WQ0028666_Monitoring - 05-2022_20220630

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:* May Year:* 2022
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR 2022 05 Cannonsgate 1.69MB
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:* [e-mail]
Name of Submitter:* Erikah Martin
Signature:
Date of submittal: 6/30/2022
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
Reviewer: _anonymous
Review Date: 7/25/2022

FORM 1.JDAR-2 10-13 NON-DISCHARGE APPLICATION REPORT (NDAR-2) Page f of 2.
3
Permit No.: WQ0028666 Facility Name: Cannons Gate at Bogue Sound 1 County: Carteret Month: May Year: 2022
Did infiltration occur at Site Naive; Site Name: 2 Site Name: 3 Site Name: 4
this facility? Area(airs)` 166 Area(acres): 0.67 Area(acres) 1.32 Area(acres): 0 36
JYF51‘.J0 •
Rate(GPD.Ift2')" 1.145 Rate(GPDlft2): 1 145 Rate(GPDIft2) 1,145 Rate(GPDIft2): 1 145
Weather Freeboard n Site ifiltrated? :9Y" . EJr o Site Infiltrated? OYES ❑rio Site infiltrated? ; 5 1:i40.. Site infiltrated? 'YES ONO
C c V U
C �.Z .0 si q -p 10 L7 � E C
i et Q C E a.) a ?, c o O c a, .. O ai O] a,o R E^ ca o o m qy .0 F;o O -6 i- t m •e
m m > C J Q c _1 cC • • . . ` c m�y C a V r
• CO
°P in ft ft gal . .•mirf " .,GPDIft . ft gal min GPDIft2 ft gal mini " ..GPDfft2 'ft " gal min mm GPOIft2 ft
1 C 80 3 5 9:500 0 13 ' ': 3,80.` W 9,500 , 0 33 3,30 9,500:;., 0:;17 '.3a00+ 9.500 0 61 3c30,
2 C 83 1 3 5 9;t300 0,12. 15Q .: 9,000 • 0.31 3.30 . 9,000: 0.16 . 3;00 9.000 0.57 .3:30':::.
3 C 85 3.5 8 750 ;:.0,.12 3 60 : 8,750 0.30 3 30 8,750.:; 015 • . 3.00 :: 8.750 0.56 . 3,30
4 . C 83 3.5 •
` 9;250 , :013 .•:: 3,80 9,250 0 32 3,30 " 9,250::' 0;16 :3..00.:. 9,250 0 59 ..3.30'
5 C 74 i 35 7n500 . �010 ;. ' 3.$L7:=: 7,500 0.26 ..380 . -;; 7,50.0. ...": 0�13 ..:3.00..;i. 7,500 0.48 330 .::
6 CL 82 1 3.5 •8 916.: 012 8,916 0.31 .3 30 .3916 0,16 3,00°. 8,916 0.57 3,30: •
7 R 81 0.05 3.5 •''8;916 0,12 3 80•`;': 8,916 0 31 s 3 30 8 916 0,16 3,00' 8.916 0.57 3,:30
8 R 59 1 0.01 3.5 .8,916 `" 0.12 • 3,80.:.': 8,916 0 31 _ -3 30 8,916 ,• ." 016 ° 3,00 8,916 ,-. 0.57 3:30. .
9 C 67 I 3.5 8;250 '0..11 3,80 8,250 . 0.28 3.30 " 3 8,250. .. .'014 .::3.00: 8,250 0.53 3.30
10 C 68 1 3.6 68750 ;0`t2:":` 3.8.0..<r8,760 0 30 3.30. . 8 7 0;". ::0:1 a :.3,00 8,750 0 56 <; 3.30' ,f
11 CL 69 1 3 6 '"••9 250 0 13 ,: 3,80 9,250 0,32 :3.,30 9;250 '0;16 `0.00 9,250 0.59 •:3.30:
12 R 76 10.04 3 6 >0n750 0 12 3,80. : 8,750 0.30 :3:30 8,754'' . '0:15. .:3;00 . 8,750 0.56 • :3,.30 ,
13 R 78 ; 1.1 3.6 ; :9;5 .. ''t,13: 3a80 9,500 0 33 ;'3,30 9 500 017 : 3:00 9,500 0.61 3e30.:
14, R 79 1 0.22 3 6 9;500 �".•'0,13 3,80 9,500 0.33 3.30 9,500:, 0::17 3,00" 9,500 0.61 3.30
15 C 85 3 5 ;9s r0fl :0.:13 3.80 9.500 _ 0.33 '330. :'< 9500: ,0017 3,00;: 9,500 0.61 .;3,30....
16 R 84 11.35 3.6 11r750 .,.'0 16 3 0 11,750 , 0.40 3,00 11 750 0.20 3;00 "' 11,750 0 75 ,3.30 `:
17 CL 83 I 3.4 7500 0 10 3 50 7.500 0.26 3.40 7;500<:: 0;1:3 :3;00": 7,500 0.48 ;:3;30.1
18 C 84 I 3.2_ 9m75£3 " '0,13 ::.v` 3,50 9,750 0.33 ..300 9,760';. 01.7 3.10 9.750 0 62 3,00.
19 R 88 !0.02 3.2 8 750 ..0.12:,- : 3.50. 8.750 0.30 3.00" :1 8.75#3.# >0.15 .2�,90 - 8,750 0.56 ..3,00.
20 C 94 i 3.2 -9 65? =0 13 . 3.50_-.. 9,667 0.33 �1.:3.001 .9e•.7 ;.0.:17 _.2': 9,667 0.62 3,.
21 C 90 31 3.2 .9@667 013. 3 50: 9.667 0.33 3 00 9,667 ;0:17 s:2;90 '::: 9,667 0.62 3.20.
22 CL 83 i 3,3 '9;667 .,013. 3 50....; 9,667 0 33 ;3.00 9,667`; .0.17 ::2:90. ::. 9,667 0.62 ;:3.00
23 C 87 j 3"2 1 ."& 50 . . r r0,11 3.50 8,250 0.28 ...1..3.40.......... 8 250<: ..0;14 2:90:`' 8,250 0.53 3,00.: .
24 R 85 1011 3.2 .10;00Q f 0.14 3,50" y 10,000 _ 0.34 :'310 10,000:y '0;.17 :2;90 10,000 0.64 ` .3: :00:
25 C 70 1 3,2 10;000 0,14" 3,50 ; 10,000 0.34 310 10d000:," ;s ..0.17 2:90":`' 10.000 064 ...3,0€}
26) C 82 I 3,2 10.,000 `0.14 ; 3,50, : 10,000 0,34 310 10p000: 0.17 ..2.90 10.000 0.64 . :3,08`
27 R 83 I0.02 3"2 10K500 " - . ''.0.15 3.50 10,500 0.36 „.1
:'30- 10,500` 0::18 2,90 10,500 0 67 +. :3.00.
28 CL 87 j 3.2 40 500 .::0,.15 3;50 10,500 0 36 310 10500.:; . ..0..16 2,90 10,500 0:67 : .:3.00. ;
29' C 87 I 3.2 10,500 '" 0,15 • 3 50,;;: 10,500 0.36 310 10.500' :0.18 2.90 10,500 0.67 " :3,00;
30 C 88 1 3.2 10„50t3. 0.15 ::: 3:50 k 10.500 0.36 310 = 10500 0.18: .2,90 :' 10,500 0.67 3.00
31 C 92 3,2 9 750. :0.1.3 3 50::;. 9,750 0.33 310 rt 9750: 0,17 �:.:3,30 9,750 0 62 3,30:.
6Vlonthi Loading(GRiDIft2) ` q,'N f ;:: F a ';0 13 r a ,r .' 6 1 P
0-32 015 0 60
2 $ t r s=i 3,it sf 4 `a . �3ilb - ` Y
249 589 .3:; n. 2.61 ,? t 1307
Year to Date Load#n� GPDIft Fyr S ' !';� v a3t��^ ;�a £/.�".
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Did the application rates exceed the limits in AttachmentB of your permit?
it not a basin, here the sites kept _$ veuetation and r
basin,if not a the sites?
If a basiffl, were there any instances of breakout from the berms?
Was the onsite automatically activated standby power source tested and operational?
it the amte a; aoh-compcant piease expiam,n ate space below e the-n : d,.t. c038288a10e pr_a_e at yourexpLanation the atatetst of the nomoompiranhe arca cieschoe the_ e
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i Operator in Responsible Charge(ORC)Certification 11
I €'b€R-O Re y'4`. a Lacy Braxton II t-vr tee INC:
--Certification 999895 il Signing Official: Chnstoramer A Co.., s
Phone Numffer 910 431-9248 il siarchn Official's Title: Coastal Regional Supervisor
1 Has the ORC change-d since the previous NDAR=2? liPhone Number: affiCI 7179-0794 Permit Exp.: 8131/24 i
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Ognature Date Signature Date i
Mail Or at a and Two o a 3 ;
Division of Water Resources
Information Proc € Unit
1617 Mail Service Center
Noll Nollff Carofina27699-1617

FORM NDMR 14-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page; / of f e)
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'Permit,No.- WQ0028666 Facility Name: Cannonsgate at Bogue Sound County: � Carteret Month: May Year: 2022
PPl 001 Flow Measuring
p_tlliyi.nP -:Ifluent L =d Ow, anvrateif Parame WI'��Aloe+flogt Ploicii P6va�7ter Ltrv:erinl LJlaCe r w'ter
Parameter Code --/* : 50050... 00310D� 00941_ 31616 . 00610 00625 00620 00600 00400 00665 70300 00530 00076 IIIIIIIMIIIIIIMIIIII
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S6i O L;
c. ¢IE i= r2 O ta. e = E - ° o o ¢ oc. ?, oao :5II
fl u u. o 2 1- -" i- w r m N
OI IS @ o ii ID t-
O t
trk
241hr .::GPO mg/L , #l100 mL Or= mg1L Min mgIL gritiggsmlimi mg/LMIll ., _
©MEN 38,000 -11111111-11111111111E1111111111111111111111111=1111111111111111111111M <10
© 0810o a 3 '00 ,.— 7.45'' :IHEEIM— 0:98
0 08 30 MIN 35 .EMIN 0,99 :—
Ei Q Os,=o 1111311
37,P .� 7.23 � 0 99 08*0 mum3O„Q00 .111- e0,2 . <0 5 35.9 35.9 7,65 6 45 MININMEM 1 01..
Mil
0510 ©. 35,a 7 1.111i -� � "�
©�11� :3 07::; <10. ..MEE.
E111110111•1111 35+337 .<111111111811111111111111 111111111MIIMIIIIIIIIN 11111.11a1111111.111111 '10
9 08 00 1 -_
3°°° _ 0 094
1C1 Q3 10 111E1i35.000 a:53'...:._ 0.093
® OB 00 4 37,080 <2 Enescomm. <0.2 0 6 mingsgima 8.47 <0 04 Nign® 0:091`;
® 08 Po IEEE 35000 E=111111111111111E IIIIMIESEIMMIll 8,72 'S11111 EllE1 D,091
M 08 po SEMI 35,000 mosimmsnummonarffnumimasimm8.11 o.095
n,000 I: ,1Q MINISEEMIIIIMII
EIIIIME1r38000 s10
��� 0.096IMIIIIIMEMIIIIIIIM
E oa°° 47,000 08 s0 © 30,000 , 11=1111111111111111111111111E111111111111EMMIE 8.81; .111.11.1.11.1111111. . 0.009:
18 08 00 2 ,39,000 =IBM MISS NIES 8,3 ::, _ Q 096 1111111111121=
El 08 00 �, 35,000 r 1 0 092 ._
IM 06 00 ® ,'38,667 8;05: 1111111111 11110111 o091
®MINE 35:667..._IMIIIM <To 1
Ell1=11111111 .38,867 111Eniall=11110 -..;;:ME IMINIMMEEMEMINIUMMINIMEN <10 ::._ ' MEIN
® 08 00 4 33,000 i-11111111111111M RIM MS 812 1111•111111111111S1111 0 095 ::-
Ea 08 00 MIMI 40000 11111111111111 MIES 8.1 MMMRIIIIIIII 0 097
E 07 00 MIME- .40,000 .11111111111111116111MININ 1111111111E111111111111111E011111111111111111111111111 0:1
26 08 Q0 MM. 40,000 MEN MINE MEM. 7,81 IIIIIIIIIMIIIIIIIIIIIIIIII 0,089. EMI IEINI
® 0B aO IEEE d42;8Q0 84 -111111.1- :0,095
28 11111111111111 42.000 IIIIIIMESINEN1111111 1111011 MEE 1111111111111MEE111111 .10 NMI. MIMI
30 1111111111E1 •4200 .. <10.
® 08 f0 nom 39,000 ; NEEMIIIIIII MEM MIMI 7,32;:.; 11111111111111111111E11 0.105
Average: 37,548 0 00 MI 1.00 0.00 .I 0 30 4410 45 00 amomiEmiamm 0 00 0 21 NMI NNIIII
Da ly Maximum 47,000 200 1.00 0:28" 0 60 53 50: 54 10 8.01 6 45 NMI 2 50 10 00 ` M ' INNIN
Daily Minimum , 30:000 2.00 MEM 1.00 0:20 : 0 50 3b.90 35 90 '7 23 0 04 MIN 2 50 0,09
Sarnpling Type: 'Recorder: Composite Composite Grab Composite Compos e 4ata. Composite Grab . Composite Compost4e Composite Recorder; NINIIMIMIIIIIIIIIIMI y Avg.Limit: ;200e006 10 14
Daily Limit:1111E11111E1E111111111111111111 6 MIMI ' $to 9 SEMI 10 10
Sample Frequency: .Conlin: 2 x Month 2 x Month .2 X. q; 2 x Month .2)emearg.h 2x Month 11=111ECOMIllintra 2 x Month Continuous 11.111111.111111111111111111111111

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NEER Noma i_In NON-DISCHARGE. MONITORING T E, R nag- So of IR,
„. Certified Laboratories I
I Nasser RadrisDna Lacy Bremen li Name: Environmental Enemipm, lit-4C I
I Name: 11 Name:
Does all monitonno data and sampling frequencies meet the requirements in Attachment A of your Dean
It e facilay 'P_e. .mom a please e a _:r Me spacebelow themascaras! - as not m compoance P"tr< <_cs your explanstronMe deli the norecorhalrance and descried the cotreceve<_-.
taken Ahead tamemonaiseems sal
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ORM Raymond Lacy Braxton il Permit:gee: Aqua: NC, INC I
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1 Certification Nos -9219-895
t Grade: IV PhoneNumber: 910-431-9348 il Smeino Riflemen Title: -Kral Regional Soper-Naar
dad the ORC changed since the previous e t P _ne Number. el 0 E84 'Permit xp r tion: 813112024
31
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Mail
Ortainal.and TWO Copies to:
Division of'Water Resources
information PcOdessina Unit
17 Mail Sernice Center

FORM 1JDMR 10-13 NON-DISCHARGE MONITORING REPORT(NDMR) Page n[ / CI
Permit No.: W•0028666 Facilityl Name: Cannonsgate at Bogue Sound county:a Carteret Month: May Year: 2022
intt nt CIFlti nt Na Plow generated Param er MO �i rllficart.. rOurxlwater Laverirs9 'Surface Meter
PPI: 00p Flow Measuring .
Parameter Code --� 50050
m Q
• a) 6
D., ¢ E g
8c,) a- L ( I...
0 rG
24-hr kirs GPO
1 ; 24,333.
2 08;00 12 25,000 .
3 08:00 11 25,004�:`
4 08.00 12 24,000
5 08,00 1 25,004.
6 08 00 11 25,000 s;
7 1 25,000;
8 1 25,000'
9 08 00 1 27:000
10 08.00 3 24,000.
11 08'00 14 2E5,000 i
12 08 00 12 4,000:
13 08 00 1 ' ,333
14 27,333;;
15 27,333.
16 08 00 1 42,000.
17 08 00 2 14,000 ;: , .... ..
18 08.00 12 '28;000
19 08:00 2 27,000.`:
20 06:00 1 ,r30333
21 0,333. ' "
22 k : 0333
23 08.00 14 2,000 ':'
24 08`00 1 :23 00t1.,:=
25 07:00 I C 26,000:
26 08,00 ,,1 ,25;000 .
27 08:00 l,2 ,27„2'SO ".
28 l 27,260.
29 I 2750
30 1, 27,250
31 08;00 11 27,000.:_
Ave)-age: 2tl,333
Daily Maxirpum 42,0013
Daily Minirpum 14,000"
Sampling Type: :k Recorder
Monthly Avg.limit: " ';80,000.
Daily Limit: ..
Sample Frequency: CorotInuous
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1166the, ? Lacy 919x1On= ii Name: EnacOfirritectai rhcmists, NB
i ,, Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
if the fefefflify le flomeohmoare ..Drier excfam,ul.the space below_the e_.s .6, _b facility as net .camptence Provide -your sixreanabonme of_s.Or thex. ca tame a. x Nosenhe the CnireCtiVe _._.O
.fne-_ .act.K_a,u _.sheets
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i_OR=C. '< . €() Lacy Braxton -_ °rem.; : Aqua, NC INC
!Certification Not: 999895 il Signing Official- CHnstopher A Collins 1
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Gracie: IVPhone Number:- 4 1_ 2 ` .c- ,n ,c.a's Taiga reastai Readnai Supoireisor I
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1 Signature Date .. Signature Date i
_ail Original and TWO Copies :
Division of Water Resources
Information
o a ion Processing Unit
€6 7 Moil i ante
ale oh:North Carolina 276994617

FORM IiIDMR 10-13 NON-DISCHARGE MONITORING REPORT(NDMR) Page - of 16'
Permit No.: Wp0028666 Facility� l Name: Cannonsgate at Bogue Sound 1. County: Imo,Carteret Month: May Year: 2022
PPE: OOP Flow Measuring Ydinfi`• m 1 JLr lc rat ;, NoznOW c��'ver^,t Param erE ortrcorir��g"�t �iau ra.a:�r awv r Surrace'dater
Parameter Code! —p . Q60 31616 :00600 00400
E
te r, � o c
s, 1 Ew q "
a 0 i= (7' u' u- U F), '
0 X
D
24-hr hrs GPD. #{100 mL nigIL s' su
1 1 0 " .
2 08:00 1,2 , 0
3 0800 11 0.
4 0800 !2 0 .
5 08.00 11 0 . -_
6 08.00 11 0
7 0
8 A.
9 08.00 1 0..
10 0800 3 Q
11 08".00 4 0" <1 1 7.02
12 08.00 2 0 , 1
13 08:00 1 0
14 0,
15 • 0 .
16 08:00 11 0
17— 08,00 12 0 ...
18 08 00 E2 0 "
19 08',00 (}
_
20 06,00 11 ....: ."." .": "..
21
22 0 . .
23 08'00 4 ," "" —
24 08:00 h 20.00 _
25 07:00— 1 ' 9,1 0€t.:`
26 08:00 `1 " 1000"
27 08:00 2 217,000
28 17, Q.
29 17,000
301 17;000 W
31 08 00
Average6 ,06 1 00 1,00
Daily Maximum: 351,000. 1 00 1 0 = 7.02
Daily Minlrtlum 0,00 1.00 1'';00 7 02 a ,
Sampling Type: ,R er Grab 'Grab • Grab - ..
Monthly Avg.Omit:
Daily Limit:
Sample Frequency: CiantinuGas Monthly Fthiy_ Monthly
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. NON-DISCHARGE ;'R REPORT(ND - 1
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gae: 0FleLBraxton . Environmentala c` Ivy ,
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Does ad monitoring data and sampling frequencies meet therequirements in Attachment A of your permit?
__ s non_compHantpiease exciaapa in re spacepie].,g_niap >pa-_aciai ice talcd,:p4 wAs nof in cornr,,ance provicie s .A _a -- me fielteici M ihe ciefiaa efiepafice_ i d deecipbe Me ciairectace acic
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Perrnitise Certification
ORS R4rnand Lacy Braxton _ Par I tee' Aqua, NC INC
Certification Non! 999E9-`. ii Ss i--a Official: C €sop`!et Gains 1
IGrade: IV 1 Phone Number P .i 4 -C' i T n Q f u Official's Title: Coastal Rsovonsi Pi fp-aNucor
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Division of eater Resources
informationProcessing Unit
€61 f Mail Service Center
Raleigh North Carolina27 .617

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FORM ri!DMR 10-13 NON-DISCHARGE MONITORING REPORT(NDMR) Page 7 of /6i
Permit No.: W90028666 Facility Name: Cannonsgate at Bogue Sound County: 'Carteret Month: May Year: 2022
PPI: 0041 Flow Measuring ni�. nt `;Er "rc: ■ti°r v'' CL„era¢'°'s ParamDia NO Raf lhlniat,m,*oi.riuwater LOvv.triiu,i Surtcce Water
Parameter Code —43. 31616 ;: 00600 00400 00480
6
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A V F (j .A N =LI v)
W 24-hr firs /100 mi. mglL su ;; mg/L .
1
2 0800 12 _ ~_.
3 08:00 11
4 08 00 12
5 08.00 11
6 08:00 11
7 _
8
9 0800 0
10 08:00 13
11 08 00 14
12 0800 -.. 12
13 08.00 11
14
16 0800 i1
08 00 12
08 00 12
08 00 12
r - , _..
20 06'00 I1 ..
21
22
23 08 00 14
24 08 00 13
25 07:00 ;1
26 08 00 11
27: 08:00 12
281
29
30
31 08:00 11 A
Average
Daily Maxirt3um: .
Daily Minirhum: , _ . , ,
Sampling JyPe: .Grab.- . Grab . Grab Grab _
Monthly Avg.[limit:
Daily[limit: _.. _ ,
Sample Frequency: Annual Annual Annual Annual

_ w NON-DISCHARGEMONITORING RE, O
i
iName- Raymond Lacy -Braxton li Name: ErasionMental rtalt nomiStSs INC I
Does all monitoring data anti sampling frequencies meet the requirements Attachment OW permit
-- e faulty a non-compliant.,pleash expidin in the space Ceicia the reasonaht the foam was not 1"comslicase Provide - exploration h at _ v nan-comishance and describesoiresove actiontst
toast, c i vocational e_.?1 ifiocessars,-
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!Certification No 998R5 :ffig ins Official: Cahriatrophor A Collins
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1 Has r e ORC changed ,d since previous D Number:
Phone Nube-: f ; 7u ,a or Expiration: 2'.'24
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Signature Date Signature Date t
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Mail Original and
Two
.Copies _o_.
Division _ Water uic
information Pc a n Unit
7 Mail Service Center
Raleinff North Carolina 2 `1

FORM tk1kMR 10.13 NON-DISCHARGE MONITORING REPORT{NDMR) Page 9 of /0
1
Permit No.: WQ0028666 Facility Name: Cannonsgate at Bogue Sound County: Carteret Month: May Year: 2022
[nF Int -- ittKnt "; f�:°;generat n + fflr3 C olxa.:�te,Lown Jrface Water
PPI: 0Q� Flow Measuringm{. Param er�ot [nrtt�Cj��$ uls
`:
Parameter Code l —► 31616 :- 00600 00400 00480
9 5
.` . g . m & 2
a, ¢ E o x c_
en Oti 6vy u. '4 rz caru
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_ 24-hr ttrs 1100 mL%a frig/1„ - mglt. % '
1
2 0800 ;2
3 08:00 11
4 08.00 2
5 08 00 1
6 08 00
9 08.00 1
10 08.00
13
11 08:00 14
12 08 00 12 _
13 08.00 11 -�
14 !
15 _ 1.1
16 0800 11 •
17 08.00 12
18 08:00 12
19 08:00 112
20 46 00 ;1
21
W
22 1
23 08:00 14
24 08 00 11
25 0700 11
26 08:00 11
27 08:00 2 y
28
,
29
31 08:00 1
Average:
Daily Maximum.
Daily Minirtum:
Sampling l'ype: ::.:Crab Grab Grab. . Grab
Monthly Avg.Limit:
Daily[limit:
Sample Frequency: AnnUai .- Annnua: - Arctbai Annual

NON-DISCHARGEnoon/ Num Pt, loco
sampilon Furs-rowCertified Laboratories
e : Baymand Lacy Braxton dame; EnvironmentalINC
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I Name: li Name'
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Does ail monitoring data and sampling frequencies meet the requirements in Attachment A of pour permit?
it the facility is norpoompilani,piease explain in Me space below the reasomm tne facility was no!in compionce Provoie in yopo expianation ire itturion ot ire norionowance aro ziescpbe The ppoectpe actiatirsi
rate-1 Attach additional s•eets, necessary,
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at ..Responsible r _ :: Per-.
n.ORB Ray-Mend Lad Braxton - e F.E ee: Aqua i C. INC I
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I Certification No- 999895 II Signingfficier; Christopher A Uo. ns I
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ber gare'_ 248Sipping Official's ate: :., Coast - g "r I.
s the ORC chapoea since me previouspP "'Phone Number: 910 779-0794 permit€,Expiration: af3ii2024
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Mali Original and TWO Cop es to:
Division of eater Resources
information Processinq Unit
1617 Mail Service r Center