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Home My WebLink AboutWQ0000265_Monitoring - 09-2016_20161115FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1 ) Page L of Q x0000 .5 FacilityName: Washington Correctional• • • - •- �Hourly Rate (in).� NEE=� •I :i mmmmmm-� �� ME �� ME mmME mmmm®mME�� ME mmmmmm�� ME�� momomM EMME mmmmmM MEMN MM MME ME m��MMMIMM�� FORM NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page L_ ct G Facility Name: Washington Correctional Center �i • •. • • � �®- Hourly Rate (in): Hourly Rate (in):' Hourly Rate lin): Hourly Rate Cny. Annual Rate finl Annual Rate (in): -Annual Rate (in): ®�IYYidYtiiiiWlY- Field Irrigated?■Field Irrigated? ■ ■ �■ 0%////% ' " ;!////O/0%///// ' " %/////%0%//// 1 ' " %//////0%////// FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page -of 4 - Did Did the application rates exceed the limits in Attachment B of your permit? 9 CCO giant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? " pliant ant Was a suitable vegetative cover maintained on all sites as specified in your permit? phan[ Were all setbacks listed in your permit maintained for every application to each permittedofipliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑ Non -Compliant ❑ Non -Compliant CENTRAL ❑ Non -Compliant OCT 2 6 2016 ❑ Non -Compliant ENGINEERING ❑ Non -Compliant liv 2 OC9 I 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. 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 Central Engineering 2020 Yonkers Road 4216 MSC Raleigh, NC 27699-4216 Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: 64A -p �ff��y �- ❑ Yes No Permittee: Certification No.: liv 2 OC9 I Signing Official: � Grade: Phone Number: SZ�sAcY�o.e Signing Official's Title: GIF <-6'rNt2�Mv�j- Has the ORC changed sinceJ�thhe previous NDAR-1? Phone Number: dq/Q --7/G - 340 Co Permit Exp.: -7—_S/ - / -7 I�r//'Avi" f nZ 4 %Z- i0 2G / G Signature Date Signature Date By this signature, I candy that this report is accurate and complete to the best of my knovdedge. I cem y, under penally of law, that this docement and all atha hments 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 me best of my knowledge and belief, true, acwmle, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knovnrg 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 Central Engineering 2020 Yonkers Road 4216 MSC Raleigh, NC 27699-4216