WQ0012796_Monitoring - 11-2016_20161222 (3)

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page __,�_, of
Did the application rates exceed the limits in Attachment B of your permit? Er mpllant ❑ Non-compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? &-compliant ❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 211C mpllant ❑Non -Compliant
Were all setbacks listed in your permit maintained for every application'to each permitted,site? 91J mpliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Dempliant ❑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. Attaon acaltlonal sneets it necessary.
Operator in Responsible Charge (ORC).Certiflcation .
Permittee Certification
ORC; j
/
Permittee:
Certification No.: f 919 7 06, s
Signing Official: 73ZGt� 14., w a4�
Grade:kw.r Phone Number:.261 _ / — c? 846
Signing Official's Title:
Has the ORC changed since the previous NDAR-1? [] yes i!st`ro
Phone Number6w_.S�S 9' `11r-ots' Permit Exp.: S'31 A0l t9
Signature V 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 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

FORM: NI)AR-1 08-11 , NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page 6 of _13—
Permit No.: WQ0012796
Facility Name: Lakeview Packing Company
County: Greene
Month: 4).0 ocw et,,- Year:1
Field Name: 2
N.
Field Nam 4
0:
Did Irrigation occur
Area (acres): 1.26-
111111,"It
Area (acres): 0.81
at this facility?
Crop:
Cover C rop:
Cover
r
... . ...... .
Rate (in):
Hourly Ra
I Rate (in): 0.2
Hourly
0 YES GaIN000
Annual Rate (in): 93.6
Annual Rate (in): 26
Field Irrigated? OYES 5TO—
Field irrigated? ❑Y ES
Weather Freeboard
0
B'S
C
r
'a
A =
11
E.
J_
'E o 0
I I -
10.
a
CL
r
E
qk,
F In ft ft
9 all min In In
N. ; 14
gal min In In
V-F:
21
61
31
4
mum
6
4
Kh
7
V, 0.
81 <
.!, 1��
91
101
R ij
�4
121
61
'5
JiM,
13
14
16
16
17
191
M. ;fflk
201
211
'.0
221 S -5a
231.
2 41
. .. ... .....
2 1
N
"
Nr.l..l
261
271
Pit
T
28
29
30
31
Monthly Loading
n
12 Month Floating Total Total (in):

-Permit No.: Q•012796- Facility Name: Lakeview Packing Company CounW. Greene
� i -
D • irrigation occur
at this facility? �-T-mg AmI i
i
Cover Crop:
■ + ow,
MM
BOB M11MMMI, milm
�i
MMMMIM
____