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HomeMy WebLinkAboutWQ0033325_Monitoring - 01-2023_20230206FONM: NDMR03-12 NON-DISCI-ARGE MONITORING REPORT (NDMR) Page-1—of12, Sampling Person(s) Certified Laboratories Name: /Tl�ii✓ t Name: 6A11/1;L 6?A1, i 6A 71 �j Name: ��t=�t S'i� C/L Name: 0 monitoring data and sarru>tt Hng frequencies meet the requirreo� eats in Attachment A of you • 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 date(s) of the non-compliance and describe the corrective action(s) taken. Attach additional sheets if necessary. II �I I� FEB 0 6 M3 4 y n Operator in Responsible Charge (ORC) Certification Permittee Certification n ORC: C Permittee: u 4mj �5 Certification No.: g76Zg3 Signing Official: /41.44) -W e Grade: 1q-,0;YtA# h4+,oH Phone Number: 6�� Signing Official's Title: O`iMmip/% Has the ORC changed since the previous NDIVIR? ° Yes - ' - Phone Number: 1110 -O 82- 6q46 Permit Expiration: d p Signature Da Signature Date By this signature, I certify that this report is accurrale 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 jj 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 Of2', Permit No.: 33 Facility Name: ■ Sampling Type:t r �f�...a------------- 1. :-r���-------------- FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page E of 2- 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? W,�/ICompliant El Non -Compliant S� Compliant ❑ Non -Compliant R"CCompliant ❑ Non -Compliant 2/compliant ❑ Non -Compliant (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 Perm ittee Certification ORC: ,414"v 60G Permittee: Certification No.: C�`l6 t�?I Signing Official: AJ 6 - W a.L{ Grade: 4 - d.;dZ Phone Number: f le - 00ez - l0 99.E Signing Official's Title: Has the ORC hanged s� previous NDAR-1? ❑ Yes No Phone Number: p �`O'06PermitExp.: ,41 Signature Ilia a Signature D e 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 FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page -Z ofm. - Permit No.: Vj6Z 6E, 333 Facility Name: County: month: Year: Did irrigation occur tFa q_ Field N�01�, 1111011 -00 U, Field Name: 7�eid Nlame: Field Name: -me: at this facility? e a c, Area (acres): Area (acres): ' R YES ❑ NO �_""e (in): Cover Crop: Crop: Cover Crop: Hourly Rate (in): y atc R (in): Hourly Rate (in): Annual Rate 4xt I Annual Rate (in): Annual Rate (in): Weather Freeboard Field lrrigallpd? M'yES ❑ NO Field I rigated? El YES D NO YES NO Field Irrigated? DYES ❑ NO cc 4) 0 4) CL E .0 1(; - a .5 co [2 0 in o 0- CU :3 .2 C,U no- ca E .2 .2 -0. 0 0. > < E p 21 0 0 •> E E -3 7 0 w 'a E .2 :3 0 CL > CU 2 CU I 0 E >1 0) =1 7:: C E =j 'a R 0 0 W -0, E �2 = -a > < ,-, 1 = S E .7 0 M 0 E 2) :3 -6 CL Q) 0 E E m -o R 0 0 0 OF in ft ft gal ;tiro iitl gal min in in gau rn i r. in in gal min in in 2 3 4 5 7700 U. 6 7 8 9 10 11 12 13 14, 15 16 17 18 19 7;L 7cloo 0,81 20 21 22 23 24 25 0 26 C 7 goo 27 28 291 30[ 31 Monthly Loading- 12 Month Floating Total (in): MINNA, ?11,11111,11,111011,111,11A Nkffil