WQ0030088_Monitoring - 06-2022_20220801

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month:* June
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 279.8KB
June 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
8/1 /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: 12/8/2022

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Rsoorder Gran

FORM: NDMR 03•12 NON -DISCHARGE MONITORING REPORT (NDMR) Paga3-f 4
Permit No.: WQ0030088
Facility - Name:- MAJESTIC OAKS SUBDIVISION
County: Pender
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t'UHM: NunnK us-u NON -DISCHARGE MONITORING REPORT (NDMR) NageAotA
Sampling Person(s)
Name; Stanley E. Buck
Name:
11 CompliFl Non_ 11 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-oompliant, ptease explain In the space below the reason(s) the facility was not In compliance. Provide in your
actions) taken. Attach additional sheets if necessary.
1 + 1 Yel I No
the datts) of the non-compliance and describe the corrective
Operator In Responsible Charge (ORC) Certification n Permittes Certification
ORC: Stanley E. Buck III
CorNflcation No,: 993395
(trade: III Phone Number: 252-503-5307
Has the ORC changed since the previous NDMR?
Signature Date
By this signature, I certify that this report Is acourrate and complete to the best of my knowledge.
Permutes: Old North State Water Company
Signing Official: John McDonald
Signing Official's Title: rV\W\a1311'N3
Phone Number: CD. J 22
Signature
Permit Expiration:
Date
I certify, under penally of low, that this document and all attachments were prepared under mydlrectfon or supervision In
aocardance with a system designed to assure West all qualified personnel property gathered and evaluated the Information
submltled. 8esed on my inquiry of the parson or persons who manage the system, or those persons dkaotly responsible for
gathering the information, the ttrwmadon submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that Uwre are signtfloant penaltles for srbmiuing false Informatlon, tnduding the posslbffity of tines and imprtaonmentfor
kne" vidationa.
Mail Original and Two Copies to;
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

t-UM NUAK-1 Ub-11 NON -DISCHARGE APPLICATION REPORT (NDAR-2)
Page 1 011
Permit No.: WQ0030088
Facility Name: Majestic Oaks Subdivision
County: Pender
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hUKM: NUAft-1 W-11 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Hage z of z
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? Co<_NN�0\0,
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? C NI(_V Rk
Was the onsite automatically activated standby power source tested and operational? C�,Y`\���
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
action(s) taken. Attach additional sheets If necessary.
of the non-compliance and deserlbe the corrective
Operator In Responsible Charge (ORC) Certification Permittee Certification
ORC: Stanley Buck Permitter: Old North State Water Company, LLC
Certification No.: 993396 Signing Official: John McOonaid
arda; 3 Phone Number: 262-503-5307 Signing Offlcial'sTitle: Manager
Has the ORC changed since the previous NDAR-2? 00 Phone Number. 3�� Permit Exp.: 8131121
I L2� 4:50, - X�_ j ---
��,
Signature Date Signature Rate
By this algnature, I cerlity that this report fa aoDurrate and complete to the best of my knowledge. I certify, under of law, that this document and all attachmerds were prepared under my direction or supervision In accordance
with a system designed to assure that all quallfted personnel properly gathered and evaluated the ktformatlon submtted. Based an my
Inquiry of the person or persons who manage the system, or those persons directly responsible for gate" the liftmatlon, the
IMormallon submitted Is, to the best of my knowledge and bellef, Ina, accurate, and complete. I am aware that there am elgrriam
pemaltiea for submIt" false Information, #ncluding the possibility of tines and impriseriment for knowing vlolalkrns.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Maul Service Center
Raleigh, North Carolina 27699.1617