WQ0013181_Monitoring - 12-2016_20170203

V. - FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Permit No.:
Facility Name:
South Topsail Elementary School
County:
Pender
Month:
December
Flow Measuring Point:
■ ■ No flow generated
Parameter Monitoring -.
■ Influent
D Effluent
■ Groundwater Loweringsurface water

FPRM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: John Shepard Name: Envirochem
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑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.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: John Shepard
Permittee: Pender County Schools
Certification No.: 10000630
Signing Official: John Shepard
Grade: 3 Phone Number: 910-259-2187
Signing Official's Title: ORC
Has the ORC changed since the previous NDMR? ❑ Yes 2] No
Phone Number: 910-259-2187 Permit Expiration: 1/31/2017
Signatur Date
ignature 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-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.:
WQ-0013181
Facility Name:
South Topsail Elementary School
County: Pender
Month:
December
Year:
2016
Did irrigation
Field Name:
#1
Field Name:
#2
Field Name:
#3
Field Name:
#4
occur
Area (acres):
0.46
Area (acres):
0.46
Area (acres):
0.55
Area (acres):
0.55
at this facility?
Cover Crop:
Nat.
Cover Crop:
Nat.
Cover Crop:
Nat
Cover Crop:
Nat.
❑ YES
(] No
Hourly Rate (in):
0.23
Hourly Rate (in):
0.23
Hourly Rate (in):
0.23
Hourly Rate (in):
0.23
Annual Rate (in):
26"
Annual Rate (in):
26"
Annual Rate (in):
26"
Annual Rate (in):
26"
Weather Freeboard
Field Irrigated?
YES
❑ No
Field Irrigated?
❑✓ YES
❑ No
Field Irrigated?
YES
Q NO
Field Irrigated?
❑ YES
❑✓ NO
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°F
in ft ft
gal min
in
in
gal min
in
in
gal min
in
in
gal min
in
in
1
C 62
0.5 4
2
C 47
0 4
1,200 1200
0.10
0.00
1,200 30
0.10
0.10
1,200 30
0.08
0.08
1,200 30
0.08
0.08
3
4
5
CL 48
1.25 3.11
6
R 52
1 3.1
7
C 47
0.5 3.9
8
C 52
0 3.9
9
C 31
0 3.9
1,200 30
0.10
0.10
1,200 30
0.10
0.10
1,200 30
0.08
0.08
1,200 30
0.08
0.08
10
11
12
CL 60
0.5 3.8
13
R 47
1.5 3.7
#REF!
14
R 46
0.25 3.8
15
C 39
0 3.9
16
PC 28
0 3.1
1,200 1 30
0.10
1 0.10
1,200 1 30
0.10
0.10
1,200 30
0.08
0.08
1,200 30
0.08
0.08
17
18
19
R 34
0.5 3.11
20
CL 33
0.25 3.11
21
CL 44
0 3.11
22
C 49
0 3.1
1,200 30
0.10
0.10
1,200 30
0.10
0.10
1,200 30
0.08
0.08
1,200 30
0.08
0.08
231
1
24
25
26
27
C 48
0 3.9
1,200 30
0.10
0.10
1,200 30
0.10
0.10
1,200 30
0.08
0.08
1,200 30
0.08
0.08
28
C 54
0 1 3.9
291
CL 1 55
0 3.8
1,200 30
0.10
0.10
1,200 30
0.10
0.10
1,200 30
0.08
0.08
1,200 30
0.08
0.08
30
311
1
Monthly Loading:
12 Month Floating Total (in):
7,200
0.58
8.96
7,200
0.58
8.96
7,200
0.48
8.94
7,200
0.48
8.94

,. — FPRM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B 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?
Page of
❑� Compliant
❑ Non -Compliant
Q Compliant
❑ Non -Compliant
❑s Compliant
❑ Non -Compliant
❑� Compliant
❑ Non -Compliant
❑Z 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.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: John Shepard
Permittee:
Pender County Schools
Certification No.: 100005630
Signing Official: John Shepard
Grade: 3 Phone Number: 910-663-3569
Signing Official's Title: ORC
Has the ORC changed since the previous NDAR-1? ❑ Yes <.
Phone Number: 910-259-2187 Permit Exp.: 1/31/17
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-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: WQ-0013181
Facility Name:
South Topsail Elementary School
County: Pender
Month:
December
Year:
2016
Did
irrigation
Field Name:
#5
Field Name:
#6
Field Name:
Field Name:
occur
Area (acres):
0.55
Area (acres):
0.55
Area (acres):
Area (acres):
at this facility?
Cover Crop:
Nat.
Cover Crop:
Nat.
Cover Crop:
Cover Crop:
❑ YES Q NO
Hourly Rate (in):
0.23
Hourly Rate (in):
0.23
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
26"
Annual Rate (in):
26"
Annual Rate (in):
Annual Rate (in):
Weather Freeboard
Field Irrigated?
❑✓ YES
❑ NO
Field Irrigated?
❑✓ YES
❑ No
Field Irrigated?
❑ YES
❑ NO
Field Irrigated?
❑ YES
❑ NO
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OF in ft ft
gal min
in
in
gal min
in
in
gal min
in
in
gal min
in
in
1
C 62 0.5 4
1,200 30
0.08
0.08
1,200 30
0.08
0.08
2
C 47 0 4
3
4
5
CL 48 1.25 3.11
6
R 52 1 3.1
7
C 47 0.5 3.9
8
C 52 0 3.9
9
C 31 0 3.9
1,200 30
0.08
0.08
1,200 30
0.08
0.08
101
1
11
12
CL 60 0.5 3.8
13
R 47 1.5 3.7
#REF!
14
R 46 0.25 2.8
15
C 39 0 3.9
161
PC 28 0 3.1
1,200 30
0.08
0.08
1,200 30
0.08
0.08
17
18
19
R 34 0.5 3.11
20
CL 33 0.25 3.11
21
CL 44 0 3.11
22
C 49 0 3.1
1,200 30
0.08
0.08
1,200 30
0.08
0.08
23
241
1
25
26
27
C 48 0 3.9
1,200 30
0.08
0.08
1,200 30
0.08
0.08
28
C 54 0 3.9
29
CL 55 0 3.8
1,200 30
0.08
0.08
1,200 30
0.08
0.08
130
311
Monthly Loading:
12 Month Floating Total (in):
7,200
0.48
8.94
7,2000.48
8.94
0
0.00
0
0.00

a` _ FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B 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?
Page of
❑✓ Compliant
❑ Non -Compliant
0 Compliant
❑ Non -Compliant
❑Q Compliant
❑ Non -Compliant
E Compliant
❑ Non -Compliant
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.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: John Shepard
Permittee:
Pender County Schools
Certification No.: 100005630
Signing Official: John Shepard
Grade: 3 Phone Number: 910-663-3569
Signing Official's Title: ORC
Has the ORC changed since the previous NDAR-1? ❑ Yes EI -96—
Phone Number: 910-259-2187 Permit Exp.: 1/31/17
(�2
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 property 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