WQ0000088_Monitoring - 01-2023_20230221 (2)

Monitoring Report Submittal
.....................................................
Permit Number#* WQ0000088
Name of Facility:*
Month: * January
Report Information
Governors Club WWTP
Year:* 2023
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR Governors Club Spray January 2023.pdf 3.97MB
PDF Only
NDMR, NDAR-1, NDAR-2, NDMLR Governors Club January 2023 NDMR.pdf 631.01KB
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: * Roy Lyons
Signature:
Date of submittal: 2/21/2023
This will be filled in automatically
Initial Review

Reviewer: Wanda.Gerald
Is the project number correct?* WQ0000088
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 4/18/2023

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

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Roy Lyons Name: Enco 591/ Eurofins 269
Name: Name: Aqua 5051
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? El Compliant El Non -Compliant
if the facility is non -compliant, please explain in the space below the lreason(s) tl`y= facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
actici,;i's) taken. Attach additional sheets if necessary.
[114/23 1 itrit flagged - J - Result is less than RL but greater than or equal to the 1 and the concentration is an approximate value. 1/18/23 Phosphorous flagged - F1 - MS and /or MSD recovery exceeds
control limits.
Operator in Responsible Charge (ORC)
ORC: Roy Lyons
Certification No.: 1005944
Grade: IV Phone Number: 9197323-1213
Has the ORC changed since the previous NDMR? El Yes 21 No
Signature Date
By this signature, I certify that this report is accurrate and c,-Irnplete to the '_,eSt of my :is­wledge.
V
I
Permittee Certification
Permittee: Aqua North Carolina
Signing Official: Katie Dickens
Signing Official's Title: Field Supervisor 2
Phone Number: 910-695-5846 Permit ENpiration: 7/31/2023
Signature Date
I certify, under penalty of law, that this document and all attachments were p if -,-! under my direction or supervision in
accordance with a system designed to assure that all qualified personnel prope ^ etherecl 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. : 1,
Mail Original and Two Copies to:
Division of Water Resources
Information Processing.Unit
1617 Mail Service Center