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Home My WebLink AboutWQ0033325_Monitoring - 03-2023_20230410FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page____ of17, / Sampling Person(s) /� ! Certified Laboratories Name: Al.gi✓ 6� t Name: 611,11�O tlAf ".L/7 l �it7e on v,Q Name: //e�� UUUU�StC2 Name: �� `i Does all monitoring data and sampling frequencies meet the requirements in Attachment A ®f your permit? ompliant ❑ 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 dates) of the non-compliance and describe the corrective action(s) taken. Attach additional sheets if necessary. Operator in Responsible Charge (ORC) Certification Perm ittee Certification I---- ORC: 414,j C Permittee: /314d., C'n. wet+etr 10 �I Certification No.: 7-7A2,q,3 Signing Official: 01-wt;/l� Grade: iQ-,Q;3.tj4 h j+,oH Phone Number: L^ 6 Signing Official's Title: � (,AVSS-- 47AItec�PoA) �,� �y �i�EL1_ Has the ORC changed since the previous NDMR? Yes " "" Phone Number: 710 —,6Z— n7b Permit Expiration: II a 3 PpZ3 Signature Date Signature Date I� 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: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page Z Of , 0 10 4w ' - . • i Daily Maximum: Daily Minlmu Mw r��■�� FOAM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page B 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? ,,2�,,��Compliant ❑ Non -Compliant Lr(Compliant ❑ Non -Compliant ,/Compliant ElNon-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 PermitteeCeertiffii/cation ORC: kRAl 6�115 Permittee: �6kwf� 00 Certification No.: 9764913 Signing Official: x� 13'w&it Q Number: q�0 �6Z " �o Q7� Grade: p4 - ,d �--� .,� Signing Official's Title: do_, tJ� ` tt ''Phone Has the ORC changed since the previous NDAR-1? ElYes YN. Phone Number: �1,9 -P6 L- %4Qls Permit Exp.: Signature Date Signature Date By this signature, 1 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 FbRM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page A of .2— Field Name: Field Name: irrigation occur Area (acres):Did Area at this facifil ��Wm "MIK-2.11" t_ Cover Crop: Cover Crop: VIES ■ NO 11111111110=10:1.01115, I Hourly Rate (in): Hourly Rate (in): t _ WITITIUMURIU11M Annual Rate (in): I 1 UMM=== • • ®tea WMINMEIMME �OOO ®!Monthly �� ..... VFW®�iiiiiiii,iiiiii.� iiiiii r�A VA NA ®