HomeMy WebLinkAboutWQ0039473_Monitoring - 12-2020_20210203FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
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FacilityNarne: Atkinson Milling Company
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Field Irrigated?
FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _of
`.he application rates exceed the limits in Attachment B of your permit? No
,re adequate measures taken to prevent effluent ponding in or runoff from the sites? Yes
-is a suitable vegetative cover maintained on all sites as specified in your permit? Yes
ire all setbacks listed in your permit maintained for every application to each permitted site? Yes
fare all freeboards maintained in accordance with the specified freeboard heights in your permit? N/A
,s, 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.
1 Operator In Responsible Charge (ORC) Certification Permittee Certification
e.
Andrew Wheeler Permittee:
Atkinson Milling Company
tification No.: 1006226 signing official: Andrew Wheeler
3 Grade: Phone Number: 919-631-7572 Signing Official's Title: Operations Manager
Has the ORC changed since the previous NDAR-1? No Phone Number: 919-631-7572 Permit Exp.: 4/30/23
/ 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 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 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
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1311
. , FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Pageof
Sampling Person(s)
Name: Andrew Wheeler
"am,:
Name: Microbac
Name:
Certified Laboratories
:,es all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
"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 dates) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Andrew Wheeler
5ricntion No.: 1006226
ar.
Phone Number: 919-631-7572
the RC hanged si ce the pre ious NDMR? No
Signature
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
Permittee Certification
Permittee: Atkinson Milling Company
Signing official: Andrew Wheeler
Signing Official's Title: Operations Manager
Phone Nurglber: 919-631-7572
Permit Expiration: 4/30/2023
1--3 I -A
Date Signature Date
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