WQ0030088_Monitoring - 02-2023_20230522

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * February
Report Information
WQ0030088
Majestic Oaks Subdivision
Type *
Revised - NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2023
Upload Document*
Majestic Oaks NDAR NDMR February 2023 231.07KB
Revised .pdf
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: * Dominic Whicher
Signature:
Date of submittal: 5/22/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0030088
Is the monitoring report accepted?* Yes No
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 5/22/2023

FORM: NOMR 03-12 NON -DISCHARGE MONITORING REPORT (NOMR) Page 1 of 2
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rUKM: NUAK-2 1.18-11 NON -DISCHARGE APPLICATION REPORT (NDAR-2) rage;e of 2
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? C6
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? � �
activated standby power source tested and
Was the onsite automatically ac# y operational? p
If the facility Is non-compllant, 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
ORC: Stanley Buck
Certification No.: 993396
Grade, 3 phone Number: 252-503-5307
Has the ORC changed since the previous NDAR-2?
'5. E $_6 �' I �11 I
Signature Date
By this signature, I certify that this report is accurrate and complete to the beat of my knowledge.
PermIttee Certification
Permlttee: Old North State Water Company, LLC
Signing official: John McDonald
Signing official's Title: P(-� }(/+{ 4
Phone Number. 'L©S S r3 Z C>b Permit Exp_ 8/31/21
Signature Date
I oartify, under penalty of law, that this document and all attachments were propared under my direction or supervision in accordance
with a system designed to assure that all quallffed 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
Informalion submitted Is, to the bast of my knowledge and belief, true, accurate, and complete. I am aware that there are significent
penalties for submitting false Information, Including the possibifty of fines mid 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

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t-ORM. NUMN na-Tz NON -DISCHARGE MONITORING REPORT (NDMR) Nage :j or i
Sampling Person(s)
Name: Stanley E. Buck
Name:
n compif , Non- 11 Name: Environment 1
Name:
Cerdfled Laboratories
Does all monitoring data and sampling frequencies meet the requirements In Attachment A of your permit?
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
actlon(s) taken. Attach additional sheets if necessary.
ijlYe INo
Operator In Responsible Charge (ORC) Certification
ORC: Stanley E. Buck (II
Certification No.: 993396
Grade: III Phone Number: 252-503-5307
Has the ORC changed since the previous NDMR?
• Cyr \..����
Signature
By this signature. I certify that this report Is aecurrate and complete to the best of my knowledge.
Date
Permittoo Certification
Perm Ittee: Old !North State Water Company
Signing Official: John McDonald
Signing Official's Title: �r'�j II A4
Phone Number: 0� JZ(� )TZ Ud Permit Expiration:
Signature
8I3112021
Date
I certify, Under penalty of law, that this documont slid all attachments wore prepared under my direction or supervlslon 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 parsons directly responsible for
gathering the information, the Information submirod is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are signkAcanl pens des for submltUng false Information, includlng the posslbgity of fine$ and Imprisonment for
knowing violations,
Mail Original and Two Copiers to:
Division of Water Quality
Information Processing Unit
1617 Mall Service Center
Raleigh, North Carolina 27699-1617