WQ0015010_Monitoring - 05-2022_20220609

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page / of '' _
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FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
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Did the application rates exceed the limits in Attachment B of your permit? p Compliant ❑Non -compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? I1 Compliant ❑ Noncompffant
Was a suitable vegetative cover maintained on all sites as specified in your permit? E,,] Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? (a Compliant ❑ Non -Compliant
❑Q Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below, the reason(s) the facility was not incompliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
.action(s) taKen. Anacn aaomonat sneers n
Operator in. Responsible -Charge (ORC) Certification
Permittee Certification
ORC: Doug Niemond
Permittee: TDM Farms
Certification No.: 22800
Signing official: Doug Niemond
Grade: SI Phone Number:
Signing official's Title: Enviromental Mgr.
Has the:ORC changed since the previous NDAR-1? ❑ Yes No
Phone Number: 910-590-6137 Permit Exp.: 12/3V25
6/9I22
.t--- t :.. 6J9/22
Signature Date
Signature Date
By this signature, I omtify that this report is aocurrate and complete to the hest of my knowledge.
1
I certify, under penalty of tam 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 property gathered and evaluated the iMonnalion 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

FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of

FORM: NDMLR 10-13
NON -DISCHARGE MASS LOADING REPORT (NDMLR)
Page of
Did the mass loading rates .exceed the limits in Attachment B of 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 incompliance. 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
4
Permittee Certification
ORC: Doug Niemond
Permittee:
TDM Farms
Certification Number: 22800
Signing Official:
Doug Niemond
Grade: SI Phone Number:
Signing Official's Title: Environmental Mgr.
Has the ORC changed since the previous NDMLR? ❑ Yes 2 No
Phone No.: 910-590-6137 Permit Exp.: '12/31/20
619/22
6/9/22
Signature Date
nature Date
By this signature, I certify that this report is acamate and complete to the hest of my knowledge.
I certify, under penalty of taw, that this document and all attachments were prepared under my direction or supervision in
accordance vrith 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 Inforrnagon; Including the
possibility of gnes 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: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page % of
Permit No.: e►ie 010
Incorporated
e
eo
Flow Measuring '•
•.
■ influent
p Effluent
■ Groundwater LoweringSurface water
El
Daily Maximum:
Daily Minimum: 0���.r
Sampling Type: , F tuna#e Grab Grab Grab : Gratr Grab Grab,':: Grab :Grab . `,: Grab Grab;' Grab
Monthly Avg. Limit:
Daily Limit:
Sample Frequency: Monthly', 3 x Year 3 x Year,- 3 x Year 3 z Year_ 3 x Year See Permit 3 x Year 3 x Year, 3 x Year 3 k Year 3 x Year, •

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
4
ter,
Sampling Person(s) Certified Laboratories
Name: Doug Niemond (D (ArnOlo Non- Name: NCDA & CS
Name: Name:
11
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permitty
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
ar•Jinnfsl taken_ Attach additional sheets if necessarv.
ICI Y4 1140
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC• Doug Niemond
Permittee: TDM Farms
Certification No.: 22800
signing official: Doug Niemond
Grade: SI Phone Numbers 910-590-6137
Signing Official's Title:
III
Phone Number: Permit Expiration: 12/31 /2025
6/9/2022
,.r•m--x.- 6/912022
J
Signature Date
i
Signature Date
By this signature. I certify that this report is accurate and complete to the best of my knowledge.
I certiy, 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 quaffed personnel property gathered and evaluated the information
ub smitted. 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