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Home My WebLink AboutWQ0004115_Monitoring - 03-2020_20200430FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Pa e f g o 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? R]Compliant ❑Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? []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? ❑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 correcti e action(s) taken. Attach additional sheets if necessary. Discharge to stream. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Karl Griffiths Permittee: Champion Hills, POA Certification No.: 15613 Signing Official: Karl Griffiths Grade: Phone Number: 828 696 1962 Signing Official's Title: ASSISTANT SUPERINTENDANT' Has the ORC changed since the previous NDAR-1? []Yes I]No Phone Number: 828 6961962 Permit Exp.: 1/31/24 4/17/20 4,gn,tur. 4/17/20 L Date S' atue 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 d current and all adachments 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: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page of 7, Sampling Persons) Certified Laboratories MI me: Danielle Hunter Name: Pace Analytical Name: Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑Compliant ❑Non -Compliant If the facility is non -compliant, please explain in the space below the reasons) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective .....:.,..�_�..,�.._ ,. ---- Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Danielle Hunter Permittee: Champion Hills POA Certification No.: 1007992 Signing Official: Robert Barr Grade: SI Phone Number: 828-251-1900 Signing Official's Title: Signatory Has the ORC changed since the previous NDMR? ❑yes ❑� No Phone Number: 828-696-1962 Permit Expiration: 1/31/2024 Signature Date Signature Date By this signature, I certify that this report is accurate 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