WQ0000819_Monitoring - 11-2023_20240111

Monitoring Report Submittal
.....................................................
Permit Number#* WQ0000819
Name of Facility:* Plantation Harbor
Month: * November
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 11-23-a.pdf 42.65KB
PDF Only
PH-Eff-11-23-b.pdf 26.79KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Kevin Mullineaux
1 /11 /2024
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: 1/11/2024

FORM: NDMR 03-12 NOMASCHARGE MONITORING REPORT (NDMR) I I' ,� 3 Page of
Sampling Person(s)
Name: Kevin Mullineaux
Name: Environbment One
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 2 `aroant 11 Non -co pkVt
if the tacility is non-compbant, please explain in the space below the reason(s) the facility wn not in compliance. Provide m your explanation the date(s) of the non-cornpbanoe and describe the corrective
Operator In Responsible Charge (ORC) CertfNcadon
Peffnht a Certification
ORC: Kevin Mullineaux
Panrdttee: Piantation Harbor HOA
Certification No.: 10708
Signing Official: Croft Register
Grade: N Phone Number: 252-723-0101
Signing Official's Title:
Has the ORC nged since the pn rAmts NDMR7 ❑ Yes No
Phone Number. 238-9694 Pennit FXpiration. 12i=022
IL � :;2l _, � _j
Signature Date
Signatu ; Date
By Cis gym, I oerttfy and Vis report Is acasrate and oornplete to the best of my lops•
I cefft. under penally of law, tat ttis document and as anschr ads were prepared under my directiorn ar supavieion Yn
amordenos Milk a eys6em desOned to assure that al quMW psi son, el propxN gwher d and ev&IMM the aformation
arbrnlCed. Based on my kxpky of U* person or persona who manage We system, or those persons dsecly responaidle for
9800 ig the k4annation. doe k0ormadon sLbnnkted is, to the beat of ny IunoaiwW and beW, true, aoarffie. and complete. I am
aMnare that awa are perbabas for submnieip false kn/ormaaon, indu I the posalWy ofIYnea and k prfsonnenl for
knoMlmg vblaliorn.
Mall Original and Two Copies to:
Division of water Resources
Inforrnation Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27SWI617

FORM: NDMR 03-12 NON4NSCNARGE MONITORING REPORT (NDMR) Page L of Z
Permit No.: Ail!!'
Plantation HarborNovember
1
Flow Measuring
Point: [211rdkent E]Effkj&t El No flow ,. �.
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