WQ0015515_Monitoring - 08-2020_20200914

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FORM: HDAR-i 0�-16 WON -DISCHARGE XII'DPUCAn0.m nEPOP'T pmrm) Page Of -
OPankw In RespansffAa charge (ORq cerw5caturn
ORC: -
Scott Vasgaard Pemifte:
Heavenly MnL Residential Assoc.
cartilkefion No.: 18595 SiPft Official: S(X* Vasgaard
Grade: SI Phone Nun*w. 828-2976234 signing officlars fie: ORC
Has Ilm ORC changW since am previous MD.I? oy- Oft Phone Number 828-2976234 Perm* Exp.: 1 Ira=
Date
40curfIft MW 00"Vide to the bW of my krowbdga. Date
1 ow", -J" WORY Of domawt aid 81 a*dnwft WN Pm*wed w4w nw dkoobon or amemwm in soowdmtw
Vft a symbm d"W*d 10 &Mft thd 84 W~ F A In nVI P"Whf GaMwal wid avokided the k0ommgon & SWA V
IrqUky Of the wow or pomm %ft ftwage ft "amm or #oft pwaaft ftedly Amftd. a on
k*armfion WwMad K to ft bW Of MY IWV*bd@e WW b@W lampot oft for oa"*v ft wdmnwjw, "
-0-468- MW conwiew. I wn w— Ow dom am signmm*
PNVM- for wA-VkQ W10 MwMWSWI� kOkWft the P**""*'* of *m Wd kqxftmvnwt for W"ft VwWom
Mell Original and Two Copies to:
Division of watar Resources
Infannation Procassing unit
1617 Mail 8wvIcs Center

FORM: NDMR 05-1!5
NOWDISCHARGE MONITORING REPORT (NDMR)
Page
Permit No.: W0001 5515 l Facfity Name: Bear Pen Village WVVTP
---- I -- I County: Watauga Month: Year:
PPI: 00, Flow Measuring Point: Parameter Monitoring
Parameter Monitoring Point:
Parameter Code
Soo 50
31(7
50060
31816
—0-�70625
0610
00620
�26
00600
00600
00400
4M
00665
00f,30
76
Z
t:
E
0 =T.,f
24-hr—l—irs
C
(5
0
0
ir
ePD
n
0
0
in
mg/L
COE
12r,
C
mg/L
E
0
LL 0
#/100 mL
0
E
a) 0)
2
0
mg/L
mg/L
Z
0
mg/L
F
G
su
2
0
0 CL
0
V
mg/L
mp/L
2
3
4
pf1j:
-2G
ol
-
2
6
7
8
0
i "60
�6
0 IS 7 So
6710
L316
--
10
11
12
13
S
20
6.
T4
--1206
15
16
/ 22o
_L7
Z4Tljb
18
200
2-1
22
23
UP30!�!-
20 -�q.S
3—
41
24
25
26
2 T76nr
f 51
2-o
-
:28
5_
/0 0
29
30/1
Average:
/0. I/s,
- --7
6yf(.Z
2.- '77
2-77
Daily Maximum:
Daily Minimum
Q7o
;71
<2-5
Sampling Type:
Monthly Limit.
Rewrder
10,000
-�X
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab,
S Daily Limit:
a mple Frequency:
j.,,tinuxis
Year
x ��ea�r4
X Year
Q4Xy
4 X Year
Weekly
4 X Year

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
C Sampling Person($) Certified Laboratories
Name: Name:
Name: �J Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ��iarvt ❑ Non-compkant
It 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)
takran Attach =Miti... I cfinnfe is
Operator in Responsible Charge (ORC) Certification
C f -
ORC:
Certification No.:
Grade: 1Y Phone Number:
Has the ORC changed since the previous NDMR? ❑ yes ❑ No
— Signature I ` Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
Permittee Certification
Permittee:7/45?4we"I
Signing Official: 5-GO�-
Signing Official's Title: 04�
Phone Number: �Z� 247
% O 2 'j Permit Expiration:
'F/.,/Zm
Signature - Date
I certify, under penalty of law, that this documert and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that al qualified personnel property gathered and evaluated the information submitted_ Based on my
i+quky of tha person or persons who menage the system, or those persons directly responsble for gartering pea irformetion, the
information submitted is, to Mre best of mr knovwkudge and belief, true, accurate, and complete. I am aware that there are skinwant
penalties for subm!" false kromration, lrjc g the possil ty of fires 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 27M-1617