Loading...
HomeMy WebLinkAboutWQ0015931_Monitoring - 01-2023_20230228Monitoring Report Submittal Permit Number#* Name of Facility:* Month: * January WQ0015931 TRUMP NATIONAL GOLF CLUB Report Information Type * NDMR, NDAR-1, NDAR-2, NDMLR Confirmation Email Address: Name of Submitter: * Signature: Date of submittal: Initial Review Year:* 2023 Upload Document* Trump Jan 2023.pdf 4.76MB PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). brian@tcwwastewater.com Brian Stephens Reviewer: Wanda.Gerald 2/28/2023 This will be filled in automatically Is the project number correct?* W00015931 Is the monitoring report accepted?* Yes NO Regional Office* Mooresville Reviewer: _anonymous Review Date: 3/6/2023 FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: W00015931 Facility Name: Trump National Golf Club Charlotte WWTP County: Iredell Month: January Year: 2023 PPI: 770771ow Measuring Point: ❑ influent O Effluent ❑ No flow generated Parameter Monitoring Point: ❑ Influent O Effluent ❑ Groundwater Lowering ❑ Surface Water Parameter Code -► " 00310 31616 0�R05a2C+5 00600 OEF OE O Q, 0(Fa-0'{'i 6L67LNO5 CL �•� m 5.Y�-w�.r:.n,�a . k,6' hNr ' �P'° �c_4a'ri:a s: 76 00~L`aj0L O L O O lvasri LL d o , , ., k%•.+r.,,�y,_nL ny'>}'.,4,r.'.,Gc�4m'Y':,,'.,',;'.• r 0.697 1 .:r 0.675 r $ 1.057t `7fi 3 16:30 1.5 0.08,aks..F "✓3 4 12:30 1 0.05.;" ,j2 `' %F ,�,. 1206 0.889 a 51 15:45 1 0.5 0.01 6 08:00 0.5 > 0.02¢ 0.955 $ r. 0.662 10 10:00 2 0.02 y 11 08:00 2 ;, ' 2.2 12 10:00 1.5 0.02 r ,ram 0.59F',s 13 08:00 2 1 2.2 a.; �k7'aE',+� t.0.55 si � t; 14.,, 15 16 08:00 2 �� r "" r s 1` 0.03 '�„���x�r''« n�`� say 2.394 2.55 a 17 08:00 1.5 0.03 0.565 a' r' 18 14:00 15 1.72s `r A , " 0.657a".,m":"'�'z' 19 08:00 1.25 #" i'''° 2.2 F.,° `s'., :+ 9 h y0.531 �at Via, 20 10:15 0.5 0.05` h 0.561 21r.am .. '`� � -�'^ 3 1 � ,k§ .,;� C1N '4 ✓i :"' , 5 ,4fr 1- »;s 'YM'�7 i� �9 0.909 .x -° �r , of s,.,,�, � � � s - ';� •� '�,w ;p: 0.928 � ` ,:-?:= 0.736 m< 23 10:00 1.25 c ��rs �; . 0.01 �� ,»� ;'�,=y,nx ,� ���, ,� 24 08:00 3.75 2.2 0.775 25 11:00 1.5 7:c. 0.01' a' 'may' r"€y "` 0.765af 26 08:00 1 5 fir; 2.2x�a' k�'k�?%�: �� 0.747 27 08:15 0 5 ,!�'; 0.05 a� � �,� ^'�� "� ^�'� .res�Yt; >>r� r � fi ;: �✓� x � 0.733 29 .;." s '' w 1 Y> z1, .,r, 0.929 by ry 30 13:00 1 0.03 7€ w h;; w 0.56- m a 31 09:00 0.5 v 5.5 0.53 <1 1 , s r 26.9 t . 2 3'3r 0.623 r .�.'. Average y 1.00 1.00 26.90 x 2.30 5 x 0.86 e 5.50 r 5.50 5.50 1.00 1 .00 1.00 x s � , � ��'�. 1.00 26.90 a -u'" � 26.90 ya F . �" >�., �f Daily Maximum 2.30 2.55x< 0.53 Dail Minimum y Sampling Type Grab Grab Grab' � Grab Grab Recorder Monthly Limit 10,,a 14 Daily Limit: 15F, n 25s q j 1. r;ys ;.� � , � z 10 Frequency: Sample Fre p q y Monthly y Monthly Monthly Monthly Monthly Continuous ,,,"; sr.,, FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Sampling Person(s) Name: Brandon Long Certified Laboratories Name: Pace Analytical - Huntersville Name: Brian Stephens Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? O Compliant ❑ 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 were only four visits on the first week of the month because of New Years Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Brian Willard Stephens Permittee: Trump National Golf Club Charlotte, LLC Certification No.: WW 1011294 Signing Official: Charles Brandon Long Grade: WW 2 Phone Number: 980-339-1105 Signing Official's Title: Owner - TCW Wastewater Mgmt., Inc. Has the ORC changed since the previous NDMR? ❑ Yes El No Phone Number: 704-351-4049 Permit Expiration: 5/31/2023 2-28-2 3 - - 2 Signature Date Signature Date By this signature, I certify that this report is accunate 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: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Permit No.: W00015931 Facility Name: Trump National Golf Club Charlotte WWTP County: Iredell Month: January Year: 2023 ddt r 3' ' �� t 5R MJ 9 4nx. ��-� '��� � ��;��g"�<��� Field Name: D-2 �,� ��" �Q��� � '� � ^1 �k'}. "���t Field Name: D-8 Did irrigation occur `� � `'�' �" Area (acres): 0.35 �� �"'���+, ,� Area (acres): 0.35 facolot- CoverCrop -- ��� mar � �rT, �t at this - CoverGro p- - - x � w s k � `"" �' ?''� �� � � rti HourlyRate m ( )� 0.12 Hourly Rate(in): Y 0.12 � YES ❑ NO s *"e� � �: Annual Rate (in): 52� Annual Rate (in): 52 '��� Weather Freeboard Field Irrigated? a YES ❑ No Field Irrigated? ❑ YES 21 NO T ❑ � O (,)}�' i � a O is a Qi o .'' N d N ❑� '�' £e ,v �sz „tea � n� r �- �»� ks C £'" � , 5 1� y ` r' " ,� r f F, x a. �` a E 2 �a � d O E� a% c A ._ mm'm E Lii 7 _A O i X O + s'�x.r� �t ,�.n kkdd � W� 3 � 'h'a{� rC i- fry Mz f 'J? � t{� � : z a >: �,..., G1 'C E 2 _tea � N w; E� a1 '�. C cs'a E � � 3 L C E3a d N t) +' v% A O. 0 '� '`'' "�� �-` r '` O Q Q 1- •L ❑ p J O. = J ,� ` �a�"r�s r O Q Q F" �' ❑ O -d M= O J tsy6 F- 0. lQ6t�a ya s> X +m't�xr+ ra.�, n wk st.� w fa La _ % "^ 'S G -'^. nE+H OF in ft ft min in in �' '" � � in in � m ,�. , �� . ��,.� gal min 1 C 60 0.13 0.13 �� � �' tV � � 0 0 0.00 0.00 k ¢ ". 4 � ,. �.�,. � h � 3A � ��°' 2 C 60 0.13 0.13 . „;°, =a ' s f , g; 0 0 0.00 OAO 3 CL 65 0 3.25 2.5 60 0.13 0,13 , . 7x,', u 4 ; ", 60 0.13 0.13 . , �z s 0 0 0 0 0.00 0.00 4 R 62 1 3.25 2.5 ,.,:. r ."' '��' � �� � � -'r�� � � ? a. 0.00 0.00 5 CL 59 0 3.25 2.5 60 0.1 6 CL 39 0 3.25 2.5"',,^ 60 0.13 0.13ksA,,r--. 0 0 0.00 0.00 - 60 0.13 7 CL k' -,: ". C,*, 60 0.13 .' 9 C 40 1.5 3 2.5 10 C 46 0 3.25 2.5 60 0.13 0.13 „xr "{' °°" k 60 0.13 0.13 ;� 0 0 0.00 0.00 111 CL 1 38 0 3.25 2.5 0 0.00 t ,:.,` 0 0.00 121 CL 1 53 0 3.25 2.5, 90 0.19 0.13 s -' ,k^ ^.. n. r ;.: '.`y `. ;.a 0 0 0.00 0.00 131 C 1 48 1 3.25 2.5„ 60 0.13 0.13 0 0 0.00 0.00 14 CLmow;` 60 0.13 0.13 0 : w rx " r fir, ` 2 �,. 0 0.00 0.00 15 C.�'r.. 60 0.13 0.13�, . a s r.P. ��1,,,a 0 0 0.00 0.00 16 C 41 0 3.25 3 60 0.13 0,13 h h , M �.. � �ci� � � c� a � � 0 0 0.00 0.00 17 R 45 0.25 3.25 3.25 60 0.13 0.13rs ,. z * k�i� ��- '•,a'njr' �� 0 0 0.00 0.00 18 CL 65 0 3.25 3.25 60 0.13 0.13 0 0 0.00 0.00 .� .� .. �M y,: i 1 t', ° " ":n 191 CL 1 59 0 3.25 3.5 60 0.13 0.13 �„ ; s s.60 ? , ' t `: 0 0 0.00 0.00 20 CL 49 0.5 3.25 3.5' 0.13 0.13"^ 0 0 0.00 0.00 21 C 60 0.13 0.13`` wits - ,f a.. sk 22 R 60 0.13 0.13. 0 0 0.00 0.00 t „ 23 C 45 1.25 3.25 3.5'S 60 0.13 0.13 0 0 , z.F` .4.. , .v 1 �� , a ;'� h . ,; i r k ` a; . .,_, 0.00 0.00 24 C 41 0 3.25 3.75 60 0.13 0.13�' _.l �' 0 0 0.00 0.00 251 R 1 43 1.25 3 3.5 30 0.06 0.06 ` " A _ .. 0 0 0.00 0.00 26 C 35 0 3 3.5°: 60 0.13 0.13 �w 0 0 0 0 0.00 0.00 0.00 0.00 27 C 32 0 3 3.5 60 0.13 0.13� a ,,.5a „ �' its W,z��xl .�� .. _y 28 C 60 0.13 0.13 0 0 0.00 0.00 29 C 60 0.13 0.13 s • " �, ax 30 CL 54 1 3 3.5 60 0.13 0.13 0 z � f , � ���, .,", zs r, "' ,>X 0 0.00 0.00 31 R 52 0.25 3 3.55 60 0.13 0.13 s Y,' ., . w, 37,200 f , , . 0 0 0.00 0.00 Monthly Loading 3.91 k 0 0.00 w'. 0.00 12 Month Floating Total (in): 16.47 ,p x FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _ of Permit No.: W00015931 Facility Name: Trump National Golf Club Charlotte WWTP County, Iredell County: Iredell January Year: 2023 Did irrigation occur Field Name: Area (acres): D-10 0.35 Field Name: Area (acres): S-2 0.71 aLthms R1 YES facolit.f? 0 NO .Y Cover -Crop: sY Cover Hourly Annual Crop. - Rate (in): Rate (in): 0.33 52 Hourly Rate (in): 0.12 Annual Rate in): 52 Weather Freeboardter Field Irrigated? U1 YES El NO Field Irrigated? 0 YES F] NO 0 4) w CL E 0 CL .3 a. 0 a.W (D 0 73 CL 0 M CL E 2D CL > 0 0 E "a 0 M M 0 _j L E .2 > gal min 0 in E :3 ztl X 0 Cc M 0 _j in OF in ft ft gal min in in I C 1,200 60 0.13 0.13 2 C 1,200 1,200 1,200 1,200 60 60 60 60 0.13 0.13 0.13 0.13 0.13 0.13 0.13 0.13 3 CL 65 0 3.25 2.5 4 R 62 1 3.25 2.5 5 CL 59 0 3.25 2.5 61 CL 1 39 0 3.25 2.5 1,200 60 0.13 0.13 7 CL 1,2 0 60 0.13 0.13 8 C 1,200 60 0.13 0.13 9 C 40 1.5 3 2.5 1,200 60 0.13 0.13 10 C 46 0 3.25 2.5 1,200 60 0.13 0.13 11 CL 38 0 3.25 2.5 1,200 1,200 1,200 60 60 60 0.13 0.13 0.13 0.13 0.13 0.13 12 CL 53 0 3.25 2.5 13 C 48 1 3.25 2.5 14 CL 1,200 60 0.13 0.13 1,200 60 0.13 0.13 15 C 16 C 41 0 3.25 3 1,200 60 0.13 0.13 171 R 1 45 0.25 3.25 3.25 1,200 60 0.13 0.13 18 CL 65 0 3.25 3.25 1,200 60 0.13 0.13 19 CL 59 0 3.25 3.5 1,200 60 0.13 0.13 20 CL 49 0.5 3.25 3.5 1,200 60 0.13 0.13 21 C 1,200 60 0.13 0.13 221 R 1,200 60 0.13 0.13 23 C 45 1.25 3.25 3.5 1,200 60 0.13 0.13 24 C 41 0 3.25 3.75 r 1,200 60 0.13 0.13 25 R 43 1.25 3 3.5 1,800 90 0.19 0.13 26 C 35 0 3 3.5 1,200 60 0.13 0.13 27 C 32 0 3 3.5 1,200 60 0.13 0.13 281 C 1 600 30 0.06 0.06 29 C 1,200 60 0.13 0.13 30 CL 54 1 1,200 60 0.13 0.13 1 R 1 52 0.25 3 1 3.5 1 1,200 60 0.13 0.13 Monthly Loading: 3.91 Total [_12 Month Floating FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Permit No.: WQ0015931 Facility Name: Trump National Golf Club Charlotte WWTP County: Iredell Month: January Year: 2023 Did irrigation " `� t Field Name: S-4 �� � ��a',�� ��� �� � = E r Field Name: S-6 occur �* Area (acres): 0.77 Area (acres): 0.74 --Cover Cro : - _ _- - - - - �� a �, �kE ���r � - - Cover Crop. - _ - ❑ YES ❑NO Hourly Rate (in): 0.33 � `� ����1� � � �� Hourly Rate (in): 0.3-3 Annual Rate (in): 52 Annual Rate (in): 52 Weather Freeboard s ; . Field Irrigated? ❑ YES ❑ No �T ._ � Field Irrigated? ❑ YES o NO 'C L N .,, 3 E GEI Q. c.1 N NM 0) —O fA Oi Q lC t7 _ A O. l6 Q LO N Qi 7 Q. O Q > Q 'a G1 E rn H 'C 87 A C 'O f6 O J E of C E O 'O :� O l6 cC = O -.I � '� ` " $ T 9i tk +Jr. Y y5. ' 3 9A $ ,� ,� 2 # #k 'ftt 4 a N- .. � � r d s • k�l(1+k#`� "'aa� v � � ..��.(1t�, ��� N 3 a O O• � Q -a Gi y E @ F •i i a_7 a_ •p �a f6 p J E Im L _C E 3 -O o K O R = � J p "`, W�kxr `'s h��# ,n m raa �" r z :�• �, �f sk F ? 1' eu. �'a i - ,, � �ru 'Sa-�" y, ^. OF in ft ft 1 n �y.,.r:. � :.' ,a a.ti. <a� gal min in in gal min in in 2 ^' r; "i'r ✓i kcs .uEi ""� ,�3-. - d k,.i ,�'z .aAk �^ a r ,� 4% ,1+'Ime' :'�'. S N` i.+'''% M :r✓w�r 'Yry eS ,'d"-+^^F9:C' '� K. % 8 1",�:A 6rt+, $ rr "�;>a ✓"' L`y ' y.:.k� sz .y, �g r� �".� �' 2,": rp Ax, .�:� ✓�"'-'�,e. .E qa, 7"t'.�r"� ",��i a., $y� lkM.+ sx kaS. /, 10, '�'� � 3;a b. k5, 12 13 14 15 t9b x fijta a %rk; 16 17 18 191,i ..ct&> wf i dq A3r�Me 20 21 2223 24 25 26 x r 1 �^• ,, � � s' fi '�. y 27x �� 7 rr `kr1 G r;x3 P5 , Asa �,� �k. 28� 29 30 31 a 0 0.00 Monthly Loading „" a 0 0.00 12 Month Floating Total m : FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _ of Permit No.: WQ0015931 Facility Name: Trump National Golf Club Charlotte WWTP County: Iredell January Year: 2023 Did irrigation occur Field Name: S-8 Field Name- S-10 Area (acres): 0.22 Area (acres): 0.81 LI YES El NO --Cover-Crop- --Cover -CroW. - - - - Hourly Rate (in): 0.33 Hourly Rate (in): 0.33 r t,,w r y k 4 Annual Rate (in): 52 Annual Rate (in): 52 Weather Freeboard Field Irrigated? 0 YES El NO Field Irrigated? El YES 2 NO cc 0 CL E .0 CL M D Cl E .2 2 0 Q. > (D 13 0 E 3 E 0 M = 0 E 2D CL > E M C3 0 E X 0 M M = 0 0 F in ft ft gal min in in gal min in in 1 2 3 4 5 6 7 8 9 10 12 13 14 15 17 18 19 20 21 22 23 24 25 26 27, 28 29 30 31 F-F 0 0.00 Monthly Loading: 12 Month Floating Total '!-'- FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Permit No.: WQ0015931 Facility Name: Trump National Golf Club Charlotte WWTP County: Iredell Month: January Year: 2023 Field Name: S-12 s aY'r.r;X a A', � Field Name: S-14 Did irrigation �,.�s �`� �,�� � � occurat Area (acres): 0.91 �r Area (acres) 1.06 • • • rtr x d l �/. '� ----C-over Cro - - --- -- - -- Hourly Rate (in): 0.33 y� ��T� � s. � �� ^ Hourly Rate ( 0.33 � YES ❑ NO �.�„ '"�`r�r ro «� � 'is«s � , �r "F r .. -'� t �?�� a�x��cx; y in )� Annual Rate (in): 52 ' r Annual Rate (in): 52 7� Weather Freeboard N Field Irrigated? ❑ YES ❑ No r Field Irrigated? ❑ YES ❑ NO ai � l= N N N 8i T C 1= 8I a 7 C �� :2• A n4�^ J/5'�i -' "r''J s' �; ', i� "2. fi 4:' '^ ,y k � k '#� ' ^ )3 K -7 t ' ui � E m O m N � E :. T 3 O •• � 0 N m }, i; T O IC Qf � tq .t1 U L it f6 Q N �„? �F E$J 4�zll�hi :�dr 4 �: y� h � �% .f- �"d K r4 ;, 5" r# d �' ,� L / + „.7 &^ a� � t� - y5 iM $ .r V CL r rv" '� e w� r ox �� O P l6 X O R a m h ' Q. T x O 6 •�C C1 y0 L v R „r E d Q + !'x �S f 'r • rt.t ;4 �,, O. i Q _ O J f6 S O g J fi w v '� rx - } ,� , �dp : i rf !`"ry� , a ' O G i Q F C L O J R= O cL, J M ) 0. o 0 �t � $ OF in ft ftw/ ' a '�, in in :, ���� ,, ., /k� l�,� ��;,F� gal min � � �`�'� ��#.`,�1�,,�` �..,f,�' gal min in in f 2n�" �'�'�p S`. rt C,M+a'`y r �'w $5,. 5 v'3✓ .l,yyFrRR'bt^° ,�:� yµ Y. a •K7 `4' 'u`?{f.,/�`'✓ •iS^P, 3st 5 8 war , 4 g�sr x 9 fi>r„ 10 ,- 11 � �✓S r . 'l``�r $ ' �, � ?� ,�' d "�r�r � �*`y a � �� fi 12 . - ,r'9 ,' i i � $ ,� 13 14sa s` ', far 15 T , ,' :.•e, - y, , 16 17 18 19 20 e?r�` %£p �'• _ ��..>�..-' �.?', 2r�,. fir r+ r � � �: 21&&"t 229� �f ��?.GpyrX^ #'y ?„,.E �. '; �i�' A2,. �` 0. $ �� MN {,. ��Y � �#,. '� .dl"�j+`; ur ..�"� �;*l.�`+fi'n• ,W .'';:r FE`3; 23 26 27 281 29 �� r �, m°. rid Musa ,�� ,jy ,�, ,�•itl 31 ���e �'.�� ✓ a �?,�a�n ��� . ���;wy�^, �S�r i'�� '«C'� " x, ,,�i?..,k z �`� �`�,� u ���kr&"�,,'fic�d n 1"x` ��` �, ,w Monthly Loading "' - 0 0.00 12 Month Floating Total (in):vZ FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _ of Permit No.: WQ0015931 Facility Name: Trump National Golf Club Charlotte WWTP County: Iredell Month: January Year: 2023 Did irrigation Field Name: S-16fi Field Name: occur is Area (acres): 0.71 Area (acres): at th -fac-o" 11 NO R1 YES Cover-Grop: Cover-Croly Hourly Rate (in): 0.33 Hourly Rate (in): Annual Rate (in): 52 Annual Rate in Weather Freeboard Field Irrigated? M YES El NO V s Field Irrigated? 11 YES El NO 0 CL 4) 1— 0 3— CD 0 fA CL M =5 .2 — >, Q. M CL M E .2 :3 'a 0 > < .9 M = :5 M M in 0 _j E E R 0 M M x 0 _j E A, 3 — — Q. 0 0- E 2M 1 0) M•R w 10 0 _j E tM >1 S o (a 0 _j OF in ft ft gal min in in gal min in in 2 3 4 5 6 7 8 9 ....... ... 10 11 12 13 14 171 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Monthly Loading d,. 0 0.00 12 Month Floating Total (in): IBM FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Did the application rates exceed the limits in Attachment B of your permit? 0 Compliant ❑ Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 0 Compliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? O Compliant ❑ Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? El Compliant ❑ Non -Compliant 1LUocn ill fre rds,- Fita l g€i7 1 _S111GAiylflth t lE _ � fle f�K.oyboaeel an,ral #� � � _ - - - --- -_- --- - - -- -- ���- --- - --- ----- tn-y6u�pet - - -- 'omp11an _LIF Non =omptan 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. had 4 visits the last week of the month because of the christmas Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Brian Willard Stephens Permittee: Trump National Golf Club Charlotte, LLC Certification No.: SI- 1008005 Signing Official: Brandon Long Grade: SI Phone Number: 980-339-1105 Signing Official's Title: Owner - TCW Wastewater Mgmt., Inc. Has the ORC changed since the previous NDAR-t? ❑ Yes P No Phone Number: 704-351-4049 Permit Exp.: 5/31/23 2 kL,-�ktu� -2 -2 F Z - 2 8 'z Ignature 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