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HomeMy WebLinkAboutWQ0002052_Monitoring - 09-2016_20161013 (3)FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Pageof o Permit No.: 11111 I • •- • • Month: September1 • irrigation occur at this facility? RIYES ■ NO Annual Rate (in). Annual Rate (Iny MonthlyL .1 11%`/rrr/�lrrrrr/�jrrrr// XIrriiia�iirrsr,%�srriri 1 11 �rrrrrr/��rrrrr� 111 �r�r�r���r/r// 1 /1 FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page &�F of Did the application rates exceed the limits in Attachment B of your permit? IDCompliant ❑Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? pCompliant ❑Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? pCompliant ❑Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? ECompliant ❑Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑p 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 acuon(s) taKen. Anacn aaoltlonal sneets IT necessary. 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 Official's Title: Plant Leader Has the ORC changed since the previous ND -1? Elves 2No Phone Number: 828-247-4305 Permit Exp.: 3/31/17 0 Signature Date Sign re 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 Quality Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617