WQ0000819_Monitoring - 07-2020_20200914

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
,-ertnit No.: WQ0000819
Facility Name: Plantation Harbor
County; Craven
Month: July
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NON DISCHARGE WASTEWATER MONITORING REPORT
facility status,
Page of
Please answer the following question:
Does all monitoring data and sampling frequencies meet permit requirements?
caC)nmt (YIN)
Y
if the facility is r14nply explain in the space below the 1`68s0n(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 accor+darlpe with a system designed to assure that all qualified personnel Property gathered and
evaluated the infomxtion 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 irrformation,,�r� of fines and Imprisonment for knowing violations."
Deft
(Norma of SignMg Offici -lease print or —type)
el ( G%liaubrd _ Director of PHPOA
(Permt—ft -Weas�p o type) (Position or Title)
Pt-1PAA, 202 Sumter Court_ [phone] June 2018
(Pltonb Number) (Permit Exp. Date)
Havelock, NC 28532
(PermitteeAddress)
Parameter Code asM Ulan My.be odd by caft the Water Q" ty Comp =oWEn/oroww# Unit at (919) 733-5= end. 529.
The monlMy average br Fecal Coffwrn Is to be reported as a GEOMETRIC mean. Un aply to units in the nencdina
• n f%MW by odwr then the penmitt M ddegation of dyntafyeuowft must be on me with are III per 15A NCAC 2s.006 (b)(2XD)•
DENR FORM NDW;t-1 (&2003)

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
Facility Name: Plantation Harbor
County: Craven
Month: July
111111111111161"LQ21
Did irrigation occur
at this facility?
NO
Cover Crop:
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NON -DISCHARGE APPLICATION REPORT Page oi'_,
SPRAY IRRIGATION SITE(S)
1
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box ) whether the facility has been gompliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
Com Iaant Y N)
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 site(s) in accordance with the permit L_�J
4. All buffer zones as specified in the permit were maintained during each application.
5. The freeboard In the treatment and/or storage lagoon(s) was not less than the Iimit(s)
specified in the permit.
If the facility is non-comDliant 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 shoats 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 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines
and imprisonment for knowing violations."
> Kevin MWNr►ssux
(SIgNifture 9f Date (Name of Signing Official -Please print or type)
/QUR660m, DUecror PHPOA ORC
(Permitbs4%ase print or type) (Position or Title)
[phone] Jun-18
PHPOA 202 Sumter court (Phone Number) (Permit Exp. Date)
Havelock NC 28532
(Permittee Address)
. If signed by other than the permittee, delegation of signatory authority must be on fib with the stab per 1 SA NCAC 2B.05W (16)(2HD).
DENR FORM NDAR-1 (W2003)