WQ0019908_Monitoring - 03-2024_20240403

Monitoring Report Submittal
Permit Number#* wg0019908
Name of Facility:* Johnston County country club
Month: * March
Report Information
Type *
Revised - NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2024
Upload Document*
Untitled 20240403 155359.PDF
PDF Only
2.76 M B
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: * Austin Randall
Signature:
Date of submittal: 4/3/2024
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* wg0019908
Is the monitoring report accepted?* Yes NO
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 5/21/2024

FORK Ott MR 10-13 NON -DISCHARGE MONITORING REPORT Pacie of
SamplingPerson(s) ijCertified Laboratories
NameNA !I Name: Nei
is
E.
Name: li Name;
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? o =pharit [] No, conrp;a t
If the facility is non -compliant, please explain in the space below the reason(s) the facility Leas not in compliance. Provide m your explanation the date{s! of the non-compliance and describe the corrective
actionis;i taken. Attach additional sheets if necessary.
Operator €n Responsible Charge ( R ) Certification
It Perrr ittee Certification
f LL DBCo,nt
ier€ttC. Io€f
Lake
t
Certification No,!
�'l
Signing Off€c€a€
Grade: N
Phone € tuber`
� � � � g�
tl g
€F Signing Official's �€tle; g
Has €e ORC changed
€{` the previous
s `ts
€!"iti9`4 Number, € ST'_t1 :s€:1=
I3
� f
ZI
Signature
Da`e
�€ ig 'hire Date
.'ti5 `sI4
natitr .. i€iSi ii Fi5 `@,6t`YE"i �� ?CC I(!'�I 2';i: +-C3,"''.,t&'( . -� `EcG' '3 t C3( "n} K^:'JGV!ECifl
i1 vG: Ts �.. nde ve ,a { `f . t€ at (rl� `o u - and € � chme S -er - �t�'3 nudee r r Ci. -i [ - U_7C --.t. n in
}
_8 ,.%
accordance vain a S s -mm ices tined to assure _hnt aE . €ed personne.proverly,-- y th - ed and fivW-Liated-tpemmnurahon
Q �it2 Based c. (y i^C[, 4 t the person persons who t ra C - c� b t -. -ose D e- tiv es C so e f
[ ath :n the- information tne infourration submiFted is to the best w my knoodedge and belief true, eaccu,are anct corriplete - am.
aware th2. t. eec are s€y..fkc,ar. penalises for su�-rnittirig falsG mfoRnavor,. -ncu..i, g .tomppossibjMy of fines and irnpnsonment,
x^O.w N v o,att n
ProcessingMail Original and Two Copies to
Division of Water Resources
Information �Unit