WQ0004967_Monitoring - 07-2020_20200826

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0004967
Name of Facility:* All Juice
Month:* July Year:* 2020
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR WQ0004967.pdf 1.93MB
FDF Only
Please upload only one combined pdf document. Upload GW-59 individually.
Confirmation Email Address:* [e-mail]
Name of Submitter:* Kimber Reese
Signature:*
Date of submittal: 8/26/2020
This will be filled in &Aorratically
Initial Review
Reviewer: Williams, Kendall
Is the project number correct?* WQ0004967

Is the monitoring report r Yes r No
accepted?*
Regional Office* Asheville
Accepted Date: 8/26/2020

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I of Hl

FORK NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2- of 4
eCompliant E] Non -Compliant
T:5C.Mphant Q Non-Compfiant
/&mpliant Mon. -Compliant
zc--phant ❑ Non-Comphant
4pliant Ej' 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: Danielle Hunter Permittee:
AIIJuice Realty, LLC
Certification No.: 1007992 Signing Official: Robert Barr
Grade: S1 Phone Number: [phone] Signing Official's Title: Signatory
Has the CRC changed since the previous NDAR-1? Yes [] No Phone Number: (828)-251-1900 Permit Exp.: 3/31/22
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 taw, that this domment 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 'be system, or those persons directly responsible forgathering the information, lbe
information submitted is, to the best of my knriwledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false informationjncludiRg 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
Raielgh, North Carolina 27699-1617

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit o.: WQ0004967 Facility Name: AIIJuice WWTF county: Henderson Month: July Year: 2020
PPI: 770, Flow Measuring Point: ❑ Influent 2] Effluent ❑ No flow generated Parameter Monitoring Point: ❑ Influent Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 4 of
Sampling Person(s) Certified Laboratories
Name: Danielle Hunter Name: Pace Analytical
Name:
11 Nam
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 19/compliant ❑ Non-Compfiant
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 necessarv.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Danielle Hunter Permittee: AliJuice WWTF
Certification No.: 1007992 Signing Official: Robert Barr
Grade: Sl Phone Number: [phone] Signing Official's Title: Signatory
Has the ORC changed since the previous NDIVIR? ❑ Yes ❑ No Phone Number: [phone] Permit Expiration: 3/31/2022
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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617