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HomeMy WebLinkAboutWQ0004967_Monitoring - 11-2016_20170103� fORM: NDMR 0312 NON-DISCHARGE MONITORING REPORT (NDMR Pege�of� FORM: NDMR 03-12 NON-DISCHARCE MONITORING REF'ORT (NDMR Page,�ofv� Sampling Person(s) Cartified Laboratories Name: Juanita James ' Name: James & James Env. Mgt., Inc. Name: Name: Research & Anal iCal Does all monitoring data and sampling frequencies m��et the ret�uirements in Attachment A of your permit? ❑ compiiant ❑ Non-compiiant N the faWlily is non-compliant, please explain In the spece baloW the reason(s) the fadlily was not in compllance. Provida in you explanation the dete(s) of the non-compliance end describe the coirective eCpon(s) taken. Apach addltlonal sBeets fF necessary. O erator in Responsible Char e ORC) Certification Permittee Certiflcation OFtC: Juanita James Permittee: Alljuice Food & Beverage Certification No.: 25034 Signing O�cial: James & James Env, Mgt., Inc. � Grade • Phone Number: 828-697-0063 Signing pfficiaPs Title: Contract Operations Has the O.RC changed since the previous NDMR? Yes No phone Number: 828-697-0063 Permit Expiration: 4-30-17 12128/2076 � ��i 92128/2016 Signature Date gnature Date By the signature, I certify that this report is accurate and complete to the best of my knowledge, e�ify, und�r penalry of iew,lhat this documeni and all atte�hment were prepared under my directlon oP supervision in accordan ith a systetn designed to asaure that ell qualified personneFproperly gathered and evelueted the information submitted. Based o y inquiry ot the person or persons who manage the system, or those persons directly responsible for gaihering the informatlon, l formation 'submitled is, to the best of my knowledge and belief, true, eccurate, and complet2. I am aw8rethe there are signiflc panelties for submittlng false infomt�tlon, including the possibtlity ot fi�1es and lmprisonment tor knowing violetfons. Mail Original and Two Copieg to: Diviaion of Weter Quality Information Proces�afng Unit 1617 Mail Servlce Center Raleigh, North Garolfna 27688•1617 , FORM: NDAR-1 os-11 _ NON-DISCHARGE APPLICATION REPORT (NDAR-1) Page � of� FORM: NDAR-1 08-17 NON-DISCHARGE APPLICATION REPORT (NDAR-1) Did the application rates exceed the limits in Attachment B of your permit? Page � of a � Compliant ❑ Non-Compilant Were adequate measures taken to prevent effluent ponding in or runoff from the_sites? � Compliant I] Non-Compliant War a suitable vegetative cover maintained on all sites as specified in your permit? p c�mp��a�t ❑ Non-Compllant Were �II setbacks list�d in your permit maintained for every application ta each permitted site? � Compliant ❑ Non-Compllant We�e all freeboards maintain�d in accordance with the specified freeboard heights in your permit? p camP��a�c ❑ Non-CompAant If the faciliry is non-compliant, pleese explain in the spaaa below the reason(s) the facility was not in campliance. Provide in your explanation the date(s) of the non-compliance end describe the corrective ection(s) taken. Aitach additional sheets if necessary. 0 Operator in Responslbl� Cha�ge (QRC) Certiflcation Permittee Certificatlon oRC: JUANITA JAMES � Permittee: - Alljuice Food & Beverag� Certffication No.: �5034 , Signing Offlcial: James & James Enu. Mgt., Inc. Grade: Phone Number: $28-697�0063 Signtng Oiflcial's Tltle: Contract Operations Has the QRC changed since the previous NDAR-17 ❑ Yes � No Phone Number; 828-697-0063 Permit Exp.; 4/30/17 12/28/16 � .{CttlJ' �, 12/2$/16 Signa re Date gnature Date By ihis signature, i`certify that thls report is accurrate end wmplete to the best of my knowledge. I certify, under penalty of lew, that thia dowment and all ettachmeols were prepered under my direclion or superviaion In aecordance wlth e system deslgned to assure thet all qualiiled personnel properiy gathered end evalueted the infortnaUon submitted. Based on my inquiry of the perspn or persons who managa 1he system, or those persnna direcqy responsible for galhedng the Information, the Iniormetion submitted is, to the bast of mY knowledge and belief, Vue, accurate, and complete. I am eware thet there ere slgniiicent peneltias far submitUng false infortnatlon, Including the possibility of nnes and imprisonmant far knowinp vlotedons. Mall O�iginal and Two Copies to: Division of Wate� �uality Information Processing Unit 1617 Mall Service Center Raleigh, North Carolina 27699-1617