WQ0012796_Monitoring - 06-2020_20200724

FORM: NDMR07-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page_E of_&
Permit No.: WQ001 2796
Facility Name: Lakeview Packing Company
Flow Measuring Point: 0 influent ED Effluent 0 No flow generated
Parameter Monitoring Point: influent n/ Effluent El Groundwater Lowering El Surface Water
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mill
Daily Maximum:,N
Dally Minimum:
Monthly Avg. Limit::

.FORM: NDMR 07-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page � of
Permit No.: W00012796 Facility Name: Lakeview Packing Company county: Greene Month: ' Year: a
PPI: 002 Flow Measuring Point: ❑ tnfluent Q Effluent ❑ No flow generated Parameter Monitoring Point: ❑ influent ❑✓ Effluent ❑Groundwater Lowering El surface Water
Parameter Code 0
50050
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Average:
Daily Maximum:
Daily Minimum:
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Sampling Type:
Estimate
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:
Weekly

FORM: NDAR•1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page & of
Q00••
FacilityName: Lakeview Packing Company
County: Greene
Month:�e_
Field Name:
Field Name:
Field Name:
Did irrigation occur
at thiS facility?
Hourly Rate (in):,
Hourly Rate (in):
MMMMM
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page - of _
w/1 •.
Lakeview Packing • •.Greene
I Field Na
Field Name:'
Field Name,
Did irrigation occur
Area ..
at this facility.
Hourly Rate 6n)-�
Hourly Rate (in):,
Hourly Rate (In):����
Annual Rate (in):
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FARM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page - of
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?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
E5 Compliant ❑ Non-Compllant
2_ mpllant ❑ Non-Compllant
ETICompllant ElNon-Compllant
/
2 Compllant ❑ Non -Compliant
Mt-01/mpllant ❑ 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: GtGU0 hN
9
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Permittee: AKa lJ`ew G�G . Lp -1U
Certification No.: 9 Uc7
!r �.
Signing Official: ��GA7 A-
Grade:toS Phone Number:�s�. 9 — g��
Signing Official's Title: 45 `G[
Has the ORC changed since the previous NDAR-1? Yes P<o�
Phone Numbeqa�",r:k5�9-��Q� Permit Exp.: tO — J o rcz o2,
7-!. oho
Signature Date
Signature Date
By this signature, I certify that this report Is accurrale 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
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 of
PgiTilit No.: W00012796
Facility Name: Lakeview Packing Company
county: Greene
Month: -
Year: �,ZV
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
Field Name:
5
Area (acres):
1.26
Area (acres):
1.26
Area (acres):
1.21
Area (acres):
0.81
Area (acres):
).11
Cover Crop:
r ,
Cover Crop:
,' n c< �l
Cover Crop:
/ . �� (
Cover Crop:
(
Cover Crop:
f �.k_ A� c
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
❑ YES WNO
Field Loaded?
❑ YES 2No
Field Loaded?
❑ YES 2"No
Field Loaded?
❑ YES [�'NO !
Field Loaded?
❑ YES Clio
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12 Month Floating PAN Load
(Ibs/ac/yr):
Annual PAN Load Limit
(ibs/ac/yr):
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t-FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page _6� of
Permit No.: WQ0012796
Facility Name: Lakeview Packing Company
County: Greene
Month:
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:
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Cover Crop:
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Cover Crop:
/J ti
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
Load Type:
Field Loaded?
❑ YES [ NO
Field Loaded?
❑ YES (fO -
Field Loaded?
❑ YES Dio'
Field Loaded?
❑ YES ❑ No
Field Loaded?
❑ YES ❑ No
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AORM; NDMLR 08-11
NON -DISCHARGE MASS LOADING REPORT (NDMLR)
Page _ / of 8
Did the mass loading rates exceed the limits in Attachment B of your permit? 2 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
ORC: ­i—ct, f. © b e-
Certification Number: 979705
Grade: WWI Phone Number:,25.2-5-5-
7 - F(�060
Has the ORC changed since the previous NDMLR? ❑ Yes P<o
Permittee Certification
Permittee: L4K 2 Ut, e 4J '-Ct C,[e i evq C_ D . f/�y� .
Signing Official: 3_�LL plb V lv f��
Signing Official's Title: / r g,s id e,v t
Phone No.:,,,— -S5 C/ , f, Q O� Permit Exp.: _ 3 Q�
SignIture Date Signature " Date
By this signature, I certify that this report is accurrale 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 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