WQ0030245_Monitoring - 12-2016_20170203

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Permit • X11 1
• • '•
December1
Flow Measuring Point:
El Influent P] Effluent El No flow generated
Parameter Code
•
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FARM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
j/ r� Sampling Person(s) Certified Laboratories
Name: j�C[ I e W ' �� e Name: jeo d i (IOAY_QK G ZY(
Name: Name: �(� (' �— t2
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? JACompliant ❑ 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: Dale Wike
Permittee: Town of Rosman
Certification No.: 1000267
Signing Official: Brian E. Shelton
Grade: SI Phone Number: 828-586-5588
Signing Official's Title: Mayor
Has the ORC changed since the previous NDMR? ❑ Yes f -No
Phone Number: 828-884-6859 Permit Expiration:
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 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
Permit No.: WQ0030245
Facility Name:
0
County: Transylvania
Month:
December
Year:
2016
Did irrigation occur
Field,Name:
One
Field Name:
Field Name:
Field Name:
this facility?
Area (acres):
5.81
Area (acres):
Area (acres):
Area (acres):
at
Cover Crop:
P�
grass
9
Cover P�
Cover P�
CoverCro P:
Q YES A NO
Hourly Rate (in):
0.28
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
14
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather Freeboard
Field Irrigated?
❑, Es
El No
Field Irrigated?
ElYES
❑ No
Field Irri ated?
g
[I YES
E] No
Field Irrigated?
❑YES
❑ No
p
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" O
°F in ft ft
gal min
in
in
gal min
in
in
gal" min
in
in
gal min
in
in
1
C 46 0
0 0
0.00
0.00
2
C 52 0
0 0
0.00
0.00
3
0.5
0 0
0,00
0,00
4
1.01
0 0
0.00
0.00
5
CL 49 0.38
0 0
0.00
0.00
6
R 42 0.73
0 0
0.00
0.00
7
C 48 0
0 0
.0.00
0.00
8
CL 39 0
0 0
0.00
0:00
9
C 25 0
0 0
0.00
0.00
10
0
0 0
0.00
0.00
11
0
0 0
0.00
0.00
12
CL 51 0.01
0. 0
0.00
0.00
13
R 42 0.03
0 0
0.00
0.00
14
CL 44 0
0 0
0.00
0.00
15
C 32 0
0 0.
0.00
0.00
16
CL 27 0
0 0
0.00
0.00
17
0.57
0 0
0.00
0.00
18
0.49
0 0:.
O.DO
0.00
19
CL 37 0
0 0
0.00
0.00
20
C 35 0
0 0
0.00
0.00
21
C 41 0
0 0 ';
0.00
0.00
221
C 50 0
0 0
0.00
0.00
231
0
0 0
0.00
0.00
24
0
0 0
0.00
0.00
25
0
0 0
0.00
0.00
26
0.12
0 0
0.00
0.00
27
R 60 0.01
0 0
0.00
0.00
28
C 46 0
0 0
0.00
0.00
29
C 57 0.41
0 0
0.00
0.00
30
C 23 0
0 0
0.00
0.00
31
0
0 1 0
0.00
1 0.00
Monthly Loading.
- . ' 0
= -0,00-
5.97
0 - wr
0.00
-
= - 0-=
0:00 -
0
0.00
_
12 Month Floating Total (in):

r
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 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
y I Compliant
/�`
❑ Non -Compliant
Compliant
❑Non -Compliant
Compliant
❑ Non -Compliant
Compliant
❑ Non -Compliant
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: Dale Wilke
Permittee:
Town of Rosman
Certification No.: 1000267
Signing Official: Brian E. Shelton
Grade: SI Phone Number: 828-586-5588
Signing Official's Title: Mayor
Has the ORC changed since the previous NDAR-1? ❑ Yes XNo
Phone Number: 828-884-6859 Permit Exp.:
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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617