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Home My WebLink AboutWQ0012696_Monitoring - 11-2020_20210105FORW r1111111R 03-12 NON -DISCHARGE IV O® )RING REPORT (NDIIIR) Page _ . _ j 3V,._ i Flow Measuring Point: El influent E&ffnuent El No flow generat ed Parameter Code 0 0062 • i EMM Daily Maximum: Sam pie_� FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Sampling Person(s) Certified Laboratories Name: Name: Name: Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? compliant U 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: 6-PRY �t,1 i j1 Permittee: /VC019 T P)qrnl i cc R, I)e {r' r'errl Certification No.: Signing Official: 5�rrr y H (Aowe ► I Grade: l Phone Number: 2 S Z - 9 6 T — 'K7- / Signing Official's Title: Me)()A q'Pr Has the ORC changed since the previous NDMR? Elves 10 Phone Number: 2 SZ _ �6 �— J(�sI Permit Expiration: 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 property 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 FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _ of '=rmit_.. WQ0012696 Did irrigation �• '. • - - Nam Field Narne:: IBeaufort ®Field CI►�� at this facility? Area (acres)- Area (acres): Area - cover C p: Cover Cr Cover Crop:: aES Hourly Rate (in): r m�■�� owe �� rrs�■■m�■■� mm��—� ��■�ii�en �■�■�� m= �� ew�s��■wes■� Monthly Loading:, f �■�■■� FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) rdyc Did the application rates exceed the limits in Attachment B of your permit? Compliant ❑ Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 4�Kmpltant L7 Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? PrCompliant ❑ Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? [J<ompliant El 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 :( . Operator In Responsible Charge (ORC) Certification Permittee Certification ORC: G, A y Permittee: PX M I" C e k ` V er )C7--el-r y Certification No.: Signing Official: Aerh y P() 1/6 tv Grade: Phone Number: 2 Sz— 9C �— 1{ S Z) Signing Official's Title: M14A,Ptjf y" ? ❑ Yes o Has the ORC changed since the previous NDAR-1gYry Phone Number: j Z -p— 4s2 1 Permit Exp.: Signature Date Signature Date By this signature, I certify that this report is aceufrale 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