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Home My WebLink AboutWQ0003687_Monitoring - 12-2023_20240103Monitoring Report Submittal Permit Number#* WQ0003687 Name of Facility:* GOLD HILL AIRPARK Month: * December Year: * 2023 Report Information Type* Upload Document* NDMR, NDAR-1, NDAR-2, NDMLR GHAP NDAR&NDMR DECEMBER 2023.pdf 1.09MB PDF Only 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: %l�Ylir�r e-1,t9 Date of submittal: 1/3/2024 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: 1 /29/2024 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 Month: December Did irrigation occur I • _� this facility? Crop:at Cover YES ■ NO Hourly •- . Annual Rate (in): Annual Rate (in): Annual Rate (in): Field Irrigated? Field IrrigatedT i Field Irrigated? MMNINN MMMMM� 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? 0 Compliant ❑ Non -Compliant Q Compliant ❑ Non -Compliant ❑� Compliant ❑ Non -Compliant ❑� Compliant ❑ Non -Compliant D 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 No Phone Number: 980-332-0179 Permit Exp.: 5/31/26 Signature Date Or Signature Date �,.te`and By this signature, I certify that this report is acc 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 qualfied 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 11 Month: December • • Daily FORM NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page _2_ of _2 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 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 NDMR? ❑ Yes [2] No Phone Number: 980-332-0179 Permit Expiration: 5/31/2026 i 3 Signature Date By this signature, I certify that this report is accurate and complete to the best of my knowledge Signature Date I certify, under penalty of law, that this document and all atta ments 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