WQ0009098_Monitoring - 06-2021_20220701

FORM: NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page i of
Permit No.00 i i,/ ' - Facility Name:5co\e,;.%A' �1 .ea County: Month: ' •gut
PPI: Flow Measuring Point: ❑ Influent ❑ Effluent V❑ milw generated Parameter Monitoring Point: ❑ Influent [1 Effluent ❑ Groundwater Lowering ❑ Surf
Parameter Code -* 50050
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p
N -• 3
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V ~ U LL
O re
24-hr hrs GPD
1
2
3 7
6
211111,11'
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8
11 _
12
13
14
15
16
17
18
19
20 :('ti . \i E -
21
22
23 ;,` , 2022
24 tom, s,;,ssr,g l!
25 C?C
26
27
28
_29
30
31
Average:
Daily Maximum:
Daily Minimum:
Sampling Type:
Monthly Avg.Limit:
Daily Limit:
Sample Frequency:

FORM: NDMR 03-12 NON-DISCHARGE MONITORING REPORT (NDMR) Page of -
Sampling Person(s) Certified Laboratories
Name: Name:
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Compliant ❑ Non-Co
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 col
action(s)taken.Attacha additional sheets if necessary.
V
�t(V V c`��akv
ISc a.r:iice4
.-c evn
Operator in Responsible Charge(ORC)Certification Permittee Certification fJ �,^ �,�,,[
ORC`Ra\�Qirh VulaIAA `lit A Permittee: �a eS �alnn �U Lim eV(TQr'1 �"CY�11t�
Certificationbti No.: L(103 Signing Official: he ZQL4r n �e(v ( 1I^
� � '''`�`7 v�l Illrrr It
Grade: S Phone Number: nt 10( (ecj o as,,act Signing Official's Titleta
Has the ORC changed since the previous NDMR? " [i Yes No Phone Number:et
Permit ppir tion:
to A!„ a[C.144A a a).1 7 5
Signature Date Signature Da
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
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitb
my inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the in
information submitted is,to the best of my knowledge and belief,true,accurate,and complete.I am aware that there
penalties for submitting false information,including the possibility of fines and imprisonment for knowing violat
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center

4 FQRM: NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page O& of�
Permit No.: c Facility Name: y% ¶iu j 6-Rest*'owe
(Dow I County: on4-F1 Month: �.n c �7CJCTi
��11 Field Name: Field Name: "~' l 11 Field Name: Field Name:
Did irrigation occur
Area(acres): Area(acres): Area(acres): Area(acres):
at this facility? Cover Crop: Cover Crop: Cover Crop: Cover Crop:
El YES NO Hourly Rate(in): Hourly Rate(in): Hourly Rate(in): Hourly Rate(in):
Annual Rate(in): Annual Rate(in): Annual Rate(in): Annual Rate(in):
Weather Freeboard Field Irrigated? ❑ YES ❑ NO Field Irrigated? ❑ YES ❑ NO Field Irrigated? ❑ YES ❑ NO Field Irrigated? ❑ YES
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V o m m ap v a CM E T c d v m c E > c m o an d �, c E >, c' °' m m m
o i . y � a; c � � c E . E . .. E> , :° m a m E °' m > d >
U y a ❑ u � a Eio •, '5 ES 'o . a Er. •E, ' E3 '5 = a Em •,ate E ' ''5 = a Ern •, ''5
❑ N a •V YO a s 3 a R_ •c ❑ mp .x 2° p O a 1= •C' ❑ m0 m = O 3 a H 'c ❑ O m = O o a i- 'C ❑ O
a=-� E N co m Q_ J Q J J Q J J > < , J n J > < L J
m a ❑ as
in
°F in ft ft gal min in in gal min in in gal min in in gal min in
1
2
4 KO 1.0Q 1Date--
5 _
6
7
8 Vor1 -*o
9
10
ii Q LO- --irf- Ss-rem _
12
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16
17
18
19
20
21
22
23 .
24 .
25
26
27
28
29
30
31
Monthly Loading: € ,
12 Month Floating Total(in): -,, m ' a`r ;

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-Compli
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Compliant ❑ Non-Compli
Was a suitable vegetative cover maintained on all sites as specified in your permit? Compliant ❑ Non-Compli
Were all setbacks listed in your permit maintained for every application to each permitted site? Compliant ❑ Non-Compli
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 6/Compliant ❑ Non-Compli
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 cor
action(s)taken.Attach additional sheets if necessary.
NO �.t�(t sae(
� �
L rn
,�ny�I Operator in Responsiblek �/ Charge(ORC)Certification Permitteet Certificationca
ORC: (.�.+ 4 V�e!' 1 Permittee: ��..meG� w t /� �i\lM C ` Y•�-ne if
Certification No.: k tO3 Signing Official: 4j4.f Ll.taj e - mt I t ale)
Grade: Phone Number: C1 vt...(oQn Signing Official's Title: Q]ctbiA t, 1 fakr
Has the ORC changed since the previous NDAR-1? ❑ Yes INo Phone Number:ot 4 ` ,��3 ,,aczo Permitr Exp.:
ga14:40A sl WM' #
I r
Signature Date • Signature Da
By this signature,I certify that this report is accurrate and complete to the best of my knowledge. I certify,u ter penalty of law,that this document and all attachments were prepared under my direction or supervision in
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted.E
inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the inform
information submitted is,to the best of my knowledge and belief,true,accurate,and complete.I am aware that there are
penalties for submitting false information,including the possibility of fines and imprisonment for knowing violation
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617