WQ0015010_Monitoring - 06-2020_20200708

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I Of-221,
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orporated
Month: June e—ar:2020
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FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of
Did the a0l..,cation rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
QCompliant
f
EjNonConpliant
QCompliant
❑Pion -Compliant
QCompliant
❑Non.Cumpliant
❑✓ Compliant
❑Non-Comphant
❑✓ Compliant
❑NonCompirant
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
PermiHee Certification
ORC: Doug Niemond
Permittee,
TDM Farms
Certification No.: 22800
Signing Official: Doug Niemond
Grade: SI Phone Number.
Signing Official's Title: Enviromental Mgr.
Has the ORC changed since the previous NDAR-1? ❑ Yes QNo
Phone Number: 910-590-6137 Permit Exp.: 12/31/25
7/8/20
7/8/20
Signature Date
Signature Date
By this signature, I certify that this report is acamate and compete to the best of my knowledge.
I cergfy, 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 property gathered and evaluated the mramnatfun submitted. Based m my
inquiry of the person or parsons who manage the system, o those persons directly responsible far 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, inchbing the possibilty 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: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page —L of 2-
Permit No.: 400015010
facility Name: TOM Farms, Incorporated
County: Sampson
Month: June Year: 2020
Field Name:
1
Field Name:
Field Name:
Field Name:
Field Name:
Area (acres):
3
Area (acres):
Area (acres):
Area (acres):
Area (acres):
Cover Crop:
small grain
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
Load Type:
Load Type:
Load Type:
Field Loaded?
❑Yes ENO
Field Loaded?
❑YES []NO
Field Loaded?
[]YES ❑NO
Field Loaded?
❑YES [:]NO
Field Loaded?
[]YES [:]NO
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Ufc
Month
gal
mg/L
Ibs/ac
Ibslac
gal
mg/L
Ibslac
Ibs/ac
gal
mg/L
Ibs/ac
Ibslac
gal
mg/L
Ibslac
Ibs/ac
gal
mglL
Ibs/ac
Ibs/ac
July
36,000
94
9.4
9.4
August
0
0.0
9.4
September
0
0.0
9.4
October
0
0.0
9.4
November
36,000
31
3.1
12.5
December
36,000
31
3.1
15.6
January
36,000
31
3.1
1 18.7
February
36,000
31
3.1
1 21.8
March
36'000
31
3.1
24.9
April
0
0.0
24.9
May
0
0.0
24.9
June
54,000
1 30
4.5
29.4
12 Month Floating PAN Load
29.4
0.0
0.0
0.0
0.0
(lbslac/yr):
Annual PAN Load Limit
275
Qbs/ac r):

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page _Z_ of
I
Did the ma.s loading rates exceed the limits in Attachment B of your permit?
�✓ Compliant ( L]tfon-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
rwnmr. nuaw ewniw car mmcw rr rrcwaaap.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Doug Niemond
Permittee:
TDM Farms
Certification Number: 22800
Signing Official:
Doug Niemond
Grade: SI Phone Number:
Signing Official's Title: Environmental Mgr.
Has the ORC changed since the previous NDMLR? ❑ ves QNo
Phone No.: 910-590-6137 Permit Exp.: 12/31/20
7/8/20
718/20
Signature Date
Signature Date
By this sign ume. I certify that this report is accurrate and comptete to the best of my knowledge.
I certify, under penalty of law, that this document and al attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel property gathered and evaluated the
infonnalmn submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly
responsible for gathering the infonnarm, the information submitted is, to the best of my know"e, and belief, true,
accurate, and complete. I am aware that mere are significant Mattes for submiltirg false information, induding the
possibility of fires 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 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _L_ ofa—
Incorporated
e_
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■ E]Effimnt EjGroundwater Lowenng ElSurfam water
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FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page .21 of _
Sampling Person(s)
Name: Doug Niemond
Name:
Name: Pace Analytical
Name:
Certified Laboratories
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 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
Perini Certification
ORC: Doug Niemond
Permittee: TOM Farms
Certification No.: 22800
Signing Official: Doug Niemond
Grade: SI Phone Number: 910-590-6137
Signing Official's Title:
III ❑ yes Quo
Phone Number: it Expiration: 12/31/2025
7/8i/20
718202O
Signature Date
Signature Date
By this signature, I certify Mat this report is a=rrate and complete to the best of my knowledge.
I comity, 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 inqutry of the person or persons who manage the system, or Mow persons directly responsible for
gathering the imortnation, the information submitted is, to the best of my knoWedge and belief, true, accurate, and complete. I am
aware that Mere are signincem 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