WQ0012796_Monitoring - 08-2022_20220912

poll FORM: NDMR 07-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page E of
Permit No.: w11 •.
Lakeview Packing Company
County: Greene
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FORM: NDMR 07-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 3— of -_
Permit No.: W00012796
Facility Name: Lakeview Packing Company
County: Greene
Month:
Year:
PPI: QQ2
Flow Measuring Point: ❑ Influent Effluent ❑ No now generated
Parameter Monitoring Point: ❑ Influent Q✓ Effluent ❑Groundwater Lowering ❑ Surface Water
Parameter Code —r
50050
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Average:
Daily Maximum:
Daily Minimum:
Sampling Type:
Estimate
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:
weekly

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _9�_ of 7
Sampling Person(s) Certified Laboratories
Name: LZI v Name: (IV /�
(vC7
Name: Marne:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0 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.
NO
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Operator in Responsible Charge (ORC) Certification
Permitte/e' Certification
ORC:
Permittee:
Certification No.: / r7 U 5
Signing Official:
Grade: 14-,, Phone Number: 2 _5� - S 5 % ' eI FOP -
Signing Official's Title:
Has the ORC changed since the previous NDMR? El Yes - "
Phone Number:25�2-.t S "! -'ZYOF Permit Expiration:
l(
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 accordan
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. f 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 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page & of _
WQ0012796
Facility Name, Lakeview• Company
County:Greene
.Field Name:
■Field
Name:
Field Name:!
•irrigation•
_
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1
Annual Rate (in):
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page_Z Of_SZY
WQ0012796
Lakeview • Company
-
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I Field Name:
Did irrigation occur
Area jacres):
ME=
Area (acres):
at this facilil
0 YES 2-N"O
Cover Crop:
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in): I
Annual Rate (in)7
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Monthly Loadhnw.
12 Month Floating Total

;-ORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page A 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?
Compliant ❑ Non -Compliant
l�mpliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? BCompilant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Compliant ❑ Non-Compllant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Mempliant ❑ 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
ORC:
Certification No.: 9 7 Uv�
Grade:w LOT Phone Number: ao� _5 9 _ 98a)
Has the ORC changed since the previous NDAR-1? ❑ Yes L,Ivo
Permittee Certification
Permittee: 119K,�U..�A%&'
Signing Official: �4GA7 `Li vti'L
Signing Official's Title:
Phone Number�j _,_S �9- 91flig Permit Exp.: c(> 30 , 02, u�
7-
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

FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page _�/ of
Ar
Permit No.: WQ0012796
Facility Name: Lakeview Packing Company
County: Greene
Month: A _
Year: rZ
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
Field Name:
5
Area (acres):
1.26
Area (acres):
1.26
Area (acres):
1.21
Area (acres):
0.81
Area (acres):
'1.11
Cover Crop:
`� ` k j I-,
Cover Crop:
e SIM
Cover Crop:
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Cover Crop:
v
Cover Crop:
&0- l .
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
❑ YES WN0
Field Loaded?
❑ YES �o
Field Loaded?
❑ YES 2,*No
Field Loaded?
❑ YES 2Flo
Field Loaded?
❑ YES Wo
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12 nth Floating PAN Load
(Ibs/ac/yr):
Annual PAN Load Limit
(Ibs/ac/ r):

FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page .6, of(3
Permit No.: WQ0012796
Facility Name: Lakeview Packing Company
County: Greene
Month: 4
=ear:
Field Name:
6
Field Name:
7
Field Name:
8
Field Name:
Field Name:
Area (acres):
1.11
Area (acres):
1.11
Area (acres):
1.47
Area (acres):
Area (acres):
Cover Crop:
c N�(
Cover Crop:
1-,
Cover Crop:
J , ,,{4
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
Load Type:
Field Loaded?
❑ YES Ro
Field Loaded?
❑ YES 2f0
Field Loaded?
❑ YES E246—
Field Loaded?
❑ Yes ❑ No
Field Loaded?
❑ YES ❑ No
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(lbslac/yr):
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14FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page 1_ of i`51
Did the mass loading rates exceed the limits in Attachment B of 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
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
ORC: J Gz C v b
7a YluCc � �-
Certification Number: R � 1 7 ®.5
Grade: wito I Phone Number: j.2-s` j 9 - 5V 000
Has the ORC changed since the previous NDMLR? ❑ Yes i<o
a
Permlttee Certification
Permlttee: bqi_AQ 1J6' e i.J PC( C_A i N� (L4
Signing Official: j eAe 0/0 y /V �4
Signing Official's Title: / /' e-S f d eN t
Phone No.:,2s,) -s� 5?.- GJ Q D� Permit Exp.: -- 3 0 .� 02
Sig ndot'ure Date Signature " Date
By this signature, I certify that this report Is accurrale and complete to the best of my knowledge. 1 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617