WQ0000088_Monitoring - 11-2022_20221219

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
Report Information
WQ0000088
Governors Club WWTP
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Year:* 2022
Upload Document*
November 2022 Governors 597.95KB
Club NDMR.pdf
PDF Only
November 2022 Governors 3.87MB
Club NDAR.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Roy Lyons
10y4eW6
12/19/2022
This will be filled in automatically

Initial Review
Reviewer: Gerald, Wanda
Is the project number correct?* WQ0000088
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 12/19/2022

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) ;-age of

- ------- -- --- --- - -- - -------
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page, of
Sampling Person(s)
Certified Laboratories
Name: Roy Lyons Name: Enco 591 / Eurofins 269
Name: Name: Aqua 5051
Does all monitoring data and sampling frequencies meet. the requirements in Attachment A of your permit? E --ompliant El Non -Compliant
if the facility is non -compliant, please explain in the space below reason(s) the ---.cility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
actic .,$) taken. Attach additional sheets if necessary.
1111/22 Ammonia flagged - J - Result is less than RL but greater than or equal to -.ie MDL and the concentration is an approximate value. 11/1/22 Chloride flagged - Fl - MS t-,ndlor MSD recovery exceeds
control limits. 1111122 Nitrate and Nitrate/Nitrite flagged - D - The sample was analyzes at dilution.. 11115/22 Nitrate and Nitrate/Nitrite flagged - D - The sample was analyzed at dilution.
Operator in Responsible Charge (ORC" ­iitioo
ORC: Roy Lyons
Certification No.: 1005944
Grade: IV Phone Number: 919-323-1213
Has the ORC changed since the previous NDMR? 0 Yes 2 No
El j_2 - / 2
41gnature Date
By this signature, I certify that this report is accurrate and complete t, the best of my knowledge.
Permittee Certificatior.
Permittee: Aqua North Carolina
Signing Official: Katie Dickens
Signing Official's Title: Field Supervisor 1
Phone Number: 910-695-5846 Permit E`,,,p-s.-si,ion: 7/31/2023
Signature Date
I certify, under penalty of law, that this document and all attachments were epared under my direction or supervision in
accordance with a system designed to assure that all qualified personne Derly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the s, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowlt je .nd belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, inCIL: n, ',a 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