WQ0012796_Monitoring - 05-2023_20230612

Monitoring Report Submittal
Permit Number#* wg0012796
Name of Facility:* hm alliance - la grange wwtf
Month: * May Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR MAY 2023 MONITORING REPORT.pdf 8.55MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * FREDERICK WEST
Signature:
Date of submittal: 6/12/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* wg0012796
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 6/12/2023

FORM: NDAR-1 141-13 NON -DISCHARGE APPLICATION REPORT (NDARA) 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?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
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If the facility is non•compiiant, please explain in the space below the reasons) the feglity was not in compliance. Provide in yourexplanation the date(s) of the nort-compliance and descritle the coneatiwi action(s)
taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification Permifte Certification
ORc: FREDERICK WEST Perrnittse: HM ALLIANCE, LLC -JOSE LUIS MARTINEZ TENORIO
Certification No.: 1410718 Signing official: JOSE LUIS MARTINEZ TENORIO
Grade: N Phone Number: 2526462244 Signing Official's Title. PRESIDENT
Has the ORC changed since previe s F1 Oft- y� ® Phone Number. 91988929 Pe
t Exp.: 6P23�2S
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Signature Date ignatum Date
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Mail Original and Two Copies to.
Division of MterResources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: X--DNALR 10-13
NON -DISCHARGE MASS LOADING REPORT (NDMLR)
WQ0012796
Facility Name:
HIV ALLIANCE, LA GRANGE 1MNTF
Permit Noe
Find Narrre:
1
Field Name:
2
Area (acres):
1.2fi
Area (acres):
1 26
Cover Crop:
BERMLM
Cover Crop:
BERMUDA
Load Type:
PAN
Load Type:
FAN
Field Loaded?
YES PINO
Field Loaded?
E
>
V IL
4
June
Jul
Au fret
0
0
0
0.0
0.0
0.0
0.0
0,0
0.0
i4 tember
October
0
0
0.0
0.0
0.0
0.0
0.0
0,0
0.0
0.0
0.0
0.0
0.0
0-0
W
0.0
0.0
�,
12 Month 90ating rAn Lxmu 0.0
Ibelec!
Annual PAN Load Umitobstaotyri: 535-5
0.0
535.50
County:
Field Name:
3
Area (acres):
1.21
cover Crop:
13ERMUDA
Load Type:
PAN _
Field Loaded?
v� ark]
f
{ +�Jj
0.0
514-25
Green l
Month:
Flcid yacng:
4 _
Area (acrea):
4:51
Cower Crop;
l3ERVU`;�A
Load Type:
RAN
Field Loaded"
t ES r tz
S On
V ? 4
,06 c7o
a � 1
pq
Go
344.25
Page of
May
Year
Field Name:
b
Area (me rot):
1.11
Cover Crop:
BER14UDA
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Load Type:
PAN
Field Loaded?
Y5
r iD
F
1
m
L
L
9
i 1
9
is
0.0
471.75

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FORM: Nr.3MLR 10-13 NON -DISCHARGE MASS LOADING REPURT (NDMLR)
Page '�_ of
GICcmPrixc �twrrCtfmpll�t
Dili the mass loading rates exceed the limits in Attachment 6 Of your permit?
if the facility Is non-caVIOnt, please explain In the space below the reason($) the facility wasnotin
sheets Pro ®csssaryrexpplanation the date(s) of the non-compilanoe and dew. rlbe the corrective action(s) taken.
Attach
Operator In Responredbfr charge (ORC) Certification
ORC: E'REDERICK WEST
Certification Number: 1010718
Grade: IV Phone Number: 2526462244
Has the OPC changed sines the previous NOMLR? Yes © rio
Signature
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Permtttes Certification
Permittes: HM ALLIANCE, LLC - JOSE LUIS MARTINEZ TEN ORIO
Signing Offioiai: JOSE LUIS MARTINEZ TENORIO
Signing Official's 11de: ;PRESIDENT
Phew No,: 9198892 1 Permit Expo: 6123128
ol3ane, A
Date
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Mall Original and Two Copies to:
Division of Watef Resources
Information Processing Unit
1617 Mail Ssrrrlce Center
Ra$Wgh, !forth Carolina 27699-1617

FORK NDMR 03-12 NON -DISCHARGE MONMORING REPORT (NDMR) Page -L of 3 -
Permitft,: WQ0012796 cility Name: H M AL L IANC E, LA GkAN GE WWTF
H
Parameter Monitofing Point: M 777 777 n 7.7777T. 77,17 71 Tf AM
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FORM: NDMv1R 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ of a ,-
Saimpiing Pervon(s) Carblied Laboratories
Name: FREDERICK WEST Name: PLANT SHUTDOWN NO DISCHARGE
Name: DAVIN SINGLETON Name: �—ry
nnae ail rrfrfnif'nrinn riat9 rreaM fha rranetiramanta iri A4#nrhmarif A of unur nnrrnit'> canptex wrcamdent
If the facility is non-oornplani, please explain in the space below the reason(s) the faciity was not in compliance. Provide In yourexptanalian the dale(s) of the non-oomprianc a and describe the corractive sciion(s)
Larlen. ALMIAI duuawnai arrears n
Operator in Responsible Charge (OtRC) Certification
Permittee Certification
ORO: FREDERICKWEST
Permittee: HMALLIANCE, LLC -JOSE LUIS MARTINEZTENORIO
Certification No.: 1010718
Signing Oftlal: JOSE LUIS MARTINEZ TENORIO
Grade: IV Phone Number: 2526462244
Signing Official's Title: PRES
Has the ORC changed since the previous NDMR7 QYas [:)N0
Phone Number: 9198692g 1 Permit Expiration: 6f23(28
R4_ -1 1,2oz
o J(,�,'0
0(.
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Signature pate
Signature Date
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Mail Original and Two Copies to:
Division of Water Resources
Information Processing unit
1617 Mail Service Chanter
Raleigh, North Carolina 27695-1617