WQ0015515_Monitoring - 12-2021_20220131

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * December
Report Information
WQ0015515
Ben 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 1.58MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Kimber Reese
Reviewer: EADS\wgerald 1
1/31/2022
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:
3/28/2022

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of
Permit No.: WQ0015515
Facility Name: Bear Pen Village WWTP
County: Watauga
Month: December
Year: 2021
Did irrigation
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
occur
Area (acres):
1.5
Area (acres):
1.5
Area (acres):
1.5
Area (acres):
1.5
at this facility?
Cover Crop:
Ash/Chestnut
Cover Crop:
Ash/Chestnut
Cover Crop:
Ash/Chestnut
Cover Crop:
Ash/Chestnut
❑ YES 0 NO
Hourly Rate (in):
0.2
Hourly Rate (in):
0.2
Hourly Rate (in):
0.2
Hourly Rate (in):
0.2
Annual Rate (in):
44
Annual Rate (in):
44
Annual Rate (in):
44
Annual Rate (in):
44
Weather
Freeboard
Field Irrigated?
E NO
Field Irrigated?
Z No
Field Irrigated?
CIJ.. N0
Field Irrigated?
1 S El NO
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m o
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3Q
¢
-
Ul 0
E
~
-
rn
7. C
°
E rn
7 ?' a
E a
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
C
38
0
22
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
O.DO
0
0
0.00
0.00
2
C
68
0
22
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
3
C
68
0
22
0
0
0.00
0.00
0
C
0.00
0.00
0
0
0.00
O.DO
0
0
0.00
O.CD
4
0
0
0.00
OAO
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0-00
0.00 1
0
0
0.00
0.00
6
CL
56
0
21
0
0
0.00
OA0
0
0
0.0C
0-00
0
0
0.00
0.00
0
0
0.00
0.00
7
C
36
0
21
1
0
0
0,00
0,00
0
0
0.00
0.00
0
O
0.00
0.00
0
0
0,00
0.00
8
C
32
0
21
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
CL
30
0
21
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0,00
0,00
10
CL
38
0
21
0
0
0.00
0.00
0
0
0.00
O.DO
0
0
0.00
0.00
0
0
0.00
0.00
11
0
0
0,00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
121
0
0
1 0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
13
C
41
0
21
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
14
C
60
C.3
1 21
1
0
0
U0
0.00 1
0
0
0.00
0.00 1
0
0
0.00
6.60
0
0
1 0.00
0.00
15
C
62
0
21
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0-00
16
C
68
0
21
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0,00
0
D
0.00
0.00
17
CL
60
0
21
0
0
0.00
0.00
0
0
0.00
0.00
0
1 0
0.00
0.00
0
D
0.00
0.00
18
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0-00
19
0
0 1
0.00
0.00
0
0
0-00
0,00
0
0
0.00
0.00
0
0
0.00
0.00
201
C
30
0.2
21
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0,00
0
0
0-00
0.00
21
CL
30
0
21
0
0
0.00
0.00
0
0
0.00
0,00
0
0
0.00
0.00
0
0
0.00
0-00
22
C
28
0
21
0
0
0.00
0.00
0
0
0-00
0,00
0
0
0.00
0.00
0
0
0.00
0.00
23
Holiday
1
0
0
0.00
0.00
0
0
0.00
1 0.00
0
0
0.00
0.00
0
0
0 00
0.00
24
Holiday
0
0
0.00
0.00
0
0
0.00
000
0
0
0.00
0.00
0
0
0.00
0.00
25
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
26
0
0
0.00
0.00
C
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
27
C
68
0
20
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
28
C
68
0
20
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
D.00
0
0
D.00
0.00
29
CL
62
0
20
0
0
0.00
O.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
301
CL
58
0,1 1
20
0
0
0.00
0.00 1
0
0
0.00
0.00
0 1
0
0.00
0.00
0
0
C.00
0.00
311
Holiday 1
0
0
0.00 1
0.00
0
0
0.00
0.00
0
0
0.0D
D.00
0
0
0.00
0.00
Monthly Loading:
0
0.00
0
000
0
0.00
0
0.00
12 Month Floating Total (in):
O.00
0.0D
0.on
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
Compliant
❑ Non -Compliant
❑ Compliant
❑ Nan -Compliant
El Compliant
❑ Non -Compliant
M Compliant
❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reasons) 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
Permittee:
Heavenly Mountain Residential Association, Inc
Certification 1 24262
Signing Official: Robert Barr
Grade: SI Phone Number: [phone]
Signing Official's Title: Signatory
Has the ORC changed since the previous Ni ❑ Yes El No
Phone Number: (828)-251-1900 Permit Exp.: 11/30/23
1-Z4-LZ.
IC-17
wig^
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 3 of 4
Permit No.: W00015515
Facility Name: Bear Pen Village WWTP
County: Watauga
Month: December
Year: 2021
PPI: 001
Flow Measuring Point: ❑ Influent P1 Effluent El No flow generated
Parameter Monitoring Point: ❑ [nfluent Q Effluent E Groundwater Lpwering ❑ surface Water
Parameter Code —►
50050
00310
50060
31616
00610
00625
00620
00400
00530
00600
00665
3
�
LL
mp
y
a:
E
a)
L)0
E-�z
a
= C
I —
Y
z
•
G1
a'Oa
n
G
Z
0)
a.
to
a
24-hr
hrs
I GPD
mg1L
mg/L
#1100mLj
mg1L
mg1L
mg1L
I su
mg/L I
mg1L
mg/L
1
13:00
0.25
290
<20
6.8
2
15:20
0.25
1,570
3
12:30
0.5
150
4
77
5
1,077
6
14:20
0.5
1,077
<20
7
11:55
0.33
1,930
8
13:10
0.5
310
<20
6-9
9
13:50
0.33
1.410
10
12:50
0.33
550
11
837
12
837
131
13:45
0.25
837
14
12:50
0.33
1,030
<20
6.9
15
13:35
0.5
1,110
16
13:55
0.25
50
17
12:05
0.25
1,080
18
1,623
19
1,623
20
14:40
0.33
1,623
<20
6.8
21
11:35
025
30
22
13:20
0.25
30
23
Holiday
868
241
Holiday
1
868
25
868
26
868
27
15:15
0.33
868
<20
6.9
28
12:40
0.5
60
29
12 40
0.33
1,070
301
14:20
0.67
650
311
Holiday
1
1,205
Average:
854
0.00
Daily Maximum:
1,930
20.00
6.90
Daily Minimum:
30
20,00
6.80
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
10,000
--A
Daily Limit:
6-9
Sample Frequency:
Continuous
4xYear
Weekly
I 4xYear
4xYear
4xYear
4xYear
Weekly
4xYear
4xYear
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? 171 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 necessary.
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 NDMR? ❑ Yes p No Phone Number: [phone] Permit Expiration: 11 /30/2023
A Il 1—
1
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
V V "V' `- l -2 y—z z
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. 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