WQ0015515_Monitoring - 05-2020_20200708

FORM ;.IDMR 05-16 NON -DISCHARGE MONITOFING REPORT (11DMR) Page
Permit No.: W00015515 Facility Name: Bear Fen Village WWTF'
ity; Watauga
Month: ' �
Year:
PH: 001
Fi:)wr Measuring Point:
Parameter Monitoring Point:
Parameter Code --r
5W50
00310
50060
31616
�00610
00825
M20
00600
00400 00665
0053E
0
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�" 7 lit
23-hr
hrs
GPD
mg/L
mgtL
#I100 riL
mglL
ma)IL
mg/L
mg/L
Sul mg/L
mglL
1
2
6. �
3
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4
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7
d.
5
old
6
7
30
7Ci
$
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9
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10
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12
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16
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17
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18
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19
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20
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21
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22
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23
24
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25
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<' U
26
27
30srGb
28
29
3o
y
—
30'
Average:
�. . O
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b
"�
.-7
. S
Daily Maximum:
,
�tj
�`�. o
2.S
•
Daily Minimum:
r-O
2.
•Grab
Sampling Type:
R�,=der
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
10,000
Daily Limit:
IWeekly
Sample Frequency:1
Co atinuous I4
X Year
4 X Yea
4 X Yew
4 X "ear
4 X Year
4 X Year
Weekly
4 X Year
4 X Yea

FORM: UDMR 05-16 NON -DISCHARGE MONITORING REPORT (IJDMR) Page '`of
Sam ding Person(s) Cortified Laboratorieac
Name: 111 Ste( et Gt Name:
Name: J Name:
Does all monitoring data and Sampling frequencies meet th,D requirements in Attachment A of your permit? ient LIton-rompt;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(a) of the non lance and describe the corrective action(s)
taker Attar�h aria ifinnof ahmfa if ---
Operator in Responsible Charge (ORC) Certification
Permit6�ae Certlflcatlor�
ORC: j Ca` �CC S� Gc_� r'
J
Awmittee: 11�n 100/1, l
Certification No,: 1S 21 l
Signing Offtiai:
(trade: � Phone Number: �2 � �� J �
Signing Official's Titla:
Has tho ORC changed sinh:e the previous NDIMR? (]yes ❑No
Phone Number: 2q ?� Permit Expiration:
Signature Date
'Signature E Date
By lute signaturn, I corny turd this report k accuraate and complete to the best of my bhowiedgr .
t ce AKy, order penally of low, that the doehanerht and at atadirhants were prepanad under my direction or shDervisiorh in accordance
Y*1 a system designed to escaae that all rpr Wod perso vial property gathered anc evaluated the information submitted. Based on my
inquiry of the person or poisons who manage"sysem, or those persons dm*y responsible for gatheft On inlom ation, the
Irr'ormation s bm itled is, to the best of my knovrledge rand belief, true, accurate, and complete. I am aware Ghat there are signftent
penakiss for subndtft false Wom ation, khduding the posaibW of fines and inpdsonms, for knowing vaobWns.
e
Mail Original and Two Cop" to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Caroliria 276994617

FORM: NDAR-1 05-16
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page
fto
PermitNo.: WQ0015515
Facility Name: Bear Pen Village WVVTP
County:
• irrigation occur
at this facility?
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FORM: NOAR-1 t�-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to,prevent effluent ponding in or runoff from the sites?
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?
Were all freeboards maintained in accordance with
th ified free
e spec board heights in your permrt?. omn-canpaent
If the fact ft is non-compfrank please explain in the space below the reascn(s) the facility was not in compkince. Provide in your explanation the dates) of the mpNance and describe the corrective
acdon(s) taken. Attach additional sheets N necessary,
Nu
Openalrge or in Responsible Cha(ORC) Ceon
Pertnitbae Certlficatiort
ORC: Scott Vasgaard:
Heavenly Mnt. Residential Assoc.
Certification No.: 18595 signing Official: Scott Vasgaard
Grade: SI Phone Number: 828-2976234 signing Official's Title: ORC
Has the ORC changed since e previous NDAR-1�
❑ yes t] Phone mber 2976234
the Permit Exp.: 11/30/23
Signature gate signature Date
ay this aiwnat—, i cerf8y tlat this report is aoaxrate and oonrPide to the beet of my knom"ge. 1
oer0fy, under peraMy of law. that this doaarrsrit and d eUscfrrrsrrts wen prepared Under ny direction orsupervision in aocordenoe
wwr as dDO;rwd to ere nuthe all qw Mlisd personnel propwy tt 9wor and enk*ed the (�»malion OL6m aed, asaad on my
person a perms who manage ere sy+lem, or time Persons dksclly reaporoftle for paltsdrnp the Wonration, Ms
Wornwtion subrrAbod is, to ure boot of mloo y rMutpe and brief, Inn, aoaaste, and oompiele. i am avow that lore are skntRco t
peruse foren>brr9Mirrp Nft 1M muAlom i vW ft the poodAy of arise and krprie mar t for N wAft vloigdons.
- it
Mail Original and Two Copies to:
Division of Water Resources
Infonnation Processing Unit
1617 Mail Service Canter