WQ0002056_Monitoring - 12-2021_20220111

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * December
Report Information
WQ0002056
Patriots Place MHP
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
PP 12-21.pdf 186.05KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Mikel Seely
Reviewer: Plummer, Lauren
1 /11 /2022
This will be filled in automatically

Is the project number correct?* WQ0002056
Is the monitoring report accepted?* Yes No
Regional Office* Wilmington
Accepted Date:
1 /23/2022

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?
ElCompiant []Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑p compiant ❑Non-Complant
Was a suitable vegetative cover maintained on all sites as specified in your permit? pcompliant ❑NW-Compltartt
Were all setbacks listed in your permit maintained for every application to each permitted site? ElCompiant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? aompuant ❑Non -Compliant
If the facility is non -compliant, please explain In the apace 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
acnon[a/ tdreerrr. ruuscn duunuurrdr 1J11VVLU rr
Operator In Responsible Charge (ORC) Certification
ORC: Mikel Seely
CertlNe adon No.: 1004691
Grade: SI Phone Number. 910-330-8011
I Has the ORC changed since the previous NDAR-1? []Yes ONO
./r-zz
Signature Date
By this sgnature, I cm* dwthis report is sommate and complete to the heat of my knowledge.
Permittee Certf cation
Pefmlttee. Michael Smith
Signing Of clal: Michael Smith
Signing OfffdaPs Title: Park Manager
Phone Number. 423-278-2591 Permit Exp.: 6/30/26
Signature Date
I Certify, under penalty of law, that this document and all agachrnents ware prepared under my direction or supenftion in socordanos
with a system designed to assure that all qualified personnel properly gathered and evelusted 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
nformation suWnifted is, to the best of my knowledge and betiel, tree, accurate, and oomplets. I am aware that there are signMkarf
peneltles for submitting false information. Indudlrg the possibility of fines and imprisonment for knowing violations.
Mall Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 03.12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: W00002056
IFacility Name: Patriots Place Mobile Home Park
County: Onslow
Month: December
Year. 2021
PPI: 001
Flow Measuring Point ❑Iduent Owed ❑No ibw 9w ' I t>ed
Parameter Monitoring
Point: ❑DAmt peltuerrt ❑Groundwater LOWWN ❑surface water
Parameter Code
50050
00310
31018 1
00810
00825
00820
00800
00400
00885
50080
00940
70300
00530
ae.
at
f:
O
�
Fm
gO
O
s
�c
c
a
o
��
-o
a
5 CM
$ o
24-hr
hrs
GPD
mg1L
#/100 mL
m L
mg/L
mg1L
su
mgfL
mg1L
m
L
mg/L
1
17:00
0.5
21.652
6.7
0
2
17:00
0.5
24,168
3
17:00
0.5
24,292
4
17:00
0.5
24,293
5
17:00
0.5
22,880
61
17:00
0.5
24,521
6.3
0
7
17:00
0.5
24,713
8
17:00
0.5
21,750
9
17:00
0.5
23,716
10
17:00
0.5
22,806
11
16:30
0.5
20,851
121
17:00
0.5
1 21,051
13
17:00
0.5
19,145
6.3
0
14
16:30
0.5
23.732
15
17:00
0.5
20,931
16
17:00
0.5
20,930
17
17:00
0.5
24,179
18
17:00
0.5
24,179
19
17:00
0.5
23,767
20
17:00
0.5
23,968
6.51
0
21
17:00
0.5
23,568
22
17:00
0.5
26.730
23
17:00
0.6
21,578
24
17:00
0.5
21,362
25
16:30
0.5
21,794
26
17:30
0.5
20.103
27
17:00
0.5
23,150
6.5
0
28
17:00
0.5
19.964
29
16:30
0.5
22,569
30
17:00
0.5
10,159
31
17:00
0.5
30,678
Average:
22,664
0.00
Daily Maximum:
30,678
6.70
0.00
Daily Minimum:
10.159
6.30
0.00
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
90,000
Daily Limp
Sample Frequency.
Continuous
4 x Year
4 x Year
4 x Year
4 x Year
4 x Year
4 x Year
5 x Week
4 x Year
4 x Year
2 x Year
2 x Year
4 x Year

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? (Ecompbant 1NIe0-Comphant
If the facility is non -compliant, please explain in the space below the reason($) the facility was not in compliance. Provide in your explanation the date(s) of the non-compllance and describe the corrective
Men. Attach additional sheets tf necessary.
Operator In Responsible Charge (ORC) Certification
Permtttee CerNficatlon
ORC: Mikel Seely
Petmlttee: 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 Ow0
Phone Number. 423-278-2591 Permit Expiration: 6/30/2026
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 despised to assure that all qualified personnel property 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 Viowbdge 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
knoxrirg violations.
Mall Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617