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Home My WebLink AboutWQ0019095_Monitoring - 01-2021_20210326FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page __t -of 7- Pernit No.: ••i 19095 i Facility Narne: ColfaxGuilford ''Did irrigation occur a; this facility? EIYES ONO Annual Rate (in): 26 Annual Rate (in 26 �� • - . c 777�Field Irrigated? • •. 0® Field Irrigated?l NU mm M111.1111.1111 mill m mmm mm m moo • • �� • • �� • • • • • �� • • • • -�-�' m moo • • ��■� �� mmmmmm FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR 1) Page Z of -i'..— Did the application rates exceed the limits in Attachment B of your permit? ElCompliant ❑Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ECompliant ❑Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? ElCompliant ❑Non -Compliant Were ail sebacks listed in your permit maintained for every application to each permitted site? ❑Compliant ❑Non -Compliant Were all freeboards maintained in accordance wish the specified freeboard heights in your permit? ❑Compliant ❑Non -Compliant If the facility is noncompiant, please explain in the space below the reason(s)the facility was not in corrtpiance. Provide in your explanation the date(s) of the noncompliance and describe the corrective action(s) taken. Attach additional sheets if necessary. Operatorin Responsible Charge (ORC) Certification Permittee Certification ORO. Fred Thomen Perrnlittee: Jackie Landreth Certification No.: 26007 Signing Official: Fred Thomen Grade: 2 PhoneNurnbec Signing Official's Title: ORC ❑Yes SNo Has the CRC changed since the previous NDARA? Phone Number. Permit Exp.: 9/30/27 z—Z -� J Signature Date Signature Date By his signature, I certify hat his rep orl is accurrate and complete to the best of my knowledge. I cerify, under penalty of law, that this document and al atech man is were prepared urder my direct on or supervision in accordance with a system designed b assure hataI qualified personnel properly gahare d and evaluated the information submitted. Based an my inquiry of the person or persons who manage the system, orthose persons directly responsible for gathering he information, the information submitted is, to the best of my knowledge and bell of, true, accrats, and complete. I am aware h at there are sign tica rt pen allies for suhmi th rig false Fior motion, including the possibility of fines and imprison men for knowing vidalons. Mai Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 FORM'. NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page __1 _ of _ Z . PerrritNo.: WQ0019095 Facility Name: Colfax Furniture County: Guilford 1Vb nth: January ■ - . •. . Point: FQR.M: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR 1) Page of Z. Did the application rates exceed the limits in Attachment B of your permit? ECompliant ❑Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? (]Compliant ❑Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? EDCompliant ❑Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? BCompliant ❑Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? (]Compliant ❑Non -Compliant If the faciity 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 noncompliance and describe the corrective action(s) taken. Attach additional sheets if necessary. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Fred Thomen Permittee: Jackie Landreth Certncation No.: 26007 Signing Official: Fred Thom en Grade: 2 Phone Number. Signing Official's Title: ORC ONoged Has the CRC changedsince the previous NDAR�1? Phone Number. Permit Exp.: 9/30/27 Z?- Z-Z7-Z 2- 2;/ Signature Date Signature Date By his signature, I certify hat his report is accurrate and complete to the best of my knowledge. I certfy, under penalty aflaw, that this document and al atech men is were prepared under my direct on or supervision in accordance with a system designed b assure hataI qual tied personnel property gahered and evaluated the information submitted. Based on my nqu'ry of the person or parsons who mange the system, arthose persons directly responsible ter gathering he infonmatbn_the information submitted is, b the best of my knowledge and bell of, true, accurate, and complete. I am aware h at there are sign ifica nt pen allies for submi tit rig false nfor mation , including the possi hil ity of fin as and imp rson men for knowing violations. Mal Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617