WQ0041136_Monitoring - 11-2020_20201229

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0041136
Name of Facility:* Cervini Farms
Month:* November
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2020
Upload Document*
WQ0041136.pdf 3.66MB
FDF only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
[e-mail]
Kimber Reese
Reviewer: Williams, Kendall
12/29/2020
This will be filled in automatically

Is the project number correct? * WQ0041136
Is the monitoring report r Yes r No
accepted?*
Regional Office * Asheville
Accepted Date: 1/4/2021

FORM: NDAR-1 10-19 NON -DISCHARGE APPLI TI N REPORT (N -1)
Page I of

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT ( DA -1) Page of
id the application rates exceed the limits in Attachment B of year ' permit? compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff fro.m the sites? eCompliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? Compliant ❑ Non -compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 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) takers. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
CRC: Danielle Hunter Permittee: Cervini Farms North Carolina Inc.
Certification No.: 1007992 Signing Official: Robert Barr
Grade: SI Phone Number: [phone] Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-f? ❑ Yes ❑ No Phone Number: (828)-251-1900 permit Exp.: 12/31/25
1217-A240 2- 2
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 that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
OriginalMail d�Two Copies tiR'
Division x • _
Information Processina Unit
1617

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Gage
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Kermit No.: WQOOA 1136
Facility Name: Cervini Farms WWTP Daunty: Henderson
Month: November
Year. 2020
PPi: 001
Flow Measuring Paint: ❑ Influent n Effluent ❑ No flow generated ,
Parameter Monitoring Paint:
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--

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR)
Sampling Person(s)
Rage of
Certified Laboratories
Name: Danielle Hunter Name: Pace Analytical
Name: Robert Barr Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑ 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: Danielle Hunter Permittee: Cervini Farms North Carolina, Inc.
Certification No.: 1007992 Sighing Official: Robert Barr
Grade: SI Phone Number: [phone] Signing Official's Title: Signatory
Has the ORC changed since the previous NDM ? ❑ yes E/1 No Phone Number: [phone] Permit Expiration: 12/31/2025
VAnl�
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 that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original I Two Copies
Division of z` Quality
Information Processing