WQ0015515_Monitoring - 11-2020_20210105

`PORIV: NDMR 05-1,,3
NON -DISCHARGE MONITORING REPORT (NDMR1
Page _ of __
Permit No.: WU0015515 Facility Name: Bear Pen Village WWTP County: Watauga Month:
PPI: 00-I Flow Measuring Point:
Parameter Monitoring Point:
Parameter Code 50NO50 00310 06 31616 0610 ��0625 ON20 00600 00400 00665 00"o
E
0
24-hr
Z' -Tv
0
C:
firs
GPD
0
mg/L
z
-0 0
mg/L
E
w
U- 0
#/100 mL
.3
c 0
E
E
mg/L
M
32
z
0
mg/L
z
mg/L
0
1,-
mg/L
--
su
0
0 CL
F- Q)
0
a.
mg/L
0
mg/L
3
4
5
6
7
10
0
16
<2
12
_J
13
14
15
S
70
_J
16
17
T8
19
TO
220
23
24
25
26
27
28---
29
30
ZZ S,,)
31
Average:
Daily Maximum:
Daily Minimum:
Sampling Ty
Type:
Monthly Limit"
Sample Monthly Limit:
Daily
ailA
Daily Limit:
mt-
Retarder
10,000
Grab
EXYear�
Grab
W � �Iy
<
z
Grab
7— 1 --------
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;7
3
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=4X Y��4
ly,
X Year
� X Year
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� Year 1
-Z
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4 X Year
e_
Grab
Weekly E4
;Z. �7
Grab
Grab
jX Year
P4 EX�, year

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of�I
Sampling Persons) �L Certified Laboratories
Name: Name: L�R (� r 7e
Name: J Name:
Goes all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? iant ❑ 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: J Ca v� s � l� Permittee: [lrrt
Certification No.: `°5214
? Signing Official:
Grade: Phone Number. �Z %�j J Signing Official's Title:
Has the ORC changed since the previous NDMR? ❑ yes ❑ w Phone Number: e2� ! 7 �� ? Permit Expiration: /�Jb/�3
Signature Date Signature Date
By this signature, 1 CO&Y tick this report is aocurrate and cornplde to the best of my knowledge•
rtlfy, under penalty of Mw, that this document and all ettaGerrerrlss were prepared larder my ggredon or supervision in accordance
wth a system dasoned to asaea that all qualified personnel property gettrared and evaluated the information submitted. Based on my
inquiry of the person or persons who menage the system, of those peraans directly responsble for gatherlrm the irfomration
information submiMad is, tb the beat of my knowledge and belief. true, acaaate, and oomplet®. 1 am aware that ttrere are sign. the
ft
penalties for srtbndlting false Irdormetion, krduding the posebilky of fires and Imprisonment for knowing violations
cant
•
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM.- HDAR-2 HOW-DORCHIARGE APPLICATIOM REPORT pjDAR-) p r
age of
I'd bps &I POC8@02 Mes anceed the 11mib in Attachment D of youy, mitt
O sa,-QMaW*
WOM adequatsm9asurss taken tOPrOvOnt Offluent panding in or runoff hom the age?
Was a suftable v"etEtWO cover n-Mintalned an 900 zK,.az r, zpscy6jed In y es h.
C- sue CJ r—c«l, *
WOM 891 setbacks Plated In your pqrmItm&jWMIrLx&d gowevaLrfa ppgp
�'C-4ft* n
Were all fteboards Maintained in accardance r�hs a eXI l &OC"boa l PD ggEtz, in Your
If the facility ��C-Apavt 0 t�1-�v++a�t
is non-compoanX pwase explain in the space below the reason(s) the facile vets not in compliance. Provide in your explanation the dotes) of fhe non-conwknce and dew:dha the
Igo a114=V6 11 n6®EBSary.
OPWMwa In ResponsWe ChaMe (oRC) COMc
m Wry
ORC: Scott VWQaWdpermifteII —
: Heavanly
®yng p A
Celt iCatiOli No.: ViJJJ r9 : Scott Vasgaard
Oracle: St Phone Nwnbw- 828-2976234 area $ Me: ORC
Has the ORC cbmgW shwa tlns prsaloas NDAR 1?
©rer ❑fw Phone Number 828-2976234 Pwfnt#Lxp.: 11;0l23
Date Deft
er ter aflpwgra, + xrt�y tt�t tNr is aoa++rtab snd oompiab b 4rr Bart of MOV, wldaf pwrty of W. tr #6 aoaarwil aM d sa drawft aws
`rN aydra drrt�+rW b araua Sh1t w t�+apalad older my dkedlon or euparvitlwr rn aaoalganc
4q+�+Y of tAa pMaon aPMeal+r 1Nfra aallfad palaon 0 P+oPab 9WWW old aralurtod the k*mna#on -AuQ d. Band an w
+rrrnYasre artloaa Pa+aa1 t1Ma* r�aprrlrbN kr patrelkV the kdonratok the
r1PatlMlas for ors +� MMM frd 4dM, kua apglpMr. and oonplele. + am ewao® that tlne me eiyloant
f ++ +4l++dt++Mr� tAe poaMf>iMgt of t1'tait apd krplE7orxa>H fa W-win9 vWavona.
Malt Orilnat and Two Copies to:
DMdit Of Wittier Rssoart "
bliMmiaWn Procese ft Unit
1617 MaN SKvks Cwvbr