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HomeMy WebLinkAboutWQ0028666_Monitoring - 04-2022_20220531 DWR - NonDischarge Monitoring Report Submittal •4 .. NORTH CAROLINA Enrlranmenlel QHaflly Monitoring Report Submittal .............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. Permit Number#* WQ0028666 Name of Facility:* Cannons Gate at Bogue Sound Month:* April Year:* 2022 Report Information Type* Upload Document* NDMR, NDAR-1, NDAR-2, NDMLR 2022 04 Cannonsgate 3.37MB DMR.pdf PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2,NDMLR,GW-59). Confirmation Email Address:* ermartin@aquaamerica.com Name of Submitter:* Erikah Martin Signature: Date of submittal: 5/31/2022 This will be filled in automatically Initial Review .............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. Reviewer: Gerald,Wanda Is the project number correct?* WQ0028666 Is the monitoring report accepted?* Yes No Regional Office* Wilmington Accepted Date: 6/21/2022 mirma- -- - -- ---- __-_ --_- �� _-_-- - P R-2) a aYa 22 at 20FORM NDA =2 10-1 month: AprisN�- s U � REPORT3 a " __� ___ : a(acres; Permit No.: WWG 3 � fy€t Name: -- n _ _ s - _- - c - o.��- --- — = - - -__ _th facility? -- = Area 07 Ra le(G.p Old infiltration occur at Rate 16p °Y Es DT Freeboat4 =z-7E-1':;-(---:;1:71117"::::111:177-fm:::*-7::111113=44 1 Zil : -[ i i ' c - _ - C Er_ =__-_=t =- -__-__=-- _ = _ II -t i. = = - -= glinnallall -nem%=I" jumnra_ --- ��- -� - ---_- - - == - � �=_ ---tee == 3 - __ 65 -- aliCIIICRES1626131111"127-� -- -_ ------=-__ - -- ;_ 1 ,5 i3- ,- 0111111111111.511111.1300. 77---ilit _-_ __ --_-E�------------ _ - 1;.833 o_s£_ - _-Da iiiiiiiimillitilo,65 _- 083 El c- U.- 11111.11111111121 DIEUZUNIM �� - �=_m =_� _ = am-= .��8_ �a -3t ==-- E-}-- ���;= - -= - -ame so 07 070 - - =_ - -= --- - -- ` €8,250 I 4.28 - - - - 1_- 8.25 3.53--.....w........=„.833 _ ::::::-4 iz--7-7:4=1-5- --7777-1-7„:7=7...munillirMilt,-*-:----q W� �� --_ = _ _--_ ; ,750 _ 03 -= -� , 50 _- ___.i&-TissIsmar_8. immamiginimaiuf o..,, ,!,_ii _:i.....-7.-.:Iii„,..,:,7: ;,, IM R '".. .1111111111.112111- I-;0:4:1-7°0r1-7-4!-:-.-----------L.00-8:1007700;;7777710071m,_0 5250_ 0 1 _ 00,1205 r0=110:00:70: 10 _l:i-iiii.-1;_ 1E9 O. I__63 MIN_ 11111111"EtT_E-7tskr.---rou!!" ___.„.._,_:701, 133 ilinan �� ��_ --- =--rot---- --- -_= 00, _ c --- -  - - 6: 711111132111:  _ =- - -- - a= - _ - -- 888 , rti alallEilrni 82 = --__- 1N=- - = - = - - --  - .07 ��c= -_ _�-� ==- _ � � - -_-- - � - a -- _ � _- # -- ---_ � -_  --- = - - - T £boo 0.F  _ '= T. :::==:_ :::::: ioc}.0 .......m.H0,24 17:113 _ _ � � r _ � {�-- a• r :::::::.-:,;:::„7::=11:::::::::::17::r _ ___ =- �-ems-tea � � � r�:0_,_____ ___:,:f;" , � f._ t? oath . filj a - __ `- -- ---- - '' � -_ = -` -" % - 7 , FORM CAR-2 10-13 NON-DISCHARGE APPLICATION RE' T(NDAR-2) Page e, Did the application rates exceed the limits in Attachment B of your pennit? compied Cloorc000tat If not a basin, were the sites kept free of vegetation and raked? Ota-nowe 0,:,...„camoaft if not a basin, were there any instances of effluent ponding in or runoff from the sites? icaa hoCaerts if a basin,were there any instances of breakout from the berms? c.04,4 Ncto-Cam, Was the onsite automatically activated standby power source tested and operational? „Mcmo,art Oikr-compurt if the facifity is non-oanviant,posse explain in the space befow the reason(s)the facitty was not in conv.lanu. Probe at your explanation the date(s)of the nort-wrince and describe the corrective action(s) taken.Attach additional sheets if necessary Operator in Responsible Charge(ORC)Certincation Permittee Certification CRC: Raymond Lacy Braxton -Penni-bee: Aquallortp—4rouna INC IP'41 Certification No.: 999895 Signing Official: 4„ • Grade: IV Phone Number: 910 431-9248 I Signing Official's Tide: Coastal ' r 2-79 Pft - lias ale ORO changed since ale previous OAR..27 Dus. —0/ -Phone NumnPr 910-% Permit Eap,: 8/31124 _ 5-2 7—Z I Ie, C2-7-D2 Stneture Date Stgnature Date By Ms ennptert aenerne ald ran'pe e*,bre:a rnv .kaantaaw CAP-14'y pa. [W,as ten crw a rd 5 Ae&eteneseewsc Lee*r'y&Once,-m•eten-re,%, a dyswn re-Witr4Persrrw5PWaly Whww evv4Wzd fta-kmazr s-trntted 3: r4cc tny ty.of La*Pernadn Macrd whe rr War eyerl even earean day tworma Ve 55 ."-ga--ulg d‘a If5arT01,-,ss5ni,a,a'e,Wrtew,s, ele We Only XieeMerep as elm. e,w,re0e, arn awe ewe egret=e panen for steremreegle f teas.atladag ddraUny ri arm and wep-isoronffikar kro"-gv" Mail Original and Two Copies to: Division of Water Resources. Information Processing Unit 1617 Mail Setvica Center Raleigh,North Carolina 27699-1617 IC FORM ,0-113 1{ d3 MC tF t REPORT NOM } F 4i Permit No,: W00028666 Facility Nam*: annaan ate at due Sound Counts; Ca rat �: 1 year: 2022 f: 001 mow a�tg 3if uz ust loarsrira �r �, 's U5e as r ter cc - t _ Pt �z - - w _ s =-= - =- -�_  L --  _ - ` —-= i -y- - _e - =- t it---4----,ta - =_- �' *_�----E  - - _ __�-��� __ �l��t� t .__ a-= "-_-- -- -_��� �` t� gam-�_ __ -��Vc_ momm- sum 111111M1111—'=4=-41-'====-=t;';TfllIll..:--I;,-=l-z_=i-=k-,-=t-1:MMMIMIMNW,r--t°EiI-11.IIINIT-rlt1_,--'-tl-_l=ft I-7:1--:::_=!:;;mig- =i---1,--E:7-taln.1 1111.117.--t_q__,,_140.0 2- -- "_;=_I-7-;_,-4!rim mEEm11Mtt'MEg'3nann1.3.i aal.iM-0-°l i0ocniM"''38r-I88-.m:Ii-Gc0o IElw'09G0Du E I-i BnmaIa-u-.-1-IaI---IM U—s.Mu1mMI-1 I-M4'-a1'MI—a-.l i.-m EI--I-IrlIl-1---I1 Li_"'---1-I - - Wt1kt'e--i17°17-z171rokai---i-r,Z,---r--1aue : 1P7t*r--Rim:a M=-tI i=v;-1int----e-=a*i----EiTliti15iAiri--riv-rf T�__ -'_f= _- -= �__�==ems =_==��_ MUa - E a = = - M _ M 1=l1l0Mim.11m 1-__5,_FL-.i=__ii-.---4-_t-:_ -Iitt-air m . tr :fire_«. 01 ;o e1 _ - _mM ..�® -- W ice= _ . -d,4iks--Mlliia1 __ ff '----- -- -mac. - --= 5 s a T --- _ E- s may= -m _ --==-- ---r == _-_-=-- - -=----- E - . =- = ®al _ _ g- _ - -_ ails _ -M _i ! ff . _ � M � «�::_ __-- Ti- ue k1 • r -_- -_� mg --- -- m £ =_-ice` - __ m i � ¢" 3s � � �� mi--- =a ate_- r ;' - . == _ s - - _ - _ a n 1 1411 ,1111 _ - III _ --_ __fir_ � �_- _ � ��_ - ! =5" ,00 ICE 1 4- _ 6-49. - � -- __ . 1 _ - -- -_ _ _ Wig' _ E --- - _- =`= tsar wit:` ' _ _-- 2_V _ ---_ _= =- - 5.. _ -=-_ um l ._ = 2X U --_ x `e  —— —-- _,,, =—fit — �;, ----—_ _-_-=— = x€ �` = ---- __-___ FOR9 NDfssiR 10-13 ON-DISCHARGE MONITORING REPORT(NDMR) Z-, 10 N Page s of Sampling Person(s) 1 Certified Laboratories Name: Raymond Lacy Braxton Name: Environmental Chemists,INC 1 ; Name: Name: i----- mn T-, C iorl 1 -gr... . - — - - .....„,.. Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? If the facky a non-comprionL please exula n at lite apace below the reesonis)the famty eras not w ogarosanm- Provide ist your explanatbs the da:Col of the nonscornsnsonee and describe the mffednea adWnks)taken. Anoon add:tonal sheets if neoewary, Operator in Responsible Charge(ORG)Certification I Pentiiitse Gerbil-catch ) ORC: Raymond Lacy Braxn n SW 1„71w I Parmelee: Aqua+NC_INC 1 - Certification No: 999895 1E wra gng Officlat: 4 4444-4, 4- ' s , Grads: IV Phone Number: 910-431-9248 Signing Official's Tian: 1 Ailt A Coastal 2 ,/ 1 2,, -7, Has the ORC changed since the previous NOM? -Phone Number: 910 Paii-a2ZP4 Permit Expiration: 8131124 „. P . d _ - _ 5-27-e.92L :- -, S--gnaure Date iii St-Allure Date Wy tss- WM-..ge,!cw-D; ;nig gggsg.g.w.seagg; ass.wwsgs.w w.r..sw4 dr my kwwww.i. ; g;-g'S w-gAgr ---akg'.1...-tw en agvr;wg&W.a'...--,--o-,e--4.-we 7..sweS,..-..tw—,,,ageWw-w E-4,,,,,a,--';r&--- -'aaaaaa aat"a saps-WI, aa----ical a atagat'W a-a,,V,:f=6,/Mf T..Wags-w.-gs 'veggssMd- sgs.-wg ggg--),;ggsggi gg:as Wt..,Sr pggsw-. §.ggsv.VX.g.w.low ts row warm Ww-Sw ress....0.417 ,*--m-gs4 as .;;Swgs-&-ws.as 01-Wm W;7;wr-g-gwS'5.ass aft4 dm,....4.. i wa ww.tga,wsoms..oso w.pe.......we rw swww....wWcal pww`sw gsg wwww-g WwwWwww.,;•-ciggsgre'gwoososastyospr , 1. &V..gr.www V wow% __ ---- --.. —- Mail Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh,North Carolina V.**-1617 . Sound - 2022 J yea .AprI IN REPORT NDMR A E �I S r � t 7�d3I « ; � *fae= 4F s - i.NDMR € i elea� a I �Permit om.: t Mmu n farr s i €owFP: o — _=__ _ _. ___ ___ __.__ _ _______, ._ _ _ _ ;=g_ =g0I;1z=1i ltgif;. ill Ve:t_l__a7_m_i,2:,_,,ia___1;--_-._!_tVh:_t1; ,,.i:a l-=„ .__I_ I 112_,=: vi: _ if ill -= = == =- -_ _ � IT -- 3 ig gggls - --m lam_— ! r - _- _-=-7;,-1-i!--___-_7-:____47 t„i-A,_„4a15-1_r--A-=--iR1 1i_izfila-ar 11i.1111 Ma1m111l111il1n1l1111l1 0ai1,111ckI i BIM.° :a ` = - --- _-=swi__ -_ vaii71,,,-11.1111111z34-3_4 irc:Eiltil I I 1 1111 I I iL fi-,-„:- __ -i tirM:11111111.7:-.7t141W11_A-if Aril mu a trill_i_- 11 I MI I I-1:-_rotlailli.1 El 0 8:0 0 ilium-- I - ,:11-;__:7- 14%:11111.1”iregialliligw_fir* 1:377 _,:_=1..._-_FLz;____tp4; ieftitimuniftt I I EM I I 1,. a I I I I I. � -y ,rl-i - - _ El :9-° linillitigTvillillEmont --_;4-Amonwrit-- --- -fillil ,-_!.4.m.m. •••--s-1,-= - _ft-1---=-01.0 -1111111111 'L'''-.:-7;;;Iii4 - triSMNIMEMI14-7-11-45=-AMF'7WININ -1 - Eing- -imin -1161311=11:_i_RilItt--,A11.1.-4-14711W4 17,--mAINIIIiiiIIIIII1/477W-4.-----Ez'tIortaimitgiir2:nitimi - _e:- _ ram_ iE- 8 __linta ii-E.-41-1miiiii--------41 IFS° . 2.5 Stiri mil II II Eamo of - - - =-�+ --119.11 .111-0:7:_.-Ir-it''''''-'7-9:74--i,' _ PE_Ittt--f-, __ -= -- - = ==-- = = = --__ _40 tillalli ==sue = _=_": »_ - -- __ _. _ _ _- tw S phnp' yprr. -_ AlF1-1W----4* II lir--------= --  - _- _  _-_ A Limit_ -  --_  --- ---_-- --- FORM:NCAAR 10-13 NON-0/SCHARGE MONITORING REPORT(NDMR) Pag Sampling Person(s) Certified Laboratories Name: Raymond Lacy Braxton Name: Environmental Chemists,INC i Name: Name: 1-- TT(CarOalt FTWebOtertatere Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? if the facitty lc nan-conhcfant,pace eactem in the space below the won(s)the faciaty was not th compPacm Provide Le your axpWhafich the dates)of the nan-corrphance and describe the carreetithe ac1t00(e)taken Attach additional sheets W neceswy_ I - .. , Operator in Responsible Charge(ORO)Cardfication Permittee Cerfification ORC: Raymond Lacy Braxton Lj MS Lyj NO PerrniuNe: Aqua,NC,INC f ill f v-,,,..v, , •Certification No,: 999895 Signing Official: . . A A Grade: Pi Pivne Number 910-431-9248 i Signing Official's Title: COaStai VIVI Z.— Has the ORC changed since the previous NOW? -' Phone Number: 910 7Sz9s-n, Permit Expiration: 8131124 h i , $ i F•----- ----Z,---- 5--22-4), i ,,,,/ -F .ek Signature Date I i C Sionature Date uai re:Hs rwi-u Nr_ree avow-roes ore bat a ay leebbiave 1 iberreartattekareatearabfterree we I aLW.,---ITWTS-*--we V 4 v r ed krdt.aY dreCUErk a. .a.;a5s,ce,a:aCutr..,v vrn,A WOW-ft DeS0-2*vw...-ly l'-o,- grd eteoe re griarnmok atate V_ke at my every in re pebre k pemeame i are makeee tbe sesta%a area OVICIS dtetly rwarregetv Wtbe. tkO re trimmkamt we,mmmerkm1m—Mm'Mad m,mtkomm dmq km:kmo i we Wei,r,e,w-M,be=Vac t be beae rat Seas as a4ereepakeb te 4.-44FargIscargrtm-akf kromam . 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Wtry it1-5 &10-1,M WC,,,ae we arradeaA ma mad ray aaackaa -a,v-a'a=aszaff pe,-- ,d'Aa aw tat tam,rawa and a=wcaan-te.-ts,aaaeragarea artaW-ty d=W4W et S-4:Cc'‘c6:-D1 n ••= ',CTa A.21 a aar,,wat . aft.ga neemaa a-4.0.-W="50€'2*Ccecfr'y VC ec_Vcd 7,*rrtb-n,.3'ls,-Vrx easc.1.1,-,M-J r,,ti#-R,--WW 3,MZE-erS= _-reC:r wage rxe SAM",a reeeLeweLs.eaei aftparsame far Ww-a-.4 re aftra,4a_,N SC,Verfccv.,c*CSC2gC r,ew.d aa,Naca,,,eva 4-a-a.- „*aQ aaaaaptaaa taa-a -aat..ta- aloo. gva-Fa----a watt*fi.x, Poe---,--teirr d-',e.'. . aaalk110,WWWZ SC 1,,MciN c-,VV.CM i — -.....,.......... .......- .... - — - '- -— Mail Original and Two Copies to: Division of Water Resources Information * i• 'rig Unit 1617 Mail Service Center Raleigh,North Carolina 27699-1617 16 FORM:NDMR 10-13 NON4)I HA GE_MONITORINGREPORT(NDMR) Page c Per Mn.: � r 6 Facilh Hama: ort ga t�ue Sound _ Month: April i t r mar;-_-- i Srra W 11* PIN: 004 w t►irla€5 #rcg � Lime t,.�-r. _- _3:=7;___._____ ::it iMii----- -- - - :x:-"P',--1.1..--itlEMIltisr:s7:=.7=_. aiii. - ° ' °- -'77:7-"- -1141' "7 AIM-- -r.Me==- -1------7--1111111.1-7i;ijiiiillil:IEZMIIMINIM- --r=f= e-7..11111471Z=1-'41 - 0 0284:70 ; 7 li:;-:=11--i_=*=-=-- -; --- !_271 I I I III.Er: -.,,,-- ___2 Kr=-7f.___„_.ii.•i m al =1-111 - � �-- YMil- ---ma c-_ 2 —_ — --  =_ --= - _fig -11 =- - rliummoso 8 03 z I_ aim - � ---- - 1.11117:!_iiim- =__ _ __ - � _ -fie -- _-=._ _ _I __.........„7„,,_,..._ „...:,___,„ . = r=___ �■��=�=-� �=--ate !__2:7_,...,.7_„..7.:INIIMI--__' ._,_ =ri .,_,....___ _ _. . ___,,.„„ mac- _ -- - - _ 7. - _ __ ,_72: ----"4"-111111.1.F-al-Ilillir;-= inmIMIMMIII""...."iuiNNO-E- -AlIlr-it--T- :--ftAii.gi-mz_:_:--_-;---=_=zt,Nmurp-.L-2,:=,::t_ e At„sjill El UM I M 111 lin I 1111 6E---4-i i_:1.1 I I 111-1 I I ill I i 1---':I_ S4 il III I 111 11111 111 I.I.741;*I II M I I it___-,--i-s------ Mal re rill!1-----4:4 En 1 6:" 1 I -=-:1=- IIIIIIIIIII :---- EAMMEIrWt--1--=:--- 111111.2-:::_-Iiir---Fr:-: -ill M 08'DO / I 7--Ar-----787.rnit-7-7- __ rk-76.01111111111 .1.11114 ==-011maimi-- -'-_,Ttl,;--41.11111.Wall ==. --LT;:t"... 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IlL7-1:Cz'°Imam I I I I 11-1-------*--------=_Cf------41 II I I I I I 1.21 NINI Lialla•0=11 I II aim I.m,'-':1-4111.•0.11 I 1111111-11-fiW-L-"-A---:111=1 I I I Illi I I i-:;:tirli== W ax — 0,4 sue - _= _- 0T -= _ 7-ita1,41.si:_.3._,i.: - -_ - _ - ' fi -c _ _- - -- = _ - - - -__ _--__-_- t- - �=- -�== � __-- - - m --- FORM NDLIR 10-13 NON-DISCHARGE MONITORING REPORT(NDMR) Pace e'---- of IC Sampling Person(s) Cerrafied Laboratories Name: Raymond Lacy Braxton I Name: Environmental Chemists,INC Name: I Xenia. Does all monitodng data and sampling frequencies meet the requirements In Attachment A of your permit? rii c.owl Ei rt,--c if the MOM is nen-comokerd,please explair f29 the space eRow the*adonis)the'ao.Mty was not g-coppNenm Proeoe t.=1 your exeretaar the petals)of the ra-t-aarrphance an desQhta 0,e harrePave ae=etatai man. d Attach edaaanal sheets 1 nemesary _.- - — — - ' Operator in Responsible Charge(CRC)Certification Peres Cation --— - — ORC: Raymond Lacy Braxton renninea. Adua,NC,INC Z70 4., Ail:fv__ Certfication No,: 999895 Signing Official: A111 1M Graft' IV Phone Number: 910-431-9248 Signing Official's Tide: Has - 1SDr Has the ORC changed since the previous NOM? Ehes ,121 , Phone Number 910 ..74.947-94 Permit Expiradon. 8/31/24 1 4 Signature Date = 1 L__I S , tire Date i Sy 2200 527.22s0,I 2-wt.y 0-2 1200,tVal a .222.0,2 a04 c-00-dt n 2 e bm/04 my 0_2v.-0 ._ 4 W-tN aam;-- *Y c-l'-',i'.2 ng d'''''''Pg WC*M' --".- --Wltd,S.-00's P-tWe4 t.2022-0v dr0.1 '2,2. 2.-, 2_.0,4,wwdwr.220,..20 a_0,22222-0-1 0; 2-j 220 astie rate l q_,.w.al W0ard p-CW0ly Su&W-W WV e=at_v t mm*ailmye,v,, a-=-, =r.....-1=a:aa ae-sal a.aewe era-ea a‘a to wag"at-r=_,=_,pescra a,am ..paaataia-wwg re,400000,526 tkrr0002.2 0022,20,W,s,02 L.*Cest ci,n,k.002.12xte we 2.-,tW 02,e, .-A--&a,we 0uf-ft9._ W0 avwelr 2122ffe ere g•-2 -21_ "'W,204, &,,tx.022tng Ws-e'-',,_ft-'0.--,-.E-- €.1w te W.2.220-D2tv.112., 02' mip2;-$02.20A-2 20.0 00o2v-20v 0,-2W.6 mall Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh,North Carolina 27=''-1617 9 ot 14 il'''ge 2022 yea„ APni T(ND"R} month: MONITORING REPORT,-,tAGNIT _ Carteret ,isc HARI="I County: ''''' NON--' . _ a te.- Bogue Sound . Name FORM:NomR 10-73 , Cann0-nsg__ at _ FactlitY _ m6:287666 I---1 Permit No.:W------ masswirt° c05 Bow ----Iv-Tanillik-- "=—=-2111111.1 ppi: _-,7_--,;__:,:s7,j _-- _... - _ -_____J.= parametor CoF 6 11,_z!==.T_mi..----, i I 18•2-0311.1 7 ____ 1!.1111. -11-1-rt---1- ,2 -----_=-- -__-_---=_; r _,--_-: gC--- -707,1 eziegii-g-, __i_eiw_twz.:- _z„.. __w; _,:ter-z4 piinimni ;:w-ti#:- ---_- ;:i75111.--71:- 7---=_s___; :-4.-str4ativ_i_::_--7- 4.,_;-._nintimertrw.--I-ff.,„___---: mmuji-___ minimmiling-T-1,_, imil-_i_i_fp_-__--- itiA 0 :u ---- _ _711,4cim. ,ii,i,iiiiirz:___„i4, 17---i;;::: !- ___rrft;- - .7, 1_,_,-...... A....____... a _fr.,-. ..._--.4:t_z=.2 - -- ____,,-, -„,----- ---,,-. w, %,.,:_4i_.. ,-:=w1.-:-,------.- 1._ rj - , i _i„,_ iii------ ----_:=2 ANNE_E-_,IT____,---__-,- am ..... = . -zoir,-__:,,_„...1,-- .4_, _ - ,----;--- ...-...,.........!---74,5_,-._--71---_-_---! 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If the tactty a r1011-GotrkpronL please expffiin in the space be w the a or_(s)the faultily was not in compliance, P roWe n your axpi a n the e,% of the nor mp' aan and desPnba the corrective action(s)taken. Aden adadvsnal ee:%s 1 necessary r - - J Operator in Responsible Charge )Certification i ORC: Raymond Lacy Bran v perm-Jose: Aqua:NC,INC a Cent-deaden .: 999895 € mitt Official: MAC Grade: IV Phone um r: 910-431-9248 1 Signing Official Title: Coastal e ` _ I, , i r 11, 'I1 t Has ORCchangedsince previous --¢ Phone Number: 910 . x Permit Expiration, 8/31/24 r x nature Dale r Signature rate s Z=tra am a h€ ;pthAVed tormrapaq wcto-i . -a^,-,y groxyci >- ." , s -, y-s ', -sas pwrsus s °Y, -.t - ee•z4,f,s ar ,re or s..was tea, my�:i � .r, . - r ter �c a t€ €� =;darm ,, r hbrft end Errr rren 'kr k -. L Mail Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh,N North Carolina 7 - 17