WQ0003687_Monitoring - 03-2024_20240403

Monitoring Report Submittal
Permit Number#* WQ0003687
Name of Facility:* GOLD HILL AIRPARK
Month: * March Year: * 2024
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR GHAP NDAR&NDMR MARCH2O24.pdf 1.02MB
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: 4/3/2024
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: 7/9/2024

FORM NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: 0111 .'
• • Hill Airpark'•
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irrigation
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FORM NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2of -
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?
Compliant ❑ Non -Compliant
Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 2 Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Q Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 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? ❑ ye No
Phone Number: 980-332-0179 Permit Exp.: 5/31/26
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 lawthat this document and all 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

FORM, NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page ! of
Permit No.: Q111 •'
•• Hill AirparkCounty:Rowan
Month,1
11
. •. ■
. . . M01I■ ■
•
Daily Maximum:
Vaily Minimum:
Sampling Typ-���

1)
FORM NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page ' of
Sampling Person(s) Certified Laboratories
Name: William James Rumburg Name: PACE Laboratories
Name:
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of 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
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 0 No
9 P Phone Number: 980-332-0179 Permit Expiration: 5/31/2026
Signature Or
By this signature, I certify that this report is accumite a complete to the best of my knowledge
Date Signature Lents
Date
I certify, under penalty of law, that this document and all attacere 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 oenalhes 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