WQ0012796_Monitoring - 03-2020_20200406

FORM: NDMR 07-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ E of '
PerroltNo.: WQ0012796 l�
Facility Name: Lakeview Packing Company
County: Greene
Flow Measuring Point: influent Effluent El No flow generated
Parameter Monitoring Point: Influent Effluent Groundwater Lowedng El surface Water
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Monthly Avg. Limit:'

FORM: NDMR 07-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page _.;L_ of
I err,,it No.: W0001 2796
1 Facility Name: Lakeview Packing Company
I County: Greene _T
Month: V14
Year:2 �,z U
PPI: 002
Flow Measuring Point: El influent 21 Effluent 0 No flow generated —[Parameter
Monitoring Point: ❑ Influent Effluent ❑ Groundwater Lowering El surface water
Parameter Code 0►
60050
E
U
W
0
_24-h
0
E
U
U
0
0
F r
hrs
GPD
77
2
3
4
6
7
8
9
10
C,3
4-,
111
12
j
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
—0
30
31
Average:
Daily Maximum:
Daily Minimum:
Sampling Type:
Estimate
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:
Weekly

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
11
Page 6' of
;,'�ermltNo.: WQ0012796
Facility Name: Lakeview Packing Company
County: Greene
Field Name:
Field -
`
:.
Did irrigation occur
Area (acresr
at this facili ty?
Cover Crop:
Cover Cr,iX,:,
Cover Crop-,
P,
HourlRate
Hourly Rate (I
-
El YES
Annual Rate (in):
Annual .:
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"ORM: NDAR-1 08.11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page - of _ Y
PermitNo.: WQ0012796
Facility Name: Lakeview Packing Company
County: Greene
i
nz 11,111 z
Field Name:
Field Name:
• irrigationoccur
at this facility?
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(acres):,
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A`-�RM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
r
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?
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?
Page A of
Ej;�mpllant ❑ Non -Compliant
lJCompllant ❑ Non -Compliant
BCompliant ❑ Non -Compliant
Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ompliant ❑ 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
ORC:
Certification No.: / 9 7v67
Grade: wS Phone Number: a5- .5S 9 -- 9 C��
Has the ORC changed since the previous NDAR-1? ❑ Yes
Signature v Date
By this signature, I certify that this report Is accurrale and complete to the best of my knowledge.
Permittee Certification
Permittee:
Signing Official: 73,Z_G6J 14 -- w ti47(Z
Signing Official's Title: ? cis-d(_r07'
Phone Numberi2�cl_,��9-94fQs Permit Exp.: (U J o r,Z o;
Signature
Date
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision I.n 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 __1__ of
i
Permit No.: WQ0012796
Facility Name: Lakeview Packing Company
County: Greene
Month:�,
YearZC
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
Field Name:
5
Area (acres):
1.25
Area (acres):
1.26
Area (acres):
1.21
Area (acres):
0.81
Area (acres):
).11
Cover Crop:
r;. r Y k�{ k
Cover Crop:
Cover Crop:_
Cover`Crop:
r TF �
Cover crop:
p•
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Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
❑ YES WNo
Field Loaded?
❑ YES NO
Field Loaded?
❑ YES 2,No
Field Loaded?
❑ YES : 2o
Field Loaded?
❑ YES sQ<o
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Annual PAN Load Limit
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-FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page .c of
hermit No.: WQ0012796
Facility Name: Lakeview Packing Company
County: Greene
Month: ,,,,,- k—
Year: c,
Field Name:
6
Field Name:
7
Field Name:
8
Field Name:
Field Name:
Area (acres):
1.11
Area (acres):
1.11
Area (acres):
1.47
Area (acres):
Area (acres):
Cover Crop:
jC N�j
Cover Crop:
/ �„t{
Cover Crop:
,J , , y,U{4
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
Load Type:
Field Loaded?
❑ YES Leo
Field Loaded?
❑ YES 2 NO i
Field Loaded?
❑ YES ailo­
Field Loaded?
❑ YES ❑ No
Field Loaded?
❑ YES ❑ NO
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gal
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Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
I mg/L
Ibs/ac
Ibs/ac
may
G
L'
b
12 Month Floating PAN Load
(lbslaclyr):
L
>
49
Annual PAN Load Limit
(Ibs/ac/yr):
5l%%;
`7%,'
fo2
11 ,1

FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page __L_ of
I
Did the mass loading rates exceed the limits in Attachment B 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.
Vv �
Operator In Responsible Charge (ORC) Certification
ORC: V A. c: L) b
%u rlva ? e-
Certification Number: R� 9 7 0 S
Grade: LVIV I Phone Number:,25.2_5 g - F/?00
Has the ORC changed since the previous NDMLR? ❑ Yes 9i0
Permittee Certification
Permittee: ll}k 2 U& e i,-) Pet C-Ai Nq � p . JjvC_
Signing Official: ��, L 0/0 -�� /
/ wv.vf yc_.
Signing Official's Title: / f' e_S e-A) f
Phone No.: �Jl� -- j5 5? _ C� s? 0,9 Permit Exp.: _ 02 2,
14 :/-1-
Signkure Date - Signature v Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certify, under penally of law, that this document and all attachments were prepared under my direction or supervision In
accordance wilh 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 awarethat [here 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