WQ0015515_Compliance Evaluation Inspection_20200928

DocuSign Envelope ID: 12B23E8E-7B00-4E8F-A354-7864A6546D6C
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ROY COOPER
NORTH CAROLINA
Governor
Environmental Quality
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
September 28, 2020
Mr. Peter Sterling, President
Heavenly Mountain Residential Association, Inc.
1896 Heavenly Mountain Dr.
Boone, NC 28607
Subject: Compliance Evaluation Inspection
Heavenly Mountain Residential Association, Inc.
Bear Pen Village, Wastewater Irrigation System
Permit No. WQ0015515
Watauga County
Dear Mr. Sterling,
On September 22, 2020, staff of the North Carolina Division of Water Resources Winston-Salem Regional
Office (DWR) performed an announced routine compliance inspection of the subject wastewater irrigation
system. This compliance inspection was conducted by DWR staff person Patrick Mitchell. A separate DWR
in -office file review of the self -monitoring report records for the period of January 2018 through July 2020
was also conducted. The inspection reflects compliance with the subject permit. However, the following
item of concern warrants your attention:
The saturated area on the ground between the 1 million -gallon effluent storage tank and the drip controls
building continue to persist. There was no visual evidence observed of the tank leaking at the time of
the inspection. Please continue to closely monitor the effluent storage tank to determine if leaking
and make any repairs necessary.
Please refer to the enclosed compliance inspection report form for additional observations and comments.
If you have any questions regarding this letter, please contact Patrick Mitchell or me at the letterhead address
or phone number, or by email at patrick.mitchell&ncdenr. ov or Ion. sniderkncdenr. gov.
Sincerely,
DocuSigned by:
on 49� c�er, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ — WSRO
enc.: Compliance Inspection Report
cc: Mr. Brice Leonard, Property Manager (Electronic copy)
Mr. Scott Vasgaard, ORC (Electronic copy)
Watauga County Environmental Health (Electronic copy)
NCDWR Laserfiche File WQ0015515, WSRO Electronic Files
North Carolina Department of Environmental Quality I Division of Water Resources
Winston-Salem Regional Office 1450 W. Hanes Mill Road, Suite 3001 Winston-Salem, North Carolina 27105
336-776-9800

Comoliance Insoection Resort
Permit: WQ0015515 Effective: 12/01/18 Expiration: 11/30/23 Owner : Heavenly Mountain Residential Association
Inc
SOC: Effective: Expiration: Facility: Bear Pen Village WWTP
County: Watauga Summit Rise Dr
Region: Winston-Salem
Boone NC 28607
Contact Person: Bill Stevens Title: Phone: [phone]
Directions to Facility:
System Classifications: SI, WW2,
Primary ORC: Scott Richard Vasgaard
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 09/22/2020 Entry Time 11:15AM
Primary Inspector: Patrick Mitchell
Secondary Inspector(s):
Certification: 18595 Phone: [phone]
Exit Time: 01:OOPM
Phone: [phone]
Reason for Inspection: Routine
Inspection Type: Compliance Evaluation
Permit Inspection Type: Wastewater Irrigation
Facility Status: Compliant ❑ Not Compliant
Question Areas:
Treatment Flow Measurement -Effluent
Treatment Flow Measurement -Influent
Miscellaneous Questions
Treatment Flow Measurement -Water
Treatment
Treatment Barscreen
Use Records
Treatment Filters
Record Keeping
Treatment Activated Sludge
Treatment Sludge Storage/Treatment
End Use -Irrigation
Treatment Clarifiers
Treatment Disinfection
Treatment Flow Measurement
Treatment Return pumps
Storage
Standby Power
(See attachment summary)
Page 1 of 7

Permit: WQ0015515 Owner - Facility: Heavenly Mountain Residential Association Inc
Inspection Date: 09/22/2020 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
On September 22, 2020 WSRO staff conducted an inspection of the subject facility. Mr. Scott Vasgaard, ORC accompanied
staff on the inspection. This inspection also included a review of self -monitoring report data for the period of January 2018
through July 2020. The inspection reflects compliance with the permit. Below is a summary of notes from the inspection.
Concerns:
• The saturated area located between the effluent storage tank and the irrigation pump building is still present No leaks were
observed on the sidewalls of the storage tank. Continue to review and requested facility keep an eye out for leaks or source
of the saturated area. It should be noted that there was no evidence of runoff from the saturated area, it appears infiltration is
occurring.
• The bar screen serving the WWTP had excessive debris present and needs to be cleaned.
• Some extended periods reported with no irrigation due to low influent flows. Recommend exercising drip zones and pumps
more regularly to maintain the system and also to maintain adequate freeboard moving into the wet and cold period of the
year.
Other Notes:
• The drip irrigation system was calibrated and reported to be within 10% of reported irrigation volumes.
• Reviewed lab results for November 2019 and May 2020 NDMR reports, and found to be accurate.
• The effluent flow meter was last calibrated May 2020 and within 10% of reported flows.
• Reviewed 2019 soil sampling results — OK. The 2020 sampling has not been conducted yet. CHECK NEXT VISIT
• Some irrigation zones had soil pH reported less than 6.0. However, effluent pH typically is reported —6.8 — 7.0 with low
strength wastewater. Vegetation in irrigation zones appears healthy with no issues noted — OK.
• Residuals last removed May 2020 according to receipts onsite.
• Did not review drip irrigation zones in operation. CHCEK NEXT VISIT. Reviewed downslope areas from zones #1 and #2
accessing from Golden Gate Rd., no evidence of runoff observed below drip zones.
Page 2 of 7

Permit: WQ0015515
Inspection Date: 09/22/2020
Owner - Facility: Heavenly Mountain Residential Association Inc
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Type
Yes No NA NE
Recycle/Reuse
❑
Single Family Spray, LR
❑
Single Family Drip
❑
Activated Sludge Spray, LR
❑
Lagoon Spray, LR
❑
Infiltration System
❑
Activated Sludge Spray, HR
❑
Reuse (Quality)
❑
Activated Sludge Drip, LR
Treatment Yes No NA NE
Are Treatment facilities consistent with those outlined in the current permit? 0 ❑ ❑ ❑
Do all treatment units appear to be operational? (if no, note below.) 0 ❑ ❑ ❑
Comment:
Treatment Flow Measurement -Influent Yes No NA NE
Is flowmeter calibrated annually? ❑ ❑ 0 ❑
Is flowmeter operating properly? ❑ ❑ ❑
Does flowmeter monitor continuously? ❑ ❑ ❑
Does flowmeter record flow? ❑ ❑ ❑
Does flowmeter appear to monitor accurately? ❑ ❑ ❑
Comment: Effluent flow meter present on WWTP prior to storage. Measures flow through treatment
s sy tem.
Treatment Flow Measurement -Water Use Records Yes No NA NE
Is water use metered? ❑ ❑ ❑
Are the daily average values properly calculated? ❑ ❑ 0 ❑
Comment:
Treatment Flow Measurement -Effluent
Yes No NA NE
Is flowmeter calibrated annually?
❑ ❑ ❑
Is flowmeter operating properly?
❑ ❑ ❑
Does flowmeter monitor continuously?
❑ ❑ ❑
Does flowmeter record flow?
❑
0 ❑ ❑
Does flowmeter appear to monitor accurately?
0
❑ ❑ ❑
Comment: Manually recorded flow values.
Standby Power Yes No NA NE
Page 3 of 7

Permit: WQ0015515 Owner - Facility: Heavenly Mountain Residential Association Inc
Inspection Date: 09/22/2020 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Is automatically activated standby power available? 0 ❑ ❑ ❑
Is generator tested weekly by interrupting primary power source? 0 ❑ ❑ ❑
Is generator operable? 0 ❑ ❑ ❑
Does generator have adequate fuel? 0 ❑ ❑ ❑
Comment:
Treatment Barscreen Yes No NA NE
Is it free of excessive debris? ❑ ❑ ❑
Is disposal of screenings in compliance? ❑ ❑ ❑
Are the bars spaced properly? ❑ ❑ ❑
Is the unit in good condition? 0 ❑ ❑ ❑
Comment: Excessive debris present and needs to be cleaned.
Treatment Activated Sludge
Yes No NA NE
Is the aeration mechanism operable?
0
❑ ❑ ❑
Is the aeration basin thoroughly mixed?
0
❑ ❑ ❑
Is the aeration equipment easily accessed?
0
❑ ❑ ❑
Is Dissolved Oxygen adequate?
❑
❑ ❑
Are Settleometer results acceptable?
❑
❑ ❑
Is activated sludge an acceptable color?
0
❑ ❑ ❑
Comment:
Treatment Clarifiers
Yes No NA NE
Are the weirs level?
❑ ❑ ❑
Are the weirs free of solids and algae?
❑ ❑ ❑
Is the scum removal system operational?
❑ ❑ ❑
Is the scum removal system accessible?
❑ ❑ ❑
Is the sludge blanket at an acceptable level?
❑
❑ ❑
Is the effluent from the clarifier free of excessive solids?
❑ ❑ ❑
Comment:
Treatment Return pumps Yes No NA NE
Are they in place? 0 ❑ ❑ ❑
Are they operational? 0 ❑ ❑ ❑
Comment:
Treatment Filters Yes No NA NE
Is the filter media present? 0 ❑ ❑ ❑
Is the filter media the correct size and type? ❑ ❑ ❑
Is the air scour operational? 0 ❑ ❑ ❑
Page 4 of 7

Permit: WQ0015515 Owner - Facility: Heavenly Mountain Residential Association Inc
Inspection Date: 09/22/2020 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Is the scouring acceptable? 0 ❑ ❑ ❑
Is the clear well free of excessive solids? 0 ❑ ❑ ❑
Is the mud well free of excessive solids and filter media? 0 ❑ ❑ ❑
Does backwashing frequency appear adequate? 0 ❑ ❑ ❑
Comment:
Treatment Sludge Storage/Treatment Yes No NA NE
Is the aeration operational? 0 ❑ ❑ ❑
Is the aeration pattern even? 0 ❑ ❑ ❑
If required, are Sanitary "Ts" present in tankage? ❑ ❑ 0 ❑
Comment:
Treatment Disinfection
Yes No NA NE
Is the system working?
0
❑ ❑ ❑
Do the fecal coliform results indicate proper disinfection?
❑ ❑ ❑
Is there adequate detention time (>=30 minutes)?
❑ ❑ ❑
Is the system properly maintained?
❑ ❑ ❑
If gas, does the cylinder storage appear safe?
❑
❑ ❑
Is the fan in the chlorine feed room and storage area operable?
❑
❑ ❑
Is the chlorinator accessible?
❑ ❑ ❑
If tablets, are tablets present?
❑ ❑ ❑
Are the tablets the proper size and type?
❑ ❑ ❑
Is contact chamber free of sludge, solids, and growth?
❑ ❑ ❑
If UV, are extra UV bulbs available?
❑
❑ ❑
If UV, is the UV intensity adequate?
❑
❑ ❑
# Is it a dual feed system?
❑
❑ ❑
Does the Stationary Source have more than 2500 Ibs of Chlorine (CAS No. 7782-50-5)?
❑
❑ ❑
If yes, then is there a Risk Management Plan on site?
❑
❑ ❑
If yes, then what is the EPA twelve digit ID Number? (1000-
If yes, then when was the RMP last updated?
Comment:
Record Keeping
Yes No NA NE
Is a copy of current permit available?
❑ ❑ ❑
Are monitoring reports present: NDMR?
❑ ❑ ❑
NDAR?
❑ ❑ ❑
Are flow rates less than of permitted flow?
❑ ❑ ❑
Are flow rates less than of permitted flow?
❑ ❑ ❑
Page 5 of 7

Permit: WQ0015515 Owner - Facility: Heavenly Mountain Residential Association Inc
Inspection Date: 09/22/2020 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Are application rates adhered to?
0
❑ ❑ ❑
Is GW monitoring being conducted, if required (GW-59s submitted)?
❑
❑ 0 ❑
Are all samples analyzed for all required parameters?
❑
❑ 0 ❑
Are there any 2L GW quality violations?
❑
❑ 0 ❑
Is GW-59A certification form completed for facility?
❑
❑ 0 ❑
Is effluent sampled for same parameters as GW?
❑
❑ 0 ❑
Do effluent concentrations exceed GW standards?
0
❑ ❑ ❑
Are annual soil reports available?
0
❑ ❑ ❑
# Are PAN records required?
❑
❑ 0 ❑
# Did last soil report indicate a need for lime?
0
❑ ❑ ❑
If so, has it been applied?
❑
0 ❑ ❑
Are operational logs present?
0
❑ ❑ ❑
Are lab sheets available for review?
0
❑ ❑ ❑
Do lab sheets support data reported on NDMR?
0
❑ ❑ ❑
Do lab sheets support data reported on GW-59s?
❑
❑ 0 ❑
Are Operational and Maintenance records present?
0
❑ ❑ ❑
Were Operational and Maintenance records complete?
0
❑ ❑ ❑
Has permittee been free of public complaints in last 12 months?
0
❑ ❑ ❑
Is a copy of the SOC readily available?
❑
❑ 0 ❑
No treatment units bypassed since last inspection?
0
❑ ❑ ❑
Comment: See summary.
End Use -Irrigation
Yes No NA NE
Are buffers adequate?
❑ ❑ ❑
Is the cover crop type specified in permit?
❑ ❑ ❑
Is the crop cover acceptable?
❑ ❑ ❑
Is the site condition adequate?
❑ ❑ ❑
Is the site free of runoff / ponding?
❑ ❑ ❑
Is the acreage specified in the permit being utilized?
❑
❑ ❑
Is the application equipment present?
❑ ❑ ❑
Is the application equipment operational?
❑
❑ ❑
Is the disposal field free of limiting slopes?
❑ ❑ ❑
Is access restricted and/or signs posted during active site use?
❑ ❑ ❑
Are any supply wells within the CB?
❑
❑ ❑
Are any supply wells within 250' of the CB?
❑
❑ ❑
How close is the closest water supply well?
❑
❑ ❑
Is municipal water available in the area?
❑
❑ ❑
Page 6 of 7

Permit: WQ0015515 Owner - Facility: Heavenly Mountain Residential Association Inc
Inspection Date: 09/22/2020 Inspection Type: Compliance Evaluation Reason for Visit: Routine
# Info only: Does the permit call for monitoring wells?
Are GW monitoring wells located properly w/ respect to RB and CB?
Are GW monitoring wells properly constructed, including screened interval?
Are monitoring wells damaged?
Comment: See summary.
Page 7 of 7

North Carolina Department of Environmental Quality
Division of Water Resources
Water Quality Section
NON -DISCHARGE COMPLIANCE INSPECTION REPORT
General) Information WASTEWATER IRRIGATION
Facility Name: Bear pen Village, WWI
County: Watauga _
Permit No.: WQQ015515 Issuance Date: December 1, 2018
Owner: Heavenly Mtn. Residential Association, Inc. Expiration Date: November 30, 2023
ORC Name: Scott Vasgaard Telephone No.:-11828265.6011 office 828.297 6234
Backup ORC: Kevin Vasgaard Telephone No.: 828.297.6234
Other Contact: Brice Leonard (property manager) / Peter Sterling (President) Telephone No.: Brice 506.633.52171 peter 828 263.0056
Location (address, gps or directions): Hwy 421 N., L Bamboo Rd., L Little Laurel, R Heavenly Mtn. Dr to Locked Gate
Reason for Inspection
ROUTINE ❑ FOLLOW-UP ❑ COMPLAINT ❑ PERMITTING ❑ Other:
Comments (attach additional pages as necessary)
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Is a follow-up inspection necessary ❑ Yes w-To
Primary Inspector: P Mitchell Secondary Inspector:
Date of Inspection: September22, 2020 Entry Time: 11:15 am Exit Time: ���

Non -Discharge Compliance Inspection Report
Record Keeping and ReportingRepor!Lng Information .Y
Is current permit available upon request?
Has the facility been free of public complaints for the last 12 months?
Are maintenance and inspection logs present (date & time of inspections, visual observations,
any maintenance (adjustments, cleanings, equip changes) or repairs taken)9 r
Are weekly freeboard records present? *V;r is on nP°fr,,yr R�
Are irrigation tracking records present (date, weather, volume, length time, field #, OK
Hydraulic loading, nutrient loading, other)? 'U1
Has irrigation equipment been calibrated (onceipermit cycle) & records present? �+�j
Are records present for residuals removal (date, volume, Residual Hauler Name, p�.
Name/permit of the receiving party or letter from Municipality)?
Is an Operation & Maintenance Plan, and Spill Plan present?
Are appropriate grade ORC & Backup ORC designated? Up to date on CE?
tA
Effluent Monitoring:
Were effluent monitoring reports present?, NDMR 1114
�NQ
Are flow rates less than permitted flow? 'permitted F o :,ow d Q�-0z� xo,000 aAre application rates adhered to? Permitted Rate: 0 2 in.lhr r.
Are lab sheets available for review and support monitoring reports?
Are samples analyzed for the required parameters (See permit)?
Effluent concentrations do NOT exceed permit limits or 2L GW standards?
if required, are PAN records present and complete?
3�IN„1 []
i�
Groundwater Monitoring IA -
Is groundwater monitoring required?
c��- -}�W�S. ❑ �.
Were GW-59's and lab results present? ❑ ❑
Were samples analyzed for the required parameters (See permit)? El❑
Observed records indicate no 2L GW quality violations? fir,, ? d� ❑ ❑
Soil Analysis: tyrca�T
Were annual soil analyses results present for each irrigation field?VZo tsar;J"n❑
If lime was called for on the Agr no ist report, was lime applied?' ❑ ❑
Copper and Zinc indices: 4 < 2,000 ❑ 2,000 — 3,000 ❑ >3,000
Was Sodium less than 0.5 meq/ 00 cm' ? ❑ ❑
Was Exchangeable Sodium Percentage (ESP) less than 15% ? �s�M} el -1 0 ❑ ❑
Influent Pump Station(s) Description:
p! c. Y
All pumps present, operational
!� `
❑
Floats/Controls operable
❑
Audio & Visual Alarms Operational
❑
Free of bypass lines or structures
❑
General housekeeping good
Back-up power available, routinely tested & fueled?
�y1^
�, dam`'
El4��
❑
Treatment Bar Screen Description: Trea en
Are bars spaced properly & free o xcess debris?
Are screenings disposed of properly?
�r fcr�n
Is unit in good condition (excess corrosion)? Q - 'A °J4
�Egualization Basin
Is aeration present?
Description. 5,000 gal. EQ wl dual 30 gpm Pump k Y
Are pumps present and operational? 1 rM i tl&s N 2Dld,
Is unit in good general condition? E� `^ a world g(>vd.
;%�
■ 11
■
■ I�l
■
■ Ill
■
Y N NA
NE
■ �� ■
■
■ ■
■
■ ■
■
NA
NE
-N _
�❑ °❑
❑❑
Page 2 of 4

Non -Discharge Compliance Inspection Report
Treatment Activated Slud a Descrlpiion: 20,000 gal. aeration chamber w/ dua12i6 scFm blowers y N NA NE
Aeration mechanism operable & accessible?
Aeration basin thoroughly mixed?
Settleometer & dissolved oxygen results acceptable? ❑ ❑ ❑
Is sludge an acceptable color?
Residual Stora e/Treatment
❑ Lagoon ® Basin Y N NA NE
❑ Septic Tank Capacity (gallons): 6,700 gal sludge holding chamber
If Septic Tank, is a sanitary T or filter present? © ❑ ® ❑
How often are residuals pumped?
Treatment Filters Description: Dual 6 ft-2 tertiary filters y N NA NE
Is unit accessible for review (i.e. inspection port or not subsurface)?
Is the filter media present, correct size & type? ❑ ❑ ❑
Is mud well free of excess solids and filter media?
Is media free of ponding, algae or excess vegetation? � 5or�- ❑ ❑ El
Is clear well free of excess solids and filter media? ❑❑ El El
❑ ❑
Does backwashing/air scour frequency appear adequate?
Treatment Clarifiers Descripdon: Hopper bottom clarifier Y N N N
Weirs level, free of excessive solids & algae?
Scum removal system operational and accessible? Sludge level: ❑ ❑ ❑
Sludge blanket at acceptable level? (generally 25% or less of the sidewall) ❑ ❑❑ ❑
Clarifier effluent free of excessive solids?
Treatment Disinfection Description: Tablet chlorinator
Type: ® Tablets ❑ Gas ❑ Liquid ❑ UV Y N NA NE
Is the system properly maintained and working? El El
❑
Fecal coliform results indicate proper disinfection? ❑ ❑ ❑
Adequate detention time (> 30 minutes)? El El 1-1
If tablets. proper size & type? ❑ ❑ ❑
Present in Cylinder(s)? ❑ A ❑
If UV bulbs, are replacement bulbs on hand? ❑ ❑ ❑
Is contact chamber free of sludge, solids and growth?
H-plume w/ ultrasonic flowmeter Flow Measurement Effluent Y N NA NE
Flowmeter location: ❑ Influent ® ❑❑❑ ❑❑
Is flowmeter calibrated annually (design flow > 10,000 gpd)? ❑
%) Calibration records present (w/in 10?
Is flowmeter operating properly? ❑ ❑
� �h a h � �( n �o/.fit cl �- � ❑
Does flowmeter record flow. 4N
If no flowmeter (<10,000 gpd), are water-us/records available (water meter}? ❑❑ ❑ ❑
Are the daily average values properly calculated?
Y N NA NE
Tre.� a� t El EJ ❑
Are treatment facilities consistent with those outlined in pe b tow. ❑ ❑ ❑
Do all treatment units appear to be operational: If no, not
List any items/units):
Page 3 of 4

Non -Discharge Compliance Inspection Report
Effluent Stora e
❑Lagoon(s) ® Above ground tank(s) ❑ Underground tank(s) ❑Other:
Amount of Storage (days, months, gallons, etc.): t •000,000 gal.
Effluent Storage La oon(s) ® Prima Y N NA NE
�._ Primary Secondary ❑ ❑ ❑
Influent structure(s) free of obstructions? ❑
No signs of seepage, overtopping, down cutting or erosion on embankments? ❑ ❑ ❑
Proper vegetation type w/ no excessive vegetation present on embankments? 101 ❑
Liner (if visible, is it intact)? I.�FI"� ❑ ❑
Baffles/curtains in good condition? /r,_ 4'AC3 Q ❑ ❑
Freeboard is >2 feet from overtopping? Measurement at time of inspection: i*� ❑ ❑
Staff gauge is clearly marked? `L�J� rivPt�.: 2G'b�«� t; ❑
No evidence of overflow (vegetation discolored or laying down/broken)? ❑ ❑ ❑
No unusual color (very black, textile colors)? ). ❑ ❑ ❑ ,� 0
No Foam present? Are antifoam agents used? ❑ Yes ❑ No ❑ ❑ ❑
No floating mats (sludge, plants, inorganics)? ` ❑ El❑
No signs of excessive solids buildup (from bottom)? �fr�_ I ❑ ❑ ❑ �
Aerators/mixers operational (if present)? Dl�' ❑ Cl 2 ❑
Effluent structure is free of obstructions and easily accessible? `�•1 'K ❑ ❑ ❑
Effluent Pump station Description: Pump station w/ dual (A & B) 55 Pumps Y N NA NE
All pumps present, operational �� �A lsV "& ;"AP�''w lfjlkrs n,2ad. El 0❑ ❑ ❑
Floats/Controls operable �,, .'. fo,
Audio & Visual Alarms Operational l- 11V ❑ ❑ ❑
Free of bypass lines or structures ❑ ❑ ❑
If required, is a rain sensor present and operational ' Reportedly manually dosed system_k ❑ 0 ❑
General housekeeping good Poiin R^f'r 'f P� ate/ J
Back-up power Wylie lyrk." ,f clof ju' ❑ ❑ ❑
End Use -Irrigation Number of Fields: 4 zones I,SQe(e e'u4) Y N NA NE
Are buffers adequate? ❑ ❑ ❑
Are cover crops the type specified in permit and/or in good condit 9 ❑ ❑ ❑
No signs of runoff, ponding, or drift? vkAJ 70vw "i_ "3 J-. )'V?c)pt El El ❑
Is the acreage specified in the permit being utilized? ,�„ Gc1 AeA &ak PU ❑ El El El
Is the application equipment present, operational, and in goo
No limiting slopes present in irrigation fields? 1 t �e1�� ❑ ❑ ❑
Is site access restricted and/or signs posted in accordance with permit? e�k ❑ ❑ ❑
No water supply wells within the CB? ❑ ❑ ❑
No water supply wells within 250' of the CB? O'D 0 El El
❑ ❑
Is permit being followed? creaol_
� �J1[ El
MonitoringWells Y N NA NE
Does the permit require monitoring wells? If so, answer the following. ❑
Are the monitoring wells properly installed according to the permit? ❑ ❑ ® ❑
Are the monitoring wells located properly w/ respect to RB & CB? ❑ ❑ ® ❑
Are the wells properly identified & free of damage?
Page 4of4