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Home My WebLink AboutWQ0029346_Monitoring - 10-2021_20211109DWR - NonDischarge Monitoring Report Submittal NORTH CAROLINA. Enrlranmenlcl Quaflly Monitoring Report Submittal Permit Number #* Name of Facility: * Month:* October Report Information Type* WQ0029346 Blue Ridge Mountain Club NDMR, NDAR-1, NDAR-2, NDMLR Confirmation Email Address: * Name of Submitter: * Signature: Date of submittal: Initial Review .......................................................... Reviewer: Year:* 2021 Upload Document* October 2021 Wastewater Reports.pdf PDF Only 9.01 MB Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). dholman@brmcpoa.com Dale Holman 11/9/2021 This will be filled in automatically Mokashi, Poorva Is the project number correct?* WQ0029346 Is the monitoring report accepted?* Yes No Regional Office* Winston-Salem Accepted Date: 12/2/2021 r. FORM:NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page ) of D Permit No.: WQ0029346 I Facility Name: Blue Ridge Mountain Club I County: Wilkes ` Month: October Year: 2021 Field Nate `:1 Field Name: 2 Field Name 3 . Field Name: 4 Did irrigation occur Area(acres: 't 58 Area(acres): 1.48 Area{acres} 1:4 Area(acres): 1.58 at this facility? -Covercro FOrest Cover CroForest co*: ro p--,55,= Format Cover Crop: Forest p YES 0NO Hou ty Rate it}, 0 21 Hourly Rate(in): 0.21 j, Hourly Rate(m) 0 21 Hourly Rate(in): 0.21 Ar n ual Rate(ln 71 Annual Rate(in): 50.71 Annual ate(in) 50 21! Annual Rate(in): 50.71 Weather Freeboard ' Field Irrigated? 0 YES 0 NOS Field Irrigated? 0 YES 0 NO - Field Irrigated?;� YES U No Field Irrigated? 0 YES ❑NO al m c d d a @ = cp.0 as art m m �. E E 6 m m A. 3 ,, 6 aE d m .8 =T6 ,, a.E a' as m s a, ca g ,„ a Q. o n.a n.= E �a = E o 2 c. E •E E 3 a E �-a s E all o a •E `° c g z R m N G to -> 4 F' a ,at i _3 > Q F- = � 3 i = J .= > Q ,- i G3 Z3i > Q ~ t � 3 g 3 a F- a V _ °F in ft ft gal mi-t m in= gal min in in gal , ;- min in . in gal min in in 1 C 70 0 4 0 0 : ' 0 00 0,00„ 0 0 0.00 0.00 0 0 0.00 > <0.00 0 0 0.00 0.00 2 PC 5076a. OK-, 0 00A.R 0.40:51 0 0 0.00 0.00 0 0 0.00 0.00- 0 0 0.00 0.00 3 PC 0 0,,? 0 00;= 0.00.. 0 0 0.00 0.00 - 0 0 0.00 xi >0.00 ` 0 0 0,00 0.00 4 CL 64 0.3 4 Al& 01 0 00;,a o.ot gi 0 0 0.00 0.00 0 0 0.00 i0.00, 1 0 0 0.00 0.00 5 PC 73 0 3.8 . 0 0 vi 0 00, 0.00 0 0 0.00 0.00 0 _ 0 0.00 '0.00 0 0 0.00 0.00 6 R 66 1 3.6 0 0 0.00_` 0.00_, 0 0 _ 0.00 0.00 0 _ 0 0.00 0.00' 0 0 0.00 0.00 7 R 67 0.5 3.4 ION 0,_:' 0404 0 00,x 0 0 0.00 0.00 0 _ 0 0.00 `0.00' 0 0 0.00 0.00 8 R 64 2.3 3 0 0 „ 0 00 0.00 0 0 0.00 0.00 0 0 0.00 0.00- ° 0 0 0.00 0.00 9 R 0 0 0 00 0 00�i _ 0 0 0.00 0.00 0 0, _ ,;,. _ « 0.00 `0.00 0 0 0.00 0.00 10 PC e 0 0.00g551 0.00,, 0 0 0.00 0.00 0 0 0.00 ,,,, 0.00 0 0 0.00 0.00 11 PC 64 0 2.5 14 33- - -isqmi o.4.It 0.10 s,_ 14,933 199.64 0.37 0.11 s,16,659, :;222 71; 0.44 : .. :0.12 15,730 210.29 0.37 0.10 12 C 70 0 3.2 , 14,933 19910 • 0 35 o.1,0k..gi 14,933 199.64 0.37 0.11 16,659 '222 71 2,„0.44 0.12 15,730 _ 210.29 0.37 0.10 13 C 62 0 3.5 14 3 19%164.2.f_ 0 35 0,1;0„ 14,933 199.64 0.37 0.11 16,659 „222 71,, 0.44 =0.12 15,730 210.29 0.37 0.10 14 C 64 0 3.8 5,000. .84,_66 O.ligia, 0.10. _ 10,000 133.69 0.25 - 0,11 5,000 .'==66.84_; 0.13 ,`� 7.!;0.12 = 5,000 66.84 0.12 0.10 15 C 72 0 4 -5 000' 66.84', 012„;, 0.10 5,000 66.84 0.12 0.11 j 5,00014. 66.84 - 0.13 0.12 0 0 0.00 0.00 16 C 10,000 133 s9; o.z.fgl 0.10, .' 5,000 66.84 0.12 0.11 k 5,000,,4 `66.84";0.13 ' 0.12 i 10,000 133.69 0.23 0.10 17 PC 5000 6684 012 010 5,000 66.84 0.12 0.11 5,000, 66 84_, 0.13 = -0.12 _ 5,000 66.84_ 0.12 0.10 18 C 61 0 4 - - 0 0 _ � _ 0.0.0gk 0.00,- 5,000 66.84 0.12 0.11 -0 0 0.00 - '0.00 0 0 0.00 0.00 19 C 64 0 4 -- 0 ,- 0, 0.00_.' 0.00 - 0 0 0.00 0.00 5,000 66.84, ;-, 0.13 0.12 0 0 0.00 0.00 20 C 45 0 4 ' - -- 0 t R 0.00,< 0A0.= 0 0 0.00 0.00 0 0 0.00 0.00 5,000 66.84 0.12 0.10 21 CL 62 0 4 ' tit' ON i= (mike, 0 00. 0 0 0A0 0.00 0 al 0 0.00 0.00 0 0 0.00 0.00 22 PC 66 0.1 4 -Ilig- 02„` 0 00,;- -0.ofil 0 0 0.00 0.00 0 - 0 0.00 0.00 0 0 0.00 0.00 23 PC _> ,.0 0 ° 0 00 0.00.,x- 0 0 0.00 0.00 0 0 10.00 0.00 0 0 0.00 0.00 24 PC AI 0 '.,040iiii 0,00;. 0 0.00 5,00qm it66 84 0.13 0.12 _ 0 0 0.00 0.00 25 C 62 0 3.5 11 940 15940, 0.44 Y o.igiv 11,114 148.58 0.28 0.11 9,999 i-133 68, 0.26 ;0.12 9,999 133.68 0.23 0.10 26 PC 54 0.1 3.5 0 0 0 00,z: 0,00.. 0 0 0.00 0.00 ' 0 0 0.00 ;> :.=0.00 0 0 0.00 0.00 27 C 72 0 3.8 11-945: 159.69 o.gtg o.imitii 11,114 148.58 0.28 0.11 9,999110 t 133 68 0.26 0.12 9,999 133.68 0.23 0.10 28 CL 55 0 4 5,400 66�4;, 012 0.101 2,687 35.92 0.07 0.07 5,000„'if 66840 0.13 0.12 5,000 66.84 0.12 0.10 29 R 55 2.5 3.5 - 0' . 0 l; 0.00, 0,00,= 0 0 0.00 0.00 0 0 :`0.00 °, .0.00 ' _0 0 0.00 0.00 30 CL 0; 0 }_ 00 0 , 0 00- 0 0 0.00 0.00 0 0 0.00 , 0A0 - 0 0 0A0 0.00 31 CL -`ir .011.t 0 0021- :0-:.0C4 0 0 0.00 0.00 0 0 iti ta 0.00 -ing0.00 0 0 0.00 , 0.00 Monthly Loading: _98 89 2 30 99,714 2.48 i1,04,975 ` =2.76 = 97,188 2.27 12 Month Floating Total(in):. 2673 24.09 C25.59 26.53 FORM:NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page 6.2.. of 5- Permit No.: WQ0029346 I Facility Name: Blue Ridge Mountain Club I County: Wilkes I Month: October Year: 2021 :..,_, „-,,,,, „..„.., - Field.Nsill:0; .K,.--'0.5 ,, ,-:.,,:3:,..:;-,: Field Name: 6 ''-',:- Field Name:33 --:73:: - Field Name: 8 3- .,333 ,..,-.. ..,, „3:. Did irrigation occur -.;;;,.-±,, .. -;;;;:z.:-:. -::'---;.;-:.-z ,',:i:.:,,,i,;;:- -',-,---,-. -z:,--.;":. ,-i.--.2---T, -,-;;----::,------i•J- ;- . Area(act*); ga:---1,.6 :.4g'i,; Area(acres): 1.63 gE,.: Area(acres): teik Area(acres): 1.66 at this facility? - '!-,,,::'z':-.- . . ,.. ..........,_. .t. Cover coot_ .gForest --:-,-Mij..: Cover Crop: Forest 1 cover Forest i Cover Crop:. Forest _33 .-,.. . 0 YES 0 NO , .Hourly Rate(in): :.- ::10;21 - -I?-St, Hourly Rate(in): 0.21 'E,--- :Hourly-IR:Ate-(in)-.-.of- 0,i!„--?1!7„ .. Hourly Rate(in): 0.21 .-4„,,j,;:-k „.,..,_„„„,,,, ., AnnualRatexot -,:,-4.po.71 ';-,g-;.v: Annual Rate(in): 50.71 ;,,'1:!1,Annual Rate(in):e.-,: 50.3:711.--- Annual Rate(in): 50.71 ..._, ,3 Weather Freeboard Field Irrigated? u YES21,.1 EI-Nqf,-2g Field Irrigated? 0 YES 0 NO sgi: Field Irrigated? ,_, igated?E,-117.1 YES O NO '- Field Irrigated? 0 YES 0 NO It g 8 ti 1.1" . rikili'?f, E 0 ... 72 g 1.fc, . .0-:;:70 - y2g,_ ,,p.A:g g ,,.:.'jcm,3; 0 V a co g „ ca 0 vig t:, ig.:-;.-f,.--ii3;:iii- co 1:-4-ig,>. Cal e 'a ..9, CO 0 D .5.2 Ei4,- Ill'k- g--: 2%E.,-W:--,:- E -c,.--Zi.. E .E (1/ ... ..1" E r. .E. 3'-- E .92W::::: a) 4-, :5;,c'g'.?- ..5,, .--. ..E E I? 0 .13 .t..E as ... 4= a .. ,,,-c., 0, u,,,,:, .a,,,,sti.!,, 7, lam, m cl- - 2 a, ,, _c.:.4t,-::: i.---91,,,,,3.. 0 iti:.:-,. g..05-3t. 0 o. iz' r. 0 8 rg 2 8 i.:',,. 0 ci-,i-g:i:f,1:: r--m-,z-cl 3 01 2 3 E le cn a i- ' >72:-1--, --&--?-. --ral:,,g1 ' -, > < I- _ ....1 .:',.,14 ti 0 1- cD 1- 11 °F in ft ft - dot niht-i:- in gi,,!i in gal gal min in in Z:;. gal 23:-.3-:: min rig: in :3-:-34: in . gal min in in 1 C 70 0 4 - ;pn 0 o.00tm o.opg--, 0 0 0.00 0.00 :--- 0 K:Iii:'.. 0 ',:--_:', -,--%;0.00 ;-:'ak0.00 ---'i 0 0 0.00 0.00 2 PC 0 0 0.001-t. ' 0.010g? 0 0 0.00 0.00 :,:-::. 0 :::!32,,- 0 Kg-3 0.00 lig0.00 !,- 0 0 0.00 0.00 3 PC ikif-: 0 0:04-ia,:- o.00K, 0 0 0.00 0.00 -i! 0 '4!,%.:',.:::; 0 il-&,0.00 tigo.00 i 0 0 0.00 0.00 4 CL 64 0.3 4 -1 .30-ir . 0 .0.00:2-', 0.001E 0 0 0.00 0.00 ,!-i. 0 275, 0 21:13 0.00 -5.i!„g0.00 0 0 0.00 0.00 5 PC 73 0 3.8 03fft Al* 0.00g 0.00itii': 0 0 0.00 0.00 ---i,;: 0 .:-,,,i-',,,2- 0- :::':,-:::,1:- 0.00 :,i7,3i2;0.00, .: 0 0 0.00 0.00 6 R 66 1 3.6 ' 0 '' 0 -0.00It 0.00 .! 0 0 0.00 0.00 ::,-11- 0 .-4.:115 0 24:::ti:0.00-,::_q_gjo.00 0 0 0.00 0.00 7 R 67 0.5 3.4 1-i:0',e,:,! 0 0.002 0.00 0 0 0.00 0.00 A:- 0 Vd3-.: 0 3323 0.00 323-g0.00 ! 0 0 0.00 0.00 8 R 64 2.3 3 I.012 0 0.00:-Mi: 0.00t 0 0 0.00 0.00 csii: 0 3-„g3::: 0 :1-,:I 0.00 0.00 0 0 0.00 0.00 9 R kit - 0 0.00E 0.00 0 0 0.00 0.00 i3 0 ::::::-E.U,: 0 ::-3,3;:3 0.00 0.00 0 0 0.00 0.00 10 PC 0 01g. 0.00,1t, - 0.00 0 0 0.00 0.00 .k 0 ,is-gl-!i,: 0 -:',k,-g:0.00-::1,i::3-tio..00 H 0 0 0.00 0.00 1 1 PC 64 0 2.5 -''0:4t , kli-;:iiii- 0.0,011. 0.00 0 0 0.00 0.00 ;',1-:;:, 0 332:: 0 :?3,:::::3:0.00 g g?::'-:::0.00 1 0 0 0.00 0.00 12 C 70 0 3.2 ,-.--,p-g&- ogri o.00m: o.ops 0 0 0.00 0.00 ';::::: 0 Rti 0 g 4:?,0.00 t.n.-;-:o.00 i 0 0 0.00 0.00 13 C 62 0 3.5 - -gifg 0 0.011a -0.00 0 0 0.00 0.00 g::- 0 l'sit,;:ni i; 0 ;;:,.A,5,.':,-0.00 . i-aP0.00 1 0 0 0.00 0.00 14 C 64 0 3.8 . 30 it,?-: 02g 0.00 0.00 0.007.g.* 0 0 0,00 0.00 -:;::: 0 -3:62 0 :3 g-i,3 0.00 JZ--I30.00 .; 0 0 0.00 0.00 15 C 72 0 4 - 0k , 03-g 0.0:0,EL 0.002 0 0 0.00 0.00 EF': 0 0 0 ';i:::'_'!!P 0.00 ;::':R0.00 0 0 0.00 0.00 16 C -- il0E-t- -kg:: 0.0,02L 0.00,K,: 0 0 0.00 0.00 J5 0 ::::,;:3,3k 0 i21;3:0.00 ::':Pilfg0.00 0 0 0.00 0.00 17 PC : Agt, 0 0.00 0.00 0.00;g 0 0 0.00 0.00 i3 .0 :83-::- 0 :::-3:3 0.00 2,i'::20.00 : 0 0 0.00 0.00 18 C 61 0 4 ::413: 0 0.002 0.00 $1 0 0 0.00 0.00 ::::j' 0 :::E: :'' 0 'w,:iii:-0.00 0.00 i 0 0 0.00 0.00 19 C 64 0 4 ',' 301:1-i , 0 0.003D: 0.001M 0 0 0.00 0.00 ;12 0 4 0 313:!,,!:::0.00 ,i320.00 0 0 0.00 0.00 20 C 45 0 4 0 0 o.Pkg 0.00 0 0 0.00 0.00 ',--.- o giv,-,:, 0 il-iffi-i 0.00 Nko.00 ', 0 0 0.00 0.00 21 CL 62 0 4 :' 0 0 0.003f 0.0-0E- 0 0 0.00 0.00 iZ 0 -'1g3i 0 t3::-g 0.00 iat,000 ;.i 0 0 0.00 0.00 22 PC 66 0.1 4 . Itg-f 0 o.P.On. o.okd 0 0 0.00 0.00 -A 0 Rilt;:i 0 Ii-2E:0.00 nao.00 ! 0 0 0.00 0.00 23 PC - -tfl 0 0.00E3 0-.00X 0 0 0.00 0.00 0 !Al-1., 0 i:3E:-,,0.00 0.00 0 0 0.00 0.00 24 PC 0 0 0.00E 0.00 0 0 0.00 0.00 3-; 0 ,.a.g3:::: 0 :.i:ii;-:0.00 nao.ob l': 0 0 0.00 0.00 25 C 62 0 3.5 0 0 o.opag 0.0:02 0 0 0.00 0.00 -;,g 0 gl-A R. , 0 in1,--. 0.00 i 17:::,-$'-o.00 :i 0 0 0.00 0.00 26 PC 54 0.1 3.5 - ION 0Ii 0.0010 o.oksf 0 0 . 0.00 0.00 -7i.,- 0 RH, 0 4.13E o.00 IA:o.00 :. 0 0 0.00 0.00 27 C 72 0 3.8 - 'ittia ONE ' 0.002: 0.002 0 0 0.00 0.00 .?.- 0 3E31 0 :13',N 0.00 ;-!-,3:M0.00 1 0 0 0.00 0.00 28 CL 55 0 4 .- - -0,fit - -MS 0.00121 0.0:012 0 0 0.00 0.00 7i';;: 0 at iii 0 la 0.00 ,Mt.EE,o.00 0 0 0.00 0.00 29 R 55 2.5 3.5 0g2 :-. 4-:,?,:-V., - 0.00M 0.-0041 0 0 0.00 0.00 -E '-0 •-zilifi3 0 1E::0,00 :',33;go.ocl 0 0 0.00 0.00 30 CL - 0 :kii o.pPit 0.00 0 0 0.00 0.00 it 0 131tri 0 14: 0.00 o.00: 0 0 0.00 0.00 31 CL - -:i.:0M : - -Cif:- 0.010E: - 0.003g 0 0 0.00 0.00 ,:::P-,- 0 gin 0 1;f:g,0.00- nik0.00 -.1 0 0 0.00 0.00 Monthly Loading: - 1-0-M. - -::::3:,----3-::::-2: 0.00-a:::::::::.-3:3-3.:::::: 0 3-3:::::::::::23 0.00 -0 la:, 0.00 -',3.-,:':,:3-3-,--133-3 0 ::;:::::----3,-,',,-2-.., 0.00 12 Month Month Floating Total(in):!',,i-,.3-::,3:_.1,33:3.33„-:::-::--3.--!:::3,-:-.-_,-:: 0.00*,:.:1-31-3-,----..:-.1:----:-.1:::::3;2::::,',..:-,-,'i-3:33-::?:::::--3--.:-:::::3--,,:::2-: 0.00 3:::!-1-:-3::::::::::::::,-3::::::,, . . .1:32--:---.--,-::::lit-0.00 t.:„:,--,Er.-3---3..-3i-:,:;::-.-_,-.3-::-.:E,':;-..--:::;33,--:::3,EE.-..-,3,32::::::::-3.-:::- 0.00 FORM:NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page 3 of q Did the application rates exceed the limits in Attachment B of your permit? 0 Compliant 0 Non-Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? O Compliant 0 Non-Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? E Compliant 0 Non-Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? Compliant 0 Non-Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? o Compliant 0 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: Danny Dale Holman Jr Permittee: Blue Ridge Mountain Club Certification No.: 1003141 Signing Official: Dale Holman Grade: SI Phone Number: 828-964-2239 Signing Official's Title: Utilities Director Has the ORC changed since the previous NDAR-1? 0 Yes 0 No Phone Number: 828-964-2239 Permit Exp.: 5/31/22 "_teael 0.0.4 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 Resources Information Processing Unit 1617 Mail Service Center Raleigh,North Carolina 27699-1617 FORM:NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page ( of Permit No.: WQ0029346 1 Facility Name: Blue Ridge Mountain Club I County: Watauga I Month: October I Year: 2021 PPI: 001 Flow Measuring Point: Influent 0 Effluent 0 No Clow generated Parameter Monitoring Point ❑Influent O Effluent ❑Groundwater Lowering ❑Sulydou Water Parameter Code -► " 00400 00310 31616 00610 :, 254> 00620 , 00665 ,. 00940 TO j a , to c �, + -3o I 4s _ 24-hr hrs GPI su mgi, ;:V mg/L #1100 mL- mg/L mg/L mg/L mg/L mg/i. ';'mg/i. mg/L. .mg/I 1 11:30 1 7„� 7.11 2 2„y. 2 . 10,E 3 102 4 09:00 1 10, ,; 6.92 0 51„, 5. 15:00 1 9,8 7.18 2 2. 6 10:30 1 5,625V 7.26 2 2 „_ 7 10:00 0.5 7,34 - 7.04 172 8 10:00 0.5 13� y 6.97 0 71 „ 9 11,7 y 10 11,7U 11 10:00 1 11, 6.91 0 55 12 11:00 1 6,6 t 7.37 2 2.,,,E 13 08:00 1 5,8 1`. 7.24 2 . 14 10:00 1 6,7SD' 7.47 2 2-' , <2.0 - <1 <1.0 <1.0 ' 29 29 5.71 <2.5 , 15 12:00 1 10,1W,ti 7.38 2.2d r 16 9,5 _ 17 9,5k 18 10:30 1 9,5*d 7.06 0 61 _ 19 10:00 2 5,70, 7.17 2 2 20 09:00 2.5 7,1 `; 7.02 2 21 12:00 1 6,0 7.13 2 L 22, 12:00 1 10,$ 6.98 1 ;;' _ 23 _ 12,�:. :.',,?._N ,, :, ,s s , , ,, _ : ':-- - . ,, , � 24 12, 2 11:000.5 6.887 5 1 0 , 26 09:00 1 ' 12,E y 7.09 2 2 27 14:00 0.5 13, �'' 7.46 2 2 28 16:00 0.5 13, 7.44 - 1 ' 29 10:30 _ 0.5 1 6.92 0 7 30. 12 , 31 12 �- _ Average:! 10, ' 16 0.00 1.00::::.; 0.00 ,= 0.00 ; 29.00 2 29.00 5.71 . -0.00 • Daily Maximum: 13, ti, 7.47 2 2 ` 2.00 1.00 1.00 :': 1.00 e; 29.00 29.00 5.71 "1'2.50 _ Daily Minimum:. 5,6 v 6.88 051 2.00 1.00v 1.00 1.00 ' 29.00 '29.00 5.71 .50 Sampling Type: RecuMkx Grab GraCii, Grab Gratz Grab Grab Grab .: Grab = Grab ,,,..Grab Grab - b Monthly Avg.Limit: 14,,k 30 - 200 ; 15 30 Daily Limit: Sample Frequency: conthtu 5x Week 5X weef Monthly Monthly` Monthly Monthly Monthly ? MonthlyMonthly ' _Monthly 3 X year -,3X year FORM:NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page of Sampling Person(s) Certified Laboratories Name: Dale Holman Name: Water Tech Labs Name: Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? o'Compliant 0 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: Dlale Holman Permittee: Blue Ridge Mountain Club Certification No.: Si 1003141 Signing Official: Dale Holman Grade: Si Phone Number: 828-964-2239 Signing Official's Title: Utilities Director Has the ORC changed since the previous NDMR? 0 Yes O No Phone Number: 828-964-2239 Permit Expiration: 5/31/2022 /" C46-- h1:11;2 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 Resources Information Processing Unit 1617 Mail Service Center Raleigh,North Carolina 27699-1617