WQ0037555_Monitoring - 10-2022_20221130

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * October
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*
WQ0037555-10-22.pdf 1.42MB
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
11 /30/2022
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: 12/14/2022

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 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?
E Compliant El Non -Compliant
E-11 Compliant El Non -Compliant
E, Compliant El Non -Compliant
E,[ Compliant El Non -Compliant
El Compliant Ej 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
Permittee Certification
ORC: Kenneth Jason Rummel
Permittee: Trillium Links & Village
Certification No.: 1010634
Signing Of Robert Barr
Grade: Sl Phone Number: 828-251-1900
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-2? 0 Yes 21 No
Phone Number: 828-251-1900 Permit Exp.: 12/31/27
Signature Date
Signature Date
By this signature. I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared Linder 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 innionsonmerit 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
=cility Name: Trillium Links & Village
County: Jackson Month: October
Year: 2022
PFI: 0(j1
Flaw Measuring Paint: 0 Influent E Effluent _ No flow generated Parameter Monitoring Point: C influent El Effluent _ Groundwater Lowering -' Surface water
Parameter Code —m-
50050 1 00310
50060 31616
00610 00625
00620 00400
00530 00600
00665
j
2
E2
o
Et
U
0
CE
3
s
ICD
Cs Mo
0
d `C
[
I
24-hr
errs
G D i mg/L
rng!L 1 #1100 mL
mg/L mg/L
mg/L su
mg/L mg1L
mg/L
1
No Float-
2
No Flow
3
No Flow
f,
4
No Flow 1
1
1
1
5
08:30
1.25
No Flog j
6
No Flow
-
7
No Flow
8
No Floe.-
9
No Flow
I
i
10
No Flow
I
11
No Floe
1
12
14:35
0.75
No Flog
13
No Float I
-
-
14
No Flog i
I
15
No Fow I
(
I
16
No Flow ,
1
2
I
17
No Flow i
I
18
No Flog
19
08:58
1
No Flow
20
No Flow
3
21
No Floe
I
I
I
221
No Float
23
No Flow
]
24
No Floes
i
25
No Flow-
26
11:15
0.75
No Flow
E
E
27
No Flow [
1
I
28
No Flow [
I
29
No Flow
1
30
No Floe
31
Average:
No Flow
#D.w0!
I
Daily Maximum:
g I
[
Daily Minimum:
Sampling Type:
0 I
R7,77-d r E Grab
Grab Grab
Grab Grab
Grab Grab
Gray. Grab
€
]
Grab
i
Monthly Limit:
10,000
i
--
Daisy Limit:
;'
I'
i 6_9
€
I
Sample Frequency:
continuous- t= Per Event
Per E �ent Per Event
Pe: Eve Per Event
Pe€ Evert Per Event
Event Per Evert
Per E
' e F_ en *
,

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 4 of 4
Sampling Person(s)
Name: Kenneth Jason Rummell
Name:
Name: Pace Analytical
Name:
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
21 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
Permiftee Certification
ORC: Kenneth Jason Rummel
Permittee: Trillium Links & Village
Certification No.: 1010634
Signing Official: Robert Barr
Grade: S11 Phone Number: [phone]
Signing Official's Title- Signatory
Has the ORC changed since the previous NDMR? ❑ Yes D No
Phone Number: [phone] Permit Expiration: 12131/2027
J\----
Signature Date
Signature Date
By this signature. I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this dOGUment 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