The URL can be used to link to this page

Home My WebLink AboutWQ0012696_Monitoring - 09-2020_20201013FORM: NDMR 03-12 NON -DISCHARGE MO' " 3RING REPORT (NDMR) Page jrq Flow Measuring Point: El Influent [�KEffluent No flow generated Parameter Monitoring Point [I Influent Effluent n Groundwater Lowering El Surface Water INN ® .� WL"'I� I��.KIM A:ir I,1 ■'i7t� ►�1\ia+.lq �il �■lL)� �� .- 11 ?' 13 m��s��r�� m ��■�� mrr _��r��i■i �■� m��r Ua= mM ��r�� =�N� m�� ®�� Raw m•....�......C�......,ARVA .,,. m�rs,�■r�� m...... :.................a...........C...0 ....... .:.wnDaily ...........�........r.r......�."�"' �...�.�.r.. . , �:., ..��.......r........�.....r......�.....�....�...� FORM: f Z 03-12 NON -DISCHARGE MONI LING REPORT (NDMR) Page _--, f . 11_� • Sampling Person(s) Name: Name: Name: Name: Certified Laboratories Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑ 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: G 4 9 Y M f1SOrt1 Permittee: NL)0-T- P,'Pv0,•Cc R � Iilev P r/'/ Certification No.: Signing Official: S� l0 W Grade: 1 Phone Number: 2 Z — q6 1¢S2 ( Signing Official's Title: /''J 4*4 p er— Has the ORC changed since the previous NDMR? ❑ Yes to Phone N ber: 2� Z — ��i� — q5-2 t Permit Expiration: 1 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 fiat 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: NDAR-1 08-11 L NON -DISCHARGE APPI-IcATION REPORT (NDAR-1) Page Did irrigation occur -A74 Field Name:; County: Beaufort Month: at this facility?i 1 1 _. : t-Area (acres): II ,1 I Bermuda Annual Rate (in). 31,8 ::... .YE EJ NO�i :� 1 ■ • i • s •0 M x 0w } w Um im mm��rs ®----- FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) rayc V. 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? 0,ej5` rpliant ❑ Non -Compliant UZ61.pliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? Rt' mpllant ❑ Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? la<�mpliant El Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? BCompliant ❑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 taKen. Hnacn auumonai sneew n nGccaaary. Operator in Responsible Charge (ORC) Certification ORC: (� 6 kY C L) Certification No.: Grade: j Phone Number: 2 52 r U C{ `q5_-2 l Has the ORC changed since the previous NDAR-1? ❑ yes 19 FtO Signature Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. Permittee Certification Permittee: r )C,j2C % PAgm%iGc, Ri v&r" Fej-ry Signing Official: 5 A e ),ry Ho ll e Lo e I t Signing Official's Title: / (^gjA.G f,r Phone Number: 2_ l Permit Exp.: -, j D r,1G 2 6 0 to Signature Date 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 (hat 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