WQ0034715_Monitoring - 05-2022_20230228

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * May
Report Information
W00034715
Concert 12 Oaks,LLC
Type *
NDMR. NDAR-1. NDAR-2. NDMLR
Year:* 2022
Upload Document*
May Water Complete.pdf
PDF Only
1.84 M B
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * John Parrish
Signature:
Date of submittal: 2/28/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* W00034715
Is the monitoring report accepted?* Yes NO
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 3/10/2023

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
•—� j r
Name: Jt� l�" t%- �"✓`i Name:
Name: Name:
rL___ _ ______:a_..:—_ �_a_ __-1 __Y_r�� s__�.._�_:__ .Y__aaL._ __-...:__.__�a_ :._ waa__�.r_._a w _s.,_.._.___.r:an ompliant (]Non Compliant
LJVCa 42 IIIL/IIILV1 IIIy LAQLw a11%A LnY 311 r LawY1unY111b A V1 YWMI tdY1111�11Ri
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: y� �" r• Y`r S
Perm ittee: L ©t'+t. G vs� j i L L
Certification No.:
Signing Official: __Sehv. PAY ►r
Grade: Phone Number: J ` L4 t;Z " �fv
Signing Official's Title. �ia nTf
Has the ORC changed since the previous NDMR? Yes °
Phone Number: Gj tc) a .Z L_�'`� Permit Expiration: " 3 Z©'�
C
A 1— 2S _ �
- f Z- 27- 2022
Signature Date
Signature Date
By this signature, I certify that this report is accu rate 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 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 Resources
Information P—cessing Unit
1617 Mail i ce Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0034715
Facility Name: Concert 12 Oaks,LLC
County: Wake
Month: May
Year: 2022
PP►: 001
Flow Measuring Point: ❑ Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent ❑ Effluent ❑ Groundwater Lowering ❑ Surface water
Parameter Code — ►
50050
>
¢ E
O
c
O
E m
r'
O
3
_o
24-hr
hrs
GPD
1
0
2
0
3
107,520
4
0
5
175,063
6
0
7
0
8
0
9
0
10
0
11
0
12
0
13
0
14
0
15
0
16
0
17
0
18
0
19
0
20
0
21
123,234
22
0
23
0
24
0
25
0
26
0
27
2,815
28
0
29
0
30
0
31
0
Average:
13,182
Daily Maximum:
175,063
Daily Minimum:
0
Sampling Type:
Estimate
Monthly Avr ',nit:
Dai; nit:
Sample Frequency: