WQ0013676_Monitoring - 10-2022_20221219

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * October
Report Information
WQ0013676
Beacons Reach
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
SEQU1371422121918040.pdf 451.62KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Grady W Fulcher
Reviewer: Gerald, Wanda
12/19/2022
This will be filled in automatically

Is the project number correct?* WQ0013676
Is the monitoring report accepted?* Yes No
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 12/20/2022

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ft
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'Permit No.: WQ0013676
Facility Name:
Beacons Reach
Flow Measuring Point-
Effluent
00i.
It..........
10:35
0.4
10:48
0.4
10:44
0.3
10:21
0.2
10:30
0. 2
mummim
37500
8.24
Average:
Dail,; Maximum:
L)
Sampling TYPC-I
Monthly Limit:
Ft
t tI
Sample Frequency:

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name. Karrie Omara Name: Envirompent 1, INC
Name: I Nam:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your pe"mit? 0 Unlowt ❑ NorW"Oba
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
-- inn/cl fnkan Attach additional sheets if necessam.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Don Omara
: ,-, m
Certification No.: 7904
Signing 1
Grade: 3 Phone Number: 252-725-2129
Signing lars Ti : t
Has the ORC changed se ? 0 Yes Ej No
Phonellumber. Pennit : L
signature
Date Signature Data
By ! to the bast of nw
Wwiaiedga. i
to
1br
,to .! am
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wtmft
Mail Original and Two Copke to:
Divisiona r Quality
l -Unit
1617 Mail I dce Center
Raleigh,0rth Carolina 27SWI617

® APPLICATION REPORT Paw Lit of
SPRAY IRRIGATION SITE(S)
Fatality talus:
Please indicate (by inserting Y(es) or 14(o) in the appropriate box) whether the facility has beeqpMRliant
with the following permit requirements: (Vote: if a requirement does not apply 10 your facility put IYA) in the
cornpliant box. I
1. The application rate(s) did not exceed the limit(s) specified in the permit. Cam J'anj JY N)
2. Addquate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the pe rmit.
4, All buffer zones as specified irate permit were maintained during each application,
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
specified in the permit.
If the facility is agn:;9mg1liant please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide imyour explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets d necessary.
"I cerlifv under JIMIN 1pIW_ 1W,
jjW FwTQ
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 ding
gsinificant penor t alties fsubmitting false informaion, incluthe possibility of fine.,
-2nd imprisonment for knowing violations." I
W 11 0.1
(Signaturel'of Oermittee)l Date
?d Q)C* w%
(Permitlee Address)
(Name of Mgning OificTal-Pleae -peint or type)
(Phone Number) (Permit Exp. Date)
' If signed by other than the permiHee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).