WQ0029346_Monitoring - 01-2021_20210225

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0029346
Name of Facility:*
Month:* January
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:* 2021
Upload Document*
WQ0029346.pdf 4.78MB
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
2/25/2021
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: 2/25/2021

Page of
Did the application rate exceed the limits in Attachment B of your permit? ompliant [I Non -compliant
Were adequate sures taken to prevent effluent ponding in or runoff from the site? compliant r] Non -Compliant
s a suitable vegetative cover maintained on all sites as specified in your permit? ompiiant ❑ Non -compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 211CC1100IMPliant E] Non -compliant
Were all freeboards o! freeboard heightso• e • pliant E] Non-comp
If the facility is non -compliant, pleas. explain.. space below the reason(s) r facility was not in compliance. Provide your explanation date(s) ofthe non-compliance and de •_ the correctiv.,
taken. Attach additional necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Dale Holman Permittee: Blue Ridge Mountain Club
Certification No.: SI 100311 Signing Official: Robert Barr
Grade: 51 Phone Number: 823-251-1900 Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? ❑ Yes 2 No Phone Number: 528-251-1900 Permit Exp.: 4/30/17
Signature ®ate Signature ®ate
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.
Mail Original and Two Copies to:
Division of Quality
CenterInformation Processing Unit
1617 Mail Service
i

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (IV R) Page 4 of
Permit No.: WQ0029346 Facility Name: Blue Ridge Mountain Club WWTP
PPI: 001 Flow Measuring Point: ❑ Influent n Effluent ❑ No flow generated
County: Wilkes
Parameter Monitoring Point: ❑ Influent
Month:
0 Effluent
January
❑ Groundwater Lowering
Year: 2021
❑ surface water
Parameter Code ��
1
00310
� g
31616
- -
00625
S.
00400'
�
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9
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0.98
23
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0.5
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10:40
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Sampling Type
Grab
Grab
Grab
Grab
Grab
Grab
R
y' s
Monthly Limit
30
a�=
200az
it
Limit: ®ally Li
r,.
Sample Frequency,
s
Monthl
5 x Week
h w z

Page 5 of -5
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.
Operator in Responsible Charge (ORC) Certification
Permiffee Certification
ORC: Dale Holman
Permittee: Blue Ridge Mountain Club
Certification No.: SI 1003141
Signing Official: Robert Barr
Grade: Sl Phone Number: 828-251-1900
Signing Official's Title: Signatory
Has the ORC changed since the previous NDMR? CJ7 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.
Mail Original and!Two Copies to
Division of Water Quality
Information Processing Unit
1617 Mail Service Center