WQ0040672_Monitoring - 11-2020_20201207

FORM: NDAR-2 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2)
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Permit No.:
W00040672 Facility Name: Stevens Towing - Riverbulk Termin
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FORM NDAR-205-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Nage,_dr�Or_
Did the application rates exceed the limits in Attachment B of your permit?
If not a basin, were the sites kept free of vegetation and raked?
If not a basin, were there any instances of effluent ponding in or runoff from the sites?
If a basin, were there any instances of breakout from the berms?
Was the onsite automatically activated standby power source tested and operational?
m Compliant A Non -Compliant
o Compliant J Non -Compliant
m Compliant ❑ Non-Complant
is Compliant ❑ Non -Compliant
• compliant J Non -Con ieot
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 dates) of the non-compliance and describe the corrective
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Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Kevin Gagnon Permittee: Stevens Towing
Certification No.: 1009638 Signing Official: Simon Rich
Grade: SI Phone Number: [phone] Signing Official's Title: Owner
Has the ORC changed since the previous NDAR-27 --� Yes No Phone Number: [phone] Permit Exp.: Dec. 31, 2024
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Signature Date Signature Date
By this signature. I certify that this report is acwrrate and complete to the best of my knovwdge. I ceri under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
min a system designed to assure that all qualified personnel property gathered and evaluated the information submaled. Based on my
inquiry of the person or persons who manage the system. or Nose persons dredly responsible for gathering the information, the
Information submitted is, to the best of my knowledge and belief. ime, acwrate, and complete. I am aware thal there are sgnrll e t
penalties for submitting false information. inducing the possibility of fines and imprisonment for knowng violations
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617