HomeMy WebLinkAboutWQ0003687_Monitoring - 10-2016_20161107AoRM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
No.: WQ0003687
Facility Name:
Gold Hill Airpark
County: Rowan
Month:
October
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Name.
Did irrigation occur
I ..
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Area (acres).
at this facility?
0 YES ED NO
Cover Crop:
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Hourly Rate (Iny
Hourly Rate (in):'
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' -Annual
Rate (in):
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Field Irrigated?
Field Irrigated?
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Cd 0
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I�, ORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
01
Did the application rates exceed the limits in Attachment B of your permit? 21 Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? O Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? O Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? I] Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 17 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: John Ciolino
Permittee:
Gold Hill Airpark
Certification No.: 999877
Signing Official: John Clollno
Grade: Phone Number: 704-209-1962
Signing Official's Title: ORC
Has the ORC changed since the previous NDAR-1? ❑ yes El No
Phone Number: 704-209-1962 Permit Exp.: 9/30/20
11/4/16
11/4/1-6
Signature Date
Si ature 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