WQ0015515_Monitoring - 12-2020_20210129

FORM: NDMR 05-13 NON -DISCHARGE MONITORING REPORT (NDMR) paap
Permit No.: W00015515
Facility Name: Bear Pen Village WWTP
9
County: Watauga
Month: eG
Year:
PPI: 00"
Parameter Code—
--►
Flow Measuring
50050
Paint:
00310
50080
31616
00610
00625
00620
Parameter
00600
Monitoring
00400
Point:
00665
__0
00°3
A
1
3
Q E
U r—
24-hr
so
O
!�
U
I itts
t 1-
Q
V.
GPD
Y
S 3
0
m
mg/L
:R0
N
tY s
o
mglL
E
UU� w
O
#/100 mL
O
mglL
9c
°
mg/L
I
1
N
mg/L.
c
l °'
o
mg/L
a
su
L
O CL
OQ
a
mg/L
V
G'i
CLl
rpn.LL
a�=
z0
uj
mg/L
—
4-
5
6
O S
! f GXJ
r
7
Zal S--
a
9
a
�
S
.51
a
12
13
14
3a6
15
O, Z
16
b
17
/i UQ
,
b
18
ov
_
O
20
S
s
2,
22
6
s
a
o
23-
—
24
25
s0
26
27
i z�
28
3 a
G
---
29 9up
30
6V
31 Q S
Average:
Daily Maximum:
7
` 74)
-
Daily Minimum:
SO
_
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
10,000
Daily Limit:
Sample Frequency:
Cora nuous
4 X YearE��fear
4 X Ysar
4 X Year F
4 X Year
4 X Year
Weekly
4 X Year
4 X Year

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR)
Page - of
% Sampling Person(s) Certified Laboratories
Name: Name:
Name:
Name:
Does all monitoring data and 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-c lance and describe the corrective action(s)taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification Permitlee Certification
C, v GC Gc1es: UrnORC: � Perm--�-
J
CerWication No.: �S2L Signing Official:
3
Grade: 1Y Phone Number: �Z � �S � Signing Official's Tide;
Has the ORC changed since the previous NDMR? ❑Yes p No Phone Number: �Z� 2 R 7 Permit Expiration: 11-36/1-3
Signature Date ignature Date
By mla suture. I cw* fiat this report is accurate and cornetts to the bast of my Wowledpa. 1
dlfy, under paieRy of law, that this document and eR atlaehrrais ware prepared under my direction or supervision in accordance
wRh a system designed 1e saws that of cusped personnel property gathered and evaluated the information SuNnitled. Based on my
inquiry of the person or persona who menage the system, or those persons tiredly reaporroble for gethedng no womatbn, the
bdomation submitted is, to the bat of my Imowbdge and beief. true, aavate, and comMlete. I am aware that there are sWAIcart
paraktss for subrrrlRinp fake Wonno n, incVdnp the possibility of fines and Ynpdsonmani for krwwtm violations.
e
Mail Original and Two Copies to:
Division of Water Resources
Inforfnation Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 65-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Paw- of
"_
Q00
.
Bear _ Pen Village
Watauga
• rli
fij
Did irrigation occur
at this facility?
Field a
Cover Crop:
��
i�iiiiii�Iii■
I
mm
mm�������r
m
m��
���rrr�■■�
����
ws���
�■■��r�.
mm
mmm
�rw�■�
m
m��
�■r�
rt��rr
�ii�����rm
����
mmmm��r�
mmmm
����'w���
���■�■�rr�rii�iir��■■m�r�
mm
m��������w�,����rr�r■��i
m�����a�
�����r�mr��■,���■�
m���
m
mmm�r�r�,����wm
m®mmmmr�wm��;�����wiii
Um
m
Monthly Loading:'Wit.
.
z

FORM: NDAR-1 C5-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page bf_
Did the application rates exceed the limits in Attachment B of your permit? t: ❑ from
Were adequate measures taken toprevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
bt O W'-ca�ar�t
Were all setbacks listedin your permit maintained for every application to each permitted site? o�
Were all freeboards maintained in accordance with the specified freeboard heig
hts ghts on your perrnrt?zyromowt�,,,, ❑ Nwr-ca,npi®rt
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 complance and describe the corrective
actions) taken. Attach additional sheets if necessary.
Operator in Responsble Charge (ORC) C"Mcatkm Permi tee CerWication
ORC: Scott Vasgaard Perm Mae:
Heavenly Mnt. Residential Assoc.
C . No.: 18595 signing Official: Scott Vasgaard
Qom: Si Phone Number. 828-2976234 Signing Of iiciars Titre: ORC
Has the ORC changed simm the previous NDAR-1T ❑ Yes ❑ No Phone Number: 828-2976 Pemrit Exp.: 11/30/23
/Oal _
Signature Date �ynaru Date
By this *nature, f certify that this report is aocurrate and camPlete to the beet of my knowledge. f owlity, tetdsr ppia ly of law, that dit do wwt aid aft aeadn-afta w" I F I radar Ry dbrcknor supervision in aoomdence
vdh s sydem dnipned to assure tW aft paMfad pm mMl fxe0ab 0 and wAkMbd Q- f dMUNfprt a tmibsd. Based on my
inquhY of the person or Persons who narrate no wjdoM or#"* r-taora tea0onRIMS for ONE-eIt Vw kamwtion, fhe
wfta -lion ftftn ed is, to the best of rrry knowbd90 and blot; yyy W=ua* and Co. t am M"M #Q #wm are sigrMj.art
Per -Miss for eut rndwv bbo infonr om, indudbV th possi0�r p(ffi-s sad k>prisontnnd ipr klew(ttp vkrletiona.
Mail Original and Two Copies to:
Division of Wager Resources
Information Processing Unit
1617 Mail Service Center