WQ0018708_WQ0018708 Non Discharge Monitoring Report November 2016_20161101

NDMR 03-1 NON -DISCHARGE MONITORING REPORT (NDMR) ru!jt: I U1 A
rmit No.: Q0018708
Facility Name: Lake Creek Corporation
County: Bladen j Month, November I
1
Year. 2016
PPI: 001
Flow measuring kBIen t Wowtuent UNallow9weratM
ParamuelenlrVoc
ON Mg
Parameter Code
00400
3
00940
70300
43
Go
+
2"
S r
r
CL
S
2
01� 0
0
0
RL
24-hr hm
su
01100 ml.
�.k-fjft'0
mgiL
f;eV�i
mgfL
mg/L
mgX
mglL
-f7
2
Nil
3
4
07.'FO
1
"'V
I
.QH
5
m U98gy
jr ­4`f
6
7
V.
Z
vv*��
07-00
4.13
6.64
38
224
:0.4'..,
0.09
10
.1A
12
13
14
2 j95Z';
16
07:00
16
17
18
lAhi
19
20
V
21
07:00
75w?,6005 A
7.1
i
22
E
231
24
25
26
8 .ZQQ.T.f
27
'S'
28
01
'4
5.64
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224.0r;...P.-.0A0':
0.09
Average:
6�,t*,-1911232V
04-31KV
1,500.00
Orl�:.`s'
4.13
Daily Maximum:
1
7.10
V
1,50o.00
4.13
5.64
38.00
224.00
0.09
Daily Minimum:
=r
6.90
ii'efflgir;-V�
-1.60o.0c)
5.64
38.00
224. 00
0.09
Sampling Type.
RK6
Grab
Grab
Grab
Grab
G­ W
ra
Grab
Grab
MonthlyLlmit:
Daily Limit:
1`5
1-h A
Sample Frequency.,
2/month
4/Year
3/Year 7,;�-x/,*T-7
3/Year

IVIJivin UQ_1 4 iw,�wwv..r.. ��� ...+.... �.....� ..-. _... 1. __
sampling Person(s) Certified laboratories
Name: Tony Baldwin Ucornpla Uf Non- Name: Environment 1
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
If the facility is non -compliant. please explain in the space below the reason(s) the facility was not'in compliance. "do in your explanallon the date(s) of the npn-campllanoe and describe the corrective
actlon(s) taken, Attach additional sheets W necessary.
Iflresl [No
Operator in Responsible Charge (ORC) Certification Permutes Certification
ORC: Tony Baldwin Permtltee: Lake Creek Corporation
Certification No.: 29101 Signing Official: Steve Jones
Grade: $l Phone Number: 252-235.4900 Signing Offlclal's.Title: President
Has the ORC changed since the previous NDMR? Phone Number: 704-576-8462 Permit Expiration: 6/30/2016
'� Signature Date Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knartedga. I certify. under penalty of law, that this domment and d attachments were prepared under my dlroctlon or suporvisfon in
accordance WM a system destgned to assure that all quallffed perabnnet property gathered and evaluated the tnformatlon
suborned. Based on my Inqut y of the person at persons who manage the system, or those poisons directly responslbts for
gathering the Informatlon, the InformattonsubMIfted uh to the beater m knowledge and belle(, true, accurate, and complete. I am
awgrathat therearesig�►ceMponalueafor submltuagfalse tafao, ne,Inctadrngtheposslbsttyoftinesand tmprlsonmentfor
knawtngvtota
Main Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1017
I

RK NIJAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR;-1)'. h I -,age or
itNo.: WQ001�708
re r nm�l t �No
'FacilitY Name:, Lakd Creiak, Cbtpbra.tion
County,.* Bladen
Month: November
Year: 2016
n. irrigation-
I r i
Did irri ettion- 6ccur
at this facility?
BYES UNO
Frelf
Field Name:
Area (acres):
Cover Crop:.
Field Narnit
p PRIM
field Name:
Area acres):
� ffl-' ' pr'Toe
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cover Crop:
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7
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S
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Weather
Freeboard
KField
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FORM; NDAR-110-13 NON-DISCHARGO APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effitient.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?
! 0+ Compliant Dan-Compgaot
Qcompuant ONon-Compliant
oaenvtlant oNon compitant
Qt ompllant (]tion-Compliant
Were all freeboards maintained In accordance with the specified freeboard heights in your permit? � Clcampuant ONon•compllant
If the foollity Is non -compliant, please explain in the apace below the reasc (s)i the f atalftywa Attach adds milli sheets oIf ndec in your explanation the dale(s) of the non-compliance and describe the corrective
act
Operator In Responsible Charge (ORC) Cettlflcatiort Permittee CertlflcatlI -
ORa: Tony Baldwin Pemnittee: Lake Creak Corporation,
Certification No.: 29101 signing official: Steve Jones j
Grade: 1 Phone Number, 252-235-4900 signing Official's Title: President l�
Has the ORO changed since the previous NDAR47 [3Yes Ritio Phone Number: 7Q4576-8462 Permit FaCp.: 6134/16
f i .
11
/O
Signature
Date signature Date
� _
9ythLs stgnateae, t CerNiy tt,at this report b axurrata nrtd compfate f ilia beet of my Idedgo. wbh a system designed to neap ure theta quagAed pew P pe N9 thared nand evahiated dw I �ormatton submtted. gasservislan In d on m
h,qul yof the person orpersenswho manage the system, orlhose persons dW* maponsmte for gathering tha I dommdon, the
Informagpenaiaes far is,
tbmhtlng roue tJ rrnatbn, frmludlaq do possthEtyal'flima d impdsonmen forftwi g vb aware that aftoam �ntRcant
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit ;
1617 Mail Service Center i
Raleigh, North Carolina27899.1817 i