WQ0022725_Monitoring - 11-2021_20220103

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
Report Information
WQ0022725
Slash Creek
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
SLC November 2021.pdf 754.92KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Shannon D Bracy
Reviewer: Saunders, Erickson G
1 /3/2022
This will be filled in automatically

Is the project number correct?* WQ0022725
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Accepted Date:
1 /28/2022

FORM. NOW 0&10 NON -DISCHARGE MONITORING REPORT (NDMR) Page i-- of
sampling Person(a)
Nwne: Name: Cortifted Laboratories
Name,
1,093 all monitoring date and sampling frequencies meet the reqUirements In Attachment A of your permit? E3QMWW El N&kbnpawt
If the facility [a non-compilent, Please wq9aln In the space below the reason(s) the fadlky vms not In COMPIllince. Provide In Your oplanstlan the dete(s) of the non-compliance ansith Qw
,actlon(t)t1ken. Aftac*addonal Sheets N ned decrbe corroc
cessary, .. 0
Operator In Responsible Charge (ORC) CWgA0atl®n
Permhtft comcation ORC: Devid Pharr
Shash Creek
Carlification No.: WW4285M 8121101
SIng offlow,
oncle-
IV Phone Number 2527253671 aluning official-* Title:
MOD the ORC chanjiled since the Previous NDUR? El Yes [0 No Phone Number -
Permit Expirallow
Al
Date
By We 8WALM, I Signature
'hN M 15 F=Wa% and oannplids I* the beg of My knuvAs .1
Under femly Of RN, dmt 1116 OmMent and 'It. DIU
McMalarm Whh 8 MYSISM 61migned to amn that am quW , Me , d
pmannid prop" Ralherad Wei oakum Big wornoft BUbmftd. Saud on my lnqft of ft Person or pargang MW MWLV@ th@ VpMrn, or
� Mn ft k"reaft &6mftd 11, to the boo of aW WMadgagg d bdK M, a 98UN" the h 'bmabnPWWM WGUY r&W
ble
end COMPIN& I
ff 6'"re h�et owe Mrs WGMM—t PM01098 for submifting faMe kftmdon, jWL0V M PWWKY
gamn"
Waft AftUma, uFffirm"Impflsonmerdibr
1111all 011911nal and Two Copies to:
Division of Water Resources
Information, proc"Ging Unit
1817 Mail SerViCis Center
Raleigh, North C1110111141 27890-1817

FORM: NDAR-1 ol NON-01SCHARGE APPLICATION REPORT CNOAR-1) Page of
sk WMP
County: Dare I Month: November
2021
Year
Field Narnen 2 if
FM__ d Mum: J
Field Now 6
Area jacres):J a.o4U
0.04
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M
R -lift Cow Crop: 1 Cover Crill
0 Hourly Rate (iinp'
0.4
0A M Hourly Rate (in):
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FORKNDAR-1 05-16 NON -DISCHARGE APPUCATION REPORT (NDAR-1) Page -IL- of
ek WVv7P T
I coul Dom Mail Novembeyear.
2021
Field r Name:' Flold ill=
Field lilme:1 io
Am (morn):
0.04 Iscreal 0.08
v Arm (&@ros). 1 O.D4
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Cowill
U
Yes 13 No 00 1 OA No U, Cover Cri
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i Hourly Rate P 0.4
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Aril Rab pil 1
Weather Freebowd pigil Irriggigid' H 243 Annual Rate (In}: 343
IYES Field irrigated?
Ya NO Ill Ird0wr 13 NO Field I
rrigaw YES 7
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In 11
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FORM: NDM-1 05-1(1 NON-01SCHARoE APPLICATI ON REPORT (NDAR-1) Page of
VMTp
I Colinly:
Month. November Year: 2021
M Field Name:
--12 Field Menit.,
)6 Is Field Neale:
Area (acres) 14
0.0a
Am rCrop:iaarse).-j
0.05 Area (sern):i0.06
,
Laver Crfly aft.. 0.4-
Cover Crop(in).1 0.4 : 4 1,11-1lAnnua
- tbe
d?.
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Wather S00rd Field IYEField IrWftd?Anmal Reb {I
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9 Annual Rifte ((iInn)p. I 343
YES
ff Field Ir
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NON -DISCHARGE AP LI R-PO (NDAI Pape d
725 ft Nam- Slash Crete Will
1169-00022
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ati1 N - Ft
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FORK NDAR-1 05.16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit-?
WOrs RdsQuate measures taken to prevent effluent ponding in or runoff from the altos?
Was a suitable vegetative cover maintained on all sftw as specified In Your permit?
Were all seftclo listed In Your Permit maintained for every aPPlicadon to each permitted site? 21 cb�t
Were all freeboards maintained In accordance with the specified fte.pboard heigh In your permit?
if the facility is nOn-cOmPflant, Plesse explain In the space below the reason(s) the rgollity was not in 21 conkmnt
compliance. Pmvide In Your explanation ttaddthe dats(s) of the non-compilaneg and d"crlbe the conactk
action(a) taken. Ach aitional sheals ces N nesary
ORC; David Pharr
Cardfication No.: WW426= 8121101
Qrsde: IV Phone Number, 2527253871
Parmittes cordflostion
Date
44M to b6M OF my kroWafte,
ft strAduft I M* Mw thisrepon is Q=Kfaft ww Signature A
y dk*Wm w w*wW@n Lq MMft=
kftMObn aubmftj BaM qq pW
for oft" Me Wmalark ft
sm &wm Vwt ftm NO dgAmd
t for WVA*v wwow-&
AM Original and Two Copies
Division Of Water Resouraw
InfOrmatiOn Processing Unit
1617 mail service Center
Raleigh. North Carolina 27699.1 Ill 7