WQ0029346_Monitoring - 10-2020_20201201

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0029346
Name of Facility:*
Month:* October
Report Information
Blue Ridge Mountain Club
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2020
Upload Document*
WQ0029346.pdf 5.25MB
FDF only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
[e-mail]
Kimber Reese
Reviewer: Williams, Kendall
11 /25/2020
This will be filled in automatically

Is the project number correct? * WQ0029346
Is the monitoring report r Yes r No
accepted?*
Regional Office * Winston-Salem
Accepted Date: 12/1/2020

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-11) Page 3 of 15
Did the application rates exceed the limits in Attachment B of your permit? 1;j /compliant El Non -compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? L-4 �compliant ❑ Non -compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? F71 pliant ❑ Non -compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Y-l"pliant Lj Non -compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? /compliant Ej Non -compliant
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 non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Dale Holman Permittee: Blue Ridge Mountain Club
Certification No.: SI 1003141 Signing Official: Robert Barr
Grade: SI Phone Number: 828-251-1900 Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-11? ❑ Yes E No Phone Number: 828-251-1900 Permit Exp.: 4/30/17
Llboft_k' C�LA ZED
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 law, 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 information 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 possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (R) Page _r of
Permit No.: WQ0029346 Facility Name: Blue Ridge Mountain Club WWTP County: Wilkes Month: October Year: 2020
PPI: 001 Flow Measuring Point: ❑ Influent 2 Effluent ❑ No flow generated Parameter Monitoring Point: ❑ Influent Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter fade
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Sampling Type
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FORM: NDMR 03-12
Page of
Certified Laboratories
Name: Dale Holman Name: Water Tech Labs, Inc.
Name: Robert Barr Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Compliant ❑ Non -Compliant
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 non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
NON -DISCHARGE MONITORING REPORT (NDMR)
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Dale Holman Permittee: Blue Ridge Fountain Club
Certification No.: Sl 1003141 Signing Official: Robert Barr
Grade: SI Phone Number: 828-251-1900 Signing Official's Title: Signatory
Has the ORC changed since the previous NDMR? Yes ❑ No Phone Number: 828-251-1900 Permit Expiration: 4/30/2017
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 law, 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 information
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 possibility of fines and imprisonment for
knowing violations.
OriginalMail s ;f
Division
InformationProcessing