WQ0013398_Monitoring - 12-2016_20170203

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
r
Permit No.: W00013398
Facility Name: Sandpiper Bay WWTF
County: Brunswick
Month:
December
Year:
2016
i Field Name `B -FW
Field Name:
B -GR
;Field Name:
.'c. �B:PER' aWE
Field Name:
B-RGH
Did irrigation OCCIJr
Area (acres): 23
Area (acres):
2.5
_ Area (acres):
5.5
Area (acres):
21
at this facility?
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
❑ YES Q No
Hourly Rate (In): 1
Hourly Rate (In):
1
Hourly Rate (in):
1
Hourly Rate (In):
1
:Annual Rate (in): 51
-
Annual Rate (In):
51
"-Annual
Rate (in):
51
Annual Rate (In):
51
Weather Freeboard
--Field Irrigated? ❑Yes ❑ No
Field Irrigated?
❑ YES 0 No
Field Irrigated?
❑ Yes
❑ NO .+
Field Irrigated?
❑ YES
NO
` C _
a o 4
°
m
5,amy
mE'
E
m
C
oE mc
M
mE
E
E
E
Em
m
�
E 2E m
E
.
_oT
Ez
'moca
O
OO
mx
a F
m a
23
.O
HO
3 °F in It ft
gal min In '
gal min
In in
gal min
In
in i
gal min
In
In
-In
-
1
�—
3
41
1 1
6
7
8_
9
_
10
11
�
12
13
14
15
_
16
17
18-
-
-- '
19--
20
21
—_
22
i•
23-
24
25
_
26
27
_
28
29
::...:
30
31
D
OAO
0
0.00
Monthly Loading:
0 ODG
0 0.00
12 Month Floating Total (In):
iZ9
1' 42 ,, ,8
•":1399'<
1.01

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
i
Did thel application rates exceed the limits in Attachment B of your permit?
Were alpequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a luitable vegetative cover maintained on all sites as specified in your permit?
Were ail setbacks listed in your permit maintained for every application to each permitted site?
Were ail freeboards maintained in accordance with the specified freeboard heights in your permit?
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.
If the
Page _ of _
Q''
Compliant ❑ Non -Compliant
❑Z Compliant ❑ Non{onlpllant
[a Compliant ❑ Non -Compliant
Q Compliant ❑ Non -Compliant
Q Compliant ❑ Nm-compiene
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: 'Wilbur Allen Williams
Permittee:
Timothy P. Tilma
Certification No.: 15664
Signing Official:
Grade: I$1 Phone Number: [phone]
Signing Official's Title: General Manager
Has the ORC changed since the previous NDAR-1? ❑ yes [D No
Phone Number: [phone] Permit Exp.: 5/31/;yU
iN�r�w,r — 3�-/�Ow�
f/r�L ` A
cur
Signature Date
Signature Date
By Iles sngnatum, I certify that eks report is aaumam and compete to the best of my knowledge.
I certify, under penalty of law, that finis document and al aeactmenls were prepared under my direction or supervision in accordance
win a system desllned to assure that at qualified personnel properly gaeered and evaluated Use information submitted. Based on my
inquiry of fine prion or persons who manage the system, or Inose persons directly responsible for gaeleneng the information. the
information submitted is, to the best of my knowledge and belef. true. accurate, and complete. I am aware that there are significant
penapces for submitting false information, exludng one possibility of fines and impnserenem for knowing vidaaom.
Mail Original and Two Copies to:
Division of Wafer Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 2 7699-1 61 7

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
Facility Name:
Sandpiper Bay WWTF
• irrigation occur_®Area
(acres):
at this facility?_Cover
Crop:,
C3 YES ■
®���
Annual Rate (in):Field
�®
Irrigated?'
III
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m
m
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_--MIN
ME
-----

Mall Original and Two Copies to:
Division of Water Quality'
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
ORM: NDAR-1 06-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page
_ of
Did thii
application rates exceed the limits in Attachment B of your permit?
p compliant
❑ Non-CompUant
Were ad
equate measures taken to prevent effluent ponding in or runoff from the sites?
(a Compliant
❑ Non -Compliant
Was a
uitable vegetative cover maintained on all sites as specified in your permit?
[Z Compliant
❑Non-compliant
Were a
I setbacks listed in your permit maintained for every application to each permitted site?
p compliant
❑ Non-compliant
Were a
I freeboards maintained in accordance with the specified freeboard heights in your permit?
2 Compliant
❑ Noncompliant
If the f
cility is non-compliant, please explain in the space below the reason(s) the facility was not In compliance. Provide in your explanation the dates) of
the non-compliance and describe the corrective
with a system designed to assue Mal ON qualified person al properly gathered and evaluated Me intamatlan submitted. Based on my
action(s) taken. Attach additional sheets if necessary.
inquiry of Me pwsmn or persue who manage the system, a Mose persons drecay reapor side for gathering Me information, the
Mall Original and Two Copies to:
Division of Water Quality'
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Operator In Responsible Charge (ORC) Certification
Penni tes Certification
ORC:
Wilbur Allen Williams
Permittee:
Timothy P. Tilma
Certlfica
on No.: 15664
Signing Official:
Grade:
S1 Phone Number: [phone]
Signing Official's Title: General Manager
Has the
RC changed since the previous NDAR-1? ❑ yes (Z No
Phone Number: [phone] Permit Exp.: 5/31 /Alf �0,
It.),
ii
Ono 6P kk"L l Lz
,
Signature Date
Signature Date
By Ibis signature, 1 certify Mal this report a accurate and complete to the best of my krvxledge
1 certify. uder panty of ew, NM this document and as ansaman s ware prepared ruder my direction or supervision in accorderce
with a system designed to assue Mal ON qualified person al properly gathered and evaluated Me intamatlan submitted. Based on my
inquiry of Me pwsmn or persue who manage the system, a Mose persons drecay reapor side for gathering Me information, the
information submitted M. to the best of my knowledge and belief. Me, acuate. and complete. 12111 aware that there are aigro iced
penalties for siLmitting false information. urAx rg Me possibility of fees and imprisonment for kwwing vidaaons.
Mall 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
i
•11Facilit
y Name:
Sardpiper Bay WWTF
• irrigation occur
Area (acres):®
Area (acres)�
at this facility?
�-Cover
Crop:
Cover Crop:
-
■YES■
®��
Hourly Rate (in)�
®
a®
.
o
■ .
t
■
o
81113 M.INT-Mil

FORM:
NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page
_ of
Did the
application rates exceed the limits in Attachment B of your permit?
I] Canpllant
❑ Non -Compliant
Were adequate
measures taken to prevent effluent ponding in or runoff from the sites?
O Complaint
❑ hon -compliant
Was a suitable
vegetative cover maintained on all sites as specified in your permit?
p ctimplent
❑ hon -Compliant
Were al
setbacks listed in your permit maintained for every application to each permitted site?
I] Compliant
❑ Nw,-Compliant
Were al
freeboards maintained in accordance with the specified freeboard heights in your permit?
pcompliant
❑son-complant
If the fa
Ility 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 conedive
action(s) taken. Attach additional sheets If necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Wilbur Allen Williams
Permittee: Timothy P. Tilma
Certification No.: 15664
Signing Official:
Grade: 81 Phone Number: [phone]
Signing Official's Title: General Manager
Has the ORC changed since the previous NDAR-1? ❑ yg 0 No
Phone Number: [phone] Permit Exp.: 5/31/10
Signature Date
Signature Date
By bus signature, I certify Nat un, repot m accurrate arta utmi�wie to the beat of my knowledge.
I certify, under penalty of law, that mrs qt c ment am am smart meets were prepared under my direction w supervision in accordance
with a system designed to assure Net al qualified perioneal property gathered and evaluated the Information submdted. Based on my
inquiry of the person m persons wild manage the system. or those peremvs directly reepwil fm gathering the information, the
information submitted M. to the beat of my hoowledge and befef, mre, W,,urate, and c mplete. I em aware that tMre are significant
penalties for s b metxg false ff"alim, xr Aid.wg ore possibility of ries and imprisormera fu kna"g vidations.
Mail Original and Two Copies to:
Division of Water Quality
information'Processing Unit
1617 Mail Service Center
Raleigh, North Caiodlina 27699-1617

FORM. NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Area (acres):
Area (acres):
■ ■
r00
Annual®®
Boom
m
mum
mm INS
m
m

F61v: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
i
Did thelapplication rates exceed the limits in Attachment B of your permit?
i'
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a luitable vegetative cover maintained on all sites as specified in your permit?
Were a ilsetbacks listed in your permit maintained for every application to each permitted site?
Were aiIl freeboards maintained in accordance with the specified freeboard heights in your permit?
Page of
Q Compliant
❑ Non-Compxant
❑Q Compliant
❑ Non -Compliant
❑Q Compliant
❑ Non -Compliant
❑Q Compliant
❑ Non -Compliant
I] Compliant
❑ Non -Compliant
If the fadlity 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
J action(s) taken. Attach additional sheets if necessary.
Operator In Responsible Charge (ORC) Certification
Permittee Certification
ORC: (Wilbur Allen Williams
Permittee: Timothy P. Tilma
Certification No.: 15664
Signing Official:
Grade: t1 Phone Number: [phone]
Signing Official's Title: General Manager
Has the OkC changed since the previous NDAR-1? ❑ yei El No
2
Phone Number: [phone] Permit Exp.: 5/31/�i
1,36_
0
Signature Date
Signature Date
By Ws sgnatae. I candy tied Ns report is acwrsta and compete to Ina best of my knoWedge.
I certify, antler penalty of law, that ens document and all enachmerts ware prepared under my direction Or supervision in accordance
with a system designed to assure that al qualified personnel property glittered and evahreted ft inkirmation submitted. Based on my
inquiry of lie person or persons who manage the system, a moss penins directly responsible far gathering the ktamatlon, the
information submitted is, to the best of my knovdedge and belief, true, accurate. and complete. I am aware that gene are significant
penalties for submitting false infonmabon, nckndi g lie possiti ty of frees and imprisonment for knowing vidakan
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mall Service Center
Raleigh, North Carolina 27 699-1 61 7

FORMNDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
!1113398
FacilityName:
Sandpiper Bay WWTF.
_
Did irrigation occur
Area (acres):
at this facility?
I Hourly Rate (in):1
Hourly Rate (in):
■YES
Annual
®
Annual
®
■Field
Irrigated?■
v
■
sField
Irrigated?
■
v
Monthly LO
12 Month Floating Tot

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page—of—
Did tha:application rates exceed the limits in Attachment B of your permit? p Compliant ❑ Non-compliant
Were ilidequate measures taken to prevent effluent ponding in or runoff from the sites? p Compliant ❑ Non-compliant
Was a1suitable vegetative cover maintained on all sites as specified in your permit? p compliant ❑ Non{ompltant
Were all setbacks listed in your permit maintained for every application to each permitted site? p Compliant ❑Non-compliant
Were iiiII freeboards maintained in accordance with the specified freeboard heights in your permit? p compliant ❑ Non.ccmpliant
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
' r.M.�../n\ N. L.... /N.-nA r.AAi\i�....1 nN�Mn i�...-..uecn�•
Operator In Responsible Charge (ORC) Certification
Pennines Certification
ORC: Wilbur Allen Williams
Permittee: Timothy P. Tilma
Certification No.: 15664
Signing Official:
Grade: S1 Phone Number: [phone]
Signing Officiai's Title: General Manager
Has the ORC changed since the previous NDAR-1? ❑ yes 21140
Phone Number: [phone] Permit Exp.: 5/31
,,
Signature Date
Signature Date
By this sgrslure. I ceNh that gas report is accurate and complete to me best of my knowledge.
I cantly. under Penally of low. that this darurnem arnd all ettaC mems were premed under my direction or supervision in accordance
with a system designed to assure Nal all qualified perscrrW property gathered and evaluated the i dorm lbon slummed. Based on my
inquiry of the person or persons who manage de system. a doee persons directly responsible for gathering the bdamatton, the
infomation submitted M. to de best of my knowledge and belief. true. accurate, and complete I am aware Ilial mere are significant
penalties fa submitting false kdamaton, Including the possibility of fans and imprisonment for knowing nalatios.
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:
Sandpiper Bay WWTF
�®
D • irrigation occur®
at this facility?
®-
®ED
YES NO
Hourly Rate (in):
Hourly Rate (in):-
Annual Rate (in):
®
a®
■
m
■
v
■
e
■
m
opium
MMMI
IL�._.
JA 6 • • • •

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 aasquate measures taken to prevent effluent ponding in or runoff from the sites?
Was a 4uitable vegetative cover maintained on all sites as specified in your permit?
Were al` setbacks listed in your permit maintained for every application to each permitted site?
Were sill freeboards maintained in accordance with the specified freeboard heights in your permit?
Page _ of
[ Compliant ❑ Non-Cmn Ilan ' 's'
[a Compliant ❑ Non{ompllant
(a Compliant ❑ Non-Compilant
(] Compliant ❑ W -Compliant
❑� Compliant ❑ Non-Cempllant
If the fluity 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
I action(s) taken. Attach additional sheets If necessary. _
Operator In Responsible Charge (ORC) Certification
Permittee Certification
ORC: Wilbur Allen Williams
Pennittee:
Timothy P. Tilma
Certification No.: 15664
Signing Official:
Grade: )$1 Phone Number: [phone]
Signing Official's Title: General Manager
Has the ORC changed since the previous NOAR-1? ❑ yes ❑, No
Phone Number: [phone] Permit Exp.: 51311Xi 6
4� 2
CN d-
Signature Date
Signature Date
By this sigmtwe. I certify Nat this report is accurrale ad complete to the besl of my kmmdedge.
I certify, under penalty d few, Mat this document and at atiachm as ware prepared antler my drxeon or eupervieion in accordance
"in a system de"nsd to sssve that at qualified personnel propedy gadnred W evaluated the information submitted, Based on my
'
inquiry of the person a persons who manage the system, or those persons daecgy responsible its gathering the information, the
information submitted m, to the best of my knowledge and belief, true. accurate. ad complete. I an, swore that Hare are sigNroa+t
penalties for submai g false information, irrlubg the possdAty of fires and imptsorment for knowing video".
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 276994617