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Home My WebLink AboutWQ0012796_Monitoring - 10-2016_20161122 (3)FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page __& of. -5— Permit No.: WQ0012796 Facility Name- Lakeview Packing Company County: Greene Did irrigation occur, at this facility? Cover Crop:, ■ YES F: 11001MMMMIMMMMIMMMIMMMM c 111M_ ®iiiii ® ii�ii�r i�■�ii�� ®iiiii i■i■i■i� �� miiiii ® i��i■iii ii�i�� miiiii ® ��■■�� miiiii ®® iiii�ii■ �� iii�i�ii miiiii ®�i■�iii miiiii i®ir ii�i�� iii�■i� miiiii ® iii��iii �i■i�i�■i miiiii ®®�■iii■■� i��i�i■� miiiii ®®®ii■i�ii■ ii �■ii�i�i� miiiii �i®®�■i�� m�r��ii ®®®ii■i�ii i® ii�iir� miiiii ®®®®�■i�� ®iii�ii� ii® �i�i�� miiiii ®®®®■■■i■�i�i� miiiii ®®®®ii■�■iiii ®®®�� miiiii ®®®®ii�ii■i� ®®ii■i�i�� miiiii ®®®®i�■ii�� ® i�i�i�i� ®®�■■�i�� miiiii ®®®®��e� ont FORM: ND . ARA 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page -2— of WQ0012796• Company CounW. Greene ' • i . i • irrigationoccurI at this facility? .!VA, ■ YES 21N0 Hourly Rate fln):1 REM= Annual Rate (In): I mom MIX -Mill ��!Ml £ 1 ��%////%irk%///////, 0•m%////// %/////%i;� M/////��%///////:1 %//////0 - • leORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page A of� Did the application rates exceed the limits in Attachment B of your permit? ec mpllant El Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 0?6l mpilant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? ,C" I�Compllant ❑Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted,site? all mpllant ❑Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? pelnpilant ❑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 Men. Attacn aaamornal sneets it necessary. Operator in Responsible Charge (ORC),Certification . Permittee Certification ORC:3 eJL4VA& -7a i -N Permittee: A;&' Certification No.: 9 7 ivy Signing Official: 7329::A7 w R- � Grade:LOWT Phone Number:C? a �,2 Signing Official's Title: d�/� G Has the ORC changed since the previous NDAR-1? yes 941 o Phone Number �� `%d 9(�d� Permit Exp.: &'3/ AU/,7 Signature Date Signature Date By this signature, I certify that this report Is accurrale and complete to the best of my knowledge. I certify, 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 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 information, Including the possibility of fines and imprisonment for knowing violations. Mail Original and Two Copies to: Division of Water Quality Information Processing Unit 1617 Mail Service Center M -1-1—L. kl—.ah r...wlr..., 07C00_4G47