WQ0015010_Monitoring - 04-2020_20200518

`OW NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
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FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page o2 of Z
l
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?
❑✓ Compliant Non -Compliant
�✓ Compliant ❑ Non -Compliant
�✓ Compliant Non -Compliant
Compliant [:] Non -Compliant
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: Doug Niemond
Permittee:
TDM Farms
Certification No.: 22800
Signing Official: Doug Niemond
Grade: SI Phone Number:
Signing Officials Title: Enviromental Mgr.
Has the ORC changed since the previous
❑ Yes 2No
Phone Number: 910-590-6137 Permit Exp.: 12/31/25
oNDAR-1?
5/6/20
~ " 5/6/20
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. 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: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page j of
A
Permit No.: W00015010
Facility Name: TDM Farms, Incorporated
County: Sampson
Month: April
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?
7 YES ENO
Field Loaded?
E YES No
Field Loaded?
EYES �NO
Field Loaded?
YES ENO
Field Loaded?
EYES ENO
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Month
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
May
36,000
94
9.4
9A
June
36,000
94
9.4
18.8
July
36,000
94
9.4
28.2
August
0
0.0
28.2
September
0
0.0
28.2
October
0
0.0
282
November
36,000
31
3.1
31.3
December
36,000
31
3.1
34.4
January
36,000
31
3.1
37.5
February
36,000
31
3.1
40.6
March
36,000
31
3.1
43.7
April 0 1
0.0
43.7
12 Month Floating PAN Load
43.7
0.0
(Ibs/ac/yr):
Annual PAN Load Limit
(Ibs/ac/yr):
275

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of 2
Did the mass loading rates exceed the limits in Attachment B of your permit? ❑✓ compiiant ❑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: Doug Niemond
Certification Number: 22800
Grade: SI Phone Number:
Has the ORC changed since the previous NDMLR? ❑ yes [✓]No
Signature
By this signature, I certify that this report is accurrale and complete to the best of my knowledge.
Permittee Certification
Permittee:
TDM Farms
Signing Official:
Doug Niemond
Signing Officials Title: Environmental Mgr
Phone No.: 910-590-6137 Permit Exp.: 12/31/20
5/6/20 5/6/20
Date 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. 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: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page I of
Permit No.: WQ0015010
Facility Name: TDM Farms, Incorporated
• •
April
f 1
Parameter Monitoring Point: F]influent E]Effluent DiGroundwater Lowering [:]surface water
•
•
•
m•.
•,

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page �, of
Sampling Person(s) Certified Laboratories
Name: Doug Niemond Name: Pace Analytical
Name: Name:
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
Permittee Certification
ORC: Doug Niemond
Permittee: TDM Farms
Certification No.: 22800
Signing Official: Doug Niemond
Grade: SI Phone Number: 910-590-6137
Signing Official's Title:
III ❑ Yes ❑✓ No
Phone Number: Permit Expiration: 12/31/2025
5/6/2020
5/6/2020
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. 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