WQ0012796_Monitoring - 11-2016_20161222

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 I of
lar <lpllant ❑ 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. Hnacn aaomonai sneers IT
DEC 2 2 ?016
DWR SECTION
INFORMATIO14 PROCESSING MR
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: O
Permittee: 114A e- us a W 4 d14 i M C.. D a ,ojVG 0
Certification Number: 919 / D 5
Signing Official: ��e alb
Grade:LV(,t,9 j Phone Number:a5,9_515'?' l �a��
Signing Official's Title: �,S e It1
Has the ORC changed since the previous NDMLR? ❑ Yes Pro
Phone No.:��� —s� / " �� Permit Exp.: 3 v3 / a A DY1
&ddmadA r.
Sign ture Date
Signature Date
By this signature, l certify that this report Is accurrate and complete to the best of my knowledge.
I 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 properly 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
Raleigh, North Carolina 27699-1617

FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDIVILR) Page _q__ Of
Perrnit No.: WQ0012796
Year:
Facility Name: Lakeview Packing Company County: Greens Month: Al.
o c k,,,b , t, L)
Field Name:
1
er
D
Field Name: 3
Field Name: 5
Area (acres):
1.26
Area (acres): 1.21
A rea (acres): X1.11
Cover Crop:
Cover Crop:
COW Cover Crop:
Le
Load Type:
AN
Load Type: PAN
Field Loaded?
[I UZNO
Field Loaded? [I IRN-0
Field Loaded? 0 YEs W<b
yEs
1 0 lik
YEs
z
z
z C z
0
CL
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a
CL IDL
CL
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E
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to C AW 73 .1
z
di
z
0 04'
F IL
MN_
Month
lbsiae
lbsia
mg1L lbs/ac lbs/ac
m 11. lbsfac lbelac
gal
gal
gal
0 T,
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6A
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FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of -j6--
Permit No.: WQ0012796 Facility -Name: Lakeview Packing Company County: Greene Month: Ahoc-,-4ev ysa,12A.
Field Name: 6Field
Name: 8
Field Name:
Area (acres): 1.11a.
Area (acres): 1.47
Area (acres):
Cover Crop:
Cover Crop:
C
Cov®r Crop:
Load Type: PM
Load Type: OAN
i1k;
Load Typ®:
Field Loaded? ❑YES
Field Loaded? ❑ YES [I -Jiro
Field Loaded? ❑ YES ❑ 110
IL
55
7
CL
CD CID C
0
M
C
0
CL -j
0) 41
Month
gal
mg/L lbs/ac
lbs/ac
lbsia lbs/ac
gal mg/L c
m IL lbalac lbstac
gal 9
TU
7777-
0
iA
Li
Ali,
tro
W
12 Month Floating PAN Load
(lbstac/yr):
Annual PAN Load Limit