WQ0006946_Monitoring - 12-2016_20170119

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: 1111169
-• Gold
_•_
December1
•
Flow Measuring Point:
ElInfluent PlEffluent ONo flow generated I
Parameter Monitoring Point:
E]Influent
[ZEffluent ElGroundwater Lowering E]surface water
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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
Page of
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 21Compliant ❑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: NC Department of Cultural Resources
Certification No.: 1000751
Signing Official: Larry K. Neal
Grade: SI Phone Number: 704-721-4665
Signing Officials Title: Site Manger III
Has the ORC changed since the revi NDMR? ❑Yes EZNo
Phone Number: 704-721-4653 X215 Permit Expiration: 1/1/2017
11t71/7
Signature Date
Signature Date
By this signature, I certify that this report is accurrale and complete to the best of my knowledge.
I certify, under penalty of law, that this documeand 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

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: X111.9 .
--• Gold Mine
_•.
D- - •-
lji
• irrigation occur
at this facility?
E]YES ONO
Cover Crop:
Cover Crop:
Hourly Rate (iny
Hourly Rate (in):
Annual Rate (in):
=t- 11IF1711
Annual Rate (in):
Field Irrigated?
mill
Monthly Loading:

IEA
. FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
❑p 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?
Ocompliant
❑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?
Elcompliant
[]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.
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Robert L. Garner
Permittee:
Reed Gold Mine
Certification No.: 1000751
Signing Official: Larry K. Neal
Grade: SI Phone Number:
Signing Official's Title: Site Manger III
Has the ORC changed since th previous NDAR-1? Dyes ❑� No
Phone Number: Permit Exp.:
D7/j/
l
Signare 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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617