
27
R
69
4
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
28
PC
60
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
26
R .
63
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
30
PC
49
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
31
PC
56
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
Total Gallons/Monthly Loading (Inches)
0 1
0.00
0
1
0.00
12 Month Floating Total (inches)
0.00
0.00
Average Weekly Loading (inches)
0
0
* Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rein, Sn-snow, 51 -sleet
Spray Irrigation Operator in Responsible Charge (ORC):
Allen Bliven
Phone: [phone]
ORC Certification Number: 996725 Check Box if ORC Has Changed:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
ajL""'1�
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

Page 4 of 8
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box ) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordarice'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."
J —.; 9- ol�
(Signature o ermittee)* Date
Wayne Hodges, Chairman
(Permittee -Please print or type)
PO Box 21, Swan Quarter, NC 27885
(Permittee Address)
William G. Freed
(Name of Signing Official -Please print or type)
By Authority, President Enviro-Tech
(Position or Title)
252-491-5277 9/30/2006
(Phone Number) (Permit Exp. Date)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 26.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)
Com Ilant ,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit.
Y
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
0
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
0
4. All buffer zones as specified in the permit were maintained during each application:
0
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
0
specified in the permit.
If the facility is non-compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordarice'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."
J —.; 9- ol�
(Signature o ermittee)* Date
Wayne Hodges, Chairman
(Permittee -Please print or type)
PO Box 21, Swan Quarter, NC 27885
(Permittee Address)
William G. Freed
(Name of Signing Official -Please print or type)
By Authority, President Enviro-Tech
(Position or Title)
252-491-5277 9/30/2006
(Phone Number) (Permit Exp. Date)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 26.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0019665 MONTH: December
FACILITY NAME: Swan Quarter Sanitary District COUNTY
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inchesffoot)] /[Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Page 5 of 8
YEAR: 2016
Hyde
Maximum Hourly Loading (inches) =Daily Loading (inches) / [rime Irrigated (minutes) /60 (minutes/hour)] lly Loading (inches) =Sum of Daily Loadings (inches)
12 Month Floating Total (Inches) =Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (Inches)
r.__r__t _ n.__.0 ,..:a:..., i u� �..,r,°.. f A, i., thn month rdave/mnnthll x 7 rdayshxaakl
nvc,cyc rccnry waun,y ,,,e„w
Did Irrigation Occur At This FacIQ
Yes: No:
X
���y �.. ......................._...__._.__,_... _._..._.._. ,__,__-.___-„_..
Did IrrigationOccur On This Field:
Yes: No:
X
.
Did Irrigation Occur On This Field:
Yes: No: x
FIELD NUMBER:l 5
AREA SPRAYED (acres): 4.03
COVER CROP:
PERMITTED HOURLY RATE (inches): 0.25
FIELD NUMBER: 6
EA SPRAYED acres : 4.18
COVER CROP:
MITTED HOURLY RATE (Inches):1 0.25
WEATHER CONDITIONS
PERMITTED YEARLY RATE (inches): 32.5
WITTED YEARLY RATE (Inches):
32.5
A
[
weather
Code*
Temper-
afore at
application
Preclpita-
tion
Storage
Lagoon
Free -board
Volume
Applied
Time Irri ated
Daily
Loading_LoadingApplied
Maximum
Hourly
Volume
Time
Irrigated
Daily
Loading
Maximum
Loading
E
F
(°)
Inches
feet
gallons
minutes
inches
Inches
gallons
minutes
Inches
inches
1
R
70
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
2
C
58
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
3
C
54
0
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/0!
4
PC
53
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
5
R
59
0
0
0.00
#DIV/0!
0
0
0.00
#D WO!
6
R
65 1
4
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
7
PC
57
0
0
0
0.00
#DIV/0!
1 0
0
0.00 1
#DIV/0!
8
PC
56
0
0
0
0.00
#DIV/0!
1 0
0
0.00 1
#DIV/0!
9
C
45
0
0
0
0.00
#DIV/0!
0
0
0.00 1
#DIV/0!
10
C
45
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
11
PC
57
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
12
R
66
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/O!
13
R
54
4
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
14
R
54
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
15
C
47
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
16
PC
45
0
0
0
0.00
#DIV/0!
1 0
0
0.00
#DIV/0!
17
R
65
0
0
0.00
#DIV/0!
0
0
0.00J
#DIV/01
18
R
72
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
19
R
55
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
20
R
44
4
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
21
PC
53
0
0 1
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
22
C
60
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
23
PC
54
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
24
PC
63
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
25
PC
61
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
26
PC
62
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
27
R
69
4
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
28
PC
60
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
29
R
63
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
30
PC
49
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
31
Pc 1
56
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
Total Gallons/Monthly Loading (inches)
0
0.00
0
0.00
12 Month Floating Total (inches)l
0.00
1
0.00
Average Weekly Loading (inches)j
0
* Weather Codes: C -clear, PC -partly cloudy, u -cloudy, ht -ram, sn-snow, Si-sieei
Spray Irrigation Operator in Responsible Charge (ORC):
Allen Bliven
Phone: [phone]
ORC Certification Number: 996725 Check Box if ORC Has Changed:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
(SIGNATURE OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

Page 5 of 8
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
1. The application rate(s) did not exceed the limit(s) specified in the permit.
Compliant ,N)
ly
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
0
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
0
4. All buffer zones as specified in the permit were maintained during each application.
0
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
0
specified in the permit.
If the facility is non-compliant, please explain in the space below the reason(s) the facility was not in
compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"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."
/- 2- f
( gnature ermittee)* Date
Wayne Hodges, Chairman
(Permittee -Please print or type)
PO Box 21, Swan Quarter, NC 27885
(Permittee Address)
William G. Freed
(Name of Signing Official -Please print or type)
By Authority, President Enviro-Tech
(Position or Title)
252-491-5277 9/30/2006
(Phone Number) (Permit Exp. Date)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 28.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)

Page 6 of 8
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00019665 MONTH: December YEAR: 2016
FACILITY NAME: Swan Quarter Sanitary District COUNTY: Hyde
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feettgallon) x 12 (inchesffoot)] /[Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (Inches) =Daily Loading (inches) / [rime Irrigated (minutes) /60 (minutes/hour)] fly Loading (inches) =Sum of Daily Loadings (inches)
12 Month Floating Total (inches) =Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading (inches/month) /Number of days in the month (days/month)] x 7 (days/week)
Did Irrigation Occur At This Facilit,
Yes: No:
X
Did Irrigation Occur On This Field:
Yes: No:
x
Did Irrigation Occur On This Field:
Yes: No: x
FIELD NUMBER: 7
AREA SPRAYED (acres): 4.48
COVER CROP:
PERMITTED HOURLY RATE (inches): 0.25
FIELD NUMBER: 8
EA SPRAYED acres : 4.18
COVER CROP:
MITTED HOURLY RATE (inches): 0.25
D
A
T
E
WEATHER CONDITIONS
Weather Temper-
code• atureat Preclpita-
application tion
Storage
Lagoon
Free -board
PERMITTED YEARLY RATE (inches):
Volume Dail y
Applied Time Irrigated Loading_LoadingApplied
32.5
Maximum
Hourly
y
tMITTED YEARLY RATE (inches):
Volume Time Daily
Irrigate Loading
32.5
Maximum
Hourly
Loading
(°F)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
R
70
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
2
C
58
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
3
C
54
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
4
PC
53
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
5
R
59
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
6
R
65
4 1
0
0
0.00
#DIV/01 1
0
0
0.00 1
#DIV/01
7
PC
57
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
8
PC
58
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
9
C
45
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
10
C
45
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
11
PC
57
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
12
R
66
0
0
0.00
#DIV/0!
0 1
0
0.00
#DIV/0!
13
R
54
4
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
14
R
54
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
15
C
47
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
16
PC
45
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
17
R
65
0
0
0.00
#DIV/O!
0
0
0.00 1
#DIV/01
18
R
72
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
19
R
55
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
20
R
44
4
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
21
Pc .
53':
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
22
C
60
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
23
PC
54
0
0
0
0.00
#DIV/0! 1
0
0
0.00
#DIV/0!
24
PC'
63
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
25
PC
61
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
26
PC
62
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
27
R
69
4
0
0
0.00
#DIV/01
0
0
0.00
#DIV/O!
28
PC
60
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
29
R
63
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
30
PC
49
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
31
PC
56
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
Total Gallons/Monthly Loading (inches)
0
0.00
0
0.00
12 Month Floating Total (inches)l
0.00
0.00
Average Weekly Loading (inches)
0
0
" Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC):
ORC Certification Number: 996725
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Allen Bliven
Phone: [phone]
Check Box if ORC Has Changed:
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

J
Page 6 of 8
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S) .
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box.) Cjom liant N)
ly
1. The application rate(s) did not exceed the limit(s) specified in the permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
4. All buffer zones as specified in the permit were maintained during each application.
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
specified in the permit..
If the facility is non-compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"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."
(Si§6atufe qrPermifteer Date
Wayne Hodges, Chairman
(Permittee -Please print or type)
PO Box 21, Swan Quarter, NC 27885
(Permittee Address)
William G. Freed
(Name of Signing Official -Please print or type)
By Authority, President Enviro-Tech
(Position or Title)
252-491-5277 9/30/2006
(Phone Number) (Permit Exp. Date)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)

Page 7 of 8
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0019665 MONTH: December YEAR: 2016
FACILITY NAME: Swan Quarter Sanitary District COUNTY: Hyde
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / [Time Irrigated (minutes) / 60 (minutes/hour)] tly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
AvPranP WPPklw Lnadinn finrhPsl = fMnnfhly I nadinn linchPe/mnnfhl / Numhor of dwc in fFro mnnfh IdwclmnMhV v 7 /rtwc/wnn4\
Did Irrigation Occur At This Faciliti
Yes: No:
X
Did Irrigation Occur On This Field:
Yes: No:
X
Did Irrigation Occur On This Field:
Yes: No: X
FIELD NUMBER:1 9
AREA SPRAYED (acres): 4.93
COVER CROP:
PERMITTED HOURLY RATE (inches): 0.25
FIELD NUMBER: 1 10
tEA SPRAYED (acres): 1 5.08
COVER CROP:
MITTED HOURLY RATE (inches): 0.25
D
A
T
E
WEATHER CONDITIONS
Temper-
Weather ature at Precipita-
code application tion
storage
Lagoon
Free -board
PERMITTED YEARLY RATE (inches): 32.5
Maximum
Volume Daily Hourly
Applied Time Irrigated Loading Loading
tMiTTED YEARLY RATE (inches):
Volume Time Daily
Applied Irrigated Loading
32.5
Maximum
Hourly
Loading
(°F)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
Inches
Inches
1
R
70
1
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
2
C
58
0
0
0
0.00
#DIV/0!
0 1
0
0.00
#DIV/0!
3
C
54
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
4
PC
53
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
5
R
59
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
6
R
65
4
0
0
0.00
' #DIV/0!
0
0
0.00
#DIV/0!
7
PC
57
0
1
0
0
0.00
#DIV/0!
0
0 1
0.00
#DIV/0!
8
PC
58
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
9
C
45
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
10
C
45
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
11
1 PC
57
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
12
R
66
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
13
R
54
4
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
14
R
54
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
15
C
47 1
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
16
PC
45
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
17
R
65
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
18
R
72
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
19
R
55
1
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
20
R
44
4
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
.21
PC
53 1
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
22
C
60
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
23
PC
54
0
0
0
0.00
#DIV/0!
0
0 1
0.00
#DIV/0!
24
PC
63
0
0
0
0.00
#DIV/0!
0.
0
0.00
#DIV/0!
25
PC
61
0
1
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
26
PC
62
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
27
R
69
4
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
28
PC
60
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
29
R
63
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
30
PC
49
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
31
PC 1
56
0
0 1
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
Total Gallons/Monthly Loading (inches)
0
0.00
0
0.00
12 Month Floating Total (inches)
0.000.00
Average Weekly Loading (inches)
0
1
1
1
0
- weatner cones: t; -clear, rc-panty clouay, t;l-clouay, K -ram, sn-snow, w -sleet
Spray Irrigation Operator in Responsible Charge (ORC):
Allen Bliven Phone: [phone]
ORC Certification Number: 996725 Check Box if ORC Has Changed:
DENR FORM NDAR-1 (11/2005)

Page
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box ) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
If the facility is non-compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
" 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."
( ignat r f Permittee)* Date
Wayne Hodges, Chairman
(Permittee -Please print or type)
PO Box 21, Swan Quarter, NC 27885
(Permittee Address)
William G. Freed
(Name of Signing Official -Please print or type)
By Authority, President Enviro-Tech
(Position or Title)
252-491-5277 9/30/2006
(Phone Number) (Permit Exp. Date)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)
Compliant
1. The application rate(s) did not exceed the limit(s) specified in the permit.
�,N)
I�
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
0
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
0
4. All buffer zones as specified in the permit were maintained during each application.
0
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
0
specified in the permit.
If the facility is non-compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
" 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."
( ignat r f Permittee)* Date
Wayne Hodges, Chairman
(Permittee -Please print or type)
PO Box 21, Swan Quarter, NC 27885
(Permittee Address)
William G. Freed
(Name of Signing Official -Please print or type)
By Authority, President Enviro-Tech
(Position or Title)
252-491-5277 9/30/2006
(Phone Number) (Permit Exp. Date)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00019665 MONTH: December
FACILITY NAME: Swan Quarter Sanitary District COUNTY:
Formulas:
Dally Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] /[Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Page 8 of 8
YEAR: 2016
Hyde
Maximum Hourly Loading (inches) =Daily Loading (inches) / [Time Irrigated (minutes) 160 (minutes/hour)] lly Loading (inches) =Sum of Daily Loadings (inches)
12 Month Floating Total (inches) =Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
n...,.....e VI/nnLi.. 1 n�dlinn linrf.ncl - nAnnthly 1 n,dinn /inrhoc/mnnthl / hii imhwr of days in thw mnnth (days/monthll x 7 (days/week)
Did Irrigation occur AtThis Fatuity:
Yes: No:
X
Did Irrigation Occur On This Field:
Yes: No:
X
Did Irrigation Occur On This Field:
Yes: No: X
FIELD NUMBER: 11
AREA SPRAYED (acres)* 4.78
COVER CROP:
PERMITTED HOURLY RATE (inches): 0.25
FIELD NUMBER: 12
EA SPRAYED acres : 3.43
COVER CROP:
MITTED HOURLY RATE (Inches):1 0.25
WEATHER CONDITIONS
PERMITTED YEARLY RATE (inches):
32.5
WITTED YEARLY RATE (inches):
32.5
D
A
T
weather
Code'
Temper-
atureat
application
Preclpita-
tion
Storage
Lagoon
Free -board
Volume
Iled
Time Irri ated
Daily
LoadingLoadingApplied
Maximum
Hourly
Volume
Time
Irr[ ated
Daily
Loadingg
Maximum
Hourly
Loading
E
F
(°)
Inches
feet
gallons
minutes
Inches
inches
gallons
minutes
Inches
Inches
1
R
70
0.42
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
2
C
58
0
1 0
0
0.00
#DIV/0!
1 0
0
0.00
#DIV/0!
3
C
54
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
4
PC
53
0.25
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
5
R
59
0.6
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
6
R
65
0.55
4
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
7
PC
57
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
8
PC
58
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
9
C
45
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
10"
C
45
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
11
PC
57
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
12
R
66
0.24
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
13
R
54
0.62
4
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
14
R
54
0.04
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
15
C
47
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
16
PC
45
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
17
R
65
0.18
0
0
0.00
9DIV/01
0
0
0.00
#DIV/0! .
18
R
72
0.1
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
19
R
55
0.18
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
20
R
44
0
4
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
21
PC .
53
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
22
C
60
0
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
23
PC
54
0.01
0
0
0.00
#DIV/0!
0
0
0.00 1
#DIV/0!
24
PC
63 1
0
0
0
0.00
#DIV/0!
0•
0
0.00
#DIV/0!
25
1 PC
61
0
0
0
0.00
#DIV/01
1 0
0
0.00
#DIV/0!
26
PC
62
0
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
27
R
69
0
4
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
28
PC
60
0.45
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
29
R
63
0
0
0.
0.00
#DIV/0!
0
0
0.00
#DIV/0!
30
PC
1 49
0 1
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
31
1 PC
1 56
0 1
0
0
0.00
#DIV/0!
0
0.00
#DIV/0!
Total Gallons/Monthly Loading (inches)
0
0.00
0
0.00
12 Month Floating Total (inches)
0.00
0.00
Average Weekly Loading (Inches)
0
0
' Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Allen Bliven Phone: [phone]
ORC Certification Number: 996725 Check Box if ORC Has Changed:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

Page 8 of 8
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
1. The application did the limit(s) in the
Com Ilant N)
rate(s) not exceed specified permit.
Y
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
0
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
0
4. All buffer zones as specified in the permit were maintained during each application.
0
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
0
specified in the permit.
If the facility is non-compliant, please explain in the space below the reason(s) the facility was not in
compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"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."
-
(S gnatu a of rmitteer Date
Wayne Hodges, Chairman
(Permittee -Please print or type)
PO Box 21, Swan Quarter, NC 27885
(Permittee Address)
William G. Freed
(Name of Signing Official -Please print or type)
By Authority, President Enviro-Tech
(Position or Title)
252-491-5277 9/30/2006
(Phone Number) (Permit Exp. Date)
" If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 28.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)