HomeMy WebLinkAboutWQ0022523_Monitoring - 11-2016_20170103FORM: NDMR 03-12 NON-DIS6HARGE MONITORI(VG REPORT (NDMR) Page of ��
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Sampling Person(s)
Certified Laboratories
Name: NA Name: NA , .
Name: NA Name: NA • �
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? � Compliant ❑ Nan-Compliant
If the facility is non-compliant, please explain in the space befow the reason(s) the facility was not in compliance. Provide In your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additlonal sheet5 if necessary.
Operator in Respansible Charge (ORC) Certification Permittee Certificatian -
oRC: Timothy A.Sugg Pe�mittee: Jeff Turnage - ,
Certification No.: SI-24668 WW1-2400'I Signing Official: Jeff Turnage . � � '
Orade: . 1 Phone Number:_ 252-714-2398 � Signing O�cial's Title:. Owner _
Has the ORC changed since the previous fdDMR� ;❑ Yes ❑O No Phone Number: 252-717-0370 Permit Expiration: 3/30/2017 �
_ � - . .2 • � �—� (� ���
i ature Date Signature Date- ,.
By this signature, I certify that this report is accurrate and complete to the best oF my knrnMedge. _ I c�6 , under penalty d law, that this dacument and all attachments were prepared under my direction or supervisi� in accordance
with a system designed to assure that all qualified personnel prop�ly gathered and evaluated the information submitted. Based on my
- inquiryd the person a persons �fio manage the system, a those persons directly respaisiblefor gathering the infamation, the
information submitted Is, to the best of my knaNedge and beiief, true, accurate, and complete. I am aware that there are significant
penalties fa submitting false In/ormation, including the possibility of fines and imprisonment for knaving violations.
Mail Original and Two Coples to:
Division ot Water Quality
Informatlon Processing Unit
1617 Mail Service Center
Ralefgh, North Carolina 27699-1617
Fn,�RM: NDAR-1 08-11 NON-DISCHARGEAPPLICATION REPORT (NDA'R-1) Page �' of
.:
Permlt No.: WQ0022523 Facility Name: H&T Truck wash facility ' �• County: . Greene ' Monthi �: . November '" ' Year: � 2016
` ' Field Name: No 1; Field Name: , . Field Name: . Field Name: _
Did irrigation occur � -: --
Area (acres}: 2.5 , Area (acres): Area (acres); � Area (acres):
at this facilit� _
Cove� Crap: ;Bermuda Cover Crop: � � . . ; � , ' CoYer Crop: � ` .,; - CoyerCrop: • :. . „ . , �
�x YES ❑ NO Hourly Rate'(iri): � o o� Hourly Rate (in): Hourly Rate (In)t Hourly Rate (ln):
� � Annnaf Rate (in}: 52 ' Annual Rate (in): ` ' �� ' � Annual Rate (in): Annual Rate (in): �
Weather Freeboard Field IrNgaied? ❑ YES � NO Fleld Irrigated? ❑ YES .❑ NO Fleld,irrigated? ❑ YES �] N,0 . Fleld Irrigated? ❑ YES ❑ NO
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12 Month Floatina Total linf 11:6Cr -���"�I��'��'�;�;�1 1��� ,
FORM: NDAR-1 OS-11 NON-DISCHARGE APPLICATION REPORT (NDAR-1 j Page of
_
L
Did the application rates exceed the limits in Attachment B of your permit? p compua�c ❑ Nan-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? o compi;a�c ❑ n,o�-compra�i
Was a suitable vegetative coder maintained on all sites as specified in your permit? � o comPra�c ❑ Non-Compliant '
Were all setbacks listed in, your permit maintained for every application� to each perrmitted site? _ � o compra�c ❑ Non-Compliant
Were all freeboa�dsmaintained in accordance with the specified freeboard heights in your permit? . - .�. p camPra�c ❑ Non-Compliant ..
If the faciUty is non-compliant, please explain in the space below the reason(s) the facility was not in compliance. Provlde 1n your explanation the date(s) of the non-compliance and describe the corrective
- action(s) taken. Attach additional sheets i! necessary. � ` '
�
Operator In Responsible Charge (ORC) Certlflcation � - Permlttee Certlflcation ' :
oRc: Timothy A. Sugg -� - Perm�ttee: - �eff Tumage � ..
Certlficatlon No.: SI-24668 - WW1-24001 - - SlgNng Otfldal: - Jeff Tumage '
Grade: '1 - Phone Number: 252-714-2398 Slgning Officlal's Title: OWnel'
Has the ORC changed since the prevlous NDAR-1? -❑ Yes ❑x No . Phone Number: 252-717-0370 Permlt Exp.: `. 3/30/17.
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Signat re Dafe Signature • - Date
By tl�is slgnature, I c�tiry that U�Is repat Is accurrate end canplefe ta fhe best af my Imavledge. ceUry, under penelly of faw, thet thls docum�t and aIl attachm�ts wae prepared under my dlrecdon � superlsl� 1n.accardance with
- systen deslgned to essure that all quallfledp�sainel prop�ly gatha� and evaluated me Infamadm submitted. Based ai my inqulry o1
the peson a persms who manage the syslen, a those persans dlrectly respaislble for gathering fhelnicrmedon, the infamatlon �
- ` submltled Is, fa the best oi my Wiaxl�ge and bellei, true, accurate, end cwnplde. I am aware that there are slgnl8cant peneltles for
. submltting ialse IMametlon, Including the posslblllty of fines and Imprlsmment tor Imowing vldatlons.
Mail Original and Two Copies to: ,�
- Divlsion of Water 4uality � ' � . � '
Information Processing Unit � � ' �
' 1617 Mail.Service Center � . - �
Raleigh, North Carolina 27699=1617 �
FORM: NDMLR 05-16 NON-DISCHARGE MASS LOADING REPORT (NDMLR) Page of
Permit No.: WQ0022523 Facility Name: H&T Truck Wash County: Greene . Month:- November Year: 2016
Field Name: . 1 field Name: Field Name: Field Name: Field Name: �
Area (acres): 2.55- _ Area (acres): " � . - Area (acres): � Area (acres�c � " � Area (acres�: .
Cover Crop: winter rye Cover Crop: ' Cover Crop: Cover Crop; Cover Crop:
Load Type: PAN Load Type: � � Load Type: . Load Type: � Load Type:
Field Loaded? � ves ❑ No Field Loaded? ❑ YEs° ❑ No Field Loaded? ❑ ves ❑ No Field Loaded? ❑ YES :❑ NO Field Loaded? ❑ YEs p No
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a �_ �' f0 w<0 a �' � � 10 ' a 19 '�' A i0 10 Q t0 w' a �� 10 Q 10 r' y� � 10
Q d G� w J A J d d d� Z � 7 O 6� Gl 6Ci .0 7 O .6� y y �L � � O G7 61 G=i -,C 7 O
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o ��j � � o C� � �' V o �j � C� o " V•' g E� o o � C�
� V ' > > � V
Month gal mg/L Ibs/ac Ibs/ac gal mglL .lbs/ac ' Jbslac gal mg/L Ibslac Ibs/ac gal gal mg/L Ibs/ac Ibs/ac
mglL Ibslac Ibslac
December . • �
January
February
March -
April - -
May - ,
June _
July _ . ; . . _ _ : `
August '
September ' ' -
October 161,315 20 10.6 10.6 � �
November 0 20 0.0 10.6 -.
12 Month Floating PAN Load 10.6 0.0 ' OA � 0.0 0.0
(Ibs/ac/yr�: � ;�
nnual PAN Load Limit (Ibslaclyr�: 50 -. , � x
�_ .. : e ��� :.: � � . .�;�;;
FORM: NDM�R os-�6 NON-DISCHARGE MASS LOADING REPORT (NDMLR) Page of _,_
, .,
Did the mass loading rates exceed the limits in Attachment B of your permit? ❑x Campliant ❑ 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
� actian(s) taken. Attach additional sheets if necessary. - ""
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: - Timothy A.Sugg ' Permittee: ' " � -
Jeff Turnage . . .
Certiflcation Number: SI24668 WW1-24001 ' • Signing Official: Jeff Turnage . �
Orade: 1 Phone Number: " 252-714-2398 Signing Official's Title: Owner ,
Has the ORC changed since the previous NDMLR? ❑ Yes p No Phone No.: 252-717-0370 Permit Exp.: 3/30/17
. � � b �_ ��- -�o �
� gnature. Date Signature Date
By this signature, I certify that this report Is accurrate and camplete ta the best of my knowledge. I certify, under penalty af law, that this document and all attachments v�ere prepared under my directian or supervisian in
accordance �nith a system designed to assure that all qualified persannel properly gathered and evatuated the information
submitted. Based on my inquiry d the perean or persons who manage the system, a those persons directly responsible for
athering the infamatiai, the information eubmitted is, ta the best of my knwViedge and belief, true, accurate, and complete.
I am aware that there are slgnificant penalGes for submitting false information, inciuding the possibility of fines and
Imprisonment far knowing vidations.
Mail Origlnal and Two Copies to:
Divislon of Water Resources
Informatlon Processing Unit
1617 Mall Service Center
Ralelgh, North Carolina 27699-1617