WQ0015515_Monitoring - 03-2020_20200420

'rORM N'6MR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: W00015515
Facility Name: Bear Pen Village WWTP
County: Watauga
Month:
Year: 2-62.o
PPI: 001
Flow Measuring Point:
Parameter Monitoring Point:
i
Parameter Code —0
50050
00310
50060
31616
00610
00625
00620
00600
00400
00665
00530
m
c
O
O
R
L
q
H
U-O m_
t. U
m
0
E
Q
v c
Y o
z
c
OO
a
te.0
wC
H
oO
d
d
"Q
O EL
N
24-hr
hrs
GPD
mg/L
mg1L
#/100 mL
mg/L
mg/L
mg/L
mg/ L
su
mg/L
mg/L
1
6 a
O
2
/
30
3
4
5
6
6
p
7
8
/2vv
a
10
11
p 36
/
ems_
12/6/S
13
qYOZO
14
15
16
/
Ye
17
18
6 O
, S
19
G ?v
20
6 c,,o
S
/a
21
6
22
GcfcIV
o
23
�j
6
24
25
26
(� s
S
p
27
fj
28
zsp
l
.s
2 LO
30
0 .30
S
76'6
_
31
Ij /
2,c>
Average:
p
Daily Maximum:
52.o
y
q
Daily Minimum:
Q
i
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
10,000
Daily Limit:
Sample Frequency:
Continuous
4 X Year
1 Weekly
4 X Year
4 X Year
4 X Year
4 X Year
4 X Year
i Weekly
4 X Year
4 X Year

FORM: NDMR 05-16
NON -DISCHARGE MONITORING REPORT (NDMR)
Sampling Person(s)
5�� � �/ �� 1—� Name:
Certified Laboratories
V ``'Jj
Name•
Name: / , �
N
Name:
Page of
Does all monitoring data and sampling frequencies meet the requirements
If the facility Is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. iPrtAideaiChmenta AOf your permit? om liant ❑ton -Compliant
n your
taken. Attach additional sheets if necessary, explanation the dates) of the non co liance and describe the corrective action(sj
Operator in Responsible Charge (ORC) Certification
ORC:
Permittee Certification
O l-c $ GCG� j-
/ Permittee:� �1 /
Certification No.: l S 2 < � // 'v!
Signing Official: <—, �i` V
Grade: ! Phone Number: S20 7Z23 l!
c Signing Official's Title: d ��
Has the ORC changed since the previous NDMR? Yes [] `> NO Phone Number. �Zd 2� � 6 2 3
Permit Expiration:
Signature ` L�
Date Signature
By this signature, I certify that this report is accurrate and complete to the best Of my knowledge, Date
I certify, under penally of law, that this document and all attachments were prepared under my direction or supervision in accordance
�+lth a system designed to assure that an qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persona who manage the system, or those persons directly resPonsrble for gathering the iriorrr ation, the
htormaWn submitted is, to the beat of my knowledge and belief, true, accurate, and complete, I am aware tliat there are significant
Penalties for submitting false WOrrrtation, indud' the
rn8 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
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1 ) Page of
County: Watauga
,
irrigationDid at this facility?
11
'.■,��`
'
�.,.�'��,-
1 .�■®Ili
Hourly Rate (in):
.I
1
1.
,;. i � : �
. 1 .
'. ! � is � ♦
��.
.1 IVJBull
NNM
r:
r
ammmEmmillm
VAPP M
a
a��■
■ate
�w�ra�r����
r���
����
m
mom==■�
mom■
mmmm�
mrar
fOMM
���i■
i��■�;WAAMrRm0wm
r4m 5
mmmmmm
i
MMMANUMM
iir■
��■��c�r.
rarx�n�rrr�����
mm
Nam
��
����
��
ZZA
M M5olI
M
i 1
c�
-OEM
1 .
st{

FORM: P4QAR-1 tYs it3 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
cornplient ❑ ikon -Compliant
Were adequate measures taken toprevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
❑ �,-can,p�arn
Were all setbacks listed in your permit maintained for every application to each permitted site?
ran-camp�„t
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
n ►�,-ant
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 nor -compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible change (OlM Certification
ORC: Scott Vasgaard
Certification No.: 18595
Grade: SI Phone Number. 828-2976234
Has the ORC changed skws the previous NDAR-1? ❑ yes p No
7/ Z-1Z
Petmittee:
Heavenly Mnt. Residential Assoc.
signing Official: Scott Vasgaard
signing Officials Title: ORC
Phone Number: 828-2976234 / I Permit Exp.:
11/30/23
v Signature Date
By this *nature, l Signature
Date
aerlify that this report is eccurrate and complete 4o ifie Meet of my knoeviadtie, t ty,Pe�Y of law, that this doa nerd and an alIOterienla Weis supervision in a000tdanae
with
sY designed to assure ttW GO qualified personnel Prepared under my dkedion or
Inquiry of the person or Persons Who rrgrwge the system, ort red arxl evakmted the Mandion Submitted. Based on my
Infom�tion eutxnfl�d is, to the best of n y I Ve ft tie and beret, aoourate M"WO bi® for ysererinp the inflInWon, the
PWWW" for 0AWNtinp fates information, inducting the P044WI ly of fates t �n awaes that !frets are algnticant
imprisorwnert for btovrirg vbiatiorrs.
i
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail service Center