WQ0035784_Monitoring - 11-2021_20220322

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
Report Information
WQ0035784
Cottages of Boone
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
COB November 2021 NDMR 4.59MB
and NDAR Signed 30 Dec
2021.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Madelyn Mills
3/22/2022
This will be filled in automatically

Reviewer: Gerald, Wanda
Is the project number correct?* WQ0035784
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Accepted Date: 4/5/2022

DocuSign Envelope ID: OBAB567B-E61 E-41 CF-9328-529F5C376CB3
DEMONSTRATION DOCUMENT ONLY
PROVIDED BY DOCUSIGN ONLINE SIGNING SERVICE
999 3rd Ave, Suite 1700 ® Seattle ® Washington 98104 ® [phone]
www.docusign.com
f'UKM: NL)MK
NON -DISCHARGE MONITORING RhIPUR I (NDMR)
rage Or
Permit No.: WQ0035784
I Facility Name: The Cottages of Boone \AMTP
I County: Watauga -T
Month: November Year: 2021
PPI: 001
Flow Measuring Point: 0 Influent 0 Effluent 0 No flow generated
Parameter Monitoring Point: 0 Influent @ Effluent 0 Groundwater Lowering u surface Water
Parameter Code ---p.
60050
00310
00940
31616
00610
00625
00620
00600
00400
00665
70300
00530
00076
E
0
0
E
f- ib
0
0
2
X
2
LL 0
0
E
E
00
z
z
0 B
z
0
�§
0 0.
0.
-Ig
g
i r- :2
V
24-hr
hrs
GPO
mg/L
mg/L
1 #1100 mL
mg/L
mg/L
I mg/L
mg/L
su
mg/L
mg/L
mg/L
I NTU
1
12:15
8A5
88,631
U
0.096
2
07:15
4.45
10,453
6,9
0.12
3
09:30
4
83,457
6.9
0,097
4
09:50
4.1
96,884
6.9
0.097
5
12:00
6-25
92,788
6.9
0.1
6
92,788
0:099
71
1
92,788
0,087
81
12:00
1 4
61,858
6,9
0.091
9
1 19:00
1 1.5
91,480
6.9
0,096
101
10:30
1 5
38,774
1 <2
35,9
<1
0.22
<0.5
1
1
6.8
0.63
230
<2317
0,095
111
10:00
1 3
68,332
1
6,8
0.094
07:30
2
67,779
7
U89
13
48,453
0.084
14
48,453
1
1 OW5
[12
15
1 5
16:30
2.5
48,453
6.8
0.067
16
10:15
8
587519
T4
U68
17
09:30
8
67,549
6.31
0.07
18,
07:45
1 8.5
50,129
6.4
0V6
191
04:40
1 5
51,633
1
7,57
0.079
201
1
81,718
1
1
1
0,073
211
1
81,718
1
()L071
221
1150
1 5
81,718
7.55
0,075
231
05:50
1 9.5
66,051
7.16
0.071
241
10:10
1 2.5
79,392
6.37
0,07
251
0&00
1 2
61,399
6.44
0.065
261
H
K31
I H
60,426
0.06
271
1
60,425
0,063
28
21:30
3
60,425
1
7,52
0L06
29
07:00
4
31,574
7.38
U61
30
08:20
5.5
77,048
7.6
0.062
Average:
66,370
0.00
35.90
1.00
0.22
0,00
1.00
1.00
0.63
230.00
0.00
0,08
Daily Maximum:
96,884
2.00
35.90
1.00
012
0.50
1.00
1 1.00
7,60
0.63
230.00
1 272
0.12
Daily Minimum:
10,453
2.00
35.90
1.00
0.22
1 0.50
1.00
230.00
2.72
0,06
Sampling Type:
Recorder
Composite
Composite
Grab
Composite
Composite
Composite
Composite
Grab
Composite
Composite
Composite
Recorder
Monthly Avg. Limit:
100,000
10
14
4
10
5
Daily Limit:
15
25
6
10
10
Sample Frequency:
Continuous
Monthly
3 x Year
Monthly
Monthly
Monthly
Monthly
Monthly
5 x Week
Monthly
3 x Year
Monthly
Continuous

DocuSign Envelope ID: OBAB567B-E61 E-41 CF-9328-529F5C376CB3
DEMONSTRATION DOCUMENT ONLY
PROVIDED BY DOCUSIGN ONLINE SIGNING SERVICE
999 3rd Ave, Suite 1700 - Seattle - Washington 98104 - [phone]
www.docusign.com
rUKTVI: NUMK W-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page _ of _
E& 9=11 UUMVITO I
Facility Name: The Cottages of Boone WWTP
•
•
E3
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MRIP11 W�RKICM
wn. mr-M
VA
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. un iuuua A mumn 1 ' x t ear 1 z x month 1 4 x monut 1 1 x month 1 2 x Month 1 2 x Month 1 5 x Week 1 2 x Mnnth 1 3 w YAar 1 2 Y Month I r.nntinnnim I

DocuSign Envelope ID: OBAB567B-E61 E-41 CF-9328-529F5C376CB3
DEMONSTRATION DOCUMENT ONLY
PROVIDED BY DOCUSIGN ONLINE SIGNING SERVICE
999 3rd Ave, Suite 1700 ® Seattle ® Washington 98104 ® [phone]
www.docusign.com
t-UHM: NUMH W-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Sampling Person(s) Certified Laboratories
Name: Don Feller Name: Statesville Analytical
Name: Eric Youngs Name:
Page _ of _
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ul 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
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Donald Feller Permittee: Wallace Loft, LLC
Certification No.: 993428, 1003132 Signing Official: Sean Dwyer
Grade: WW4, SS Phone Number: 919441-2091 Signing Official's Title:
Has the ORC changed since the previous NDMR? to Yes 11 No Phone Number: Permit Expiration: 4/30/2022
Signature Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
Sean DWYER 31-Dec-2021 1 4:42 AM SCI
Signature Date
I certify, under penalty of law, that this document and all altacnments were prepared Under my direction a 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 hot ef, 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

DEMONSTRATION DOCUMENT ONLY
PROVIDED BYDOCU8|GNONLINE SIGNING SERVICE
VVV3rdAve, Suite 17OO ^ Seattle ^ Washington &81O4^(2OO) 219-0200
www.goouoiQn.00m
NON -DISCHARGE APPLICATION REPORT (NoAR-11)
Permit No.: WQ0035784
Facility Name: Cottages of Boone
County: Watauga
I Month: November
Year: 2021
Did irrigation occur
Field Norm
IF-1
Field Name:
2
Field Name;
3
Field Name:
4
at this facility?
ea (acres):
2,8
Area (acres):
2.7
Area (acres):
—7-8-6
Area (acres):
212
Cover Crop:
Mixed Forest
Cover Crop:
Mixed Forest
Cover Crop:
_PWIxed —Forest
Cover Crop:
Mixed Forest
Eli YES 0 NO
Hour V Rate (in)*
0.15
Hourly Rate (in):
OA5
lia-dy Rate (111�.
0-15
Hourly Rate (in):
0.15
Weather
Freeboard
Field Irrigated?
YFs 0 No
Field Irrigated?
o No
­71ald —Irrigated?l
0 NO
Field Irrigated?
r] YES n NO
F
gal
min
in
in
gal
min
In
In
gal
15,497
152
0.20
0.08
17,500
167
0.24
0.09
17,464
166
0.35
012
1-15,000
140tO�.20
0.09
10700-01
K68'8
69)
310
=2
0
0
Monthly Loading
375,309
12 Month Floating Total (in) :

DocuSign Envelope ID: OBAB567B-E61 E-41 CF-9328-529F5C376CB3
DEMONSTRATION DOCUMENT ONLY
PROVIDED BY DOCUSIGN ONLINE SIGNING SERVICE
999 3rd Ave, Suite 1700 - Seattle - Washington 98104 - [phone]
www.docusign.com
FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page _ of
Permit No.: WQ0035784
Facility Name: Cottages of Boone
county: Watauga
Month: November
Year: 2021
Did irrigation occur
at this facility?
Field Nam
""a "me:
5
Field Name,
Field Name:
6
Field Name.
Field Name:
Area (acres):
1,72
Area (acres):
2.59
Area (acres)*
Area (acres):
Cover Crop.,
Mixed Forest
C. r P.
Cover Crop:
Cover Crop:
kAnnual
Mixed Forest
Cover Crop:
Cover Crop:
9 YES NO
Hourly Rate (in),
0.15
Hourly Rate (in):
0,15
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
101.4
Rate (in):
101.4
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
YES n NO
I Field Irrigated?
u YES PJ NO
Field Irrigated?1'
n Na
Field Irrigated?
El YES-
C NO
0
E
0
01
1!
0
A
w
5
M
E
E
IE
C
Z,
E 0
-6
>
0
E
i=
C3 M
E M
9 ' 1
:C 9
93
9 �
g I
I= -E
:c,- F
'3 1
1
E
0.
0
>
02
.9 M
.2)
13 0
E
X 0 0
F
In
it
it
gal
min
In
In
gal
min
in
in
gal
min
in
In
I gal
min
in
in
I
C
1 47
0
13
1 2.5
280
4
_0
0.01
0 0'
001
0
2
C
1 48
0_
13
2
�0.62
0
3
C
46
0
13
2
28,978
I
381
OX2
0.10
22,980
211
0.33
0.09
4
SN
34
1
17.5
2
10,683
1",683
141
0,23
n w
0,10
15,010
138
0.21
0.09
6
R-9(7
0
0
7
0
0
8
-
0
15
2
10,030
10,000
132
0.21
0.10
7,172
66
0.10
0.09
9
5
-
18,388
242
0.39
0.10
17,680
162
0.25
0,09
10
C
67
2
-2
17,250
227
0.37
0110
15,378
141
0.22
0.09
11
CL
57
1
75-
15
14,278
188
0.31
0.10
8,336
76
0.12
0.09-
T2
PC
42
145
2
3873
183
030
0110
16,235
149
0.23
a09
13
13,873
183
030
0, 1 to 11111
16,235
149
023
0,09
14
13,873
183
0.30
010
16,235
149
0.23
0.09
15
C
47
0
14.5
1 2
13,873
18 3
0.30
0,10
16,235
149
0.23
0.09
16
CL
57
0
15
2
27,142
357
0,58
010
17,362
159
0.25
0.09
17
C
64
0
15
2.6-
11,668
16�
0,25
0A0
13,676
125
0.19
0,09
18
C
58
0
15.5
-2.6-
7,4272
918
-
0.16
0,10
7,618
70
0.11
0.09
19
C
26
0
15.5
2.6
17,496
ao
0,37-
0.10 1
17,732
163
0.25
0.09
20
6,977
92
OAS
0",
016,
23,333
214
U3
0-09
T,
6,977
_713-7-7
92
0.15
6 ---
M-10
110
23,333
214
_033
0.09
22
CL
40
02
18.5
2.6
92
0115
23,333
214
0.33
0.09
23
C
21
0
16
3.3
9,420
124
020
61-0-1
7,810
72
0.11
0.09
24
C
32
0 1
15.5
4
10,734
141
0._23
0-1-0-1
20,298
186
0.2_9
0-09
25
C
40
0
15.9
4.5
10,000
132
0.21
0,10
14,568
134
- 0.21
a09
26
9,322
123
0.20
0.10
25,017
230
0.36
0.09
27l
1
9,322
123
0,20
0A0
25,017
230
0.36
0.09
2 8
8±
C
37
0.1
17.5
5
22
123
0,20
.10
25,017
230
0.36
U9
29
1
C
23
0
16.3 1
5.5
10,000
132
0.21
-72-1
0A0
10,000
92
0.14
0.09
30
C
32
3
0
16 1
5,5
10,000
132
010
10,000
92
0.14
0.09
31
31
0
Monthly Loading:
12 Month Floating Total (in):
318,178
6.81
27.38
415,61q
5.91
18.49
0
0.00
0
si=
00
.0010

DocuSign Envelope ID: OBAB567B-E61 E-41 CF-9328-529F5C376CB3
DEMONSTRATION DOCUMENT ONLY
PROVIDED BY DOCUSIGN ONLINE SIGNING SERVICE
999 3rd Ave, Suite 1700 - Seattle - Washington 98104 - [phone]
www.docusign.com
FORK NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
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?
Page __ of
FJ Compliant n Non -Compliant
• Compliant D Non -Compliant
• Compliant 0 Non -Compliant
• Compliant 0 Non -Compliant
(A Compliant D 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 npmassArv.
Operator in Responsible Charge (ORC) Certification
Permiftee Certification
ORC: Donald Feller
Permittee: Wallace Loft, LLC
Certification No.: 1003132
Signing Official: Sean Dwyer
Grade: SS Phone Number: 919-441-2091
Signing Official's Title:
Has the ORC changed since the previous NDAR.11? R: Yes 11 No
Phone Number: Permit Exp.: 4/30/22
-17 �)
Sean DWYER 31-Dec-2021 1 4:42 AM
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 an 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 violation,
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
SGT