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HomeMy WebLinkAboutWQ0034380_Monitoring - 11-2022_20221230Monitoring Report Submittal Permit Number #* Name of Facility:* Month: * November Report Information WQ0034380 Sanderson Farms Kinston Processing Facility Year:* 2022 Type* Upload Document* NDMR, NDAR-1, NDAR-2, NDMLR NDAR NDMLR NDMR Nov. 1.28MB 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: 12/30/2022 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: 1/23/2023 FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page f of 5 Permit No.: WQ0034380 Facility Name: Sanderson Farms-Kinston.unty: Lenoir Month:• •- Did irrigation occur Field Name: I, this facility? Area (acres): at Cover Crop: r—Ayr-Tiff $1147-im FJ_jYES ■ • . -. 1Hourly Rate 1 . �. • . -. 1 Annual Rate (in): EMERRET" M. ... . .. . 0 • ' . .. •. •mang.. Z-. ��� . ..MM17 -MM m mmM NO 1 1 • ��■� 1 1 FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Z of.5 Permit No.: WQ0034380 Facility Name: Sanderson Farms -Kinston Facility County: Lenoir Month: November Did irrigation Field Name: • occur Area (acres). Area (acres): Area (acres� at this facility? Cover Crop: Cover Crop: ]NO Hourly Rate (in): Hourly Rate (in): WMTRMRIIITIRPVIMII�� -. Annual Rate (in): Field lrrigated?:��� Fie - Id Irrigated? Field lrrigated?!��� Monthly Loading:. . 1jjjjj�jjjjj%j�jjj/ 1 11 j��jjj� �jjjjjj/�jj�jj/ 12 Month Floating Total FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 3 of 5 Permit No.: WQ0034380 Facility Name: Sanderson Farms -Kinston Facility County: Lenoir Month: November Did irrigation Field Name: occur A ea (acres): at this facilitY7 Hourly Rate (in):'��� Hourly Rate (in):; W-TITITMI I Z171 Annual Rate (in): Annual Rate (in):', - ....� .. �Field Irrigated?o ■. �...ao ■. ... o ■�, = : ommo��ME! M- ..: :, , ®� , KIM momMo� ®®®���� I®� ,: momo®=�m� mom • �� ���� ���� ®®�®���� Monthly Loading: FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page `? of -5 Permit No.: WQ0034380 Facility Name: Sanderson Farms -Kinston Facility County: Lenoir Month: November Did irrigation Field Name: Field Name: occur Area (acres): Area (acres): at this facility? PIYES ONO Hourly Rtfln):� Hourly Rate (in):'; Annual Rate (in): Field Irrigated? IIIIIIIIIIII12VIr-1r=- • •.••jjj/�Nm ONjj�jjj/.®jj�jj�/�jjj�jj. 111 FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page • _ of -5 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? Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Compliant ❑Non -Compliant []Compliant ❑Non -Compliant QCompliant [-]Non-compliant ❑� Compliant ❑Non -Compliant QCompliant ❑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.: WW1012108T/S11012364 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? Dyes PINo Phone Number: 252-522-9145 ext 4105 Permit Exp.: 12/31/26 Z,/ z2,/ Signature Date Signature ate By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I cenalty of law, that this document and all attachments were prepared under my direction or supervision in accordance wit/signed 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 07-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page J_ of `7 Permit No.: WQ0034380 Facility Name: Sanderson Farms -Kinston Facility County: Lenoir Month: November Year: 2022 Field Name: 1A Field Name: 1B Field Name: 2A Field Name: 2B Field Name: 3A Area (acres): 22.4 Area (acres): 8.81 Area (acres): 22.4 Area (acres): 10.4 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? ❑� YES [:]NO Field Loaded? E]YES []NO Field Loaded? E]YES ONO Field Loaded? E]YES ONO Field Loaded? E]YES [:]NO m z z z z z ° z a a°z a a a > a > N Q N N Q G7 Q d >. Q d CM N �+ @ Y J N T@ J z Q T@ JU J .+ M d T@ 0 J z @ JE J z�J E Ez . E E E ° Q E Q > o a � o 0 o a M > 0 o U a > o aa� o a> U ? 0a ; a > Month gaI mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac lbs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac December 2,895,504 20.31 21.9 21.9 0 20.31 0.0 0.0 3548096 20.31 26.8 26.8 1647332 20.31 26.8 26.8 3,382,008 20.31 23.9 23.9 January 3,376,494 15.26 19.2 41.1 0 15.26 0.0 0.0 2761293 15.26 15.7 42.5 1282030 15.26 15.7 42.5 2,958,531 15.26 15.7 39.6 February 3,027,795 27.5 31.0 72.1 0 27.5 0.0 0.0 2852284 27.5 29.2 71.7 1324274 27.5 29.2 71.7 3,056,020 27.5 29.2 68.8 March 3,427,340 20.53 26.2 98.3 427,412 20.53 8.3 8.3 3326334 20.53 25.4 97.1 1544369 20.53 25.4 97.1 3,563,927 20.53 25.4 94.2 April 3,267,603 17.4 21.2 119.4 1,285,158 17.4 21.2 29.5 3051059 17.4 19.8 116.9 1416563 17.4 19.8 116.9 3,854,122 17.4 23.3 117.5 May 1,161,060 13.78 6.0 125.4 456,649 13.78 6.0 35.4 984478 13.78 5.1 122.0 457079 13.78 5.1 122.0 4,014,227 13.78 19.2 136.7 June 963,299 11.6 4.2 129.6 0 11.6 0.0 35.4 3786527 11.6 16.4 138.3 1758031 11.6 16.4 138.3 4,056,993 11.6 16.4 153.1 July 3,880,430 6.26 9.0 138.6 0 6.26 0.0 35.4 2479229 6.26 5.8 144.1 1151071 6.26 5.8 144.1 3,907,353 6.26 8.5 161.6 August 2,791,022 9.92 10.3 148.9 0 9.92 0.0 35.4 3296113 9.92 12.2 156.3 1530337 9.92 12.2 156.3 4,025,857 9.92 13.9 175.4 September 3,047,946 8.26 9.4 158.3 1 498,910 8.26 3.9 39.3 3592580 8.26 11.0 167.3 1667984 8.26 11.0 167.3 3,832,851 8.26 11.0 186.4 October 4,052,881 11.81 17.8 176.1 111,594,0121 11.81 17.8 57.2 1312401 11.81 5.8 173.1 609330 11.81 5.8 173.1 4,156,199 11.81 17.1 203.5 November 3,523,0951 21.4 28.1 204.2 11 602,814 1 21.4 12.2 69.4 2404349 21.4 19.2 192.2 1116304 21.4 19.2 192.2 3,625,160 21.4 27.0 230.5 12 Month Floating PAN Load 204.2 69.4 192.2 192.2 230.5 (Ibs/ac/yr): Annual PAN Load Limit 8318 (Ibs/ac/yr): FORM: NDMLR 07-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page Z of� Permit No.: W00034380 Facility Name: Sanderson Farms -Kinston Facility County: Lenoir Month: November Year: 2022 Field Name: 3B Field Name: 4A Field Name: 4B Field Name: 5A Field Name: 5B Area (acres): 3.51 Area (acres): 19.7 Area (acres): 8.14 Area (acres): 28.5 Area (acres): 1.4 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? ❑� YES ONO Field Loaded? 121YES ONO Field Loaded? DYES ONO Field Loaded? OYES ONO Field Loaded? ❑' YES [:]NO a ra ° ¢¢ 'a > a 1 � .0 ° 2 ¢>aa a. L v� o � a "a o c. a o *a °- a a a >a mo N Cn d 0 y0 75m N m J Z J Z N R J� ZZ EZ J E a E a E 3 Co EF aa o a a Q o U Q o2 a 2 o >j a U0 > > j > > > Month gal 494,620 mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac - gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac December 20.31 23.9 23.9 3,120,425 20.31 26.8 26.8 801,524 20.31 16.7 16.7 3,606,4541 20.31 21.4 21.4 180,969 20.31 21.9 21.9 January 432,684 15.26 15.7 39.6 2,428,461 15.26 15.7 42.5 0 15.26 0.0 16.7 4,205,5451 15.26 18.8 40.2 211,032 15.26 19.2 41.1 February 446,943 27.5 29.2 68.8 2,508,482 27.5 29.2 71.7 0 27.5 0.0 16.7 31771,2251 27.5 30.3 1 70.6 189,238 27.5 31.0 72.1 March 521,584 20.53 25.4 94.2 1,602,148 20.53 13.9 85.6 0 20.53 0.0 16.7 3,545,6291 20.53 21.3 1 91.9 177,917 20.53 21.8 93.8 April 563,666 17.4 23.3 117.5 3,163,591 17.4 23.3 109.0 0 17.4 0.0 16.7 3,410,4931 17.4 17.4 109.2 171,136 17.4 17.7 111.6 May 587,081 13.78 19.2 136.7 2,295,016 13.78 13.4' 122.3 733,116 13.78 10.4 27.0 4,609,5061 13.78 18.6 127.8 231,302 13.78 19.0 130.6 June 593,336 11.6 16.4 153.1 3,330,115 11.6 16.4 138.7 1,375,997 11.6 16.4 43.4 3,732,874 11.6 12.7" 140.5, 187,313 11.6 12.9 143.5 July 571,451 6.26 8.5 161.6 1,656,453 6.26 4.4> 143.1 684,443 6.26 4.4 47.8 4,038,859 6.26 7.4 147.9< 202,666 6.26 7.6 151.1 August 448,697 9.92 10.6 172.2 3,304,558 9.92 119 157.0 1,365,437 9.92 13.9 61.7 5,085,291 9.92 14.8' 162.6 255,176 9.92 15.1 166.1 September 0 8.26 0.0 172.2 2,604,478 8.26 9.1 ` 166.1 1,0761165 8.26 9.1 70.8 3,693,466 8.26 8.9 171:6` 111,215 826 5.5 171.6 October 0 11.81 0.0 172.2 2,913,301 11.81 14.6 7701 11.81 14.6 1 85.3 5,048,006 11.81 17.4' 189.0' 0 11.81 0.0 171.6 November F0 21.4 0.0 172.2 2,975,654 21.4 27.0 5341 21.4 27.0 1 112.3 114,388,1391 21.4 27.5 216.5: 0 21.4 0.0 171.6 th Floating PAN Load172.2 207.E 112.3 216.5(Ibs/ac/yr): EAnnualPAN Load Limit (Ibs/ac/yr): FORM: NDMLR 07-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page 3 of Permit No.: WQ0034380 Facility Name: Sanderson Farms -Kinston Facility County: Lenoir Month: November 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? ❑� YES ❑NO Field Loaded? 21YES ❑NO Field Loaded? ❑� YES ❑NO Field Loaded? OYES ENO Field Loaded? E YES []NO 0z d z m01 z �z mz z` z z z Q a a' 0 ° ar a'� a ° ° a `M ' aa' m � Cs= aQ °'v 'a mJa° a CD >. 6 M ° a ;J _ N ° J a N+ = >. 6 _° � J C cG) 6 _ J � J a >. l9 J � z2 E -' E a °' E ' E ` E E '�° 2 ° a t �o a; a av o a= 0vo o aa° a > > ; Month gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac gal mg/L Ibs/ac Ibs/ac December 4229860 20.31 23.9 23.9 4,173,464 20.31 23.9 23.9 2,717,379 20.31 20.2 20.2 219,297 20.31 20.2 20.2 2,094,072 20.31 21.9 21.9 January 3722578 15.26 15.8 39.7 3,672,943 15.26 15.8 39.7 2,829,160 15.26 15.8 36.0 228,318 15.26 15.8 36.0_ 2,441,929 15.26 19.2 41.1 February 4372506 27.5 33.4 73.1 4,314,207 27.5 33.4 73.1 3,323,106 27.5 33.4 69.4 268,181 27.5 33.4 69.4 2,189,743 27.5 31.0 72.1 March 4750356 20.53 27.1 100.2 4,687,019 20.53 27.1 100.2 3,610,270 20.53 27.1 96.5 291,356 20.53 27.1 96.5 2,478,702 20.53 26.2 98.3 April 1391381 17.4 6.7 106.9 4,761,841 17.4 23.3 123.6 3,667,904 17.4 23.3 119.9 296,007 17.4 23.3 119.9 1,656,477 17.4 14.8 113.1 May 5736466 13.78 22.0 128.9 5,659,981 13.78 22.0 145.5 4,359,715 13.78 22.0 141.8 351,837 13.78 22.0 141.8 2,676,487 13.78 19.0 132.1 June 1938969 11.6 6.3 135.2 4,840,917 11.6 15.8 161.4 3,876,233 11.6 16.4 158.3 312,819 11.6 16.4 158.3 2,957,578 11.6 17.7 149.8 July 3434820 6.26 6.0 141.2 4,835,733 6.26 8.5 169.9 3,724,821 6.26 8.5 166.8 218,625 6.26 6.2 164.5; 2,033,044 6.26 6.6 156.3 August 2402913 9.92 6.6 147.8 4,371,134 9.92 12.2 182A 3,366,954 9.92 12.2 179.0 0 9.92 0.0 164.5 3,382,512 9.92 17.3 173.6 September 2598058 8.26 6.0 153.7 5,565,219 8.26 13.0 195.1 4,286,723 8.26 13.0 192.0 0 8.26 0.0 164.5 1,293,405 8.26 5.5 179.1 October 2465897 11.81 8.1 161.8 5,335,402 1 11.81 17.8 212.8 4,109,700 11.81 17.8 209.7 0 11.81 0.0 ' '164.5 2,931,102 11.81 17.8 196.9 November 3409616 21.4 20.3 182.1 14,708,5811 21.4 28.4 ` 241.2 3,626,881 21.4 28.4 238.1 70,922 21.4 6.9 171.4 2,547,952 21.4 28.1 225.0 12 Month Floating PAN Load 182.1 241.2. 238.1 171.4 225.0 (Ibs/ac/yr): Annual PAN Load Limit (Ibs/ac/yr): FORM: NDMLR 07-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page `"T of f Did the mass loading rates exceed the limits in Attachment B of your permit? OCompliant ❑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 Number: WW1012108T/S11012364 Signing Official: Jared Lowe Grade: 3 Phone Number: 252-939-6433 Signing Officials Title: Division Manager Has the ORC changed since the previous NDMLR? ElYes ❑No Phone No.: 252-522-9145 Permit Exp.: 12/31 /26 Signature Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. Signature Date I certi , u der penalty of law, that this document and all attachments were prepared under my direction or supervision in dance 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 I of__q Permit No.: W00034380 Facility Name: Sanderson Farms -Kinston Facility County: Lenoir Month: November Year: 2022 PPI: 001 Flow Measuring Point: ❑Influent ❑� Effluent ❑No Flow generated Parameter Monitoring Point: Dnfluent QQ Effluent ❑Groundwater Lowering ❑Surface water Parameter Code -► 50050 00310 00916 00940 31616 00927 00610 00625 00620 00600 00400 00665 W009C 00931 00929 70300 o> LO • `�' ¢E c a)E 3 o E m a R E s _0 a) m � c O ca c N m to 16 c o L a.O �c01 a IL aZo rEQg '8. .2 ,� °w W ° fEn m R 'Ng woO N� F-c) Q 24-hr hrs GPD mg/L mg/L mg/L #1100 mL mg/L mg/L mg/L mg/L mg/L su mg/L mg/L Ratio = mg/L"-' mg/L 1 07:00 10 864,000 7 14 115 1 6.08 8.58 9.7 11.4 21.2 6.99 13.9 16.1 11.5 205 ` ` 630 2 07:00 10 861,000 6.97 3 07:00 10 846,000 7 1 6.29 10.9 5.78 16.8 6.99 18.1 10.4 4 07:00 10 861,000 6.89 5 924,000 6 957,000 7 07:00 10 826,000 6.95 8 07:00 10 781,000 9 1 11 A 18.3 5.76 24.2 6.91 17.9 13.6 9 07:00 10 768,000 6.72 10 07:00 10 858,000 7 1 7.99 11.7 9.84 21.6 6.78 20.6 15.1 ` 11 07:00 10 947,000 1 6.80 12 07:00 8 674,000 131 1,049,000 14 07:00 10 743,000 1 6.92 15 07:00 10 961,000 7 1 13.3 18.6 6.36 ` 25 6.95 18.9 14.7 16 07:00 10 1,067,000 6.83 17 07:00 10 745,000 6 1 16.5 1 18.1 7.07 25.2 6.87 20 15.9 18 07:00 10 809,000 6.89 191 863,000 20 758,000 21 07:00 10 652,000 6.46 22 07:00 10 682,000 6 1 6.39 8.5 42.62 51.15 6.74 17.4 46.48 23 07:00 10 716,000 2 1 1 7,99 9.6 33.5 43.1 6.74 18 38 24 894,000 251 07:00 10 623,000 6.81 26 601,000 27 07:00 5 668,000 28 07:00 10 656,000 6.80 29 07:00 10 698,000 4 1 1.6 5.3 20.4 25.7 7.41 22.9 22.3 30 07:00 10 738,000 6.92 31 Average: 803,000 6.11 14.00 115.00 1.00 6.08 8.89 12.30 15.86 28.22 18.63 21.40 ` 11.50 205.00 630.00 Daily Maximum: 1,067,000 9.00 14.00 115.00 1.00 6.08 16.50 ' 18.60 42.62 51.15 7.41 22.90 46A8 11.50 205.00 630.00 Daily Minimum: 601,000 2.00 14.00 115.00 1.00 6.08 1.60 1 5.30 5.76 16.80 6.46 13.90 10.40 11.50 205.00 630.00 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: Continuous 2 X Week Monthly 3 X Year 2 X Week Monthly 2 X Week 2 X Week 2 X Week 2 X Week 5 X Week 2 X Week 2 X Week Monthly Monthly 3 X Year FORM: NDMR 07-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: WQ0034380 Facility Name: Sanderson Farms -Kinston Facility County: Lenoir Month: November 11 . -. ■ ■ ■ Parameter Monitoring .� ■ E ■ . . ■ .. �_®-®-®- -®-®- -. Igo] VLY,0■ Ia]�IT,IO a9 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: WQ0034380 Facility Name: Sanderson Farms -Kinston Facility County: Lenoir 11 Month: November Daily Maximum:' Daily Mini um. - Sampling � Monthly�r����■���������®� FORM: NDMR 07-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page _Y of 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? ❑� 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: Joseph H. Franklin Permittee: Sanderson Farms, Inc Certification No.: WW1012108T/S11012364 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 EjNo Phone Number: 252-522-9145 ext 4105 Permit Expiration: 12/31/2026 �VSIA� Signature Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. u / �tgnature vote Ifeertify, under penalty of aw, 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