WQ0002005_Monitoring - 05-2023_20230615

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * May
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 May 2023.pdf 1.23MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Mason. [e-mail]
Mason Drew
44,460dP)LOW
Wanda.Gerald
6/15/2023
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: 7/7/2023

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Paget of-6
Permit No.: WQ0002005
Facility Name: House of Raeford Farms, Inc.
County: Duplin
Month: May
Year: 2023
Field Name:
L1
FiNd Name:
L2
Field Name:
L3
FI W Nswne:
L4
Field Name:
L5
Area (acres):
12.04
Area (aces);
12.04
Area (acres):
12.04
Area (acres):
12.04
Area (acres):
10.52
Cover Crop:
Cow Crop:
Cover Crop:
Cow Crop:
Cover Crop:
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
[] YES ❑ NO
Field Loaded?
YES ❑ No
Field Loaded?
YFS ❑ No
FWW Loaded?
[] YES ❑ NO
Field Loaded?
❑ YEs No
Q o I
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Month
gal
mgJL
Ibalac
ibslac
m
Ibs/ac
lbslac
I
m L
Ibslac
lbslac
!
dw=
lbslac
al
m L
lbstac
Ibalac
Janua
487,800
39.6
13.4
13.4
944,100
39.6
25.9
25.9
479,700
39.6
13.2
13.2
719,100
39.6
19.7
19.7
477,000
39.6
15.0
15.0
February
648,000
29.35
13.2
26.6
380,100
29.35
7.1
33.0
352,800
29.35
7.2
20.3
171,OW
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
929,700
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
58.2
may
747,000
29.6
15.3
64.0
683,100
29.6
14.0
83.4
469,800
29.6
9.6
52.0
486,000
29.6
10.0
57,3
477,000
29.6
11.2
69.4
June
889,200
23.95
14.8
78,8
790,200
23.95
13.1
96.5
1,106,100
23.95
18.4
70.4
735,300
23,95
122
09.5
363,600
23.95
6.9
76.3
Ju
554,400
16.25
6.2
85.0
706,5W
16.25
8.0
104.4
675,900
16.25
7.6
78.0
849,6W
16.25
9.6
79.1
939,600
16.25
12.1
88.4
August
630,000
36.66
16.0
101.0
577,800
36.65
14.7
119.1
432,000
36.65
11.0
88.9
517,500
36.65
13.1
92.2
270,000
36.65
7.8
96.2
September
546,300
18.45
7.0
108.0
522,900
18.45
6.7
125,81
539,100
18.45
6.9
95.8
539,100
18.45
6.9
"A
492,300
18.45
7.2
103.4
October
594,900
23.5
9.7
117.7
630,9W
23.5
10.3
136.01
513,000
23.5 1
8.4
104.2
518,400
23.5
8A
107.6
489,600
23.5
9.1
112.5
November
674,100
26.5
12.4
130.1
707,400
2a.5
110
149.01
626,400
26.5
11.5
115.7
441,000
26.5
8.1
115.6
154,800
26.5
3.3
115.8
December 571,500 33.15
12 Month Floating PAN Load
(lbslac/yr
Annual PAN Load Limit
(lbsla r):
13.1
143.2
300
143.2
2286W 33.15 5.2
154.3
300 00
154.31 288,404
33.15
6.1
121.8
300.00
121.8
453,600 33.15
10.4
126.1
300.00
126.1
411,300
33.15
10.8
126.5
300.00
126.6

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page Z of-5
Permit No.: WQ0002005
Facility Name: House of Raeford Farms, Inc.
County: Duplin
Month: May
Year: 2023
Field Name:
L6
Flsld Name:
L7
Field Name:
L8
Held Name:
L9
Field Name:
L10
Area (Acres):
8.66
Ares (acres):
12.04
Area (acres):
12.04
Ara (acne):
12.04
Area (acres):
10.52
Cover Crop:
Covar Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load t)rle:
PAN
Load Type;
PAN
Field Loaded?
❑ YES EjNo
Fkdd Loaded?
❑ YES [J No
Field Loaded?
0 YES ❑ NO
Fletd Loaded?
E] YES ❑ NO
Field Loaded?
❑YES NO
a
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Month
gal
mg/L
lbslac
Ibs/ac
90
rng1L
Ibslac
Ibelac
gal
/L
lbalac
lbslac
god
MgAL
Iba/ac
%waa
gal
L
I Ibs/ac
Ibslac
January
287,100
39.6
10.9
10.9
866,700
39.6
23.8
23.8
984,600
39.6
27.0
27.0
778,5W
39.6
21.4
21.4
479,700
39.6
15.1
15.1
February
671,400
29.35
19.0
29.9
565,100
29.35
11.5
35.3
509,400
29.35
10.4
37.4
667,800
29.35
13.8
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
634,500
30.35
13.3
48.3
604,800
30.35
14.6
37.9
AprH
398,700
34.45
13.2
52.1
822,600
34.45
19.6
65.5
565,200
34.45
13.5
66.4
355,500
34.45
8.5
56.8
742,500
34.45
20.3
58.2
May
394,200
29.6
11.2
63.3
304,200
29.6
6.2
71.7
0 262,800
29.6
5.4
71.8
784,800
29.6
16.1
72.8
423,000
29.6
9.9
68.1
June
1 567,000
23.95
13.1
76.4
753,300
23.95
12.5
84.2
869,400
23.95
14.4
86.3
532,800
23.95
8.8
81.7
443,700
23.95
8.4
76.5
July
780,300
16.25
12.2
88.6
953,100
16.25
10.7
95.0
664,200
16.25
7.5
93.7
524,700
16.25
5.9
87.6
0
16.25
0.0
76.5
August
479,800
36.65
16.9
105.5
554,400
36.65
14.1
109.0
501,300
36.65
12.7
106.5
691,200
36.65
17.5
105.1
459,900
36.65
13.4
89.9
September
525,600
18.45
9.3
114.9
500,400
18.45
6.4
115.4
348,300
18.45
4.5
110.9
351,000
18.45
4.5
tO9.fi
254,700
18.45
3.7
93.6
October
309,600
23.5
7.0
121.9
553,6W
23.5
9.0
124.4
229,500
23.5
3.7
114.6
839,900
23.5
10.4
120.0
622,800
23.5
11.6
105.2
November
653,400
26.5
16.7
138.6
658,800
26.5
12.1
136.5
534,600
26.5
9.8
124.5
655,200
26.5
12.0
132.1
423,000
26.5
8.9
114.1
December 0 33.15
0.0
138.6
0
33,15
0.0
136.5
287,100
33.15
6.6
131.4
415800
33.15 9.5
141.6
242,100
33.15
6.4
120.5
12 Month Floating PAN Load
(lbs/aclyr):
138 6
136.5
131.1
141.6
120.5
Annual PAN Load Limit
(Ibslaclyr):
300
300
300.00
300.00

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page 3 of-5
Permit No.: WQ0002005
Facility Name: House of Raeford Farms, Inc,
County: Dup)in
Month: May
Year. 2023
Field Name:
CP4
Field Name:
5A
Field Name:
5AA
FWW Name:
58
Field Name:
6A
Area (acres):
23
Area (acres):
6.9
Area (acres):
5.5
Area (acne):
6.9
Area (acres):
16,02
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
toad Type:
PAN
Field Loaded?
El YES ❑ No
Fktd Loaded?
❑ YES No
Field Loaded?
❑ YES No
FkW Loaded?
0 YES ❑ NOE
Field Loaded?l
[] YES ❑ No
Q
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Month
got
m L
Ibslac
Ibs/ac
gal
mLAL
NWac
Ibelac
gal
m L
ibs/ac
Ibelac
galm
kafac
Haim
gal
m
1be/ac
lbslac
January
1,117,800
39.6
16.1
16A
628,714
39.6
30.1
30.1
0
39.6
0.0
0.0
889,053
39.6
424
42.6
582,483
39.6
12.0
12.0
Februa
2,103,300
29,35
22.4
38.4
697,783
29.35
24.8
54.8
0
29.35
0.0
0.0
548,911
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
484,9W
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 1
0.0
404,515
34.45
16.8
96,6
370,671
34.45
6.6
29.2
May
1,748,700
29.6
16.8
107.3
711,510
29.6
1 25.5
134.7
0
29.6
0.0
0.0
557,670
1 29.6
20.0
116.6
360,370
29.6
5.6
34.7
June
2,322,900
23.95
20.2
127.5
700,891
23.95
1 20.3
155.0
0
23.95
0.0
0.0
649,347
23.95
15.9
132.4
359,917
23.95
4.5
39.2
Juy
2,340,900
16.25
13.8
141.3
674,754
16.25
17.2
172.2
0
16.25
0.0
0.0
685.618
16.25
13.5
145.9
449,198
16.25
3.8
43.0
August
2,136,600
36.65
28A
169.7
481,222
36.65
21.3
193.5
0
36.65
0.0
0.0
377,174
36.65
16.7
162.6
247,114
36.65
4.7
47.7
September
2,130,300
18.45
14.3
184.0
662,707
18.45
14.8
208.3
0
18.45
0.0
0.0
519,419
18.45
11.6
174.2
340,309
18.45
3.3
51.0
October
2,907,900
23.5
24,8
208.7
710,474
23.5
20.2
228.5
0
23.5
0.0
0.0
556,858
23.5
15.8
190.0
364,838
23.5
4.5
55.4
November
2,097,000
26.5
20.2
228.9
0
26.5
0.0
228.5
0
26.5
0.0
0.0
727,407
26.5
23.3
213.3
476,577
26.5
6.6
62.0
December 2,226,600 33.15
12 Month Floating PAN Load
(ibs/ac/ r):
26.8
255.7
255.7
0 jt30(
.0
8.5
228.5
0
33.15
0.0
0.0
300 00
0.0
727 407 33.15
29.1
242.5
300 00
242.5
476,577
33.15
8.2
70.2
300 00
70.2
Annual PAN Load Umit
(Ibsla r):
300

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page y of 7
Permit No.: WQG002005
Facility Name: House of Raeford Farms, Inc.
County: Duplin
Month: May
Year: 2023
Field Name:
es
Fwd Name:
Field Name:
Fletd Namr.
Field Name:
Area (acres):
6.7
Area (acres):
Area (acres):
Area (acme):
Area (acres):
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
Load Tyne:
Load Type:
Load Type:
Field Loaded?
QYES ❑ No
Field Loaded?
❑ YES No
Field Loaded?
❑ YES ❑ No
FWd Loaded?
❑ YES ❑ No
Field Loaded?
❑ YES ONO
2 c
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Month
of
mgfL
ibelaIbslac
Malso
Ibslaa
al
mg1L
lbslac
ibslac
m
Iba/ac
UWac
gal
tbalac
lWac
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
56.8
April
390,180
34.45
16.71
73.4
May
384,600
29.6
14.2
87.5
June
378,880
23.95
11.3
98.8
July
472,840
16.25
9.6
108.4
Au ust
260,120
36.65
11.9
120.3
September
358,220
18.45
8.2
128.5
October
384,040
23.5
11.2
1 139.7
November
501,660
26.5
16.5
156.3
December 501,660 33.15
20.7
177.0
12 Month Floating PAN Load
(lbelac r):
177 0
0.0
0.0
0,0
0.0
Annual PAN Load Limit
Ibsla ):
3�

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page _� of L
Did the mass loading rates exceed the limits in Attachment B 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 aririitinnni chpAfc if ncracc
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Joseph Teachey Permittee:
House of Raeford
Certification Number: 14930 Signing Official:
Grade: SI Phone Number:
Has the ORC changed since the previous NDMLR?
Nicole Reynolds
[phone] Signing Official's Title: Plant Manager
L yes _: No Phone No.: [phone] Permit Exp.
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
10/31 /23
Signature Date
rtify. 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 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____ of
Permit No.: W00002005
Facility Name: House of Raeford - Rose Hill WWTF
County: Duplin
Month: May j
Year: 2023
PPI: 001
Flow Measuring Point: ❑ Influent 0 Effluent ❑ No flow gerwated
Parameter Monitoring Point: ❑ infhxnt [] Effluent ❑ Gmundwater Lowering L ' Surface water
Parameter Code --i►
50M
00310
00681
00680
00940
60060
31618
00610
00828
00620
00600
00400
00688
WQ09C
70300
00530
C
a
O
c
m
U
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b
m
.Y
a c
O�_
U
' C
tx V
E
Q
Z
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c
a
Q Z
a
IiS
o aoi
N
24-hr
hrs
OPD
mgfL
mgAL
m
m
8h100 mL
m
m L
mQ11L
su
rn
MOIL
RV&
m L
1
07:00
8
550,000
53
0.18
265
45.4
97.6
<0.02
97.77
7.59
922
38.4
87
2
07:00
8
550,000
026
7.9
3
0715
8
$40,000
0.1
7.88
4
07:00
8
00,000
0.28
8.25
5
07:00
7
210,000
0.22
8.06
6
07:00
2
0
71
08:00
2
240,000
81
07:00
8
610,000
0.23
7.8
9
1 07:00
8.5
590,000
0.13
7.86
10
07:00
8
620,000
0.25
8.33
11
07:00
7
6W,000
0.2
8.47
12
07:00
8.75
290,000
0.03
8.09
13
08:00
2
0
14
08:00
2
320,000
15
07:00
8.76
620,000
53
0.18
20
48.9
68.1
<0.02
66.18
9.3
4.44
29.6
33.5
16
07:00
8
600,000
0.2
7.97
17
07:00
9
620,000
0.17
8.24
18
07:00
8.75
630,000
0.29
8.03
19
07:00
9
330,000
0.2
7.92
20
08:00
2
0
21
08:00
2
320,000
22
07:00
8
640 om
0.14
8.01
23
07:00
8.5
62OPW
0.15
8.23
24
07:00
8
820,000
0.26
8.2
25
07:00
8
610,000
0.13
8.02
26
07:00
8.5
310,000
0.01
8.02
27
08:00
2
0
28
08:00
2
290,000
29
07:15
8.75
80Q000
Holiday
Holiday
301
07:00
9
610,000
02
8.31
311
07:00
8.5
830000
0.11
8.1
Average:
442,681
53.00
0.17
72,80
47.15
81.W
0.00
81.98
6.83
34.00
60.25
Daily Maximum:
840,000
53.00
0.29
265.00
48.90
$7.60
0.02
97.77
9.30
9.22
38.40
87.00
Daily Minimum:
0
53.00
0.01
20.00
45.40
88.10
0.02
66.18
7.59
4.44
29.60
33.50
Sampling Type:
R000rder
Grab
Grab
Grab
Gratz
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit
800,000
Daily Limit:
Sample Frequency:
I Conffm w
2 X Month
Annuafly
Annuaily
3 X Year
5 X Week
2 X Month
2 X Month
2 X MoMA
2 X Month
2 X Month
5 X Week
2 X Montle
2 X Month
3 X Year
2 X Month

Facility Name: House of Raeford - Rose Hill WVv7F county: Duplin

ee2o

Permit No.: W00002005 1Faculty Name: House of Raeford - Rose Hill VW rF

1
2
3
4

Facility Name: House of Raeford - Rose Hill WWTF

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 6� 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? E�] 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.
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: [phone]
Signing Officials Title: Plant Manager
Has the ORC changed since the previous NDMR? ❑ Yes No
Phone Number: [phone] Permit Expiration: 10/31/2023
1
�
L�
Signature Date
ignature 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 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 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 10-13 NON -DISCHARGE APPUCATION REPORT (NDAR-1) Page 1_ of-5
Permit No.: WQ0002005
Facility Name: House of Raeford Farms, Inc
County: Duphn
Month: May
Year. 2023
Did irrigation occur
at this facility?
0 YES ❑ NO
FWM1°'
6-A
Field Name:
5-AA
FWW Naaw:
58
Field Name:
6-A
Area (sass}:
6.9
Area (acres):
5.5
Aree (acres):
8.9
Area (acres):
16.2
cover crow
Cover Crop:
Covorcrop:
Cover Crop:
Hourly Raft On):
Hourly Rate (In):
Hourly Rats (in):
Hourly Rate (In):
Aim" Rate (in):
60
Armual Rate (in):
60
Annual Rate (in):
80
Annual Rate (in):
50
Ylleaftr
Freeboard
Field Irrigated?
❑ YES ❑ No
Field Irrigated?
[] YES ❑ NO
Fkid IrriIpW?
❑ YES ❑ NO
Field Irrigated?
❑ YEs ❑ No
>
o
<
o�
Epp
.l
s
J
> <
,
°F
In I
ft
ft
gal
min
In
In
gal
min
In
In
Call
min
in
In
gal
min
in
In
1
C
50
0.4 1
4.25
103,119
300
0.65
0A1
80,823
300
0.43
0.09
52,953
300
0.12
0.02
2
C
49
0 14.41
3
C
50
0 1
4.58
4
C
42
0 14.75
5
C
40 1
0 14.66
61
C
70
0 1
4.5
71
C
80
0 1
4.33
103,119
300
0.65
0.11
80,823
300
0.43
0,09
52,953
300
0.12
0.02
8
PC
85
0 1
4.5
9
C
67
0
4.75
10
C
58
0
5
11
C
51
0
5.16
12
C
56
0
15.25
131
C
84
0
1 5.37
14
C
73
0
1 5.5
15
CL
53
0
1 5.5
16
CL
63
0
1 5.25
17
CL
70
0.1
1 5.04
18
CL
60
0
4.83
103.119
300
0.55
0.11
80,823
300
0.43
0.09
52,953
300
0.12
0.02
191
CL
63
0
1 4.75
103.119
300
0.55
0.11
80,823
300
0.43
0.09
52,953
300
0.12
0.02
201
C
72
0.7
14.66
21
C
70
0
1 4.62
22
C
50
0
14.58
92,796
270
0.50
0.11
72,732
270
0.39
0.09
42,652
270
0.10
0.02
23
C
58
0
14.66
24
CL
56
0
1 4.75
25
CL
61
0
4.83
103,119
300
0.55
0.11
80,823
300
0.43
0.09
1 52,953
300
0.12
0.02
261
CL
57
0
4.62
27
R
57
0.5
4.41
28
R
75
1.5
4.41
29
CL
63
0.3
4.33
30
CL
62
0
14.33
31
CL
1 64
0.1
14.37
103.119
300
0.55
1 0.11
80 823
J 300
0.43
0.09
52,953
300
0.12
0.02
Monthly Loading:
12 Month Floating Total (in):
711.610
3.80
29.35
0
0.00
7.06
557,870
2.98
28.31
360,370
0 .82
25.67

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Z of
Permit No.: QIt/ 115
Facility Name: House of • • Farms, tnc•
t
D • Irrigation occur
at this
NO
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FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT INDAR-1) Page 3 of
Facliky Name: House of Raeford Farms, Inc
County: 0 u p
E 7. R, I �E X F
Did Irrigation occur
��`c
at this facility?
■ YES ■ NO;MM
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FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _±i of,_
Permit No.: 0I01 f15
Facinty Name: House of • • Farms, Inc
County: Duplinat
Did irrigation occur
this facility?
YES F40
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FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page '_� of^'
Did the application rates exceed the limits in Attachment B of your permit?
Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 0 compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 0 compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? El 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
IOperator in Responsible Charge (ORC) Certification 11 Permittee Certification I
ORC: Joseph Teachey
Certification No.: 14930
Grade: SI Phone Number: [phone]
Has the ORC changed since the previous NDAR-1?
F�] Yes 0 No
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Perm ittee:
House of Raeford
Signing Official: Nicole Reynolds
Signing Official's Title: Plant Manager
Phone Number: [phone] Permit Exp.: 10/31/23
Signature Date
1 cE�i
, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
vdh 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