WQ0015010_Monitoring - 12-2020_20210128

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
Facility Name: TDIVI Farms, Incorporated
qW6 0
Month: December
Field Name:
©®-
®-
__®_-®-
®Annual
Rate (m):
®___
m
___
-_-__-

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDARA) Page Z of Z-
i
Did the apNrfcation rates exceed the limits in Attachment B of your pt_rmit? OCwnpliant ❑Non-Corngiam
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? OCompliant ❑Non -compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? Ocompliant ❑Non -compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ❑Compliant ❑Non -Compliant
OCompliant ❑Non-Comphant
If the facilitv 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
acnontsf taKun. m'.'n I. —
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Doug Niemond Permfttee. TDM Farms
Certification No.: 22800 Signing Official: Doug Niemond
Grade: SI Phone Number: Signing Official's Title: Environmental Mgr.
Has the ORC changed since the previous NDAR-1? ❑ Yes ONO Phone Number: 910-590-6137 Permit Exp.: 12/31/25
1128/21 � 1 /28/21
Signature Date Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my k noMisige. I certify, under Fatty of law, that this documentand 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 Me 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
penathes for submitting false information, including the possibility of fines and imprisonment for krnowng 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 -L- of
Permit No.: 4V00015010
Facility Name: TDM Farms, Incorporated
County: Sampson
Month: December
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:
small grain
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 ONO
Field Loaded?
❑YES ❑NO
Field Loaded?
[]YES❑No
Field Loaded?
❑YEs —]NO
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C J = Q
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O U
Q O
0 U
Q D0QVfU
a
f UU
j U
> UMonth
>U
Ibs/ac Ibs/acmg/L
Ibslac lbs/ac
gal mgA.
Iba/ac Ibs/ac
gal mg1L
Ibslac Ibslac
gal mg/L
Ibs/ac Ibslac
gal mg/L
January
36,000 31
3.1 3.1
Febmary
36,000 31
3.1 6.2
March
36,000 31
3.1 9.3
April
0
0.0
9.3
May
0
0.0
9.3
June
540,000
30
45.0
54.3
July
36,000
30
0
3ALoad
57.3
August
00
5September
72,000
3
62.October
00
62.6
November 54,000
.3
67.0
December 36.000
.9
698
12 Month Floating PA
8
0.0
0.0
0.0
0.0
(lbAnnual
PAN Lo5(Ib

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page oZ of
Did the ma.,s loading rates exceed the limits in Attachment B of yout permit? P>rnphant I L]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
.,firm/cl fakon Attach additional sheets if necessary.
Operator in Responsible Charge (CRC) Certification
ORC: Doug Niemond
Certification Number: 22800
Grade: SI Phone Number:
Has the ORC changed since the previous NDMLR? ❑ res ❑� No
Pennittee Certification
Permittee:
TDM Farms
Signing Official:
Doug Niemond
Signing Official's Title: Environmental Mgr.
Phone No.: 910-590-6137 Permit Exp.: 12/31/20
1/28/211
Signature
Date Signature Date
By this signature, I cattily, that this report is accurrale and complete to the best of my knowledge. I certify, under penally 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 la owledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fir 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: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page t of Z

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ of
Sampling Person(s)
Name: Doug Niemond I Iromp:k 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 date(s) of the non-compliance and describe the corrective
actions) taken Attach additional sheets if necessary.
1 J 1 yel INo
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Doug Niemond
Permittee: TDM Farms
Certification No.: 22800
Signing Official: Doug Niemond
Grade: Si Phone Number: 910-590-6137
Signing Official's Title:
III
Phone Number: Permit Expiration: 12/31/2025
1/28/2021
1 /28/2021
Signature Date
Signature Date
By this signature, 1 certify that the report is accurrale and complete to the best of my knowledge.
I certify, under penally 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 directy, responsible for
gathering the information, the information submttled is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are signiacam penalties for submitting false mfornalion, 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