WQ0022870_Monitoring - 01-2023_20230228 (2)

Monitoring Report Submittal
.....................................................
Permit Number#* WQ0022870
Name of Facility:* Chapel Ridge
Month: * January
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2023
Upload Document*
Chapel Ridge (NDMR) January 2023.pdf 613.71 KB
PDF Only
Chapel Ridge (NDAR-1) January 2023.pdf 4.23MB
PDF Only
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: * Zach Campbell
Signature:
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Date of submittal: 2/28/2023
This will be filled in automatically
Initial Review

Reviewer: Wanda.Gerald
Is the project number correct?* WQ0022870
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 3/22/2023

FORM: NDMR 03-12 NON DISCHARGE MONITORING REPORT (NDMR) Page � of 12-

FORM: NDMR 03-12 NON-DIS ;HARGE MONITORING REPORT (NDMR) Page ✓ of �
Sampling Person(s). Certified Laboratories
Name: Eric Riggins Name: Enco 591/ Eurofin 269
Name: j Name: Aqua 5051
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0 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
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Eric Riggins
Permittee: Aqua North Carolina
Certification No.: 1004049
Signing Official: Katie Dickens
Grade: Ii Phone Number: 9196258275
Signing Official's Title: Field Supervisor
Has the ORC changed since the previous NDMR? ❑ Yes o No
Phone Number: 910 695 5846 Permit Expiration: 9/30/2023
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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
I
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
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knowing violations.
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Mail Original and Two Copies to:
Division of Water Resources
Information Processing unit
1617 Mail Service Center