HomeMy WebLinkAboutWQ0003687_Monitoring - 09-2023_20231003Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * September
Report Information
WQ0003687
GOLD HILL AIRPARK
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2023
Upload Document*
GHAP COMBINED NDAR AND NDMR
SEPTEMBER 2023.pdf
PDF Only
1.03MB
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * flylancair1 @yahoo.com
Name of Submitter: * William Rumburg
Signature:
Date of submittal: 10/3/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald
Is the project number correct?* W00003687
Is the monitoring report accepted?* Yes NO
Regional Office* Mooresville
Reviewer: _anonymous
Review Date: 10/3/2023
FORM NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _1_ of _2_
Permit No.: WQ0003687
Facility Name: Gold Hill Airpark
County: Rowan
September
• irrigation occur
Area (acres):
Area (acres):
this facility?
Coverat
7, Y;E NO
Hourly Rate (in):
Hourly Ftate (iny
Hourly Rate (in):
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):'
B
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Irrigated?i■
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• • . • •
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FORM NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _2_ of _2_
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
❑� Compliant
❑ Non -Compliant
❑� Compliant
❑ Non-Comphant
0 Compliant
❑ Non -Compliant
❑� Compliant
❑ Non -Compliant
Q 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
action(s) taken Attach additional sheets if necessary
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: William James Rumburg
Permittee:
Gold Hill Airpark
Certification No.: 1010636
signing official: William James Rumburg
Grade: Phone Number: 980-332-0179
Signing Official's Title: ORC
Has the ORC changed since the previous NDAR-1? ❑ yes [7] No
Phone Number: 980-332-01 79 Permit Exp.: 5/31/26
6 3Z
io 2 3
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 attach ants were prepared under my direction 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
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 NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1_ of _2
Permit No,: WQ0003687
Facility Name: Gold Hill Airpark
County: Rowan
Month: September
11Flow
Measuring Point: L] influent ■ Effluent ■ No flow generated.
. . •. o ■ ■
FORM NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page ___2_ of
Sampling Person(s) Certified Laboratories
Name: William James Rumburg Name:
Name:
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑' 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 dates) 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: William James Rumburg
Permittee: Gold Hill Airpark
Certification No.: 1010636
Signing Official: William James Rumburg
Grade: Phone Number: 980-332-0179
Signing Official's Title: ORC
Has the ORC changed since the previous NDMR? ❑ Yes No
Phone Number: 980-332-0179 Permit Expiration: 5/31/2026
110
!6 2
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 a Zall attachments were prepared under my direction 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 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