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HomeMy WebLinkAboutWQ0007144_Monitoring - 10-2016_20161122FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Permit No.: 11 111 • Seafarer County: Pamlico Month: October irrigation Elm 0: • occur Area, (acres): Area,(acresY Area (acres): at this facility? Cover Crop: RIYES ONO • - . • ' . . - . • ' . ..•.. . e -.. Field .. •. • • •- ". • • •. •. • • n t h I y L .. • i n • �j////// 1 10 11 !00// � j/////am �%//////.® FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Did the application rates exceed the limits in Attachment B of your permit? ❑✓ Compliant ❑ Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑� Compliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? 21 Compliant ❑ Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? ❑✓ Compliant ❑ Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 21 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: Stanley Eudy Permittee: YMCA of the Triangle Area, Inc Certification No.: S1994723 Signing Official: Mike Askew Grade: Phone Number: 252-249-1212 Signing Official's Title: Director of Facilities and Boating Operations Has the ORC changed since the previous NDARA? ❑ yes F/1.No Phone Number: 252-249-1212 Permit Exp.: June 30 2021 A4Ao� ll InId 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 Quality Information Processing Unit 1617 Mail Service Center