WQ0015515_Monitoring - 09-2020_20201027

FORM: �'o�9AR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR1 D— -$
Pe;pit No.: WQ0015515 Facility Name: Bear Pen Village VMTP county: Watauga Month: Year: 11J
PPI: OO" Flow Measuring Point: Parameter Monitoring Point:
Parameter Code --e
r_
50050
00390 50080
39616
OOtt10
00625
0t1820
00600
;;4�
00665
00'30
aE
24-hr
(D
hrs
GPD
o
mg/L
O
mg/L
#/100 mL
Q
mg/L
F-
mg/L
moll,,
c
r°
mg/L
an
`
0 CL
LO
0
mg/L
fl
Npn
t!3
rngfL
2
C-
SYS10
4
11
i
5
6
n
s
to-
12
13
14
le)
18 17
6 'd
^ "
19
3
20
/
,
21
e-
y
22
23
6 L
/l C
c41
r
25
c
<
—
260
f C
<
27
.0
28
S
/ S
l U
29
e`
q ;Z m
T
30
31
Average:
C)
a
Daily Maximum:
a
Daily Minimum,
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Cxcb
Monthly Limit:
10,000
-
Daily Limit:
Sample Frequency:
Continuous
4 X Year
Weekly
4 X Year
4 X Year
4 X Year
4 ?( Year
E4X Year
Weekly
4 X Year
4 X Year

FORM: NDMR 05-16
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Sampling Person(s)
Name: �Gd � l/ li 'sue( CL A
Name: J
Certified laboratories
Name: 66,a e- l `2/ ,
Name: / c>Gs- 4JG��� r-
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
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 n
taken. Attach additional sheets if necessary.
iard 0 Non•CampKant
describe the corrective action(s)
Operator In Responsible Charge (ORC) Certification Permittee Certification
ORC: SCa l/CC s�� r Permittee: vrn
Certification No,: �S2C q Signing Official:
3�%
Grade: Phone Number: �� 2� ��� / Signing Official's Title:
Has the ORC changed since the previous ND R? ❑ves pro, Phone Number: �2� '2 �� Permit Expiration:
2
Signature Date Signature p
ate
By this signature. I oadWY Nat this report is soeurrate and complete to the nest of my bnowadge. i oa rflfy, under peraity of tew, Nat Nate doraenent and sit aemdane►ts wereprepared order my direoc»n or supervision in aocordersce
with a system designed to nexus that of querlRed personrial properly pothered and evsk clad the information subnMed. Based on my
bgL*y of Na person or persors who manage Ma system, or those Parsons directly resporsj* for gsNarMg the k&matbn, the
inforrrsstion submitted Is, to Ow beat d my lasovvisdge and baMf. true, accuata. and oompkb. I am aware Mat Nave are slgniiioant
penalbae for subnftV fakse kdo,,r* n, hdudkg the Possitsipty of fires and Impriaonrrant for krwwtg moWd".
a
Mail Original and Two Copies to:
Division of Water Resources
information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 276994617

mmmp_-� o, I ffdwp�— � -,

FORM: HDAR-1 05-16 NON -I iSCHARGE A' PUCA 1i` N REpopT (EI R•1) Page of _ Did the application races exceed the limits in Aftchment B of your permit?
Won adequate measures taken to,prevent effluent ponding in or runoff from the spice?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every applicallon to each permitted site?
WOM * ❑ ran-coaasmt
all freeboards maintained inaccordancewith the specified freeboard heights in your permit?.
If the facility Paut
n t, Pies" explain in the Woe below the reeaon(s) the compliance.
was not in Provide in your �+ the date(s) of the non-aor trance and de ❑ r+o„sabe the �rrhe corn
actions) td m. Attach addNiDnal sheets If necessary. edNre
OPenAw In Respoor ' (ORC) COwWUatkM "
c: Scott VasgaardCaufta- --
Heavenly Mrtt. Resider*W Assoc.
taort Na : 18595 tiiyrting Omcw: Scott Vasgaard
Gr.we' Si Pborw Number. 828-2976234 sigr+iorg oeiciars tee: ORC
Has the ORC cbarped duos the NDAR 1? ❑ rea oft Phone Number. 828-2976234
Penult Exp.; 1 i130/23
/U lU
sonbse Dace Deft
ar this st�rrrtrae, l orlRy srt bM fapsrt to aaornrls and oampMta to era bat of my iaawtx1eo, i oaAty, WUW paylq of law. bat Oft doci anerd and as Gbwhvwft ware
"a a ayalsm daalprrd b aware bat aM PaParod vskWUWW mr n Irdon or n sub itbrr in aooadar�a
� of" pwaa► a P who D°m°nnN tom! ahr trMirared and evmiMattad tFTm kdunnagon auMrdded. Ba.ad an W
Udomrgon wAnA ea Is. to 9% bat M tvawle ip. and eWJSIAM aeW ft iootnle, o i twee area u,e
Per>dias br.ubnitlkg iwa Inbmrdion, > ba poasbiligr or Anea and h wil m~ for Wowing vkiwW a,
Neil Original and Two Copies to:
Divisiotf of V40W Resources
inf6mw tion Processing unit
1617 Mau 9wvlw Center