WQ0004967_Monitoring - 01-2021_20210225

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0004967
Name of Facility:* All Juice
Month:* January
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
WQ0004967.pdf 3.59MB
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
2/25/2021
This will be filled in automatically

Is the project number correct? * WQ0004967
Is the monitoring report r Yes r No
accepted?*
Regional Office * Asheville
Accepted Date: 2/25/2021

a
FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1 ) Page Of

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit? Ycompliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent pendingin or runoff from the site? Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? In cempliant ❑ 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) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Danielle haunter Permittee:
AllJuice Realty, LLB
Certification No.: 1007992 Signing Official: Robert Barr
Grade: SI Phone Number: [phone] Signing Official's Title: Signatory
Has the ORC changed since the previous NCAR-1? ❑ yes [21 No Phone Number: (828)-251-1900 Permit Exp,: 3/31/22
Signature date Signature ®ate
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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORD: NDMR 03-12
NON -DISCHARGE NITORING REPORT (NDMR)
Page P
of
Permit No.: WQ0004967
Facility Name: AIIJuice WWTF County: Henderson
Month: January
Year: 2021
PPI:
001
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❑ No flow generated
Parameter
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Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Danielle Hunter Permittee: AIIJuice WWTF
Certification No.: 1007992 Signing Official: Robert Barr
Grade: SI Phone Number: [phone] Signing Official's Title: Signatory
Has the ORC changed since the previous NDMR? Yes No Phone Number: [phone] Permit Expiration: 3/31/2022
4-2z-24
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 and Two Copj
ies to
Division of Water Quality
j
Information Processing Unit
1617 Mail Service Center
16