WQ0002708_Final Permit_20150714

C4,
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr. Ken Best
WTP Superintendent
City of Raleigh Public Utilities Department
R 0. Box 590
Raleigh, NC 27602
Dear Mr. Best:
Donald R. van der Vaart
Secretary
July 14, 2015
Subject: Permit No. WQ0002708
City of Raleigh Wrenn Road Facility
Wastewater Irrigation System
Wake County
1n accordance with your permit renewal request received October 23, 2014, we are forwarding
herewith Permit No. WQ0002708 dated July 14, 2015, to City of Raleigh Public Utilities Department for
continued operation of the subject wastewater treatment and irrigation facilities.
This permit shall be effective from July 14, 2015, until June 30, 2020, shall void Permit No.
WQ0002708 issued November 7, 2012, and shall be subject to the conditions and limitations as specified
therein. Please pay particular attention to the monitoring requirements listed in Attachments A, B and C
for they may differ from the previous permit issuance. .Failure to establish an adequate system for
collecting and maintaining the required operational information shall result in future compliance
problems.
For your convenience, customized electronic copies of your facility's NDMR, and NDAR-1
reporting forms are available for download at: htt�//portal.nodenr.or /g web/wg/aps/lau/reporting.
Please note the following permit conditions are new since the last permit issuance:
➢ Description of facility with the addition of DAF residual flow from DE Benton WTP.
Condition 1.3 requiring submission of report to the Division showing the DAF residual flow
from DE Benton WTP poses no problem to the City of Raleigh Wrenn Road Facility.
Condition IL I I has been updated to acknowledge setback reductions approved for property
lines and residences that are part of the NAME development.
Condition 1V.8. An annual report on the performance of the water treatment residuals
sedimentation and irrigation facility.
i> Attachments A and C: The following parameters have been removed from monitoring as they
are not present in significant concentration with water treatment residual:
o Ammonia -Nitrogen
o TKN-Nitrogen (Attachment A only)
➢ Attachments A and C: The following parameters have been added to monitoring as they are
present in source water or added during water treatment process and may accumulate in
sedimentation blowdown waste stream:
o Acrylamide
o Arsenic
Nan -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Phone: [phone]`Intemet, htt JI oM1.nodenr.o MebJw
An Equal Opportunity 1 Affirmative Action Employer- Made in part wilh recycled paper

Mr. Ken Best
July 14, 2015
Page 2 of 2
o Iron
o Manganese
o Sulfate
Please see Condition 11L9 prohibiting public access to the treatment and disposal site.
Because a new subdivision and high school are being constructed in the immediate vicinity, it is
recommended gated access to the facilities be installed to the Wrenn Road entrance and additional
fencing on the site.
As part of the application, Permittee has requested establishment of background
concentrations for arsenic, iron, and/or manganese above the groundwater standards contained in
Attachment C. The City has obtained monitoring data that suggests that background concentrations of
arsenic, iron and manganese occur at levels greater than the groundwater standards established in 15A
NCAC 02L. Per 15A NCAC 02L .0202(b)(3), the Director shall determine the groundwater standard to
be the natural occurring concentrations. Please coordinate with the Raleigh Regional Office to ensure that
appropriate monitoring data is obtained to support a background concentration determination. Also,
consider the following guidance material in determining background concentrations:
1. Aquifer Protection Section Policy for Metals Determinations Required by Title 15A, North
Carolina Administrative Code, Subchapter 2L (May, 2013)
[http://portal.nedenr.org/c/document library/get file?uuid=2fcac529-e6fe-46a6-aa29-
514e7ed57259&groupld=38364];
2. Evaluating Metals in Groundwater at DWQ Permitted Facilities: A Technical Assistance
Document for DWQ Staff (NC DENR, July, 2012)
[http://portal.nedenr.org/e/document_ library/get_file?uuid=5c33 5 e09-290d-4068-bceb-
fa2748926839&groupld=3 8364].
Until a background concentration can be established, and the permit modified to reflect site -specific
groundwater standard, the Division will use its enforcement discretion on reported monitoring data for
arsenic, iron and manganese. Please note additional footnotes in Attachment C that recognizes this
process.
If any parts, requirements or Iimitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail
Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and
binding.
If you need additional information concerning this permit, please contact Troy Doby at (919)
807-6336 or [e-mail].
Sincerely,
f
/Ja Zimmerman
Acting Director, Division of Water Resources
cc: Wake County Health Department (Electronic Copy)
Raleigh Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Central Files
Digital Permit Archive (Electronic Copy)

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER IRRIGATION SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules and Regulations
PERMISSION IS HEREBY GRANTED TO
City of Raleigh Public Utilities Department
Wake County
FOR THE
continued operation of a 704,618 gallon per day (GPD) water treatment residuals sedimentation and
irrigation facility consisting of:
an influent splitter box with pH and flow meters connected to two 25-acre, 80 million gallon, clay -lined
gravity thickening Iagoons with staff gauges and concrete/fabric apron (one lagoon operational with
baffle curtain, one backup); a liquid sodium hypochlorite disinfection system (three 150-gallon double -
wall poly tanks) with contact chamber at the irrigation pump station with four 100 HP/1,500-GPM VRD
vertical turbine pumps; a solid set irrigation system covering approximately 268.68 acres of wetted area;
and all associated piping, valves, instrumentation, controls, and other appurtenances
to serve (1) the sedimentation blowdown waste stream from the DE Benton WTP; (2) the dissolved air
flotation (DAF) residual waste strearn from the DE Benton WTP once terms of Condition 1.3 are met; and
(3) Wrenn Road WWTF, with no discharge of wastes to surface waters, pursuant to the application
received October 23, 2014, and in conformity with the project plans, specifications, and other supporting
data subsequently filed and approved by the Department of Environment and Natural Resources and
considered a part of this permit.
This permit shall be effective from July 14, 2015, until June 30, 2020, shall void Permit No. WQ0002708
issued November 7, 2012, and shall be subject to the following specified conditions and limitations:
I. SCHEDULES
1. Plans and specifications for a flow measuring device pursuant to Condition IV.3. shall be prepared
by a licensed North Carolina Professional Engineer and submitted to the Raleigh Regional Office
30 days prior to installation. The flow measuring device shall be installed within one year of the
date of this permit.
2. No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal
application. [15A NCAC 02T .0105(d), 02T .0106, 02T .0109, and 02T .0115(c)]
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3. Prior to distribution of DAF residuals to City of Raleigh Wrenn Road Facility from DE Benton WTP,
the Permittee shall submit a completed Residuals Source Certification for the DAF residual waste
stream and all associated analyses to the Division demonstrating similar characteristics to the
sedimentation blowdown waste stream and that the combined effluent qualities are suitable for
treatment at the City of Raleigh Wrenn Road Facility. Once the Division has approved, the Wrenn
Road Wastewater Irrigation System shall be penaaitted to treat the DAF residual waste stream.
11. PERFORMANCE STANDARDS
The subject non -discharge facilities shall be effectively maintained and operated at all times so
there is no discharge to surface waters, nor any contravention of groundwater or surface water
standards. In the event the facilities fail to perform satisfactorily, including the creation of nuisance
conditions due to improper operation and maintenance, or failure of the irrigation areas to
adequately assimilate the effluent, the Permittee shall take immediate corrective actions including
Division required actions, such as the construction of additional or replacement wastewater
treatment or irrigation facilities. [G.S. 143-215.1, 143-213.3(a)]
2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or
surface water resulting from the operation of this facility. [ 15A NCAC 02B .0200, 02L .0100]
3. All wells constructed for purposes of groundwater monitoring shall be constructed in accordance
with 15A NCAC 02C .0108 (Standards of Construction for Wells Other than Water Supply), and
any other jurisdictional laws and regulations pertaining to well construction. [15A NCAC 02C
.0108]
4. Effluent quality shall not exceed the limitations specified in Attachment A. [15A NCAC 02T
.0108(b)(1), 02T .0505(b)]
5. Application rates, whether hydraulic, nutrient or other pollutant, shall not exceed those specified in
Attachment B. [15A NCAC 02T .0505(c), 02T .0505(n)]
6. The compliance boundary for the disposal system shall be specified in: accordance with 15A NCAC
02L .0107(b). This disposal system was individually permitted on or after December 30, 1983;
therefore, the compliance boundary is established at either 250 feet from the effluent disposal area,
or 50 feet within the property boundary, whichever is closest to the effluent disposal area. An
exceedance of groundwater standards at or beyond the compliance boundary is subject to
remediation action according to 15A NCAC 02L .0106(d)(2) as well as enforcement actions in
accordance with North Carolina General Statute 143-215.6A through 143-215.6C. [15A NCAC
02L .0106(d)(2), 02L .0107(b)]
7. In accordance with 15A NCAC 02L .0108, the review boundary is established midway between the
compliance boundary and the effluent disposal area. Any exceedance of groundwater standards at
the review boundary shall require action in accordance with 15A NCAC 02L .0106. [15A NCAC
02L .0106, 02L .0108]
8. The Permittee shall apply for a permit modification to establish a new compliance boundary prior to
any sale or transfer of property affecting a compliance boundary. [I5A NCAC 02L .0107(c)]
9. In accordance with 15A NCAC 02L .0107(d), no wells, excluding Division approved monitoring
wells, shall be constructed within the compliance boundary except as provided for in 15A NCAC
02L .0107(g). [15A NCAC 02L .0107]
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10. Except as provided for in 15A NCAC 02L .0107(g), the Permittee shall ensure any landowner who
is not the Permittee and owns land within the compliance boundary shall execute and file with the
Wake County Register of Deeds an easement running; with the land containing the following items:
a. A notice of the pen -nit and number or other description as allowed in 15A NCAC 02L .0107(f)(1);
b.Prohibits construction and operation of water supply wells within the compliance boundary; and
c. Reserves the right of the Permittee or the State to enter the property within the compliance
boundary for purposes related to the permit.
11. The Director may terminate the easement when its purpose has been fulfilled or is no longer
needed. [15A NCAC 02L .0107(f)]The facilities permitted herein shall be constructed according to
the following setbacks:
a. The setbacks for irrigation sites permitted under 15A NCAC 02T .0500 shall be as follows (all
distances in feet):
Spray
Drip
i. Any habitable residence or place of public assembly under separate
ownership:
400
100
ii. Any habitable residence or place of public assembly owned by the
Permittee:
200
15
iii. Any private or public water supply source:
100
100
iv. Surface waters:
100
100
v. Groundwater lowering ditches:
100
100
vi. Surface water diversions:
25
25
vii. Any well with exception of monitoring wells:
100
100
viii. Any property line:
150
50
ix. Top of slope of embankments or cuts of two feet or more in vertical
15
height:
15
x. Any water line from a disposal system:
10
10
xi. Subsurface groundwater lowering drainage systems:
100
100
xii. Any swimming pool:
100
100
xiii. Public right of way:
50
50
xiv. Nitrification field:
20
20
xv. Any building foundation or basement:
15
15
xvi. Impounded public water supplies:
500
500
xvii. Public shallow groundwater supply:
500
500
Setbacks to residences that are part of the Buffaloe Preserve LLC subdivision have been reduced
to 200 feet per setback waiver allowance in 15A NCAC 02T .0506(d), as demonstrated as
part of the July 2015 renewal.
[15A NCAC 02H .02190) / 15A NCAC 02H .0404(g) / 15A NCAC 02T .0506(a) / 15A NCAC
02T .0506(c)]
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b. The setbacks for storage and treatment units permitted under 15A NCAC 02T .0500 shall be as
follows (all distances in feet):
i. Any habitable residence or place of public assembly under separate ownership: 100
ii. Any private or public water supply source: 100
iii. Surface waters: 50
iv. Any well with exception of monitoring wells: 100
v. Any property line: 50
[15A NCAC 02H .02190) / 15A NCAC 02T .0506(b)]
III. OPERATION AND MAINTENANCE REQUIREMENTS
The facilities shall be properly maintained and operated at all times. The facilities shall be effectively
maintained and operated as a non -discharge system to prevent the discharge of any wastewater
resulting from the operation of this facility. The Permittee shall maintain an Operation and
Maintenance Plan pursuant to 15A NCAC 02T .0507, which at a minimum shall include operational
functions, maintenance schedules, safety measures and a spill response plan. [15A NCAC 02T .0507]
2. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the subject non -discharge facilities, in accordance with 15A NCAC 08G .0200 the
Permittee shall designate and employ a certified operator in responsible charge (ORC) and one or
more certified operator(s) as back-up ORC(s). The ORC or their back-up shall visit the facilities in
accordance with 15A NCAC 08G .0200, and shall comply with all other conditions specified in the
previously cited rules. [15A NCAC 02T .0117]
3. A suitable year round vegetative cover shall be maintained at all times, such that crop health is
optimized, allows for even distribution of effluent and allows inspection of the irrigation system.
[15A NCAC 02T .0108(b)(1)]
4. Adequate measures shall be taken to prevent effluent ponding in or runoff from the irrigation sites
listed in Attachment B. [15A NCAC 02T .0108(b)(1)]
5. Irrigation shall not be performed during inclement weather or when the ground is in a condition that
will cause ponding or runoff. [15A NCAC 02T .0108(b)(1)]
6. All irrigation equipment shall be tested and calibrated at least once per permit cycle. Calibration
records shall be maintained at the facility for a period of no less than five years, and shall be made
available to the Division upon request. [15A NCAC 02T .0108(b)(1)]
7. Only effluent from Wrenn Road WWTP shall be irrigated on the sites listed in Attachment B. [G_S.
143-215.1]
8. No automobiles or machinery shall be allowed on the irrigation sites except during equipment
installation or while maintenance is being performed. [ 15A NCAC 02T .0108(b)(1)]
Public access to the irrigation sites and wastewater treatment facilities shall be prohibited. Raleigh
may provide for limited access, with appropriate fencing and gates, to accommodate emergency
services on the property or adjacent properties. [15A NCAC 02T .I000(a)(1)]
10. The residuals generated from the wastewater treatment facilities shall be disposed or utilized in
accordance with 15A NCAC 02T .1100. The Permittee shall maintain a residual management plan
pursuant to 15A NCAC 02T .0508. [15A NCAC 02T .0508, 02T .1100]
11. Diversion or bypassing of untreated or partially treated wastewater from the treatment facilities is
prohibited. [15A NCAC 02T .0505(j)]
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12. Freeboard in the lagoon shall not be less than two feet at anytime. [ 15A NCAC 02T .0505(d)]
13. A gauge to monitor waste levels in the lagoon shall be provided. This gauge shall have readily visible
perinanent markings, at inch or tenth -of -a -foot increments, indicating the following elevations:
maximum liquid level at the top of the temporary liquid storage volume; minimum liquid level at the
bottom of the temporary liquid storage volume; and the lowest point on top of the dam. [ 15A NCAC
02T .0108(b)(1)]
14. A protective vegetative cover shall be established and maintained on all earthen embankments (i.e.,
outside toe of embankment to maximum allowable temporary storage elevation on the inside of the
embankment), berms, pipe runs, erosion control areas, and surface water diversions. Trees, shrubs,
and other woody vegetation shall not be allowed to grow on the earthen dikes or embankments.
Earthen embankment areas shall be kept mowed or otherwise controlled and accessible. [15A NCAC
02T .0108(b)(1)]
IV. MONITORING_ AND REPORTING REQUIREMENTS
1. Any Division required monitoring (including groundwater, plant tissue, soil and surface water
analyses) necessary to ensure groundwater and surface water protection shall be established, and an
acceptable sampling reporting schedule shall be followed. [15A NCAC 02T .0108(c)]
2. Per 15A NCAC 02H .0800, a Division certified laboratory shall conduct all laboratory analyses for
the required effluent, groundwater or surface water parameters. [15A NCAC 02H .0800]
3. Flow through the treatment facility shall be continuously monitored, and daily flow values shall be
reported on Form NDMR.
The Permittee shall install and maintain an appropriate flow measurement device to ensure the
accuracy and reliability of flow measurement consistent with accepted engineering and scientific
practices. Selected flow measurement devices shall be capable of measuring flows with a maximum
deviation of less than ten percent from true flow; accurately calibrated at a minimum of once per year;
and maintained to ensure the accuracy of measurements is consistent with the selected device's
accepted capability. The Permittee shall maintain records of flow measurement device calibration on
file for a period of at least five years. At a minimum, documentation shall include:
a. Date of flow measurement device calibration,
b. Name of person performing calibration, and
c. Percent from true flow.
[15A NCAC 02T .0105(k)]
4. The Permittee shall monitor the effluent from the subject facilities at the frequencies and locations for
the parameters specified in Attachment A. [15A NCAC 02T .0108(c)]
5. The Permittee shall maintain adequate records tracking the amount of effluent irrigated. At a
minimum, these records shall include the following information for each irrigation site listed in
Attachment B:
a. Date of irrigation;
b. Volume of effluent irrigated;
c. Site irrigated;
d. Length of time site is irrigated;
e. Continuous weekly, monthly, and year-to-date hydraulic (inches/acre) loadings;
f. Continuous monthly and year-to-date loadings for any non -hydraulic parameter specifically
limited in Attachment B;
g. Weather conditions; and
h. Maintenance of cover crops.
[ 15A NCAC 02T A 108(c)]
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6. Freeboard (i.e., waste level to the lowest embankment elevation) in the lagoon shall be measured to
the nearest inch or tenth -of -a -foot, and recorded weekly. Weekly freeboard records shall be
maintained at the facility for a period of no less than five years, and shall be made available to the
Division upon request. [ 15A NCAC 02T .0108(c)]
7. Three copies of all monitoring data (as specified in Conditions IV.3. and IVA.) on Form NDMR for
each PPI and three copies of all operation and disposal records (as specified in Conditions IV.5. and
IV.6) on Form NDAR-1 for every site in Attachment B shall be submitted on or before the last day of
the following month. If no activities occurred during the monitoring month, monitoring reports are
still required documenting the absence of the activity. All information shall be submitted to the
following address:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
j 15A NCAC 02T .0105(1)]
8. Pursuant to § 143-215.1 C., the Permttee shall provide to its users and the Division of Water
Resources an annual report summarizing the performance of the water treatment residuals
sedimentation and irrigation facility and the extent to which the facility has violated this permit, or
federal or State laws, regulations, or rules related to the protection of water quality. This report shall
be prepared on either a calendar or fiscal year basis and shall be provided no later than 60 days after
the end of the calendar or fiscal year. Two copies of the annual report provided to the Permittee's
users shall be submitted to:
Division of Water Resources
Water Quality Permitting Section
Non -Discharge Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[G.S. 143-215.I C]
9. A record shall be maintained of all residuals removed from this facility. This record shall be
maintained at the facility for a period of no less than five years, and shall be made available to the
Division upon request. At a minimum, this record shall include:
a. Name of the residuals hauler;
b. Non -Discharge permit number authorizing the residuals disposal, or a letter from a municipality
agreeing to accept the residuals;
c. Date the residuals were hauled; and
d. Volume of residuals removed.
[I5A NCAC 02T .0108(b)(1)]
10. A maintenance log shall be maintained at this facility. This Iog shall be maintained at the facility for
a period of no less than five years, and shall be made available to the Division upon request. At a
minimum, this log shall include:
a. Date of calibration of flow measurement device;
b. Visual observations of the plant and plant site; and
c. Record of preventative maintenance (e.g., changing of equipment, adjustments, testing,
inspections and cleanings, etc.).
[I5A NCAC 02T .0108(b)(1)]
11. Monitoring wells shall be sampled after construction and within 3 months prior to initiating non -
discharge disposal operations. Monitoring wells shall be sampled thereafter at the frequencies and for
the parameters specified in Attachment C. All maping, well construction forms well abandonment
forms and monitoring data shall refer to the permit „number and the well nomenclature as provided in
Attachment C and Figure. I.. _[15A NCAC 02T .0105(m)]
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12. Two copies of the monitoring well sampling and analysis results shall be submitted on a Compliance
Monitoring Form (GW-59), along with attached copies of laboratory analyses, on or before the last
working day of the month following the sampling month. The Compliance Monitoring Form (GW-
59) shall include this permit number, the appropriate well identification number, and one GW-59a
certification form shall be submitted with each set of sampling results. All information shall be
submitted to the following address:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[I5A NCAC 02T .0I05(m)]
13. An annual representative soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on
each irrigation site listed in Attachment B. These results shall be maintained at the facility for a
period of no less than five years, and shall be made available to the Division upon request. At a
minimum, the Standard Soil Fertility Analysis shall include the following parameters:
Acidity
Exchangeable Sodium Percentage
Phosphorus
Base Saturation (by calculation)
Magnesium
Potassium
Calcium
Manganese
Sodium
Cation Exchange Capacity
Percent Humic Matter
"Zinc
Copper
pH
Sodium Adsorption Ratio
[I 5A NCAC 02T .0108(c)]
14. Noncompliance Notification:
The Permittee shall report by telephone to the Raleigh Regional Office, telephone number (919) 791-
4200, as soon as possible, but in no case more than 24 hours, or on the next working day following
the occurrence or first knowledge of the occurrence of any of the following:
a. Wastes abnormal in quantity or characteristic, including the known passage of a hazardous
substance.
b. Any process unit failure (e.g., mechanical, electrical, etc.), due to known or unknown reasons,
rendering the facility incapable of adequate wastewater treatment.
c. Any facility failure resulting in a by-pass directly to receiving surface waters.
d. Any time self -monitoring indicates the facility has gone out of compliance with its permit
limitations.
c. discharge of 1,000 gallons or more of untreated wastewater to the surface waters of the State.
f. Ponding in or runoff from the irrigation sites.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone].
Persons reporting such occurrences by telephone shall also file a written report in letter form within
five days following first knowledge of the occurrence. This report shall outline the actions taken or
proposed to be taken to ensure the problem does not recur. [15A NCAC 02T .0105(I), 02T
.0108(b)(1), G.S. 143-215.1C]
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V. INSPECTIONS
I. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
wastewater treatment and irrigation facilities. [15A NCAC 02T .0108(b)]
2. The Permittee or their designee shall inspect the wastewater treatment and irrigation facilities to
prevent malfunctions, facility deterioration and operator errors resulting in discharges, which may
cause the release of wastes to the environment, a threat to human health or a public nuisance. The
Pennittee shall maintain an inspection log that includes, at a minimum, the date and time of
inspection, observations made, and any maintenance, repairs, or corrective actions taken. The
Permittec shall maintain this inspection log for a period of five years from the date of the inspection,
and this log shall be made available to the Division upon request. [15A NCAC 02T .0108(b)]
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the wastewater treatment and irrigation facilities
permitted herein at any reasonable time for the purpose of determining compliance with this permit;
may inspect or copy any records required to be maintained under the terms and conditions of this
permit, and may collect groundwater, surface water or leachate samples. [G.S. 143-21.5.3(a)(2)]
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to
an enforcement action by the Division in accordance with North Carolina General Statutes 143-
215.6A to 143-215.6C. [G.S. 143-215.6A to 143-215.6C]
2. This permit shall become voidable if the permitted facilities are not constructed in accordance with
the conditions of this permit, the Division approved plans and specifications, and other supporting
documentation. [ 15A NCAC 02T .0110]
3. This permit is effective only with respect to the nature and volume of wastes described in the permit
application, Division -approved plans and specifications, and other supporting documentation. No
variances to applicable rules governing the construction or operation of the permitted facilities are
granted, unless specifically requested and approved in this permit pursuant to 15A NCAC 02T
.0105(n). [G.S. 143-21.5.11
4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional government
agencies (e.g., local, state, and federal). Of particular concern to the Division are applicable river
buffer rules in 15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A
NCAC Chapter 4 and under General Permit NCGO10000; any requirements pertaining to wetlands
under 15A NCAC 02B .0200 and 02H .0500; and documentation of compliance with Article 21
Part 6 of Chapter 143 of the General Statutes. [15A NCAC 02T .0105(c)(6)]
In the event the permitted facilities change ownership or the Permittee changes their name, a formal
permit modification request shall be submitted to the Division. This request shall be made on
official Division forms, and shall include appropriate property ownership documentation and other
supporting documentation as necessary. The Permittee of record shall remain fully responsible for
maintaining and operating the facilities permitted herein until a permit is issued to the new owner.
[I5A NCAC 02T .0104]
6. The Permittee shall retain a set of Division approved plans and specifications for the life of the
facilities permitted herein. [15A NCAC 02T .0108(b)(1)]
7. The Permittee shall maintain this permit until all permitted facilities herein are properly closed or
permitted under another permit issued by the appropriate permitting authority pursuant to 15A
NCAC 02T .01050). [15A NCAC 02T .01050)]
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8. This permit is subject to revocation or unilateral modification upon 60-day notice from the Division
Director, in whole or part for the requirements Iisted in 15A NCAC 02T .0110. [15A NCAC 02T
.0110]
9. Unless the Division Director grants a variance, expansion of the permitted facilities contained
herein: shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC 02T
.0120(b). [I5A NCAC 02T .0120]
10. The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to
pay the annual fee accordingly shall be cause for the Division to revoke this permit pursuant to 15A
NCAC 02T .0105(e)(3). [15A NCAC 02T .0105(e)(3)]
Permit issued this the 14'h day of July 2015
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
i
Jay�inmerman, Director
Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number WQ0002708
WQ0002708 Version 3.0 Shell Version 141027 Page 9 of 10

Page Left Blank
WQ0002708 Version 3.0 Shell Version 141027 Page 10 of 10

ATTACHMENT A -- LIMITATIONS AND MONITORING REQUIREMENTS
PPI 001- Effluent
Permit Number: WQ0002708 Version: 3.0
EFFLUENT CHAP-ACTERISTICS
EFFLUENT LIMITS
MONITORING REQUIREMENTS
i
PCS Code
Parameter Description
of
ure
Measure
Monthly
Average
Monthly
Geometric
Mean
Daily Minimom
Daily Maximum
Measurement
Frequency
Sample
Type
00310
BOD, 5-Day (20°C)
mg/1
f
Monthly
Grab
00916
Calcium, Total (as Ca)
mg/1
Monthly
Grab
00940
Chloride (as Cl)
mg/1
—
3 X }ear
Grab
31616
Coliform, Fecal MF, M-FC Broth, 44.5°C
#/100m1
Monthly
Grab
50050
Flow, in conduit or thru treatment plant
gpd
704,618
Continuous
Recorder
00927
Magnesium, Total (as Mg)
mg/1
Monthly
Grab
00620
Nitrogen, Nitrate Total (as N)
mg/1
Monthly
Grab
00400
p1=I
s.u.
Monthly
Grab
00931
Sodium Adsorption Ratio
ratio
Monthly
Grab
00929
Sodium, Total (as Na)
malt
Monthly
3 X year
Grab
Grab
70300
Solids, Total Dissolved- 180°C
mg/1
00530
Solids, Total Suspended
mg/I
Monthly
Grab
00945
Sulfate, Total (as SO4)
mg/l
f
j
!
Monthly
Grab
01045
01055
Iron, Total (as Fe)
Manganese, Total (as Mn)
pg/1
I g/I
Monthly
Monthly
Grab
Grab
01002 1
Arsenic, Total (as As)
pg/l
---
Monthly
Grab
3 x Year monitoring shall be conducted in March, July & November.
WQ0002708 Version 3.0 Attachment A Page 1 of 1

THIS PAGE BLANK

ATTACHMENT B - APPROVED LAND APPLICATION SITES AND LIMITATIONS
City of Raleigh - Wrenn Road WWTFI
Permit Number: WQ0002708 Version: 3.0
IRRIGATION AREA INFORMATION
APPLICATION LIMITATIONS
Field
Owner
County
Latitude
Longitude
Net
-Acreage
Dominant
Soil Series
Parameter
Hourly
Bate
Yearly
Max
Units
01A
City of Raleigh
Wake
35038'09"
78035'15"
19.60
Fuquay/Dothan
01284 - Non -Discharge Application Rate
0.11
26.0
inches
01B
City of Raleigh
Wake
35038' 11"
78035-25"
16.18
Fuquay/Dothan
01284 - Non -Discharge Application Rate
0.13
26.9
inches
02A
City of Raleigh
Wake
35037'56"
78035'08"
20.24
Appling/
Wedowee/Cecil
01284 - Non -Discharge Application Rate
0.15
36.7
inches
02B
City of Raleigh
Wake
35037'60"
78035'16"
20.15
Appling/
Wedowee/Cecil
01284 - Non -Discharge Application Rate
0.13
28.9
inches
03A
City of Raleigh
Wake
35°38'10"
78034149"
23.38
Appling/
Wedowee/Cecil
01284 - Non -Discharge Application Rate
0.16
42.3
inches
03B
City of Raleigh2
Wake
35�3757
78034'57"
16.71
Appling/
Wedowee/Cecil
01284 - Non -Discharge Application Rate
0.17
44.1
inches
04A
City of Raleigh2
Wake
35038'33"
78034'40"
21.87
Helena/Vance
01284 - Non -Discharge Application Rate
0.16
4I.4
inches
04B
City of Raleigh
Wake
35038'31"
78°34'46"
15.40
HelenalVance
01284 - Non -Discharge Application Rate
0.18
40.9
inches
05A
City of Raleigh
Wake
35038'55"
78034141"
20.05
Fuquay/Dothan
01284 - Non -Discharge Application Rate
0.15
29.0
inches
05B
City of Raleigh2
Wake
35038'46'
78034'40"
20.47
Appling/
Wedowee/Cecil
01284 - Non -Discharge Application Rate
0.18
39.0
inches
06A
City of Raleigh
Wake
35038'47"
78034'48"
19.18
Helena/Vance
01284 - Non -Discharge Application Rate
0.18
41.3
inches
06B
City of Raleigh
Wake
35038'54"
78034'47"
18.25
Helena/Vance
01284 - Non -Discharge Application Rate
0.18
39.7
inches
07A
City of Raleigh
Wake
35038'28"
78035'l4"
18.69
Appling/
Wedowee/Cecil
01284 - Non -Discharge Application Rate
0.16
41.7
inches
07B
City of Raleigh
Wake
35038'39"
78034'58"
18.51
Appling/
Wedowee/Cecil
01284 - Non -Discharge Application Rate
0.18
43.9
inches
Totals
268.G8
I . Seasonal removal or temporary capping of spray heads located in areas identified with shallow groundwater and/or low-lying areas prone to runoff outside of the growing season shall occur
during the months of November through February.
2. A reduced setback from a property line under separate ownership has been approved for this wastewater irrigation site. Wastewater may be irrigated within 200 feet of the property owned
by Buffaloe Preserve LLC 901-F Paverstone Drive, Raleigh, NC 27612 (attn.. Richard Stockett). This setback waiver shall run with the land and property titles.
WQ0002708 Version 3.0 Attachment B Page 1 of I

THIS PAGE BLANK

ATTACHMENT C — GROUNDWATER MONITORING AND LIMITATIONS
Monitoring wells: MW-3, MW-8, and MW-9
Permit Number: WQ0002708 Version: 3.0
GROUNDWATER CHARACTERISTICS
GROUNDWATER STANDARDS
MONITORING REQUIREMENTS
PCS Code
Parameter Description
Daily Maximum
Frequency Measurement
Sample Type
Footnotes
82546
Water level, distance from measuring point
feet
3 x year
Calculated
1, 2, 3, 7
00400
pH
6.5-8.5
S.U.
3 x year
Grab
1, 2, 7
31616
Coliform, Fecal MF, M-FC Broth,44.5°C
41100ml
3 x year
Grab
1,7
70300
Solids, Total Dissolved- I80°C
500
mg/1
3 x year
Grab
1,7
00680
Carbon, Tot Organic (TOC)
mg/I
3 x year
Grab
1, 6, 7
00940
Chloride (as Cl)
250
rno
3 x year
Grab
1,7
00620
Nitrogen, Nitrate Total (as N)
10
mg/l
3 x year
Grab
1,7
78732
Volatile Compounds, (GC/MS)
mg/1
Annually
Grab
1, 4, 5, 7
00945
Sulfate, Total (as SO4)
250
Mel
3 x year
Grab
1,7
01045
Iron, Total (as Fe)
300
µg/l
3 x year
Grab
1, 7, 8
01055
Manganese, Total (as Mn)
50
gg/l
3 x year
Grab
1, 7, 8
38576
Acrylamide in Water, Total
0.008
µg/1
3 x year
Grab
1,7
01002
Arsenic, Total (as As)
10
pg/1
3 x year
Grab
1, 7, 8
1. 3 x Year monitoring shall be conducted in March, July & November; Annual monitoring shall be conducted every November.
2. The measurement of water levels shall be made prior to purging the wells. The depth to water in each well shall be measured from the surveyed point on the top of the casing. The measurement
of pH shall be made after purging and prior to sampling for the remaining parameters.
3. The measuring points (top of well casing) of all monitoring wells shall be surveyed to provide the relative elevation of the measuring point for each monitoring well. The measuring points (top
of casing) of all monitoring wells shall be surveyed relative to a common datum.
4. Volatile Organic Compounds (VOC) - In November only, analyze by one of the following methods:
a. Standard Method 6230D, PQL at 0.5 µg/L or less
b. Standard Method 6210D, PQL at 0.5 pg/L or less
c. EPA Method 8021, Low Concentration, PQL at 0.5 pg/L or less
d. EPA Method 8260, Low Concentration, PQL at 0.5 µg/L or less
e. Another method with prior approval by the Aquifer Protection Section Chief
Any method used must meet the following qualifications:
a. A laboratory must be DWQ certified to run any method used.
b. The method used must, at a minimum, include all the constituents listed in Table VIII of Standard Method 6230D.
c. The method used must provide a PQL of 0.5 pg/L or less that must be supported by laboratory proficiency studies as required by the DWQ Laboratory Certification Unit. Any constituents
detected above the MDL but below the PQL of 0.5 µg/L must be qualified (estimated) and reported.
WQ0002708 Version 3.0 Attachment C Page 1 of 2

5. if any volatile organic compounds (VOC) are detected as a result of monitoring as provided in Attachment C, then the Raleigh Regional Office Aquifer Protection Supervisor, telephone number
[phone], must be contacted immediately for further instructions regarding any additional follow-up analyses required.
6. If TOC concentrations greater than 10 mg/L are detected in any downgradient monitoring well, additional sampling and analysis must be conducted to identify the individual constituents
comprising this TOC concentration. If the TOC concentration as measured in the background monitor well exceeds 10 mg/L., this concentration will be taken to represent the naturally occurring
TOC concentration. Any exceedances of this naturally occurring TOC concentration in the downgradient wells shall be subject to the additional sampling and analysis as described above.
7. Monitoring wells shall be reported consistent with the nomenclature and location information provided in Figure 1 and this attachment.
8. Monitoring data suggest that the naturally occurring background concentrations may exceed the groundwater quality standards for arsenic, iron, and manganese. Per 15A NCAC 02L .0202(b)(3),
the Permittee has applied to the Director to establish background concentrations and site specific water quality standards for these parameters. Final determination of background concentration for
arsenic, iron, and manganese were pending upon issuance of this permit (March XX 2015), The Division shall use enforcement discretion for any apparent ground water standard violation for
arsenic, iron or manganese until background concentrations and site specific groundwater quality standards can be determined.
WQ0002708 Version 3.0 Attachment C Page 2 of 2

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page l of
Permit No.: WQ0002708
Facility Name: Wrenn Road Irrigation Facility
County: Wake
Month: Year:
PPI: 001
Flow Measuring Point: 1— Influent F-Effluent r- No flow generated
Parameter Monitoring Point i influent r- Effluent r- GroundwatLrLoHering Tm" surracewates
Parameter Code
50OW
00310
o0916.
00940
31616
00927
00620
00400
00931
00929
70300
00530
00945 7
01045
01065
38576
y
Q 1=
V 2-
O
o
~
p
o
uw
C?
f:C!
•v
a
V
m
o
s
V
tii o
[J
E
a
rn
m
„
'"
>;
E c
o
w
V? 4
E
o
to
a
0�
v
o -3
rw_o
OE
ewe c
}�. �.
N
c
c
...
E
cam+
a
24-hr
hrs
GPD
mgIL
m IL
mgIL
W100 MC
mgIL
to /L
su
Ratio
mglL
mg/L
mglL
mgH_
mgIL
mgIL
pglL
1
2
3
4
5
6
7
8
9
10
1'1
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
2T
28
29
30
31
_
--
Average:
Daily Maximum:
Daily Minimum -
Sampling Type:
Recorder
Grab
Grah
Grab
Grab
Grab
Grab
Grab
Grab
Gran
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
704,.618
Daily Limit:
Sample Frequency:
ConfintioUS
Monthly
monthly
3xyear
Monthly
Monthly
Monthly
F.iantttly
Monthly
Idonthly
9xyaar
teianthly
I .nthly
MSantm
hlonthap
Monthly
3 x year - March, July & November

Permit No.: WQOOO 708
Facility Name; Wrenn Road Irrigation Facility
County: Wake
Month:
Year:
PPI: 001
Flow Measuring Point: r influent r Effluent F No flow generated
Parameter Monitoring Point. i— Influent V Effluent r Grounc�nater Lowering I" Surface water
Parameter Code
01002
o
a •—
a�
0
c
E *'
i= v>
cc
0
w
24-hr
hrs
PaAL
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
I
21
-
22
23
24
25
26
27
2s
29
34
31
Average:
Daily Maximum:
Daily Minimum:
Sampling Type:
Grab
Monthly Avg. Limit:
Daily Limit
Sample Frequency:
Monthly

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 3
Sampling Pmrson(s) Certified Laboratories
Name: Name:
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permiV- comprant r- Non-cnmptiant
If the facility is non-tocnpliant, 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
actions) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC:
Permitte -
Certification No.:
Signing Official:
Grade: Phone Number.
Signing Official's Title:
Has the ORC changed since the previous ND►VIR? r" Yes j— NO
Phone Number: Permit Expiration:
Signature Date
Signature Date
By this signature, I certify that this report is acciurate and complete to the best of my knowledge.
I certify, under penalty of lave, that this document and all attachments were prepared under my direcilarl or supervistan
b accordance with a system designed to assure that an qua€IFrad personnel properly gathered and evaluated the
information submitted. Based on my inquiry of the person or persons who manage the system, er those persons directly
responsible for gathering the information, the information submitted is, to the best of my knowledge acid bersef, true,
accurate, and complete. i am aware that there are significant penalties for submitting false information, including the
possi—b Ry of fines and imprisonment fer knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

User Friendly Name
Otficial Parameter Name
DWQAccepted units
00010
Temperature
Temperature, Water Deg. Centigrade
cc
D0076
Turbidity
Turbidity,HCHTurbidimeter
NTU
00092
flow - Maximum
Flow, Maximum flow Range
GPD
D 4
Conductivity
Conductivity
pi)
OOs25
Dichlorohenzene
Dichlorohenzene(I somers)AVP In Water ug/t
pglL
00300
D-issoived Oxygen
DO, Oxygen, Dissolved
Mg/L
0310
BODY
BOD, 5•Day (20 I)eB- C)
mg11.
00340
COD
COD, Oxygen Demand, Chem. (High Level)
mg/L
00400
PH
pH
Sul
OD480
Salinity
Salinity
mg/L
00515
Total Fitterat:te Residue
Residue, Tot Fltrtle (dried at 105C)
mg1L
D0530
Total Suspended Sands
1 Solids, Total suspended
mg/L
00545
Settleable Solids
Solids, Settleable
ml./L
00556
O9ftGrease
Oil8 Grease
mg/L
00600
Total Nitrogen
Nitrogen, Total (as N)
mg/L
00610
Ammonia
Nitrogen, Ammonia Total Os N)
mg/L
00615
Nitrite
Nitrogen, Nitrite Total (as H)
rag/L
05G20
Nitrate
Nitrogen, Nitrate Total (as N)
mg/L
00625
Total Kjddahl Nitrogen
Nitrogen, Kjdda)l, Total las N)
mg/L
04630
Nitrite Nitrate
Nttrite plus NitrateTatal I GET. (as N)
mg/L
fl0660
Ortho Phosphate
Phosphate, Ortho (as PO4)
mg/L
00665
Total Phosphorus
PhasDhorus,Total (as P)
mglL
00670
Organic Pirosphorus
Phosphorous, Total Organk (as P)
rmg/L
00-
Total Organic Carbon
Carbon, Tot Organic (TOC)
mg1t
0p68t
Dissolved Organic Carbon
Carbon, Dissaved Organic (As C)
mg/L
00916
Calcfun
Calcium, Total (as Ca)
mglL
00927
Magnesium
Magnesium, Total (as Mg)
mg/L
(3D929
Sodium
Sodium, Total (as Na)
mg/L
00931
Sodium Adsorption Ratfo
Sodium Adsarptfon Ratio I
Ratio
00937
Potassium
Potassium, Total (as K)
mg/L
OD940
Ciaoride
Chloride (as CI)
mg/L
OD945
Sumate
Mate, Total (as 504)
mg/L
01002
Arsenic
Arsenic, Total (as As)
mg/L
01007
Barium
Barium, Total (as Ba)
mg/L
01022
Baron
Baron, Total (as B)
mg1L
010Z7
Cadmium
Cadmmum, Total (as Cd)
mg/L
01034
Chromium
Chrcmium,Total (as Cr)
mglL
01D42
Copper
Copper, Total(as Cu)
mg1L
0 0045
Iron
from, Total (as Fe)
mg/L
01051
Lead
Lead, Total (as Pb)
mg/L
01055
Manganese
Manganese, Total (as Ain)
mg/L
01067
Nickel
Nickel, Totat (as Ni)
mg/L
01077
Silver
Saver, Total (as Ag)
mg/L
09092
Zint
Zinc, Total (as Zn)
mg/L
03147
Selenium
Selenium, Totffi (as Se)
mg/L
01264
ND Application Rate
Non -Discharge Application Rate
inlyr
31504
Total Worm
Cdiform, Total AT, Immed,LES Endo Agar
71100 mL
31505
Total Cdiform
Colfform, Tot, MPN, Completed, (100 mL)
AW1,1/100 mL
31613
fecalCoifform
Cotiform,FecatMF,M-FCAgar,44.5C,24hr
rr/IGOmL
31616
Fecal Conform
Cdiform, Fecal A%F, M-FC Broth,44.5C
;#1100mL
32106
Chloroform
Chloroform
mg/L
37730
Phenolics - Recoverable
Phenolics, Total Recoverable
n1l.
32730
Phenols
mg/L
34469
pyrene
Pyrene
fog/L
34694
Phenol-Sffioe
Phenol, SingleConpound
mg/L
38260
Surfactants
Surfactants(MM)
mg/L
50050
Flaw
Flow, in conduit or thru treatment plant
GPD
50P60
Total Residual CrAorine
Chlorine, Total Residual
mg1L
70295
Total Dissolved Solids
Solids, Total Dissolved
mg/L
70300
Total Disso(ved Solids
Solids, Total Dissolved-180 Deg.0
mgrL
7031E
'A solids
Solids, Total, Percent
%
74880
Pormatdehyde
Formaldehyde
mg1L
71900
Mercury
Mercury, Total (as HU)
mg/L
78732
VotatleCompounds
YalatkCnmpprmds, (GC/MS)
Yes/No
80082
(arbonaceousBOD
BOD, Carbonaceous 05 Day,20C
mg/L
81639
Total KjeldahiNitrogen
Nitrogen KWalh,Total OXH)
lbs/ac
81688
Ethylene Vycot
Ethylene glycol
pg/L
82385
Nitrogen Oxides
Nitrogen Oxides (as N)
mglL
82W
Water Levet
Water level, distance from measuring point
ft
C0310
BOD, - Conc.
BCD, 5-Day (20 Deg. C) - Concentration
mg/L
C0530
TSS-Cont.
Solids, Total Suspended - Concentration
mg/L
COW
Total Nitrogen - conc.
Nitrogen, Total (as N) - Concentration
mg/L
C0610
Ammonia -Cooc. I
Nitrogen, Mmonia Total (as N) - Concentration
mg/L
L0665
Total Phosphorus - Como.
Phosphorus, Total (as P) - Concentration
mg1L
WCM
RantAvalatteMtrogen
PlantAvailabteNitrogen- Loading
mg/L

la
-
i
Cover Crop:,
Cover Cropi
NMIi

Riit is
'•.• •. •
Field Name-.,,:
f
1Field
Name
04A
Field Name:
1.0
! ■ •
.,
•
i
. ..
.
•"
Hourly Rate (in),
'
,II

Permit No.: 0000iiat
••.• •. •
Did irrigation occur
MIR
Field Name:
UJI
this facility?
1 1
1 .
_
■
Cover Crop:
El YES F-1 NO
Hourly Rate (in) -
EM
--s.. •Field
Irrigated?;
•
"r
0 M •
MMM
MMM
14
MMMM�
MMM
-___�-
--__E
-_--
`
_____
-=-�
___
__
•
_____]��-_---_----
'
__M__----

I
aCover
Crop:
€- • . .
Mirm-Irmu
1
1
•i
Annual Rate
Field
•
ais
-____�_-_---_--_----_
Ti-
16
•-_--
1
21
_____-_---
2-3
24
____-
45
-
---__-
'
M/////%//%%////%%

FORM NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 5 of 6
Did the application rates exceed the limits in Attachment B of your permit?
i_ Compliant r Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
17- Compt t F Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
r Compliant F NonLQmp6ant
Were all setbacks listed in your permit maintained for every application to each permitted site?
r- Compliant r Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
F Compliant 1— Non -Compliant
If the facility is non -compliant, please explain in the space below the reasons) 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:
Permittee:
Certification No.:
Signing Official:
Grade: Phone Number:
Signing Official's Title:
Has the ORC changed since the previous NDAR-1? r yes r No
Phone Number: Permit Exp,:
Signature pate
Signature Date
By this signature, € certify that this report is accurrate and complete to the best of my knowledge.
€ cert€fy, under penally of law, that this document and an attachments were prepared under my direulion 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 offhe person or persons who manage the system, orthose persons directly responsible
for gathering the informaton, the information submitted is, to the best of my imowiedge and belief, true, accurate, and
complete. 1 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 6 of 6
Formutas
Volume Applied (gallons)
Daily Loading (inches) = gallons )
Area (acres) x 27,152 acre • inch
If Time irrigated is < 60 minutes:
Maximum Hourly Loading (inches) = Daily Loading (inches)
If Time irrigated is �: 60 minutes:
Daily Loading (inches} minutes
Maxirra,trrtHourly Loading (inches) = X 60
Time lrrigated (minutes) hour
Monthly Loading (inches) = Sum of Daily Loading (inches)
12 Month Floating Total (inches) = Sum of this m.onth's Monthly Loading (inches) and previous 11 month's Monthly Loading (inches)
Weather Codes
Clear C
Cloudy CL
Partly Cloudy PC
Rain R
Sleet SL
Snow SN

MW9
qlmwB
�LL,.BJMV W3
f-I