WQ0018146_Monitoring - 01-2023_20230228 (2)

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:
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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: NDMP 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 9 If 1-7

FORK NDVIR 03-12
Page 7— of 2—
Name: Eric Riggins
Name:
Name: Enco 591/ Eurofin 269
Name: Aqua 5051
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 171 Compliant El 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-compiiance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permiftee Certification
ORC:. Eric Riggins
Permittee: Aqua North Carolina
Certification No.: 1004049
Signing Official: Katie Dickens
Grade: 11 Phone Number: 9196258275
Signing Official's Title: Field Supervisor
Has the ORC changed since the previous NDMR? El Yes El No
Phone Number: 910 695 5846 Permit Expiration: 9/30/2023
--Z- 2-3
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 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