WQ0000088_Monitoring - 12-2023_20240123

Monitoring Report Submittal
.....................................................
Permit Number#* WQ0000088
Name of Facility:*
Month: * December
Report Information
Governors Club WWTP
Year:* 2023
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR Governors Club NDMR Dec.2023.pdf 78.65KB
PDF Only
NDMR, NDAR-1, NDAR-2, NDMLR Governors Club NDAR Dec.2023.pdf 859.44KB
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: * Roy Lyons
Signature:
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Date of submittal: 1/23/2024
This will be filled in automatically
Initial Review

Reviewer: Wanda.Gerald
Is the project number correct?* WQ0000088
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 5/22/2024

ORNDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2— Of jA
Sampling Person(s) Certified Laboratories
Name: Roy Lyons Name: Enco 591, .' Eurofins. 269
Name: Name: Aqua 5051
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 10 Compliant 0 Non -Compliant
action(s) taken. Affach additional sheets K necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Roy Lyons Permittee: Aqua North Carolina
Certification No.: 1005944 Signing Official: Wesley Bishop
Grade: IV Phone Number: 919-323-1213 Signing Official's Title. Field Supervisor
Has the ORC changed since the previous NDMR? 0 Yes 13 No Phone Number. 919-653-5760 Permit Expiration: 7/31/2023
Signature Date Signature Date
By this signature I candy 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 pemonnel 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 Dal 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
Naleigh, Ng�-rrf, CaroliTo 2769!L-1Wj