WQ0012796_Monitoring - 07-2020_20200824

07-13 NON -DISCHARGE MONITORING REPORT (NDMR)
Page Y of —6_
4- Permit No.: WQ001 2796
Facility Name: Lakeview Packing Company
County: Greene
11
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Monitoring •. ■ influent Effluent■ erIngSurface Water
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FORM: NDMR 07-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0012796
Facility Name: Lakeview Packing Company
county: Greene
Month: ' c L
Year: U C,
PPI: QQ2
Flow Measuring Point: ❑ Influent ❑' Effluent ❑ No Flow generated
Parameter Monitoring Point: ❑ Influent 0 Effluent ❑Groundwater Lowering El surface Water
Parameter Code — ►
60050
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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 & of3_
PermitQ01 •.
Lakeview Packing Company
County:Greene
.®
•: .
•irrigationI�•
ccur
Area (acres):
Area (acres
Area (acres):
at this facility?
Cover Crop:
-1
Cover Cr M
.0'
Annual Rate (in):
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page - of
.. WQ0012796 'Facility
Name: Lakeview Packing Company
County:'
'
•
Did irrigation occur
.
WMZ
: . . :
: . Name:
Area (acres):
Area (acres):
at this facility?
MOON
Cover Cr*,;t:
Cover Crop:!
■ �.
Hourly Rate (ift:
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Annual Rate (in)-i
'Annual Rate n
Annual Rate (in):
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r-ORM: NDAR-1 06-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page A 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?
E Compliant
❑ Non -Compliant
21 mpllant
❑ Non -Compliant
E Compllant
❑ Non -Compliant
Compliant
❑ Non-Compllant
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: t tGU� /� 1-N e
jj
Perm: l AfcrU`ew �cs G� -tics'
Certification No.: 1� y 9 [��
Signing Official• 0.6
Grade:ww j- Phone Number:0I9 _
O�i
/©
Signing Official's Title:? d,,,i;t
Has the ORC changed since the previous NDAR-1? ❑ Yes
o'
Phone Number-�j 9' / 0 2) Permit Exp.: �(} 30
�j�
7-2 oZ O
Signature
Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
1 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

FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of 13
ermit No.: WQ0012796
Facility Name: Lakeview Packing Company
County: Greene
Month: l
Year:
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
Fled Name:
5
Area (acres):
1.26
Area (acres):
1.26
Area (acres):
1.21
Area (acres):
0.81
Area (acres):
i.11
Cover Crop:
f
Cover Crop:
,j i rlyt a ��
Cover Crop:
(�
Cover Crop:
v,
Cover Crop:
,.
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
❑ YES iJNO
Field Loaded?
❑ YES Q No
Field Loaded?
❑ YES LSO
Field Loaded?
❑ YES (R'No
Field Loaded?
❑ YES [. }•trio
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FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page _57 of
Permit No.: WQ0012796
Facility Name: Lakeview Packing Company
County: Greene
Month: l
Year:
Field Name:
6
Field Name:
7
Field Name:
8
Field Name:
Fle1A Name:
Area (acres):
1.11
Area (acres):
1.11
Area (acres):
1.47
Area (acres):
Area (acres):
Cover Crop:
- ,,htic{
Cover Crop:
,' ,,,(c
Cover Crop:
,� �,�{u
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
Load Type:
Field Loaded?
❑ YES 5?"N'o
Field Loaded?
❑ YES [:i0
Field Loaded?
❑ YES [L�<o
Field Loaded?
❑ YES ❑ No
Field Loaded?
❑ YES ❑ NO
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12 Month Floating PAN Load
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Annual PAN Load Limit
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.FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page / of
Did the mass loading rates exceed the limits in Attachment B of your permit? LlOt: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: J Gi. C. D b
7c rNcc
Certification Number: 979705
Grade: L1t IV I Phone Number:v25.2-Ss7 - / COI OP
Has the ORC changed since the previous NDMLR? ❑ Yes i K
rd
Signature
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee: / A2 U< e L.) 1Ct C_1�4 i Ny (�_ p . IVC_
Signing Official: �C 4 0/0 /. /V4,�
Signing Official's Title: / Y e-5 id t`N i
Phone No.: �Jl� -S3 . C/8 p9 Permit Exp.: & _ 3
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. 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