WQ0018146_Monitoring - 01-2023_20230228

Monitoring Report Submittal
...................................................
Permit Number#* WQ0018146
Name of Facility:*
Month: * January
The Preserve at Jordan Lake
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2023
Upload Document*
Preserve at Jordan Lake (NDAR-1).pdf 1.39MB
PDF Only
Perserve at Jordan Lake (NDMR).pdf 577.91 KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * Zach Campbell
Signature:
�� �'�rrtirc�ll
Date of submittal: 2/28/2023
This will be filled in automatically
Initial Review

Reviewer: Wanda.Gerald
Is the project number correct?* WQ0018146
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 4/14/2023

FORM: NDAR-i 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of

FORA: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1 ) Page of

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Of
Did the application rates exceed the limits in Attachment B of your permiis
ECompilant E]Non-compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ElCompliant E]Non-compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? EZCompliant - EINon-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 2compliant DNon-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Rcompliant EINon-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.
117-
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Jade Wicker Permittee:
1;7�
AQUA NC
Certification No.: 1011887 Signing Official:
Grace: S1 Phone Number: 919-545-2201 Signing Official's Title: Field Supervisor
Has the ORC changed since the previous NDAR-1? E]YeS ENO Phone Number: 919-653-5773 Permit Exp.: 2/28/25
�`Au';411�L24 (YIN
Signature f ate Signature Date
Ey 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 bhe 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