WQ0033325_Monitoring - 01-2024_20240207

Monitoring Report Submittal
Permit Number#* wg0033325
Name of Facility:* Bladen County Water District - Tobermory Road
Month:* January Year: 2024
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR NDMR JAN 24 TOB.pdf 701.79KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * Alan Edge
Signature:
0/�
Date of submittal: 2/7/2024
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* wg0033325
Is the monitoring report accepted?* Yes NO
Regional Office* Fayetteville
Reviewer: _anonymous
Review Date: 4/16/2024

FORM: NDMR C3-12 NON-MSCHARGE M0N T 0R.' qG i-PORT (NDMR) Page____ of
Sampling Person(s) Certified Laboratories
;name: �1��% � Name: 6i✓I.114* 0AIX4 eit17 l _7"�JG Or*,DVA/ j,1,Se
Name: 'itf/fd1 ��S e� �� Name:
Dovs all o7cmni.�oHng data and sampling frequencies meet the requirements in Attachment A of your parrm!t? ?-;pliant ❑Noh-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 expIanation the date(s) of the non-compliance and describe the corrective
taken. attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: 'ermittee: 1314d%c4 CC, Ljet+L01r 999d
Certification No.: V7 2-11? Signing Official: 0444,,v 1-�e-
�r J
Grade:-�oy}r�, J3&j4aostt Phone number. 4?f _ /�_ � � Signing Official's Title: Di.-p6cf o/4
Has the DRC changed since the previous NDMR? ` v� "" Phone number: ✓� -�I l�Z t� Permit Expiration:
�I I A®
ji Signature Date Signature Date
By this signature, I certify that this report is accurrate, and complete to the best cf rry-mow;e�ge. I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in acoordanoe
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 irrformation, including the possibility offines 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

-JRM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ` ofT.21
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?
L.iJ Compliant ❑ Nan -Compliant
e(compliant ❑ Non -Compliant
MICCompliant ❑ Non -Compliant
L7 Compliant ❑ Non -Compliant
R 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
Permittee Certification
ORC: '41*v &
Permittee: �� (� . 40
Certification No.: 1M.21W
Signing Official: eo�
Grade: 14.. ,� 'Phone Number. Ve -'rez ^ W Ql
Signing OfficiaPs Title:
Has the 0RC changed since the previous NDAR-1? ❑ Yes Nc
Phone Number: gi® 46 6 Z. — 649,6 Permit Exp.:
4�-z�{
- 4�- z
Signature [gate
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 supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry cf 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 ;" of �7_
Permit No.: w1sz oC 3S 3 ,CS' Facility Name: County: Month: Year: Z.V,Zc
axK ti ? r # "
Field Name: �etae Field Name:
Disc irrigation occur . y, -- �
g e are ,� Area (acres): s� , Area (acres):
a�� �>
at this facility? e i ='f Cover Crop: e o CoverCrop
:
YES ©NOo
Hourly Rate (in): x` Ra Hourly Rate (in):
92'uaT ate in Annual Rate (in): a R rn • Annual Rate (in):
9 0,Irrigated?❑YES ❑ NO 9 c ❑' . 9 ❑YES ❑ NO
Weather Freeboard'��F eiIte Field el M n a ed f< Field Irri ated?
G1 C �11,40
L_ RAN
S Rig' � R
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a co ca CM 0 J3E °' .. �. lA .� �, c a _ c a, m c 3ti . E .� m
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o- 0 0 0 o 0 0 0
°F in ft ftgal gal m a
min in in ga,tn gal min in in
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12 Month