WQ0001664_Monitoring - 03-2022_20220406

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * March
Report Information
WQ0001664
Belvedere Plantations
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
GW-59
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Year:* 2022
Upload Document*
Belvedere March DMR 8.76MB
2022 F. pdf
PDF Only
Belvedere MW March 13.14MB
2022.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Gregory Spillman
4/6/2022
This will be filled in automatically

Initial Review
Reviewer: Gerald, Wanda
Is the project number correct?* WQ0001664
Is the monitoring report accepted?* Yes No
Regional Office* Wilmington
Accepted Date: 4/11/2022

FORM, , CMR 05- 1NON-DISCHARGE MONITORING REPORT MONK) Page _...__.. . O-

FORM NDA 3 NON -DISCHARGE MONITORING REPORT N M Page _ o
Sampling roes)
N Greg Spiliman
Certified Laboratories
Name: Enviromental hemi E Inc. DW
Naas: Name: Carolina `eater Service Inc. - Eastern Req,on C r:ill .t
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your its _.
ifthe facqity is non-compiiarn, please explaul in the spa—_ bew Me n'si the mality was nia. in Awri hance.. Prewde in your explanation the d4 t rsa of the non-compliance n and aescntmee me oorrec ive
_
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Operator in Responsible Charge 1 ) Certification
Pe."ittee Certification
C: Greg S liman
e-'-nniff CWSNC
rtifi tm No. 1004824
HSigning Official: Dana H,,
Grade: 4 Phono Number, _22-2 J-0166 1
Signing Official's Title: Director of er fions
Has the ORC changedsince the NU-
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Mail Original and Two Copies to:
Division of Water Resources
information r i Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORD NDMR 05-16 NON -DISCHARGE MONITORING REPORT ND Face _ OT

FORM ND _-'g NON -DISCHARGE MONITORING REPORT (BOMB) Pac
Sampling rscis)
Name: Grp iman
Certified Laboratories
Marne � v_ro t ? h I , in-, Div
Name: Name: ("arohna Water Services In , a FaSt rn Region if mate # 5162
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your its _ It
te ..erea rus- -he faahbi was not in comphance Prowde in your explanation the date-, of the non-womphance and de5cribeffie= corrective
actions", taken ttaCh au -a oa as sheets ? necessan,
Operator in Responsible Charge t t Certification
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Certification
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itt 'WSW
Certification ,: 3 OCK 8 -4
Signing Official- Dries Hill
Grade: 4 Phone Number-
2 5 - 4 1 -066 .
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R SigningOfficial's Title: D'!r ect o r of € perations
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Mail Original and Two Copies to:
Division of Water Resources
Info tin Processing Unit
161-1 Mail Service Center
Raleigh, North Carolina 27699-1617

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FORM NEMR NON -DISCHARGE MONITORING REPORT (NOMR) ---------- -- - ---

?! V 0 -16 NON -DISCHARGE MONITORING REPORT NDNI__...
Sampling ro{a
Name: ire Spillman
Ce,fified Laboratories
Name: v ro gal he ?ise Enc.
Name, s lm' Cardina Water Services inn -'astern Region Ceftificale # 5-,2
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your its m,
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''i; ,€ tfa,a-.�; : €9 �mi€,�., r.._;t�= em t�.:e t—elow the `easo+i=, U* ,adi_ - was noE ,t; a-oP ;11`c3—w. P_.viude in yourexplanabonfine i -s. oft -he no n.,"`'m§ ;:�'= and describe the i: _i, .s.,t4'
actionisitaken Attach aloft oral 3heets if necessary,
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Operator in Responsible Charge a C) Cerfification
PertnitteoCertification
ORC
Greg S-p-dinn rt
Permittee, CW S NC
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Centification No.:
, #; Dana
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Marl Original and Two Copies t;
Division f Water Resources
Infortnation Processing Unit
16 Maas Service Center
]ir= North Carolina27699-1617

t . NON -DISCHARGE APPLICATION REPORT D m) Page. _ of
permit •
N,: ��O00�.�?� Facility d�$�'= Belvedere �P"s=stei5n �VAPVffr County: Penr Month.
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Did infiltration occur at �` \\ t
this facility?
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NON-DISCNON-DISCHARGE APPLICATION REPORT I - 0'
Did the application rates exceed the limits in Attachmentyour
If not a basin. were the sites kept free of vegetation and raked
If not a basin, were there any instances of effluent pondingin or runoff from the sites > .
if a basin, were there any instances of breakout from the tic�E N4yi yen
Was the onsite automatically activated standby power source tested andoperational?
If 'the faefli y is on-c .pf ana. piease yp,A-in „] ithe sp :6**§ throe reds tr f ah1v was x m Mawnpiance. Provide _in _Vour exp. analon, 'h ate"m of the n co r-liance an-d des 3: _be i€ie coned v_:-
action(s) taken,i#.. Is s , seesaw
Operator in Responsible Charge
iORCI Cerfification
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- Uaf-ofina WMer Sew ce, inn C
Certffication ft,: D0 -32A
signing eft
Grade: o €:
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a
Has the ORC changed since the pmrious a2
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0 Phone Number: 013_3-4_2 3Permit EX _: 131126
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Mail Original l and Two Cloplesto:
Division of Water Resources
Inf bon Processing Unit
17 Mail Service Cep ter
Raleigh, North Carolina 7=117