WQ0037555_Monitoring - 01-2021_20210225

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0037555
Name of Facility:*
Month:* January
Report Information
Trillium Links & Village
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
WQ0034555.pdf 1.7MB
FDF only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
[e-mail]
Kimber Reese
Reviewer: Williams, Kendall
2/25/2021
This will be filled in automatically

Is the project number correct? * WQ0037555
Is the monitoring report r Yes r No
accepted?*
Regional Office * Asheville
Accepted Date: 2/25/2021

FORM: NDAR-2 10-13 NON -DISCHARGE APPLI TI T (NDAR-2)
Page I of

Page of
Did the application rates exceed the limits in Attachment B of your permit?
2 compliant
❑ Non -Compliant
If not a basin, were the sites kept free of vegetation and raked?
D compliant
❑ Non -Compliant
If not a basin, were there any instances of effluent n in in or runoff from the sites?
D compliant
D Non -Compliant
If a basin, were there any instances of breakout from the berms?
P/1 Compliant
❑ Non -Compliant
S the onsi a automatically activated standby power source tested and operational?
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
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (OR ) Certification Perrnittee Certification
ORC: Michael Beck Perrnittee:
Trillium Links &Village
Certification No.: SI-991669 -7930 Signing Official: Robert Barr
Grade: S1 W-IV Phone Number: 828-251-1900 Signing official's Title: Signatory
Has the oRC changed since the previous NDAR-2? ❑ Yes 2 No Phone Number: 323-251-1900 PermitExp.: 5/31/21
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. 1 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
Division of Water Resources