WQ0033770_Monitoring - 08-2023_20231005

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * August
Report Information
WQ0033770
Carolina Plantations WWTP
Type *
Revised - NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2023
Upload Document*
Carolina Plantations NDAR NDMR August 2023 - 4.91 MB
corrected (1).pdf
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: * Dominic Whicher
Signature:
Date of submittal: 10/5/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* W00033770
Is the monitoring report accepted?* Yes NO
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 10/6/2023

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FORM: NDMR 05-16 Page �
NON -DISCHARGE MONITORING REPORT (NDMR) of

e-17 -1-7
FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDIVIR) Page �— of __)_

PQR : NDMR 05-16 NON -DISCHARGE MONIT RII REPORT { R) Page of
Sampling Person(s) Certified Laboratories
Kane: Jeff Jarman flame: Environment 1
Ram: game:
Woes all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0 colnipliant Non-Cornoftw,
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.
?he rc=onthly floe= average was exceeded
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Jeff Jarman
g Perr ittee: Old North State Water Company
Certification No,: 13491
i
Signing Official: Jahn McDonald
I
Grade: t -4 Phone Number: 910-330- 167
I
i Signing Official's Title: Owner
I
Has the ORC changed since the previous NDMR? Yes [71 No
Phase Plumber: Permit Expiration:
Af
9`Zi'2Q23
Signature
Date Signature Date
By this signatwe, I oartil, that this report is accurate and complete to the best of my knowledge.
! certify, under penalty ot�that thus document and at; attachments . to pmriared and --my d=reuticn or s-jpe -vis o;: fn
accordance vn=th a system d :signed to assure that all qualified rie sonnet pr pedy gathered and evaluated Me mforrsation
submitted. Based on my inquiry of --he person of peisoi is who manage the system, or those persons directly responsible for
gathering the information. oration. the infloanaton submifed o. rt Uwe best ,f my know edge and belief. ;rue, awur ate, and complete_ i am
aware that mere are significant penalties far submitting false information, including the possibility of tines and imprisonme; t for
knowing Vioiat`ons.
Fail Original and Two Copies to:
Division of Water Resources
Irtforrnation Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

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FORM NDAR-2 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page J- of

Page of z
FORM: NDAR-2 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-2)
Did the application rates exceed the limits in Attachment B of your permit? Compliant © Non -Compliant
If not a basin, were the sites kept free of vegetation and raked? Compliant © Non -Compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites? 2 Compliant © Non -Compliant
If a basin, were there any instances of breakout from the berms? [a Compliant 0 Non -Compliant
Was the onsite automatically activated standby power source tested and operational? ® 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 dale(s) of the non-compliance and describe the corrective action(s)
LORA I- l UGi It Q Vt1tV 1p J11=L0 II I1py
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC; Jeffrey Jarman
Permittee:
Old North State Water Company
Certification No.: 13491
Signing Official: John McDonald
Grade: WW-4 Phone Number: 910-330-8167
Signing Officiai's Title:
Has the ORC changed since the previous NDAR-2? Q Yes 1+ No
Phone Number: Permit Exp.: 10/31128
9/25/2023
AL
Signature Date
eltv
Signature Date
By this signature. I certify that this report is accufrate and complete to the best of my knowledge.
I certify, un of law, that this document and alt attachments were prepared under" direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the intonation
submtted. 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 Ernes and imprisonment
for knowing wolalions.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center

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