WQ0012796_Monitoring - 03-2022_20220426

FORM: NDMR 07-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ 9 of
Permit �o.: WQ001 2796 j!
Facility Name: Lakeview Packing Company
County: Greene
ME= IMF, -
Flow Measuring Point: Dinnuent PlEffluent El No flow generated____
'617
- •r:
.11 1
It•
111•
�
11•
11.1
11: i
11 1
Il..ti
11 1
11. 1
11.
11•
11..
11:..:
•
•
P
.
MOM
®
FIRM
m__�_®®-®-®__®__
®__

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page - of
Sampling Person(s)
Certified Laboratories
Name:
6
Name:
Name:
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? C1 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.
!
� J r • � �— /
� ,N e G
��V VS;
_� b /3
Al c�
I.v.'� e �. .5 4�
t�ti/ �u � � / �v C) t—J��
t 1 s �� c� �� •1J
Operator in Responsible Charge (ORC) Certification
Permitte/e Certification
ORC: / c.,.^7r.ti
Permittee: f b, ��-i.cJ ��� .�G : r,Y - Tiu�, .
�.
Certification No.: e` c/ �% r! vJ�
Signing Official: ,�,� C 0
Grade: %Gf LC.f ,j. Phone Number: �✓- „� - `5 S �% ' �� tp
Signing Official's Title: J/r C:ls, t�
Has the ORC changed since the previous NDMR? Yes — ""
Phone Number:2.5�e -/S 3 i -',YOP Permit Expiration: % •:36
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 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 3
rPermit • .: WQ0012796
Facility Name! Lakeview Packing Company
County: Greene
Did irrigation
occ r
Area (acres):.
. :
at this facili ty?
Hourly Rate (in):
::... .am
M=====
�0��

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Y Of
PermitNo.: WQ0012796
Facility Name: Lakeview Packing Company
County: Greene
Wr
Did irrigation occur
at this facility?
■ YEs 2.
L-
MMMM
m===��
m���■�■�
®®®®i■■�■���
®sus
����
m�����m
®®
����
®®uses
��■����
Loading-
-Monthly
12 Month Floating Total (1n):iN

/,FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page A of 6
[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?
L�`J, Compliant ❑ Non-Compllant
ERCompllant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ffC'.mpliant ❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted,site? 2 Compliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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.
� Gt.GrJ �LL 1-Nii Q �
Certification No.:
Grade:WIA)I- Phone Number: aJ. _5 9 — C 81V
Has the ORC changed since the previous NDAR-1? ❑ Yes 9KO
L/-/ Y -
Permittee Certification
Permittee:�C U ew �cyGj� ,Gs'
Signing Official: �caG
Signing Official's Title: d e ,o
Phone Number„ —,S j / - ! efvE Permit Exp.: 6 J 0 `2 02 ;k,
4V' Lc?--::
Signature V Date Signature Date
By this signature, I certify that this report Is accurrale and complete to the best of my knowledge. I certify, under penally 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 06-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page _y_ Of 3
Permit No.: WQ0012796
Facility Name: Lakeview Packing Company
County: Greene
Month:
Year: 0'�.2
Field Name:
I
Field Name:
2
Field Name:
3
Field Narne:
4
Field Name:
5
Area (acres):
1.26
Area (acres):
1.26
Area (acres):
1.21
Area (acres):
Area (acres):
).11
Cover Crop:(,tiCover
Crop:
Cover Crop:
Cover Crop:
Crop: Cover C
Load Type:
PAN
Load Typo:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
❑ YES (ONO
Field Loaded?
El YES
Field Loaded?
n YES RNo
Field L,oaded?
El YES ONO l
Field Loaded?
El YES 9<0
a)
CL
<
E
0
9
I R
r
0
z
9
t 2
0
d)
>
=
M 0
_j
E
0
U g
V
<0-
E
z C
0
0)
11
z -
0. V
>' W
0
> VJ
= T
2 �j
z
E
U CL,
0
CL
Q.
<
E
Z 0
1:0 C
LU 0
0)
> 0
z
0
_j
0
V
W
?J
E z
CL
Q)
CL
CL
<
Z
0
I=
if
2
a<
'a
0
> V
Z
V
20
CL
M
E
Z C
0
(a C
a
z
V
i� 3
0
0
_j
z
Month
gal
mg/L
lbs/ac
lbs/ac
—gal.
mgIIIL:
lbs/ac
lbs/ac
gal
mg/L
lbs/ac
lbs/ac.
gal
mg/L
lbalad,
lbs/oCL
gal
M911.
lbs/ac
lbs/ac
e"
02
0
Na L/
is's
M
12 Month Floating PAN Load
(lbs/ac/yr):
- -------------
Annual PAN Load Limit
(lbs/aI
53Sit��

FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page -4, of 6
Permit No.: WQ0012796
Facility Name: Lakeview Packing Company
County: Greene
Month:
Year:
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 r„"Ne{
Cover Crop:
%�� „� {
Cover Crop:
fJ ��,,��« �(4
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
Load Type:
Field Loaded?
❑ YES RIN'o
Field Loaded?
❑ YES IO
Field Loaded?
❑ YES [QITO—
Field Loaded?
❑ YES ❑ No
Field Loaded?
❑YES ❑ No
0m
a
0¢W
Q
,o
0�J
V
a c0.
E
E
¢Q m :aQ
.5 3
> V
°
E
a>
a
E
z
LU
zo
O
-j
'ai
o
z
9rn_J
a
L°
O
C
L
wE
Cc
O
y
-aj
a
Month
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
ibslac
Ibs/aw
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
ibslac
gal
mglL
Ibs/ac
ibslac
r
O
T"Al
md
fy.
a
C
Zfe,V
LQ
12 Month Floating PAN Load
(Ibs/aclyr):
D
l�
Annual PAN Load Limit
(ibslac/yr):
S 9IJ:
'7%•
/off .

FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page / of
Did the mass loading rates exceed the limits in Attachment B of your permit? &Kl pllant ❑ 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.
I Operator in Responsible Charge (ORC) Certification 11 Permittee Certification
ORC: J Gt c o b
%u rya ? e-
Certification Number: 9 ! 1 7 0 -5
Grade: (�jJI,t,9I Phone Number:,2j� -s_5 �' 9�t'/rJ
Has the ORC changed since the previous NDMLR? ❑ ves�io
Permittee: `/� AQ Uj e f aJ �'CQ G..4 , v
Signing Official: C'j-1v,t�L
Signing Official's Title: �s i d e-,v "/
Phone No.:,2.�,) -�5 v.- C�8 o,q Permit Exp.:
O oZ- / q—I S- oaA
Sign ture Date Signature V17
Date
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge. I certify, under penally 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