WQ0015515_Monitoring - 10-2020_20201123

FORM: NDMR 05-13
I NOWDISCHARGE MONITORING REPORT (NDMR) p2no.
Para
Parameter
Permit No.: WQ001
PPf: 001,
Code
5515_
Flow Measuring
Facility
Point:
W310�
Name:
--;io6r
Bear Pen
31 i�l�
Village
1 0
—OW
WVVTP
"02 5
00620
Parameter
00600
6090
County:
Monitoring
00400
Watauga
Point:
00665
onth:
Year:
001"o
I
Ix
0
-24-hr
j/50
0
0:
T
(Irs
GPD,
0
co
mg/L
z
0
IL
u. 6
#4100 mL
0
E
<
mg/L
M
0
z
0
mg/L
SO
mg/L
z
0
mg/L
0.
su
2fl
0
0 CL
0
0-
Ui
mg/L
IL
2
3
5
6
7
8
10
12
5c�
<1
-j
-�7
A-
13
L4
Z
0/0
f
15
17
18
1j!
20
16
21
ZCI
&-Q
22
2 3
q<s�41//E.
W-
24
25
—2-
1j
6
27
28
TrJ
29
Z�
30
%7e,
31
14 -5,z)
Average:
Daily Maximum:
Daily Minimum:
jQ 176
So
iCJ,7"
Sampiing Type:
Monthly Limit:
Recorder
--1-0,000
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grsb
Daily Limit:
—Weekly
—4X
Sample Frequency:
fear
r
—
4 X Year
-
4 X Year
— -4��t.kly
4 X Year
4 X Year
--4
W
X Year

FORM: NDMR 05-16
Page r of __z
Sampling Person(s) Certified Laboratories
Name: J GCJ l/ ��C( �t Gt >� Name: 6 /��� l ! eG,
Name:J Name: GS _7� YJLe s`U/G
NON -DISCHARGE MONITORING REPORT (NDMR)
noes all monwring aata ana sampling frequencies meet the requirements in Attachment A of your permit? ❑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 chnPtc if nanaaa­
in Responsible Charge (ORC) Certification
Permittee Certification
�Operator
ORC: SCa' (/GC s�'(G���
J
Permitiee: / (%L�✓! ��L/l LDS / ��I /G� s t�
Certification No.: C' j 2l !
Signing Official:
Grade: Phone Number:
-� 3
�2 %�j ���. y
Signing Official's Title: CIA -
Has the ORC changed since the previous NDMR?
❑Yes ❑No
Phone Number: 2 ! Permit Expiration: ���
11 /3 2a
Signature
Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the beat of my knowledge,
i rtlfy, rsrdar penalty of law, that ttris document and sit attechrrrerds were prepared under my direction or supervision in a000nienoe
with a system designed to assure that all qunftd personnel property gathered and evaluated the information submitted. Based
on my
inquiry of tta person or persona who manage the system, or those persons directly respwsbie for gathering the irtormation, the
kdormaton submitted Is, to qb best of my knowledge and belief. true, accurate, and complete. I am swere that there are signMeant
penalties for submilting false information, kx*b rp the pooslbhlky of fibs and imprisonment for knowiry violations.
a
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 276994617

FORM: NDAR-1 06-16 NUN -DISCHARGE APPLICATION REPORT (NDAR.1) paae
11
at this facility?
.�■
:_
Cover ,,
©®m®®�■
I
�rar.�rr��
w
���w�i
ERWA
���■■��
m
mmmm
��rr����rrr���
mm
mm
om������������
mmr����r���������
©=
M
M�
o
m�■�
��nrrrs
��■��+i■�■��r��
m
mm
o
===
o��mm=

If
the faCdily IS nOn-CORIPIlOnt Please explain to the Space behrar the re W"(8) the MCK4 was not in compfianw. Provide in your :explanation the date(s) of the naraomptisnce and describe the correcove
aCtlon(s) Uken. AfteOh additional Sheets if nece88ery.
01-Mor In Responsile Ch r" pRq CW' put rlllieslaCardlication
_>
ORC: Scott VaSgaafd=-__�_��
Parma:
Heavenly Writ. Residential Assoc.
Cortfliraaon Mw 18595 signing Cfkw: Scott Vasgaard
d
ate: SI Pbons 828-2976234
Skning t7flficiel's Title: ORC
Has the ORC ebarped siw-A the preveoua WdtR-I? Ores ❑ ft Phone member. 828-2976234 Pormit
� gyp.: 19%30l23 �
�l r3 zo
Date
ft alit>�r+. i �W that#* MOM k MW2rab WW �PftS m � bW Of nW ao710Mweq,
i oKYy, ad�r Deft
'9 "M a w/ebm dmOMd to own Md MI � ppKswral � d ah my dMeoilonor wp�vlaton in au�danra�
Y orve taawa, ar Pis w o PaoDt�y Oaa srd araksYd tlw inbrnigbn aubrnftd. & wed on arPo 1
kMonnWion nfil: k ed is to ar. baR of MOs pr apw crawaa OMaar d1YMaly rraprrrMkN for god- np are k*nrran, em
Wr�MI°s D eibnif'p * - k ftwwa s b Pont*poff/ WM W k vWM A ibr bmw&ip vb
s
Nail Original and TWO Copies to:
Divislon of Waine Resouron
We nnadon Pnocassft Unit
1617 man Service Center