WQ0004967_Monitoring - 01-2020_20200303

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Monthly Loading: -7j 5 0 0.00 00 0 0.00
12 Month Floating Total (in): Lew
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FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION' REPORT-(NDAR=1') Page _� o
Did the application rates exceed the limits in Attachment B of your permit? Iompliant. ❑ Non comp,;ant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? LCCampliant ❑ Non -Compliant
Was a suitable vegetative cover maintained On all sites as specified in your permit? [ Compllant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted -site? Vccompliant ❑ Nan -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Iompllant ❑Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) thefacility 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: 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 fhe'pr , ious NDAR-1? ❑Yes ❑ No
Phone Number: (828)=251-1900 Permit Exp.: 3/31/22
iwaIII
Signature Date
Signature Date
By this signefure;.l "certify thatahis 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

NON-DISCHARGE:MONITORI.Nq�REPORT (NDMR). Page
FORM: NDMR 03-12
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? ompliant ❑ 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 Permitted Certification
ORC: Danielle Hunter i Permittee: AIIJuice WWTF
Certification No.: 1007992 Signing Official: Robert Barr
1
Grade: SI Phone Number: [phone] Signing Official's Title: Signatory
Has the ORC changed since the previous NDMR? ❑ Yes ❑ No Phone Number: [phone] Permit Expiration: 3/31/2022
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. Quality.
Information Processing Unit
1617 Mail Service Center
Raleigh; North Carolina 27699-1617