WQ0035784_Monitoring - 01-2021_20210225

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0035784
Name of Facility:* Cottages of Boone
Month:* January
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
WQ0035784.pdf 4.86MB
FDF Cnly
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
2/25/2021
This will be filled in automatically

Is the project number correct? * WQ0035784
Is the monitoring report r Yes r No
accepted?*
Regional Office * Winston-Salem
Accepted Date: 2/25/2021

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDARm1) Page Aof
Permit No.:
W 0035784
Facility Name: Cottages of Boone
County: Watauga Month:
January
Year. 2021
Did irrigation
x
Field Name:
6
� � �� � � � �
Field Name:
occurArea
r
(acres):
- 2,59
Area (acres)
at
this
facility
®
Cover Crop:
Forest
Cover
Mixed
; '
Crop:
YES
❑ No
Hourly
Rate (in):
0,15
Hourly Rate (in):
Annual Rate (in);
101.4
� � r
Annual Rate (in):
Weather
Freeboard
X
Field Irrigated'
E YES
❑ NO
Field Irrigated?
❑ YES ❑ NO
3
Ga
Qa
r G
Ri
gt
a9
OF
in
It
It
b,
-
gal
min
in
in
�� .,. w � � . � "
s G..
gal min
in in
1
R
ofida
0.3
° " m
0'
0
0.00
0.00
2
CL
0
` ..
0
0
0.00
0.00
3
C
0
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_°
"
8,000
73.394
0.11
0.09
,.
4
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fix.
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:
0
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6
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=Y
0
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7
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e Y
0
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'#
8
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1
0
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9
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10
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11
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r -
12
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32
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.
�
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13
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27
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.
t t
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A, r
14
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32
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15 CL
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16
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18
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_ r
19
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29
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0
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_..
20
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30
0
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: ' w
0
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700
0.00
,
21
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,t. :£
0
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~`
=`
22 CL
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0
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23
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.$ ,
.0
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26
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.,
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.
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.-
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29
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.`
:ram
0
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30
w
0
0
0
0
0.00
0.00
Monthly Loading
8,000
0.11
a rti,_,
0
0.00
12 Month Floating Total (in):
q
49.56�

11
I IIIIW7jjj I rill, II
",I JIT , L�j ]7
z 101121"a 01 Vw"I zzi W �4
Page,3L of
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
o-t/ant n Non -Compliant
El Compliant I-Aon-Compliant
Vcrmpliant ■ Non -Compliant
I
Were all setbacks listed in your permit maintained for every application to each permitted site? V.-pliant E] Non- Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ElCompliant S�14on-Cmpliant
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: Boone Cottages
Certification No.: Sl 1003141 Signing Official: Robert Barr
Grade: Sl Phone Number: 828-251-1900 Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? El Yes El No Phone Number: 828-251-1900 Permit Exp.: 4/30/17
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
Raleigh, North Carolina 27699-1617

Page of
Permit to ii
u
84
Watauga
t ., su Poi o m � � . ., . . • . I
Month: January I Year: 2021
l Effluent ❑ Groundwater Lowering , ❑ Surface Water
Parameter Code —
00310
a
31616
00625
00400
70300
00076
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR)
Page 5 of
Sampling Person(s) Certified Laboratories
Name: Dale Holman Name: Water Tech Labs, Inc.
Name: Robert Barr Name:
Does all monitoring data and samplingfrequencies meet the requirements in Attachmentyour permit?5/0-pliant ❑ 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
OR . Dale Holman Perrnittee: Boone Cottages
Certification No.: SI 1003141 Signing Official: Robert Barr
Grade: SI Phone Number: 23-251-1900 Signing Official's Title: Signatory
Has the +DISC changed since the previous NDMR? ❑ Yes [Z No Phone Number: 328-251-1900 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 property 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.
DivisionMail Original and Two Copies to
Quality
Information n Unit
1617 Mail Service Center