WQ0036557_Monitoring - 05-2023_20230601

Monitoring Report Submittal
Permit Number#* WQ0036557
Name of Facility:* Mark Miller
Month: * May
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2023
Upload Document*
NDMR & NDAR May 2023.pdf 733.05KB
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: * Robbin Maynard
Signature:
,�;Y W'? t'
Date of submittal: 6/1/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0036557
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 6/6/2023

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page _ of
Permit Na: WQ0036557 I
Facility Name: Mark Miller
I County:
Wake I
Month:
May
Year: 2023
PPI: -
- - -
Flow Measuring Point: El Influent
0 Effluent 0 No flow generated
Parameter Monitoring Point:
El Influent
El Effluent
El Groundwater Lowering
El Surface Water
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Name:
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? L-i Compliant LJ 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
acuunts) LCRCII. PILLLIU] GVUILIUI1W A1=0 LJ II
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Cory Brantley
Permittee: Mark Miller
Certification No.: 11553
Signing Official: Mark Miller
Grade: SI Phone Number: 252-478-3721
Signing Official's Title: Mark Miller
Has the ORC changed since the previous NDMR? ❑ Yes 2 No
Phone Number: Permit Expiration:
V.23,
4VT aZ:22
Signature Date
Signature V Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I cerr 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)
Page of
Permit No.: WQ0036557
Facility Name: Mark Miller
County: Wake
Month: May
Year: 2023
bICi Iffl9at1011 OCCUf
at this facility?
El YES ❑ NO
Field Name
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Field Name:
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Annual Rate (in):
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Annual Rate (in):
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F eltl Irrigated?
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Field Irrigated?
❑ YES ❑ NO
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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? O Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 21 Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? O Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? [Z Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 0 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: Cory Brantley Permittee: Mark Miller
Certification No.: 11553 Signing Official: Mark Miller
Grade: SI Phone Number: 252-478-3721 Signing Official's Title: Mark Miller
Has the ORC changed since the previous NDAR-1? ❑ Yes O No Phone Number: Permit Exp.:
6/1 /23 6/1123
Signature Date Signature Date
/By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certify, u �derpenalty of law, that this document and all attachments 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