WQ0010878_Monitoring - 03-2022_20220425

FORM:1NDMR 05-16 NON-DISCHARGE MONITORING REPORT(NDMR) Page of
Permit No.:WQ0010878 I Facility Name: Blue Ridge Preservation WWTP County: Watauga Month: Year: "^
9 arT :[s/J, ,r.
PPi: 001 Flow Measuring Point: Parameter Monitoring Point:
Parameter Code --► 50050 00310 50060 31616 00610 00625 00620 00600 00400 00665 00530
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24-hr hrs GPD mg/L mg/L #1100 mL mg/L mg/L mg/L mg/L su mg/L mg/L
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20 6 "t /�}5+m / >' .7 —
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Average: 21 _' ,,. 4".
Daily Maximum/QG %• C 1_, / 4 , C `/ C f 4C Z ., " /
Daily Minimum: 7SOf-7 2, , e 4/i �1,C' •<//L) //, 6, , //, / - _2. 5 7//
Composite Sampling Type: Recorder Composite Grab Grab Composite Composite Composite Grab Composite'Composit®
Monthly Limit: 50,000
Daily Limit:
Sample Frequency: Continuous Monthly Per Event Monthly Monthly Monthly Monthly Monthly Per Event Monthly Monthly

I
FORM:NDMR 05-16 NON-DISCHARGE MONITORING REPORT(NDMR) Page `of '
Sampling Person(s) Certified Laboratories
Name: Scott Vasgaard Name: Water Tech
Name: Name: Best Water Services
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? rant ❑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: Scott Vasgaard Permittee: Blue Ridge Preservation
Certification No.: 15219 Signing Official: Scott Vasgaard
Grade: 4 Phone Number: 828/2976234 Signing Official's Title: ORC
Has the ORC changed since the previous NDMR? ❑Yeso Phone Number: 828/2976234 Permit Expiration:
1/5.72 2-—- e//)--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
1

FORM:NDAR-1 05-16 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page_ of
J
Permit No.: W00010878 i Facility Narre: Blue Ridge Preservation WWTP County: Watauga Month: //�r�� Year:' ,)
Field Name: 1 Field Name: 2 Field Name: Field Name: 4
Did irrigation occur —
Area(acres): 1.5 Area(;acres): 1.5 Area(acres): 1.5 Area(acres): 1.5
at this facility? -______,
Cover Crop: Cover Crop: Col er Crop: Cover Crop:
X ❑NoHourly Rate(in): 0.2 Hourly Rate(in): 0.2 Hourly Rate(in): 0.2 Hourly Rate(in): 0.2
0 NO
Annual Rate(in): 117 Annual Rate(in): 117 Annual Rate(in): 117 Annual Rate(in): 117
Weather Freeboard Field Irrigated? Es ❑to Field Irrigated?,Es I]No Field Irrigated? (�'rEs ❑Na Field Irrigated? ❑YES ►:NO
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Monthly Loading: r -,� ��' ', pgif = • 1 rfeprarm i" / .�5, r ) irx
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12 Month Floating Total(in). a e-J am° � r . �A ��'

FORM:NDAR-1 05-16 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page__of
Did the application rates exceed the limits in Attachment B of your permit? XCompliant ❑Non-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Compliant ❑Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? Compliant ❑Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ant ❑Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ,Ompli3nt ❑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-c and describe the corrective
action(s)taken.Attach additional sheets if necessary.
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: SGO ASLf &G r-d Permittee: c3/�e i ejs,e /f eSer" VA l7 ai
Certification No.: / S2/ `J Signing Official: 5lp 71 VAS-1 CAAr-4)
Grade: ST - !Phone Number: b'2 1r Z-8 2 7 6 z Signing Official's Title: 6
Has the ORC changed since the previous NDAR-1? ❑Yes *14-o Phone Number: e,2.v 21742'9 Permit Exp.: I/ ,3d/z 6
110
/ 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 propely gathered and evaluated the information submitted.Based on my
inquiry of the person or persons who manage the system,or those persons directly resporsible 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

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FORM:NDAR-1 05-16 NON-DISCHARGE APPLICATION REPORT(NDAR-1)
Page of
Did the application rates exceed the limits in Attachment B of your permit? fic)
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? yeJ
Was a suitable vegetative cover maintained on all sites ass specified �s
p ed in your permit? f
Were all setbacks listed in your permit maintained for every application to each permitted site? y
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? /e-5
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
Permutes Certification
CRC: Scott Vasgaard
Permutes:
Blue Ridge Preservation
Certification No.: 18595
Signing Official: Scott Vasgaard
Grade: Si Phone Number: 828/2976234
Signing Official's Title: ORC
Has the ORC changed since the previ s NDAR-1?
Phone Number: 828/2976 34 Permit Exp.: 4/30/26
v WZ-2 '
Signature Date r VZ/2-2-—
Signature Date
By this signature,I certify that this report is accurate and complete to the best of my knowledge l certif
y,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 Ores and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center