The URL can be used to link to this page

Home My WebLink AboutWQ0018857_Monitoring - 01-2021_20210301FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Permit I Facility Name:L �11 • Field Na...� Field Name: .. irrigation occur at this facility? YES [KNb Hourly Rate (in):! rem M M, rx WMI 11 N Hourly Rate (in): Annual Rate (in):' Annual Rate (in): Annual &ate (irfl- ©INS Emm MINNIEU �� NON ©�� ■�� ms�m�� o m�� M MI10101 0010101INNIN � MEN MON am= 10000001 IMMENSE MEN Ism a MEN NON �� M�t/1I/1�� ME � �� am SON 10011100110 — M 100101 1100010101011� MINE M�� II1110011 � W-100 , tll�il�1110101 110001110001 mmmm�� 001110001119151 �\/,11WYi�/� �INIM10001� mmmmm 101/110011110WO KWARM100111� 11M i 000101�� MINE I00/01=11 SIMON[\m MEN mINS N 0011■►RM, 011000Ww MEN ®INS m 00111110110�� 1000101M M01 m NON N MINES 3110000001 1110101 100100110101�� 0101001110101MINE �� mm 001101 MR. ME MEN m MEN NON NON S��110111�� SHIM SIMON�� mmmmm�—JWIPAWN GINNIE HIM CLIMB,7 mmmm ME GINNIE HIM mmmmm 110101 100100 IMMENSE�� m mmm m ME NIMMONS 10010111110101 MEN mmmmmm HIM ®1000011001 100001 ME SIMON�� m m mm 11MI10001 IMMENSE110011110001 �� m mm NIMMONS 110001M. � ��■ NON 100100 100100110101 MEN mmmmm MIMES 100100110101 100101 001001�� • n t h I y L • a • %////%�%//////1000 Is%/////�%�%///// �;%/////ice, i • %/////%%////%i�%///////:%////////:%///%//:%/////%%i/////%i'%/i�%///////.�//////////:%///%�%///////. 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? ❑ Compliant ❑ Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑ Compliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑ Compliant ❑ 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(g) taken Attarh nrirlifinnal chaofe if n... c -- Operator in Responsible Charge (ORC) Certification ORC: gC✓U'41Ntr'n Le,3$iTGr Certification No.: (Op 183 Z Grade: 3 Phone Number: ZSZ — $ t 3- 2 7ry6 Has the ORC changed since the previous NDAR-1? ❑ yes ED-me Ze2a� 2--2,3-z Signature Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. Perm ittee: Signing Official: Signing Official's Title: Phone Number: Permittee Certification Permit Exp.: Signature Date 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 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