WQ0028666_Monitoring - 07-2021_20210831

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0028666
Name of Facility:*
Month:* July
Report Information
Cannons Gate at Bogue Sound
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
2021 07 Cannonsgate 2.63MB
DMR.pdf
FDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Erikah Martin
SIAW alt&llw
Reviewer: Saunders, Erickson G
8/31 /2021
This will be filled in automatically

Is the project number correct?* WQ0028666
Is the monitoring report t: Yes r No
accepted?*
Regional Office* Wilmington
Accepted Date: 9/16/2021

FORM: - afi NON -DISCHARGE ARGE APPLICATION REPORT (NQAR4) Pane i of -

NOS DISCHARGE APPLICAT110N REPORT f
R
A Baca
Did the application rates exceed the Jimits In Attachmentf Your permit?
I not basin, were the sites kept free f vegetation and raked? -
ICdr iant -yen=-Corrp€'are=
If not a basin, viere there any instances of effluent ponding in or runoff from the sites?
If a basing were there any instances of breakout from the berms
-. - [-'1GofT3p[ant EIiVo.A-rF:4i?cr7t
Was the it automatically activated standby power source tested and operational'? nal'? C]iompliant
1f the facility is non-compitant, Please explain in the space below the re..-s-cn(s) the facrlity was not in compliance. provide In your exelanat;cn the dated $) of the non ccrr. fiance and describe t.he corrective
act:on(s) take, Attach additional sheets if necessary -
Operator in Responsible Charge (0) Certification
Raymond Lacy Braxton
Certification No., 9901895
Grade_ V Phone -Number. 91 4 1- 4
Has the ORC changed since the previous DA _2'
Eyes 21NO
Signature
Date
Ly this sicra� rp
ieyf trRs eur=ate apd COmPlefe to the best _t j kqa,,�edga
Permittee Certification
ermi i €':
Aqua, o[?h Carolina i C
Signing official, hristophel- A. Collins
Signing Official'sTitle- Coastal Regional Supervisor
Phone umber: 910 7 - 794 Permit Exp. I 1 24
= r
Signature Date
1 certify, under r pew €'v g la:,; that it iS dcicurent ate' -all attainments we, rr"pare7 underr my eetic,^ or S. pe :islvr r , a�ruarnm
with a a} s -m dew gpd to assure ih-pt a€I y: u`=.ried personnel Dr P42 _ y -gathered and zv�luatad the tnto=mv.:M s'�€. m � . �a��� ornv mclu ry ofperson Or } rsons who manage the syster.n. or inc,,e pe scrs dire--ttt' msponsible ton- ather ng the i rorMati n t
fiT0,'M2l sin submitted t, "he b st 5r env '- WedWedae and t u arm wmpjte.l aaa..-a e Ihat Vlore are s-g 3-seat
Mail Original and Two Copies to:
Division Of hater Resources
Unit
i -1 7 f=.ail Service Canner
Raleigh North Carolina 2-7-6`i 7

FORM: NDr,4R 10-13 a
NON -DISCHARGE MONITORING REPORT (NDMR) Page / of

FORM NDMR 1CL13 -7
NON -DISCHARGE MONITORING REPORNDMR) Page __ > of

FORM: NDM R 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) page __ of 10

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page ;-;2 It 16

FOW NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 9 of to

F-IRIS.: NDAMI 10-13
NON-DiSCHARGE bIONITORING REPORTNa III
Pa age o, i :-
Name: Raymond Lay Braxton
Certified Laboratories
Name: Environmental he fists, INC
-.
Does all monitoring data and sampling frequencies meet the requirements in Attachment A o r€
ace below the reason s) ffi i�;t , r
%t'1�1��+ YES !iu, In c��iFl-Ian� l�r['ivPGe -i= you` e?a=at-on the date(s) of the non-f''i,,"gilaFl�. and describe the %3?ri��IF51�
talon Attach addittcrnai sheets t necessary. a� tcr, {�}
ttor In Responsible Charge 1k0 C}certi-
fication l
Per i n Certification
Raymond Lack, Braxton E ;• 0, 4, �
�rta�atars �,= �9I
Signing iciai:
a �t
Christopher oflit'�
Phone r is er: 1 -431-9 i
Signing s ia's Tate= Coastal Regina'Supervisor
ias the O C :hanged sa��� r� pi s M?
J� fy �0794 _ Permit Expiration-8W/2024
_e
Signature
Date
Sy Ehis signature, . c�Nt€fy �th�: n€s et t ttur Date
Sr n�
he � st ct .my kn(ymedge.
riff r, d- PenarlY Of fe Mat this UWL[ refl€ and I at a hmen pray ed u� mY di. sus. vso,
a- rJarr v [t• a - t r! s n d t sir th-1 apt u F d c� arrr PM-I)Cr'y atl+ r d and ,: � r d n -� r .ta -u t e Based y rn w- er n or per ons a �n na � f, erns tw s� p . s r= .but Y �nr c a: Ett ^fi ? a r h2 t - : cr s �- i tip best Of €niy,r _,! -
pp.
Mail Original and Twro op,_-s t .
tvis n Of 'petit^ Resources
in'llb-matioij Processing il,
mil ' A- al Sla; wi et tlE.