WQ0012796_Monitoring - 01-2021_20210209

FORM: NDMR 07-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page _H of_&5-e
- WQ0012796
Lakeview Packing Company
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Measuring Point: influent 2) Effluent E) No flow generated
Parameter Monitoring Point: Influent Effluent Ground, Surface Water
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FORM: NDMR 07-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page _�!_ of-8_
Lakeview Packing Company
County: Greene _j
i� Month:
F w Measuring Point: Innuent Effluent No flow gene ted_
Parameter Monitoring Point: D innuent 21 Effluent El Groundwater LowerIng Surface Water
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Daily Maximum:
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page & of
ParmitNo.: WQ0012796
FacilltyName: Lakeview Packing Company
County: Greene ':
L Month:
Field Name,
Field
r
• irrigationoccur
Area (acres):
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at this facility?
Cover Crop: 1
Cover Crop:
Cover Crop:
El 2N'O
Hourly Rate (In).i
Hourly Rate (in),
YES
Annual Rate (in)"
Annual Rate (in):
Annual ate (in):
Annual Rate (in) -
Field Irrigated? i
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FORM; NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page - Y of
Permit WQ0012796
Facility Name: Lakeview Packing Company
County: Greene
.. irrigation occuri
FieldNo.:
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at this facility?
El YES 2-NO
Cover Crop:
Hourly Rate (In):1
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ARM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page A of
Did the application rates exceed the limits in Attachment 6 of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted.site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
ElC"ompliant ❑ Non -Compliant
L''IC'ompliant ❑ Non-Compllant
L"J Compliant ❑ Non -Compliant
Compliant ❑ Non-Compllant
--pliant ❑ 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: Gv�j 7" N
tt //
Permittee: 6�K�U .� 4to i
Certification No.: 9 Uc7
Signing Official: �t:-G4� 6, fr ti �
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Grade:wtoj_ Phone Number: , 9 — g�
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Signing Official's Title: `C.�P
Has the ORC changed since the previous NDAR-1? ❑ Yes 910
Phone Number�j _ICA _9- / 4fG)& Permit Exp.: C(3 30 r,Z O;
�21 1- 7 3
1
Signature Date
Signature Date
By this signature, I certify that this report Is accurrale 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

FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page __V of
Permit No.: WQ0012796
Facility Name: Lakeview Packing Company
County: Greene
Month: J9w4
Year:
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
Fleld ame:
5
Area (acres):
1.26
Area (acres):
1.26
Area (acres):
1.21
Area (acres):
0.81
Area (acres):
).11
Cover Crop:
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Cover Crop:
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Cover Crop:
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Cover Crop:
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Cover Crop:
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Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
❑ YES RTNO
Field Loaded?
❑ YES C?"No
Field Loaded?
❑ YES CEO
Field Loaded?
❑ YES 2,' o
Field Loaded?
❑ YES 9<0
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Annual PAN Load Limit
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FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page _�5- of
Permit No.: WQ0012796
Facility Name: Lakeview Packing Company
County: Greene
Month:
Year:
Field Name:
6
Field Name:
7
Field Name:
8
Field Name:
Fieldgame:
Area (acres):
1.11
Area (acres):
1.11
Area (acres):
1.47
Area (acres):
Area (acres):
Cover Crop:
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Cover Crop:
% {
Cover Crop:
r,.+�u �f4
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
Load Type:
Field
Loaded?
❑ YES
Goo
Field Loaded?
❑YES ((p
Field Loaded?
❑ YES C<o
Field Loaded?
❑YES ❑ No
Field
Loaded?
❑YES ❑ No
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FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page _L of
Did the mass loading rates exceed the limits in Attachment B of 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
anfinntsl taken_ Attach additional sheets if necessarv.
Operator in Responsible Charge (ORC) Certification
0RC: J a C J b
%u )-k,a
Certification Number: R / 1 70 -5
Grade: (,U } 1 Phone Number: j �` -5 9 - / C1
Has the ORC changed since the previous NDMLR? ❑ Yes [�'t!lo
Signature
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
iN
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Permittee Certification
Permittee: /F}%2 LJ� L..)�C4 G�� i V L G s jLG
Signing Official: J I�L L e10 Y IV If /
Signing Official's Title: id e-,CJ�
Phone No.:25'� Permit Exp.: 6 _ 3 0. � Q l,
- 172-
Date Signature Date
1 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617