WQ0012796_Monitoring - 08-2016_20160926 (3)

• FORM: NDAR-1 08-11 1 NOM -DISCHARGE APPLICATION REPORT (NDAR41)
Page --& of -15—
Permit No.: WQ0012796
Faci I Ity Name: Lakeview Packing Company
County: Greene
Did irrigation occurm
at this faciii ty?
Crop:-,
logo=Cover
OYES 121NO
My. RIM
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FORM: NDAR-1 08-1 NON -DISCHARGE APPLICATION REPORT (NDAR-1) page _,7— Of
Permit No.: WQ0012796
Facility Name: Lakeview Packing Company
County: Greene
Month:
Year.?
Field Name:
6
Field Name:
Did irrigation occur
Area
1.11 sj.Area
(acres): 1.47
(acres),•
rrl
at this facility?Cover
Cover Crop:
P
Crop:
VAA LI&
HourlyJ
Hourly Rate
0
0.5 5"'
Hourly Rate (in): 015
OYES 2<0
r annual tate ot
Annual Rate (in):
52
Annual Rate (in): 52
Field Irrigated?
0 YEs Cryo deid'
Irrigated? 0 YES [TWO
Weather
tn
Qi V
rz
z. V
'E
- r -E
IL
La
R
1 41, "4 y i
al min In In
OF In ft ft
gal min
in In
2 e-3 Yi;A­
11 11*A,�..` i�11115 1A
3
41
QL
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6
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7
91
'101
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13
,
14
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1_5 251 RI QA
171
th
19
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20
21
22
23.
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24
26
26
27
281
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29
Pt
30
31
Mont
FIRM 0

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of _22-
did the application rates exceed the limits in Attachment B of your permit? ectunpilmt ❑Non-Campllant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? a6pilant ❑ Non-Compfiant
Was a suitable vegetative cover maintained on all sites as specified in your permit? pcompliant ❑Non•Compilant
Were all setbacks listed in your permit maintained for every application to each permitted.site? efil"mmoiant 1 ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? G mpliant ❑ 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
taKen. Anacn aaaalonai sneers tr
Operator in Responsible Charge (ORC).Certiflcatlon
Permittee Certification
ORC; t� GDld q e
Permittee: i9 rJ. ew t�-G6� %A ��.
Certification No.: 99 � v 67signtng
Official: �G•GoJ A-
Grade: Phone Number:
r�wl V715-? 55 9 - 98
Signing Official's Title:
Has the ORC changed since the previous NDAR-1? yes gc
Phone Number9e 6Permit Exp.:
2.
�2' '
Signature Date
Signature Date
By this signature, I certify that this report Is accuuale and complete to the best of my knowledge.
1 certify, under penally 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 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, l am aware that there are significant
penalties for submitting false Information, including the possibility of tines and Imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center