WQ0004967_Monitoring - 12-2019_20200204

u-� s NON=DISCHARGE APPLICATION REPORT (NDAR-1 Page I_ of [—
WQ0004967
Facility Name: AIIJuce WWTF
Countyl Henderson
Month: December
Year: 2019
.
irrigation occur' :
at this facility?
O YES ❑ No
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Field Name:
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Field Name:
Area (acres):cres
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Area (acres):
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Cover Crop:
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Annual Rate (in):
Annual Rate (in):
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Freeboard •
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❑ YES ❑ NO
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Field Irrigated?
❑ YES ❑ NO
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FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page
Did the application rates exceed the limits in Attachment B of your permit? , 0.Q6mpuant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?'
mpllant ❑Non -Compliant
Was a suitable vegetative cover maintained, on all'.sites as specified in your permit? ompllant El Non -Compliant
Were all setbacks listed in your. permit.maintained for every application to each permitted site? compnant ❑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
Operator in Responsible Charge`(ORC) Certification- -
Permittee.Certiftcation
ORC: Danielle Hunter !
Permittee: '
AIIJuice Realty, LLC
Certification No.: .1007992
Signing Official: Robert.Barr
Grade: SI Phone Number: [phone]
Signing Official's Title: Signatory
Has the ORC changed since the previo s NDAR-1? ❑ yes ❑ No
c
Phone Number: (828)-251-1900 Permit Exp.: 3/31/22
i
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 andAl attachments were prepared under my direction or supenrislon 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: NDMR 03-12 NOWDISCHARGE`MONITORING REPORT (NDMR) Page.
Sampling Person(s) Certified Laboratories
Name: Danielle Hunter Name: Pace Analytical
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Kcompliant ❑ 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 necessarv.
Operator in Responsible Charge (ORC)'Certification
Permittee Certification
ORC: Danielle Hunter
Permittee: AIIJuice WWTF
Certification No.: 1007992
Signing Official: Robert Barr
Grade: SI Phone Number: [phone]
Signing Official's Title:. Signatory
Has the ORC changed since the previo NDMR? ❑,Yes ❑ No
Phone Number: [phone] Permit Expiration: 3/31/2022
d
I
`r 4TV 4V
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 propedy'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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617