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HomeMy WebLinkAboutWQ0005426_Monitoring - 10-2020_20201202FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page / of= Permit No.: WQ0005426 Facility Name: Holly Point State Recreation AreaOctober 1 1 Did irrigation occur �Name� • . .� at this facility? . .. ... . ... . ■ . ,. ■ .. -■ p YES Ll NO Hourly ` . / i s . ' . 1 1 .Tri Annual - 1 �t iAnnual - iiu IilpAnnual Rate Field lrrigatej�����MIMMI Field Irrigate's m mm0 M mm= 1 1 1 -_�� -_-- -_-_ ---- FORM: NDMR 07-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: WQ0005426 Facility Name: Holly Point State Recreation • - October 1 1 11 ■ ■ Groundwater Lowering ■ Surface Water • • 1. . • • . 1 1 ®�-------�-_- • . � 1 1 ------------- FORM: NDMR 07-13 do 0. NON -DISCHARGE MONITORING REPORT (NDMR) Page J of J Sampling Person(s) Certified Laboratories Name: Jay Nicely Name: Statesville Analytical Name: Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 21 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) rdnen. r%udcn dUUMUlldl sneers a nec:Cssdry. L io�( � z6 z,i,cs�9 J-P7G ")" Zle �cLAB S4rtcb ��� s0P-A c JrA)T_ PC /,9 2, � Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Curtis Tyree Permittee: Falls Lake SRA Certification No.: SI 1004690 Signing Official: David Mumford Grade: Phone Number: 919-841-4043 Signing Officials Title: Park Superintendent Has the ORC hanged since the previous NDMR? ❑ yes 21 No Phone Number: 919-841-4043 Permit Expiration: 11/30/2026 a z. - -Z- D ✓� �-�� l //ZV ;o, Signature Date 464i 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 and Two Copies to: Division of Water Quality Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617