WQ0002571_Monitoring - 10-2020_20201202

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page / of
Permit No.: WQ0002571
Facility Name: Village Oaks Mobile Home Park
County: Onslow
Month: October
•
•
Monthly11
---------------

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Allen W. Rhue Name: Environmental Chemists
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0 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 date(s) of the non-compliance and describe the corrective
actinn(sl taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Allen W. Rhue
Permittee: Bobby Williams
Certification No.: WW 4: 991815/ SI: 987930
Signing Official: Bobby Williams
Grade: 4/ SI Phone Number: 910 358-3254
Signing Officials Title: Owner/ Permitee
Has the ORC changed since the previous NDMR? ❑ yes 7 No
Phone Number: 910 389-1280 Permit Expiration: 9/30/2024
30-Nov-20
30-Nov-20
Signature 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

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page ! of
Permit No.: •1112
.•- Oaks Mobile Home Park
County:Onslow
Month: October
I 1
ROOM
Field Name:
irrigation occur
Area (acres):
Area (acres):'
at this facility?
Cover Crop:
HourlyDid
Rate (in):
Hourly R'
-
•
Annual Rate (in):,
Annual Rate (in):
Field Irrigate
®___-_
LoadinS612
,�
,
o�
®
■v
Month Floating Total (irlp

CORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page a of
Did the application rates exceed the limits in Attachment B of your permit? Q Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 0 Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? El Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? E Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? El 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 date(s) of the non-compliance and describe the corrective
nrfinn(c) fnkan Attarh arlriitir)nal sheets if necessary.
Operator in Responsible Charge (ORC) Certification
ORC: Allen W. Rhue
Certification No.: WW 4: 991815/ SI: 987930
Grade: 4/ SI Phone Number: 910 358-3254
Has the ORC changed since the previous NDAR-1? ❑ yes 0 No
Signature
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee:
Bobby Williams
Signing Official: Bobby Williams
Signing Officials Title: Owner/ Permitee
Phone Number: 90 389-1280 Permit Exp.: 9/30/24
11 /30/2011 Xl� __kk�� 11 /30/20
Date 4 Signature Date
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