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Home My WebLink AboutWQ0002648_Monitoring - 10-2016_20161116s FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page —I of •111 •-• • - Metropolitan - District ••• • •,- Did irrigation occur ®® ®� at this facility? 1 Cover Crop: Cover Crop: - flourly Rate (in): � �-AnnaIRte(iny,®�- I M MMMI MM mmmlmmmm ommo®=: ,,, mm �mmm mmmm-00 FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Pagea. of -a,_ 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? ❑� conpaam ❑ Noncompliant ❑Q Compliant ❑ Non-ComAW Was a suitable vegetative cover maintained on all sites as specified in your permit? 0, Compliant n Nm -Compliant _ Were all setbacks listed in your permit maintained for every application to each permitted site? p compliant ❑ No„-Compkant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 0Gompxant ❑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 necessary. Operator In Responsible Charge (ORC) Certification Permittee Certification ORC: DOYLE AUMAN Permittee: SEAGROVE/ULAN METROPOLITAN WATER DISTRICT Certification No.: 2W W 6834 / SI 15575 Signing Official: MICHAEL T. WALKER Grade: 2 Phone Number: 336-873-9055 Signing Official's Title: SECRETARY Has the ORC changed since the previous NDAR-1? ❑ yin ONO Phone Number: 336-873-9055 Permit Exp.: 9/30/20 ee_ //- 8-/6/ :2 Signature Date Signature Date By tits >Ianetwe. I certay that this repot is xarrate and oomatate to the Deet of my knowledge. I certify. uxler perWty, of law. that this doramert and all atlachtwts were prepared 1x1der my direction or suparvkbn h accardroe with a system designed to aeaae that as qualified posommi pworly gathered and evaMate l rile i iomadon wbmkted. Baud on my inquky of the person or paaae who marepa the eyatem, or those persona directly responsible for gathering the intomatim the Irtormaten submitted is, to the beet of my knowledge end belief. Wer. laxwu te. and oompbte. 1 am aware that Rare ere efgr scant penin" for submitting Mu lob, atbn, icMdbg the posebny of roes and mpreaonenl for krowirg vehigore, Mail Original and Two Copies to: Division of Water Quality Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699.1617