WQ0002905_Monitoring - 07-2022_20220829

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page
r
Permit No.: W0000,J905 j
Facility Name: Addis Cates Company, Inc.
County: Robeson
Month: UL
Year: A OV�
PPI:
Flow Measuring Point: ❑Influent ❑Effluent No flow generated
Parameter Monitoring Point: ❑ Influent ❑ Effluent ❑ Groundwater Lowering El surface Water
Parameter Code —►
50050
T
76
m
Q
O
c
O
E y
H (n
O
o
24-hr
hrs
GPD
1
2
3
4
5
Facility
not in use
6
7
8
9
10
11
.'
12
C
13
r814
19
[24
7
28
29
30
J31
Average:
0.00
0.00
Daily Maximum:
0.00
0.00
Daily Minimum:
0.00
0.00
Sampling Type:
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of _
Sampling Person(s) Certified Laboratories
Name: Duncan Malloy Name: Microbac Laboratory
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
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Duncan Malloy
Permittee: Addis Cates Company, Inc.
Certification No.: SI 28917
Signing Official: John Cates
Grade: Phone Number: 910-858-3800
Signing Official's Title: President 41 62
Has the ORC a ed since the previous NDMR? ❑ yes ❑ No
Phone Number: 910-85 -3439 Permit Expiration: 22
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 penal f la , 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 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page
Permit No.: W00002905
Facility Name: Addis Cates Company, Inc.
County: Robeson
Month: J��
Year: 20'L'l.
Field Name:
#1
Field Name:
Field Name:
Field Name:
Did irrigation occur
Area (acres):
7
Area (acres):
Area (acres):
Area (acres):
at this facility?
Cover Crop:
Coastal Bermuda
Cover Crop:
over Crop:
Cover Crop:
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
E YES ❑ NO
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
❑ YES NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
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min
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min
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gal
min
in
in
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Monthly Loading:
_
12 Month Floating Total (in):

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit? E Compliant ❑Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 2 Compliant El Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑� Compliant El Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Z Compliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 2 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: Duncan Malloy
Permittee:
Addis Cates Company, Inc.
Certification No.: SI 28917
Signing Official: John Cates
Grade: Phone Number: 910-858-3800
Signing Officials Title: President
Has the RC changed since the previous NDAR-1? ❑ Yes [21 No
Phone Number: 910-858-3439 Permit Exp.: n
I
�A-t S (Vy-
Signature ate
Signature Date
By this signature, I certify that this report is accurrale 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