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Home My WebLink AboutWQ0002005_Monitoring - 04-2023_20230525Monitoring Report Submittal Permit Number#* Name of Facility:* Month: * April WQ0002005 House of Raeford Rosehill Report Information Type * NDMR, NDAR-1, NDAR-2, NDMLR Confirmation Email Address: Name of Submitter: * Signature: Date of submittal: Initial Review Reviewer: Year:* 2023 Upload Document* NDMR, NDAR-1, NDMLR April2023.pdf 1.13MB PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). Mason. Drew@houseofraeford.corn Mason Drew Wanda.Gerald 5/25/2023 This will be filled in automatically Is the project number correct?* WQ0002005 Is the monitoring report accepted?* Yes No Regional Office* Wilmington Reviewer: _anonymous Review Date: 6/27/2023 FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page -L of,5, Permit No.: W00002005 Faculty Name: House of Raeford Farms, Inc. County: Duplin Month: April Year. 2023 Field Name: L1 Field Nanal: L2 Field Name: L3 FNid Han tar L4 Field Name: L5 Area (acres): 12.04 Area (acres): 12.04 Area (acres): 12.04 Area (scree): 12.04 Area (acres): 10.52 Cover Crop: Cover Crop: Cover Crop: Cover Crop: Cover Crop: Load Type: PAN Load Type: PAN Load Type: PAN Load Type: PAN Load Type: PAN Field Loaded? ❑ YES ❑ No Fb d Loedsd? i] YES ❑ NO Field Loaded? ❑ YES ❑ NO Fuld Loaded? [] YB ❑ No Said Loaded? ❑ YES ❑ No > U U > O > ` U � 'z U > < c o d o. U Month gal m ibs/ac Ibe/ac gid mg1L NmdaC MNfec gal mgfL Ibs/ac lbs/ac ON mofL nWw IbNac gal mWL tbslac Ibs/ac January 487,800 39.6 13.4 13.4 944,100 39.6 25.9 25.9 479,700 39.6 13.2 13.2 719100 39.6 19.7 19.7 477,000 39.8 15.0 15.0 F 648,000 29.35 13.2 26.6 360,100 29.35 7.1 33.0 352,800 29,35 72 20.3 171,000 29.35 3.5 23.2 688,700 29.35 16.0 31.0 March 436,500 30.35 9.2 35.7 673,200 30.35 14.2 47.2 630,000 30.35 13.2 33.6 546,300 30.35 11.5 34.7 472,500 30.35 11.4 42.4 April 544,500 34.45 13.0 48.7 W9,700 34.45 22.2 69.4 369,000 34.45 8.8 42.4 531,000 34.45 12.7 47.4 578,700 34.45 15.8 $8.2 May 268,400 31.4 5.8 54.5 UGAM 31.4 18.8 $8.2 706,500 31.4 15A 57.7 182,700 31.4 4.0 51.3 0 31.4 1 0.0 58.2 June 889,200 23.95 14.8 69.3 MM 23.95 13.1 101.3 1,106,100 23.95 18.4 76.1 736,300 23.95 12.2 83.5 363,600 23.95 6.9 65.1 July 554,400 16.25 6.2 75.5 705,500 18.25 8.0 109.2 675,900 16.25 7.6 83.7 849,500 16.25 9.6 73.1 939,800 16.25 12.1 77.2 August 630,000 36.65 1&0 91.5 577,800 36.65 14.7 123.9 432,000 36.65 11,0 94.7 517,500 36.65 13A 8e2 270.000 36.85 7.8 85.0 September 546,300 16.45 7.0 98.5 522,900 18.45 1 6.7 130.5 539,100 18.45 1 6.9 101.6 539.100 18.45 5.9 93.1 492,300 18.45 7.2 92.2 October 594,900 23.5 9.7 108.2 630,900 Z3.5 10.3 140.9 513,000 23.5 8.4 109.9 510,400 23.5 1 8.4 101A 489,600 23.5 9.1 101.3 November 874,100 28.5 12.4 120.5 707,4fl0 ZS.S 13.0 153,91 626,400 28.5 11.5 121.4 441,000 26ei .7 154,800 December 571,500 33.15 12 Month Floating PAN Load (ibelsclyr): Annual PAN Load Limit (IbW 13.1 133.7 300 133.7 228500 33.15 5.2 159.1 .. 159,1 266,400 33.15 6.1 127.5 127.5 453500 33..1 411,300 iti FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page �?_ of 3- Permit No.: W00002005 Facility Name: House of Raeford Farms, Inc. County: Duplin Month: April Year: 2023 Field Name: L6 Field Name: L7 Field Name: L8 Fleld Name: L9 Field Name: L10 Area (acres): 8.66 Area (wAmm : 12.04 Area (acres): 12.04 Area (acree): 12,04 Area (acres): 10.52 Cover Crop: Cover Clop: Cover Crop: Cover Crop: Cover Crop: Load Type: PAN Load Type: PAN Load Type: PAN toad Type: PAN Load Type: PAN Field Loaded? ❑ YES No Fdedd Loaded? ❑ YES E No Field Loaded? [] YES ❑ No Field Loaded? VU ❑ No Field Loaded? ❑ YES [] NO a a C1 te ' a V a - > z e_ s ; z IL V � �a V ae a. IL IL y va. C ? z rl @@3$$ ' a z r � t�7o- Month gal mjE HW&c tbs/ac ad fawl. 91hlh6 HxLhw gat mg1L Ibalac NWae MWL Ibeme "Ise galIbe/ac tbelac January 287,100 39.6 10.9 10.9 901,700 39.6 23.8 23.8 984,600 39.6 27.0 27.0 778,500 39.6 VA 21.4 479,700 39.6 15.1 15.1 Februa 671,400 29.35 19.0 29.9 W1,100 29.35 11.5 35.3 509,400 29.35 10.4 37.4 667,800 29.35 13.6 34.9 356,400 29.35 8.3 23.4 March 305,100 30.35 8.9 38.8 504,000 30.35 10.6 45.9 741,600 30.35 15.6 53.0 WSW 30.35 1&3 48.3 604,800 30.35 14.6 37.9 April 398,700 34.45 13.2 52.1 8M,600 34.45 19.8 65.5 565,200 34.45 13.5 66.4 355,600 34.45 8.5 58.8 742,500 34.45 20.3 58.2 May 314,100 31.4 9.5 61.6 790,200 31.4 17.2 82.7 768,600 31.4 16.7 83.2 598,500 31.4 13.0 89.8 319,500 31.4 8.0 66.1 June 567,000 23.95 13.1 74.6 753,300 23.95 12.5 95.2 869,400 23.95 14.4 9T.8 MAW 23,95 8.8 78.6 443,700 23.95 8.4 74.6 Juy 7W,300 16.25 12.2 86.9 953,100 16.25 10.7 105.9 664,260 16.25 7.5 105.1 524,700 16.25 5.9 84.5 0 15.25 0.0 74.6 August 479,800 36.65 16.9 103.8 554,400 36.65 14.1 120.0 fl 501,300 36.65 12.7 117.8 691,200 36.65 17.5 102.1 459,900 36.65 13.4 87.9 September 525,600 18.45 9.3 113.1 50Q400 1&45 6.4 126.4 U 348,300 18.46 4.5 122.2 351,000 18.45 4.5 1 106.6 254,700 18.45 3.7 91.6 October 309,600 23.5 7.0 120.1 553,500 23.5 9.0 135.4 0 229,500 23.5 3.7 126.0 6U,900 23.5 10.4 117A 622,800 23.5 11.6 103.3 November 653,400 26.5 16.7 136.8 658,800 1 26.5 12.1 147.5 534,600 26.5 9.8 135.8 655.200 26.5 12.0 129.0 423,000 26.5 8.9 112.1 December 0 33.15 12 Month Floating PAN Load (tbelaclyr): Annual PAN Load Limit (lbsla r): 0.0 136.8 300 136.8 0 33.15 0.0 147.5 3(}0.00 147.5 j 287,100 33.15 6.6 142.4 300.00 142.4 41SAW 33.15 9.5 138.5 300.00 138.5 242,100 33.15 6.4 118.5 300.00 118,5 FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page �_ of 6 Permit No.: W00002005 Faculty Name: House of Raeford Farms, Inc. county: Duplin Month: April Year: 2023 Field Name: CP4 Field Name: 5A Field Name: 5AA Fldd Name: 58 Field Name: 6A Area (acres): 23 Ares (acres): 6.9 Area (acres): 5.5 Ants (acnwY SA Area (acres): 16.02 Cover Crop: Cover crop: Cover Crop: Cover Crop: Cover Crop: Load Type: PAN Load Type: PAN Load Type: PAN L.osd Type•. PAN Load Type: PAN Fleld Loaded? ❑ YES ❑ No Field Loaded? ❑ YES [[j No Field Loaded? ❑ YES [] No Field Loaded? [Q VS ❑ NO Field Loaded? E YES ❑ No < I a ° � < Ua I < 3 o e J or1 Z ` 8Q ..1 < �. E Z Month gal m L lbslac lbslac gall MQOL MOW Ibslac gal mg1L Ibs/ac lbalac 1M91L HWOC Ibelac gal m [belac Ibslac January 1,117,800 39.6 16.1 16.1 628,714 39.6 30.1 30.1 0 39.6 0.0 0.0 888,053 39.6 42.0 42.6 582,483 39.6 12.0 12.0 February 2,103,300 29.35 22.4 38.4 897,783 29.35 24.8 54.8 0 29.35 0.0 0.0 546,911 29.35 19.4 62.0 358,321 29.35 5.5 17.5 March 1,511,100 30.35 16.6 55.1 618,714 30.35 22.7 77.5 0 30.35 0.0 0.0 484,938 30.35 17.8 79.7 317,718 30.35 5.0 22.5 April 2,682,900 34.45 33.5 88.6 761,913 34.45 31.7 109.3 0 34.45 0.0 0.0 404,515 34.45 18.8 96.6 370,671 34.45 6.6 29.2 M 2,629,B00 31.4 29.9 118.5 706,772 31.4 28.9 136.2 0 31.4 0.0 0.0 6W,524 31.4 21.1 117.7 363.964 31.4 5,9 35.1 June 2,322,900 23.95 20.2 138.7 700,891 23.95 20.3 1W.5 0 23.95 0.0 0.0 549,347 23.95 15.0 133.6 359,917 23.95 4.5 39.6 July 2,340.900 16.25 13.6 152.5 874,754 16.25 17.2 173.5 0 16.25 0.0 0.0 685,618 16.25 13.5 147.0 449,198 16.25 3.8 43.4 August 2,136,600 36.65 28.4 180.9 481,222 36.65 21.3 195.0 0 36.65 0.0 0.0 377,174 36.85 10.7 183.8 247,114 36.65 4.7 48.1 September 2,130.300 18.45 14.3 195.1 862,707 18.45 14.8 209.7 0 18.45 0.0 0.0 519,419 18.45 11.6 175.3 340,309 18.45 3.3 51.4 October 2,907,900 23.5 24.8 219.9 710.474 23.5 20.2 229.9 0 23.5 0.0 0.0 556,11W 23.5 15.6 191.2 364,838 23.5 4.5 55.8 November 2,097,000 26.5 20.2 240.1 0 26.$ 0.0 229.9 0 26.5 0.0 0.0 727,407 26.5 23.3 214.4 476,577 28.5 6.6 62.4 December 2,226,600 33.15 12 Month Floating PAN Load (lbs/actyr): Annual PAN Load Limit tbsl 26.8 266.8 300 266.8 0 33.15 0.0 229.9 300 229.9 0 33.15 0.0 0.0 300.00 0.0 727,407 33.15 29.1 243.6 300.00 243.E 476,577 33.15 8.2 70.6 300.00 70.6 FORM: NDMLR 10.13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of Permit No.: W00002DOS Facility Name: House of Raeford Farms, Inc. County: Duplin Montt:: April Year. 2023 Field Name: 6B Fuld Name: Field Name: Field Name: Field Name: Area (acres): 6.7 Area (mores): Area (acres}: Area (acres): Area (acres): Cover Crop: Crwer Crop: Cover Crop: Cover Crop: Cover Crop: Load Type: PAN Load Type: Load Type: Load Type: Load Type: field Loaded? El YES ❑ No Fletd loaded? ❑ YES No Field Loaded? ❑ YES ❑ No FWW Loaded? ❑ YES ❑ No Field Loaded? G YES ❑ No A > j E< > E > c > � > a E > s ca g d m E Month get mgfL lWac lbWaC 9W fngAL Naslac Nwlac gal mg1L lbelac lbalac motL lbedae Ntslac gat mg1L Ibalac Ibalac January 613,140 39.6 30.2 30.2 February 377,180 29.35 13.8 44.0 March 334,440 30.35 12.6 56.6 April 390,180 1 34.45 16.7 73.4 May 383,120 31A 15.0 88.3 June 378,860 23.95 11.3 99.6 Juty 472,840 16.25 9.6 109.2 August 260,120 36.65 11.9 121.1 September 358,220 18.45 8.2 129.3 October 384,040 23.5 11.2 140.5 November 501,660 26.5 16.5 157.1 December 501,660 33.15 12 Month Floating PAN Load (ibsla r): Annual PAN Load Limit Ibsla r ; 20.7 177.8 300 177.8 0.0 0.0 0.0 0.0 FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page .5of 5' Did the mass loading rates exceed the limits in Attachment B of your permit? [{1 Compliant ' ] Noncompliant 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 dates) 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 Teachey Permittee: House of Raeford Certification Number: 14930 Signing Official: Nicole Reynolds Grade: SI Phone Number: 910 284-0148 Signing Officials Title: Plant Manager Has the ORC changed since the previous NDMLR? ❑ yes L] No Phone No.: 919 223-1894 Permit Exp.: 10/31/23 a Signature By this signature, I certify that this report is accurrate and complete to the best of my knowledge �`undler Signatu a Date 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 bel of true accurate. and complete I am aware that there are significant penalties for submitting false information, including the posswbilty 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 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page -L_ of Permit No.: W00002005 Facility Name: House of Raeford - Rose Hill WWTF County: Duplin Month: April Year: 2023 PPI: 001 Flow Measuring Point: ❑ Influent ❑ Effluent ❑ No flow generabEO Parameter Monitoring Point: ❑ Influent i] Efttuent ❑ Groundwater LoW&*-g ❑ surface water Parameter Code 1080050 00310 0001 00690 00940 50060 31616 00610 00626 00620 00000 00400 00406 W009C 70300 00530 V O € CMp tt o➢ Y p t �g t`� $ tY V E ` z 24-hr hrs WD m m m L 0100 mL m L mg& m su mok m m m L 1 08:00 2 0 2 08:00 2 280,000 3 07:00 9 580,000 0.28 8.35 4 07:00 8.25 5W.000 51 0.17 21 46.9 114 <0.02 114.18 8.01 11.9 43,6 126 5 07:00 9 580,0D0 0.45 8.62 6 07:00 8.5 5110.000 0.37 8.44 7 07:00 9 200,000 0.29 8.25 8 08:00 2 0 9 08:00 2 0 10 07.00 8.75 310,000 11 07:00 9 580,000 0.06 8.36 12 07:00 9 580,000 0.06 8.27 13 07:00 8.5 500,000 0.2 8.26 14 07:00 9 590,000 0.19 8.43 15 08:00 2 310,000 16 08:00 2 0 171 07:15 8:25 300,000 0.18 6.92 181 07:00 9 590,000 4 0.13 27 43.9 55 <0.02 55.12 8 10.9 25.3 1 63.6 19 07:00 9 800,000 0.23 8.03 20 07:00 9 570,000 0.18 7.99 21 07:00 9 560,000 0.27 7.96 22 07:00 9 320,000 23 D8:00 2 0 24 08:00 2 300,000 0.25 8.05 25 07:00 9 5801000 0.21 8.16 26 07:00 8.5 880.000 0.21 7.89 27 07:00 8.75 590.000 0.18 8 28 06:03 9 320,000 0.18 7.99 29 07:00 9 0 30 08:00 2 290,000 31 Average: 380,333 27.50 0.22 23.81 45.40 84.50 0.00 84.04 11.40 34.45 94.80 Daily Maximum: 800,000 51.00 0.45 27.00 46.90 114.00 0.02 114.16 8.62 11.90 43.60 126.00 Daily Mtnimum: 0 4.00 0.06 21.00 43.90 65.00 0.02 56.12 6.92 10.90 25.30 63.60 Sampling Type: Recorder Grab Grab Grab Grab Grab Grab Grab Grsb Grab Grab Grab Grab Grab Grab Grab Monthly Limit: 80Q000 Daly Limit- Sample Frequency: ua CoW&Kx 2 X Month Annuatty Annually 3 X Y6 X 5 Week 2 X Month 2 X Month 2 X Mores 2 X Month 2 X Month 5 X Week 2 X Mordh 2 X Month 3 X Year 2 X Month Facility Name: Mouse of Raeford - Rose Hill WWTF county: Dupiin Flow Me"uring Point: IMuent Eftent No fkm qffWated Pammeter Monitoring Point: El IMMIX E] Hfttj&t E] Gmundwater LM&VV • • 1 ®�ii��__------_- 21-M 2I -W Permit No.: WQ0002005 Facflk Name: House of Raeford - Rose Hill WWTF county: Duplin Month: April FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Paae _-A of Sampling Person(s) Certified Laboratories Name: Jay Baker Name: Enviromental Chemist Name: Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? [- Compliant [:] Non-comphant 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 Teachey Permittee: House of Raeford Certification No.: 14930 Signing Official: Nicole Reynolds Grade: SI Phone Number: (910)284-0148 Signing Officials Title: Plant Manager Has the ORC changed since the previous NDMR? [ yes No Phone Number: (919)223-1894 Permit Expiration: 10/31/2023 Signature Date Signature Date By this signature, I certify that this report is acrurrate 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 penatties 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: NOAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _/ of Permit No.: W00002005 Facility Name: House of Raeford harms, Inc County: Duplin Month: April Year. 2023 Did irrigation occur at this facility? I] YES ❑ No Fkld : 5-A Field Name: 5-AA Fkld Name: S-$FHoudy Field ame: fi A Area (ter 8.9 Area (acres): 5.5 Area (arrsar 8.9 res): 16.2 Cover Crop: Cover Crop: op: Cover Crap: Crop: Hourly Raba (in): Hourly Rate (in): Howiy Raft Qnk (In): Annual Rate (in): w Annual Rate (In): 60 AtimW Rob (in): 80 Annual Rate (In): 50 Weather Freeboard Field Irrigated? ❑ YEs ❑ No Field Irrigated? ❑ YES ❑ No Field ar4abd? ❑ Yes ❑ mo Field I rnlgated? ❑YES ❑ NO 3 _ >a >a _ .0 °F I In R R Um min In in gal min In In gal min In in gal min In In 1 CL 67 1 0 4.5 103,119 3W 0.55 0.11 52,953 300 0.12 0.02 2 C 54 0 4.41 103,199 300 0.55 0.11 52,953 300 0.12 0.02 3 CL 46 0 4.5 4 CL 72 0,15 4.58 5 CL 61 0 4.75 6 CL 67 0 4.87 7 CL 64 0 4,58 8 R 48 1.1 4.33 9 C 56 1.9 4.29 10 C 60 0 4.33 103,119 300 0.56 0.11 1 80,823 300 1 0.43 0.09 52,953 300 0.12 0,02 11 C 40 0 4.41 12 C 45 0 4.12 13 CL 47 Q 4 14 C 61 0 4.08 15 C 72 1 1 4.33 113.119 300 0,80 0.12 80,823 300 0.43 0.09 52,953 300 0.12 0.02 16 C 82 0 1 4.46 113.119 300 0.60 0.12 1 1 80,823 300 1 0.43 0.09 52,953 300 0.12 0.02 17 C 66 0 1 4.66 1t3,119 300 0.60 0.12 1 80,823 300 0.43 0.09 52,953 300 0.12 0.02 18 C 46 0 1 4.83 19 C 51 0 14.66 20 C 53 0 1 4.5 21 C 55 0 4.16 22 CL 72 0 4.29 23 C 67 1 4.29 241 CL 57 0 4.37 25 C 41 1 0 1 4.58 26 PC 52 1 0 1 4.66 1 113,119 300 0,60 0.12 80.823 300 1 0.43 0.09 52,953 300 0.12 0A2 27 CL 58 0.4 14.58 28 CL 62 0.2 14.33 291 PC 81 0 14.08 30 CL 69 0.8 4.1fi 31 Monthly Loadirig:1 12 Month Floating Total (M): 761,913 4.07 29.33 0 0.00 7.06 404,115 2.1E 28.30 370,871 0.84 25.6E FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _-2— of 5 Permft No.: WQ0002005 Faeflity Nam: House of Raeford Farms, Inc Did irrigation occur at this facility? i -Mom=ULUMEM i «• UUIMMMMIM MMMMMMMM MMMMM MMMK�� ' OEM ! 1• slim FORM: NDAR-1 10-13 NON -DISCHARGE APPLICAMN REPORT (NDAR-1) Page_ _ of--15- Perraft No.: Rill Ii5 Faclilty Name: House of _ . . Farms, Inc. ■ • • . 1 .. Irrigationat this hicility? ■©� i 1 - , . 1 ■ ■ YFS . , , FORM: NDAR-1 10-13 NODE -DISCHARGE APPUCATION REPORT (NDAR-1) Page Of Permft No.: W00002005 • • • occur at this facility? [I YES El No Faclifty Name: House of Raeford Farnis, Inc County: Duplin 1 w. r.T, I I t • ' �.� , �wllttars I - - son 0 MGM 11 FORM NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 5' of 3- Did the application rates exceed the limits in Attachment B of your permit? Q Compliant L.] Non Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? QCompliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? QCompliant ❑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? 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 Teachey Permittee: House of Raeford Certification No.: 14930 Signing Official: Nicole Reynolds Grade: SI Phone Number: (910) 284-0148 Signing Officials Title: Plant Manager Has the ORC changed since the previous NDAR-17 l Yes �-,j No Phone Number: (919) 223-1894 Permit Exp.: 10/31/23 3 tp� 1 A S 'ts Zj Signature Date Signature Date By ttms signature, I centy that this report is accurrate and complete to the best of my knowledge I certify, under penalty of law. that tMs 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 directty 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