WQ0015010_Monitoring Reports 2021_20220322

FORM: NDAR-1 1013 NON -DI NARGE:A.PPGICATION REPORT (NDAR4) Page:—j—of

FORM: NDAR-1 10-13 NON -DISCHARGE -APP. UCATION REPORT (NDAR4)
Page -/-. of
Did the application rates exceed the -limits in Attachment B of'your;permit? QCoinp4ant [Uanm mpiiant
Were adequate measures taken 10 prevent effluent -ponding.in or runoff 'from the sites? pcompliant EINon-can,pliant
Was.a suitable vegetative cover maintained on all'sites as.'specified in your permit? pCompiiant Okon.cwoant
Were all setbacks listed in your'permit maintained,for every application to each permitted:site? QComptient ONon-Compliant
QCornptiant Ej NoTcmpliant
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.
,
C
t
Operator.In Responsible Charge (ORC) Certification
Peirnitfee Certification
.ORC: Doug Niemond
Permittee:
TDM Farms
Certification No.: 22800
•Signing official: Doug Niem'ond
Grade: Si Phone Number:
Signing Official's:Titie: Enviromental Mgr.
i
Has the ORC changed since, the previous NDAR-17 _n yes QNo
Phone Number: 910-59076137' Permit:Ezp.:, 12t31125
1/4122
14122
,Signature' Date
Signature s Date
ii
By this signature, I cerWy.that.this.repoo is accurate and complete to the best of my knowledge.
1 certify, under penalty of taw, that this document and all attachments.were.prepared under my direction or supervision in accordance
with a system designed to assure that all qualified persornoi property gathered and evaluated the information submitted, Based on my
inquiry of the person orpemons who manage the system, or:those persons directly responsible for gathering the information: the
Information submitted is, to the !hest of my knowledge and.be W, true, accurate, and complete. I am aware that there are signif€ wI
penaNies for subndifing falseinlormaliom, Including the possibility of tines 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

FORMrNDMLR 10-93 NOWDISCHARGE MASS LOADING REPORT(NDMLR) Page of '

FORM: NDMLR 10-.13 NON,DISCHARGE MASS -LOADING REPORT (NDMLR) Page -21 of�.
Did the mass loading rates exceed the, limits, in Attachment B of your permit? pCompliant QNoo-compliant
if the facility'is iron,compliant, please explain in the space belotiv theaeason(s) the f cility was not in compliance. provide in your explanation the date(s) of the non-compliance and desexibe_the corrective
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Doug Niemond Permittee: iDM Farms
Certification Number. 22800 g Signing Official:
Doug, Niemond
Grades $I Phone:Num-ber: Signing Officials Title: Environmental Mgr.
Has the ORC ehanged'slnce the pravious NDMLR? 0 Yes: QNo Phone No.: 910-590-6137 Perrnit.Exp.: 12131/20
,
_ . 1/4122 1/4/22
Signature date IX Signature; Date
By ibis signature, l cartilyr that this report It aecurrsle and complete to do bestof my knowledge. , I certify, under a of law, that this document and all attachments were 1� ay prepared under my direction or supervision in
accordance with a system designed to assure that all quailrred 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 [here are significant penafts. for submitting false information, including the
possibllity of fines and imprisonment for knmft violations.
Mail Original and Two Copies to:
Division &.Waiter Resources
lnf irmatioh ProcessingUnit
11617 Mail Service Center .
Raleigh, North Carolina 27699-1617

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NOMR)
Page f of
Permit No.: WOOO16010
Facility Name:
TDM Farrns, Incorporated
County:
Sampson
Month:
December
11Flow
Meamuring Point'[:Ilrmuent EjEffluent ®NOtl?'wgenerated
Pararnotdr Monitoring Pointi
El�
E]Groundwater Lowering nqpfam Water
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., FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page, of=
Sampling Penion(s) Certified Laboratories
Name: Doug Niemond Nafrre: NCDA & CS .-
'I+rlComPM INon-
Name: Name:
Does ail monitoring data and sampling frequencies meet the requirements in Attachment,A of youir permit?
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.,
I'vI Yel INo
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Doug Niemond'
Permittee: l'DM Farms
-Certification No:: 228.00
Signing Official: Doug Niemond
Grade: SI Phone Number: . 910-590-6137
Signing Official's Title:
111
Phone Number: Permit Expiration: 12/31/2025
1l412022
=k/
:. 1/4/2022
Signature Date
Signature Date
By this algnalure, I certify that this report Is accutrate and complete. to the best of my knowledge.
I certify, under penalty of law, that this document and all, attachments were prepared under my duedlon or supervision in
axordance with a systemdesigned to assure that all qualified personnel properly gathered and evatualed.the Information
submilled. Based on my inquiry of the person or persons who manage. the system, or those persons directly responsible for
gatherhg"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'submitfing false information, including the possibility of lines and imprisonment for
knowing violation.
Mail Original and TW& Copies to:
Division of Water Resources
Infdrmation Processing Unit
1617 Mail Servic&Center
Raleigh, North Carolina 27699-1617

SUBMIT FORM ON
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION t-tease rnnt ueany or type
Facility Name: TDM Farms Truckwash
Permit Name (if different):
Facility Address: Box 300 Newton Grove, NC 28366
Box 300 Newton Grove, NC 28366 County Sampson
act Person: Doug Niemond
Location/Site Name: TDM Truckwash
LID NUMBER (from Permit): MW-1
Depth: 20.4 ft.
i to Water Level 82546: 10.3 , ft. below measuring point
luring Point is ft. above land surface
ne of water pumped/bailed before sampling:
ales for metals were collected unfiltered: ❑ YES ❑
Telephone#: [phone]
No. of wells to be sampled: 1
Date sample ollected: 11
Well
PAPER ONLY
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER 0, 1RCES
INFORMATION PROCESSING UNIT
7 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
PERMIT Number: Expiration Date:
Non -Discharge W00015010 UIC_
NPDES Other_
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
11011 Spray Field ❑ Remediation: 16.2
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
Screened Interval: 15 ft. to 20 ft.
Relative M.P. Elevation: ft.
gallons
NO and field acidified: © YES ❑
Date sample analyzed: 7/23/21 Laboratory Name: Waters Agricultural
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
FIELD ANALYSES:
pH 0040o: 6.0 units Temp. 000lo: 16.2
Spec. Cond. 00094: µMhos
Odor Doom:
Appearance
oC DRY at
time of
Certification No. NCWW#ND
COD 00335
mg/L
Nitrite (NO2) as N oo61s
mg/L
Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 nd
/100mL
Nitrate (NO3) as N 00620 0.52
mg/L
Zn - Zinc 01092 mg1L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.01
mg/L
P, 1= 1N
(Nola: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentretidh Units):
)issolved Solids:Total 7030o 219.2
mg/L '
Al -Aluminum o11o5
mg/L
MAR 9. 2 2022
pH (Lab) 00403 7.03
units
Ba - Barium 01007
ug/L
TOC omoo
mg/L
Ca - Calcium 00916
mg/L
DWWTO
Chloride 00940 13.0
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug1L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 000gs
µMhos
K - Potassium 00937
mg/L
VOC 7673 method #
Total Ammonia oo610 .05
mg/L
Mg - Magnesium 00927
mg/L
method #
(Arrxnorra Nitrogen; NH,, as N; Ammonta Nitrogen, Tote
Mn - Manganese o1o55
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
here: ❑
GW-59 Rev.3-1-2016

SUBMIT FORM Of' "rLLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
or
=acility Name: TDM Farms Truckwash
Dermit Name (if different):
-acility Address: Box 300 Newton Grove, NC 28366
Box 300 Newton Grove, NC 28366
Ict Person: Doug Niemond
Location/Site Name: TDM Truckwash
County Sampson
Telephone#: [phone]
No, of wells to be sampled: 1
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER I URCES
INFORMATION PROCESSING UNIT
r MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
PERMIT Number: Expiration Date _ L
Non -Discharge WQ0015010 UIC_
NPDES Other _
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
FOR Spray Field ❑ Remediation: 17.2
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
;wIE ID NUMBER (from Permit): MW-1 Date sample collected: 11/17/21
✓Nell Depth: 20.4 ft. Well Diameter: 2 in.
Depth to Water Level 62546: ft. below measuring point Screened Interval: 15 ft. to 20 ft.
Measuring Point is ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: gallons
Samoles for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑■ YES ❑ NO
FIELD ANALYSES:
pH 00400: 6.0 units
Spec. Cond. 00094.
Odor 00085:
Appearance
Date sample analyzed: 7/23J21 Laboratory Name: Waters Agricultural
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L Pb - Lead o1o51
Coliform: MF Fecal 31616 nd /100mL Nitrate (NO3) as N 00620 0.52 mg/L Zn - Zinc 01092,
If WELL
Temp. 00010: 17.2 °C DRY at
µMhos time of
1--q.qmnlir
Certification No. NCWW#ND
ug/L
mg/L
Coliform: MF Total 31504
M00ml_
Phosphorus: Total as P 00665 0.01
mg/Lf
Units):
(Note. Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specif din jol d prlobribo ration
issolved Solids:Total 70300 148.8
mg/L
Al -Aluminum o11o5
mg/L
pH (Lab) 00403 7.57
units
Ba - Barium o1007
ug/L
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 13.0
mg/L
Cd - Cadmium 01027
ug/L,-
Arsenic 01002
ug/L
Chromium: Total olo34
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron o1045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900 ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium oo937
mg/L
VOC 7873 method #
Total Ammonia 00610 0.71
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammorna Nitrogen. NH3a5 N. Ammonia Nitrogen. Total)
Mn - Manganese o1o55 "' = 20tt g/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mg/L Effluent Total VOCs: mg/L VOC Removal%
Doug Niemond Env. Mgr.
Permittee (or Authorized Agent) Name and Title - Please print or type Signature of P rttae (or Authoriz genq [uaret
GW-59 Rev.3-1-2016

k
e. Page � Of Z—
FnaM_ NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-I)'

FORM: NbAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR4)
Page 2— of �--'
Did the application rates exceed the limits In Attachment B of your -permit? QComptant ❑Non -Compliant
Were adequate' measures taken to prevent effluent ponding{yin or runoff from the sites? Qcompliant. QNon-compliant
Was a suitable vegetative cover, maintained on all sites'as-specified in your permit? n, compliant []Nan-comp±rant
Wereoli setbacks listed in your permit maintained for every application to each-permitted.site? Qfompliant [❑Non-c«nprant
QCompliant Non -Compliant
�:::... , ..• ..,s—r •maven awnlain in tha soaci below the reasons) the facility was not incompliance. Provide in your explanation the date(s)' of the non-compliance and describe the corrective
Attach additional Sheets it,
operator in Responsible Chatge (ORC) Certification Permittee Certification
ORc: :Doug Niemond Permittee: TDM Farms
Certification No.: 22800 ( Signing Official: Doug. Niemorid
t Title: Signing Official's Enviromental Mgr.
GradeC SI Phone Number: '
Has the ORC changed since the..prevtous NDAR-1? Phone. Number:. 910-590-6137 Permit Exp.: 12131/25
Yes . QNo
1271 /21
Signature
Date Signature Date
By lids signature, I oeNly,thai INS report is a=rrats and domplete to the best of my knowledge.. I certify, under penally or.law, that this; document and at altachments were prepared under my direction or supmIsion in accordance
with a system designed to assure that aff qualified perso" properly gathered and edaluated the iihforrnalion submitted. Based on my
inquiry of the person or persons who manage the system, of those persons directly responsible for gathering the iMormatibn, the
kdorma*m submitted is,.lo the best of my knowied9e.and Wef, true, accurate, and complete. I am aware that there are significant
penatles for submitting false kdormallon, 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.Seniice.Center,
Raleigh,, North Carolina 276994617

Page of
FORM: NDMLR 10-13 NOWDISCHARW MASS LOADING REPORT (NDMLR).

• FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of 2
Did the mass loading rates exceed'the limits in Attachment B of your permit? Mrompliant nNon-compuant
If the facility; is non compliant, please explain in the space:beiow the reason(s). the facility was not in compliance., Provide in your explanation the dates) of the: non-compliance and describethe corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification Peimittee Certification
ORC: Doug.N emond taermittee:
TDM Farms
Certification Number: 22800 Signing Official:
Doug Niemond
Grade: SI Phone Number. Signing Official's Tine: Environmental Mgr.
Has the ORC changed since the previous NDMLR? ❑Ties []✓ No Phone No.: 910-590-6137 Permit Exp,: 12/31/20
1211121 1211121
Signature Date Signature Date
W this signature. I eeriffy that this report is acamte and complete to the best of my knouAedge. I certlfy, under penalty of law, that this document and all attachments were prepared under My direction or supeMsion in
accordance with a.syslem designed to assure that all qualified personnel property gathered and evaluated the
Information submitted. eared on my Inquiry of the perm or persons who manage the system,.or.those persons directly
fe responsibfor gathering the information,.the information submitted Is, to the best of -My knowledge and belief, true,
accurate; and complete, tam aware that there are significant penalties for submilling false Mfomurtlen, Wu. ding the
. possibility of fines and imprisonment for knowing vfolaiions.
Mail..Originat and Two Copies to:
Division of Water Resources
information Processing Unit
1617.Maii Service`Center
Raleigh, North Carolina 2T699.1617

e' FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page __ L of
Permit No.: WQ001 5010
FacilityName:
TDM Farms, Incorporat6d
County-,
Sampson
Month-
November.
ppl: 001
Flow.Measuring Point: olinfltent (AEMent NO fl* generated
Parameter Monitoring Point:
F.1influent
[Afmuent
ElGrounmater Lowering nSurface Water
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FnRM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page 2, of
Sampling Person(s) Certified Laboratodes,
Name: NCDA & CS
Name: Doug Niemond
JC=04 Iron- -
Name: Name:
Does all monitoring data and samplingfrequencies meet th- requirements in Attacnment A of your permit r
If the facility is non -compliant; please explain -in the space Below the reason(s) the facility was not in compliance. 7 Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
,t
d
1-�IYei (No
Operator in Responsible Charge (ORC) Certification
Pertnittee Certification
ORC: ' Doug Niemond
Pennittee: TDM Farms
Certification No.: 22800,
Signing Official; Doug Niemond
Grade: SI Phone Number; 910=590-6137
Signing' official's Title:
Ili
t
'Phone Number: Pe iratIon: 12/31/2025
1211/2021
_.. .............
12t.112021
Signature
Date,
Signature Date
ey rich signature; l certify that this report is accurrate.and complete to the hest of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In
designed to assure that all qualified personnel property gathered and evaluated the information
accordance wnh a system
submitted. Based on my Inquiry of the person or perxmswho manage the system, or arose persons directly, responsible for.
'gatherfng the information, Me information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
'
aware 0*1 there are significant penalfies'for submiffing false iilformatlon, Including the possibility of fines and imprisonment for
knowing viotallons.
Mail Original and'Two Copies to:
Division of Water Resources
'Information Processing' Unit
1617 Mail Service Center
Raleigh, North Carolina 276994617

FORM: NDAR416-13 NON -DISCHARGE APPLICATION REPORT (04604), Page of

FORM: NDAR-1:10-13
NON -DISCHARGE APPLICATION REPORT,(NDAR-1)
Page Z of
Did the application rates exceed the limits in Attachment B: of your permit?
Qcompliant
C1Nmcompl'iant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
pCornpiiant
❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
®compliant
❑Non -Compliant
Woe till setbacks listed; in your permit maintained for a rery: application to each permitted site?
ptAmpliatrt
❑Non con,plianc
Qcompiiant
❑Non -Compliant
If thafar36ty is non -compliant. olease exniain' in the space Below the reasons) th6 faci.lity was not in compliance. .ProVide'in your explanation the date(s)
of the. non=compliance and describe the, corrective
action(s)taken,Attachadditional-sheets if necessary.
operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: DougNiemond
Permittee:.
TDMfarms
Certification No.: 22800
Signing Official: Doug Niemond,
.Grade:. SI. Phone Number:
Signing Official's Title: Enviromental Mgr.
Has the ORG changed. sintie the previous NDAR-1? ❑Yes ❑✓ No
Phone Number: 910-590-6137 Permit Exp..-12/31/25
1118l21
. 11021
..
Signature Date
Signature Date .
By tits signature, I car* that this report Is eccunate and complete to the best of my knowledge.
1 cettKy, under penaltyof taw, that this document and all attachments were prepared under my dkecfion or supervisbn in accordance
designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
with a system
inquiry of ffre,person or persons who manage the system; orthose persons directly responsible for gathering the Information,:" .
fnformation subrttitted is, to tiffs Best of myknowiedge and belief, true, accurate, and wmplete. I am aware that there are signtfk�t
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violafions.
Mail Original and Two Copies to:
•:Division of Water Resources
Y Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMLR 10-13
NOWDISCHARGE MASS LOADING REPORT (NDMLR)
Page + of'.

.,
FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page - of -
Did the mass loading rates exceed the limits in Attachment B of your permit? QCampiiamt pNonComphant
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
actions) taken. Attach additional sheets if necessary..
(
Operator in -Responsible Charge (ORC) Certification Permttee Certification
ORC: Doug Niemond Permittee' TDM Farms
Certification Number: 22800 Signing Official: Doug Niemond
Grade:, SI Phone Number: Signing Officiars Title: Environmental Mgr.
Has the ORC changed since the previous NDMLR? E]Yes ' E]No Phone No.: 910-590-6137 Permit Exp.: 12/31 /20
11/8/21
11l8/21
Signature # Date %� Signature Date
By this signature, I'cettitythat this report is aecurtate and complete to the best of my knowladge. 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 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 hefier, true,
accurate, and complete. I am aware that there are. significant peaaiiles for soWnfiting false information, including the
possibility of fines and imprisonment for knowing violations.
.q
Mail Original and Two Copies to:
Division of Water Resources
Anfornation Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

A
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of 2.
Permit No.: W0001 5010
Facility Name:
TDM Farms, Incorporated
County:
Sampson
Month:
06tober
Dgenerated
dwater Lowering E] Surface Water
i
e
r

s 7
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page .0 of
Sampling Person(s) Certified Laboratories
Name: Doug Niemond ' cen, Name: NCDA & CS `
� pad iNon-
Name: Name:
all monitoring data and sampling frequencies meet the *requirements in Attachment A of your permia
facility is roil -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide 9n your explanation the-date(s) of thb non-compliance and describe the corre
action(s) taken. Attach'additional sheets it necessary.
I ✓.i Yel lNo
I •
Operator in Responsible Charge (ORC) Certification
a
Permittee Certification
�
ORCt Doug Niemond
Petmittee: TDM Farms
Certification No.: 22800 G
Signing Official: Doug Niemond
Grade: SI Phone Number: 910=590-6137
Signing Official's Title:
Phone Number; PermitExpiration: 12/31/2025
Ill
11/8/2021
l� - 11l8I2021
Signature Date
Signature Date
Bythis signature; ) car* ttiat this report is acaarate and complete to the best of my knowledge:.
i certify, under penalty of taw,:thatthis document and all attachments were prepared under my dkrectbn or supervision in
accordance with a system designed to assure alai all qualified personnef property gathered and evaluated the information ,
submitted.Based on my inquiry of the person of pemsams who manage the system, or'these 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 vwlations.
Mail Original and Two Copies to:
-Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh. North Carolina 276994617

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page —� Of
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Facility,Farms, Incorporated
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Parameter Monitoring
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of �—
Sampling Person(s) Certified Laboratories
Name: Doug Niemond I-IComps 4 ]NO- Name: NCDA & CS
Name: Nam
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
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.
1,11Yel lNo
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Doug Niemond
Permittee., TOM Farms
Certification No.. 22800
Signing Official: Doug Niemond
Grade: SI Phone Number: 910-590-6137
Signing Official's ritle:
Phone Number: Permit Expiration- 1213112025
�7 7/8/2021
718/2021
Signature Date
Signature Date
By this signature, I certffy than 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 dreclion or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. used on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gatherhg the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are sigrAcant penalties for submitting false information, including the possibility of Imes and imprisonment r
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: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLP) Page O
Permit No.: WQ001 010
Facility Name: TD1Vi Farms, Incorporated
County: Sampson
Month: June
Year: 2021
Field Name:
1
field Fame;
Field Name:
field Name:
Field Name:
Area (acres):
3
Area (acres):
Area (acres);
'
Area (acres):
Area (acres):
Cover Crop:
soybeans
Cover Crop:
Cover Crop:
Cover Crop:
Carver Crop:
Load Type:
RAN
Load Type:
Load Type.
Lead Type:
Load Type:
Field Loaded?
E] YES DO
Field Loaded?
❑YN4
Field Loaded?
EIYES
field Loaded?Ys
Field Loaded?
[:]YES
CL
rr.
Q.
+a $
CL
co
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w 'aCL
0 Cis�
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¢
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is
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Month
gal
mgtL
lbstac
lbstac
gal
mgtL
lbstac
lbstac
gal
mgtL
lbslac
lbstac
gal
mgtL
lbstac
lbstac
gal
mgiL
lbstac
lbstac
July
36,000
30
3.0
3.0
August
0
0.0
3.0
September
72,000
26.4
5.3
8.3
October
0
-
0.0
November
_
54,000
- 26.4
4.0
_8.3
12.2
December
54,000
28.8
4.3
16.6
January
0
0.0
16.6
February
72,000
28.8
5.8
22.3
March
36,000
28.8
2.9
25.2
April
0
0.0
25.2
May
0
0.0
25.2
June-11
36,000
1 31.2
3.1
28.3
12 Month Floating PAN Load
28.3
0.0
0.0
0.0
0.0
(l iactyr),
Annual PAN Load Limit
275
(lbs/actyr):

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page I Of
Did the mass loading rates exceed the limits in Attachment B of your permit?
E/]Compfiant R Nort-Cmpliant
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 tine non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Doug Niemand
Permittee: TDIVI Farms
Certification Number: 22800
Signing Official: Doug Niemond
Grade: SI Phone Number:
Signing Official's Title: Environmental Mgr.
Has the ORC changed since the previous NDMLR? ❑ Yes n-1 No
Phone No.: 910-590-6137 Permit Exp.: 12/31120
7/8/21
718/21
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 docurnent and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that an 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,
acc urate. and complete. I am aware that them are significant penalties for submitting false information, inducting the
powality 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: NDARm1 10-13 NON -DISCHARGE APPLICATION REPORT NDAR-1) Page of— —
PerrnitNo.: WQ0015010
Facility Name: TDM Farms, Incorporated
County: Sampson
Month: June
. _-
at+
f �i�
Hourly■}a-1[
Annual e (in),
Annual Rate (in):
d I.
a Irrigated?
1
- f i. -i
i
dIrrigated?
s
s
s
MMMMM
Mmmm
Floating2 Month

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page '' of 2
Did the application rates exceed the limits in Attachment B 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?
[—,,]compjianr
ONon-Compliant
qcompfiant
ONon-compliant
DCompliant
E]Non-Compliant
�Compliant
[—]Non-Compliant
DCompliant [_]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
nctinn(sl taken. Attach additional sheets if necessarv.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Doug Nlemond
Pernnittee: TDM Farms
Certification No.: 22800
Signing Official: Doug Niemand
Grade: SI Phone Number:
Signing Official's Title: Enviromental Mgr.
Has the ORC changed since the previous NDAR-1? E] Yes EI]NO
Phone Number. 910-590-6137 Permit Exp.: 12/31125
7/8/21
/8/21
7
Signature Date
Signature Date
By this signature, I cuft that this report is aoaurrahi and complete to the best of my knowledge.
I certify. under penalty of law, that this document and at al lchmenis were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel property liathered and evaluated the information submitted, used on my
inquiry of the person or persons who manage the system, or these persons directly responsible for gainaring 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 inforritation, including the possibility of fines and imprisonment for knowing violations.
J
Mail Original and Two Copies W
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page I of
Facility Name: TDM Farms, Inoorporated
.. 11
0
•
Ili
m
--0---------------

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 69, of
Sampling Persons) Certified Laboratories
Name: Doug Niemond Name: NCDA & CS
I ✓ICompY4 INon-
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
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.
I✓Itiel INo
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Doug Niemond
Permittee: TDM Farms
Certification No.: 22800
Signing Official: Doug Niemond
Grade: SI Phone Number: 910-590-6137
Signing Official's Title:
III
Phone Number: Permit Expiration: 12/31/2025
6/2/2021
6/2/2021
Signature Date
Signature Date
By this signature, I certify that this report is accurate and compete to the best of my knowledge.
I certify, under penalty of law, that this document end 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 me system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my know9edge and belief, tore, accurate, and complete. I am
aware mat mere are significant penalties for submitting false information, including me 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: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page I of
Permit No.: WQ0015010
Facility Name: TDM Farms, Incorporated
county: Sampson
Month: May
Year: 2021
Field Name:
1
Field Name:
Field Name:
Field Name:
Field Name:
Area (acres):
3
Area (acres):
Area (acres):
Area (acres):
Area (acres):
Cover Crop:
bermuda
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
Load Type:
Load Type:
Load Type:
Field Loaded?
E] YES [2]NO
Field Loaded?
❑YES [:]No
Field Loaded?
❑YES ❑No
Field Loaded?
[DYES ❑No
Field Loaded?
[]YES NO
Z O
Z
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Month
gal
mg1L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
ibslac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
lbs/ac
Ibs/ac
June
54,000
30
4.5
4.5
July
36,000
30
3.0
7.5
August
0
0.0
7.5
September
72,000
26.4
5.3
12.8
October
0
0.0
12.8
November
54,000
26.4
4.0
16.8
December
54,000
28.8
4.3
21.1
January
0
0.0
21.1
February
72,000
28.8
5.8
26.8
March
36,000
31.2
3.1
30.0
April
0
0.0
30.0
May
0
0.0
30.0
12 Month Floating PAN Load
30.0
0.0
0.0
D.0
0.0
(lbs/ac/yr):
Annual PAN Load Limit
275
(lbs/ac/yr):

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page -2, of 2
Did the mass loading rates exceed the limits in Attachment B of your permit?
QCompliant ❑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($) of the non-compliance and describe the corrective
nuarar euuniunai sleets n
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Doug Niemond
Permittee:
TDM Farms
Certification Number: 22800
Signing Official:
Doug Niemond
Grade: SI Phone Number:
Signing Officials Title: Environmental Mgr.
Has the ORC changed since the previous NDMLR? ❑yes QNo
Phone No.: 910-590-6137 Permit Exp.: 12/31/20
6/2/21
6/2/21
Signature Date
Signature Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
I certify, under penalty of law, that ties document and all attachments were prepared nntler my direction or supervision in
accordance with a system designed to assure that ail 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. 1 am aware that there are significant Mathes for submitting false information, inducting the
possibility of frees and imprisonment for knowng 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 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page __Lof
!�►Facifity
Name: TDM Farms, IncorporatedDid
OEM=
irrigation occu
©-
at this facility?
jr
MMM
MMMMM
0®©©�®®®�®®®�®®®�®®®
0000110001
0EMS
MMWMM
EFIT#In

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR4) Page o3 of—L
Did the application rates exceed the limits in Attachment B 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?
OCompfiard Non -Compliant
Q✓ Compliant Non -Compliant
�✓ Compliant Non -Compliant
�✓ Compliant Non -Compliant
DCompliant 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: Doug Niemond
Permittee: TDM Farms
Certification No.: 22800
signing Official: Doug Niemond
Grade: SI Phone Number:
Signing official's Title: Enviromental Mgr.
Has the ORC changed since the previous NDAR-1? ❑ yes 0NO
Phone Number: 910-590-6137 Permit Exp.: 12/31/25
612/21
6/2121
- Signature Date
Signature Date
By this signature, I certify that this report is a=r ate and complete to the best of my krwwtedge.
I certify, under penalty of law, that this document and all attachments wi ens prepared under my direction or supervision In accordance
with a system designed to assure that al qualified personnel property gadwed 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 possbility 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: NDMR 03-72 NON -DISCHARGE MONITORING REPORT (NDMR) Page i of Z
Incorporated
'isms
___
INNOUBMUME
��m��m��--_

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _�L of
Sampling Person(s) Certified Laboratories
Name: Doug Niemond ✓IComPti4 jNon-
Name: NCDA & CS
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements In Attacnment A oT your permit.
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
I ✓ I yel INo
Operator in Responsible Charge (ORC) Certification
ORC: Doug Niemond
Certification No.: 22800
Grade: SI
Phone Number: 910-590-6137
cancer. n ••
Ir Signature Date
By this signature, I cendy Mat this report Is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee: TDM Farms
Signing Official: Doug Niemond
Signing Official's Title:
Phone Number:
Permit Expiration: 12/31/2025
Signature Date
I certify, under penalty of law, Mat 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 infontration• the information submitted is, to the best of my knowledge and belief, hue, accurate, and complete. I am
aware that there are significant penalties for SubmHtMg false information, including the possibility of fines and imprisonment for
know ng violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page 1 of 2-
Permit No.: W00015010
Facility Name: TDM Farms, Incorporated
County: Sampson
Month: April
Year: 2021
Field Name:
1
Field Name:
Field Name:
Field Name:
Field Name:
Area (acres):
3
Area (acres):
Area (acres):
Area (acres):
Area (acres):
Cover Crop:
small grain
Cover Crop:
Cover Crop:
Cover crop:
Cover Crop:
Load
Type:
PAN
Load
Type:
Load
Type:
Load
Type:
Load
Type:
Field Loaded?
❑rEs
�No
Field Loaded?
❑YES
❑No
Field Loaded?
❑YES
❑No
Field Loaded?
YES
No
Field Loaded?
DYES
[:]NO
Vo
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V
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0
f
Month
gal
mglL
Ibslac
Ibslac
galmglL
Ibslac
Ibslac
gal
mglL
Ibslac
Ibslacmg/L
Ibslac
Ibslac
gal
mglL
Ibslac
Ibslac
May
0
0.0
0.0
June
54,000
30
4.6
4.5
July
36,000
30
3.0
7.5
August
0
0.0
7.5
September
72,000
26.4
5.3
12.8
October
0
0.0
12.8
November
54,000
26.4
4.0
16.8
December
54,000
28.8
4.3
January
0
0.0
February
72,000
5.8
March
36,000
31.2
3.1
April
0
0.0
j
12 Month
Floating PAN
Load
30.0
0.0
0.0
0.0
0.0
(Ibsfaclyr):
275
Annual
PAN Load
Limit
(Ibs/aclyr):

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page _!a�, 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
nr1{..nrel taken 4ffnrh oAAiflnnal Sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Doug Niemond
Perrnittee. TDM Farms
Certification Number: 22800
Signing Official: Doug Niemond
Grade: SI Phone Number:
Signing Official's Title: Environmental Mgr.
Has the ORC changed since the previous NDMLR? ❑ yes ONO
Phone No.: 910-590-6137 Permit Exp.: 12/31/20
513/21
5/3121
Signature
Date
Signature Date
By this signature, I mrfiry that this report is accunale and compete to the best of my knowledge.
I certify, under penally of law, that this document and all attachments were prepared under my direction or supervision in
-Durance with a system designed to as aae that all qualified persamrel properly gathered and evaluated the
information submitted. Based on my inquiry of the person or persons who manage the system, or those persona directy
responsible for gathering the information, the information submi ted is, to the best of my knowledge and belief, hue,
accurate, and complete. 1 am aware that there are significant 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

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page __L of
PTI�
DM Farms, Incorporated
NNING"'Mat
0-�-®-
Did irrigation occur
Area (acres):
©;-
®-
this fE
YES L] NO
IBMMonthly
Loading',
-...
FloatingEMMMM
12 Month ..

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page OL of 2-
Did the application rates exceed the limits in Attachment B 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?
QComphat
Non -Compliant
�✓ Compliant
Non -Compliant
�✓ Canpliant
E]NonCornplent
QCompliant Non -Compliant
[DCompliant Non-Compltam
If the fnpgiw is nnn-cmmnliant please exDlain in the space below the reasons) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
taKen. Aaacn aurnnonal Srotl6 n
Operator in Responsible Charge (ORC) Certification
ORC: Doug Niemond
Certification No.: 22800
Grade: SI Phone Number:
Has the ORC changed since the previous NDAR-17 F1 yes RNp
Signature
By this signature, I certify that this report is accurate and complete to the best of MY knowledge.
Permittee Certification
Permittee. TDM Farms
Signing Official: Doug Niemond
Signing Official's Title: Enviromental Mgr.
Phone Number. 910-590-6137 Permit Exp.: 12/31/25
�I '
Date Signature Date
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in aaordav:e
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 imomtatlon, the
information submitted Is, to the best of my knowledge and belief, true, a=rate, and complete. I am aware Nat there are significant
penalties for submitting false information, including the possaility 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

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 12/31/21
Facility Name: TDM Farms Truckwash
Non -Discharge WQ0015010 UIC 402134"
Permit Name (if different):
NPDES Other t2rstt2l-
Facility Address: Box 300 Newton Grove, NC 28366
TYPE OF PERMITTED OPERATION BEING MONITORED
Box 300 Newton Grove, NC 28366
County Sampson
❑ Lagoon ❑ Remediation: Infiltration Gallery
K Spray Field ❑ Remediation: 12/31/21
Contact Person: Doug Niemond
Telephone#: [phone]
ElRotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: TDM Truckwash
No. of wells to be sampled: 1
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-1
Date sample collected: 3/25/21
FIELD ANALYSES: �(�, (
WAS
Well Depth: 20.4 ft.
Well Diameter: 2 in.
pH 00400: 6.0 units Temp. 000lo: 1 4 °O
DRY at
Depth to Water Level 82546: 8.6 ft. below measuring point Screened Interval: 15 ft. to
20
ft. Spec. Cond. 000sa: µMhos
time ofsampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation: ft.
Odor 000a5:
check
Volume of water pumped/bailed before sampling:
gallons
Appearance
here:
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: A YES ❑ NO
KH
LABORATORY INFORMATION
Date sample analyzed: W31M97115120
Laboratory Name: Waters Agricultural
pp 1 p ffpf ification No. NCWW#ND
L��-
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
r7
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead o1o51
Coliform: MF Fecal 31616 nd
/100mL
Nitrate (NO3) as N 00620 1,04
mg/L
_ug/L
Zn -Zinc 01092
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.01
mg/L
4�'
(Note. Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and &.naerjtrq!iT*nits :.
issolved Solids:Total 70300 263
mg/L
At -Aluminum 01105
mg/L
- "�
pH (Lab) 00403 7.4
units
Ba - Barium 01007
ug/L
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 12
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug1L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen. NH,as N. Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Doug Niemond Env. Mgr.
Permittee (or Authorized Agent) Name and Title - Please print or type
12/31/21
Signature of Permittee (or Authorized Agent) (Date)
GW-59 Rev.3-1-2016

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENTAL QUALITY -DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617MAIL SERVICE CENTER, RALEIGH,NC27699.1617 Phone:[phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 12/31/21
Facility Name: TOM Farms Truckwash
Non -Discharge W00015010 UIC *W84"
NPDES Other tm irzl`
Permit Name (if different):
Facility Address: Box 300 Newton Grove, NC 28366
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
aox 300 Newton Grove, NC 28366 County Sampson
F01 Spray Field ❑ Remediation: 12/31/21
Contact Person: Doug Niemond
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: TDM Truckwash
No. of wells to be sampled: 1
❑ Water Source Heat Pump ❑ Other:
hom Pernpl
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-1
Date sample collected: 3/25/21
FIELD ANALYSES: >'(4, (
WAS
Well Depth: 20.4 ft.
Well Diameter: 2 in.
pH 00400: 6.0 units Temp. 000lo: �m4" r-
DRY at
Depth t0 Water Level 82546: 8.6 ft. below measuring point Screened Interval: 15 ft.
—
to
20
fL Spec. Cord. 00094: µMhos
time of
sampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation:
ft.
Odor o0085:
check
Volume of water pumped/bailed before sampling:
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: 0 YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 71311197/15120
Laboratory Name: Waters Agricultural
Certification No. NCW W#ND
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00336
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 nd
1100ml-
Nitrate (NO3) as N 00620 1.04
mg/L
Zn -Zinc 01092 mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P tuns 0.01
mg1L
(Note: Use MPN method for highly Wind samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 263
mg/L
AI - Aluminum 01105
mg/L
pH (Lab) 00403 7.4
units
Be - Barium 01007
ug/L
TOC oo68o
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 12
mg/L
Cd - Cadmium 01027
uglL
Arsenic o1oo2
ug/L
Chromium: Total 01034
uglL
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
uglL
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes(l) ❑ No(0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7673 , method #
Total Ammonia 00610
mg/L
Mg - Magnesium 00927
mg/L
, method #
(Ammonia Nitrogen; NHeas N; Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
, method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Doug Niemond Env. Mgr.
Perminee (or Authorized Agent) Name and Tide - Please print or type
12131 P21
Signature of Pennittee (or Authorized Agent) (Date)
GW-59 Rev. 3-1-2016

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page t of
Did irrigation occur
111110=0Hourly
-
at this facility?
ON:=
©-
GYES •-I-
Rat,
Annual Rate (io��
-fn--

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2- of -
Did the application rates exceed the limits in Attachment B 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?
QCempliant
nNon-Compliant
Q✓ Compliant
Non -Compliant
Q✓ Compliant
Non -Compliant
❑✓ Canpliant ONo-Compliant
QCnrnptiant J—]NonComdiant
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
GbUVI l(sf mnCn. / RdUI aIWNOnal sneers a necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Doug Niemond
Permittee:
TDM Farms
Certification No.: 22800
signing Official: Doug Niemond
Grade: SI Phone Number:
Signing Official's Title: Enviromental Mgr.
Has the ORC changed since the previous NDAR-1? yas ONO
Phone Number: 910-590-6137 Permit Exp.: 12/31/25
�
411/21
4/1/21
Signature Date
Signature Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
I certify, under penalty of lax, 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 evalumed 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 roes 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: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page I ofZ
Permit No.: WQ0015010
Facility Name: TDM Farms, Incorporated
County: Sampson
Month: March
Year. 2021
Field Name:
1
Field Name:
Field Name:
Field Name:
Field Name:
Area (acres):
3
Area (acres):
Area (acres):
Area (acres):
Area (acres):
Cover Crop:
small grain
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
Load Type:
Load Type:
Load Type:
Field Loaded?
DYES ONO
Field Loaded?
El YES ONO
Field Loaded?
❑Yes ENO
Field Loaded?
DYES [:]NO
Field Loaded?
❑Yes ❑NO
W
m
m
O
m
m
m
O
m
m
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0
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f
t'J
>
>
>
Month
gal
mglL
Ibslac
Ibslac
gal
mg/L
Ibs/ac
Ibslac
gal
mg/L
Ibs/ac
Ibslac
gal
mg/L
Ibslac
Ibs/ac
gal
mg/L
Ibslac
Ibs/ac
April
0
0.0
0.0
May
0
0.0
0.0
June
54,000
30
4.5
4.5
July
36,000
30
36
7.5
August
0
0.0
7.5
September
72,000
26.4
5.3
12.8
October
0
26.4
0.0
12.8
NovemberL36,O00
0.0
12.8
December
28.8
4.3
17.1
January
0.0
17.1
February
28.8
5.8
22.9
March
31.2
3.i
26.0
6
12 Month Floating PAN Load
(Ibs/ac/yr):
0
0.0
0.0
0.0
0.0
Annual PAN load Limit
(Ibs/ac/yr):
275

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page 2 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
Operator in Responsible Charge (ORC) Certfication
Permittee Certification
ORC: Doug Niemond Permittee:
TDM Farms
Certification Number. 22800 Signing Official:
Doug Niemond
Grade: SI Phone Number: Signing Official's Title: Environmental Mgr.
Has the ORC changed since the previous NDMLR? ❑ yes ❑✓ No Phone No.: 910-590-6137 Permit Exp.: 12/31/20
4/1121
Signature Date / Signature Date
By this signature, I certify mat this report is emanate and complete to the best of my knowledge. I ortify, under penalty of few, 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
infnxmallon 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 mere are significant penalties for submitting false information, ndudilg the
possibility of fires 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: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page i of Z
�&
Facility Name: TDM Farms, Incorporated
Emmons

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page � of�
Sampling Person(s) Certified Laboratories
Name: Doug Niemond i lcmp14 Non- Name: NCDA & CS
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
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
naxen. Mterni auwuuum blIVOW a narxssary.
IYd INo
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Doug Niemond
Permittee: TDM Farms
Certification No.: 22800
Signing Official: Doug Niemond
Grade: SI Phone Number: 910-590-6137
Signing Official's Title:
III
Phone Number: Permit Expiration: 12/31/2025
41l/2021
4/112021
Signature Date
Signature Date
By this signature, I certify that this report is accurate and complete to the best of my krowledge.
I certify, under penalty of law, tlml this document and all anachmems were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified persormel 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
knavdng 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 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page _L of
1111 ! 1Facility
Name: TDM Farms, Incorporated
1 •
'•
! 21
"END=
Did irrigation occur
at this facility?
ONE=
NO

FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment i3 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?
Page of
�✓ Compliant
DNon-Compliant
QCompliant
Non -Compliant
QCompliant
Non -Compliant
Q✓ Compliant
Non -Compliant
F±Compliant
nNon-Compliant
If the facility is noncompliant, 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
lPilCll, nllUN� o��luvl�a� o„cvw ��
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Doug Niemond
Pennittee' TDM Farms
Certification No.: 22800
Signing Official: Doug Niemond
Grade: SI Phone Number:
Signing Official's Title: Enviromental Mgr.
Has the ORC changed since the previous NDAR-17 Yes ❑j No
Phone Number: 910-590-6137 Permit Exp.: 12/31/25
3/16/21
3/16/21
Signature Date
11, Signature Date
By this signature, I certify wet tits report is auvnate and complete to the beat 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 property gathered and evaluated the information submitted. Based on my
inquiry of are 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, We, 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: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page -of -2,
Permit No.; JVO0015010
Facility Name: TDM Farms, Incorporated
County: Sampson
Month: February Year: 2021
Field Name:
1
Field Name:
Field Name:
Field Name:
Field Name:
Area (acres):
3
Area (acres):
Area (acres):
Area (acres):
Area (acres):
Cover Crop:
small grain
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Load Type.
PAN
Load Type:
Load Type:
Load Type:
Load Type:
Field Loaded?
❑YEs ❑✓ No
Field Loaded?
E] YES [-]NO
Field Loaded?
[:]YES ❑NO
Field Loaded?
❑YES ❑No
Field Loaded?
❑Yes ONO
m
2 cc
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Month
gal
mg/L
ibsfae
Ibslac
gal
mg1L
Ibs/ac
Ibslac
gal
mg/L
Ibslac
Ibslac
gal
mg/L
Ibslac
Ibsfac
gal
:m
ibslac
Ibslac
March
36,000
31
3.1
3.1
April
0
0.0
3.1
May
0
0.0
3.1
June
54,000
30
4.5
7.6
July
36,000
30
3.0
10.6
August
0
0.0
10.6
September
72,000
26.4
5.3
15.9
October
0
1 0.0
15.9
November
54,000
28.8
4.3
20.2
December
36,000
28.8
2.9
23.1
January
0
0.0
23.1
February 72,000 28.8
5.8
28.9
12 Month Floating PAN Load
28.9
0.0
0.0
0.0
0.0
(lbs/aclyr):
275
Annual PAN Load Limit
(Ilslac r):

FORM: NDMLR 10-13
NON -DISCHARGE MASS LOADING REPORT (NDMLR)
Page Z of
Did the mass loading rates exceed the limits in Attachment B of your permit?
❑✓ Compliant L]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
PI.YVII\Jf l mG�i. /�lluu� UVV��IV ��4� o�rvvua �•
Operator in Responsible Charge (ORC) Certification
Pennidee Certification
ORC: Doug Niemond
Permittee: TDM Farms
Certification Number: 22800
Signing Official:
Doug Niemond
Grade: SI Phone Number:
Signing Official's Title: Environmental Mgr.
Has the ORC changed since the previous NDMLR? ❑ yes ❑Q No
Phone No.: 910-590-6137 Permit Exp.: 12/31/20
3/16/21
3/16/21
Signature Date
Signature Date
By this signature, I cer ify that this report is amurrate and eomplete 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 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,
acwrate, and complete. I am aware that mere are sgn'R¢am penalties for submitting false information, including the
possibility of fines and imprisonment for knowing vitiations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _L of 2-
Facility Name:

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page Z of
Sampling Person(s)
Name: Doug Niemond
Name:
��Compi� �Norr Name: NCDA & CS
�
Name:
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
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
IPIlG 11. /1llGN1 Puu,uu„o, ar,ccw „
1 l yel Irro
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Doug Niemond
Pennittee: TDM Farms
Certification No.: 22800
Signing Official: Doug Niemond
Grade: SI Phone Number: 910-590-6137
Signing Official's Title:
III
Phone Number: Permit Expiration: 12/31/2025
3/16/2021
3/16/2021
Signature Date
Signature Date
By this signature, I certify that this report is accurate 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 wHh 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 penaaies 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 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Z
-Incorporated
• .2021
�-
1irrigationoccur
at this facility?
r] YES 0 1-®-�-
i

FORM: t+DAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page !7 of 2
Did the application rates exceed the limits in Attachment B of your permit? OCornpliarx [ Non -compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? E]compliarn ❑Non -compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑Compiam []Non -compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? [J]compliant ❑Non -compliant
QComplant nNonCompliant
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 dates) of the non-compliance and describe the corrective
G V II VI I'J' 1 nG 1'. -11. . auu"..'lay.­­ r.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Doug Niemond
Permittee:
TDM Farms
Certification No.: 22800
Signing Official: Doug Niemond
Grade: SI Phone Number:
Signing Official's Title: Envlromental Mgr.
Has the ORC changed since the previous NDAR-1? 0 yes P✓ No
Phone Number: 910-590-6137 Permit Exp.: 12/31/25
2/16/21
2/16/21
Signature Date
Signature Date
By this signature, I certify that this report is acclimate 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 property gathered and evaluated the information submitted. Based on my
inquiry of the person or persort4 who manage the system. or those persons directly responsible for gathenrg 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
penal ies for submitting false inormafion, 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: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page I of 2-
Permit No.: JV00015010
Facility Name: TOM Farts, Incorporated
County: Sampson
Month: January
Year: 2021
Field Name:
1
Field Name:
Field Name:
Field Name:
Field Name:
Area (acres):
3
Area (acres):
Area (acres):
Area (acres):
Area (acres):
Cover Crop:
small grain
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
Load Type:
Load Type:
Load Type:
Field Loaded?
E] YES ONO
Field Loaded?
E] YES ❑NO
Field Loaded?
❑Yes [_]NO
Field Loaded?
❑YES []NO
Field Loaded?
❑Yrs ONO
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m
o
o
m
m
o
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a
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a
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s
a
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m '-
m
m
ar
n
a
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o
a
a
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y
Wa
a
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R
.o
W
n
w
Wa
C
W
W
o
W
P z
E
E
E
E
E
mE
E
o
a
c
c
j
amo
U
V
0
U
z
U
U
U
Z
U
2
V
Month
gal
mg/L
Ibs/ac
lbs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibslac
Ibslac
gal
mg/L
lbs/ac
Ibs/ac
February
36,000
31
3A
3.1
March
36,000
31
3.1
6.2
April
0
0.0
6.2
May
0
0.0
6.2
June
54,000
30
4.5
10.7
July
36,000
30
3.0
13.7
August
1 0
0.0
13.7
September
72,000
26.4
5.3
19.0
October
0
0.0
19.0
November
54,000
28.8
4.3
23.3
December
36,000
28.8
2.9
26.2
January
0
0.0
26.2
12 Month Floating PAN Load
(lbs/aclyr):
26.2
0.0
0.0
0.0
0.0
Annual PAN Load Limit
(lbs/ac/yr):
275

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of Z
i ( (
Did the mass loading rates exceed the limits in Attachment B of your permit? ❑Compliant p]Non-compriam
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 noncompliance and describe the corrective
Operator in Responsible Charge (ORC) Certification
ORC: Doug Niemond
Certification Number: 22800
Grade: SI Phone Number:
Has the ORC changed since the previous NDMLR?
carton. nuarai auunrvue. miocra n
Permittee Certification
Permittee:
TOM Farms
Signing Official:
Doug Niemond
Signing Official's Tide: Environmental Mgr.
❑ yes [D No Phone No.: 910-590-6137 Permit Exp.: 12/31/20
2/16/21
✓ Signature Date Signature Date
By this signature. I certify that this report is acmxrate and complete to the best of my knowledge. 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 property gathered and evakate l the
information submitted. Based on my Inquiry of the person or persons who manage the system, or those persons directly
responsible for gathering the crfonnation, the information submitted is, to the best of my knovAedge and belief, true,
accurate, and complete. 1 am aware that there are significant penalties for submitting false information, inducing the
possibility of fees and imprisonment for knnowdng oblations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Z
i
Facility Name: TDIVI Farms, Incorporated
Flow Measuring Point: Elinflwnt E]Effluent El No fl� g�rated
Parameter Monitoring Point: E]Influent E]Efnwnt E]GroundwaterLowemg [:]Surfau Water
Parameter co�
Sampling TYW.
Monthly Avg.
S�mmm��m�mm������

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page ;L- of 2-
Sampling Person(s)
Name: Doug Niemond
Name:
✓IComA INOW 11
Name: NCDA & CS
Name:
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
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.
✓ I vel No
Operator in Responsible Charge (ORC) Certification
Perrnittee Certification
ORC: Doug Niemond
Permittee: TDM Farms
Certification No.: 22800
Signing Official: Doug Niemond
Grade: SI Phone Number: 910-590-6137
Signing Official's Title:
III
Phone Number: Permit Expiration: 12/31/2025
2/1672021
2/16/2021
Signature Date
Signature Date
By this signature, I certify that this report is accumate and complete to the best of my knowedge.
1 cmtify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance vdth 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 vitro manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knovfedge and belief, free, 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