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Home My WebLink AboutWQ0034269_Monitoring - 01-2022_20220509FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page _,L of Permit No.: WQ0034269 •CravenINN • FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page -2 of -,— Sampling Person(s) Name: Drew B Piner Name: Certified Laboratories Name: Environmental Chemists Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 9'C mpliant ❑ 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: Drew B Piner Permittee: Camp Bryan Farms, Inc. Certification No.: WW 3 - SI-1004745 Signing Official: Drew B Piner Grade: WW 3/ SI Phone Number: 252-342-7261 Signing Official's Title: ORC Has the ORC changed since the previous NDMR? ❑ yes 7 No Phone Number: 252-342-7261 Permit Expiration: 4/30/2022 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 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 FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Permit No.: WQ0034269 Facility Name: Camp Bryan Farms WWTF E, County: Craven Month: January Did irrigation occur Area Area 1 • •. �- Area 1 NOHourly '. 1 • '. 1 • '. • • '. 1 Annual Rate (in) - oil mmmi m M== =� MUMMY ��2U�Ilw. )uv u.u,s u u.uU U o.00 00.00 12 Month Floating Total (in): FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Did the application rates exceed the limits in Attachment B of your permit? 171 Compliant ❑ Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? El Compliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? 171 Compliant ❑ Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? D Compliant ❑ Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? D 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(s) taken. Attach additional sheets if necessary. Fields 3-10 have not been constructed at this time. Operator in Responsible Charge (ORC) Certification ORC: Drew Piner Certification No.: WW 3/SI 1004745 Grade: 3/ SI Phone Number: 252-342-7261 Has the ORC changed since the previous NDAR-1? ❑ Yes No Signature Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. Permittee Certification Permittee: Camp Bryan Farms, Inc. Signing Official: Drew Piner Signing Official's Title: ORC Phone Number: 252-342-7261 Permit Exp.: 4/30/22 i 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 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