WQ0015010_Monitoring - 08-2020_20200909

FORM 411-1 10-13 NON -DISCHARGE APPI;'—'%TION REPORT (NDAR-1) Page I Of :?
I
Month: August
fean 2020
Did irrigation occur
this facility?
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at
0 YES FI•
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Annual�—
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FORM 4R-110-13
NON -DISCHARGE APPLI^4TION REPORT (NDAR-1)
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 of Z
[ACompliant DNon-Compliant
QCompliant Non -Compliant
Q✓ Compliant Non -Complied
QCompliant Non-GDmpliant
QCanpliant 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
Operator in Responsible Charge (ORC) Certification
Pernaittee Certification
ORC: Doug Niemond
Permlttee:
TDM Farms
Certification No.: 22800
Signing Official: Doug Niemond
Grade: SI Phone Number:
Signing Official's Title: Enviromental Mgr.
Has the ORC changed since the previous NDAR�-1? yes F�JNo
Phone Number: 910-590-6137 Permit Exp.: 12/31/25
A9/1/20
Signature Date
Signature Date
By this signature. I certify that this report is acarrate 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 parsons 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 goes 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 MLR 10-13 NON -DISCHARGE MASS I r1ADING REPORT (NDMLR) Page i of Z
Permit No.: WQ0015010
Facility Name: TDM Farms, Incorporated
County: Sampson
Month: August 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:
bennuda
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
Load Type:
Load Type:
Load Type:
Field Loaded?
❑YES ONO
Field Loaded?
❑YES ❑NO
Field Loadedl
❑Yes ❑NO
Field Loaded?
❑YES ❑No
Field Loaded?
❑YES [:]NO
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gac
Month
gal
mg/L
Ibslac
Ibslac
gal
mg/L
Ibslac
Ibslac
gal
mg/L
Ibslac
Ibs/ac
gal
mg/L
Ibslac
Ibs/ac
gal
mg/L
Ibs/ac
ibs/ac
September
0
0.0
0.0
October
0
1
0.0
0.0
November
36,000
31
3.1
3.1
December
36,000
31
3.1
6.2
January
36,000
31
3.1
9.3
February
36,000
31
3.1
12.4
March
36,000
31
April
0
May
0
June
54,000
30
July
6,000
26.4August
0
j227
j
12 Month Floating PAN Load
0.0
0.0(lbs/acfyr):
Annual PAN Load Limit
(lbslac/yr):

FORIv VLR 10-13 NON -DISCHARGE MASS r %ADING REPORT (NDMLR) Page of%
i I
Did the mass loading rates exceed the limits in Attachment B of your permit? ❑Compliant LJNon-Compllant
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
Operator in Responsible Charge (ORC) Certification
PenT ittee Certification
ORC: Doug Niemond
Permlttee' TDM Farms
Certification Number: 22800
Signing Official:
Doug Niemond
Grade: SI Phone Number:
Signing Official's Title: Environmental Mgr.
Has the ORC changed since the previous NDMLR? ❑ yes ❑✓ No
Phone No.: 910-590-6137 Permit Exp.: 12/31/20
K�z 4_z_�
9/1/20
911/20
Signature Date
Signature Date
By this signature, 1 certify that this report Is accurate and complete to the best of my krwtNedge.
I certify, under penalty of law, that this document and air attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel property gathered and evalualed the
irritizion submitted. Based on my inquiry of the person or persons who manage the system, v those persons directly
responsible for gathering the infatuation, 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 infonnetim, 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 MO( )RING REPORT (NDMR) Page of
Facility Name: TDM Farms, Incorporated
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M71 11MMIT17.1•.
.-

FORM 'MR 03-12 NON -DISCHARGE MON'-ORING REPORT(NDMR) Page -I-of3
Sampling Persons)
Name: Doug Niemond
Name:
Name: Pace Analytical
UCompliantUNon-
Name:
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
If the facility is noncompliant, 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
a uonts) raKen. Auracn aaaluunai sneers
Yes1✓INn
Operator in Responsible Charge (ORC) Certification
Pennittee 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
Phone Number: Permit Expiration: 12/31/2025
9/1/2020
9/1/2020
Signature Date
Signature Date
By this signature, I certify that this report is accurate 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. eased on my inquiry of the person or persons who manage the system, or those persons directly responsible fa
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
ai are that there are significant penalties for submitting false inimmaton, including the possibility of fines and imprisonmem 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