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HomeMy WebLinkAboutWQ0034380_Monitoring - 10-2022_20221128Monitoring Report Submittal Permit Number #* Name of Facility:* Month: * October Report Information WQ0034380 Sanderson Farms Kinston Processing Facility Year:* 2022 Type* Upload Document* NDMR, NDAR-1, NDAR-2, NDMLR NDAR NDMLR NDMR Oct 7.45MB 2022.pdf PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). Confirmation Email Address: * josephf@sandersonfarms.com Name of Submitter: * Joseph H. Franklin Signature: Date of submittal: 11/28/2022 This will be filled in automatically Initial Review Reviewer: Gerald, Wanda Is the project number correct?* WQ0034380 Is the monitoring report accepted?* Yes No Regional Office* Washington Reviewer: _anonymous Review Date: 12/2/2022 FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page / of ­6 Permit No.: WQ0034380 Facility Name: Sanderson Fan Facility Countyenoi Monft October Did irrigation occur at this facility? 2 IYES ONO Mimi MIS a W 11=11M W=11=11=11M M mmm mm MIMMINEMM MMMEMEME MM 11=11M M=11=11=11M M m== mm WMINMINEMM W=11=11=11M W=11=11=11M M=11=11=1 Monthly Loading:1C M VIM MEN W/111 2 ME W1111A V/Z/ffffl//" N WIN ME "'W"I I M ! NEWMANN 11016/1 M1,111101-i I W100, 14 N W14 WA 9 FEEz VZZZIA,. WZIA 0 WZIAM. FAME, FORM, NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NEAR-1) Page of Permit No.: WQ003 380 Facility Name: Sanderson Farms -Kinston Facility County: Lenoir Month: October -A Did irrigation occur at this facility? FJIYES [-]NO Ila" Monthly Loading:il FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) page 3 of Permit No,: 1Q0034380-- Fwility Name: Sanderson Farms -Kinston Facility County: Lenoir MonW October Did irrigation occur at this facility ? [ZYES E:NO M=M= W Monthly Loading:] 12 Month Floating Total (in): FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page j L! of Permit No.: WQ0034380 Facility Name: Sanderson Farms -Kinston Facility I III County: Lenoir Month: October Did irrigation occur I facility? 119- Field Name: Area (acres): Area (acres . at this 7�JYES LINO Ciowr III 11111111t; WWWRT"Iffil Cover Crop: Hourly Rate Hourly Rate (in) H0UIyRt,(i,).1. Annual Rate (in): AnnualIII Rate in%,: Annual Rate In): Field Irrigated? 'I Julio M. N!.. I I I IN an M M V111111=11111A 011111111111A. VA M W1 0, 1 WA, FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of iiii i ii:iiriili 'Mrs rilim LICompliant LINorl-Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? [ZCompliant E]Non-Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? ECompliant E]Non-Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? El Compliant EINon-Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? E-1compliant []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: Joseph H. Franklin Permittee: Sanderson Farms, Inc Certification No.: WW1012108TIS11012364 Signing Official: Jared Lowe Grade: 3 Phone Number: 252-939-6433 Signing Official's Title: Divison Manager Has the ORC changed since the previous NDAR-1? LjYeS ENo Phone Number: 252-522-9145 Permit Exp.: 12131/26 -7 7 Z Signature Date Signature ,Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I celty, u0er penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance witlfa 7 fem designed to assure that all qualified personnel property gathered and evaluated the information submitted. Based on my iof 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 I 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 FORM: NDMLR 07-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of "I Permit No.: WQ0034380 Facility Name- Sanderson Farms -Kinston Facility County: Lenoir Month: October Year: 2022 Field Name: 1A Field Name: 16 Field Name: 2A Field Name: 2B Field Name: 3A Area (acres): 22.4 Area (acres)= 8.81 Area {acres): 22A Area (acres): 10A Area (acres): 24 Cover Crop: Rye Grass Cover Crop: Rye Grass Cover Crop: Rye Grass Cover Crop: Rye Grass Cover Crop: PINES Load Type: PAN Load Type- PAN Load Type: PAN Load Type: PAN Load Type: PAN Field Loaded? AYES [-]NO Field Loaded? AYES F1N0 Field Loaded? EI]YES LINO Field Loaded? E]YES ONO Field Loaded? AYES [-]NO Z z CD Z z wo z C z 0 z z 70 z C z < 0 0 > 0 < < > 0 0 > CL rL a. o CL a. .- M 0 IL 70 >1 -Z 0 CL < a - a ;In o LL 'D >t 0 Z, M 0 _j rm C _j M 0 75 -j Z 0 M C to 7 o _j - _j E 0 -cc E 0 C 0 1 0 C a) r 0 E E , 0 0 r- C 0 E = < E (D 2 0 > 0 < () a. > 0 0 < > 0 0 a- 0 > 0 Q 0 > o < U > 0 > > > > U Month gal mg/L lbs/ac lbs/ac gal mg/L lbs/ac lbs/ac gal mg/L lbs/ac lbs/ac gaI mg/L lbstac lbs/ac gal mg1L lbs/ac lbsiac November 2,186,284 1517 127 12.3 209,024 15.17 3,0 10 3039630 1517 17.2 17.2 1411258 15.17 17,2 17,2 35054,703 15A7 16.1 161 December 2,895,504 20.31 21.9 341 0 20,31 0,0 10 3548096 20.31 26.8 44.0 1647332 20.31 26-8 44.0 3,382,008 20.31 23.9 40.0 January 3,376,494 15.26 19.2 53.4 0 15.26 0.0 3,0 2761293 15.26 15.7 59.7 1282030 15.26 15.7 59.7 2,958,531 15.26 15.7 55.7 February 3,027,795 27.5 31.0 84.4 0 27.5 0.0 3.0 2852284 27.5 29.2 88.9 1324274 27.5 29.2 88,9 3,056,020 27.5 29.2 84.9 March 3,427,340 20.53 26.2 1110.6 427,412 20.53 83 11,3 3326334 20.53 25.4 114.3 1544369 20.53 25.4 114-3 3,563,927 20.63 25.4 1103 April 3,267,603 17.4 21.2 131.8 1 1,285,1581 17.4 21.2 32,5 3051059 17A 19.8 1341 1416563 17A 191 134-1 3,854,122 17A 23.3 133.6 May 1,161,060 1338 6.0 137.8 456,649 1 1178 &0 38A 984478 13.78 5.1 139.1 457079 13.78 5.1 139. 1 4,014,227 1178 19.2 152.8 June 963,299 11.6 4,2 14149 0 11.6 0.0 38A 3786527 11.6 16.4 155.5 1758031 11.6 16A 155.5 4,056,993 11.6 16.4 169.2 July 3,880,430 6,26 9.0 151.0 0 6.26 0.0 38A 2479229 6.26 5.8 1613 1151071 6.26 51 161,3 3,907,353 6.26 8.5 177.7 August 2,791 ,022 9.92 10.3 161.3 0 9.92 0,0 38A 3296113 9.92 12.2 173.4 1530337 9.92 122 _173,4 4,025,857 9.92 13.9 191.5 September 3,047,946 8.26 9.4 170.6 498,910 8.26 3,9 423 3592580 8.26 11.0 184.5 1667984 826 11.0 194.5 3,832,851 8.26 11.0 202.6 October 4,052,881 11.81 17.8 188.5 1,594,012 11.81 17.8 60.2 1312401 11.81 5.8 190.3 609330 11.81 5.8 1W3 4,156,199 11.81 17.1 219.6 12 Month Floating PAN Load 60-2 19U 1903 219.6 (lbs/ac/yr): FA Annual PAN Load Limit 111, 8318 (11 1 ano", FORM: NDMLR 07-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of Permit No.: WQ0034380 Facility Name: Sanderson Farms -Kinston Facility County: Lenoir Month: October Year: 2022 Field Name: 3B Field Name: 4A Field Name: 413 Field Name: 5A Field Name: 5B Area (acres): 3.51 Area (acres): 19,7 Area (acres): 8.14 Area (acres): 28-5 Area (acres): 1A Cover Crop- PINES Cover Crop: Rye Grass Cover Crop: PINES Cover crop: Rye Grass Cover Crop: Rye Grass Load Type: PAN Load Type: PAN Load Type: PAN Load Type: PAN Load Type: PAN Field Loaded? [21YES NO Field Loaded? DYES Field Loaded? 21YES E]No Field Loaded? E�]YES E:1N0 Field Loaded? E [:]NO Z z 2 z LD z a) Z z <d (L 0- > CL �2 n CL .2 CL < 5 -0 - CL < .= 0. - < 4) > !a M - CL < - 0 m - < (D "a > ato: CL < a) >, 'a 0 _j CL < V UD C 0. < CD a. 'a % 0 _j 0. M (L = 0 0. M a. 0 -C 0 z B 0 z 0 z CD E 2 :E o E z o E z > 0 0 < 0 C > 0 :3 U a. > 1= 0 = < 0. 2 a > 0 n > 0 3 < a. U o < 0 U 2 0 < U 2 0 0 0 < (-) 2 > > > > Month gal mg/L 446,751 15.17 lbs/ac Ibs/aG gal mg/L Ibs/ac _783 lbstac gal mg1L lbsiac lbs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac lbs/ac November 16.1 16.1 2,846,238 1517 18i3 1,176,059 1517 18.3 183 4,487,802 15.17 19,9 19,9 225,194 15,17 1 204 20,4 December 494,620 20.31 23,9 40,0 3,120,425 20.31 26.8 45.1 801,524 20.31 16.7 35,0 3,606,454 20.31 21 A 41A 180,969 20.31 21.9 421 January 432,684 15.26 15.7 55.7 2,428461 15.26 15.7 60-8 0 15.26 0.0 35.0 4,205,545 15.26 18.8 60,11 211,032 15.26 19.2 61.4 February 446,943 27.5 29.2 84.9 2,508AU 27.5 29.2 90,0 0 27.5 0,0 35-0 3,771,225 27,5 30,3 0.5 189,238 27.5 31.0 92A March 521,584 20.53 25.4 110.3 1,602,148 20.53 13.9 103,9 0 20,53 0.0 35.0 3,545,629 20.53 21,3 111.8_ 177,917 20.53 21.8 114,2 April 563,666 17.4 23.3 133.6 3,163,591 17-4 23.3 127.2 0 17.4 0.0 35.0 3,410,4931 17.4 17.4 129.2 171,136 17.4 17.7 131.9 May 587,081 13.78 192 152;8 2,295,016 13.78 13.4 140.6 733,116 1338 10.4 45.3 4,609,5061 13.78 18,6 1 147.7 231,302 13.78 19.0 150.9 June 693,336 1156 16.4 169.2 3,330,115 11.6 16A 157.0 1,375,997 11.6 16.4 61.7 3,732,8741 11.6 12.7 160A 187,313 11,6 12.9 1619 July 571,451 6.26 8.5 177.7 1,656,453 6.26 4.4 161 A 684,443 6.26 4.4 66.1 4,038,859 6.26 7A 167.8 202,666 6.26 7,6 171 A August 448,697 9.92 10.6 188.3 13,304,558 1 9.92 13.9 175.2 1,365,437 9.92 13.9 79.9 5,085,291 9.92 14.8 182.6 255,176 9.92 15.1 186.5 September 0 8.26 0.0 188.3 12,604,4781 8.26 9-1 1843 1,076,165 8.26 9.1 89.0 3,693,466 8.26 8,9 191.5 111,215 8.26 5.5 192,0 October 0 11.81 0.0 188.3 1] 2,913,3011 11.81 14.6 198.9 1,203,770 11.81 14.6 1016 5,048,006 1181 174 208.9 0 11.81 0.0 192.0 12 Month Floating PAN Load (lbs/ac/yr). 188.3 Annual PAN Load Limit (lbs/ac/yr): _7 4 FORM: NDIVILR 07=1 1 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Paige _5 of - Ll Permit No.: WQ0034380 Facility Name: Sanderson Farms -Kinston Facility County: Lenoir Month: October Year: 2022 Field Name: 6 Field Name: 7 Field Name: 8A Field Name: 8B Field Name: 9 Area (acres): 30 Area (acres): 29,6 Area (acres): 22.8 Area (acres): 1.84 Area (acres): 16;2 Cover Crop: Rye Grass Cover Crop: PINES Cover Crop: PINES Cover Crop: PINES Cover Crop: Rye Grass Load Type: PAN Load Type; PAN Load Type: PAN Load Type. PAN Load Type: PAN Field Loaded? [2]YES [jNO Field Loaded? 0 YES E]NO Field Loaded? E]YES EINO Field Loaded? DYES []NO Field Loaded? E]YES z z Z C z to Z C z Z r_ z 2V z r_ z 0 a. 0 CL a. CL CID (L M CL M oil C M _j tx C 0 _j C13 0 _j Q. < a 9 ED r_ 0. < 0 0 0 Z E M 4V z E 0 E z 0 0 E am z E E M 0 . 0 = 0 Z -i z E > a 0 > 0 > 0 , < 91 0 0 > 0) a > 0 < 0 0 < L) 0 0 0 < 0 2 L) 0 0 5 .2 0 o < C) 0 > > > > Month gal mg/L lbstac lbstac, gal mg/L lbi lbslac gal mg/L lbs/i lbstac gal mg/L lbsfac lbs/ac gal I mg/L lbslac lbsiac November 4428776 15.17 18.7 18.7 5,014,225 15.17 21,4 21,4 3,862,306 15.17 21.4 21.4 311,694 15.17 21,4 21.4 1,476,058 15,17 11,5 117- December 4229860 2031 23.9 42.6 4,173,464 2031 23,9 45,3 2,717,379 20.31 20.2 41.6 219.297 2031 202 41.6 2,094,072 20.31 21.9 33A January 3722578 15.26 15.8 58.4 3,672,943 15.26 15,8 61A 2,829,160 15.26 15;8 57A 228,318 15.26 15.8 57.4 2,441,929 15.26 19.2 52.6 February 4372506 27,5 33.4 91.8 4,314,207 2T5 314 94.5 3,323,106 27.5 33.4 90.8 268,181 27.5 314 90.8 2,189,743 27.5 31.0 83.6 March 4750356 1 20,53 27.1 118.9 4,687j019 20.53 27A 121,6 3,610,270 20.53 27.1 118.0 291,356 20.53 27.1 118.0 2,478,702 20.53 26.2 109,8 April 1391381 17.4 6.7 125.6 4,761,841 17.4 23.3 145.0 3,667,9041 17.4 23.3 141.3 296,007 17.4 23.3 141 z3 1,656,4771 17.4 14.8 124.6 May 5736466 13�78 22.0 147.6 5,659,981 13,78 2ZO 167.0 4,359,715 13.78 22.0 163.3 351,837 13.78 2ZO 163.3 2,676,487 13.78 19.0 143.6 June 1938969 1 1�6 ' _ 6 6.3 153.9 4,,840,917 11.6 15.8 18Z8 3,876,233 11.6 16.4 179.7 312,819 11.6 1&4 179.7 Z957,578 11.6 17.7 161.3 July 3434820 r 2r &26 6.0 159.8 4,835,733 6.26 8,5 1913 3,724,821 6,26 8;5 188.2 218,625 6.26 6.2 185.9 2,033,044 6.26 &6 167.8 August 2402913 L1378 9�92 6.6 166.5 4,371,134 9.92 122 2015 3,366,954 9.92 12,2 200.5 0 9.92 0.0 1W9 3,382,512 9.92 17.3 185.1 September 2,598058 &26 6.0 172.4 15,555,219 8.26 13.0 216.5 14,286,723 8,26 13.0 213.4 0 8-26 0,0 1 185-9 11,293,405 8.26 5.5 190.6 October 2465897 11 81 81 180.5 15,335,4021 11.81 17,8 234.2 14,109,700 11.81 17.8 231.2 0 11.81 0.0 1 185,9 ] 2,931,102 11.81 17.8 208,4 12 Month Floating PAN Load (lbs/aclyr 180.5 2342 231.2 Annual PAN Load Limit rM (lbslac/yr &/ FORM: NDMLR 07-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page I of Non Compliant Did the mass loading rates exceed the limits in Attachment B of your permit? Ei 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: Joseph H_ Franklin Permittee: Sanderson Farms, Inc Certification Number: WW1012108T/S11012364 Signing Official: Jared Lowe Grade: 3 Phone Number: 252-939-6433 Signing Official's Title: Division Manager Has the ORC changed since the previous NDMLR? [7-1-Yes; E:]No Phone No.: 252-522-9145 Permit Exp.: 12/31/26 /2— Signature By this signature, I certify that this report is accurrate and complete to the best of my knowledge. Signatyt Date I certify, unqej-,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 FORM: NDMR 07-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page-L of 3 Permit No.: WQ0034380 Facility Name: Sanderson Farms -Kinston Facility I County: Lenoir Month: October Year: 2022 PPI: 001 Flow Measuring Point: Drifluent �Effluent CNo flow. generated Parameter Monitoring Point: Dnfluent E]Effluent L,roundwater Lowering :]Surface water Parameter Code 50050 00310 00916 00940 31616 00927 00610 00625 00620 00600 00400 00665 W0090 00931 00929 70300 z 2 M 0 E P 0 0 E 0 0 Q E 2 M 2 M 0 E 2 0 z z U) o CL 0 0 < V) "o 0 A 24-hr hrs GPD mg/L mg/L mg/L #/100 ML mg/L mg/L mg/L mg/L mg/L su mg/L mg/L Ratio mg/L mg/L 798,000 2 07:00 3 07:00 8 807,000 10 578,000 6.96 4 07:00 5 07:00 10 686,000 10 857,000 3 13 1 1 1 5.84 0.57 5.7 1 3.87 9.7 6.98 1 6.81 15.2 5.8 1 10.8 la 1 6 07:00 10 776,000 4 1 051 12 4.23 16.3 6.89 19.7 7.9 7 1 07:00 10 873,000 6.90 8 1 07:00 8 7131,000 9 942,000 10 07:00 10 868,000 1 6.92 1 11 07,00 10 1,038,000 3 1 9.72 12 6.01 18.1 6.81 18A 11.6 12 07:00 13 07:00 10 983,000 10 1 1,251,000 3 1 17.7 20 0.82 20,9 6,94 6.85 19.8 10.4 141 07-500 10 862,000 6.83 15 930.000 16 11,014000 17 07:00 10 731,000 6.89 18 07:00 10 691,000 3 1 1 17.7 24 11A 25.4 6.79 18 12,2 19 07:00 10 1 685,000 6.90 201 07:00 10 799,000 3 1 a 14.9 19.6 34,5 7.02 17.7 25.7 21 07:00 10 846,000 6.80 22 07:00 a 987,000 23 917,000 24 07:00 10 840,000 7.01 25 07:00 10 826,000 3 1 13.7 18.3 1.87 20.2 6.98 13.3 10.1 26 07:00 10 1 9111,000 6.86 27 07:00 10 870,000 2 1 13,2 17.7 2,78 20.5 6.74 18.4 10.8 28 07:00 10 884,000 6.92 29 991,000 30 897000 311 07:00 10 882,000 7.07 1 Average: 864,548 3.00 13.00 1.00 5.84 10.09 15.58 5,07 20.70 17.56 11:611 10.80 IWOO Daily Maximum: 1251,000 4.00 1100 1,00 5.84 17.70 24.00 19,60 34.50 T07 19.80 25.70 10.80 188.00 Daily Minimum: 578,000 2,00 13.00 1.00 5.84 0.10 5.70 0i82 930 6,74 1130 5,80 1 0<80 188.00 Sampling Type: Recorder Composite Composite Composite Grab Composite Composite Composite Composite Composite Grab Composite Calculated Calculated Composite Composite Monthly Limit: 1,400,000 Daily Limit - Sample Frequency:1 _Continuous 2 X Week Monthly 3 X Year 2 X Week Monthly 2 X Week 2 X Week 2X Week 2 X Week 5 X Week 2 X Week 2 X Week I Monthly 1___Monthly 3XYear FORM: NDMR 07-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page f Permit No.: WQ0034380 Facility Name: Sanderson Farms -Kinston Facility County, Lenoir Month: October Year: 2022 PPI: 001 _[Flow Measuring Point: MInfluent IDEffluent E]No flow generated Parameter Monitoring Point: E-Effluent LIGroundwater L.Dwering ®Surface `Hater Parameter Code --* 00530 0 E vx E (D 0 0 M C 'a (D 24-hr hrs. mg/L 2 07:00 8 3 07:00 10 1 4 07:00 10 25 5 6 07:00 io 07:00 10 4.3 7 07:00 10 8 07:00 8 9 10 07:00 10 11 07:00 10 13 12 07:00 10 13 07:00 10 2.9 14 07:00 10 is 16 17 07:00 10 18 07:00 10 4.3 19 07:00 10 20 07:00 10 8,9 21 22 07:00 10 07:00 8 23 24 07:00 10 251 07:00 10 3.9 26 07:00 10 27 07:00 10 3.4 28 07:00 10 29 30 311 Average: 4 Daily Maximum: 9 Daily Minimum: 3 Sampling Type: Composite Monthly Limit: Daily Limit: Sample Frequency: 2 X Week FORM: NDMR 07-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page 3 , f Sampling Person(s) Certified Laboratories Name: Joseph Franklin Name: Environmental Chemists, Inc Name: Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ElComptiant EINon-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: Joseph H. Franklin Permittee: Sanderson Farms, Inc Certification No.: WW1012108T/SI1012364 Signing Official: Jared Lowe Grade: 3 Phone Number: 252 939 6433 Signing Official's Title: Divison Manager Has the ORC changed since the previous NDMR? ❑Yes No Phone Number: 252-522-9145 ext 4105 Permit Expiration: 12/31/2026 ? 7 Signature bate Signature Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. 11certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in 4-crrdance 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, 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