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Home My WebLink AboutWQ0034102_Monitoring - 03-2020_20200415FORM: NDMR 07-13 NION-DISCHARGE fi-ROMFORING REPORT (iLMORM) Page - of � Name: Kenneth Stanley sampfling PC-MOVqS1 MaI111111 iffil!i: Alial N-,a,me: ihificrobac-, Fayefteville Divison, Cer1#1 I A-11 to ", Operator in Rtespon-sflble Charge (ORC) Certification 0 R, C Kenneth Stanley Permit -tee: 'Town of Fremont Certification Signing Official: Barbara Ayr-,.ock Grade: 31 Rh(ane N'uatber: 91-9-738-2982 Signing Official's Title: 1-own Adrriinistrator Has the Oanqedlsince the previous NIDMR? FAYes E'l Phone Number: 919-242-5151 Permit Expiration: 81 3 1 200 2 1 "I If ell 1-Y "k 01 X-4 el /4� Signature- Date C4 atu re Dete By this signature, I ceffify that this report is accurrate and complete to the best of my knowledge, I C�"er Penalty of law, that this document and all attachments were prepared under my direction or supervision 'In accordance vidh a system designed to assure that alf qualified personnel property gathered and evaluated the Wormation submitted. Based on my inquiry of the person oi- persons who manage Me systern, or these persons directly r-esponsibleter gathering the information, the information submitted is, to the best of my knowledge and befief, true, accurate, and complete. I arn aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knoMng violations. Mail Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 MaR Service Center Raleigh, North Carolina 27699-1617 Did irrigation occur at this fac'"Ifty 7/1 Y ES. ONO 13 • m m m 12, IVionth Floating Total (in): I tic -4 F, A; 1; 2 -4 HOUR st WE IS N IM W- m MR ON m- W LE, , ,x. i Egg ANOMINS, W7, Emmatly'n, KIN ffII 1, mm mall, plot WR 100II --- ------------- R�RE ........ ....... ------- --- Own I WE U. ... ------- Im 11 Am WE, ii, i, M, NINE w gw #A Page o �,EkPPLICATIOH REEEPORT t Jr R FORM: NDAR-1 08-11 K 1 4) Did the application rates exceed the limits in Attachment E-) alT your permo't' E41Cornpliant Elision- mien!" F_ Were adequate measures taken to prevent effluent ponding 'in or runoff from the F11 0-/ Compliant ]Non -Compliant F11 '11,131 fElcompliant DNon-Cornpfiant Was a suitable vegetative cover maintained on all sites spe�rlffied per- P, M Were afi setbacks listed in your perrnih.k. m;imianit,dned fdnr in �110 a I n to each permitted si to ? Plcornpliant DNcn-Cornpiiant 110) a 0 � �- pp. c t o Were all freeboard's, maintained in accovdavjon�rccte wifth �,,%e spec,;I'ifirsd fipseboavrd hek, h" it? E] Non-cornpliant 101 7 u m4yourpermt Elcompilant If the facility is non -compliant, please explain in the space N.-flow the reason(s) the factlityomas not in compliance. Provide in your expfanation tm date(s) ofthe non-compliance and describe the corrective action(s) t2ken. Attach additional sheets if necessary, OperatoTin Responsible Charg-;51 (ORIG) Ceecification ORC: Kenneth Sianley C -ertifica-tion -Ho": 997045 GradeS1 Nhona �Number: 919-738-2982 Has, 11"ne ORC changed s-ince Uie preevious MIDARA? rjY es 0,' No Y 4/t -------- ... Signature Date By t1iis. signature, I certify that this report is accurrate and complete to the best of my knowledge. Permittee Certification Permittee: Town of Frec-,mont Signing Official: - arbaraAycock Signing Official's Title: Towri Admirdstrcator Phone Number: 919-242-51511 Pepnimiit Exp.: 81-1131 ff/21 Sig Lure Date I certify, under penaity 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 quarified personnel propedy gathered and evaluated the inforimation 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.befief, true, accurate, and complete- I am aware that there are significant penatties, for submitting false information, including the possibility of fines and imprisonment for knwting violations. Mali Original aind T�usio Copisesi. tc,: Divisjo,n Resrv;_irr*.., Inform.4-tion Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 FORM: NDAR-1 08-11 Did irrigation occur at th*s facility? YES Freeboard Monthly Loading: WA• FIRM,, ZI: I 0 VU�t WE'= N-1 =01`1. IMP I AwAs r2wif" NI 2. • ....... ...... • fuz M-1*1 No MOMR -- --------- so r. Y. 0 El"Irsm now , - ,h e s 111' ilia SO MAMMON' pill � UP WINN, we 11 • Ism. lownwom", .. ......... . . . . . . . . . . . . . . . . . . . I ai ' r' 2 m E 4 I !kJn,1VL ViLJJFk- I VO- 1J, NON -DISCHARGE APPLICATION REPORT (NDAR-1) page — of — Did the application rates exceed the limits in Attachment B of your permit.? [21compliant [J—Non-Compliant Were adequate measures taken to prevent effluent ponding On or runoff from the sites? 0compliant [:]Non -Compliant * i Was a suitable vegetative cover maintained on all sites as speciTle0n your permit ? Edt"."Onipliant E] Non -Corn pliant Were all setbacks listed in your permit maintained for every application to each permitted site? Elcompliant ONon-comp1jant N& t7 Were all freeboards maintained in accordance with the specified freeboard heights 'in your pmierL/ -CGMpj0r1t Dion -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) tal<en. Attach additional sheets if necessary, Operator in Responsible Charge (I Cerfflfl"ca-flort CP RC' I- Kenneth St@nley C'e%rUlfic.-tion, e"db-: 99704_6 G nen, dca: S1 Phtcone Number. 919-738-2982 Hasthp,DRY changed since the previous NDAR-1? [_]Yes No C� , Rl Signature Date By this signature, I certify that this report is accurrate and comptele to the bees of my knoi.vledge. Peffn,,�,ttae Ceftificauion P e- r nn ft't 9 e Town of Frernoqt Bani at Ayc k 'S,ijgrflur�gp, Offidlial's Tftle.� Toviin Administrator Phone Number: 9-1, -242-5151 pennnilt E_xp: 3113 1, 12-1 At IF -Signatu6f Date 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 oaf the person or persons who manage the sy&tem, or those persons directly responsible for gathering the information, the information submitted is, to flie 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 Coples Division of Water Resources Information Processing Unit 1617 Mall Service Center Raleigh, North Carolina 27699-1617 FORK NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR.-I) Page __ of Cover Cr( Hourly Rate Annual Rate . . . . . . . . . . . . . . . . . . . . . 3,743 7,329 316 6 7;482 2 WI 00- lilgr 11 1 111 1111 1 11 � I I I � ill I � � � � I i 11 � I '111115 112� i111111 4� W 0 1.1a Jllkl� I ill I ill, I Ia. Did the application rates excead'ithe limits in Attachment B of your permit? D-1 Compliant 011-coffi pliant Were adequate measures taken to prevent ef',si'luent pondiong it or runoff from the sites? Qcornpliant jNon-cornpfiant Was a suitable vegetative cover maintained on all sites as specified in your permit? UACompllant ONort-Compliant Were all setbacks listed in your permit maintained for every applilcation to each permifted site? 7compliant Nan-Compfiant Were all freeboards maintained in accordance with the specified freeboard heightsin your permiSO PdCompliant ONors-conipliant If the facility is non -compliant, please explain in the space below the reasonw the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective actlon(s) taken. Attach additional sheets if necessaR!. Operator in ResqiponsiMle Charge (ORC) ORC: Kennet'n Stanley r o.: 997045 Grade: Phmne NunAber: 919-1738-2982 Has UiIla, ORC chanqed shms-ethe p-re-vious HD,AR-1? ElYes ENO 02 „,o-+v...�...w+.�w..a.�mR�_.__..._mareua:,..,...k<w.�.wn,�.�++�.awa+m.._...-..e. k�.m.mr�.:»e....„M>. -- e.a�.ae� ..ar.... p - - Signature Date By this signature, I cerfify that this report is accurrate and complete to the best of my knowledge. Pennittee Certification Town of Frcai'nont Signing ffl cp'A if rbara Aycock Sign.ing Officirial's Title: To,.Atn Admirustrator EIS V* ' 1 IP-3`1 11,11 hone Npurnber: 9 19-242-515"! Perm-ft p..' 313-11 .fib,; .1 V S i g n a t �'!A_b Date I certify, under penalty of law, that this docUment and all attachments were prepared under my direction or supervision in accofdance with a system designed to assure that all qualifed personnel proper , 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 iriformation, the inforn'latiOn submitted is, to the best of my knowledge and belief, true, aCCUrate, and complete. I am awore that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations- RAP, -MMU C',Xigglinalp. and Tvifo Copies to., Divisioini of Water Resourcesk Information Processing Unit q- _F 1617 Mail Service r,enter Raleigh, North Carolina 27699-1617 liq FORM: NDAR-1 08-11 �1\V'_-)jr4-Dh=HARGE APPLICATION REPORT (NDAR-1) Page. D,krl fh'se- applicatic_m, rates e:xceed the Hii-nits Ilin okMacr,';hme,�r-�k R afyour F[,c�x rm11117. -01 Compliant [:!NorrQ)rnpliant G Bidzeavjaftekl in is&.xawre, ta-ILkeirrb to prevent effluent ponding in or runoff from the csft(��ms'7` 21compliant []Norl-compliana if? V8Qe,-A1a1,'r,,we cocwer rnaordMned orin� amlfl 9�1t'es as specified in your perm.. Elcompliant D�on-conlpfiant fflR,Vt affl,0 U5'jated rhg your peirrnpft �-,,ria�ntalred for every application tto each permitted site'? 0" Compliant [j-Non-Connpliant mto;� Vtie�vfae ali freaboards �- ain"'V-d2i ( d fifl) with the specified freeboairj-, 'nal'.ightz-i in your permi . PACOMPhant EINon-CDrnpliant In'the facility is non-compiiant, please expiain in the space, beelow the recatson(s) the facility was not in compliance. Provide in your explanation the date(S.) ofthe. non-compliance and describe the corrective action(s', taken. Attach additional sheets if necessary . I I Oprelvator hn. Responsible Charge (ORC) Certification Permittee Certification 11 Or R. CO Kenneth Stanlev Permittee: Town of Fremont C-ew-fification too.: 9 G) 7 04 5 Signing Official; Barbara Aycock Grade: S1 Phone 919-738-2982 Signing Official's Title: Town Administrator Has thed 0 RIC changed since the previous NDAR-1 ? []Yes No Phone Number: 9 19-242-5) 151 Permit 8/it 3 D� V Z AS Signature Date Sign re Date By t.his signature, I cerfify that this repW, is, accurrate and complete to the best of my knowledge. I cerfifqi, 16er perialty of lm-v, that this document and all attachments were prepared underray direction or supervisjon in. accordance 911 with a system designed to assure that all qualified personnel properly gathered and evaluated the info vination submftted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information subrnifted is, to the best of my knowledge and belief, true, accurate, and complete, [ am aware that there are significant penalties for submitting false informatfion, including the possibility of fines and 4-9-prf'sonment 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