WQ0002056_Monitoring - 10-2023_20231113

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * October
WQ0002056
Patriots Place MHP
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*
PP 10-2023.pdf 264.77KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Mikel Seely
Reviewer: Wanda.Gerald
11 /13/2023
This will be filled in automatically

Is the project number correct?* W00002056
Is the monitoring report accepted?* Yes NO
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 11/14/2023

FORM: NDAR-1 05-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page at
Faditty Name: Patriots Place Mobile Home Park
D • Irrigation occur
at this facility?
■ YES o No
Hourly

FORM: NDAR-1 Mi I NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
o Compliant
© roe-comalark
Were adequate measures taken to prevent effluent ponding In or runoff from the sites?
o Compliant
❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
a Compliant
❑ hlorrcornpllant
Were all setbacks listed in your permit maintained for every application to each permitted site?
a Compliant
❑ Non-C-ompllant
Were all freeboards maintained In accordance with the specified freeboard heights In your permit?
o Compliant
❑ Non-Comptlant
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
Permlttee Certification
ORC: Mike] Seely
Permlttee:
Douglas smith
Certification No.: 1004691I
C
Signing Official: Mikel Seely
Grade: SI Phone Number: 910-330-8011
Signing Official's Title: ORC
Has the ORC changed since the previous NDAR-1? ❑ yes p No
Phone Number: 910-330-8011 Permit Exp.: 6/30/26
Signature Date
Signature Date
By this signature, i cer" that tttls repot Is aemorate and complete to the beat of my kr ovAedge.
f centty, uunder penafty of law, that ttds document and all attechmema were prepared under my direction or supervision lnaocorda oe
wtth a system designed to atsum that all qualltied personnel property gathered and evahiated the information submitted. Based on my
Inquiry of the person or persona wfio manage the system, or those persona directly responsible for gathering the Information, the
tmormatfon submitted Is, to the best of my knowledge and belief, true, acarats, and complete. I am aware that there are aign!licant
penaMes for aut>mft ing false information, Indudhg fie possUly of fines and Imprlsortmerd for knowktg violations.
Mall Original and Two Copies to:
Division of Water Quality
Infonnation Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: 0111 156
FaclItty Name: Patriots Place Mobile
•
••
1
11
■ - 0 ■ParameW
MonWng
Point. ■ _ _ ■ Gmmhvater LaAwirg&xface water
•
t - •
r r
Q
NEE ME.
��---------------
©EKE
. ,
�Nz13
------�-
-_----
13
13
13
�i:i�---------------
®
r---------------
®
MEM�-
-
--------
-----
r i
Elm�------�_
------
En
©
r r
---------------
0
Mal -ED
�---------------
El
�i6i:a---------------
El
r r---------------
0
NEF r®-_---_�-
_-_---

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s)
Certified Laboratories
Name: Mikel Seely Name:
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? o Compliant ° NM-CofQ
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 co
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
ORC: Mikel Seely
Cerdficatlon No.: 1004691
Grade: Si Phone Number. 910-330-8011
Has the ORC changed since the previous NDMR? 0 Yes p No
11-1,7-2 T
Signature Date
By Oft signature, I certUy that thks repot is ac=rate and complete to the best of my knowledge.
Permittee Certification
Permittee: Douglas Smith
Signing OfNclal: Mikel Seely
Signing Official's Title: ORC
Phone Number: 423-278-2591
Permit Expiration: 6/30/202E
Signature Di
I off, under penalty of iaw, that Us document and afl attadertents were prepared under my dkecdon or super
accordance wUh a system designed to assure that al qualGled personnel properV gathered end evakrated the kf
submitted. Based on my In9utry of the person or persons who menage fhe system, or those persons dkec raspy
gathe" the kfonrAlon, the information submitted is, to the beat of my knowledge and beW, true. a=xate, aril cc
aware that there are significant penalties for submitting false information, krckrding the possbifty of fines and Impris
knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mall Service Center
Raleigh, North Carolina 27698-1617