WQ0030088_Monitoring - 08-2022_20221004

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * August
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 1.46MB
August 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
10/4/2022
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: 10/4/2022

1-UKM: NUAK-ZUd-it NON -DISCHARGE APPLICATION REPORT (NDAR-2) r'age i of z
Facility Name: Majesfic Oaks Subdivision
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VUKM' NUAK-L 11.1-t:d NON -DISCHARGE APPLICATION REPORT (NDAR-2)
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? C'2) \k Qd\"It-
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?
Was the onsite automatically activated standby power source tested and operational?
Vage L or
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 dates) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets If necessary.
Operator In Responsible Charge (ORC) Certification II Permittee Certification
011 Stanley E. Buck, III
Certification No.: 993396
Grade: III Phone Number: 252-235-4900
Has the ORC changed since the previous NDAR-2?
Signature Date
Permittee: Old North State Water Company
Signing Official: John McDonald
Signing Offlclal's Title: Manager
Phone Number: qt�2�'2(.P Pannit Exil
Signature
2/28/24
Date
Bythla slgnature, I comfy that this report Is a=,mile and complans to the beet of my knowledge. I oerllfy, under peT(ally, of law, that this document and all attaehmenle were prepared under my direction or supervlelon In acoordance
with a system designed to eesure that all quafiAed peraorval properly gathered and evaluated the afformakon submitted. Based on my
Inquiry of IN person or persons who manage the system, or those pesons diredy responsible for gathering me Information, the
Irdarmamon submitted a, to the beat of my onaMedge and ballet, true, accurate, and comPlate I am aware Dal there are elgnelEanl
penalties for submitting false Information, Ins:luding the posalbaty, of fines and Imprisonment fa knawYg violations.
Mall Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mali Service Center
Raleigh, North Carolina 27699-1617

FORM. NDMR O&72 NON -DISCHARGE MONITORING REPORT (NDMR) Page
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OAKS SUBDIVISION
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FORM: NDn1R 03-12 NON -DISCHARGE MONITORING REPORT tNDMR) Page Zd�
W. FacilityName: MAJESTIC OAKS SUBDIVISION
1

hUKM: NUMK'IU-13 NON -DISCHARGE MONITORING REPORT (NDMR) rage
Sampling Person(s)
Name: Stanley E. Buck III
Name:
Name: Environment 1 #10
Name:
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
EEI Compliant ❑ Non-Complant
If the facility Is non-ccmpliant, 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 II Permittee Certiflcatlon
ORC: Stanley E. Buck III
Certification No.: 993396
Grade: III
Phone Number: 252-503.6307
Has the ORC changed since the previous NDMR? ❑ yes El No
Signature
By thle slgnesrs, I caray that this repon Is accurate and compete to the best of my knovAedge.
Date
Permittee: Old North State Water Company, LLC
Official: John McDonald
Official's Title: Manager
Phone Number: `���� Permit Fxpiration:
2128/2024
2Z
Date
1 d9". under penalty of law, that this document and eI attachments were prepared under my direction or supervision In
accordance with a system designed to assure that all qualified personal propety gathered and ewaueted the Information
submitted. Based on my inquiry of the person or persona who manage the system, or those persons directly responsible for
gathering the Information, the Information submitted is, to the best of my knwNWgs and belief true, accurate, and complete. I am
aware that mere are slgnincant penalties for submitting false Information, Including the possibility of lies and Impdwmem for
knowing violations.
Mall Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617