WQ0015515_Monitoring - 11-2021_20211230 (2)

DWR - NonDischarge Monitoring Report Submittal
NORTH CAROLINA.
Enrlranmenlcl Quaflly
Monitoring Report Submittal
Permit Number #*
Name of Facility: *
Month:* November
Report Information
Type*
WQ0015515
Bear Pen Village WWTP
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
..........................................................
Reviewer:
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
Gerald, Wanda
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: 3/8/2022

FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page 1 of 4
0
1
2
3
4
5
6
7
8
9
Permit No.: WQ0015515 Facility Name: Bear Pen Village WWTP
Did irrigation occur
at this facility?
E YES
CI NO
Weather Code
CL
CL
c
Weather
Temperature
° F
62
54
54
45
50
a
trz
0
in
0.2
0
0.1
0.1
0
Freeboard
t:7)
0
ft
24
24
24
24
24
ft
Field Name:
2
ICounty:
Watauga I Month: November
Field Name:
Year: 2021
4
Area (acres):
1.5
Area acres)
Area (acres):
1.5
Cover Crop
Ah/Ch,pst.nUt <,'
Cover Crop:
Ash/Chestnut
Cover Crop:
Ash/Chestnut
Hourly Rate (in):
0.2
Hourly Rate (in):
0.2
1:!:AnnuatRatOrn)li
Arrigated7
0 0
;
0,60
44
NO
in
Annual Rate (in):
Field Irrigated?
0) -a
E .2
2 -6-
o a-
>
gal
0
0
0
0
P -• 25
min
0
0
0
0
44
I i YLS
0 oc5
NO
in
0.00 0.00
0.00
0.00
0.00
0.00
0.00
0.00
I I,YES
1-leldirrtgateae
0.
0:0P
< 0.00
Annual Rate (in):
Field Irrigated?
o -a
E .2
• a
O cm
• a
gal
0
0
0
0
-a
o ti)
E
min
0
0
0
0
Y.5
a o
in
0.00
0.00
0.00
0.00
44
NO
in
0.00
0.00
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
1 0
11
12
13
c
c
66
68
68
60
60
0
0
0
0.1
1.3
24
24
24
24
24
0 00
0
0
0
0
0.00
0.00
0.00
0.00
0
0
0
0
0.00
0.00
0.00
0.00
•
o
: :.:00
00
0.00
0.0o,
o.00 °
0
0
0
0
0
0
0
0
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
,..:
60 0
0
0
0
0
0
0
0
0
0.00
0.00
0.00
0.00
0.00
_ 0.00
0.00
0.00
14
15
16
17
18
19
c
PC
c
c
42
48
61
59
31
0
0
0
0
0
22
22
22
22
22
0
0
0
0.00
0.00
' 0
•
.00
'0:00 :2',
0 ; ' 0
aDo
a.od •
0.00
0
0
0
0
0
0
0
0
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
-.
:0.00
0
0
0.00
0.00
0 '
20
21
22
23
CL
34
30
0.1
0
22
22
0
0
o:oo•
O.
0.00
0
0
0
0
0
0
0
0
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0 :: 0.00
.000:1
0.00
•
0.00
0
0
0
0
0
0
0
0
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
.,< 0:P
0.0.0
0.00'
0
0
0
0
0
0
0
0
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
24,
25
26
27
28
29
30
31
48
Holiday
Holiday
0
22
:.<
I 0 0, :
.00P,°
0].
0
0
0
0
0
0
0
0
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0
,..0,
0
't:HJ
. ;
.09
0.00
•.• 00•
0.00
0 00
o oo
COD
0.0o
•0_00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
32
0
C 30 0
22
22
Monthly Loading:
12 Month Floating Total (n):
0
0
0
0
0
0
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0
0.00
0
0
0
0
0
0
0
0.00
0.00
0.00
0.00
0.00
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?
0 Compliant ❑ Non -Compliant
0 Compliant 0 Non -Compliant
El Compliant 0 Non -Compliant
0 Compliant ❑ Non -Compliant
0 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: Robert P. Barr
Certification No.: 24262
Grade: SI Phone Number: [phone]
Has the ORC changed since the previous NDAR-1? ❑ Yes El No
\1\11/4146j t1.--4-2,
Permittee:
Heavenly Mountain Residential Association, Inc
Signing Official: Robert Barr
Signing Official's Title: Signatory
Phone Number: (828)-251-1900 Permit Exp.: 11/30/23
(L-21-2-I
Signature
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Date
Signature Date
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. t 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 3 of 4
Permit No.: WQ0015515
PPI: 001
Facility Name: Bear Pen Vi[[age WWTP
.Flow Measuring Point: ❑ Influent D Effluent ❑ No flow generated
County: Watauga
Month: November
Parameter Monitoring Point: ❑ Influent ] Effluent ❑ Groundwater Lowering
Year: 2021
❑ Surface Water
Parameter Code 00310
1
24-hr
13:50
F
r4O
O
hrs
0.5
en
Q
0
mg/L
31616
E
V Q
Q7
L Q
U
#/100 mL
91
00625
mg/L
00400
su
6.5
00600
c
7) a)
Z
mg/L
2
12:45
0.33
3
11:55
0.33
4
16:10
0.33
5
12:20
0.33
0
6
7
8
15:05
0.33
9
12:55
0.33
40:€' 9.9
24
2.6
15.6
2
10
17:30
0.25
6.6
11
13:40
0.33
12
12:45
0.33
13
14
15
12:30
0.25
16
12:00
0.25
17
12:45
0.25
15.
18
09:15
0.5
6.5
19
10:45
0.25
20
21
1: 7:
22
14:50
0.33
23
13:45
0.25
1i020'
<2
6.5
24
14:05
0.33
25
Holiday
26
Holiday
544:..
27
28
29
15:15
0.33
6.4
30
12:00
0.25
31
Average:
886 9.90
24.00
2.60
15.60
2.77 ;..
Daily Maximum:
6
9.90
2000
24.00
.1
2.60
6.60
15.60
2.77
Daily Minimum:
Sampling Type:
9.90
,;:Recorder„: Grab
!2020
24.00
Grab
2.60
Grab
1
0
6.40
Grab
5� 50 " "';: 15.60
Grab
Grab
Monthly Limit:
0,000 ;`:
Daily Limit:
6-9
Sample Frequency: ,Contrnuous:< 4xYear
Weekly :;'
4xYear
4xYear._`-;
4xYear
txYear_
Weedy
4xYear 4xYe r
4xYear

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page 4 of 4
Sampling Person(s)
Name: Robert P. Barr
Name:
Name: Water Tech
Name:
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
El compliant I] Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in comp[iance. 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
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 0 No
Phone Number: [phone] Permit Expiration: 11/30/2023
1 'IA( :1.,\
(\lt/t(i 11-21-7,f
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 Taw, 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