WQ0002056_Monitoring - 07-2021_20210805

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0002056
Name of Facility:* Patriots Place
Month:* July
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
PP July 2021.pdf 124.34KB
FDF only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
[e-mail]
Mikel Seely
Reviewer: Giri, Poonam a
8/5/2021
This will be filled in automatically

Is the project number correct? * WQ0002056
Is the monitoring report r Yes r No
accepted?*
Regional Office * Wilmington
Accepted Date: 8/16/2021

County: Onslow Mora: July Year 2020
Field Name: Field Name:
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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? OCompilant ❑NowComphant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Ocompbrit ❑Noa-CampWnt
Was a suitable vegetative cover maintained on all sites as specified in your permit? OCompliant ❑Non-cam*nt
Were all setbacks listed in your permit maintained for every application to each permitted site? OCompbant ❑Non-Comprant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? pC«t *nt []Non-Comprant
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
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Operator In Responsible Charge (ORC) Certification
Permktee Certfficatlon
ORC: Mikel Seely
Permlttee:
Michael Smith
Certification No.: 1004691
Signing Official: Michael Smith
Grade: Si Phone Number: 910-330-8011
Signing Officials Title: Park Manager
Has the ORC changed since the previous NDAR-1? Oyes ON,
Phone Number. 423-278-2591 Permit Exp.: 6/30/26
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Signature Date
Signature Date
By this signature, 1 certify thatthis report is sccurralle and complete to the bast of my knowledge.
I cerft under penalty of law, that this document and all attachments ware prepared under my directW or supervision in accordance
wth a system designed to assure that aN qualified personnel property gathered and evaluated the Information submitted. Based on my
-nquiry of the person or persons who manage the system, or those persons directly responsible for gathering the Information, the
rdonnation aubmkwd is, to the beat of my knowledge and belief, true, accurate, and wnpbts. I sm aware that there are significant
pennitles for submitting false infomtatlon, indudhg the possibility of flnes and imprisonment for knowing vlolotiona.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mall Service Center
Raleigh, North Carolina 27699-1617

FORM: NOMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Q000t56 Facility Name: Patriots Place Mobile.
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Mikel Seely Name:
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? [AC=pilant ONW-Corr'pb"t
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 ran -compliance and describe the corrective
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Operator In Responsible Charge (ORC) Certification
Permittee Certification
ORC: Mikel Seely
Pennittee: Michael Smith
Certification No.: 1004691
Signing Official: Michael Smith
Grade: SI Phone Number: 910-330-8011
Signing Official's Title: Park Manager
Has the ORC changed since the previous NDMR? ❑Yes QNo
Phone Number: 423-278-2591 Permit Expiration: 6/3012O26
Y - Z' (
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Signature Date
Signature Date
By this signature, I oertify that this report is souvate 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
erxordance with a system designed to assure that all qualified personnel property gathered and evasaated the Information
eubmltted. Based on my inquiry of the person or persons who mge anathe system. or those persons directly msponsbe for
gathering the ktfarmation, the information submitted is, to the best of my knowledge and beliaf, true, aoasate, and complete. I am
aware that there are significant penalties for submitft false inronmtion, Including the possibility of fires 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