WQ0001347_Residual Annual Report 2019_20200424

CLASS A ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
WQ PERMIT #
1347 FACILITY NAME:
770 Ventures LLC
PHONE: [phone] COUNTY: Rockingham OPERATOR: 770 Ventures LLC
FACILITY TYPE (please check one): ® Surface Disposal (complete Part A (Source(s) and 'Residual In" Volume only) and Part C)
❑ Distribution and Marketing (complete Parts A, B, and C)
Was the facility in operation during the past calendar year? Yes ®Vo ❑ 0 If No skip parts A B C and certify form below
Part A* •
Part B*
Month
Sources s ( include NPDES # if Volumed tons
Amendment/
applicable) Bulking Agent Residual In Product Out
Recipient Information
Name(s)
Volume (dry tons)
Intended use(s)
January
NO BIOSOLIDS WERE LAND APPLIED IN 2019 CALENDAR YEAR. FACILITY SHUTDOWN ENTIRE
YEAR.
February
March
April
May
June
Jul
August
September
October
November
December
Total from FORM DMSDF(sup)
Totals: Annual (dry tons): 0
0
0
0
Amendments used: Bulking Agent(s) used:
* If more space is required, attach additional information sheets (FORM DMSDF (supp)): Total Number of Form DMSDF (Supp)
Part C
Facility was compliant during the past calendar year with all conditions of the land application permit (including ® Yes
but not limited to items 1-3 below) issued by the Division of Water Resources: ❑ No If No, Explain in Narritive
1. All monitoring was done in accordance with the permit and reported for the year as required and three (3) copies of certified laboratory results are attached.
2. All operation and maintenance requirements were compiled with or, in the case of a deviation, prior authorization was received from the Division of Water Resources.
3. No contravention of Ground Water Quality Standards occurred at a monitoring well.
"I certify, under penalty of law, that the above information 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."
_. ,, r1,,'7 0 &e �� > 26 C 0-0- - P
4/24/20
Signature of Permittee Date Signature of Preparer* *
(if different from Permittee)
* *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
Date
DENR FORM DMSDF (12/2006)