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HomeMy WebLinkAboutWQ0039947_Monitoring - 08-2023_20240913Monitoring Report Submittal Permit Number#* WQ0039947 Name of Facility:* NORTHGATE GOLDEN VALLEY, LLC Month: * August Year: * 2023 Report Information Type* Upload Document* Revised - NDMR, NDAR-1, NDAR-2, NDMLR August 23.pdf 9.47MB PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). Confirmation Email Address: * j.james@jjemi.net Name of Submitter: * Juanita R James Signature: 01 !"" W" 014, CEtZ Date of submittal: 9/13/2024 This will be filled in automatically Initial Review Reviewer: Wanda.Gerald Is the project number correct?* W00039947 Is the monitoring report accepted?* Yes NO Regional Office* Asheville Reviewer: _anonymous Review Date: 9/18/2024 Permit #: ` Name of Facility: Month:" August Report Information VJ00039947 NORTHGATE GOLDEN VALLEY LLC Type* Revised - NDMR, NDAR-1, NDAR-2, NDMLR Year:" 2023 Upload Document" IMG_20230930_0001.pdf 814.3KB PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). Confirmation Email Address: ` j.james@jjemi.com Name of Submitter." Juanita James Signature:" �>�n�nrn �?lnir✓ Submittal Date: 9/30/2023 Will be filled out autornaticalN. FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Permit No.: WQ0039947 Facility Name: NORTHGATE GOLDEN VALLEY, LLC County: Rutherford Month: August Year: 2023 Did irrigation Field Name: D Field Name: F Field Name: E Field Name: occur facility? Area (acres): 1.38 Area (acres): 1.54 Area (acres): 1.19 Area (acres): at this Cover Crop: P� FOREST Cover p� FOREST Cover p� FOREST CoverCro p: 0 YES ❑ No Hourly Rate (in): 0.12 Hourly Rate (in): 0.12 Hourly Rate (in): 0.12 Hourly Rate (in): Annual Rate (in): 56.6 Annual Rate (in): 50.74 Annual Rate (in): 58.85 Annual Rate (in): Weather Freeboard Field Irrigated? ❑ YES ❑ No Field Irrigated? ❑ YES ❑ NO Field Irrigated? g El YES ❑ NO ? Field Irrigated. ❑ YES ❑ No ❑T m a 6 (D 0)C m E 1 ` a Qmo m fl_ M LO .2 E.d O O. % Q E _a 01 O E rn T £ O E O CL % E _ p E E 2 O J _d E O 0- % Q p= E rn T E O J W -0_ EmV O a % E O J E 3.11 aca t E O4) J °F in ft ft gal min in in gal min in in gal min in in gal min in in 1 PC 86 0.00 9 404 25 0.01 0-01 403 26 0.01 0.01 362 38 0.01 0.01 2 PC 84 0.00 9 404 25 0.01 0.01 403 26 0.01 0.01 362 38 001 0.01 3 PC 75 0.14 9 404 25 0.01 0.01 403 26 0.01 0.01 362 38 0.01 0.01 4 CL 86 1 6 9 404 25 0.01 0.01' 403 26 0.01 0.01 362 38 0.01 0.01 5 C 91 0.00 s 404 25 0.01 0.010 403 1 26 0.01 0.01 362 38 0.01 0.01 6 C 92 0.00 9 404 25 0.01 0.0111 403 26 0.01 0.01 362 38 0.01 0.01 7 CL 92 000 9 404 25 0.01 0.01 403 26 0.01 0.01 362 38 0.01 0.01 8 C 86 0 45 9 404 25 0.01 0.01 403 26 001 0.01 362 38 0.01 0.01 9 C 87 0.00 9 404 25 0.01 0.01 403 26 0.01 0.01 362 38 0.01 0.01 101 R 87 016 9 404 25 0-01 0.01 403 26 0.01 0.01 1,345 38 0.04 0.04 111 a 84 0.44 9 1495 25 0.04 0.04 1,495 26 0.04 0.04 1,345 38 0.04 0.04 12 C 93 0.01 9 1495 25 0.04 0.04 1,495 26 0.04 0.04 1,345 38 0.04 0.04 13 C 91 0.18 9 1495 25 0.04 0.04 1,495 26 0.04 0.04 1,345 38 0.04 0.04 14 CL 95 0.00 9 1495 25 0.04 0.04 1,495 26 0.04 0.04 1,345 38 0.04 0.04 15 CL 91 0.00 9 1495 25 0.04 0.04 1,495 26 0.04 0.04 1,345 38 0.04 0.04 16 C 86 000 9 1495 25 0,04 0.04 1,495 26 0.04 0.04 1,345 38 0.04 0.04 171 C 1 88 0.00 1 9 1495 25 0.04 0.04 1,495 26 0.04 0.04 1,345 38 0.04 0.04 18 C 87 0.00 9 1417 25 0.04 0.04 1,427 26 0.03 0.03 1,267 38 0.04 0.04 19 C 86 0.00 9 1417 25 0.04 0.04 1,427 26 0.03 0.03 1,267 38 0.04 0.04 20 C 91 0.00 9 1417 25 0.04 0.04 1,427 26 0.03 0.03 1,267 38 0.04 0.04 21 C 94 0.00 9 1417 25 0.04 0.04 1,427 26 0.03 0.03 1,267 38 0.04 0.04 22 C 92 O.Oo 9 1417 25 0.04 0.04 1,427 26 0.03 0.03 1,267 38 0.04 0.04 231 C 86 O.00 9 181 25 0.00 0.00 0 0.00 0 0.00 24 C 92 0.00 9 181 25 0.00 0.00 0 0.00 0 0.00 25 C 95 O.Oo 9 181 25 0.00 0.00 0 0.00 0 0.00 26 C 86 0.00 9 181 25 0 00 0.00 0 0.00 0 0.00 27 CL 94 0.00 9 181 25 0.00 0.00 0 0.00 0 0.00 28 a 90 0.07 9 181 25 0.00 0.00 0 0.00 0 0.00 29 R 87 0.95 9 2100 25 0.06 0.06 2,132 26 0.05 0.05 1,918 38 0.06 0.06 301 CL 1 79 1.02 9 2100 25 0.06 0.06 2,132 26 0.05 0.05 1,918 38 0.06 0.06 311 C 1 84 1 0.34 1 9 2100 25 0.06 0.06 2,132 26 0.05 0.05 1,918 38 0.06 0.06 Monthly Loading: 28,976 0.77 . =_ 28,026 ,jM0.67 26,107 0.81 0 12 Month Floating Total in P.�. FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Permit No.: WQ0039947 Facility Name: NORTHGATE GOLDEN VALLEY, LLC County: Rutherford Month: August Year: 2023 Did irrigation occur Field Name: G Field Name: A Field Name: B Field Name: C this facility? Area {acres): 1.47 Area (acres): 1.22 Area (acres): 1.35 Area (acres): 1.39 at Cover Crop: P� FOREST Cover p� FOREST Cover p� FOREST Cover p: FOREST ❑ YES ❑ NO Hourly Rate (in): 0.12 Hourly Rate (in): 0.12 Hourly Rate (in): 0.12 Hourly Rate (in): 0.12 Annual Rate (in): 56.16 Annual Rate (in): 57.35 Annual Rate (in): 57.66 Annual Rate (in): 56.3 Weather Freeboard Field Irrigated? C YES ❑ NO Field Irrigated? YES El NO Field Irrigated? ❑ YES ❑ NO Field Irrigated? ❑ YES 0 NO >, a O U `y R m y f6 y O d o y Q a a� o m �, N = j U - o C LO m d 3 O p i Q y d H = rn T C 0 J E rn 7 �` C E 7 v X O = J m a N _� fl O cL i Q y E H 2 _ m C m J E rn 7 >. E 3 0 X O = J y N _7 O tZ i Q a E 1- .� rn '� a J E rn >. E a X O R = J m a Q O CL i Q v E �a F _ w o J E >. E 7 a X O m = J °F in ft ft gal min in in gal min in in gal min in in gal min in in 1 PC 86 0.00 9 288 28 0.01 0.01 374 41 0.01 0.01 2 PC 84 0.00 9 288 28 0.01 0.01 374 41 0.01 0.01 3 PC 75 0.14 9 288 28 0.01 0.01 374 41 0.01 0.01 4 CL 86 1.36 9 288 28 0.01 0.01 374 41 0.01 a01 5 C 91 0.00 9 288 28 0.01 0.01 374 41 1 0.01 0.01 6 C 92 0.00 9 288 28 0.01 0.01 374 41 0.01 0.01 7 CL 92 0.00 9 288 28 0.01 0.01 374 41 0.01 0.01 8 C 86 0.45 9 288 28 0.01 0.01 374 41 0.01 0.01 9 C 87 0.00 9 288 28 0.01 0.01 374 41 0.01 0.01 101 R 87 0.16 9 1661 28 1 0.04 0.04 374 41 0.01 0.01 11 CL 84 0,44 9 1661 28 0.04 0.04 1,922 41 0.05 0.05 12 C 93 0.01 9 1661 28 0.04 0.04 1.922 41 0.05 0.05 13 C 91 0.18 9 1661 28 0.04 0.04 1,922 41 0.05 0.05 14 CL 95 0.00 9 1661 28 0.04 0.04 1,922 41 005 0.05 15 CL 91 0.00 9 1661 28 0.04 0.04 1,922 41 0.05 0.05 161 C 86 0.00 9 1661 28 0.04 0.04 1,922 41 0.05 0.05 17 C 88 0.00 9 1661 28 0.04 0.04 1,922 41 0.05 0.05 18 C 87 0.00 9 1173 28 0.03 0.03 1,417 41 0.04 0.04 19 C 86 0.00 9 1173 28 0.03 0.03 14,174 41 0.39 0.39 20 C 91 0.00 9 1173 28 0.03 0.03 1,417 41 0.04 0.04 21 C 94 0.00 9 1173 28 0.03 0.03 1,417 41 0.04 0.04 221 C 92 0.00 9 1173 28 0.03 0.03 1,417 41 0.04 0.04 23 C 86 0.00 9 149 28 0.00 0.00 47 5 0.00 0.00 24 C 92 0.00 9 149 28 0.00 0.00 47 5 0.00 0.00 25 C 95 0.00 9 149 28 0.00 0 00 47 5 0.00 0.00 26 C 86 0.00 9 149 28 0.00 0.00 47 5 0.00 0.00 27 CL 94 0.00 9 149 28 0.00 0.00 47 5 0.00 1 0.00 28 CL 90 0.07 9 149 1 28 0.00 0.00 47 5 0.00 0.00 29 RL79 0.95 9 1163 28 0.03 0.03 0 0 0.00 0.00 30 CL 1.02 9 1163 28 0.03 0.03 0 0 0.00 0.00 31 C 0.34 9 1163 28 0.03 0.03 0 0 0.00 0.00 Monthly Loading: 26,128 0.65 0 0.00 37,318 1.02 0 700 12 Month Floating Total (in):Im VIA. 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? [I Compliant ❑ 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? i] Compliant ❑ Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? ❑✓ Compliant ❑ Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in 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: JUANITA JAMES Permittee: NORTHGATE GOLDEN VALLEY, LLC Certification No.: 25034 Signing Official: JUANITA JAMES Grade: SI Phone Number: 828.674.8171 Signing Official's Title: SIGNATORY Has the ORC changed since the previous NDARA? ❑ Yes D No Phone Number: 828.674.8171 Permit Exp.: 9/30/23 4- v� ua 9/29/23 9/29/23 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 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: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page Permit No.: W00039947 Facility Name: NORTHGATE GOLDEN VALLEY, LLC County: Rutherford Month: August Year: 2023 Field Name: G Field Name: A Field Name: B Field Name: C Field Name: D Area (acres): 1.47 Area (acres): 1.22 Area (acres): 1.35 Area (acres): 1.39 Area (acres): 1.38 Cover Crop: FOREST Cover Crop: FOREST Cover Crop: FOREST Cover Crop: FOREST Cover Crop: FOREST Load Type: PAN Load Type: PAN Load Type: PAN Load Type: PAN Load Type: PAN Field Loaded? 0 YES ❑ NO Field Loaded? El YES ❑ NO Field Loaded? 0 YES ❑ NO Field Loaded? 0 YES ❑ NO Field Loaded? 0 YES ❑ NO m Z Z Z o Z Zc Z a Z Z Z a a.a a 'R - a a'2 ? aa ' m J @ M J Ja J E E J =Z Ea Z Z 3 o c j ° o c j a j a v o jjpva E j c 3 va > > U > a o > aZ vp Month gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac September 14,500 50 4.1 4.1 81701 50.094 3.0 3.0 33,950 50.094 10.5 10.5 9,473 50.094 2.8 2.8 33,777 50.094 10.2 10.2 October 7,056 74.516 3.0 7.1 6,276 74.516 3.2 6.2 16,310 74.516 7.5 18.0 133 74.516 0.1 2.9 9,368 74.516 4.2 14.4 November 11,499 41.18 2.7 9.8 11,502 41.18 3.2 9.4 12,810 41.18 3.3 21.3 0 41.18 0.0 2.9 13,426 41.18 3.3 17.8 December 8,368 57.32 2.7 12.5 8,368 57.32 3.3 12.7 9.320 57.32 3.3 24.6 0 57.32 0.0 2.9 7,805 57.32 2.7 20.5 January 2,287 69.55 0.9 13.4 2,223 69.55 1.1 13.8 6,990 69.55 3.0 27.6 0 69.55 0.0 2.9 6,690 69.55 2.8 23.3 February 4.181 74.41 1.8 15.2 4,184 74.41 2A 15.9 8,155 74.41 3.7 31.3 0 74A1 0.0 2.9 8,970 74.41 4.0 27.3 March 5,230 35.471 1.1 16.2 5.230 35.471 1.3 17.1 5,825 35.471 1.3 32.6 0 35.471 0.0 2.9 6,292 35.471 1.3 28.7 April 9,201 26.44 1.4 17.6 196 26.44 0.0 17.2 8,155 26.44 1.3 33.9 0 26.44 0.0 2.9 389 26.44 0.1 28.7 May 24,384 10.25 1 A 190 171 10.25 00 17.2 29,125 1025 1.8 35 8 0 10 25 0.0 2.9 0 10.25 0.0 28.7 June 27,522 44.296 6.9 25.9 0 44.296 0.0 17.2 33,785 44.296 9.2 45.0 0 44.296 0.0 2.9 0 44.296 0.0 28.7 July 73,006 16.5 6.8 32.8 526 16.5 0.1 17.3 28,844 16.5 2.9 48.0 0 16.5 0.0 2.9 0 16.5 0.0 28.7 August 26,128 14 2.1 34.9 0 14.15 0.0 17.3 37,318 14.15 3.3 51.2 0 14.15 0.0 2.9 28,976 14.15 2.5 31.2 12 Month Floating PAN Load (Ibs/ac/yr): 34.9 17.3 51.2 2.9 31.2 Annual PAN Load Limit (Ibs/ac/yr): 150 150.00 150.00 150.00 150.00 FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page Permit No.: WQ0039947 Facility Name: NORTHGATE GOLDEN VALLEY, LLC County: Rutherford Month: August Year: 2023 Field Name: F Field Name: E Field Name: Field Name: Field Name: Area (acres): 1.54 Area (acres): 1.19 Area (acres): Area (acres): Area (acres): Cover Crop: FOREST Cover Crop: FOREST Cover Crop: Cover Crop: Cover Crop: Load Type: PAN Load Type: PAN Load Type: Load Type: Load Type: Field Loaded? 0 YES ❑ NO Field Loaded? ❑ YES ❑ NO Field Loaded? ❑ YES ❑ NO Field Loaded? ❑ YES ❑ NO Field Loaded? ❑ YES ❑ NO maa Z cZa m ZcZo m oc a y Oc a m c O vOm d a >� CL 0. % 0. a �: 0) Oa _j a 0) >a Q C fi d y 0 7 Za ¢> = f`0 L O Za N C t 7 p CN d C L 7 0 N N C L J J CO £ E N J £ > U £ J E > Q a J E > U a C 3 C 7 a C O 7 a a C C 3 C U C g 3 v C v 0 a c� a U >° 0 Month gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac September 28,026 14.15 2.1 2.1 26,107 14.15 2.6 2.6 October 13,021 74.516 5.3 7.4 7,654 74.516 4.0 6.6 November 12,700 41.18 2.8 10.2 10,500 41.18 3.0 9.6 December 9,320 57.32 2.9 13.1 10,500 57.32 4.2 13.8 January 5.825 69.55 2.2 15.3 1.325 69.55 0.6 14.5 February 8,155 74.41 3.3 18.6 3,150 74.41 1.6 16.1 March 4,660 35.471 0.9 19.5 5,250 35.471 1.3 17.4 April 1,156 26.44 0.2 19.7 8,400 26.44 1.6 19.0 May 0 10.25 0.0 19.7 28,350 10-25 2-0 21.0 June 0 1476.5 0.0 1 19.7 30,450 1476.51 315.1 336.1 July 0 44.296 0.0 19.7 71,818 44.296 22.3 358.4 August 18.248 16.5 1.6 1 21.3 L 31,178 16.5 3.6 362.0 12 Month Floating PAN Load 21.3 362.0 0.0 0.0 ` 0.0 (Ibs/ac/yr): Annual PAN Load Limit 150 150.00 (Ibs/ac/yr): �,; FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of Did the mass loading rates exceed the limits in Attachment B of your permit? © Compliant E 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: JUANITA JAMES Permittee: NORTHGATE GOLDEN VALLEY, LLC Certification Number: 25034 Signing Official: JUANITA JAMES Grade: SI Phone Number: 828.674.8171 Signing Official's Title: SIGNATORY Has the ORC changed since the previous NDMLR? El Yes ❑ No Phone No.: 828.674.8171 Permit Exp.: 930/23 9/29/23 9/29/23 Signature Date / / Signatu Date IE 8y 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 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: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: W00039947 Facility Name: NORTHGATE GOLDEN VALLEY, LLC County: Rutherford Month: August Year: 2023 PPI: Flow Measuring Point: ❑ Influent ❑ Effluent ❑ No flow generated Parameter Monitoring Point: Ll Influent Effluent Lj Groundwater Lowering El Surface water Parameter Code 50050 00400 00310 00610 00530 31616 00625 00620 00600 00665 00940 70300 p� _ m ` a, U O c O E ~ U �O 3 LL = a o m `° o E Q ° M c� 0. 0Y f' y t/} rn E Fa o LL o U o 0) 0 «a z F co z 76 0 H z Fla r F o t a U m F N Cn Q 24-hr hrs GPD su ni mg/L mg/L #/100 mL mg/L mg/L mg/L mg/L mg/L mg/L 1 09:50 4 10,721 7.2 2 08:50 0 7.1 3 09:00 9,233 7.5 4 09:09 4,650 7.6 5 06:35 2,326 7.7 6 08i30 3.489 7.3 7 07:00 9,200 7.5 8 07:58 0 7.6 9 08:30 0 7.9 10 15:00 0.75 5.698 7.1 11 14:45 7,909 7 12 08:10 8,024 7 13 08:16 9,070 7 14 15:00 18,257 6.9 15 14:10 5,698 7 16 4,635 17 12:13 1.08 5,698 7.1 18 11:15 8,536 6.8 7.27 842 <2.5 <1 78.2 11 89.2 13.4 19 10:47 8,553 6.7 20 08:53 74,909 6.6 21 09:40 5,068 6.7 22 09:45 8 0 6.7 23 10:48 0 6.5 24 07:10 0 6.9 25 06:46 0 6.5 26 12:00 281 6.5 27 11:08 0 7.3 28 09:00 1.25 0 7.3 29 0 30 15:30 134 31 08:20 134 7.1 Average: 6,523 7.27 84.20 0.00 1.00 78.20 11.00 89.20 13.40 Daily Maximum: 74,909 7.90 7.27 84.20 2.50 1.00 78.20 11.00 89.20 13.40 Daily Minimum: 0 6.50 7.27 84.20 2.50 1.00 78.20 11.00 89.20 13.40 Sampling Type: Recorder Grab Composite Composite Composite Grab Composite Composite Composite Composite Composite Composite Monthly Avg. Limit: 40,000 30 15 30 200 Daily Limit: 6.9 Sample Frequency: DAILY 5MEEK MONTHLY MONTHLY MONTHLY MONTHLY MONTHLY MONTHLY ( MONTHLY f,1SNTH11_- i 3/YR 31YR FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Sampling Person(s) 11 Certified Laboratories Name: JUANITA R JAMES Name: PACE ANALYTICAL Name: Name: JAMES AND JAMES ENVIRONMENTAL 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. \1nATc� 4v J04� 4c, 1_oua� d6k7n VL,4�) Aya4v-, �, 4iu S� Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: JUANITA JAMES Permittee: NORTHGATE GOLDEN VALLEY, LLC Certification No.: 25034 Signing Official: JUANITA JAMES Grade: SI Phone Number: 828-674-8171 Signing Official's Title: SIGNATORY Has the ORC changed since the previous NDMR? ❑ Ye 0 Nc Phone Number: 828-674-8171 Permit Expiration: 9/30/2023 9/28/2023 9/28/2023 Signature ✓ Date Signatur6 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 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