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HomeMy WebLinkAboutWQ0002838_Monitoring - 05-2021_20210617Monitoring Report Submittal .............................................................................................................................................................................................. Permit Number #* Deerhurst Mobile Home Park Name of Facility:* Month:* May 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:* 2021 Upload Document* Deerhurst May WW Report 1.93MB pdf PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). mmvvaterservices@yahoo.com Dale Mathews a1-11 OKa4* Reviewer: Zhong, Vivien 6/17/2021 This will be filled in automatically Is the project number correct?* Deerhurst Mobile Home Park Is the monitoring report t: Yes r No accepted?* Regional Office* Raleigh Accepted Date: 6/22/2021 NON -DISCHARGE APPLICATION REPORT (NDAR-1 FORM: NDAR-1 08-11 LC) N 4) U CO d 0 6uipeol /(IJnoH wnunxew 6uipeoi pa}e6!JJI awil paijddy awnIon 6u!peOl AIJnoH wnwixew 6uipeoi AIM() pa}e6uii awil pailddy awnIon v (e geaijdde j ) o co o- }asdn ies co L co V �. i e6eao}g O CD0 z C 'V ❑ uoi}e}id!DaJd c Oyu d zco' + > aJn}eJedwal L • 0po3 gay}eaM ate. .a CI /lea R rn h O O to O 0 tri h O h O O to 0 O to O O O O 0 O 0 tri h 0 O O O O 0 h O h O O 0 O h O O O LO 0 O O O h O O 0 1ri O O O tri O O O O LO O O h O h O LO 0 O CD co CO co o O O O 0 0 0 0 0 0 0 0 0 o O o 0000 o 0 o O o o 0 0 M M M M tri «i tri tri h O O to O O tri O h O O 0 O 10 O O O O CO O 0 10 h O O h O O N. O O O 0 O tri 0 O O 0 O tri CO CO 0 0 CO 0 0 0 0 0 00000 0 0 CO CO 0 O O O O O 00000 o o 0 0 0 0 0 0 0 0 M M M M M 1ri tri 16 10 tri to to tr) LC) to CO CO 1r) 10 CO to N N N N N N N N N N N Mr CO CO N. CO CO CO (NI C') V 11) CO N. CO CO 0 e- +� e-N N N N N N N N N N M M NON -DISCHARGE APPLICATION REPORT (NDAR-1) FORM: NDAR-1 08-11 O. O 0 1 O C1 4- a E 01 9- d d t) K d N d cc a+ co V .Q a c0 0) s 13 c%. N m N 0) t E 2 O L O C 0 0. 0) d a) Q 0 d _(0 L 0)N (0 E d z 0- 0 -a L El maintained for every application to each permitted site? Were all setbacks listed in your perm C m o. E 0 Y 0 c a) To- 0 0 0 a r� Y ++ 0 d Q. a L O = z N C • O U wC 2 )0 CD aic .0 c 13 as L D 0 (3 E :2 O g c 0)(1.1 ) •— i O U C a) O 3 C (� U a) d m O. a) N .c 0 r 0 co .0 co °' d t) o a) 1 O co V m V L L c C_ 13 co m a C a) a) co as C (0 Q 13 c0 0 .0 d V L 0) If the facility is non-com ittee Certification m a a a) C) a) C(0 G O 0) C CO C a) 0 w 0 U J -J d X w a) 0 (6 0 E 0 U vi >- a) Signing Officia Signing Official's Title: x w E a) 0 Phone Numbe E Operator in Respons N 0 ter and Wastewater Sery U C✓ 0 Certification No.: 919-691-1056 z a) 0 0 .0 a C a) II 0 z° El Has the ORC changed since the previous NDAR-1? NON -DISCHARGE MONITORING REPORT FORM: NDMR 08-11 Y a) a 0 E 0 m 0 0 2 Iii a) a) 0 a 0) c 0 c 0 2 co a, E co co a » » NON -DISCHARGE MONITORING REPORT (NDMR) FORM: NDMR 08-11 Certified Laboratories \ k 'a; § z z Sampling Person(s) Dale Mathews Andy Mathews § § z z 0 § F. 0. igning Official: igning Official's Tit \ \ Permit Expiration: Phone Num 2 E ) § le Charge (ORC) [ tn k 0 \ } ƒ \ r and Waste e Mathews, M&M W 0 7 j Certification No. ƒ