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HomeMy WebLinkAboutWQ0002571_Monitoring - 10-2020_20201202FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page / of Permit No.: WQ0002571 Facility Name: Village Oaks Mobile Home Park County: Onslow Month: October • • Monthly11 --------------- FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Sampling Person(s) Certified Laboratories Name: Allen W. Rhue Name: Environmental Chemists Name: Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0 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 actinn(sl taken. Attach additional sheets if necessary. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Allen W. Rhue Permittee: Bobby Williams Certification No.: WW 4: 991815/ SI: 987930 Signing Official: Bobby Williams Grade: 4/ SI Phone Number: 910 358-3254 Signing Officials Title: Owner/ Permitee Has the ORC changed since the previous NDMR? ❑ yes 7 No Phone Number: 910 389-1280 Permit Expiration: 9/30/2024 30-Nov-20 30-Nov-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 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 FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ! of Permit No.: •1112 .•- Oaks Mobile Home Park County:Onslow Month: October I 1 ROOM Field Name: irrigation occur Area (acres): Area (acres):' at this facility? Cover Crop: HourlyDid Rate (in): Hourly R' - • Annual Rate (in):, Annual Rate (in): Field Irrigate ®___-_ LoadinS612 ,� , o� ® ■v Month Floating Total (irlp CORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page a of Did the application rates exceed the limits in Attachment B of your permit? Q Compliant ❑ Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 0 Compliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? El Compliant ❑ Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? E Compliant ❑ Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? El 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 nrfinn(c) fnkan Attarh arlriitir)nal sheets if necessary. Operator in Responsible Charge (ORC) Certification ORC: Allen W. Rhue Certification No.: WW 4: 991815/ SI: 987930 Grade: 4/ SI Phone Number: 910 358-3254 Has the ORC changed since the previous NDAR-1? ❑ yes 0 No Signature By this signature, I certify that this report is accurrate and complete to the best of my knowledge. Permittee Certification Permittee: Bobby Williams Signing Official: Bobby Williams Signing Officials Title: Owner/ Permitee Phone Number: 90 389-1280 Permit Exp.: 9/30/24 11 /30/2011 Xl� __kk�� 11 /30/20 Date 4 Signature Date 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