WQ0034715_Monitoring - 06-2024_20240704

Monitoring Report Submittal
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Permit Number#* WQ0034715
Name of Facility:*
Month:* June
Concert 12 Oaks, LLC
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2024
Upload Document*
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: * John Parrish
Signature:
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Date of submittal: 7/4/2024
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald
Is the project number correct?* WQ0034715

Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 7/8/2024

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: John Parrish Name:
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 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 (ORC) Certification
Pennittee Certification
ORC: John Parrish
Permittee: Concert 12 Oaks, LLC
Certification No.:
Signing Official: John Parrish
Grade: Phone Number: 919422-8665
Signing Officials Title: Superintendent
Has the ORC changed since the previous NDMR? ❑ Yes 0 No
Phone Number: 919-422-8665 Permit Expiration:
L___5 P"wz
Signature Dale
Signature Date
Ztty,
By this signature, I certify that this report Is acnxrate and complete to the best of my knovlvdge
under penalty of law, that this document and aM attachments were prepared wrier my direction or supervision in
accordance oath a system designed to assure that an quat,hed personnel property gathered and evalualed 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 lnformation submtted is, to the best of my knowledge and belief, true, acaualo, and complete I am
aware [hat there are significant penalties for submitting false Information, including the possibrkty, of lines and imprisonment for
knovnng 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 of
Permit No.: WQ0034715
Facility Name: Concert 12 Oaks,LLC
County: Wake
Month: June
Flow Measuring Point: L Influent E Effluent L No flow generated
Parameter Monitoring Point: Influent Effluent Groundwater Lowering Surface Water
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