WQ0002005_Monitoring - 01-2024_20240229

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * January
WQ0002005
Mason Drew
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Reviewer:
Year:* 2024
Upload Document*
NDMR, NDAR-1, NDMLR January 2024.pdf 824.88KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Mason Drew
44,460dP)kNW
Wanda.Gerald
2/29/2024
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: 3/4/2024

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1_ of g
Permit No.: WQ0002005
Facility Name: House of Raeford - Rose Hill WWTF
County: Duplin
Month: January
Year. 2024
PPI: 0Q1
Flow Measuring Point: ❑ influent (] Effluent ❑ No now generated
Parameter Monitoring Point: ❑ Influent 0 Effluent ❑ Groundwater toweAng ❑ surface water
Parameter Code 0
50050
00310
00681
00680
00940
50060
31615
00610
D0625
00620
00600
00400
00665
WQ09C
70300
00530
�
0
c
Q
s- y
0
LL
o�
.2
G
g r
a�
a
E
I
>t
11
z
z
a
IL
a
tz
- i
b� c9i
24-hr
hro
GPD
m
m
m L
mgfL
mg1L
WOOmL
m
m L
ftMA
eu
mq1L
m L
mgfL
m
1
07:30
2
350,000
1
Holiday
Holiday
2
07:00
8.5
590,000
0.09
7.05
3
07:30
8
600,000
0.11
7.02
4
07:30
8.5
8201000
0.12
7.18
b
07:30
8.5
400,000
195
0.11
6130
66.7
85.1
0.07
85.22
7.22
11.8
39
57.8
61
08:30
2
0
71
08:00
2
390,000
81
07:30
8.5
610,000
0.07
7.05
91
07:30
8
590,000
0.01
7.01
10
07:30
8.5
620,000
0.06
6.99
11
07:00
a
610,000
0.05
7.17
12
07:03
8.5
390,000
0.08
7.19
13
08:00
2
0
14
08:00
2
380,000
15
07:30
2
810,000
151
0.08
590
62.4
70
<0.02
70.17
7.24
5.52
33.6
74.5
16
07:30
8
830,000
0.06
7.44
17
07:30
8.5
620 000
0.05
7.22
18
07:30
8.5
M,000
0.05
7.23
19
08:30
2
400,000
0.04
7.29
20
08:30
2
0
211
08:00
2
3801000
22
07:30
8
620,000
<0.1
7.12
23
07:30
8
620,000
0.07
7.4
24
07:00
7
580,000
0.02
7.65
25
07:00
7
560,000
<0.1
7.51
26
07:30
7
300,000
<Q1
7.45
27
08:00
2
0
28
08:00
2
270,000
29
07:30
8
5W,000
0.06
7.54
30
07:00
7
590,000
0.05
7.56
31
07:30
8
5W,000
0.1
7.62
Average:
453,548
173.00
0.06
1,901.76
64.55
77.55
0.04
77.70
8.66
36.30
66.15
Dairy Maximum:
630,000
195.00
0.12
6,130.00
66.70
85.10
0.07
85.22
7.65
11.80
39.00
74.50
Daily Minimum:
0
151.00
0.01
590.00
62.40
70.00
0.02
70.17
6.99
5.52
33.60
57.80
Sampling Type:
Recorder
Grab
Gab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
800,000
Daily Limit:
Sample Frequency:
Conlinuous
2 X Month
Annually
Annually
3 X Year
5 X Week
2 X Month
2 X Month
2 X Month
2 X Month
2 X Month
5 X Week
2 X Month
2 X Month
S X Yeer
2 X Month

Faci!ltyr Name: House of Raeford - Rose HiH WWTF

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page -f- of g
Sampling Person(s) Certified 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? E] Compliant ❑ Non-compilant
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
Permittee Certification
ORC: Joseph Teachey
Permittee: House of Raeford
Certification No.: 14930
Signing Official: Nicole Reynolds
Grade: SI Phone Number: [phone]
Signing officials Title: Plant Manager
Has the ORC changed since the previous NDMR? ❑ yes )] No
PhoNumber. [phone] Permit Expiration: 10/31/2023
Signature Date
Signature Date
By this signature, I certify that this repot is accurrate and complete to the best of my knowtedge.
I certify. under penalty of law, that this document and aN attachments were prepared under my dlrectlon or supervision in
accordance with a system designed to assure that all qualified personnel property gathered and evaluated the information
submitted. Based on my inquiry or the person or persons who manage the system, or those persons directly responsible for
gathering the Information, the h1ormafion submitted is, to the beat of my krxNAedge 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: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR)
Page l of 5
Permit No.: W00002005
Facility Name: House of Raeford Farms, Inc.
County: Duplin
Month: January
Year: 2024
Field Name:
L1
Field Name:
L2
Field Name:
L3
Field Name:
L4
Field Name:
L5
Area (acres):
12.04
Area (acne):
12.04
Area (acres):
12.04
Area (acres):
12.04
Arco (acres):
10.52
Cover Crop:
Covercrop:
cover Crop:
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
❑ YES ❑ No
Fleid Loaded?
YEs ❑ No
Field Loaded?
E Yes ❑ NO
Field Loaded?
❑ YES p No
Field Loaded?
El YES ❑ No
x
�r
-j
a
z
a.
<
ro<.i
=
=°
<
o
Ia
o
t
°
U
Q
ao
;~
m'a
Month
I
Ibslac
Ibslac
ggi
fflqfL
ibdse
Upalac
pi
m L
Ibslac
Ibelac
go
njU&
NW&C
ftlac
Ibelac
Ibsiac
January
468,000
36.3
11.8
11.8
567,000
36.3
14.3
14.3
229,500
36.3
5.8
5A
535,5W
36.3
13.5
13.5
279,000
36.3
8.0
8.0
Februa
648,000
29.35
13.2
24.9
350,100
29.35
7.1
21.4
352,800
29.35
7.2
12.9
171,000
29.35
3.6
16.9
688,700
29.35
16.0
24.1
March
436,5W
30.36
9.2
34.1
673,200
30.35
14.2
35.5
630,000
30.35
13.2
26.2
546,300
30.35
11.5
28.4
472,500
30.35
11.4
35.4
April
544,500
34.45
13.0
47.1
929,7Q0
34.45
22 2
57.7
369,Q00
34.45
8.8
35.0
531,000
34.45
12.7
41.1
578,700
34.45
15.8
51.2
May
747,000
29.6
15.3
62.4
683,100
29.6
U.0
71.7
469,800
29.6
9.6
44.6
486,000
29.6
10.0
51A
477,000
29.6
11.2
62.4
June
521,100
26.8
9.7
72.1
485,100
26.8
9.0
80.7
639,000
26.8
11.9
56.5
414,900
26.8
7.7
58.8
512,100
26.6
10.9
73.3
July
423.000
22.1
6.5
78.6
W5,500
22.1
12.3
93,1
WA,900
22.1
13.2
69.7
747,9W
22.1
11.4
70.2
431,100
22.1
7.6
80.9
August
270,000
22.95
4.3
82.9
522,900
22.95
8.3
101.4
715,500
22.95
11.4
81.1
554,400
22.95
8.8
79.0
868,500
22.95
15.8
96.7
September
1,035.000
15.75
11.3
94.2
873,000
15.75
9.5
110.9
562,500
15.75
8.1
87.2
0
15.75
Q.0
79.0
540,000
15.75
6.7
103.4
October
769,500
31.2
16.6
110.8
522,000
31.2
11.3
122.2
805,500
31.2
17.4
104,E
405,000
31.2
8.8
87.8
810,000
31.2
20.0
123A
November
760,500
34.05
17.9
128.7
733,500
34.05
17.3
139.5
738,000
34.05
17.4
122.1
892 000
34.08
20.8
108.8
652,5Q0
34.05
17.6
141.0
December 774,000 35.8
12 Month Floating PAN Load
(Ibelactyr):
19.2
147.8
147.9
861
35.8
16A
155.9
300
155-91
585,000
1 35.8
14.5
136.6
300,00
136-61
307000
36.8
9.6
lie 2
3Q0.00
1 118.2
j 531,000 35.8
15.1
156.1
300.00
156.1
Annual PAN Load Limit
IWa r
300

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page �- of -!�
Permit No.: W00002006
Facility Name: House of Raeford Farms, Inc.
County: Duplin
Month: January
Year 2024
Field Name:
L6
FkW Nam*
L7
Field Name:
LB
FIM Narrrs:
L9
Field Name:
L10
Area nacres):
8.66
Ara (acres):
12.04
Area (acres):
12.04
Ara (acme
12.04
Area (acres):
10.52
Cover Crop:
Cowr Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
2 Yes ❑ 140
FIMd Loaded?l
0 Y!5 ❑ No
Field Loaded?
❑ Yes ❑ No
FWW Los;dad?
I] Yn ❑ NO
Field Loaded?
❑ YES Q No
C
>
a
Q
V ¢
Q
al
G
1
>
4(
CL
S
E
v a
>
iii
t
a'
'8
a
3
t� a
Month
gal
m L
Ibslac
Ibslae
",se
Rwae
I
m L
ibsiae
Ibelac
Ibelac
I n/=
gal
L
Ibelac
UWac
January
378,000
36.3
13.2
13.2
234 000
36.3
5.9
5.9
526,500
36.3
13.2
13.2
472,500
36.3
11.9
11.9
382,500
36.3
11.0
11.0
February
671,400
29.35
19.0
32.2
W5,100
29.35
11.5
17.4
509,400
29.35
10.4
23.6
W7,8W
29.35
13.6
25.5
356,400
29.35
8.3
19.3
March
305,100
30.35
8.9
41.1
564,000
30.35
10.6
26.0
741,600
30.35
15.6
39.2
634,500
30.35
13.3
38.8
604,800
30.35
14.6
33.9
April
398,700
34.45
13.2
54.3
822,600
34.45
19.6
47.6
565,200
34.45
13.5
52.7
356,500
34.45
8.5
47.3
742,500
34.45
20.3
54.1
314,100
31.4
9.5
63.8
790=1
31.4
172
64.8
768,600
31.4
16.7
69.4
598,500
31.4
13.0
1 W.3
319,500
31.4
1 8.0
62.1
June
345,600
26.8
8.9
72.8
591,3W
26.8
11.0
75.8
493,200
26.8
9.2
78.5
208,400
26.8
4.9
65.2
880,200
26.8
18.7
80.8
July
333,000
22.1
7.1
79.8
774,000
22.1
11.8
87.6
731,700
22.1
11.2
89.7
612,000
22.1
9.4
74.6
639,000
22.1
11.2
92.0
August
678,600
22.95
15.0
94.8
507,8W
22.96
8.1
96.7
423,000
22.95
6.7
96.5
487.800
22.95
7.8
82.4
337,500
22.95
6.1
98.1
September
643,500
15.75
9.8
104.6
8W,500
15.75
9.7
105.4
355,500
15.75
3.9
100.4
472,5W
15.75
5.2
87.5
0
15.75
0.0
98.1
October
283,500
31.2
8.5
113.1
198,000
31.2
4.3
109.8
598,500
311
12.9
113.3
Mow31.2
13.6
101.1
252,000
31.2
6.2
104.4
November
400,500
34.05
13.1
126.3
43
6,500
34.05
15.2
1 124.81
643,500
34.05
15.2
128.5
$12,000
34.06
14.4
1 115.8
1,228,500
34.05
33.2
137.5
December 527,400 35.8
12 Month Floating PAN Load
(lbalacJyr):
Annual PAN Load Limit
(Ibala r}:
18.2
144 4
300
144.4
773100
35.8
19.2
144.0
300.00
1 144.0
1 733,500
35.8
18.2
146.7
300.00
146.7
531000
35.8 13.2
14
300.00
1 128.7
270,000
35.8
7.7
145.2
300.00
145.2

FORM: NDMLR M13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of 5
Penn It No.: W00002005
Facuny Name: House of Raeford Farms, Inc.
County: Duplin
Mouth: January
Year. 2024
Field Name:
CP4
FWd Nance:
5A
Field Name:
5AA
Flail Nam*.
58
Field Name:
6A
Area (acres):
23
Arm (acrssY
6.9
Area (acres):
5.5
ArM {acrwsr
6.9
Area (acres):
16.02
Cover Crop:
Cover Crop:
Cover Crop:
Cow Crop:
Cover Crap:
Load Type:
PAN
Load 'type:
PAN
Load Type:
PAN
Load Typ*r.
PAN
Load Type:
PAN
Field Loaded?
�'] YES ❑ NO
FlWd Loaded?
Q YEs ❑ No
Field Loaded?
❑ YES No
Field l.Oad*d?
Q Yes ❑ Mo
Reid Loaded?
Q YES ❑ No
c
ILL
<
U d
IL
<
a
IL`
<
e
$
a
a
e
d
Month
gal
mWL
lbs/ac
Ibs/ac
gal,
mWL
lbalac
NmWw
9W
mq&
tbahc
Uxuac
ad
MgIL
lbe/w
Ibalac
gal
lbsl*c
Ibalac
January
2,736,000
36.3
36.0
36.0
721,833
36.3
31.7
31.7
0
36.3
0.0
0.0
555,761
36.3
24.6
24.8
370,671
_TgL
36.3
7.0
7.0
February
21103,300
29.35
22.4
58.4
697,783
29.35
24.8
56.4
0
29.35
0.0
0.D
50,911
29.35
19.4
44.2
358,321
29.35
5.5
12.5
March
1,511,100
30.36
16.6
75.0
618,714
30.35
22.7
79.1
0
30.35
0.0
0.0
480M
30.35
17.8
82.0
317,718
30.35
5.0
17.5
April
2,682,900
34.45
33.5
108.5
761,913
34.45
31.7
110.8
0
34.45
0.0
0.0
404,515
34.45
16.8
78.9
370,871
34.45
8.6
24.1
May
1,749,700
29.6
18.8
127.3
711,510
29.6
25.5
130.3
0
29.6
0.0
0.0
557,070
29.6
20.0
98.8
360,370
29.6
5.6
29.7
June
3,208,500
26.8
31.2
158.5
9 SM300
26.8
19.3
156.6
0
26.8
0.0
0.0
499,757
26.8
18.2
115.0
306,242
28.8
4.3
34.0
July
2,979,000
22.1
23.9
182.41
W5,847
22.1
22.9
178.5
0
22.1
0.0
0.0
670,799
22.1
17.9
132.9
439,489
22.1
5.1
39.0
August
2,218,5001
22.95
18.5
200.8
601,509
22.95
16.7
196,2
0
22.95
1 0.0
0.0
471,453
22.95
13.1
148.0
308.883
22.95
3.7
42.7
September
1,953,000
15.75
11.2
212.0
608,391
15.75
11.6
206.8
1 0
15.75
0.0
0.0
478,847
15.75
9.1
156.1
312,417
15.75
2.6
45.3
October
1,750,500
31.2
19.8
231.8
4OZ153
31.2
15.2
221.91
0
31.2
0.0
0.0
315,201
31.2
11.9
167.0
206,511
31.2
3.4
48.6
November
2,893,500
12,439,000
34.05
35.7
267.5
393,569
34.05
16.2
238.1
0
34.05
0.0
0.0
306,473
34.05
12.7
179.7
202,103
34.05
3.6
52.2
December 35.8
12 Month Floating PAN Load
(lbsla r):
Annual PAN Load Limit
Ibsl ):
31.7
299.2
300
299.2
603 248
36.8
26.1
2842
300.00
284,29
0
35.8
0.0
0.0
300.00
0.0
472,816 1
35.8
20.5
200.1
300.00
200.1
309,776 35.8
5.8
58.0
300.00
58.0

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDIVILR) Page of 5
Permit No.: WQ0002005
Facility Name: House of Raeford Farms, Inc.
County: Duplin
Month: January
Year. 2024
Field Name:
6B
FMId Name:
Field Name:
FWM Name:
Field Name:
Area (acres):
6.7
Area (acres):
Area (acres):
Arse jacm):
Area (acres):
Cover Crop:
Covey Crop:
Cover Crop:
Caner Crop:
Cover Crop:
Load Type:
PAN
Load Type:
Load Type:
Load Type:
Load Type:
Field Loaded?
❑ YES ❑ N0
Fiek! t oadsd?
❑ YES ❑ No
Field Loaded?
❑ YES ❑ NO
FIM Loaded?
❑ rE5 ❑ No
Field Loaded?
❑ YES ❑ NO
e
3
>
�g
J`
zZ
dc
V Q.
>
c
>
o
2
z
v
>
v
a
>
0
Month
I
Ibslac
Ibelae
gai
mik
ibalae
I6elac
gal
mg1L
Ibslac
Ibalac
gal
MqrL
Ulm
(belae
gal
m
Ibslac
ibslac
January
390,180
_rqj
36.3
17.6
17.6
February
377,180
29.35
13.8
31.4
March
334,440
30.35
12.6
44.0
April
390,180
34.45
16.7
80.8
May
384,600
29.6
14.2
74.9
June
322,360
26.8
10.8
85.7
itq
462,620
22A
12.7
98.4
August
325,140
22.95
9.3
107.7
September
328,860
15.75
6.4
114.2
October
217,380
31.2
8.4
122.6
November
212,740
34,05
9.0
131.6
December 326,080 1 35.8
12 Month Fioaft PAN Load
(lbs! ):
14.5
146 2
300
146.2
0.0
0.0
0.0
0.0
Annual PAN Load Limit
(Ibsla r

FORM: NDMLR 10-13
NON -DISCHARGE MASS LOADING REPORT (NDMLR)
Page � of 5
Did the mass loading rates exceed the limits in Attachment B of your permit? 2 Comptant ❑ NonrCotnpliant
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) CettMcatlon Permittee Cer0cadon 1
ORC: Joseph Teachey
Certification Number: 14930
Grade: Si Phone Number: [phone]
Has the ORC changed since the previous NDMLR? ❑ Yes ❑ No
0 �,4 " �1
Signature t Date
By this signature, I certify that this report Is eccurrate and Complete to the beat of my knowledge.
Permittee. House of Raeford
Signing Official:
Nicole Reynolds
Signing Official's Tttie: Plant Manager
Phone No.: [phone] Permit Exp.: 10/31/23
Signature Date
I certNy, under penalty of law, trust tttis document and ak attachments were prepared under my dkecdon or supervision In
accordance wkh a system designed to assure that al quaNed personnel property gathered and evaluated the
Wormabon submitted. Based on my inquiry or the person or persons who manage the system, or thou persons directly
responsible for gathedv the information, the ktfmmadoon vAXnitted It. to the best of my knowledge and beW. true,
accurate, and complete. I am aware that there are sig twd pena"Ies for submftUng false information, Inckx&V the
possWty of fines and imprisonment for knowing vitiations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NOAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-'I) Page ` of
Permit No.: WG0002005
Facility Name: House of Raeford Farms, Inc
County: Duplin
Month: January
Year. 2024
©id Irrigation occur
at this facility?
YES No
IW Nonre:
�'
Field Name:
5-AA
Fw l4mw
5-B
Field Name:
6-A
Area (acres):
6.9
Area (acres):
5.5
Am (ww):
6.9
Area (acres):
16.2
C 1M c4w
Cover Crop:
cow Crop:
Cover Crop:
Hourly Pift (In�
Hourly Rate (In):
Hourly Pift (Mj:
Hourly Rate (in):
Annual Rile (11
60
Annual Rate (In):
60
Anrtaal Rain (":
60
Annual Rate (in):
5o
Weaver
Freeboard
FINd irrlpsbad?
❑ YES O NO
Field Irrigated?
❑ YES ❑ NO
FIMd krkdW❑
YES ❑ r+0
Field irrigated?
❑ YES ❑ No
U)
>
LEI
3
OF
In
1t
}t
In
In
981
min
in
in
mM
In
M
gal
min
In
In
1
C
41
0
5
2
C
32
0
4.83
3
C
31
0
4.66
4
CL
33
0.05
4.33
5
C
25
0
4.25
6
CL
36
0
4.16
103,119
300
0.55
0,11
80,823
300
0.43
0,09
52,953
300
0.12
0.02
7
C
50
0.65
4.25
103,119
300
0.55
0.11
80,823
300
0.43
0.09
52,953
30D
0.12
0.02
8
C
33
0
4.41
1031
300
0.55
0.11
80,823
300
0.43
0.09
52,953
300
0.12
0.02
9
CL
42
0
4.54
10
CL
38
1.75
4.5
11
C
33
0
4.48
12
13
C
C
30
55
0
0.5
4.29
4.08
14
C
56
0
3.91
103,119
300
0.55
0.11
80,823
300
0.43
0,09
52,953
300
0.12
0.02
15
CL
40
0
4.04
161
CL
43
0
4.16
171
C
20
0.2
4.21
18
C
20
0
4.08
19
CL
40
0
3.91
20
21
C
C
24
38
0
0
4.12
4.33
103,119
103,119
300
300
0.55
0.55
0.11
0.11
80,823
80,623
300
300
0.43
0.43
0.09
0.09
52,953
52,953
300
300
0.12
0.12
0.02
0.02
22
C
20
0
4.5
23
CL
35
0
4.62
24
CL
47
0
4.54
25
CL
63
0
4.33
26
CL
66
0
4.16
27
C
72
0
4
28
C
68
0
14.21
103,119
300
0.55
0.11
80,823
300
0.43
0.09
52,953
300
0.12
0.02
29
CL
45
0
4.37
30
C
34
0
4.5
31 R 37 0 4.68
Monthly Loading:1
721,833
3.$5
0
0.00
565,761
M3.02]JI
370,67112
23.77
Month Floating Total (In):.7.06

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page Z of 5
Permit No.: W00002005
Facility Name., House•Raeford
! •lin
Month: January
1
Did Irrigation occur
at yhis facility?
. :s . No
-
•
`��
!�
;�YYrIYIIWI
..
,.
I
U
01M.
i MM
I
I
i
i
I
MM
I
MMM
I
i

FORM: NDAR•1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page-1--of --S
1 0111 115
Facility Name: House of • .Dupfin
1 -
Did irrigation occur■�■'
at this facility?
■ YES ■ NO
i�i
■�■�
�■
I
j
I
i
���o■�i■■���■��■■�■as®®;gym®��m��

FORM; NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-9) Page � of
Permit No.: WQ0002005
Faclilty Name: House of Raeford Farms, Inc
County; Duplin
Month; January
MKOM�40YzE
Did irrigation occur
at thlS facility?
■
Mimi
MEMERM
M
___

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page -6 of J
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?
O Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Q Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Q 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: Joseph Teachey
Certification No.: 14930
Grade: SI Phone Number: [phone]
Has the ORC changed since the previous NDAR-1? ❑ Yes E] No
'Signature I' Date
By this signature, I certify that this report is accurrale and complete to the best of my knowledge.
Permittee Certification
Permittee: House of Raeford
Signing official: Nicole Reynolds
Signing official's Title: Plant Manager
Phone Humber: [phone] Permit Exp.: 10/31/23
2 LQ�
Signature Date
I certify, under penalty of taw, 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, inctuding 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