WQ0015515_Monitoring - 08-2022_20221028

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * August
Report Information
WQ0015515
Bear Pen Village
Type *
Revised - NDMR, NDAR-1, NDAR-2,
NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
WQ0015515-8-22 (Revised 969.53KB
10-26-22).pdf
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: Gerald, Wanda
10/28/2022
This will be filled in automatically

Is the project number correct?* WQ0015515
Is the monitoring report accepted?* - Yes NO
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 11/22/2022

FORM: NDAP-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1 ) Revised Pap 1 ol 4 Page 1 of 4
PermitNo.: WQ0015515
Did irrigation
Facility Name: Bear Pen Village WWTP
County: Watauga Month: August
occurs
Area (acres):
at this facility?
10 YLS -
NO
-H—o—urhy -Rate (in).'
Hourly Rate (in)�
Hourly Rate
Hourly Rate (in):
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):j
Annual Rate
Field Irrigated?
oil
III
II!
M=
M
M
M
1!
ME
M
M===
Monthly Loading:
MMI

I=ORM: N'DAR-1 10-13
Page 2 of 4
Bid the application rates exceed the limits in Attachment B of your permit's
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?
❑ Compliant D. Non -Compliant
Compliant ❑ Non -Compliant
21 Compliant ❑ Non -Compliant
C Compliant ❑ Non -Compliant
P1 Compliant ❑ Nan -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.: 2 262
Signing Official: Robert Barr
Grade: 6l Phone Number: [phone]
Signing Official's Title: Signatory
Has the CRC changed since the previous NQAR-1? ❑ Yes r= No
Phone Number: (828)-251-1900 Permit Exp.: 11/30/23
Signature Date
Signature Date
By this signature, Icertify that this report is accurrate and complete to the best of my knowledge.
1 certify, under penalty of faw, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that aft 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