WQ0037555_Monitoring - 02-2022_20220330

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * February
Report Information
WQ0037555
Trillium Links & Village
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
WQ0037555-2-22.pdf 1.43MB
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
3/30/2022
This will be filled in automatically

Is the project number correct?* WQ0037555
Is the monitoring report accepted?* Yes No
Regional Office* Asheville
Accepted Date:
4/18/2022

FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page 1 of 4
Permit No.: WQ0037555
Facility Name: Trillium Links & Village
County: Jackson
Month: February
Year: 2022
Did infiltration occur at
this facility?
Site Name:
Basin C
Site Name:
Site Name:
Site Name:
Area (acres):
0.31
Area (acres):
Area (acres):
Area (acres):
© YES ❑ No
Rate (GPDIft):
1.3
Rate (GPDlft2):
Rate (GPDtft2):
Rate (GPDIft):
Weather
Freeboard
Site Infiltrated?
❑ YES p NO
Site Infiltrated?
❑ Yes ❑ NO
Site Infiltrated?
❑ YES ❑ NO
Site Infiltrated?
❑ YES D NO
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#DIV10!
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Monthly Loading (GPDIft2):
Yearto Date Loading GPDlft2 :

FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page 2 of 4
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?
Q Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
7 Compliant ❑ Non -Compliant
If a basin, were there any instances of breakout from the berms? R1 Compliant ❑ Non -Compliant
Was the onsite automatically activated standby power source tested and operational? El Compliant ❑ Non -Compliant
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: 828-251-1900
Signing Officiars Title: 'Signatory
Has the ORC changed since the previous NDAR-2? ❑ Yes I] No
Phone Number: 828-251-1900 Permit Exp.: 12/31/27
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 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

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 3 of 4
Permit No.� 1111
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Parameter Monitoring Point: L Influent E Effluent [I Croundwater Lovvering Surface Water
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FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page 4 of 4
Sampling Personi 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-compllant
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
ORC: Kenneth Jason Rummel
Certification 1 1010634
Grade: SI Phone Number: [phone]
Has the ORC changed since the ,previous NDMR? ❑ Yes El No
Signature Date
ny this signature, I certify that this report is accurrate and complete to the best of my knowledge,
Permittee Certification
Permittee: Trillium Links & Village
Signing Official: Robert Barr
Signing Official's Title: Signatory
Phone Number: [phone] Permit Expiration: 12/31/2027
VVNJ\,,, r4 ^2Z
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