HomeMy WebLinkAboutWQ0006946_Monitoring - 11-2016_20170103FORM: NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT (NDAR-1) Page _ of
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FORM: NDAR-1 10-13
NON-DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
Page of
❑✓ Compliant ❑Non-Compliant
❑� Compliant ❑Non-Compliant
❑� Compliant ❑Non-Compliant
❑� Compliant ❑Non-Compliant
❑✓ 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: Robert L. Garner, Permittee:
Reed Gold Mine
Certification No.: 1000751 Signing officia�: Larry K. Neal
Grade: SI Phone Number: Signing Official�s Titie: Site Manger III
Has the cha d sinc he previous NDAR-1? ❑ves �nlo Phone Number: Permit Exp.:
r
�� 302�/ � ...e `Z �o .
Signature Date 'gnature ate
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 wfio 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
FORM: NDMR 03-12 NON-DISCHARGE MONITORING REPORT (NDMR) Page of
FORM: NDMR 03-12
Sampling Person(s)
Name: Robert L. Garner
Name:
NON-DISCHARGE MONITORING REPORT (NDMR)
Name: Reed Gold Mine #5586
Name:
Certified Laboratories
Does all rnonitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
Page
❑� Compliant
of
❑ Non-Complia nt
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
ortc: Robert L. Garner Permittee: NC Department of Cultural Resources
Certification No.: 1000751 signing ofticia�: Larry K. Neal
Grade: SI Phone Number: 704-721-4665 Signing Official's Title: Site Manger III
Has the ORC changed since t revious NDMR? �Yes �No Phone Number: 704-721-4653 X215 Permit Expiration: 1/1/2017
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f
$ignature Date Sign ture Date
By this signature, I certify that this report is accurrate and complete lo 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 aIl 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