WQ0018146_Monitoring - 11-2022_20221220

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
Report Information
WQ0018146
The Preserve at Jordan Lake
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
November 2022-The 131.75KB
Preserve at Jordan Lake-
NDMR.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Miranda Goodson
�G�lT �.�lldS4'
12/20/2022
This will be filled in automatically

Reviewer: Gerald, Wanda
Is the project number correct?* WQ0018146
Is the monitoring report accepted?* Yes NO
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 1/3/2023

FORM' NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) resyc 4

FORM' NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR)
Sampling Person($)
Name: Eric Riggins Name: Enco 5911 Eurofin 269
Name: Name: Aqua 5051
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
Q Compliant 12 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
fair— Affarh nririifinnal shppte if neressarv.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Eric Riggins Permittee: Aqua North Carolina
Certification No.: 1004049 Signing Official: Katie Dickens
Grade- II Phone Number: 9196258275 Signing Official's Title: Field Supervisor
Has the ORC chan a revious NDMR? LjYes 0 No Phone Number: 910 695 5846 Permit Expiration: 9/30/2023
1 Z- zo - ZZ_
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 pre{iared 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