WQ0000819_Monitoring - 07-2023_20230926

Monitoring Report Submittal
.....................................................
Permit Number#* WQ0000819
Name of Facility:* Plantation Harbor
Month: * July
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2023
Upload Document*
PH Eff 7-23.pdf 72.37KB
PDF Only
PH Spray-7-23.pdf 74.71 KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Kevin W Mullineaux
9/26/2023
This will be filled in automatically

Reviewer: Wanda.Gerald
Is the project number correct?* WQ0000819
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 9/26/2023

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Kevin Mullineaux dame: Environbment One
Name: Name:
[A Comipliarrt "°�'��`
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
action(s) taken. Attach additional sheets if necessary.
Due to in house computer crash as well as repeated calls to obtain e-submittal forms that was not returned, this monyths reports are being filed on older forms and submitted by mail. This also caused this
report to be filed later than normal.
Operator in Responsible Charge (ORC) Certification Permtttee Certification
ORC Kevin Mullineaux Permittee: Plantation Harbor HOA
Certification No.: 10708 Signing Official: Croft Register
Grade: IV Phone Number: 252-723-0101 Signing Official's Title:
Has the ORC changed since the previous NDMR7 O yes [D No Phone Number: 609-238-9694 Permit Expiration: 12/22/2022
9-zi -23
Signature
Date i9 to Date
By this signature. I certify that oas report is ecarrate and canplele to the best of my knowledge• i certify, under penalty of taw, that flits doaxnerd and at attachments were primed under my die� or supervision in
accordance with a system designed to assure that all qualified personnei prop" gattierad and evaluated the information
subndted. Based on my inquiry of the person or persons who manage Hie system, or ttase persons directly responsible for
gatherdig the information, the information submitted is, to the best of my knowledge and beget, truer aoaXMe, and oomplete. i am
aware that there are significant penalties for surbnilt♦ng false information, Kw*x v die Possibility of flies and imprisonment for
know 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
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