WQ0002005_Monitoring - 09-2023_20231027

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * September
WQ0002005
House of Raeford Rosehill
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Reviewer:
Year:* 2023
Upload Document*
NDMR, NDAR-1,NDMLR September 2023.pdf 865.92KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Mason. [e-mail]
Mason Drew
44,460AI D)Lsw
Wanda.Gerald
10/27/2023
This will be filled in automatically

Is the project number correct?* W00002005
Is the monitoring report accepted?* Yes NO
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 10/31/2023

FORM. NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page,_,,(_ _ of ___'� _
Permit No.: WQ0002005
Facility Name: House of Raeford Farms, Inc.
County: Duplin
Mona,: September
Year: 2023
Field Name:
L1
FiM Marne:
L2
Field Name:
L3
F%W Name:
L4
Field Name:
L5
Area (acres):
12.04
Amu (acres):
12.04
Area (acres):
12.04
Area (acres):
12.04
Area (acres):
10.52
Cover Crop:
Cover Crop:
Cover Crop:
Corer Crop:
Cover Crop:
Load Type:
PAN
load Type:
PAN
Load Type:
PAN
Load Type,
PAN
Load Type:
PAN
Field Loaded?
C YES ❑ NO
Field Loaded?
❑ YEs ❑ NO
Field Loaded?
E YEs El no
Field Loaded?
❑ YES No
Field Loaded?
El YES ❑ NO
a
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a
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o
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a
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V a
Month
gai
mglL
lbslac
lbslac
go
MO&
lba/ac
Ibalac
gal
mg1L
Ibsiac
lbalac
m
lbs/ac
nwacgal
m
k n1ac
Ibalac
January
487,8W
39.6
13.4
13A
944,100
39.6
25.0
25.9
479,700
39.6
13.2
13.2
719,100
39.6
19.7
19.7
477.000
39.6
15.0
15.0
February
648,000
29.35
13.2
26.6
3W,100
29.35
7.1
33.0
352,800
29.35
7.2
20.3
171,000
29.35
3.5
23.2
688,700
29.35
16.0
31.0
March
436,500
30.35
9.2
35.7
673,200
30.35
14.2
47.2
630,000
30.35
13.2
33.6
546,300
30.35
11.5
34.7
472,500
30.35
11.4
42.4
Aprif
544,500
34.45
13.0
48.7
929,7W
34.45
22.2
1 09.4
369,000
34.45
8.8
42.4
531,000
34.45
12.7
47.4
578,700
34.45
15.8
58.2
May
747,000
29.8
15.3
64.0
W3,100
29.6
14.0
83.4
469,800
29.6
9.6
52.0
488,000
29.6
10.0
67.3
477,000
29.6
11.2
69.4
June
521,100
26.8
9.7
73.7
485,100
26.8
9.0
92.4
639,000
26.8
11.9
63.9
414,900
26.8
7.7
65.0
512,100
26.8
10.9
80.2
July
423,000
22.1
6.5
80.2
W5,5W
22.1
12.3
104.7
864,900
22.1
13.2
77.1
747,9W
22.1
11.4
76.5
431,100
22.1
7.6
87.8
August
270,000
22.95
4.3
84.5
522,900
22.95
8.3
113.0
715,500
22.95
11.4
88.5
654,400
22.95
8.8
$6.3
868,500
22.95
15.8
103.6
September
1,035,000
15.75
11.3
95.8
873,000
15.75
9.5
122.5
562,500
15.75
6.1
94.6
0
15.75
0.0
85.3
540,000
15.75
6.7
110.3
October
594,900
23.5
9.7
105.5
630,900
23.5
10.3
132.8
513,000
23.5
8.4
103.0
518,400
23.5
8.4
93.7
489,600
1 23.5
9.1
119.5
November
674,100
26.5
12.4
117.8
707,400
26.5
13.0
145.8
626,400
26.5
11.5
114.5
441,000
28.5
8.1
101.8
154,800
26.5
3.3
122.7
December 571,500 33.15
12 Month Floating PAN Load
(Ibsia r):
Annual PAN Load Limit
Ibslac r
13.1
131.0
131.0
228600
33.15
5.2
151.0
300
151.0
266,400
33.15
6.1
120.6
300.00
120.6
453800
33.15
10.4
112.2
300.00
112.2
411,300
33.15
10.8
133.5
300.00
133.5
300

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Pave of_L;
Permit No.: W00002005
facility Name: House of Raeford Farms, Inc.
County: Duplin
Monti,: September
Year: 2023
Field Name:
L6
Field Name:
L7
Field Name:
L8
Field Name:
L9
Field Name:
L10
Area (acres):
8.66
Aran (mom):
12.04
Area (acres):
12.04
Area (acres):
12.04
Area (acres):
10.52
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
❑ YES Q No
Field Loaded?
[] YES ❑ No
Field Loaded?
0 Yes ❑ No
Field Loexdad
YES No ❑ Y❑ No
Field Loaded?
❑ Yes ❑ No
O
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ITcis
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IL
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a
CL
3
o
a
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<
a
e
Month
l
m
lbalac
16elac
lane
IlWvc
I
ibslac
Ibelac
l6slae
ialaC
al
ibslac
Ibalac
January
287'100
39.6
10.9
10.9
868,700
39.6
23.8
23.8
984,600
39.6
27.0
27.0
778,500
39.6
21.4
21.4
479,700
39.6
15.1
15.1
Februa
671,400
29.35
19.0
29.9
5W,100
29.35
11.5
3&3
509,400
29.35
10.4
37A
887,800
29.35
13.6
34.9
356,400
29.35
8.3
23.4
March
305,100
30.35
8.9
38.8
504,000
30.35
10.6
45.9
741,600
30.35
15.6
53.0
$34,600
30.35
13.3
48.3
604,800
30.35
14.6
37.9
April
398,700
34.45
13.2
52.1
822,600
34.45
19.6
65.5
565,200
34.45
13.5
66A
355,500
34.45
8.5
56.8
742,500
34.45
20.3
58.2
May
314,100
31.4
9.5
61.6
790.200
31.4
17.2
82.7
768,600
31.4
16.7
83.2
WSW
31.4
13.0
69.8
319,500
31.4
8.0
66.1
June
345,600
26.8
8.9
70.5
591,300
26.8
11.0
93.7
493,200
26.8
9.2
92.3
266AM
26.8
4.9
74.7
88Q200
26.8
18.7
84.8
Juty
333.000
22.1
7.1
77.6
774,000
22.1
11.8
105.5
731.700
22.1
11.2
103.5
612,000
22.1
9A
84.1
639,000
22.1
11.2
96.0
August
678,600
22.95
15.0
92.6
507,600
22.95
8.1
113.6
423,000
22.95
6.7
110.2
487,8W
22.95
7.8
91.8
337,500
22.95
6.1
102.2
September
643,500
15.75
9.8
102.3
8W,W0
15.75
9.7
123.2
355,500
15.75
3.9
114.1
472,500
15.75
5.2
97.0
0
15.75
0.0
102.2
October
309,600
23.5
7.0
109.3
653,500
23.5
9.0
132.3
229,500
23.5
3.7
117.9
639,900
23.5
10A
107.4
622,800
23.5
11.6
113.8
November
653,400
26.5
16.7
126.0
1 858,800
28.5
12.1
1 144.31
534,600
26.5
9.8
127.7
658,200
26.5
12.0
119.4
423,000
26.5
8.9
122.7
December 0 33.15
12 Month Floating PAN Load
(KWactyr):
Annual PAN Load Limit
(ftl r):
0.0
126.0
300
i
0
33,15
0.0 1
144.3
300.00
144.3
1 287,100
33.45
6.6
134.3
300.00
134.3
415
33.15
9.5
129.0
300.00
129.0
242,100
33.15
6.4
429.0
300.00
129.0

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page __3 of
Permit No.: VVQ0002005
Facility Name: House of Raeford Farms, Inc.
County: Duplin
Month: September
Year. 2023
Fleid Name:
CP4
FMId Nsnee:
5A
Field Name:
5AA
Field Name:
56
Field Name:
6A
Area (acres):
23
Arse (acres):
6.9
Area (acres):
5.5
Aree (acres):
6.9
Area (acres):
16.02
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop.
Cover Crop:
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Typo:
PAN
Load Type:
PAN
Field Loaded?
YEs ❑ N0
Field Loadod?l
❑ YES ❑ NO
field Loaded?
C YEs Q No
field Loaded?
❑ YEs ❑ f4o
Field Loaded?
[] YEs ❑ NO
a
a
<
a
o
a
o,
<CL
p-
a
a
<
4
m
at
d
UCL
>
a
d
s
u
Month
gal
m9AL
Ibslae
Ibelac
gW
I mWL
NW*c
Ibefec
gal
mVIL
ibslac
Iba/ac
Ibelae
lbslae
gal
mg1L
lbeJae
Ibalac
January
1,117,800
39.6
16.1
16.1
628,714
39.6
30.1
30.1
0
39.6
0.0
0.0
889,053
39.6
42.6
42.6
582,483
39.6
12.0
12.0
February
2,103,300
29.35
22.4
38.4
697,783
29.35
24.8
54.8
0
29.35
0.0
0.0
50,911
29.35
19.4
62.0
358,321
29.35
5.5
17.5
March
1,511,100
30.35
16.6
55.1
618,714
30.35
22.7
77.5
0
30.35
0.0
0.0
464,936
30.35
17.8
79.7
317,718
30.35
5.0
22.5
April
2,682,900
34.45
33.5
88.6
781,913
34.45
31.7
109.31
0
34.45
0.0
0,0
404,515
34.45
16.8
98.5
370,671
34.45
1 6.6
29.2
May
1,748,700
29.6
18.8
107.3
711,510
29.6
25.5
134.7
0
29.6
0.0
0.0
557,670
29.6
20.0
118.5
380,370
29.6
5.6
34.7
June
3,208,500
26.8
31.2
138.5
598,366
26.8
19.3
164.0
0
26.8
0.0
0.0
499,757
26.8
16.2
132.7
306,242
26.8
4.3
39.0
July
2,979,000
22.1
23.9
162A
SM847
22.1
22.9
176.9
0
22.1
0.0
0.0
670,799
22.1
17.9
150.6
439,489
22.1
5.1
44.0
August
2,218,500
22.95
18.5
180.9
601,509
22.95
16.7
193.E
0
22.95
0.0
0.0
471,453
22.95
13.1
163.7
308,883
22.95
3.7
47.7
September
1,953,000
15.75
11.2
192.0
&M,361
1 15,75
11.6 1
205.2
0
15.75
0.0
0.0
476,847
15.75
9A
172.6
312,417
15.75
2A
50.3
October
2,907,900
23.5
24.8
216.8
710,474
23.5
20.2 1
225.4
0
23.5
0.0
0.0
556,858
23.5
15.8
188.6
364,838
23.5
4.5
54.7
November
2,097,000
26.5
20.2
236.9
0
25.5
0.0
225.4
0
26.5
0.0
0.0
727,407
26.5
23.3
211.9
476,577
26.5
6.6i
December 2,226,600 33.15
12 Month Floating PAN Load
(lbsla r):
Annual PAN Load Limit
Ibs! r
26.8
263.7
263.7
0
33.15
0.Q
225.4
300,00
225.4
0
33.15
0.0
0.0
300.00
0.0
727407
33.15
29.1
241.1
300.OQ
241.1
476,577
33.15 8.2
69.5
300.00
300

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page -A of�
Permit No.: W00002005
Facility Name: House of Raeford Farms, Inc.
County: Duplin
Month: September
Year: 2023
Field Name:
68
Field Name:
Field Name:
Field Mama:
Field Name:
Area (acres):
6.7
Aree (acres):
Area (acres):
Area (acres):
Area (acres):
Cover Crop:
Cover Crop:
Cover Crop:
cover Cron
Cover Crop:
Load Type:
PAN
Load Type:
Load Type:
Load Type:
Load Type:
Field Loaded?
0 YES ❑ NO
Field Loaded?
❑ YEs ❑ No
Field Loaded?
❑ res [] NO
Field Loaded?
❑ Yes ❑ No
Field Loaded?
; ] YES [-]NO
L7�
4
0
>
m e
4
as�
J
Q
V
dd
>
<
peQ
J
t3
my
E
0
6
>
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U
J
+�
x
y
3J
a
>
`
>
Q
0
D
J
o
a
Month
gal I
m L
Woe
"Wac
gal
mWL
Ibelac
Ibelac
gal
m lL
tbslac
Ibalac
gal
mS&
lbslac
Ibslac
gal
m
ftWac
Ibslac
January
613,140
39.6
30.2
30.2
February
377,180
29.35
13.8
44.0
March
334,440
30.35
12.6
56.6
Aprfl
390,180
34A5
16.7
73.4
May
384,600
29.6
14.2
87.5
June
322,360
26.8
10.8
98.3
July
462,620
22A
12.7
111.0
August
325,140
22.95
9.3
120.3
September
328,860
15.75
6.4
126.8
October
384,040
23.5
11.2
138.0
November
501,660
26.5
16.5
154.5
December 501,660 33.15
12 Month Floating PAN Load
(lbsla r):
20.7
175.2
300
175.2
0.0
0.0
0.0
0.0
Annual PAN Load Limit
(lbsla r

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Pages of-1--
Did the mass loading rates exceed the limits in Attachment B of your permit? 0 Conpilant ;] Non-c t liant
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
ORC; Joseph Teachey
Certification Number: 14930
Grade: SI Phone Number: [phone]
Has the ORC changed since the previous NDMLR? '` Yes El No
Signature 1
By this signature, I certify that this report is 9= rtate and complete to the best of my knowledge.
Permittee Certification
Permtttee:
House of Raeford
Signing Official:
Nicole Reynolds
Signing Officlai's Title: Plant Manager
Phone No.: [phone] Permit Exp,: 10/31 /23
Lo 23 (' J/1,00 k�zkz
Date `,j grrature Date
I certify, under penalty of law, that this document and alt attachments Were prapared under my direction or supervision in
accordance with a system designed to assure that all qualified persormet property gathered and evaluated the
information submitted. Based on my inquiry of the person or persons who manage the system, or those pereons directly
responslbte for gathertng 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, inducting 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: NOMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page _L_ of
Permit No.: W00002005
=114 Name: House of Raeford - Rose Hill WWTF
County: Duplin
Month: September
Year. 2023
PPt: 001
Flow Measuring Point: ❑ tr,nuwt D Effluent [I No now generated
Parameter Monitoring
Point: C7 tnnuent ❑ Efftmnt ❑ Groundwater lowering ❑ surface water
Parameter Code
li00>30
00310
00681
00680
00940
50060
31616
00610
W625
00620
00600
00400
00665
WOW
70300
G0530
io
0
vF-
ccIr
C
c
0
�
O
$
°�
u
c
rO
�
Ir U
a
Q
P
�
Z
=
a
.iti c
A�
a isr°n
Q Z
to
24-hr I
hrs
GPD
m L
m
m
mofL
m L
*100 mL
mgJL
MOIL
m
su I
M9,L
m
mgfL
1
07:00
7
300,000
0.28
8.24
2
08:00
2
0
3
08:00
2
300,000
4
07:00
8
660,000
8
07:30
8
650,000
0.39
8.68
61
07:00
8
680,000
0.18
8.64
71
07:00
7
650,000
0.3
8.88
81
07:00
8
340,000
0.36
8.92
9
08:00
2
0
10
08.00
2
370,000
11
07:30
8
e30,000
0.13
8.3
12
07:00
8
610,000
0.21
8.35
13
07:00
8
610,000
0.2
8.2
14
07:00
8
5W,000
38
0.23
>2420
29.9
31.1
<0.02
31.21
8.03
9.15
15.3
76.8
16
07:30
8
330,000
0.2
8.15
16
08:00
2
0
17
08:00
2
290,000
18
07:00
8
850,000
27
0.16
>2420
27
36.9
<0.02
36-W
8.08
5,62
16.2
86.7
19
07:00
7
00,000
0.15
8,21
20
07:00
8
840,000
0.2
8.45
21
07:00
8
800,000
<0.1
8.14
22
07:30
8
350,000
0.11
8.21
23
08:00
2
0
241
06:00
1 2
380,000
251
07:00
7
640,000
<0.1
8.09
26
07:00
8
810,000
0.2
7,95
27
07:00
8
610,000
0.19
7,46
28
07:00
7
840,000
0.32
7.81
29
07:00
6
350,000
<0.1
7.69
30
08:00
2
0
31
Average:
436,000
32.50
0.19
1.00
28.45
33.50
0.06
33.62
7.39
15.75
81.75
Daily Maximum:
WO,000
38.00
0.39
0.00
29.90
35.90
0.02
36.02
8.92
9.15
16.20
86.70
Da11y Minimum:
0
27.00
0.10
0.00
27.00
31.10
0.02
31.21
7.46
5.62
15.30
76.80
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Limit:
8W,000
Daily Umlt:
ffMonthly
ple Frequency:
Contlnuoua
ix Month
Amually
Annually
3 X Year
5 X Week
2 X MoM
2 X Month
2 X Mo t
2 X Month
f 2 X Month
5 X Week
2 X Month
2 X Month
3 X Yeer
2 X Month

n
28
29
30
31

1i
2
3
4
5
B
197
8
11
12
13
14
1B
20
21
22
23
24
26
27
28'
29
30
31

1
2
3
4

Permit No.: W00002005 Facility Name: House of Raeford - Rose Hill WWTF county: Duplin

FORME: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 19- of --:L
Sampling Person(s) Ce►tifled Laboratories
Name: Jay Baker Name: Enviromental Chemist
Name:
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? El Compliant El Non-Compffant
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
actlon(s) taken. Attach additional sheets if necessary.
Operator In Responsible Charge (ORC) Certification Permittae Certlficatlon
ORC: Joseph Teachey Permittee: House of Raeford
Certification No.: 14930 Signing Official: Nicole Reynolds
Grade: SI Phone Number. [phone] Signing Official's TWe: Plant Manager
Has the ORC changed since the previous NDMR? U Yes R1 r4o I Phone Number: [phone] Permit Expiration: 10131 /2023
(a Z?1 ?
';C�" Signature Date VSignature
Date
By this signature. I certify that this report is accurate and complete to the best of my knmy"e, f certify, under penalty of law, that this document and all attachments were ed under prepay my direction or supervision in
accordance with a system designed to assure that atl qualified personnel properly gathered and evaluated the information
sutxnifted. 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 beat of rrry knowledge and beNef, true, accurate, and complete. I am
aware that there are sfgniftoanl penalties for submitting false information, isduding the posslDNiry of fines and Unprlsonment 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 APPUCATION REPORT (NDAR-1) Page J_ of S
Permit No.: WQ0002005 Facility Name: House of Raeford Farms, Inc County: Dublin Month: September Year: 2023
Did Irrigation occur FlNd"�1Q �A Reid" ��' Fle�dlisKnec 58 Field Name: 6-A
at this facility? """" t" ` 8.8 Area (acres): 5.5 Ards tams}: 6.9 Area (acres): 16.2
Cover C"F Cover Crop: Cove cn* Cover Crop:
[Q YES [] No fi011r1� P40 pnk hourly hate (in): Hourly Rabe (in): Hourly Rate (in):
Annual Rds tin)z 60 Annual Rate (in): 60 Annual Raae (in): 80 Annual Rate (in): 50
Weather Freeboard Field hrip ted? ❑ WS 7 No Field Irrigated? ❑ YES ❑ No FWd krtp led? ❑ YES � NQ Field irrigated? ❑ �S ❑ IYO
g A $ a o
°F In R R min in In t min in in min in In gal min in In
IfC 58 0.3 3.96
EC
72 0 3,66
70 0 3.58 103,119 300 0.55 0.11 80,823 304 0.43 0.09 52,953 300 0.12 0.02
66 0 3.86 103,119 3W 0.55 0.11 80.823 300 0.43 0.09 52,953 300 0.12 0.02
5 C 71 0 3.91 103.119 300 0,55 0.11 80,823 300 0.43 0.09 52,953 300 0.12 0.02
6 C 72 0 4.08
7 C 74 0 4.16
6 PC 75 0 4.16
9 C 81 DA 4
10 C 81 0.3 4 103,119 3W 0.55 0.11 80,823 300 0,43 0,09 52,953 300 0.12 0,02
11 PC 71 0 4.16
12 C 69 0 4,16
13 CL 70 0 4.08
14 C 68 0.1 4.08
15 C 60 0 4.5 103,119 300 0.55 0.11 80,823 300 0,43 0.09 52,953 300 0.12 0.02
t6 C 65 0 4.5
17 C 82 0 4.71
18 CL 67 0.2 4.87
19 C 57 0 4,79
20 C 54 0 4.83
21 C 62 0 4.91
22 CL 64 0 4.87
23 R 65 2.4 4.75
24 CL 63 0.8 4.66
25 PC 64 0 4.83
26 CL 68 0 5.08 92,796 270 0.50 0.11 72.732 270 0.39 0.09 47,652 270 0.11 0.02
27 CL 70 0 5
Z8 CL 61 0 4,91
29 CL 65 0 4.87
30 C 68 0 4,87
31,
Monthly Loading: 608,31a1 3.25 0 0.00 475 $47 2 55 312,417 0.71
12 Month f Total (in): 29.04 7.06 28 28 25.&1

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1 ) Page _? of
Fecift Name: House of Raeford Farms, Inc
Month: September
Did irrigation occur
at this facility?
No
El YES ElRim
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FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page __�__ of-5
Pernvft No.: WQ0002005
Did irrigation occur
at this facility?
■ YES ■ NO
Facility Name: House of Raeford Farms, Inc
County: Duplin Month: September
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FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page '-I of 5
Hlfl 11Facifty
Name. Houseof -- • • Farms, Inc
County: Dupline
c• _ •-
1
• irrigation occur
■YES No
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FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page .5 of -
Did the application rates exceed the limits in Attachment B of your permit?
Comptiant ❑ Noa-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? L7 Compliant ❑ NorrCompilant
Was a suitable vegetative cover maintained on all sites as specified in your permit? E] Compliant ❑ N«,-Compliant
Were all setbacks fisted in your permit maintained for every application to each permitted site? El compliant C Nw-compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? E C= AW L] 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
ORC: Joseph Teachey
Certification No.: 14930
Grade: Sl Phone Number. (910) 28"148
Has the ORC changed since the previous NDAR-1? ❑ Yes F, No
Signature Date
By this signature. I c8rtily Met this report is aaxrrrate and compiets to the best of my knoN4edge,
Permittee Certification
Permittee:
Mouse of Raeford
Signing Official: Nicole Reynolds
Signing Official's Title: Plant Manager
Phone Number. [phone] Permit Exp.: 10131 J23
I,,✓, t (,,) 1 a z3
0 U Signature Date
I certify, under penalty of low, that this document end W attachments were prepared urKW my direction or supervision In accordance
vlth a system designed to assure that all quahffed pemmist property gathered and evaluated the Information submhted. Based on my
inquiry of the person or persons who manage the system, or those persons dkectty responsible for pattering the Worrnation, the
information submitted is, to the best of my krpvAedge and belief, true, acowate, and cornpWe. t am aware that there ere aignticant
penabas for submttbrg fake Information. ku%dhg the possNft of Ws and imprfsonmem for kroAig vUstions.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699.1617