WQ0015515_Monitoring - 11-2021_20211230

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
Report Information
WQ0015515
Bear Pen Village WWTP
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
WQ0015515.pdf 452.73KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Robert Barr
Reviewer: Zhong, Vivien
12/30/2021
This will be filled in automatically

Is the project number correct?* WQ0015515
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Accepted Date:
1 /19/2022

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of 4
Permit No.: W0001 55 15 Facility Name: Bear Pen Village WWTP County: Watauga Month: November Year: 2021
..
• ld-Ni
T, In ield Name: 4
Did ild Field Name: 2 rrigation occur
at this facility?
Area (acres):
1.5
Area
Area (acres).
1.5
Covers
nul-5-:0
Cover Crop:
Ash/Chestnut
Cover Crop;
AshiChestnut
[I YES
7 NO
Hourly Rate (in):
0.2
;A`4
Hourly Rate (in):
0.2
An,
Annual Rate (in):
44
Ann3
iiaVRat& 00
Annual Rate (in),
44
Weather
Freeboard
�lrrio;4
d?
❑...... .
Field Irrigated?
TTYEE� 15 Na
ield]rrigAted
Field Irrig
7T7�0 �NO
zO
y
CL M
tm E U
2
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E -2
= -a
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7
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ft
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min
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€
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in
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rnm
n
m
gal
in
in
in
62
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0
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2
CL
64
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0
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3
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59
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28
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0
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12 Month Floating Total (in).
0 00
0.00
0.00

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2 of 4
Did the application rates exceed the limits in Attachment B of your permit?
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?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
2 Compliant
❑ Non -Compliant
M Compliant
❑ Nan -Compliant
121 Compliant
❑ Non -Compliant
❑ Compliant
❑ Non -Compliant
1Z 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 necessarv.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Robert P. Barr
Permittee:
Heavenly Mountain Residential Association, Inc
Certification No.: 24262
Signing Official: Robert Barr
Grade: SI Phone Number: [phone]
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? ❑ Yes p No
Phone Number: (828)-251-1900 Permit Exp.: 11/30/23
��& k LL_?,i
w9r—
(-2-Zl
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. l am aware that there are significant
penalties for submitting fatse information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
In€onnation Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 3 of 4
Permit No.: WQ0015515
Facility Name:
Bear Pen Village WWTP
County:
Watauga
Month: November
Year: 2021
PPI: 001 Tlow
Measuring Point: ❑ Influent O Effluent ❑ No Flow generated
Parameter Monitoring Point:
❑ Influent ] i-fluent ❑ Groundwater Lowering ❑ Surface waber
Parameter Code0.
,Ia0ii50,E'
00310EE`;flD&�4'<�'
31616
t1Q60i;'°sE
00625
00400b534
00600
00s65
E€Ei
76
...
L
Qi
F
11
33�3 3 € '..'
y "
�{
I.
ill
R IC
3
3�E
�
t4E
n
w0,1
~
0
��Na�yi3
LL
7
te
a
0
O
Z
:S r
24-hr
hisGD.
;'3
mg IL
s
#1100 mL
mglL.,;(€ntgTE
�_:
su
mg1L
m�L
1
13:50
0 5i,
Ti
c
21
12:45
0.33
3
11:55
0.33
4
16:10
0.3361
5
12:20
0.33�.-
6
7
92.7..,...;
8
15:05
0.33
927 ., <;;
,�20 '
,..
9
12:55
0.33
24
�€0 ...:°
2fi
10
17:30
0.25
650,..:.
E
6.6
11
13:40
0.33{}.
12
12:45
0.33
13.i
i,W
14
15
12:30
0.25.E.81
16
12:00
0.25
17
12:45
0.25
18
09:15
4 5
19
10:45
0.25
30 .... :;
201.x557.
21
1,557
22
14:50
0.33
23
13:46
0.25
` 1,020 :;'
.<20, � '?
i�
6.5
24
14:05
0.33
990
25
Holiday
544.
26
Holiday
27
544
28
,.: 544.
29
15:15
0.33
544: z;
'20
6-4
30
12:00
0.25
316
31
".
Average
886, ,.,
9.90
',00 .`
24.00
.00. "; '',
2.60
13.00 „
5.50
15.60
2. 77,::
Daily Maximum
.,.,'.2,640 ,JI
9.90"_
20 00 ,,,
24.00
„ 1;QQ �.'
2.60
13, AO..:
6.60
5.�50
15.60
2.Z7', .
Daily Minimum
.. ;. 3,Q.....
9.90
20 00. ,!
24.00
1,:QOi..:
2.60
13 00;:';:
6.40
5�50 °:
15.60
2".77
Sampling Type:
;, F,r
Grab
-�iab ,'
Grab
drab'.°_
Grab
ab...a
Grad
Crab :':':
Grab
Monthly Limit
'10,QDA s:
Daily limit
Sam pie Fregiyenoy
orrtrnuous:i
4xYear
SNeekly°'"
4xYear
4xYear <;
4xYear
4xYear
:4
Weekly
4xYear
1
s4xYedur.
4xYear

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 4 of 4
Sampling Person(s) Certified Laboratories
Name: Robert P. Barr Name: Water Tech
Name. Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? [] 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
w, Ik-1 ­ 1. rzµ 1l -I LIVI IQI .1. IIpG LO II
Operator in Responsible Charge (ORC) Certification
Perm ittee Certification
ORC: Robert P. Barr
Permittee: Heavenly Mountain Residential Association, Inc.
Certification No.: 24262
Signing Official: Robert Barr
Grade: SI Phone Number: [phone]
Signing Official's Title: Signatory
Has the ORC changed since the previous NDMR? ❑ Yes p No
Phone Number: [phone] Permit Expiration: 11/30/2023
W 17AI-1A
Signature Date
Signature Date
By this signature, I certify that this report is acwrrate 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