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Home My WebLink AboutWQ0019665_Monitoring - 02-2023_20230403FORM: NDMR 03-12 NON -DISCHARGE MONITORING KhFUK I (NUMM) 16 16 17 WOMEN ter FAMMUNIM", ME ..� 0 md_ WK, ; I'll EwFi W MOON -N 19 _6 WHOMIX 2010400 0 74tr OT 1.001 i 126 301 1 311 h, Average, Daily Maximum: Daily Minimum: Sampling Type: Grab Grab w;1i E b Grab § . Grab Grab Grab Monthly Avg. Urnit. Daily Limit: Sample .Continuous 4 x Year 1-4x� - Et Per van 4 x Year 4 x Year '4 x Va�sii Per Event 4 3 x Year NUN -DISCHARGE APPLICATION REPORT (NDAR-1) Page _ r� of t " 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? ❑ Compliant ❑ Non -Compliant ❑ Compliant ❑ Non -Compliant ❑ Compliant ❑ Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? ❑ Compliant ❑ Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in 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 additional sheets if necessary. Operator in Responsible Charge (ORC) Certification ORC: .TOSEPH F- SApLEI? Certification No.: l) LV Z ► SS_ 11 S I 15 (OS-0 Grade: fit Phone Number: OSJ,) 9 y3 543 5 Has the ORC changed since the previous NDAR-1? J ❑ Yes [ o Permittee Certification Permittee: SWAN 0(4Ai TER SANMRV WISTRICT Signing Official: -J'tEE'FGR\.) STokGS 13ERRY Signing Official's Title: Sri//7MEAS Phone Number: (.1 r2.) 42- 0901 permit Exp.: Q $— 31 — 1026 Signature Date Signature Date - 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 supery ision in accordance with a system designed to assure that all qualified personnel property 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 th-e information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that here 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 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I of • . �11 •.• _ w _ - _sin•- • G D• irrigation occurArea Field Name: Field Nam Area (acres): (acres Area (acres)-! rf Cover Cro Cover Crop: • '. 1Hourly '. • '. • '. Weather Free board A ®_--__ • %///////%/////2Uff1m/%//%//( FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2. of2_- 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? ❑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 dates) of the non-compliance and describe the corrective action(s) taken. Attach additional sheets if necessary. Operator in Responsible Charge'(ORC) Certification Permittee Certification ORC: YT05EPti F. 5AC)LER, Permittee: SWHN OV Al2T'ER SAOITARI I3►STRICT Certification No.: W CJ 2 1 5 S l rl $I I S 5 O Signing Official: TE F F E R "I S r_T ES Si� IRR V Grade: Phone Number: 5 2) q L43 — 5 43 5- Signing Official's Title: SEC/ THE A S Has the ORC changed since the previous NDMR? ❑Yes E-4to, Phone Number: � jZ) Jr4� f Permit Expiration: 2.o2_6 03 2 Signature Date j Signature Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certify, under penally of law, that this document and all attachments were prepared under my direction o r supervision in accordance with a system designed to assure that all qualified personnel property 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