Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
WQ0000485_Monitoring - 02-2020_20200316
FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: WQ0000485 Facility Name: Valley Proteins - Rose Hill Division County: Duplin Month: February Year: 2020 PPI: 002 Flow Measuring Point: ❑ Influent ❑ Effluent ❑ No Flow generated Parameter Monitoring Point: ❑ Influent ❑ Effluent ❑ Groundwater Lowering ❑ Surface Water Parameter Code 0 50050 00310 00916 00680 00940 50060 31616 00927 51437 00610 00625 00620 00600 00400 00665 WQ09C ° i d Q >= U i- o C O E 2 F- O 3 O u ° O m 3 2 m U C "LO M 0 � oU I- 'O O c .� 'a i O y 2 H t L O aUi = u o E W c rn N X N 2 f6 O E CU d rn Y O oz f- cc = z +� M O O z 2 a i 2 O O Q CL N C = a N �a � O Q'z 24-hr hrs GPD mg/L mg/L mg/L mg/L mg/L #/100 mL mg/L mg/L mg/L mg/L mg/L mg/L su mg/L mg/L 1 296,704 4.40 8.00 2 288,461 4.40 8.05 3 08:00 9 283,867 1.93 7.80 4 08:00 9 280,400 1.86 7.71 5 08:00 9.5 284,850 8 2.00 1 1 33.8 50.8 2.13 55.6 7.80 0.27 26.8 6 07:00 10 281,738 1.12 7.81 7 07:00 10 291,905 4.40 7.77 8 291,730 2.50 7.78 9 236,475 2.30 7.04 101 06:45 10.5 292,807 1.96 7.76 11 08:00 9 255,345 2.13 7.81 12 08:00 9.25 232,950 39 1.92 1 1 33.8 36.6 0.02 36.6 7.84 0.43 17.8 13 08:00 10 261,778 3.27 1 7.80 14 08:00 10 241,225 3.23 7.78 15 257,216 2.32 7.78 161 278,331 2.11 7.56 17 08:00 10.5 271,450 1.99 7.71 18 11:15 5.75 219,400 2.12 7.50 19 08:00 9.25 204,450 1.83 7.81 20 08:00 9.5 255,235 1.98 7.78 21 08:00 4.25 1 272,575 2,45 7.78 221 302,588 4.4 7.35 23 190,345 1.11 7.43 24 08:00 9.25 258,682 1.9 r1` ;i;y4:: C - '" 7.70 25 08:00 9.5 243,275 2.04 " 7.63 26 08:00 9.5 260,049 1.83 7.77 27 07:00 9.5 298,007 1.93 7.81 28 08:00 8.5 296,783 1.79 7.70 29 291,335 1.64 7.71 30 31 Average: 266,205 23.50 2.37 1.00 1.00 33.80 43.70 1.08 46.10 0.35 22.30 Daily Maximum: 302,588 39.00 4.40 1.00 1.00 33.80 50.80 2.13 55.60 8.05 0.43 26.80 Daily Minimum: 190,345 8.00 1.11 1.00 1.00 33.80 36.60 0.02 36.60 7.04 0.27 17.80 Sampling Type: Recorder Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Monthly Limit: 350,000 Daily Limit: Sample Frequency:1 Continuous 2 X Month 3 X Year 3 X Year 3 X Year 5 X Week 2 X Month 3 X Year 2 X Month 2 X Month 2 X Month 2 X Month 2 X Month 5 X Week 2 X Month 2 X Month FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: WQ0000485 Facility Name: Valley Proteins - Rose Hill Division County: Duplin Month: February Year: 2020 PPI: 002 TFlow Measuring Point: (j InFluent L Effluent ❑ No Flow generated Parameter Monitoring Point: ❑InFluent Effluent ❑Groundwater Lowering ❑Surface water Parameter Code -► 50050 00931 00929 70300 00530 m m 0 tY 0 c 0 d m 0� 0 0 3 !L c = .20 c ._ i O N w ¢ E 3 O a > m o o }a c a 3 rn 24-hr hrs GPD Ratio mg/L mg/L mg/L 1 296,704 2 288,461 3 08:00 9 283,867 4 08:00 9 280,400 5 08:00 9.5 284,850 26 6 07:00 10 281,738 7 07:00 10 291,905 8 291,730 9 236,475 10 06:45 10.5 292,807 11 08:00 9 255,345 12 08:00 9.25 232,950 55.1 131 08:00 10 261,778 14 08:00 10 241,225 15 257,216 16 278,331 17 08:00 10.5 271,450 18 11:15 5.75 219,400 191 08:00 9.25 204,450 20 08:00 9.5 255,235 21 08:00 4.25 272,575 22 302,588 23 190,345 24 08:00 9.25 258,682 251 08:00 9.5 243,275 26 08:00 9.5 260,049 27 07:00 9.5 298,007 28 08:00 8.5 296,783 29 291,335 30 31 Average: 266,205 40.55 Daily Maximum: 302,588 55.10 Daily Minimum: 190,345 26.00 Sampling Type: Recorder Calculated Grab Grab Grab Monthly Limit: 350,000 Daily Limit: Sample Frequency: Continuous 3 X Year 3 X Year 3 X Year 2 X Month FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page ,3 of Sampling Person(s) Certified Laboratories Name: Susan Melchor Name: Environmental Chemists Inc. Wilmington Division Name: Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? El 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 corrective action(s) taken. Attach additional sheets if necessary. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Corey Lanier Permittee: Valley Proteins, Inc. - Rose Hill Certification No.: 10008728T & 1007689T Signing Official: Toby Schlink Grade: WWII & SI Phone Number: 910-660-1173 Signing Officials Title: District Manager Has the ORC changed since the previous NDMR? ❑ yes El No Phone Number: 910-289-2083 E. 25119 Permit Expiration: 3/31/2025 2m2a Signature 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. 1 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 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I of 3 Permit No.: WQ0000485 Facility Name: Valley Proteins - Rose Hill Division County: Duplin Month: February Year: 2020 Did irrigation occur Field Name: 2 � Field Name: 3 Field Name: 4 Field Name: 5 this facility? Area (acres): 3,59 Area (acres): 8.44 Area (acres): -- 15.39 Area (acres): 13.83 at Cover Crop:Cover Crop: p: Cover Crop: p: Cover Crop: p: Q YES ❑ NO Hourly Rate (in): 0.2 Hourly Rate (in): 0.2 Hourly Rate (in): 0.2 Hourly Rate (in): 0.2 Annual Rate (in): 26 Annual Rate (in): 36.4 Annual Rate (in): 31 Annual Rate (in): Field Irrigated? 46.8 ❑✓ YES ❑ NO Weather Freeboard Field Irrigated? FZ] YES ❑ NO Field Irrigated? YES ❑ NO Field Irrigated? YES ❑ NO QaN N 2 HauQzi = ' d. a N` - a CL yO E N -6 CL ~ E =i d ~ E E D 3 N ~ E3 T C E NEu fl G E0i 7 CO J i=3 ON M °F in ft ft gal min in in gal min in in gal min in in gal min in in 1 C 43 0.02 2 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 53,220 120 0.14 0.07 2 C 37 0 2 18,000 60 0.18 0.18 30,726 120 0.13 0.07 0 0 0.00 0.00 72,531 180 0.19 0.06 3 C 45 0 2 0 0 0.00 0.00 0 0 0.00 0.00 69,686 180 0.17 0.06 0 0 0.00 0.00 4 C 56 0 2.1 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 103,190 240 0.27 0.07 5 CL 60 0 2 14,641 60 0.15 0.15 30,771 120 0.13 1 0.07 78,458 180 0.19 0.06 0 0 0.00 0.00 6 CL 67 2.54 2 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 115,818 300 0.31 0.06 7 CL 59 0.71 1.7 17,492 60 0.18 0.18 31,231 120 0.14 0.07 70,691 180 0.17 0.06 0 0 0.00 0.00 8 C 30 0.03 1.75 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 9 C 34 0 1.7 0 0 0.00 0.00 31,692 120 0.14 0.07 0 0 0.00 0.00 129,644 300 0.35 0.07 10 C 31 0 1.75 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 50,531 120 0.13 0.07 11 CL 66 0 1.7 19,291 60 0.20 0.20 43,084 120 0.19 0.09 78,061 180 0.19 0.06 73,508 180 0.20 0.07 12 CL 58 0.24 1.8 0 0 0.00 0,00 0 0 0.00 0.00 0 0 0.00 0.00 19,993 60 0.05 0.05 13 PC 69 0.14 1.8 0 0 0.00 0.00 31,991 120 0.14 0.07 70,177 140 0.17 0.07 96,026 240 0.26 0.06 14 PC 48 0 1.75 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 72,019 180 0.19 0.06 1s C 30 0 1.8 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 55,755 120 0.15 0.07 16 CL 36 0.31 1.8 0 0 0.00 0.00 30,029 120 0.13 0.07 71,860 180 0.17 0.06 58,642 120 0.16 0.08 17 CL 47 0.05 1.7 0 0 0.00 0.00 0 0 0.00 0.00 73,840 180 0.18 0.06 0 0 0.00 0.00 18 CL 44 0.04 1.7 18,597 60 0.19 0.19 0 0 0.00 0.00 0 0 0.00 0.00 118,096 300 0.31 0.06 19 R 59 0.16 1.7 0 0 0.00 0.00 45,371 120 0.20 0.10 68,198 180 0,16 0.05 0 0 0.00 0.00 20 CL 46 1.31 1.8 0 0 0.00 0.00 41,168 120 0.18 0.09 70,234 180 0.17 0.06 0 0 0.00 0.00 21 C 33 0 1.6 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 22 C 21 0 1.65 0 0 0.00 0.00 30,406 120 0.13 0.07 0 0 0.00 0.00 124,783 300 0.33 0.07 23 C 27 0 1.7 0 0 0.00 0.00 0 0 0.00 0.00 76,305 180 0.18 0.06 0 0 0.00 0.00 24 CL 44 1 0.1 1 1.7 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 92,895 240 0.25 0.06 25 R 58 0.08 1.6 19,284 60 0.20 0.20 48,944 120 0.21 0.11 0 0 0.00 0.00 46,760 120 0.12 0.06 26 CL 60 0.4 1.6 0 0 0.00 0.00 0 0 0.00 0.00 76,346 180 0.18 0.06 0 0 0.00 0.00 27 C 43 0 1.6 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 116,436 300 0.31 0.06 28 C 29 0 1.6 17,057 60 0.17 0.17 31,371 120 0.14 0.07 94,680 240 0.23 1 0.06 0 0 0.00 0.00 29 C 34 0 1.65 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 75,128 180 020 0.07 30 31 Monthly Loading: 124,362 1.28 426,784 1.86 898, 336 UM 2.15 1,474,975 3.93 12 Month Floating Total (in): 10.86 17.67 19.72 27.42 FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Permit No.: WQ0000485 Facility Name Valley Proteins - Rose Hill Division County: Duplin Month: February D • irrigation occur Area Area -® at this facility? YES NO -I.. -I.. �� ■ .... ■ YES■ .. o ..65 MINN- # mmmmm��■o ,„ ,„ oo ,„ ,„ oo ,„ ,„ ■ao ,„ ,„ WITO momommK UM , �� , ,: oo , „ , „ �� , • �� , ,: mmmo®moo , „ , „ .• .•. ., ������oo , „ , „ i m ©mom �� , • , , oo , „ , „ ���� oo , „ , „ m mmm mi■� ���� ���� ���� ���� Monthly Loading:1101 FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page J of —7 Did the application rates exceed the limits in Attachment B of your permit? Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑' Compliant ❑ Non -Compliant ❑✓ Compliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? 2] Compliant ❑ Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? QQ Compliant ❑ Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑ Compliant Q 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. Freeboard (part 1) - on NDAR page 1 is storage Pond 4; freeboards were not maintained at 2 feet in Ponds 1 (1.5'), 2 (1.55'), and 3 (1.4'), due to a ma treated in the wastewater treatment system. CD1 & CD7 condensers were disassembled and repairs made on 02/03/2020. Freeboard (part 2) - on 2/11/2020 replaced 2 drain valves on Air System Crossflow tanks (CD11), that were leaking an additional 50,000-80,000 GPD. to additional water IOperator in Responsible Charge (ORC) Certification II Permittee Certification I I ORC: Corey Lanier Certification No.: 10008728T & 1007689T Grade: WW II & SI Phone Number: 910-660-1173 Has the ORC changed since the previous NDAR-1? ❑ yes P� No �g . 3Ita) Z-vz-� Signature Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. Permittee: Valley Proteins, Inc - Rose Hill Division Signing Official: Toby Schlink Signing Officials Title: District Manager Phone Number: 9102892083 ext 25119 Permit Exp.: 3/31/25 3 -. /o -ZC,<b Signature Date 1 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 oFORM: NDMLR 05-16 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page ( of F Permit No.: WQ0000485 Facility Name: Valley Proteins - Rose Hill Division County: Duplin Month: February Year: 2020 Field Name: 2 Field Name: 3 Field Name: 4 Field Name: 5 Field Name: 6 Area (acres): 3.59 Area (acres): 8.44 Area (acres): 15.39 Area (acres): 13.83 Area (acres): 12.9 Cover Crop: Coastal Cover Crop: Coastal Cover Crop: Coastal Cover Crop: Coastal Cover Crop: Coastal Load Type: PAN Load Type: PAN Load Type: PAN Load Type: PAN Load Type: PAN Field Loaded? 0 YES NO Field Loaded? [1:1 YES NO Field Loaded? E✓ YES ❑ NO Field Loaded? YES NO Field Loaded? [2] YES NO aQi > Q° a a a > aaa Q aa 'a a a° ao oa 'm � o a s a74o am+ Qn N a�.+ N N 2 L O N 6 t 0 O J Q C >, N O J Q T t6 O J Q C Q E y C Q > o QU o 2 v a > o Q o E 0 > o M Ua 0 >o v 0 > o o a U U U U; Month gal 0 mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal m /L g Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac March 19 0.0 &0 118,337 19 2.2 2.2 986,823 19 10.2 10.2 323,950 19 3.7 3.7 612,168 19 7.5 7.5 April 0 13.7 0.0 0.0 34,519 13.7 0.5 2.7 0 13.7 0.0 10.2 418,960 13.7 3.5 7.2 1,370,957 13.7 12.1 19.7 May 0 16.55 0.0 0.0 530,377 16.55 8.7 11.4 1,103,290 16.55 9.9 20.1 887,398 16.55 8.9 1&0 517,586 16.55 5.5 25.2 June 112,391 18.1 4.7 4.7 318,743 18.1 5.7 17.1 419,391 18.1 4.1 24.2 714,083 18.1 7.8 23.8 401,351 18.1 4.7 29.9 July 94,355 46.2 10.1 14.9 282,739 46.2 12.9 30.0 413,795 46.2 10.4 34.5 480,573 46.2 13.4 37.2 209,471 46.2 6.3 36.2 August 53,902 63.95 8.0 22.9 1 291,487 63.95 18.4 48.4 669,844 63.95 23.2 57.7 666,834 63.95 25.7 62.9 545,240 63.95 22.5 58.7 September 226,422 22.45 11.8 34.7 525,030 22.45 11.6 60.0 1,224,893 22.45 14.9 72.6 1,307,503 22.45 17.7 80.6 487,437 22.45 7.1 65.8 October 104,726 25.25 6.1 40.8 302,125 25.25 7.5 67.6 1 467,191 25.25 6.4 79.0 749,912 25.25 11.4 92.0 1 599,314 25.25 9.8 75.6 November 55,165 50.95 6.5 47.3 215,765 50.95 10.9 78.4 575,326 50.95 15.9 94.9 778,992 50.95 23.9 116.0 408,201 50.95 13.4 89.0 December 75,600 44.5 7.8 55.2 521,453 44.5 22.9 101.4 663,014 44.5 16.0 110.9 1,096,565 44.5 29.4 145.4 493,048 44.5 14.2 103.2 January 202,266 31.95 15.0 70.2 483,906 31.95 15.3 116.E 8191746 31.95 14.2 125.1 1,395,247 31.95 26.9 172.3 576,716 31.95 11.9 115.1 February 124,362 22.3 6.4 76.6 1 426,784 1 22.3 9.4 126.1 898,536 22.3 10.9 136.0 11 1,474,9751 22.3 1 19.8 192.1 587,924 22.3 8.5 123.6 12 Month Floating PAN Load (Ibs/ac/yry 76.6 126.1 136.0 192.1 123.6 Annual PAN Load Limit (Ibs/ac/yr): 349 349 349 349 185 .FORM: NDMLR 05-16 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page 2, of 3 Permit No.: WQ0000485 Facility Name: Valley Proteins - Rose Hill Division County: Duplin Month: February Year: 2020 Field Name: 7 Field Name: 8 Field Name: 9 Field Name: Field Name: Area (acres): 5.86 Area (acres): 7.55 Area (acres): 11.43 Area (acres): Area (acres): Cover Crop: Costal Cover Crop: Costal Cover Crop: Costal Cover Crop: Cover Crop: Load Type: PAN Load Type: PAN Load Type: PAN Load Type: Load Type: Field Loaded? D YES ❑ NO Field Loaded? ❑ YES ❑ NO Field Loaded? ❑✓ YES ❑ No Field Loaded? ❑ YES ❑ NO Field Loaded? ❑ YES ❑ No N p °' a G N E 3 c Z 0 Qf. d` c6� Q=i �' U a� > O a U Z a d.a >• cC .s, 0 J 0 m > a '� 0O J E Z E �a U n °' o a Q N E _ z o Q.. a R N ++ R N i U 0 C > O a U Z Q d-0 >, f6 L, J 0 0 > a N 0 J E Z E �a U a °' a a Q N E 3 0 z o <- °' ;a N +.' y L U d= > 0 a U Z Q d,6 T f6 J = 0 M m >� 'a o J E Z E ,a U a °' Q a Q N E > o �, +' > 0 > U a c 0 U m o J >, t Y = 0 E > M E J U °' a Q £ 3 j o y:. R � N U✓ a c 0 U m o >, s c 0 E > t0 J U Month gal 260,741 mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac I Ibs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L I Ibs/ac Ibs/ac March 19 7.1 7.1 181,487 19 3.8 1 3.8 89,144 19 1.2 1.2 April 141,898 13.7 2.8 9.8 195,755 13.7 3.0 6.8 1,144,643 13.7 11.4 12.7 May 241,890 16.55 5.7 15.5 282,126 16.55 5.2 11.9 148,056 16.55 1.8 14.5 June 1 124,416 18.1 3.2 18.7 277,401 18.1 5.5 17.5 0 18.1 0.0 14.5 July 129,629 46.2 8.5 27.2 183,289 46.2 9.4 26.8 0 46.2 0.0 14.5 August 536,562 63.95 48.8 76.1 525,030 63.95 37.1 63.9 0 63.95 0.0 14.5 September 470,969 22.45 15.0 91.1 504,157 22.45 12.5 76.4 0 22.45 0.0 14.5 October 459,780 25.25 16.5 107.6 595,392 25.251 16.6 93.0 0 25.25 0.0 14.5 November 465,420 50.95 1 33.7 141.4 518,866 50.95 1 29.2 122.2 0 50.95 0.0 14.5 December 368,096 44.5 23.3 164.7 392,645 44.5 19.3 141.5 0 44.5 0.0 14.5 January 507,226 31.95 23.1 187.8 565,357 31.95 20.0 161.5 0 31.95 0.0 14.5 February 555,031 1 22.3 17.6 205.4 713,967 22.3 17.6 1 179.1 143,295 22.3 2.3 16.8 . .FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page 3 of, T Did the mass loading rates exceed the limits in Attachment B of your permit? D 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 corrective action(s) taken. Attach additional sheets if necessary. IOperator in Responsible Charge (ORC) Certification II Permittee Certification I ORC: Corey Lanier Certification Number: 10008728T & 1007689T Grade: WW II & SI Phone Number: 910-660-1173 Has the ORC changed since the previous NDMLR? ❑ Yes Ej No 31(s, Signature Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. Permittee: Valley Proteins, Inc. - Rose Hill Signing Official: Signing Official's Title Toby Schlink District Manager Phone No.: 9102892083 ext25119 Permit Exp.: 3/31/25 Signature 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 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