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HomeMy WebLinkAboutWQ0004270_Monitoring - 11-2016_20161213`� •.• • + No.: w 10 IFacility Name:_ •Gaston - -- irrigation occur at . X�ES El NO F ... • J Field Namiy Area (acres).-'. Area (acres): 'Area (apre Covdr!Cr•. l Cover•• . Cover Hourly Rate (in):,; See Permit HourlyRate un� • •; •. �! •Field Annual -. Irrigated?rP' •• r� • ..YES NO FORM: NDAR-3 10-13 NODI -DISCHARGE APPLICATION REPORT (NDAR-3) Page of +... Did the application rates exceed the limits in Attachment B of your permit?/ ompliant ❑Non -Compliant •16 Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ) ompliant ❑Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? *mpllant ❑Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? jkmpliant []Non-compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? c-mpliant ❑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. with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Lee Pennington Permittee: Al Abedi certification No.: 987583, 987903 Signing Official: Al Abedi Grade: 2 Phone Number: 704-874-2754 Signing Official's Title: Vice President Has the ORC changed since the previous NDAR-3? ❑Yes ONo Phone Number: 704-865-1201 Permit Exp.: 3/31/20 y a o i 1 i ature 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 forknowingviolations. Mail Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, north Carolina 27699-1617