WQ0012796_Monitoring - 05-2020_20200619

FORM: NDMR 07-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page9_ of&
4 -ra It NA
f.: WQ0012796
Facility Name: Lakeview Packing Company
County: Greene
Flow Measuring Point: innuent 21 Effluent El No flow gene
Parameter Monitoring Point: D influent Effluent Groundwa�er Lowering El surface water
L
•
L'
cm
lL�-
Daily Limit:

FORM: NDMR 07-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 3 of
Fermlt N.!!. WQ0012796
Facility Name: Lakeview Packing Company
County: Greene
Month:
Year:.,?
PPI: 002
Flow Measuring Point: ❑ Influent Q Effluent ❑ No flow generated
Parameter Monitoring Point: ❑Influent 0 Effluent ❑Groundwater Lowering ❑surface Water
Parameter Code —►
60060
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24-hr
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GPD
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6
7
8
9
10
11
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12
13'
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14
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20
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21
22
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23
24
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25
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26
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27
28
29
30
31
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Average:
Daily Maximum:
r
Daily Minimum:
�=
Sampling Type:
Estimate
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:
Weekly

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page & of 5
--rmit4o.: WQ0012796Lakeview
Packing Company
County:Greene
l�
Field Name.
�ield Name:
■ • irrigation occur
Area (acres)
at this facilityq
0 YES ZN6
PRO
Hourly Rate (in):
Hourly Ra
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page - of _s:Y
PermitNo.: WQ0012796
Facility Name: Lakeview Packing Company
County: Greene
Did irrigation occurArea
at this facility.?
Field Na
Field Name::
(acres):
�9foll"UTIM PTO)
Hourly Rate (in)::
Hourly Rat (In):
H
e
MMMMM
MMMMEN
MMMMM

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page A of 8
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 ElNon-Compliant
&C-*Mpilant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? LJCompliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted, site? 2 Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? [empliant ❑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
CIIAMR5f tdrrf1. 11 CU01I duuitlulIII! aiiUM* n
Operator in Responsible Charge (ORC) Certification
ORC: �!
J �� v l "
Certification No.: Of? 9 705
Grade: wj- Phone Number: �S� . 9 — 9 8ce
Has the ORC changed since the previous NDARA? Y. g-go`
Permittee Certification
Permittee: l qK c. v: ee ci ��G� : L.E7 ,y +;G'
Signing Official:
Signing Official's Title: 7 h cz mot e-10
Phone Numbendv_,S�5 9 - 9(fQ(Y Permit Exp.: 6> 30 `,Z 0 A v2
Signature v Date Signature - Date
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge. 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page '�71 of 3
Permit No.: W00012796
Facility Name: Lakeview Packing Company
County: Greene
Month:
Year: b z
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
Feld Name:
5
Area (acres):
1.26
Area (acres):
1.26
Area (acres):
1.21
Area (acres):
0.81
Area (acres):
'l.11
Cover Crop:
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Cover Crop:
; c yrrri a d:
Cover Crop:
vu (
Cover Crop:
rtn C:� .
Cover Crop:
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
❑ YES uc1 NO
Field Loaded?
❑ YES Q No
Field Loaded?
❑ YES 21N0
Field Loaded?
❑ YES [R'NO'
Field Loaded?
❑ YES 9<0
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Month
gal
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Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
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12 onth Floating PAN Load
(Ibs/ac/yr):
Annual PAN Load Limit
(Ibs/ac/yr):5
S

FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page -6- of 15
Rarmit No.: WQ0012796
Facility Name: Lakeview Packing Company
County: Greene
Month:
Year:
Field Name:
6
Field Name:
7
Field Name:
8
Field Name:
Ifleld Name:
Area (acres):
1.11
Area (acres):
1.11
Area (acres):
1.47
Area (acres):
Area (acres):
Cover Crop:
' r ,,,y� ��{
Cover Crop:
�, r„y{
Cover Crop:
�,., ��G
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
Load Type:
Field Loaded?
❑ YES [Frio
Field Loaded?
❑ YES (f0<
Field Loaded?
❑ Yes @<o
Field Loaded?
❑ YES ❑ No
Field Loaded?
❑ YES ❑ NO
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Ibslac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
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Ibs/ac
gal
mg/L
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12 Wonth Floating PAN Load
(Ibs/aclyr):
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Annual PAN Load Limit
(Ibs/ac/yr):
tip71,'

FORM: NDMLR 08-11
1► 4
NON -DISCHARGE MASS LOADING REPORT (NDMLR)
Page J of Cq
Did the mass loading rates exceed the limits in Attachment B of your permit?
WCompllant ❑ 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.
�;5
Operator in Responsible Charge (ORC) Certification
ORC: J Gi• C o b /
u r,va �
Certification Number: 9 9 9 7 0 S
Grade: wtoI Phone Number:a5.2-Ss7 - 9'00060
Has the ORC changed since the previous NDMLR? ❑ Yes Plo
_1_�
Signature
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee: I4- A e- L) L'_ D . j1sG
Signing Official: �c e o6
Signing Official's Title: 7Y P-S / C:aE e-A)f
Phone No.: ,5,A -, j3 5% •. �� p9 Permit Exp.: 6 _ 3
v
Date 11 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 property 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617