WQ0012796_Monitoring - 08-2016_20160926

FORM: NDMLR. 08-11 NOWDISCHARGE MASS LOADING REPORT (NDIVILR) Page � of
`Permit No.: WQ0012796
Facility Name:
Lakeview Packing Company
county:
Greene month:
year:
Field Name:
I
Field Na me: 3
4':
Area (acres):
1.26
Area (acres): 1.21
Area acres):
Cover Crop:
cover C rop:
Cover Crop:
g syn
Load Type:
PAN
Load Type. PAN
Load Typo: PAN
Field Loaded?
[3 Yes 9?NO
Field Loaded? ❑ WK0
d?
a ❑a
13 yes 194
YES
Gz
Q z
ILC
f;z A, V
Month
lbsiac lbsiac
T
lbs/ac
lbs/ac lbefac
gal moll.
;.Q;k
gal mg/L lbs/ac
gal mgl .
,C Ad
A.)i3 U
.. ......
E
12 onth Floating PAN Load
(lbalae(yr):
Annual PAPE Load Limit
fibs/ad yr):

61
.� FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NOMLR) page S' of C5
Permit No.: WQ0012796 Facility -Name: Lakeview Packing Company County: Greens Month: 4. yeangj)&
Field Name: 8 Field Namr.
Field Name: 6
1.11
Area (acres):
Area (acres):
Area (acres):
Cover Crop:
Cover Crop:
Load
Load Type: -PAN
Loaded? (3
Loaded? YEs ❑ NO
Field YES 6@�m�o
n. ;
l
ti Z
Z
134L
q & •I % 3 -9
J
'moi g
ii j
I
0
>
Month
gal ml lbs/ac lbslac
gal mg1L lbs/ac lbs/ac
JW 'j
g al I mg1L lbelac
lbsiar.
e- A
0
TWj',"' "al."
A0
AjbV
0
men
L D
12 M nth Floating PAN Load
(lbsiacty
Annual PAN Load Limtt
11baladvri: Y*7/

- 9 OW
FORM: NDMLR 08-11
NON -DISCHARGE MASS LOADING REPORT (NDMLR)
Did the mass loading rates exceed the limits in Attachment B of your permit?
Page / of
R"Compllant ❑ 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
actions) taken. Attach additional sheets if necessary.
Operator In Responsible Charge (ORC) Certification
Permittee Certification
ORC:
Permittee: 1144 Q ue w cd-4 e p 11V e,
%
Certification Number: q 9 9 S
Signing Official: 3� G olb y. IV,* �
Grade: (rV%q,9 Phone Number: j� -�j��- 9'6000
Signing Official's Title: e,,s d eA)
Has the ORC changed since the previous NDMLRT ©Yes 910
Phone No.. -,?S
"2 9 - c 1? 09 Permit Exp.: 3 -.3 a °� EV17
Sign lure Date
Signature Date
By this signature, I certify that this report Is accurralo and complete to the best of my knowledge.
I certify, under penalty of law, that (his 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
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, We,
accurate, and complete. I am aware that there are significant penalties for submitting false information, Including the
possibility of (Ines and Imprisonment for knowing violations.
Mall Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699.1617