WQ0015010_Monitoring - 10-2020_20201105

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _L of
6 1
Facility Name: TOM Farms, Incorporated
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page-I—of�
Sampling Person(s)
Name: Doug Niemond i✓jcompl4 INon
Name:
Name: NCDA & CS
Name:
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
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 dates) of the non-compliance and describe the corrective
.........................
I✓IYel No
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Doug Niemond
Permittee: TDM Fanns
Certification No.: 22800
Signing Official: Doug Niemond
Grade: SI Phone Number: 910-590-6137
Signing Official's Title:
Ill
Phone Number: Permit Expiration: 1213112025
11 /512020
11/5/2020
Signature Date
Signature Date
By this signature, I cemity that this report is accurate and oomplete 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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page I of�
Permit No.: dVQ0015010
Facility Name: TDM Farms, Incorporated
County: Sampson
Month: October 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 ENO
Field Loaded?
❑YES ❑NO
Field Loaded?
❑YES ❑NO
Field Loaded?
❑YES ❑NO
Field Loaded?
[]YES [:]NO
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Month
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
lbsfac
Ibslac
gal
mg/L
Ibslac
Ibslac
gal
mg/L
Ibslac
Ibslac
gal
mg/L
Ibslac
Ibslac
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
3A
15.5
April
0
0.0
15.5
May
0
0.0
1
June
54,000
30
4.5July
36,000
26.4
2.6August
0
0.0September
72,000
26.4
5.3October
0
0.0
i
12 Month Floating PAN Load
27.9
0.0
D.0
0.0
0.0
(lbs/aefyr):
Annual PAN Load Limit
275
(Ibslac! r):

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page .21 of Z
I i
Did the mass loading rates exceed the limits in Attachment B of your permit?
OCompllant 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 dates) 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
Peritiftee:
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? ❑ ves ❑✓ No
Phone No.: 910-590-6137 Permit Exp.: 12/31/20
11 /5/20
11 /5/20
Signature Date
Signature Date
By this signature, I certify that this report is acwtrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my urection a supervision in
accomance 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 wbo manage the system, or those persons directly
responsible for gafhenng the information, the information submitted is, to the beef of my knowledge and belief, tree,
accurate, and canpiete. I am aware that there are significant penalties for submitting false information, blckjong 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: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I of__Z_
PemitN,.. VQ0015010
Facility Name: TOM Farms, Incorporated
Month: October I eear: 2020
r
ccui�Area
• . irrigation oat
(acres):
Areal (acres);
this facility?
■ G
-I.�-i
-®-
�`-R-

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page .2of Z
Did the application rates exceed the limits in Attachment B of your permit? Ocempliant [ rion-compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Qcompliant ❑Non -compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? QCompliam ❑Non-compttant
Were all setbacks listed in your permit maintained for every application to each permitted site? Ocompliam ❑Noncompliant
❑✓ Compliant ❑Noncomphant
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
mncu. rower cwn�o��o� ���oow ��
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Doug Niemond
Perini
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 ❑No
Phone Number: 910-590-6137 Permit Exp.: 12/31/25
11/5/20
11 /5/20
Signature Date
Signature Date
By this signature, I car* that this report Is acwrrate and complete to the best of my knowledge.
I cer illy, 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, inciuding the possibility of fires and imprisonment for knowing Wolations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617