WQ0037555_Monitoring - 11-2021_20220119

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
Report Information
WQ0037555
Trillium Links & Village
Type *
Revised - NDMR, NDAR-1, NDAR-2,
NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
WQ0037555 (NOV21) 704.94KB
Revised 1-11-22.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Kimber Reese
Reviewer: Gerald, Wanda
1 /19/2022
This will be filled in automatically

Is the project number correct?* WQ0037555
Is the monitoring report accepted?* = YeS No
Regional Office* Asheville
Accepted Date: 3/22/2022

FORM: NOMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Rage _L of .L
Permit No.: 1!11
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Month: November1
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FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Sampling Person(s) Certified Laboratories
Name: Kenneth Jason Rummell Name: Pace Analytical
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? o Compliant: ❑ Non-Complant
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.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Kenneth Jason Rummel Permittee: Trillium Links & Village
Certification No.: 1010634 Signing Official: Robert Barr
Grade: SI Phone Number: [phone] Signing Official's Title: Signatory
Has the ORC changed since the previous NDMR? ❑ Yes El No Phone Number: [phone] Permit Expiration: 12/31/2027
/ . I/ ,? "-I I;`
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S ignature Y/Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Signature Date
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 of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

DWR - NonDischarge Monitoring Report Submittal
NORTH CAROLINA.
Enrlranmenlcl Quaflly
Monitoring Report Submittal
Permit Number #*
Name of Facility: *
Month:* November
Report Information
Type*
WQ0037555
Trillium Links & Village
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
..........................................................
Reviewer:
Year:* 2021
Upload Document*
WQ0037555.pdf 353.29KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Robert Barr
Gerald, Wanda
12/30/2021
This will be filled in automatically

Is the project number correct?*
WQ0037555
Is the monitoring report accepted?* Yes No
Regional Office* Asheville
Accepted Date: 3/8/2022

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NON -DISCHARGE APPLICATION REPORT (NDAR-2)
FORM: NDAR 2 10-13
Year: 2021
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IPermit No.: WQ0037555 Facility Name: Trillium Links & Village I County: Jackson
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NON -DISCHARGE APPLICATION REPORT (NDAR-2)
FORM: NDAR-2 10-13
Did the application rates exceed the limits in Attachment B of your permit?
If not a basin, were the sites kept free of vegetation and raked?
If not a basin, were there any instances of effluent ponding in or runoff from the sites?
If a basin, were there any instances of breakout from the berms?
Was the onsite automatically activated standby power source tested and operational?
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Has the ORC changed since the previous NDAR-2?
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.