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Home My WebLink AboutWQ0011655_Monitoring - 12-2016_20170203FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) �� '� I''V CC [ Page / of r Permit No.: ei0Carolina , Co - December. miff, Me liaily Minimum: Sampling Type:' Monthly Avg. Limit: Daily Limit: iiN�C r�eyue�wy. FORM: NDMR 10-13 Sampling Person(s) Name: Nelson Medford Name: NON -DISCHARGE MONITORING REPORT (NDMR) Certified Laboratories Name: Environment 1, Incorporated Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Page of ❑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 action(s) taken. Attach additional sheets if necessary_ Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Nelson Medford Permittee: East Carolina Council, BSA Certification No.: 995478 Signing Official: Doug Brown Grade: SI Phone Number: 252/947/0008 Signing Official's Title: Scout Executive Has the ORC changed since the previous NDMR? ❑Yes ❑� No Phone Number: 252/522/1521 Permit Expiration: 28 -FEB. -2019 �G � f �A&66� _/ l Signature Date Signat rej 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 far knowing violations. Mail Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) 0 r' _ ' '3 4 � Page f of 6 ( Permit No.: 11 .EastCarolina Council, • irrigation occur Field Nam at this facility? EIYES • Area (a Arezi acres)-' _ Har• sas -Hardwood/ 1 Hourly - 1 . ' - 1Hourly Rate 1 1 : 1 1 1 0 v mmmm M_ m__®__ -_-- -_-- MMM®__ ---- ® ®-_-- MonthlyMM •.. . Month12 • . . • FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) 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? Page of OCompliant ❑Non -Compliant Compliant []Non -Compliant (]Compliant ❑Non -Compliant ElCompliant ❑Nan -Compliant ❑✓ 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 additinnal chaatc if npraccnm Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Nelson Medford 995478 Permittee: East Carolina Council, BSA Certification No.: Signing Official: Doug Brown Grade: SI Phone Number: 252/947/0008 Signing Official's Title: Scout Executive Has the ORC changed since the previous NDAR-1? ❑Yes ❑� No Phone Number: 252-522-1521 Permit Exp.: Feb. 28, 2019 /7 �7 f Signature Date Signatur 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 .FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Q ° ` 9 �` N a Page O7 of •.: WQ0011655 ' • December Year: 20 • irrigation occur Field Name: at this facility'? • Area (acre�y I 'Name Area (ac • • . . e . - ' -' 1 Hourly_. 9Ann'tizil'Rate-tin)-"' Annual _ ate Boom, N M M=M M_ MMM®__ ---- m ___ ... � �� eee �� 0 ��//, e • e �� eee ��/ 0��% • e e ��7 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? pcompliant ❑Non-compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑p Compliant ❑Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? DCompliant ❑Non -Compliant Were all setbacks listed in your permit, maintained for every application to each permitted site. ❑p Compliant ❑Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? pcompliant ❑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 action(s) taken. Attach additional sheets if necessary the non-compliance and describe the corrective Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Nelson Medford 995478 Permittee: East Carolina Council, BSA Certification No.: Signing Official: Doug Brown Grade: SI Phone Number: 252/947/0008 Signing Official's Title: Scout Executive Has the ORC changed since the previous NDAR-1? ❑Yes ONO Phone Number: 252-522-1521 Permit Exp.: Feb. 28, 2019 a7 7 ' �; Signature Date Signat 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