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HomeMy WebLinkAboutWQ0004115_Monitoring - 11-2016_20170103: � FORM: NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT (NDAR-1) Page I of � •���� ' • '�� •- • ' ' � � � � . • • �� �� �� �� �� �� �� �� �� �� �� �� ■ 0 • �-�-�-�- �� �� �� �� ��� B • � ■ � . � ■ B � � ■ 0 • ,. 0� 00 ���� ���� ���� ���� 0 �_� 0� -_-- ---- -_-_ ---- 0 ___ __ -__- ---- ---- ---_ � ___ __ ---- _--- ---- ---_ � ___ __ ---- ---- -_-- -_-- � ___ __ ---- -_-- ---- -_-- � ___ __ -_-- ---- ---- -��_- 0 ___ 0_ ---- -_-- ---- �������- 0 ___ __ -_-- ---- -_-- I���- � ___ __ -___ __-- -__- ���- m' _____-----------_�_�� m �__ __ ---- ---- -_-- ������Y� m ___ __ ---- ---- -_-- �� ���- m ___ __ -_-- ---- ---- ��-- m ___ 0_ ---- ---- -_-- -_-- m ___ __ _-_- ---- -_-- ---- m ___ __ -_-_ ---- ---_ ---- m ___ __ ---- ---- -_-- -_-- � -__ __ -__- ---- -__- ---- m ___ __ -_-- ---- _--- ---- m_____-_------ - _---- m ___ 0_ ---- ---_ �_�- ---- m ___ __ ___- ---- -_-- -_-- m_____ __-------_---_-- m ___ __ -_-- -__- --__ ---- � ___ __ -__- ---- -_-- ---- m ___ __ ---- -_-- -_-- -_-- m ___ __ -_-- ---- ---- ---- � ___ �_ ---- ---- -_-_ ---- m ___ __ -_-- ---- -_-_ ---- m ___ __ -_-_ ---- -__- ---- m ___ _� -__- -_-- ---- ---"��� 0%//////% � � � %//////% 0%/////% � � � %/////%%;0%////// � � � %//////%0%//////% � � � � %/////////,%//////�%///////,i%////////.%//////,�%/////%!%////////%////%i��///////r.!%////////,%///////,�%/////// ! FORM: NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT (NDAR-1) Page � 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 sites7 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 permit7 ❑+ Compliant ❑� CAmpIaM ❑+ CAmpllaM ❑� Compliant ❑+ Comdiant ❑NorrComPliaM ❑NoirCompliaM ❑NorrCan0liaM ❑NorrCanpliant ❑Non-Complian[ If the facility is non-wmpliant, please explain in the space below the reason(s) the faciliry was not in compliance. Provide in your explanation the date(s) of the non-compliance and descnbe the corrective action(s) taken. Attach additlonal sheets if necessarv. Operator in Responsible Charge (ORC) Certification Permlttee Certiflcation oRc: KARL GRIFFITHS Perminee: CHAMPION HILLS, POA CertiTwtion No.: 15613 Signing Otficlal: KARL GRIFFITHS Grede: Phone Number: 828 606 1962 S�gn�ng Offic�al's 7itle: ASSISTANT SUPERINTENDANT Has the ORC changed since the p e ious NDAR-77 ❑y� Orvo Phone Number: 828 606 1962 ` Permit Exp.: 1/31/19 � ' 12/19/16 12/19116 gnature Date Signalu Date ey mis sigrature, i ertHy thet tMs report is aaurate antl complete to IM best o( my kroMeage. I cenlry, untler penatty o( law, that Mis docume ne an anachmerns were prepareE un�ler my direction or supervision in accordanca xtllh a systam tlasignetl ro assure that all qual' persomel propeAy gathered antl evelueletl tM informatbn submMtetl. BaseG on my irquby o( ihe person or persom who manage ihe system, w tlnse persas tlkectly respwaida (a gathering the iMamation, tte iMortnation submitted is, to Me best ot my krox7etlge antl belief, bue, accvete, antl complete. I am aware that there are significaM perekies (ar submmirg false iMorme[ion, inclutlirg He possibYiry of finas antl imprisonmenl for kiqMng vblalb2s. Mail Original and Two Copies to: Divislon of Water Resources Information Processing Unit 7677 Mail Service Center Raleigh, North Carolina 27699-7617 - ------ �— - ------ - - --�- ---- - -... __ -- -- - - - --0� - � FORM: NDMR 03-12 NON-DISCHARGE MON�TORING REPORT (NDMR) - � - - - - - -� - -PaSe °f -- -� - ` ' ' Certifted Laboratories Sampling Person(s) Name: Danielie Hunter , � Name: James & James Env. Mgt., Inc. ,.. Name: Name Research & Anal ical � Does alhemolnyto�rong d'a�ta p e[IS ampinng sP equ e wcnes meet the 'requirements m Attachment A of your permit? ❑ compiiant ❑ Non-Campliant ,- son(s) ihe facilily was, nol In compllance. Provida In you explanetfon the date(s) of the non•compliance and describe the corrective � � ' actlon(s) taken. Attach addltionel sheeta if necessary. O�erator in �_, � �.�. ORC: Danielle Hunter No.: 23477 Certification II Phone Nurribe�: � ' 82&697-0063 changed since the rp`/�(���ous NDMR? ❑ Yes C7 No !� N I / �./ - � J��w L�y� 12/28/2016 '�'� Signature pate the signature, I certify thaf this report is accurate' and complete to the best of my knowl� Certiflcation Hills POA Official: James & James Env. Mgt., Inc. Official's Title: Contract Operations Number: 828-697-0063 J-t1�l1�.- �a-- ' 1 Permit Expiration: 1/31/2019 I certify; under penalty of law, that this doaiment and ail attachment were prepazed under my direction or supervision in accordance with a system designed to assure that all qualifled personnel properly gathered and evaluated the infotmation submitted. Based on my inquiry of the person or persons who manage ihe system, or those persons direc8y responsfble for gathering the informatlon, lhe informaGon submitted is, to the best of my knowledga and belief, true, accurate, and complete. I am aware ihe ihere are sign{ficant II penalBes for subminina talse informatlon, induding the possibility of fines and imprisonment for knowing violations. Mafl Original and Two Copies to: Division of Water Quaiity . Information Processing Unit 7G17 Mall Servlce Center Raleigh, North Garolina 27699•1617