WQ0037555_Monitoring - 09-2022_20221028

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * September
Report Information
WQ0037555
Trillium Links & Village
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
WQ0037555-9-22.pdf 1.47MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Kimber Reese
Reviewer: Gerald, Wanda
10/28/2022
This will be filled in automatically

Is the project number correct?* WQ0037555
Is the monitoring report accepted?* Yes No
Regional Office*
Reviewer: _anonymous
Review Date: 11/22/2022

FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page I of 4

FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page 2 of 4
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 pronding 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?
P1 Compliant El Non -Compliant
El compliant El Non -Compliant
M Compliant El Non -Compliant
El Compliant El Non -Compliant
121 Compliant El 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 necessary.
Operator in Responsible Charge (ORC) Certification
Permittere Certification
ORC: Kenneth Jason Rummel
Permittee:
Trillium Links & Village
Certification No.: 1010634
Signing Official: Robert Barr
Grade: SI Phone Number: 828-251-1900
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-2? El Yes E1 No
Phone Number: 828-251-1900 Permit Exp.: 12/31/27
V
Signature Date
Signature Date
By this signature, I certify that this report is accurnate and complete to the best of my knowledge.
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
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 03-12 NON' -DISCHARGE MONITORING REPORT (NDMR) Page 3 of 4
Permit No.: WQ0037555
Facility Name: Trillium Links & Village
County: Jackson
Month: September
Year: 21_l22
PPI: 00
Flow Measuring Point: El Influent _ Effluent ` Na flow generated
Parameter Monitoring Point: E influent ry Effluent ❑ Groundwater Lowe. ing _; Surface Water
Parameter Code 10.
50050 00310
50060 I 31616
00610 00625
00620
00400
00530 _l
00600
00665
7.
@
Q` °
E
0
_ 2
5
0
O
]
a - a
13 cT
ca i
O
l z
r'
Q
Z
m
CM
Z
0
EIn
yam—
i
3
24-hr
hrs
GPD mgtL
mg/L #1100 mL
mg/L mg/L
mg/L
su
mg1L
mg{L
mgfL
-
1
No Flow
2
No Flow
3
No Flow
E
--
4
No Flow
5
Holiday
No Flow
;
6
No Flog 1
I
71
12:00
1.25
1 No Flom Il
i
8
No Flow .
I
9
No Flow
10
No Flow
1
11
No Flow
1
-
-
12
No Flow
131
No Flag{
141
12:30
1
No Flow
151
No Flow '
!
16
No Flow
17
No Flo
€
18
No Flow
j
19
No Flow
20
No Flow
211
12:30
0.5
No Flow
1
22
No Flow
1
1
I
23
No Flaw
I
24
Flo Flaw
25
No Flow
-
I
26
No Flow 1
I
271
No Flow
i
28
1330
0.5
No Flow
?
i
29
_
No Flora
E
30
No Floe
I
31
Average:
# IV101
Daily Maximum:
0
j
Daily Minimum:
Sampling Type:
0
Pecrder ? Grab
Grab Grab
Grab i Grab
Grab.
Grab
Grab
Grab
Grab
Monthly Limit:
10,000 1
Daily Limit:
Sample Frequency:
Continuous j Per Evens
Per Even', Per Event
er E ° n= I Per E ant
Pe, E ent
Per Event
Fier Event
Fer Event
Per Event
#

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 4 of 4
Sampling Person(s) Certified Laboratories
Name: Kenneth Jason Rummell Name: Pace Analytical
Name; Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? [I Compliant E) Nor 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 clate(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Kenneth Jason Rummel
Permittee. Trillium Links & Village
Certification No.: 1010634
Signing Official: Robert Barr
Grade: Sl Phone Number: [phone]
Signing Official's Title: Signatory
Has the ORC changed since the previous NDMR? l7l yes 21 No
Phone Number- [phone] Permit Expiration: 12/31/2027
w Y L L
C/
Date
Signal
Signature Date
3y this signature, I certify that this report is aGcurrate and complete to the best of my knowledge
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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617