WQ0037555_Monitoring - 11-2022_20221222

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
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*
WQ0037555-12-22.pdf 1.46MB
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
12/22/2022
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: 1/11/2023

FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page 1 of 4

FORM: NDAR-210-13 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?
P] Compliant L-1 Non -Compliant
E,1 Compliant El Non -Compliant
D Compliant El Non -Compliant
Q Compliant El Non -Compliant
M Compliant 11 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 Official: Robert Barr
Grade: SI Phone Number: 828-251-1900
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-2? E3 Yes El No
Phone Number: 828-251-1900 Permit Exp.: 12/31/27
Xi2
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 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: November I
—Year: 2022
PPI: 001
Flow Measuring Point: 0 Influent - Effluent No flow venerated
Parameter Monitoring Point: I—J influent E-:1 Effluent 0 Groundwater Lowering Surface Water
Parameter Code 0.
50050
00310
50060
31616
00610
00625
00620
00400
00530
00600
00665
2
t: 0
< E
0 p
ry
0
0
E
F_:
U
0� 0
0 -
0
0
-ru
0 -�i 0
C)
W
U -
-T 0
LL 6
L)
E
0
E
E
Q
5 75 2
z ±�
z
Iz
z
CL
0 CL 0
F-- , (0
16 2
=
z
U)
F
0
CL
F-
0
.0
CL
I
24-hr
hrs
GPI
No Flow
mg1L
mg/L
#1100 mL
mg1L
mg/L
mg1L
Su
mg1L
mg/L
mg[L
2
11:45
O.75
No Flow
3
No Flow
4
No Flow
5
No Flow
No Flow
7,
No Flow
8
No Flow
9
09:45
0.5
No Flow
10
No Flow
11
Holiday
No Flow
12
No Flow
131
No Flow
14
No Flow
15
No Flow
16
11:40
1,25
No Flow
17
No Flow
18
No Flow
191
No Flow
201
No Flow
211
No Flow
22
No Flow
23
12 30
1.25
No Flow
24
Holiday
No Flow
25
Holiday
No Flow
26
No Flow
271
No Flow
28
No Flow
29
No Flow
30
13:10
1
No Flow
31
Average:
--'DIV/O!
Daily Maximum:
0
Daily Minimum:
Sampling Type:
0
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
m000
Daily Limit:
6-9
Sample Frequency:1
Ccanfintious
Per Event
Per Event
Per Event
Per Event
Per Event
Per Event
Per Event
Per Event
Per 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? M Compliant 71 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 Permlittee 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? 0 yes Eli No Phone Number: [phone] Permit Expiration: 12/3112027
'\A
V
Z,2 4 Z�2
XA A jcj L 2-
Signature Date Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge, t 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 property 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