WQ0015010_Monitoring - 12-2022_20230105

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * December
Report Information
WQ0015010
TDM Truckwash
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
CCF_000023.pdf 3.95MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Doug Niemond
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Reviewer: Gerald, Wanda
1 /5/2023
This will be filled in automatically

Is the project number correct?* WQ0015010
Is the monitoring report accepted?* Yes No
Regional Office* Fayetteville
Reviewer: _anonymous
Review Date: 1/5/2023

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT {NDMR} Page Of
County: Sampson
Month: December
ear: 2022
Flow Measuring Point: influent Effluent No flow generated
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Sample Frequency:I

FORM: iR 03-12
Name: Doug Niemond
Name:
Sampling Person(s)
NON -DISCHARGE
iJ CompfiCl Non -
REPORT (NDMR)
Name: NCDA & CS
Name:
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
Page of
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.
Ivi Y�4 I No
Operator in Responsible Charge (ORC) Certification
Pennittee Certification
ORC: Doug Niemand
Permittee: TDM Farms
Certification No.: 22800
Signing Official: Doug Niemond
Grade: SI Phone Number: 910-590-6137
Signing Official's Title: Environmental Mgr.
ill
Phone Number: Permit Expiration: 12/31/2025
-
1 /512023
1 /5/2023
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 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 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.:
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Month
Januan
'ebruar
March
April
May
June
September
October
November
December
12 Month
NQ0015010
Facility Name: TDM Farms, Incorporated
Field Name:
1
Field Name:
Area (acres):
3
Area (acres):
Cover Crop:
bermuda
Cover Crop:
Load Type:
PAN
Load Type:
Field Loaded?
❑ YES NO
Field Loaded?
❑ YES ❑ No
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County:
Field Name:
.
Area (acres):
Cover Crop-
Load Type:
Field Loaded?
❑ YES
❑ NO
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Month;
Field Name:
Area (acres):
Cover Crop:
Load Type:
Field Loaded?
❑ Yes
❑ NO
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Year: 2022
Field Name:
Area (acres):
Cover Crop:
Load Type:
Field Loaded?l
❑ YES
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FORM, 1t_R 10-13 NON -DISCHARGE MASS) ^ADING REPORT (NDMIR) Page Z of
Did the mass loading rates exceed the limits in Attachment B of your permit? [A compliant L_j No -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
ORC: Doug Niemond
Certification Number: 22800
Grade: SI Phone Number:
Has the ORC changed since the previous NDML.R? ❑ Yes E No
Permittee Certification
Permittee:
TDM Farms
Signing Official:
Doug Niemond
Signing Official's Title: Environmental Mgr.
Phone No.: 910-590-6137 Permit Exp.: 12/31/20
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 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 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 2-
• VQ0015010 Facility Name: TDM Farms, Incorporated i • i Month: December
Did irrigation occur
at this facility.?
Field Name:!
Field Name:
Cover Crop:'
CoverCrop:!
Cover Crop:
NOAnnual
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Rate (iw.
Z.
Field Irrigatevil
Bull
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MM
Monthly ... .

FORM: R-110-13
NON -DISCHARGE APPLIr'1TION REPORT (NDAR-1)
Page 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?
❑ Compliant
❑ Non -Compliant
❑ Compliant
❑ Non -Compliant
Compliant
❑ Non -Compliant
i] Compliant
❑ Non -Compliant
❑ 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
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: Enviromenta! Mgr.
Has the ORC changed since the previous NDAR-1? ❑ Yes E/I No
Phone Number: 910-590-6137 Permit Exp.: 12/31/25
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115123
1 t5123
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 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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617