wq0002056_Monitoring - 06-2021_20210707

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
wg0002056
Patroits Place MHP
Month:* June Year:* 2021
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR pp june 2021.pdf 69.23KB
PDF= Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter:* Mikel Seely
Signature:
Date of submittal: 7/7/2021
This will be filled in autorratically
Initial Review
Reviewer: Saunders, Erickson G

Is the project number correct? * Wg0002056
Is the monitoring report r Yes r No
accepted?*
Regional Office * Wilmington
Accepted Date: 7/16/2021

Weather Freeboard
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&
IL V
E EL'
—7F -Fl-nj ft ft
1 17l
i Year. 2021

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?
I]eompbnt ❑Non-Compbot
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
(]CMPWnt
❑ton-Compbrit
Was a suitable vegetative cover maintained on all sites as specified in your permit?
ElCompilant
❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
pcompbnt
❑Non-Comprant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
3Compbnt
❑Non -Compliant
If the facility is non -compliant, please explain In the space below the reasons) itte facility was not in compliance. Provide in your explanation the date(s) of
the non-compliance and describe the corrective
taken. Aaacn aciaitional meets It
IOperator In Responsible Charge (ORC) Certification If Perham" Certification I
JORC: Mikel Seely
Certification No.: 1004691
Grade: Sl Phone Number: 910-330-8011
i Has the ORC changed since the previous NDAR-1? ❑Yes (]No
Signature
By this signature, I pertly that this report Is acmmift and complete to the best of my knowledge.
Permlttee:
p Michael Smith
!I Signing Official: Michael Smith
Signing Officlars Title: Park Manager
Phone Number: 423-278-2591 Permit Exp.: 2128/20
7-21. ��elz4vle' 'j^ 0,/ FY-r A -7 - 7-.2
Date Signature Date
I certify, under penalty of law, that *a document and au aaachments were prepared under my direction or supervision In accordance
with a system desVied to assure that all qualyied personnel properly gathered and evaluated the inbrmation submited. Based on my
inquiry of the parson or persons who manage the system, or those persons directty responsba for gathering the irdormation, the
Idormation submitted is, to the beat of my knowledge and belief, true. accurate, and complete. I am aware that there are sigrdIcant
penalties for submitting false iniormvft% induding the possibility of fines and imprisonment for knowing violatlons.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Emit
1617 Mall Service Center
Raleigh, North Carolina 27699-1617