WQ0037555_Monitoring - 01-2020_20200224

FORM: NDAR-2 10-13 NON-DISCHARGE.,APPLICATION-.REPORT'(NDAR-2) Page of
Did the application rates exceed the limits in Attachment B of your permit?
a Compliant
❑ Non -Compliant
If not a basin, were the sites kept free of vegetation and raked?
p compliant
❑ Non -Compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites?
o 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-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 additinnM chaatc if narpccnry
Operator in Responsible Charge (ORC); Certification `Permittee Certification
ORC: Michael Beck r Permlttee:
Trillium Links &.Village
Certification No.: SI-991669 VVW-7930 Signing:Official: Robert Barr
Grade: SI °°"WW,-lv Phone,Number: 828-251A900 Signing Official's Title: Signatory
Has the ORC changed since the previous.NDAR-2? ;❑:Yes .p No Phone Number: 828-251-1900 Permit Exp.: 5/31/21
Signature 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 Resources
Information Processing -,Unit
1611 Mail Service Center
Raleigh, North Carolina 27699-1617