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HomeMy WebLinkAboutWQ0004438_Monitoring - 02-2020_20200318FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page ( of if Permit No.: Q111 New :- • - .February1 1 11 •. ■ G ■ . .• •. ■ ■ ■ . • . ■ FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page -Z of Sampling Person(s) Certified Laboratories Name: George R. Callison Name: Not applicable for this report Name: Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? R) Compliant ❑ Non-Compllant 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: George R. Callison Permittee: S. T. Wooten Corporation Certification No.: 14831 / 14358 Signing Official: Robert L. Hunt, Jr. Grade: WW2 Phone Number: 252-229-7212 Signing Official's Title: Division Manager Has the ORC changed since the previous NDMR? ❑ Yes O No Phone Number: 252-229-7212 Permit Expiration: 7/31/2022 3 1 I 2ozo 4K4, Signature Date Sig atur 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 FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _3 of Feb 1 1 Did irrigation occur Field Name: V10 512. at this facility? Cover Crop: 121 YES El NO Hourly Rate (in): Annual Rate (in): Field Irrigated?' mmmmmm ���� �Ti■�� ��■�� ���� ®mmm mm ��■�� ���� ����■■m ���� -,,;�s,.,. • ��ecvnSes,.._W"FY',�iX#�i, u'��-® .. e�i�v ��zs �:_ � ��'id" �.¢� ^,��^`F.r°f b��✓� £'�..a � FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _:�_ of 2. Did the application rates exceed the limits in Attachment B of your permit? 21 Compliant ❑ Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? p Compliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? 91Compliant ❑Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? 21Compliant ❑Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Nfk No [0_�Oort.❑ Compliant ❑ Non-Compllant 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 Operator in Responsible Charge (ORC) Certification ORC: George R. Callison Certification No.: 14831 / 14358 Grade: WW2 Phone Number: 252-229-7212 Has the ORC changed since the previous NDAR-1? ❑ Yes O No taKen. Attacn aaaitionai sheets It Permittee Certification Permittee: S. T. Wooten Corporation Signing Official: Robert L. Hunt, Jr. Signing Official's Title: Division Manager Phone Number: 252-637-4294 Permit Exp.: 7/31/22 D ?:Lpi�K, Signature Date Signature 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 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