WQ0012796_Monitoring - 09-2016_20161020

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
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FARM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
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FacilityName:
Lakeview Packing Company
Did
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Hourly Rate (in):
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FORM: NDAR-1 08.11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) pop of
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?
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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-compilance and describe the carodhro
action(s) taken. Attach additional sheets if necessary.
Operator In Responsible Charge (ORC) CertlfluSon//
Permittee Certification
ORC: ,) Ca.4D� e
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Permittee: l vX c L . ew o-� : A% y NZ;,
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Certification No.: / 99 705
Signing Official: JZe,A —7, �: WA.414C_
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Signing OMiclers Title: es G�en7�
Has the ORC changed since the previous NDAR-17 C1 Ya �p
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Phone Numberytj�_�9- C?e Permit Exp.: �'3� pZ.U1/
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Date
Signature Date
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Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1817 Mail Service Center
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