WQ0030088_Monitoring - 05-2022_20220920

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * May
Report Information
WQ0030088
Majestic Oaks Subdivision
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
Majestic Oaks NDAR NDMR 300.73KB
May 2022.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Erica Cochran
Reviewer: Gerald, Wanda
9/20/2022
This will be filled in automatically

Is the project number correct?* WQ0030088
Is the monitoring report accepted?* Yes No
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 9/27/2022

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 3

1-UKM: NUMK U3-12 NON -DISCHARGE MONITORING REPORT (NDMR) rage a of 3
Sampling Person(s)
Name: Stanley E. Buck
Name:
n comold4 Non- II Name: Environment 1
Name:
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements In Attachment A of your permit?
If the facility Is non -compliant, please explain in the space below the reasons) the facllilywas not In compliance. Provide In your explanation the date(s) of the non-compliance and describe the corrective
actlon(s) taken. Attach additional sheets If necessary.
I Iyd+INo
phosphores levels were high due to a lack of chemical pump on one train. A pump has since been added to that train in order to prevent this problem In the future.
Operator In Responsible Charge (ORC) Certification
ORC: Stanley E. Buck III
Certification No.: 993396
Gratis: III Phone Number. 262-235-4900
Has the ORC changed since the previous NDMR?
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Signature Dale
By tt" Signature, I certtty that this report Is accurate and o emplate to the beet of my knowledge.
Penn ttee Certification
Pemtlthe: O\� _,r.�-�'�-tC— ���QI(Z '�j
Signing Official:
Signing Official's Title:2��H
Phone Number:70561 (r,)Z 't�JJ Permit Expiration:
Signature
Date
I costly, under,i6oi ty of low, Met this dawment and all ahachnente were prepared wrier my dirscaon or supervbbn in
soeordorpa with a system designed to amuse that MI guelUled pow" Property gaUpred and evaluated the Mfamation
submitted. Sped on, my Inqu y of the person or persons who manage the system, ar those persons directly responsible far
gathering this Information, the Information submitted Is, to Une beat of my krwNedge and belief, tore, accurate and complete. I am
swore that tiers are elgrrAcam penatiles for submitting false atfarmatbn, Including the possibility of fines and Imprisonment far
KwMng woleMane.
Mall Original and TWo Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699.1617

I-UKW NUAK-L Ud-11 NON -DISCHARGE APPLICATION REPORT (NDAR-2)
page 1 01 z
Facility Name: Majestic Oaks Subdivision
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f,UKM: NUAK-1 Ud-11 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page z of
Did the application rates exceed the limits in Attachment B of your permit?����
If not 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 berms? '6TT\,�\\Oc-�
Was the onsite automatically activated standby power source tested and operational?
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 necessary.
Operator In Responsible Charge (ORC) Certification 11 Permitte s Certification
ORC: Stanley Buck
Certification No.; 993396
Grade: 3 Phone Number: 252-503.6307
Has the ORC changed since the previous NDAR-2?
Signature
By this signature. I certify that this report Is accumne and complete to the best of my knowledge.
Date
Permlttee: Old North State Water Company, LLC
Signing Official: John McDonald
Signing Official's Title: Manager
Phone Number: Permlt Exp.:
Signature
8131121
Date
1 centy, under penglly6f few, that this doeumeret and all attachments ware prepared under my direction or supervision in accordance
Nth a system dse to saute that all gwlaed personnel property gathered and valuated the Information submitted. awed on my
Inquiry of the Person a parade, who manage the system, a those persons directly responsible for gathering the IMomoflon, the
Information submitted Is, to the best of my knowledge and bellef, into, accurate, and complete. I am aware that there are sgiieeard
per ama for submang false Information, Ineuding the poeafbilky of fines and Imprisonment for knowka violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617