HomeMy WebLinkAboutWQ0037555_Monitoring - 01-2023_20230501Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * January
WQ0037555
Trillium Links & Village
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*
WQ0037555-1-23. pdf 1.44M B
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
kreese@rpbsystems.com
Kimber Reese
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Reviewer: Wanda.Gerald
5/1 /2023
This will be filled in automatically
Is the project number correct?* WQ0037555
Is the monitoring report accepted?* Yes No
Regional Office* Asheville
Reviewer: _anonymous
Review Date: 5/1/2023
FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page 1 of 4
Permit No.: WQ0037555
Facility Name: Trillium Links & Village
County: Jackson
Month: January
• infiltration occur
this facility?
Area (acres):
Area (acres):
Area (acres):
Area (acres):
NO
Rate ••
Rat,•,
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Rate•,
Site Infiltrated?
Site Infiltrated?
Site Infiltrated?
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Monthly Loading (GPD /ft):
Year to Date Loadin
FORM: NDAR-2 10-13 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?
121 Compliant ❑ Non -Compliant
Compliant ❑ Non -Compliant
El Compliant ❑ Non -Compliant
Fz] Compliant ❑ Non -Compliant
2 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: 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? ❑ Yes 0 No
Phone Number: 828-251-1900 Permit Exp.: 12/31/27
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Signature VI 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 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 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: January
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Monthly Limit:
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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? 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
actlont,$) taken. Httacn aooltional sneets It 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 NDMR? ❑ yes [,] No Phone Number: (828) 251-1900 Permit Expiration: 12/31/2027
"r Signature - \ Date
By this signature, I certify that this report is accurrale and complete to the best of my knowledge.
I V ` ), Z1 Z3
Signature Date
I certify, under penally 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617