HomeMy WebLinkAboutWQ0000265_Monitoring - 08-2016_20161012FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page ot4
Permit No.: X1111 •Washington•
•nal Center
County:Washington.
August
1 .
11
• ••■p11
■
IIIIIIII 111111
. • •.IjlIII1D ■ ■
•
• •
•
Sample
�rm�m��ssr���mz��■■����■��
FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page /, of
bid the application rates exceed the limits in Attachment B of your permit? Zmpliant ❑ Non -Compliant
• �ompliant ❑Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? /
Zc9m
pliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all"sites as specified in your permit?
pliant F-1 Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted Compliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
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: BitAE) 6,5SG2 El(�v Yes No
Permittee:
Certification No.: J (7D Zp (o %
Signing Official: t'" r �- pd�W 'M V A -L4—
Grade: S� Phone Number: �5 2 -7 4. (o fo e S
Signing Official's Title: �� i2c�7� �2 G� �� ra�� � kG-
"I-3r—r7
Has the ORC changed since the previous NDAR-1?
Phone Number: 9i 4 —1 A& - 3-0c) 6 Permit Exp.:
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
N.C. Dept. of Public Safety
Ce-tral Engineering
=.nkers Road
4s:; 6 MSC
Raleigh, NC 27699-4216