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Home My WebLink AboutWQ0033325_Monitoring - 02-2023_20230308FORM: ND'i\IR 03-12 NOR! -DISCHARGE MONITORING REPORT (NDMR) Page ;z Of Permit No.: �� 333 Facility Name: � Coun4y: Month: Year: PPI:� Flow Measuring Point: El Influent ffluent ❑ N ow generated parameter Monitoring Point: nfluent 16 Eitiuent ❑ Groundwater LYWering ❑ Surface Water Parameter Code 50050 0 O III `u ° C Q Q O LL 2 j 24-hr hrs GPD 4 5�I R 8�1 121i 13 j141 F16 'i, ; .z 0 � �18� D20 21 221 23 '' 7 -77d'D 24 2 26 27 281 29 30 31 I Average: Daily Maximum: 0V Daily Minimum: 'l7 � Sampling Type: Monthly Avg. Limit: Daily Limit: Sample Frequency: fJ FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page—t—of7, Name: 1414.4J Name: lrE..111VIV Sampling Person(s) t /Yc sfc2 Certified Laboratories Name: 6N lO1,�.V C1, i &W / Name: Does aH monitoring data and samp� in¢g frequencies meet the requirements in Attachment A of your permit? ❑ 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 nrirlitinnal eha +} if o —, II I� ,j MAR ,) 2023 it lnfc.rx..: N ctj ? Operator in Responsible Charge (ORC) Certification Permittee Certification 1 ORC: J Permittee: /314dle [ Co. we,+eir 10/47a?9 L'i} h Certification No.: 476 Z`p 3 ij Signing Official: i B-L-ie J Grade: R'10i3 tiQ- /9L(+s oil Phone Number: Q/ d p _ 0 6AOAz Signing Official's Title: 10;moeoL�p14 CAVSS— CoA•tec-)-ioAJ /T! C Yes Has the ORC changed since the previous NDMR? Phone Number: —IP6L— 6446 ��o Permit Expiration: l r PZ4 a Signature Da e Si nature g 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 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page -K of Facility Name: !rNgafion occur Field Name: _ Area (acres)- Area (acresj� Area (acres): Cover Cro ' 1 i. ..�� ■..ter.. �� ®�®s �� Mon FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I of f 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? R,.._,eCCompliant ❑ Non -Compliant IR/Compliant ❑ Non -Compliant 91cCompliant ❑ Non -Compliant [' Compliant ❑ Non -Compliant dCompliant ❑ 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: lqlq..v Permittee: eL a o t�✓� Certification No.: q762_9,? Signing Official: d5 - Lj Grade: 4 _ �� Phone Number: �iEB � ��, - 6Qg.B Signing Official's Title: .0` Has the ORC changed since the previous NDAR-1? El Yes 3i No Phone Number: q�®- 16 Z-- QQ6 Permit Exp.: Ar Signature Date Signature 2ate 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 Quality Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617