WQ0033406_Monitoring - 08-2016_20170206

FORM: NDMR03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _of_
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Name:
Central Carolina Community College
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: John Poteat Name: John Poteat
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? compliantNon-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
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Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC:
Permittee:
Certification No.:
Signing Official:
Grade: Phone Number:
Signing Official's Title:
Has the ORC changed since the previous NDMR? yg ❑ No
Phone Number: Permit Expiration:
919/16
9/9!16
Signature Date
Signature Date
By this signature, I certify that this report is accurate 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 infornation, the information submitted is,
to the best of my knowledge and belief, hue, 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
Permit No.:
W00033406
Facility Name:
Central Carolina Community College - Pittsbooro
County: Chatham
Month:
August
Year:
2016
Did irrigation occur
this facility?
YES Q No
at
Field Name:
Area (acres):
Cover Crop:
Hourly Rate (in):
Annual Rate (in):
Field Name:
Field Name:
Field Name:
Area (acres): Area (acres):
Area (acres):
Cover Crop: Cover Crop:
Cover Crop:
Hourly Rate (in): Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in): Annual Rate (in):
Annual Rate (in):
Weather Freeboard
Field Irrigated?
M YES
FilNO
Field Irrigated?
YES
❑i No
Field Irrigated?
M YES NO
Field Irrigated?
YES
No
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FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
Compliant
Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
F±1Compliant
FiNon-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
ElCompliant
Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
Compliant
Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
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
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: John Poteat
Permittee:
Central Carolina Community College
Certification No.: 9123
Signing Official:
Grade: 4 Phone Number:
Signing Official's Title: Operator
Has the ORC changed since the previous N AR -1? yes No
Phone Number: 9194127554 Permit Exp.:
6/29/16
6/29/16
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