HomeMy WebLinkAboutWQ0001189_Monitoring - 11-2021_20220109Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
Report Information
WQ0001189
Rollingview Marina
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
RVM_ND_2111.pdf 576.76KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
chad.leinbach@gmail.com
Chad Leinbach
Reviewer: Lloyd, Chloe D
1 /9/2022
This will be filled in automatically
Is the project number correct?* WQ0001189
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Accepted Date:
1 /20/2022
FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page 1 of _2
Permit No.: W00001189 Facility Name: Rollingview Marina County: Durham Month: November Year: 2021
PPI:
Flow Measuring Point: ❑ Influent
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Parameter Code
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FORM: NDMR03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of 2
Sampling Person(s) Certified Laboratories
Name: Chad Leinbach Name: ENCO-Cary
Name: Thomas Holden Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ® Compliant ❑ Non -Corn
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
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Chad Leinbach
Permittee: Rollingview Marina
Certification No.: 23928
Signing Official: Chad Leinbach
Grade: SI Phone Number: 919 260-7301
Signing Official's Title: Operator In Responsible Charge
Has the ORC changed since the previous NDMR? ves
® No
Phone Number: 919 260-7301 Permit Expiration: 1/31/27
12/29/21
12/29/21
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. I am aware that there are significant penalties for submitting false
information, including the possibility offines 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
FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of 3
ro
FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2 of 3
❑ NO
FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 3 of 3
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
no
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.
or
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Chad Leinbach
Permittee:
Rollingview Marina
Certification No.: 23928
Signing Official: Chad Leinbach
Grade: SI Phone Number: 919 260-7301
Signing Official's Title: Operator In Responsible Charge
Has the ORC changed since the previous NDAR-1? ❑ ves
® No
Phone Number: 919 260-7301 Permit Exp.: 1/31/27
,L.xz;aac11�
12/29/21
12/29/21
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
personor 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. I 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 to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617