WQ0004230_Monitoring - 07-2022_20220825

Monitoring Report Submittal
Permit Number #* WQ0004230
Name of Facility:* A Place at the Beach III Homeowners Association Inc.
Month: * July Year: * 2022
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR July 2022 NDAR NDMR 2.06MB
report WQ0004230.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: * Victor Perez
Signature:
Date of submittal: 8/25/2022
This will be filled in automatically
Initial Review
Reviewer: Gerald, Wanda

Is the project number correct?* WQ0004230
Is the monitoring report accepted?* Yes No
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 9/13/2022

W)N-Dr*CK4RGE APPLICA17opt REpC)RT (t4DA t- )
Did the application rates exceed the limits in Attachment B of your perm
If net 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"
If a basin, were there any instances of breakout from the benns?
Was the ensue automatically activated s#andb s
- i ti.111WHMMOiant,
Please _
reason fTQ-~ ■
i -' f space below 1 -
_ not corripbrice. Provide in your !'
-_.. - `' Attach _.,E f t yssheets i 1. i N- f describ' the 1ii
ffectivq
if necessary.
OPOraW in Responsible Charge (ORC)'CerMicatioi
ORC,
Grade: Phom Number. -
Has the ORC changed since fade ~Otm NDAR-2?
$Y eft signaMrs, l sty #hat ft report is WXYlate and =11plOte W Ole beet or pry
WMWWW
Date s
i rR raider pmft of Iaw, fft a6 docuned and Date
sa,rns,
'ih a sum r1swed b assure �t aq m.a� +ere PASpared min din or in accordance
hlqty of t an or s who n SUIMMIled. Bawd on my
1 Is, to ]re best of my or Hwe perumd! y for gafflafing the kbMation, the
true. scmuldO, 1 am aware to &em are 31q
inqudirrg �$tres impr#sonrr Tc�r �,
AM Original and Two Co&S to:
OMSIOn of Wa it Rewurces
Infonnavon F40ceseing Unit
1617 Mail Service Center
RaWgh, North Cartillina 27M-1617

Non-Discharap- Mnnifnrrinn Rnnr%r+ IkinRMD't

FORM: NDW 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ of
Sampling Person(s)
Name:
Name:
Certified Laboratories
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ii,.C6;i�pwnt VNon-cornpriant
If the fwility is non-cDmpliant 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 ifnecessary
Operator in Responsible Charge (ORC) Certification
ARC; P 0 1, LL'j
Certification No.: i &c; t 7 � T
If
Grade: Phone Number.
Has the ARC changed since the Previous NDMR? El Yes
Signature Dat(
By this signature- I -rffY that this report is a=rnzte and complete to the best of my knowledge,
Permittee Certification
Per mittee:A ?LAu W <h &A eg -LAI
-15-
Signing Official: Viufo?'
Signing oniciars ritle: �turak RAO
Phone Number. 65f) 1-41— 09 a � Permit Expiration:
Signature V-.e Date
I CmIfy, -der penalty of law, that this document and an attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all quaKed personnei property gathered and evalurated the information
submitted, Based on my inquiry of the person or persons who manage the a
gathering the Information, the inbanation submitted Is. to the beg of my k Ystem. or those person crtrectly responsible for
aware that there am sWrIcant penalties for submitting false inio knowledge and beffef, true, accurate, and complete. I am
rmation, inctuding the POSSIMMY Or lines 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 276994617