WQ0012948_Monitoring - 12-2016_20170203

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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page If of
Permit No.:
WQ0012948
Facility Name:
Pisgah Center for Wildlife Education
County:
Transylvania
Month:
December
Year:
2016
Dicj.�rrigation occur
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Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
Wetland Cell
Area (acres): 0.6
Area (acres): 0.6
Area (acres): 0.56
Area (acres): 0.17
Cover Crop: Mature Forest
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Cover Crop: Mature Forest
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Cover Crop: Mature Forest
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Cover Crop: Mature Forest
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O-SFHourly
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Rate (in):
Hourly Rate (in):
Hourly Rate (in):.
Hourly Rate (in):
2Q�
Annual Rate (in):
62.4
Annual Rate (in):
62.4
Annual Rate (in):
62.4
Annual Rate (in):
62.4
T
ea` It
Freeboard
Field Irrigated?
2YES
ONO
Field Irrigated?
(]YES
ONO
Field Irrigated?
OYES
OND
Field Irrigated?
OYES
ONO
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _L_ of _Z.___ V
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?
2KOImpliant [—]Non-compliant
Compliant
❑Non -Compliant
compliant
❑Non -Compliant
,(�
� ompliant
❑Non -Compliant
2!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: Richard Swilling
Permittee:
Pisgah Center for Wildlife Education
Certification No.: SI -993157
Signing Official: Robert Barr
Grade: SI Phone Number: [phone]
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? Elves ONo
Phone Number: [phone] Permit Exp.: 3/31/20
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 penally 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: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 7i of 7i
Permit No.:
X11 •4:
Facility Name:
Pisgah Centerfor • - EducationDecember1
.
11Flow
Measuring •.
■ p E]No flow generated
I Parameter Monitoring •. ElInfluent
2JEffluent FIGroundwater Lowering Elsurface Water
Parameter ..-
LIt I
11 1
11+1
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I1. 1
11. 11...1
11.11
11..
11 1
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•
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Sampling Type: Estimate Grab Grab,' Grab Grab Grab Grab Grab Grab Grab
Monthly Limit: 7,500
Daily Limit:.
Sample Frequency: Monthly 3 x Year Weekly ' 3 x Year 3 x Year 3 x Year , k Year Weekly 3 x Year 3 x Year "

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page Z ofZ
Sampling Person(s) Certified Laboratories
Name: Robert Barr Name: Pace Analytical
Name: I Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 196ompliant ❑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: Richard Swilling
Permittee: Pisgah Center for Wildlife Education
Certification No.: S1993157
Signing Official: Robert Barr
Grade: SI Phone Number: (828) 251.-1900
Signing Official's Title: Signatory
Has the ORC changed since the previous NDMR? E]Yes ONo
Phone Number: [phone] Permit Expiration: 3/31/2020
i
112,b 4
Signature ate
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