WQ0037555_Monitoring - 10-2019_20191125

tUKM: NUHK-Z 1U-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) I Page I of I
.Permit No.: WQ0037555
Facility Name: Trillium Links & Village
County: Jackson
Month: October
Year: 2019
Did infiltration occur at
Site Nafne ' 8tasin C
Site Name:
=Site Warne
Site Name:
this facility
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Area (ac�ps) z 0,31
Area (acres):
Area{acre¢)
Area (acres):
❑ YES O No
Rate (GPDIftZ)
Rate (GPD/ftZ):
Rate (GP4/ft)
; -
Rate (GPD
Weather
Freeboard
S)fQ Infaltra 7, + ! YES ' ',(] No
Site Infiltrated?
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CIYS p NO
Site Infiltrated?
❑ YES ❑ NO
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FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page L of
Did the application rates exceed the limits in Attachment B of your permit?
121 Compliant
❑ Non -Compliant
If not a basin, were the sites kept free of vegetation and raked?
o Compliant
❑ Non -Compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites?
21 Compliant
❑ Non -Compliant
If a basin, were there any instances of breakout from the berms?
o Compliant
❑ Non -Compliant
Was the onsite automatically activated standby power source tested and operational?
o 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 necessarv.
Operator in Responsible Charge (ORC)', Certification
ORC: Michael Beck
Certification No.: SI-991669 VVW-7930
Grade: ; SI' UgVW; IV Phone Number: 828' 72
51-1900
Has the ORC changed. since the previous NDAR-2? !❑ Yes Rl No
94.p�
Signature Date
By 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: 828-251-1900 Permit Exp.: 5131/21
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 thereare 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