HomeMy WebLinkAboutWQ0004438_Monitoring - 02-2020_20200318FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page ( of if
Permit No.: Q111
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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:
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at this facility?
Cover Crop:
121 YES El NO
Hourly Rate (in):
Annual Rate (in):
Field Irrigated?'
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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