WQ0012796_Monitoring - 06-2023_20230714

FORM: NOMR 09-12 NON -DISCHARGE MONITORING REPORT (NDIVIR) pale of l
Q0012796 .
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FORM: NOMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 3-_ of
Sampling Person(s)
Name: FREDERICK WEST
Name: DAVIN SINGLETON
Certified Laboratories
Name: PLANT SHUT DOWN NO DISCHARGE
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Ujon;'" Ej*r'c rawest
If the facifty is non -compliant, please explain in the space below the reason(s) the facility was not in compiance. Provide in your explanation the date(s) of the nor. -Compliance ano describe the Corrective action(s)
Operator in Responsible Charge (ORC) Certiftsdon
Parmidee Certification
ORC: FREDERICK WEST
Permktse: HM ALLIANCE - JOSE LUIS MARTINEZ TENORIO
Certification No.: 1010718
Signing Ofilcial: JOSE LUIS MARTINEZ TENORIO
Grade: IV Phone Number: 252-646-2244
Signing Official's Title: PRESIDENT/ O iVE
Has the ORC changed since the previous NDIM Yes 0 M0
Phone Number. 919-889-29 Permit Expiration: 6123/28
7
")7/06/Zoz
Signature Date
Signatu Data
BY dte d m@hft I erfy att afs rePwI is =Count rd dera0m blu but d my bnwloc%pa
eerdty, udw penalty d law, ihd tale dxunen ad ati -*'" ,' srte were prepared udar my dredlon a %9w*e1on fn amordaace woA esys
didlWWV=Wuafntdlafglt4edpwmvdPapa NWwedandevdubdffgIrkern msadmiasd.9WadonmyInquirydtheptaraoator
pars" whomsupeaas system. or free parsonsdtreoey rapordMefor gdwfrap the k*mwdM dw Wdarmaaan aubmiNd Is. bdoboo dm
W-Wedge avid build. true —raw andosmplewIamawarehitaworeswatarts,, d, foraEmBltrp4eseIr4ormatlar;beYe4raptta
popibility of Ann end imprleoarnat for Ww*h apvW&Wm,
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM.:NDMLR 1C-13 NON -DISCHARGE MASS LOADING REPORT (NDIVILR) Page_! -of 9-
Permit No.: W00012796
Facility Namo: HM ALLIANCE, LA GRANGE WMF
County: Greene
Month June
Year: 2023
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
Field Name:
5
Area (acres):
1.26
Area (acres):
1.26
Area (acres):
1.21
Area (acres):
0.81
Area (acres):
1.11
Cover Crop:
BERMUDA
Cover Crop:
BERMUDA
Cover Crop:
BERMUDA
Cover Crop:
BERMUDA
Cover Crop:
BERMUDA
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
YES Mho
Field
Loaded?
[3YES EINO
Field
Loaded?
YES , ,40
Field Loaded?
DYES
EINO
Field
Loaded?
Y6
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Month
gal
m 1L
Ibsfac
lbslac
al
m fL
ib•slac
lbslac
gal
m fL
lbslac
lbstac
gal
rn fL
Ibslac
gal
mqV1L
lbslac
lbslac
July
0
0A
D.0
August
0
0.0
3.0
Septe.-be•
3
0.0
0.0
October
0
0.0
0.0
Nbvember
0
0.0
0.0
December
0
0.0
0.0
January
0
0.0
0.0
Februany
0
0.0
0.0
March
0
0.0
3.0
April
0
0.0
0.0
May
0
00
0.0
June
0
0.0
0.0
12 Month Floating PAN Load
ilbsfaclyr):
0'3
0.0
Annual PAN Load Limit (Ibslacfyr):
535 5
535.50
514.25
344.25
471.75

FORD NDNILR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDIVILR) Page --5'—ot_a__
Permit No.: W00012796
Facility Name: HFA ALLIANCE, LA GRANGE'JWVTF
County: Greene
Month: June
Year: 2023
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:
BERMUDA
Cover Crop:
BERMUDA
Cover Crop:
BERMUDA
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
Load Type:
Field Loaded?
YES QNo
Field Loaded?
YES Q No
Field Loaded?
OYES Q W
Fiold Loaded?
71rEs ❑ s0
Field Loaded?0
-YES oNo
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Month
gal
mgVL
Ibslac
Ibslac
gal
m fL
Ibslac
Ibsfac
gal
m iL
gal
m IL
lbsfac
Ibsfac
gal
mgiL
Ibslac
Ibslac
July
D
0.0
G0
Au ust
0
G.D
00
!�
Se tember
0
0.0
0.0
Octobe•
0
0.0
0.0
November
0
1 0.0
0.0
Deoember
D
0.0
0.0
January
0
0.0
0.0
February
D
0 G
D.0
_f
March
0
0.0
0.0
AP^'
0
0.0
0.0
may
0
0 3
0.0
June
0
0.0
0.0
12 Month Floating PAN Load
Ibsiaclyr):
0 0
0.0
0.0
O.0
O.G
Annual PAN Load Limit (lbsfaclyr):
47175
471.75
fi24.75

ORM: NWALR iC-13 NOWDISCHARGE MASS LOADING REPORT (NDMLR) Page -(Q— of a
Did the mass loading rates exceed the limits in Attachment B of your permit? Corn,, -at Q tiar-Corr Pliant
it the fae'ty is noncompliant, please explain In the spade bctluwthe eason(s) I:ne facility was not In comp'iance. Provide in yo:ir exp,anafon the date(s) of the non-con-p anx and descibe the corective actions) taken
Operator in Responsible Charge (ORC) Certification Permitted Certification
ORC: FREDERICK WEST Permittee: HM ALLIANCE, LLC - JOSE LUIS MARTINEZ TENORIO
Certification Number: 1010718 Signing Official: JOSE LUIS MARTINEZ TENORIO
Grade: IV Phone Number, 2526462244 Signing Official's Title: PRESIDENTj'
Has the ORC changed since the previous NDMLR? yes []!lo
c
Signature
By uVs sigu:.ro I cer6hf _q1t this report is aoarrate arC tarn �ece m :ro bml d my knpwleCQe
Phone No.: 91988
6r23128
i
0(3 20:?3 yr/06/Z �
Date S Date
torrid. u'der papa"y of law. hat Sia doeamere and all aAteC3¢ro 1s were proWL%d antler my dredon r s,;perviaior iri L-= mete .v.`
a syiwn dea✓red tonssue Pat all ¢.dlBod persorerd prep& y oftroo and evekated!N i Aymaticn awmi tied Hawed an my IrgJry
dPepersono,personswhomangor4system,orsmepamrdrecayresporolbofor galherirg:Mi^frrmabm, 1-ewf7rn ;Im
sutntiMW m, to Me Wt. of my kmwlcdge 8W bend. truk aecr;ft andcynprete Ian aware Pat throe are stgv6cant pena boo !a
sitnittingf4soirdorma9Pn,imuSrgItgpomoWtyc!LMEandimprlsxmertf)rNnowingNd4idom
Mall Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM. NDAR-, 10-13 NON -DISCHARGE APPLICATION REPORT(NDAR-1) Oage -7- - of.9_
W00012796
County: Greene
IMIN •
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• irrigation occur ai�I this facility?
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FORM: NDAR-1 16-13 NON -DISCHARGE APPUCATION REPORT (NDARA) Page 3 of q
i
WQ0012796
County: Greene
Did irrigation ocCUr at
this facility?
■ YES rio
Area (acres):
•�
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Annual Rate (in):
11ri.10
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FORM: NDAR•1 10-' 3 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page __ of
Did the application rates exceed the limits in Attachment B of your permit? EIC=pliart 0no'l-corrawl
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? i conil ant �racrrceirnoWt.
Was a suitable vegetative cover maintained on all sites as specified in your permit? QCOmOirf �Nori-Co,ipl2,4
Were all setbacks listed in your permit maintained for every application to each permitted site? canpliat Na,'ccroiart
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ccmpilam Nmcomphari
If the facility is noncompliant, please exp'am it the space berow the reason(s) the facility was not in compliance. Provide in yourexplanation the dates) of the non-corrp ianoe and describe the corrective acton(s)
I Operator in Responsible Charge (ORC) Certification Ij Permittee Certification I
ORC: FREDERICK WEST
Certification No.: 1010718
I Grade: IV Phone Number: 2526462244
Has the ORC
changed since the previous NDAR-1? 0 Yes
Signature
By U9s sigraWro.. rarity 1-at 7'is report is accvra:e rvd -:nnrle'a :o the best cr my krewiodgo
Permittee: HIM ALLIANCE, LLC - JOSE LUIS MARTINEZ TENORIO
Signing Official: JOSE LUIS MARTINEZTENORIO
Signing Official's Title:
Phono Nui
PRESIDENT
6123/28l
- I/ z3
Si9nelttt� / Date
I ConNy, alder pera..y of a , 1hat Ve Oxu'roe�R ands *1 L"'wz were %Y"Ld uxr my c -ecUen or si pervisim in accordance }fin n s fs-em
0111139-W io ass+ae!�a: a 1 p,,alified perscmel prgxr,y gathered"e�-Jujlexj to irtorma ico s�anj:lfcd 133.:od on my rrgd ry ct L e ce son a pmsws
who mmagc fhr, sysvat, a U•cse 7c sofa drocuy resperoidC V 92lxnrx3 the rrfcemaior, 7*:rtfYm--k0n Sum'li' w is, DC U•e best d my krowledpe
tttdbelict.7;%xc> re�a,a-r::=,-Acin t;maNare%attl*roare rjgnic%,w.Draluosfasttrniangtdselormaor;includrgar.pmslxilt/d0nes
and imlXisovnerit'or Arrawirg raring
Mail Original and Two Copies to:
Division of water Resources
Information Processing unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

Monitoring Report Submittal
Permit Number#* WQ0012796
Name of Facility:* HM ALLIANCE -LA GRANGE WWTF
Month: * June Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR JUNE23 FINAL REPORT.pdf 4.82MB
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 C WEST IV
Signature:
FRE OC,e C ACJT N
Date of submittal: 7/14/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* W00012796
Is the monitoring report accepted?* Yes NO
Regional Office* Washington
Reviewer: _anonymous
Review Date: 7/14/2023