WQ0000819_Monitoring - 04-2020_20200623

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Name: Plantation Harbor
MeasuringFacility
••int: 3- Irtk*rt 0 Effluent 0 No flow generated
Parameter Monitoring •. ..
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NON DISCHARGE WASTEWATER MONITORING REPORT
Fagmw- Status:
Page of
Please answer the following question:
1. Does all monitoring data and sampling frequencies meet permit requirements?
Compliant ,N)
Y
if the facility is non-com»iiant. pisase explain in the space below the reason(s) the fd'lity was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a systern 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."
(Name of Signing Official -Please print or type)
Director of PHPOA
(Position or Title)
PHPOA,. 202 .Sumter Court. -- [phone]
(Phone Number)
Havelock, NC 28532
(Permittee Address)
. Parameter Codes:
04 Cau"M Total I L%
June, 2018
(Permit Exp. Date)
00310 0006
01042 Copper
00M tam I wr%Q wmwe
01027 Codx*M
00300 obe*W 2M00596
oi.tne TOM MS
00616 COMM
31616 FUN CaMmm
VN= PAN Mot AvaMet+b 00010 T
09940 Ofti a
01051 Land
00100 00523 TM
60060 CMo**.Toro)
Reekk8 l
WW MMmokan
710M MWONY
UM Pharab 008e0 TOc
Told 00530 T$SfMR
01034 chm ran
00610 ma"N
W637 PbRaMum owm Dam
00340 COD
01057 Nickel
0054d 840W b MOW 01002 2iiec
Parameter Code assistance may.be obtained by telling the Water Query Compliance/EniOrcement Unit at [phone] ext. 529.
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. UM2 orgy the unb deskinided In the reoortina
faciiitV's permit for reoortino data
* if signed by other Men the permittm def mpMon of signelboly authority must be on file with the state per 1sA NCAC 2B.0506 (b)(2)(D).
DENR FORM NDMR-1 (S/2003)

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Facility Name: Plantation Harbor
=05-TM-1
Did irrigation occur
ISMARLOWA
at this facility?
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NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
Page _ of `.
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
1. The application rate(s) did not exceed the limit(s) specified in the permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the sites) in accordance with the permit
4. All buffer zones as specified in the permit were maintained during each application.
b. The freeboard in the treatment and/or storage lagoon(*) was not less than the limits) 1�
specified In the permit
If the facility is non -compliant please explain in the space below the reason(s) the facility was not in compliance with its
permit Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets If necessary.
"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 property gathered and evaluated the information
submitted. Based on my inquiry of "Verson 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines
and imprisonment for knowing vjqations."
W
or
PHPOA 202 Sumter court
Havelock NC 28532
(Permltbe Address)
Kevin Muilineaux
(Name of Signing Official -Plies" print or type)
ORC
(Position or Title)
[phone] Jun-18
(Phone Number) (Permit Exp. Date)
• d sipped by oafs awn the pernit so, deftWan of stWW" authortty must be on ate with the state per %k NCAC 26.OW (bN2)(D).
DENR FORM NDAR-1 (5=3)