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HomeMy WebLinkAboutWQ0004270_Monitoring - 12-2016_20170123i• i o .. .�■,.■.■■■�,o■■■■■■�C��� irm ■ . X17-- __ - _ MEMO a 'I • ----- ■ . ----®----�-- FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Sampling Person(s) Name: Charles Parker Name: Par Lab Certified Laboratories Name: 11 Name: Does e8l monitoring data and same ing frequencies meet the requirements in Attachment A of your permit? Compliant ❑Nan -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 action(s) taken. Attach additional sheets if necessary. Operator in Responsible Charge (ORC) Certification ORC: Lee Pennington Certification No.: 987583, 987903 Grade: 2 Phone Number: Has the ORC changed since the previous NDMR? n 704-874-2754 []Yes E]No % ignature Date By this signature, I certify that this report Is accurrate and complete to the best of my knowledge. Permittee Certification Permittee: Al Abedi Signing Official: Al Abedi Signing Official's Title: Vice President Phone Number: 704-865-1201 Permit Expiration: March 31,2020 / Signature Date 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 Resources Information Processing Unit 1617 Mail Service Center Raleigh, north Carolina 27699-1617 •- R.- ' 000 I g�l occur • AY .. - DOM - ame: A.B. Carter, Inc. ' -- - -- - - � Field Name: County: Gaston Month; . . '.'Area ,• Cover:77 - Cover •• 0 • .P.CoverCrop: • See 'NO Annual Rate (in): Field Irr*gated??l 1011 Hourly Annual Rate (i 1 Field Irrigated?' N a Monthl oa ngT19 JIVE �./ Il�f��, FORM: NDAR-310-13 MON-DISCHARGE APPLICATION REPORT (NDAR-3) Page of ®id the application rates exceed the Hints in Attachment B of your permit? Compliant ❑Non -Compliant l tyre adequate measures taken to prevent effluent ponding in or runoff from the sites? ACompriant ❑Non -Compliant VVas a suitable vegetative cover maintained on all sites as specified in your permit? TTT*Compliant ❑Non-compliant Were aill setbacks lusted in your permit maintained for every appllCation to each permitted site? ompfiant ❑Non -Compliant Werealll freeboards maintained in accordance with the specified ffraeboard heights in your permits I/dlt.ompliant ❑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-co/mpliance and describe the corrective Operator in Responsible Charge (ORC) Certification ORC: Lee Pennington Certification No.: 987583, 987903 I Grade: 2 Phone Number: 704-874-2754 Has the ORC changed since the previous NDAR-3? ❑Yes 2No taicen. Auacn aaaltional sheets if necessary. Permittee Certification Permittee: Al Abedi Signing Official: Al Abedi Signing Official's Title: Vice President Phone Number: 704-865-1201 Permit Exp.: 3/31/20 b(}'gnature Date `– I 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 Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617