WQ0015515_Monitoring - 04-2020_20200603

FORM: NOMR 0546 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0015515
Facility Name: Bear Pen Village WWTP
County: Watauga
Month: r '
Year: 20 210
PPI: 001
Flow Measuring Point:
Parameter Monitoring Point:
Parameter Code —i
50050
00310
50060
31616
00610
00625
00620
00600
00400
00665
00530
76
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24-hr
hrs
GPD
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
1
/l G
26
3
4
O
5
6
0
6.
7
30
s
7 zc,
9
30
0
c,
X
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30
640
4
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Gv20
13
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21
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22
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23
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24
//
/ 10
251
1076
26
// j
1(0,70
27
28
a!
• S"
2 6
3
-
29
30
31
Average:
(j
Daily Maximum:
(�
g
Daily Minimum:
O
, 7'
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
10,000
Daily Limit:
Sample Frequency:
Corrkinuous
4 X Year
Weekly
4 X Year
4 X Year
4 X Year
4 X Year
4 X Year
Weekly
4 X Year
4 X Year

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Name: �G6
Name:
Sampling Perso
_n
l(s)
C/
Certified Laboratories
Name: t ;vc��e f L eG
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your pennit? C scribe the pliant ❑Non -Compliant
If the facility is non -compliant, please explain in the space belowthe reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non -co pliance and decorrective action(s)
taken. Attach additional sheets if necessarv.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: SG� SGGCC(, J�
Permittee: l �aCi �✓%rd �OSI P / SJ 6
Certification No.: L ��l l
Signing Official: JGa
Grade: Phone Number. �� d Z
Signing Official's Title:
Has the ORC changed since the previous NDMR? ❑Yes ❑No
Phone Number: �z tJ2 `
`J Permit Expiration:
S 6 2e
20
Signature Date
Signature Date
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge.
I certify, under penalty of low, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the inforrnation 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 best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibik'ty 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
WQ0015515
I Facility Name: Bear Pen Village VVWTP
County: Watauga
Did irrigation occur
FieldPermitNo.:
, .
/Field Nam,.
at this facility?
Cover Crop:
Cover Crop:'
Cover Crop:;
Annual Rate (in):
MMMMMMr��iii
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mMMMMM
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MMMM
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FORM: NDAR-1 o5-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of_
Dial the application rates exceed the limits in Attachment B of your permit?
Q non-con,prant
Were adequate measures taken toyprevent effluent ponding in or runoff from the sites? ❑art
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site? EIN -ant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
❑ ftorr-Compliant
If the facility is non-compfiant, please explain in the space below the reason(s) the facility was not in compliance. Provide in yow explanation the date(s) ofthe rw�Hance and describe the corrective
acdon(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Cesrtilication Perrrrittee Certification
ORC: Scott Vasgaard Permittee:
Heavenly Mnt. Residential Assoc.
Certification No.: 18595 Signing Official: Scott Vasgaard
Grade: SI Phone Number: 828-2976234 signing oificiars Title: ORC
Has the ORC changed sirte.-ja the previous NDAR-1? 0 Yes p No Phone Number: 828-2976234 Permit Exp.: 11f 23
Signature Date Signature Date
By this signature, l certify tl*t this report la accurate and oompkete to the best of my krwMedye. i catify, under pesky of law, that this document and Of allachrnents were prepared under my direction or supervision in accordance
vvMh a system daslgned to assure lust Of "WoOd personnel properly gathered and evalwted the kYotnation subrnitbed. aaesd an my
kquiry of the person or persons who manage the system, or time persons directly responsiMe for gaMsrhng #* inio m"on,
kdwmeMon sut n*W is, to the best of my knowledge and belief, true, sowsOne
ate, and conrnplete. I am swats that there are eigniOne
perakbs for eubMMtng false irrforrrtantlon, incknding the possWip(y of fsas aM knproonawt for knowing viotaft ta.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center