WQ0012796_Monitoring - 06-2022_20220912

FORM: NDMR 07-13
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NON -DISCHARGE MONITORING REPORT (NDMR)
Page _9 of
PermitNo.: WQ0012796
Facility Name: Lakeview Packing Company
County: Greene
Month: -Z
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.:
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page-- of
Sampling Person(s) Certified Laboratories
Name: Name:
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? O 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 necessarv.
NO
5.��� I`��I � s
�e-Y��
Operator in Responsible Charge (ORC) Certification
Permittee Certification
I-
ORC: �/f- c.ci�7 � r..� rr��4-�� C
Permittee: � /�-� V ��c� �I-�.J[ %
Certification No.: L CV 77 U.5
Signing Official: ,,C �� b 1 r sty ✓f�
4-
Grade: E.C> Lt J Phone Number: ,2 6;�2 - 5 .5 , 0 r?
Signing Official's Title: � �y 40
/
Has the ORC changed since the previous NDMR? Yes
_ _ zo '
Phone Number: 5� - S S^ t1' - wpop Permit Expiration: / % •36 Dzr�
Signature Date
Signature Date
By this signature, I certdy 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 ce
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

FORM: NDMR 07-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 3 of
Permit No.: WQ0012796
Facility Name: Lakeview Packing Company
county: Greene
Month: �w
Year O al
PPI: 002
Flow Measuring Point: ❑ influent Q Effluent ❑ No Flow generated
Parameter Monitoring Point: ❑ influent (] Effluent ❑ Groundwater Lowering ElSurface Water
Parameter Code — ►
60060
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29
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30
�(ry
31
Average:
Daily Maximum:
)
Daily Minimum:
SamplingType:l
Estimate
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:
Weekly

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page b of
Permit No.: WQ001 2796
Facility Name: Lakeview Packing Company
County: Greene
Field Name:
Field Name:
Field Name:,
/ • irrigation occur
-�
at this facility?
Cover Crop:
Cover Crop: 1
Cover Crop:
Hourly Rate fln-r���
I M11
Annual Rate (in):
Annual Rate (in):
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page --.X- of _M
Permit No.: 1111 •.
- • • •_
- -
.
• irrigation occur
at this facility?
Field Name:,
Field Name: 11
Cover Crop: I
El 21NO
Hourly Rate (in):'
Hourly Ra
Hourly Rate (in):,
YES
AnnuafAate (in):
Annual Rat 7e (lily
Annual Rate (in):
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page--,), of(F
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?
E Compllant ❑ Non -Compliant
14pliant ❑ Non -Compliant
L"J Compliant ❑ Non -Compliant
Compliant ❑ Non-Compllant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? : Compllant ❑ 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) cf the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator In Responsible Charge (ORC) Certification
-1/
ORC: GzGJ ! l-N
Certification No.:
Grade:wwj- Phone Number:aa,<.559 — 9861?
Has the ORC changed since the previous NDAR-1? ❑ Yes (] 0
Signature v
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge.
Date
Permittee Certification
Permittee: L Aft -U. ew ?c,-&k . / /- U&.
Signing Official: —JacA.-
Signing Official's Title: 7;� Ct5
Phone Number��_S5_9- / f,6& Permit Exp.: 30 02
—114-2
Signature
Date
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 Ones 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

1110' FORM: NDMLR 06-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page __.Lof 3
ermlt No.: WQ0012796
Facility Name: Lakeview Packing Company
County: Greene
Month: e-
Year6?0a
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:
�
Cover Crop:
j� ` I -in
Cover Crop:
Cover Crop:
rn ^ � ��.
Cover Crop:
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
❑ YES u.J NO
Field Loaded?
❑ YES 2No
Field Loaded?
❑ YES 2"No
Field Loaded?
❑ YES ([i'No
Field Loaded?
❑ YES Leo
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Annual PAN Load Limit
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FORM: NDMLR08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page _j5_ of
Permit No.: WQ0012796
Facility Name: Lakeview Packing Company
County: Greene
Month: .J�
Year: 02
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:
t {
Cover Crop:
% ,•r L(
Cover Crop:
l 1. -1IgLA J 4
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
Load Type:
Field Loaded?
❑ YES Cho
Field Loaded?
❑ YES If0
Field Loaded?
❑ YES E�<
Field Loaded?
❑ YES ❑ NO
Field Loaded?
❑ YES ❑ No
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Ibs/ac
gal
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Ibs/ac
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gal
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12 Month Floating PAN Load
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Annual PAN Load Limit
(Ibslac/yr):

FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page �[_ of
D'id the mass loading rates exceed the limits in Attachment B of your permit?
@<.pliant ❑ 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: J a. c: (� b
r
Permittee: /4A 2 L) a L.) et C A, i Al
Certification Number: G a �/
R / 1 ! S
Signing Official: +—
9 9 .s C� G �b
Grade: (�(J jt,? I Phone Number: -sue - Y�(�d
Signing Official's Title: e-,S Id e-A)
Has the ORC changed since the previous NDMLR? ❑ Yes Rio
Phone No.:,,5,2 -, 3 57.. g Q ©q Permit Exp.: .. 3 0 :2 Q
/ `I " 0
�2-2-/ 0,2 oL
Signature Date
Signature Date
By this signature, I certify that this report Is accurrale 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