WQ0012796_Monitoring - 12-2022_20230206

FORM: NDMR 07-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page ' of
Permit
Name:
County:Facility
Flow Measuring Point: influent ED Effluent 0 No flow generated
Parameter Monitoring Point: C1 influent [D Effluent El Groundwater Lowering surface water
.:..:
o�r�®���r��r®■ter

FORM: NDMR 07-13
NON -DISCHARGE MONITORING REPORT (NDMR)
Page 3 ofABU
Permit No.: WQ001 2796
Facility Name: Lakeview Packing Company
County: Greene
low Measuring Point: influent Effluent ED No now generated _J
I I M. min Z M-1
®
- r
Daily

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page CI of 9
Sampling Person(s) Certified Laboratories
Name: Name:
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? o 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.
lV
s : ,�� f�`''I s
�.� - s
!✓ / /�-�
� (2 E'_..t./ .,5' � ta_�
�U tti <'f/ � •' rV L t_. U �IV Lr`L'_�� � b �� r
J
i
4-7
J
Operator in Responsible Charge (ORC) Certification
Permitteje' Certification
ORC: /,f' e_c> � // L� r 4-ol� /e
Pe rmittee: KC' t� �rGiv-) 7 Tl,JG .
Certification No.: / �/
Signing Official: ,� C z1 rj 1 L.a- ►-� sL +�rf
Grade: 1<.1 44.�; l Phone Number: 2 6; - 'S S i% ' CZ FD
Signing Official's Title:
Has the ORC changed since the previous NDMR? o Yes ENO
Phone Number:.2.5�2-S S^i -� Permit Expiration:
Signature Date
Signature Date
By this signature, I cerdy 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 accordan
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 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page & ofjas
PermitNo.: WQ0012796 i
Facility Name* Lakeview Packing Company
County: Greene
Month:
Did irrigation occur
at this facility?
El YES GR'N'O
Field Name:
Field Name:
3 m R. V ::
in
Cover Crop:
W.M. 1W
NMI 1111MIM111111
ZIEMMEM
i
Boom===
®®_®��■�■��
—®®®�■■����
MMMMM
�®®®����
®®ram
r■�■���

A11110" FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Of�—Y
County: Greene
Did irrigationoccurmmemm—m-
at this facility?
PIN,
rml .
cm
m�����
®®r■®�■���■
®ram®���■�
m����■�
®®��■
��■��
®sue®����
m�����
®®®sue
�■���
®�®®����
m��r�■�
s�i�s■t®�s
����
®ems-s®�■���
Monthly Loading:;,

FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT(NDAR-1) Pageht-of /0
Did the application rates exceed the limits in Attachment B of your permit? L_jcomplfant p Non-complunt
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 341trwilant p Notrcompuant
Was a suitable vegetative cover maintained on all sites as specified in your permit? A p,a,t 0ac«tcdmpaant
Were all setbacks listed in your permit maintained for every application to each permitted site? ma;ant C3 Non,cooviiant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? pliant
[] Non{,gmp;iats±
If the facility is noncompliant, please explain In the space below the reason(s) the facility was not In compliance. Provide in your explanation the dates) of the non,®corppitarbe and describe the correc€jue
action{s) taken. Attach additional sheets it necessary.
Operator in Responsible Charge (ORC) Certification
f�asmitiee artltioatlon
ORC: 3/�L U� % trvlti f� C
G-� Pormitt9e: 1-4�:e.. cs r e �.�.:,,,
Certification No.: ! `� 7
Signing official; qq g ¢Jy
Grade: L tj �t % l Phone Number: S �' J ( y /
7 �Ci Signing Off vial's 7Cttte: d 1
Has the ORC changed since the previous NDARd? ❑ ve,; ,,_.,{j�/
No Phone Number:r�w�I f S�5- � Cj tYL�� Permit lcxp.:
lr
Signatur Date
By
this Signature, I certify that Chic report is accut"no and complola to 1110 best of mI cm
y knowledge, Signature
,,n.
Oatet{fy, under penalty at lace, C'itaC tnia dou.rman! and all
at3achm.Mnn ware p[eparod t.ndar my direction or supervision in accordance
with q iry of t designed Perna" f aaaop that aU manage
the
tsouys "n garneled aid evaluated the information submillod. aa6ad d(1 my
Inquiry of the parson or pdraana wtq monago this ayaiem, or Lhasa pe.sarta oTNclty raaponalbia tot gatharht0 the information. the
Information submitted is, to the best of Iny fslovAodgo -0 Wool, true. arcufale, and complete. 1 am aware that thma are efdnIlitant
penaftloa for submNdno false Information. 1110-mg the possibility ol. Yinas and tmpri5gnmontfor knawino y!ointloms.
Mail Original and Two Copies to:
Division of Water Resources
information Processing Unit
1617 Mail Service Center

FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page '�71 of
Permit No.: WQ0012796
Facility Name: Lakeview Packing Company
County: Greene
Month: b` ✓
Year:
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):
).11
Cover Crop:
iz L k
Cover Crop:
in cC
Cover Crop:
(
Cover Crop:
G.� .
Cover Crop:
F
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
❑ YES r'NO
Field Loaded?
❑ YES T NO
Field Loaded?
❑ YES (moo
Field Loaded?
❑ YES 2f4o
Field Loaded?
❑ YES WO
v
co>
p
oQ a
d
CD C
V
Z
a
V
TN
J
>
o
�a
$
E
>
Z
QC
ED
v
Q
v
Lh M
J
=
v
y
>
Z r_
=
-
C1
0
z
W
J
>
�
mZ
>
Q
d
Zd o
�`
d
Cf
v
z tq
J
ZE
v
06
S
>
Q
Z o
an dzH
LU
Qva
z
n
o
>. N
o
p oCL
na-v
JA
v>
Z
'�
Month
gal
mg/L
Ibslac
ibsiac
gat
mg/L
Ibslac
lbs/ac
gal
mg/L
Ibslac
Ibs/ac
gal.
m /L
Ibslac
ibsiac
gal
mg/L
Ibs/ac
lbs/ac
Q
a
r
o
v
e
J
12 Month Floating PAN Load
(ibslaciyr):MEME/Mr,
lU
E,
v
D
.
tE
9/.`ls
Annual PAN Load Limit
{ibsiac) r):
3S

FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page .6- of
Permit No.: WQ0012796
Facility. Name: Lakeview Packing Company
County: Greene
Month:
Year:�13�
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:
r ,. aaL
Cover Crop:
Yn, r z{
Cover Crop:
h -,.,.,tA J 4
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
Load Type:
Field Loaded?
❑ YES 2"N'O
Field Loaded?
❑ YES 2fO
Field Loaded?
❑ YES [X6-
Field Loaded?
❑ YES ❑ NO
Field Loaded?
❑ YES ❑ NO
ot9
JR
aa
d
c
ec
s
0 C
Z
TJ
O
�
�
0
m
0
�a
U a
d
z
o
0) g
c
,a
Z%
O
v
EQ
a
y
a o
o0
z
°
c
U
�ZZo
Q
O
-1
0
�°
!
E
a
E
;
m
c
UM
0
Oya
0>
EE
0
c
m ao
rna13
c
U>
v�s `
c
�Emo
-0J
U
Month
gal
mg/L
Ibslac
Ibslac
gal
mglL
-Ibslac
Ibslac
gal
mg1L
Ibs/ac
Ibslac
gal
mglL
Ibslac
Ibs/aa
gal
mg1L
Ibslac
Ibs/ac
N
�
Z
D
.v
D
z
�
AL J
cL
12 Month Floating PAN Load
(lbslaclyr):
>
V1111,11,T11111,110ffINA
Annual PAN Load Limit
(Ibslac/ r):
2`%

FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page J of #_
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 additionai sheets if necessary
Operator in Responsible Charge (ORC) Certification
ORC: �Q J f7
Certification Number: "1' 7 / 7 0 S
Grade: 1�i%�,r),i Phone Number:J -sj - 1L( 0
Has the ORC changed since the previous NDMLR? ❑ Yes [�Ko
S
By this signature, I certify that this report is accurrale and complete to the best of my knowledge.
Permittee Certification
Permittee: 14A Q L), e te> pct J-4 i rV/ C� D , ,1 v,1 _ r
Signing Official: CL e ob lvf
Signing Official's Title: a�S f d e,,vt
Phone No.:�s� -s5 SJ.. C�8 ®9 Permit Exp.: / f -3C) ,1 F
Date Signature VDate
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