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HomeMy WebLinkAboutWQ0015931_Monitoring - 06-2022_20220805FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: W00015931 Facility Name: Trump National Golf Club Charlotte WWTP County: Iredell Month: June Year: 2022 PPI: 001 Flow Measuring Point: [I Influent El Effluent ❑ No flow generated Parameter Monitoring Point: El Influent ❑ Effluent ElGroundwater Lowering [7Surface Water Parameter Code -b 50050 00310 50060 ` 31616 00610 00625 00620 00600 00400 ' 00665 00530''+ 00076 pIC f6 Q£ ~ O y U C O O 5 12 � OO (n O OQ a Qa F 24-hr hrs GPD mg/L mgtL #/100 mL mgJL mg/L m JL mg/L su mg/L mg1L NTU 1 1115 1 2,747 0,35 1 7,5 1.762 2 09:30 0.5 2.0033 0.06 i 7.6 1.766 3 09:00 1 2 0115 0.05 7.3 1.771 4 2,1 Cv 1.765 5 2.109 - -- 1.78 -- - 6 1 15:00 1 2,105 0.04 7.3 1.765 7 07:00 5.5 264 0.07 76 u 1.775 8 08:00 1.5 0 0.08 7.4 1.778 9 07:00 2 3,572 0.04-- 7.4 1.781 10 09:00 0.5 1,665 0.07 Z6 1.775 11 1 2,079 1.795 121 2,079 i _ 1.798 13 0930 1 2,079 02 7.3 1.779 14 09:00 2 965 0.03 7:8 1.786 15 07:30 1.25 1,565 0.04 _ - 7.2 1,781 16 09:30 0.5 1,178 0.1 7.4 1.783 17 08:15 Q5 2,328 0.12 _-- 7.1 1.777 _. 181 2,205 1.789 19 2,205 1,784 20 08:00 1 2,205 0.03 7 1.772 y� 21 09:00 1 2,671 0.06 l 7 1.779 22 08:00 1.25 2,556 0.07 117:5 1.776 23 08:00 1.25 2,466 0.04 7 1.779 241 10:00 0.5 2,762 0.06 - i 7.1 1.77 25 2.875 j 1.78 26 2,875 - 1.779 27 10:00 1,25 2,875 - 0.09 _ 6.7 1.774 28 14:00 1 1,441 0.07 7:1 1.767 29 12:00 0.5 1,464 <2 0.06 <1 <.10 0.71 29.6 30.3 7.1 51 38.6 1.772 30 07:30 1 2,127 2 7, 1371 311 Average: 2,056 0.00 u 17 1.00 0:00 0.71 29,60 30.30 5.10 38.60 1.78 Daily Maximum: Daily Minimum: 3,572 0 2.00 2.00 O. R 0.03 1 1.00 1.00 0,10 0,10 0.71 0.71 29,60 29.60 30.30 30.30 _ 7 &0 6,70 5.10 5.10 38.60 38.60 1.80 1.76 Sampling Type: Recorder Grab Grab Grab Grab Grab Grab Grab Grab Grab Grata Recorder Monthly Limit: 25,000, 10 14 4 5 Daily Limit: 15 25 6 10 10 Sample Frequency: --Continuous Monthly 5 X Week Monthly Monthly Monthly I Mo�ltn'y Monthly 5 X Week', Monthly Monthly 1 Continuous FORM: NDMR 05.16 NON -DISCHARGE MONITORING REPORT (NDMR) Page — of Sampling Parson(*) 11 Certified Laboratories Name: Brandon Gong Name: Pace Analytical - Huntersville Name: Brian Stephens Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 2) cent 0 NonComptlant If the facility is non-comptiant, 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 chute if naraeaaru Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Brian Willard Stephens Permittee: Trump National Golf Club Charlotte, LLC Certification No.: WW 1011294 signing Official: Charles Brandon Long Grade: WW 2 Phorm Number. 980-339-1105 signing Official's Title: Owner - TCW Wastewater Mgmt., Inc. Has the ORC changed since the previous NDMR? Q Yes €a NO Phone Number: 704-351-4049 Permit Expiration: 5131 /2023 X�4_—Le� 7-24-?.7_:1 d=L ril 24— if -� Signature [late Signature Date By this si WL", t MW flat fh€s report is WastaN and o Mllahs to fa beet of my krW40dip. I cartity, under paatafty of law, that this document and ad attachments were prepared under my direction or supervision in acmdoms, wtfh a system dasipnad to assure that all qualified personnel property gathared and evaluated the information sutmWtted. Based on my Inquiry of the person or persons who marts the system, or those parsons directly responsible for gedwinp to Information, the infomurtlon sub rnitted Is, to the best of my knowtodpe and belief, true, accurate, and comptate I am ewers fist "to are sfpr Ent wattles for submitwv false intomtation, Including the possibility of fines and imprlsonment for 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 of Permit No.: W00015931 Facility Name: Trump National Golf Club Charlotte WWTP County: Iredell Month: June Year: 2022 Field Nate: D--1 Field Name: D-2 FD e Field Name: D-8 Did irrigation occur - - ---� --- --- Area (acres). G u5 Area (acres): 0.35 area (acres) # 0 3 Area (acres): 0.35 at this facility? -,-_-..__._ ___mm_ __rY Cover Crop: Cover Crop: o"we, C Vow Cover Crop: YES ❑ No Hourly Rate (in):µ 0 12� Hourly Rate (in): 0.12 f rl Rate (in) { 0.112 � j Hourly Rate (in): 0.12 Annual Rate (in): j 52 Annual Rate (in): rt 52 a` oal Rate (inn �i Annual Rate (in): 52 Weather Freeboard Field Irrigated?i YES Field Irrigated? 0 ves ❑ NO Field lenteii;_ _ .., Field Irrigated? ❑YES ❑ No o aD � a 0 - d a m 0 '�a "o CM E � 0) -s � d o n a� E � rn 0 � � � os � �� ' aD -o v rn E � rn T U @ E ca tr i c E= E 2 m „d 1 C 7 e E E as as ;; ( a ca _« E E a� m .d, > C O e p `m iZ m ° GL p ca H- 4Ci a to �s 7 a o a E i= °' ii1 o `° 3 p- `° LX i cn a9 o 3 Q o E m `° 7 0 ,rs' o r a .°' o u1 d H a. w °F it in ft ft gal mire in in gal min in in gal i M411 in gal min in in 1 C 84 0 3.5 4 1,200 60 0.13 0.13 1,200 60 0.13 0.13 1,200 : 6 0 `3 _.0 o 13 0 0 0.00 0.00 2 C 79 0 3.5 4 1,200 60 0.13 013 1,200 60 0.13 0.13 1200 6,� 13 f 0.13 0 0 0.00 0.00 3 CL 72 0 3.5 4 1,200 60 0.13 0.13 1,200 60 0.13 0.13 1,200 013 0.13 0 0 0.00 0.00 4 C 1,200 60 013 0.13 1,200 :` 60 0.13 0.13 1.200 60 013 i 0.13 0 0 0.00 0.00 5 C 1,200 60 0.13 0.13 1,200 60 0.13 1 0.13 1,200 60 a.,3 0,13 0 1 0 0.00 0.00 6 C 82 0 1 3.5 4 1,200 60 0.13 0.13 1,200 60 0.13 0.13 1.200 60 0.13 0A 0 1 0 a00 0.00 7 C 81 0 3.5 4 1,200 60 0.13 0.13 1,200 60 0.13 0.13 1,200 60 0.13 0,13 0 0 0.00 0.00 8 CL 74 0 3.5 4 1,200 _- 60 0.13 0.13- 600 30 0.06 0.06 1,200 60 0.13 0.13 0 0 0.00 0.00 9 C 76 0.25 3.5 4 600 ;, 30 006 0.06 600 30 0.06 0.06 600 30 0.06 am 0 0 0.00 0.00 101 C 66 0 3.5 4 1,200 60 , 013 0.13 1,200 60 0.13 0.13 1 a°00 eD 0,13 1 0.13 0 0 0.00 0.00 11 C 1,200 60 0.13 013 1,200 60 0.13 0.13 013 ;_ a 13 0 0 0.00 0.00 12 C 1,200 60 0,13 0.13 1,200 60 0.13 6.13 �C3 �� � 0.13 6.13 0 0 0.00 0.00 13 C 83 0.25 3.5 4 600 i 0.06 0.06 600 30 0.06 0.06 C� �0.06 0.06 0 0 0.00 0.00 14 R 72 0.5 3.5 4 0 _ 0 000 0.00 1 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 15 C 79 0.5 3.5 4 0 0 0,00 0.00" 0 1 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 16 C 84 0 3.5 4 1,200 60 0,13 0,13 i 1,200 60 0.13 0.13 1 .203� 60 0.13 0.13 0 0 0.00 0.00 17 C 77 0.25 3.5 4 600 30 0.06 0,06 600 30 0.06 0.06 60' �� 30 0.06 0.06 1 0 0 0.00 0.00 181 C 1 1;200 60 0.13 013 1,200 60 0.13 1 0.13 1,2031 60 I 0,13 013 0 0 0.00 0.00 19 C 1,200 60 0.13 0.13 1 1,200 60 0.13 1 0.13 i 20D 60 013 0.13 0 0 0.00 0.00 20 C 73 0 3.5 4 1,200 60 0:13 0.13 1,800 90 0.19 0.13 1200 60 0,13 0.13 0 0 0.00 0.00 21 C 74 0 3.5 4 1,200 60 013 013 ,i 1,200 60 0.13 0.13 1,200 60 0.13 0.13 i 0 0 0.00 0.00 22 C 75 0 3.5 4 1,200 60 0.13 0'13 120t3 60 0.13 0.13 1,20) 60 013 0.13 0 0 0.00 0.00 23 C 78 0 3.5 4 1,200 60' 0,13 0.13 1,200 60 0.13 0.13 r 1,80 910 019 0.13 0 0 0.00 0.00 241 C 75 0 1 3.5 4 1,200 60 0.13 0,13 1,200 60 0.13 0.13 1, 20) 60 _ 0.13 0.13 - 0 0 0.00 0.00 25 CL 1,200 60 0,13 0.13 1.200 60 0.13 0.13 1.203 60 ; 0.13 0.13 0 0 0.00 0.00 26 CL 1 1,200 60 013 0,13 1,200 60 0.13 0.13 1 MY) 1 60 0,13 0,13 0 0 0.00 0.00 27 PC 82 1 3.5 1 4 0 0 0.00 0,00 r0 0 0.00 0.00 0 0 0,00 0.00 0 0 0.00 0.00 28 C 82 0.5 3.5 4 0 0C'+ 0.00 0 0 0.00 0.00 _0 0 0.00 0 0J 0 0 0.00 0.00 29 C 79 0.25 3.5 4 0.. 10 0 00 0 0 0.00 0-00 0 0 0.00 0.00 1 0 0 0.00 0.00 30 C 72 0 3.5 4 605 U oe, I C 06 0 30 0.06 0.06 G ' 30 0,06 0 06 0 0 0.00 0.00 31 C _, 27,600LIM 0 0 0 0.00 0.00 Monthly Loading: 27.600 2.90 28,2041i 297 0 0.00 12 Month Floating Total (in): 14.58; , 14.63 15;87 0.40 FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Permit No.: WQ0015931 Facility Name: Trump National Golf Club Charlotte WWTP County: Iredell Month: June Year: 2022 Field Name: f?-9 Field Name: D-10 Field Name: S- i Field Name: S-2 Did irrigation occur -- �.creaacrei: 0,35 Area (acres): 0.35 -- Area (acre):l -- -- 0.34 Area (acres): 0.71 at this facility? Cover Crop; Cover Crop: Cover Crop:I Cover Crop: YES ❑ No Hourly Rate (in): Anr€ua flat (in): 0,12 52 Hourly Rate (in): Annual Rate (in): 0.12 52 Fft:,�ur:lyRats (rt�������� � ieial F1ot (in): , �� 033 52 Hourly Rate (in): Annual Rate (in): 0.33 52 > p Weather CD C 'a 4 O L a •aV Freeboard fls Lo N> � M CLO n Field Irrigated? � O YES r,r .E 0 X .- Field Irrigated? E t a a Q _ [EYES _ i NO E E R o ( O 2J Field Ir€i aCeT O a ) , �ES _ :�� No E E � ®M�aa M c O�0O � Field Irrigated? E d CL i Q ❑ YES ❑ No E a c E o O O = O JE J °F in ft ft gal i Min in E in gal min in in gal ; min �in in i gal min in in 1 C 84 0 3.5 4 ? I 0 0 , $ C, 0 1,200 60 0.13 0.13 ¢ 2 C 79 0 3.5 4 o 0 00 0 0t; 1,200 60 0.13 0.13 3 CL 72 0 3.5 4 0.00 0.00 1,200 60 0.13 0.13 4 C 0 o _.0.00 0.00 1,200 60 0.13 0.13 { 5 C 0 F 0 000 0.00 1,200 60 0.13 0.13._._ i 6 C 82 0 3.5 4 0 0.00 0.00 1,200 60 0.13 0.13 7 C 81 0 3.5 4 0 0 0.00 0:00 1,200 60 0.13 0.13-- 8 CL 74 0 3.5 4 _ice, _ 0 0.00 0.00 1,200 60 0.13 0.13 9 C 76 0,25 3.5 4 0 0.00 O:OQ 600 30 0.06 0.06 10 C 66 0 3.5 4 0 E w 0.00 0;00 1,200 60 0.13 0.13 11 C 0 0.00 0.00 1,200 60 0.13 0.13� 12 C 0 0.00 0.00 1,200 60 0.13 0.13 131 C 1 83 0.25 3.5 4 0 0.00 0.00 600 30 0.06 0.06 14 C 72 0.5 3.5 4 v 0 0.00 0.00 0 0 0.00 0.00 15 C 79 0.5 3.5 4 0 ,r rj 0,00 0.00 0 0 0.00 0.00 16 C 84 0 3.5 4 0 0,00 0.00 1,200 60 0.13 013 w 17 C 77 0.25 3.5 4 0 0, 0,00 0.00 600 30 0.06 0.06 I 18 C 0 U0 000 1,200 60 0.13 0.13 19 C 0 0,00 0.oc 1,200 60 0.13 0.13 20 C 73 0 3.5 4 0 j i 0,00 (00 1,200 60 0.13 0.13 21 C 74 0 3.5 4 0.00 ( 00 i' 1,200 60 0.13 0.13 22 C 75 0 3.5 4 0.00 0,00 '' 1,200 60 0.13 0.13 l 23 C 78 0 3.5 4 0 J10 0.00 0.00 1,200 1 60 0.13 0.13 24 C 75 0 3.5 4 0 F 0 0 00 0.00 1,200 60 0.13 0.13 25 C 0 0 0.00 000 1,800 90 0.19 0.13 261 C I 0 0 0.00 0,00 '' 1,200 60 0.13 0.13 27 PC 82 1 3.5 4 i 0 0 0.00 0.00 1 0 0 0.00 0.00 28 C 82 0.5 3.5 4 0 �-0 0.00 0.00 1 0 0 0.00 0.00 29 C 79 1 0.25 1 3.5 4 0 0 0,00 0 00 0 0 0.00 0.00 j 30 C 72 0 3.5 4 0 0 0,00 0,00 600 30 0.06 0.06 31 R {1 ; 0.00 Monthly Loading: 12 Month Floating Total (in): 1 p 000 {f.Oti 28,200 r, 2 97 11.44 �' 0 ✓p 0.00 FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _ of Permit No.: WQ0015931 Facility Name: Trump National Golf Club Charlotte WWTP County: Iredell Month: June Year: 2022 Field Named Did irrigation occur --- S-3 Field Name: S-4 Field Name: S-5 Field Name: I S-6 4-­_ Area (acres): 1,03 Area (acres): 0.77 Area (acres)-! 0,44 Area (acres): 0.74 at this facility? Cover Crop: Cover Crop: Cover Crop: El YES D NO Hourly Rate (in): 01i Hourly Rate (in): 0.33 Hourly Rate (in): 1 0.33 Hourly Rate (in): 0.33 rAn.,nual Rate (in): 52 Annual Rate (in): 52 Annual Rate (in): 52 Annual Rate (in): 52 Weather Freeboard Field frriqated? ye; j NO Field Irrigated? El YES D NO Field Irrigated?! YES No Field Irrigated? D YES El NO 0 0 CD D E 0 E .2 (D 2 11 C i .- E >, a) M — a E - E E m = S E -0 E 2 2, -S E 0 E CL CL E L 0 i M -0 z -R 0 = -a .7 t T 0 E > 0 0 > j > a) Ln _j _j 2 1 — _j _j _j F in ft ft ga€ min in in gal min in in gai 1. min i r, in gal min in in 2 3 4 5 6 7 8 9 10 121 1 13 14 15 16 17 181 1 1 19 20 21 22 23 241 25 26 27 28 29 30 31 Monthly Loading: U 0 0,00 0 Sw 0.00 0 0 03 Jim 12 Month Floating Total (in)7 FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Permit No.: WQ0015931 Facility Name: Trump National Golf• Charlotte WWTP Month:1 • • •L - • 1 .. • 1 Cover Crop: crop-! Cover Crop: MEN Annual Rate (in): Annual Rate (in) 1 52 Annual Rate (in): Field Irrigated? Field Irrigated?i Field Irrigated?' HEM M 111MIMME -- ----EMM INIMM EM _ -_- _ -_-- �_ H _ _ ---- ---- MM�MM M1=1===0 WMMMW� m ___ __ -_-- --_- ®-__ __ ---- -_-- ®___ __ -_____- -----_ ®__- __ �_-- m ___ _- -__- ---- m ___ _ ---- -___ ®___ _ ---_ HIM -_-- M____ ---- ENNIMMIMM ___ -_ ---- EMMMUMME---- ®___ __ - ---_ 11MIMMIMM __ ---ME ---- ®_____ �� ---_ ---- m_____ ® -_-- ---_ ---IN= --_- -__--_- - _ _� _-_- _ _--___ --- m ___ __ ® _ ---- -_- Monthly 12 Month Floating Total (in): & "✓' O FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Permit No.: WQ0015931 Facility Name: Trump National Golf Club Charlotte WWTP County: Iredell Month: June Year: 2022 Field Name:1 S-1' 1 Field Name: S-12 Field Name: S-13 Field Name: S-14 Did irrigation occur --- —'--"IT - Area (acres).' (--�----- } �- 0.97 Area (acres): 0.91 - -- Area ( cres).' --� --�- 1 04, _ Area (acres): 1.06 at this facility? -------�--•---_.,_-.� i Cover rgp: ° Cover Crop: Cover Crop: i Cover Crop: ❑ YES U NO I Dourly Rate (in): 0.33 Hourly Rate (in): 0.33 Hourly Rate (In): 0,33 j Hourly Rate (in): 0.33 Annual Rate 52 Annual Rate (in): 52 Annual Rate (in): 52 Annual Rate (in), 52 (in): Weather Freeboard t=Wd irrigated? T YES Field Irrigated? ❑ YES 0 No Field Irrigated? _ Y. NO Field Irrigated? ❑ YES ❑ No '6 ° .7-� f6 O w d in N O- M "Ki "C'' r�.. G7 CR y` 01 or j 3�s. C ! 7 __ C) 'O £ d 'O N y t7 �+ C E 7 ` C_ Qt ZS 61 _°3 U; ' n�,r i1'd 7_n E t'A': 7 y,. N 'C 'a N a0+ C7 a C E iT 7 C_ �. f0 ii a� a in = U ��I jI 4A 0 c t •L7 7 'p a ° x° 7 a o a E M i- 'O �° o E 7 -p �ax0 7 1 $ o a i= '{7 � °'° E 7 `i3 � ° .47 7 a o o E fE i= � -O @° o E 7 '6 �_° E f� °F in ft ft gal rmr*, in ! i;1 gal min in in gal min in in gal min in in 3 4 i — 5 7 10_.__— 11 __� 3 i 12 13 14 15 16 17 18 7 19 20 21 22 23 {� 24 25 26 27 28- 29 30 31 Monthly Loading: 0 0,00 Jim 0 0.00 0 0,00 0 0.00 12 Month Floating Total (in): E s �. FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Permit No.: W00015931 Facility Name: Trump National Golf Club Charlotte WWTP County: Iredeli Month: June Year: 2022 Field Na, ine: e 1 ; Field Name: S-16 Field Name: S-17 Field Name: Did irrigation occur ; — (acres): m t Area 0.71 Area - � 1.04 Area Area at this facility? .`91i ' _- (acres): (acres): l m� (acres): Cover Crop: Cover Crop:Cover crop: Cover Crop: Houriy Rate (in): �0.3 3 Hourly Rate (in): 0.33Hourly Rate (in): 0,33 i Hourly Rate (in): ❑ YES ❑ P40 Annual Rate (in): 52 Annual Rate (in): 52 Annual Rate (in): 52 Annual Rate (in): Weather Freeboard Field irrigated? 7, Yes - No Field Irrigated? ❑ YES ❑ No Field Irrigated? � O Field Irrigated? ❑ YES ❑ NO d 7 ° �-' y N Q , ! E - d o o rn E rn Za c E '. d� v rn E o) i @ O U "'' R _ @ a M E a 0 C3 E i o 0 4 o E zs m y G� E T C a 3 C E_ o 3 �., s13 < m 47...G+ r C: C i, es E 0 a d d E T C @ o 3 C E a m a a o a asp . `K p p a F p f0 x o 5 i- ( ms o a F 2) M f0 x o �% �Q fL > _j Aso J > Q o J ,�=o ram' J " e 0 , 0 i Q 0=o ~ d aLO ,� �, OF in ft ft gal miry in in gal min in in gal 1 min, in gal min in in 2 4 5 6 7 8 10 11 _ _r___ i 12 13 14 I 1 15 i 16 17 18 191 1 20 21 i 22 23 24 € 25 26 27 28 29 30 311 1$ I Monthly Loadin g � i 0 0:00 0 0.00 �a% , . s'' 0 0.00 0 0.00 12 Month Floating Total (in)-F` y,'r FORM. NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Did the application rates exceed the limits in Attachment S 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? Were all freeboards maintained In accordance with the specified freeboard heights in your permit? G7 Compliant 0 Non -Compliant G Compliant 0 Non -Compliant [1 Compliant 0 Non -Compliant u Compliant O Non -Compliant 0 Compliant C 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: Brian Willard Stephens Psrmlttse: Trump National Golf Club Charlotte, LLC i Certification No.: SI- 100g005 Signing Official: Brandon Long Grade: Sl Phone Number: 980-339-1105 signing Official's Title: Owner - TCW Wastewater Mgmt., Inc. Has the ORC changed since the previous NDAR-1? to yes 0 NO Phone Number: 704-351-4049 Permit Exp.: 5/31 /23 f / w x / t ` r s I Signature Date Signature Date By Vh s A~, I cer* lima€ We report is wourn is and rat>plw to to Vie beat of M knowWpe. I canifit, undw penalty of law, that he document and eft attachments were prepared under my direction or supervision in accordance with a rytttam daetgrted to assure that aft qualified personnel property gathered and evaluated the information submitted Based on my liquiry of the person or persona who manage the system, or those persons directly responslbie for gathering the Information, the Wo maiion submitted Is, to the bast of my knowledge and belef, true, accurate, and complete. I am aware that there are significant penalties for suibmittittg false Information, Including the possioility of fines and Imprisonment for knowing violations. Mall Original and Two Copies to: Division of Water Resources lnformatlon Processing Unit 1617 Mall Service Center