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WQ0034350_Monitoring - 12-2016_20170111
f,ORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page, of Q Permit No.: WQ0034350 Facility Name: HendersonvilleHendersonDecember1 SEA • • • .. o��■������������� FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _P_ of a Sampling Person(s) 11 Certified Laboratories Name: Scott Chovan Name: City of Hendersonville WWTP Name: Denise Kinchen Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 21Compliant ❑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 QVU ./ lO.1 I"1 LOW CILIUMV1I0I bll=IA II Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Garrett DeMoss Permittee: CITY OF HENDERSONVILLE Certification No.: WW -1000305, LA 1001681 Signing Official: Garrett DeMoss Grade: IV Phone Number: 828-697-3077 Signing Official's Title: . Plant Superintendent Has the ORC changed since the previous NDMR? Eves E]No Phone Number: 828-697-3077 Permit Expiration: 12/31/2015 Signature Date Signature Date By this signature, I certify that this report is accurrate 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 Raleigh, North Carolina 27699-1617 FORM: NDAR-3 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-3) Page I— of5� Permit No.: WQ0034350 Facility Name: HendersonvilleHendersonDecember/ • conjunctive utilizationFieldNa occur ■ •Area Distribution (acres): Area (acres): Area (acres): ... .. $Ira■ D • ■ ■ • ■ ■ Field .. s n ©AMM MM ®®®® MI=N=MME ®®®® IMMOMM11M a __1MM1_ ®_®® ---_ ®®®® -_-- ©-____ ®®-_ ---- 1M=0®® ---- U_____ ®IIMIIM -_-- ®INM-INM -_-- m MM ®®_® IMMOMMME [a===== ®®®® -_-- ®®®® ----. I___ __ ---- ®MO-- -_--��M MM ®®®® ���� ®®®i �M�MMM� .®___.-_®_®® -_-- ®®®® -_�- m= MM ®®®® WM��� ®®®® M1MN=MI1M [a==== ®®®® -_-- ®®®- -_-- m IMM MM ®®®® IMME=MME ®®®® mmmmmmim ®___ ®___ __-_-- • n t h I y L •.• i n • • a I I • j�//// j///�//j/////j� �i////jj////// i//////j/////j/Ii/////M, � j///// j////// FORM: NDAR-3 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-3) Pageof 2 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 sites? 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 permit? [21Compliant ❑Non -Compliant OCompliant ❑Non -Compliant Compliant ❑Non -Compliant [2]Compliant []Non-compliant Compliant ❑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. Httacn aaanional sheets if necessary. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Garrett DeMoss Permittee: CITY OF HENDERSONVILLE Certification No.: WW -1000305, LA 1001681 Signing Official: Garrett DeMoss Grade: IV Phone Number: 828-697-3077 Signing Officials Title: Plant Superintendent Has the ORC changed since the previous NDAR-3? ❑Yes ❑✓ No Phone Number: 828-697-3077 Permit Exp.: 12/31/15 1Z 73ZI-7 Signature Date Signature Date By this signature, I certify that this report is accurrate 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 Raleigh, North Carolina 27699-1617