WQ0037555_Monitoring - 05-2020_20200824

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0037555
Name of Facility:* Trillium
Month:* May Year:* 2020
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR WQ0037555.pdf 1018.04KB
FDF Only
Please upload only one combined pdf document. Upload GW-59 individually.
Confirmation Email Address:* [e-mail]
Name of Submitter:* Kimber Reese
Signature:*
Date of submittal: 8/24/2020
This will be filled in &Aorratically
Initial Review
Reviewer: Williams, Kendall
Is the project number correct?* WQ0037555

Is the monitoring report r Yes r No
accepted?*
Regional Office* Asheville
Accepted Date: 8/24/2020

FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page ___I of t

FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page of
Did the application rates exceed the limits in Attachment B of your permit?
El Compliant
E] Non -Compliant
If not a basin, were the sites kept free of vegetation and raked?
[21 Compliant
El Non -Compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites?
[21 Compliant
El Non -Compliant
If a basin, were there any instances of breakout from the berms?
121 Compliant
F-1 Non -Compliant
Was the onsite automatically activated standby power source tested and operational?
[21 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-compliance and
describe the corrective
action(s) taken- Attach qdrlitinnal qhppt-q if ru-_rPQQnry
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Michael Beck
Permittee:
Trillium Links & Village
Certification No.: SI-991669,WW-7930
Signing Official: ,Robert -Barr
Grade: SI WW-IV Phone Number: 828-251-1900
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-2? El Yes El No
Phone Number: 828-251-1900 Permit Exp.: 5/31/21
Signature ignatur 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
Raleigh, North Carolina 27699-1617