WQ0002838_Monitoring - 12-2020_20210201

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0002838
Name of Facility:*
Month:* December
Report Information
Deerhurst Mobile Home Park
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2020
Upload Document*
Deerhurst .pdf 1.9MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
[e-mail]
Dale Mathews
6W� 6/ a4fiW1V1
Reviewer: Williams, Kendall
2/1 /2021
This will be filled in automatically

Is the project number correct? * WQ0002838
Is the monitoring report r Yes r No
accepted?*
Regional Office * Raleigh
Accepted Date: 2/1/2021

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
M✓ Compliant
Non -Compliant
❑i Compliant
Non- -Compliant
❑i Compliant
Non -Compliant
❑� Compliant
Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
If the facility is non Compliant Non -Compliant
-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 noncompliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Dale Mathews, M&M Water and Wastewater Services Permittee:
Yes! Companies, EXP., LLC (Attn: Ed Redmond, Regional Manager)
Certification No.: 22794 Signing Official:
Grade: SI Phone Number: 919-691-1056 Signing Official's Title:
Has the ORC changed since the previous NDAR-1? Yes ElNo Phone Number: Permit Exp.: 11 /30/25
1 2-ct1 z)
Signature Date Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I cerfify, 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s)
Name: Dale Mathews
Name: Andy Mathews
Name: Meritech
Name:
Certified Laboratories
riwrrrwrnry uaLa anu sampling Trequencies meet the requirements in Attachment A of your permit? 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 action(s) taken.
Attach additional sheets if necessary.
(FLOW WAS IN EXCEEDANCE OF PERMITTED LIMIT FOR THE MONTH OF DECEMBER 2020; YES COMPANIES HAS SCHEDULED TO HAVE A LINER INSTALLED INSIDE OF EXISTING SEWER LINES TO LIMIT INFIJ
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Dale Mathews, M&M Water and Wastewater Services
Permittee: Yes! Companies, EXP., LLC (Attn: Ed Redmond, Regional Manager)
Certification No.: 22794
Signing Official:
Grade: SI Phone Number: [phone]
Signing Official's Title:
changed since the previous NDMR? Yes Q No
Phone er: Permit Expiration: 11 /30/25
LasORC
1
Signature Date
Signature Date
By this signature, I certify that this report is accrrate 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 ttwe are significant penalties for submitting false information, including the
possibility offines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617