WQ0037555_Monitoring - 07-2023_20230829

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month:* July
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*
WQ0037555-7-23.pdf 1.57MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Kimber Reese
C !(/ &t —'; F�41Jf'
Reviewer: Wanda.Gerald
8/29/2023
This will be filled in automatically

Is the project number correct?* W00037555
Is the monitoring report accepted?* Yes NO
Regional Office* Asheville
Reviewer: _anonymous
Review Date: 9/13/2023

FORM: NDAR-2 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-2) Page 1 of 4

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 pronding 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?
[2] Compliant ❑ Non -Compliant
[,] Compliant ❑ Non -Compliant
❑ Compliant I Non -Compliant
❑ compliant ❑ Non -Compliant
L,] 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 (CRC) Certification Perm ittee Certification
ORC: Kenneth Jason Rummel Permittee: Trillium Links & Village
Certification No.: 1010634 Signing Official: Robert Barr
Grade: Sl Phone Number: 828-251-1900 Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-2? ❑ Yes No Phone Number: 828-251-1900 Permit Exp.: 12/31/27
L AL
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 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

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 4 of 4
Sampling Person(s)
Name: Kenneth Jason Rummell
Name
Name: Pace Analytical
Name:
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
7 compliant 71 Nun -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: Sl Phone Number: [phone] Signing Official's Title: Signatory
Has the ORC changed since the previous NDMR? [I Yes [,11 No Phone Number: [phone] Permit Expiration: 12/31/2027
L__jZ4
SignLiture 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 Linder 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