WQ0002052_Monitoring - 08-2016_20160926 (3)

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page J_of
WQ0002052
Facility Name.
Golden-
• •
August
1 .
D • irrigation occur
at this facility?
MYES ■ •
—Area (acres):
..Cover
Crop:
am&]
ICE=
IMMM=
D
■ •11111111113FRIM
IT,■
■ •
■
■ •
■
■ •
Monthly Loading:'

FORM; NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
Page �of—
[OCompliant ❑Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
OCompliant
❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
OCompliant
❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
OCompliant
❑Non-Compllant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
DCompliant
❑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
CIL VI ItJf LOAM I. MLLOW 142UUILIVIIGI Z111VUlb 11
Operator In Responsible Charge (ORC) Certification
Permittee Certification
ORC: Michael D. Fortenberry
Permittee:
Milliken & Co. Golden Valley Plant
Certification No.: 27004
Signing Official: Mike Tutterow
Grade: S. I. Phone Number: 828-247-4300
Signing Offlclal's Title: Plant Leader
Has the ORC changed since the previous N AR -1? ❑Yes ONo
Phone Number: 828-247-4305 Permit Exp.: 3/31/17
-91-//
6 � lJ( zlb
Signature Date
Signature Date
By this signatu/ellertify 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 managg 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617