WQ0035784_Monitoring - 05-2022_20220726

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * May
Report Information
WQ0035784
THE COTTAGES OF BOONE
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
COB NDMR-AR 05-2022.pdf 3.96MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
ENVIROLINK, INC.
Reviewer: Gerald, Wanda
7/26/2022
This will be filled in automatically

Is the project number correct?* WQ0035784
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 12/8/2022

DocuSign Envelope ID: DF40B8DD-5CD1-4F2A-9955-B2Fl3Al89800
NON -DISCHARGE REPORT.
Permit No.. g Q0035s84-
Facility dame:
The Cottages of Boone W
eo-ty;
Watauga
Minty:
May
Year-
2022
P I,
Fiow Measuring Paint:
_ ; u€ ® >f e., No
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= l-- ; 3t
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Parameter Code P.
59050
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Sampling Type.
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Monthly
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monttly
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t nu s 3 x Year

DocuSign Envelope ID: DF40B8DD-5CD1-4F2A-9955-B2Fl3Al89800
NON -DISCHARGE MONITORING REPORT r
Permit No.: W00035784
Facility Name:
The Cottages of Boerne WWTP
County;
Watauga
Month;
May
Year;
2022
PPI: 002
Flow Measuring Point:
s Influent :0 Et uer., No flow ge :crate
Parameter Monitoring Paint.
_ - fluent
M_ ,ye= t
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M. men. ,
Z: Bugs eater
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50050
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00440
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mg!L
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mg/L i
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mg/L
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mgJL
mg#L
mg/L
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Composite
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Composite
Composste
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Composite
Composite
Cam
Eta Composrte
R
Monthly Avg. Limit;
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5
4
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ti
Sample Frequency
Continuous
3 x Year
5. Week
Monthly
Wnthly
Monthly
M.thly
M.Thty
Monthly
tt�Ey
Monthly
ttty
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3. Y.

DocuSign Envelope ID: DF40B8DD-5CD1-4F2A-9955-B2Fl3Al89800
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Sampling Person(s)
Name: Operators
Name:
Name: Statesville Analytical
Name£
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit``Y
if the fac liry s ncn-comollant, please explain in the space below the reason(s) the facility was not n compliance. Provider _,'o r explanation the dates) of the ron = r"i^i a ce and de c ce 'he co ot.�e
art:nnt�i tak— Affa,h ari-ditionni c;;hp�fitg if nin—cessarv.
Low fogs recordings reported for 3'27 and 3t28: The EO level dropped and temporarily ceased flow through the membranes, An interne. outage made it so that operators were unable to access the
remotely, which required that the membrane process be restarted manually when the operatored returned onsite.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Eric Youngs Permittee: Wallace Loft, LL
Certification No.: 1000412 Signing Official: Sean Darr
Grade: Ss Phone Nurnberg (910) 4 5-1219 Signing Official's Title: Director
Has the ORC changed since the previous NDMR?
Yes No Phone Number: Permit Expiration: 4 30,2022
' Sf,at, Vwt ur 02-Jul-2022 1 1:55 AM SGT
Signature hate Signature Date
5y Ns s rature i cerffy that uNis runt is a s;urate and complets to the best of my kno; ledge t cer r)" under periatty of taw.nhat this oc�ur+ani arw an anavwem we . v -amy direr snk_e-G
,�eraance AdLh a system dos,jn tsa assov , t it sat rw_ am �-.WatEll
subm ttec.. Basea on my irgorf of the :cam ar ets *no many a :he System, 0,'a 'a «.-s< cuecUy far
gathiirrg the irfoaratort, ffie n`ormatia .0 , tied 4. to -, or my v a-riia belief. ram, c braw aim co . etee , afn
asp -are that thwe are significant cena ,-es fcr st.bmit?€f-Q false e"ca„°ati.r.. iud g the p-ssowtp of arm
k uorm,
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

DocuSign Envelope ID: DF40B8DD-5CD1-4F2A-9955-B2Fl3Al89800
FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-11) Page
Permit Flo.. W0 357 4
Facility Name: Cottages of Boone
County.
Watauga
Month:
May
Year:
2022
Did
Field Name:!
i
FIeId Na e:1
2 I
Field Named
3
Field Name
4
Errigatioli occur
Area (acres}:_
2,8 1
Area (acres) ;
2,7
Area (acres)
1,86
Area (acres):
2 2
at
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DocuSign Envelope ID: DF40B8DD-5CD1-4F2A-9955-B2Fl3Al89800
APPLICATIONFORM NOAR-1 1043 NON -DISCHARGE
Permit No.:
W0O r 81-4
Facllmy Name*
Cottages
of Boone
County: Watauga
Month- May
Year- 2022
■fit■
irrigation
/f��pj�$;pi
Field Plane :
5
'
Feld Name:! ;
3 Field acne:
Field Name;
-
i/
�4SIu� I
A� (acres):
Area{acres
' '
-_-
Area {aeresl
,,
A�
+1f S r
A� }
Area
at this facility's
Cover crop. `
Mil xed Forest
Cover Crop::
±
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corer sop:I
;
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Z Y ES
NO
Hours Rate try)
Annual Rate (in)
15 €
i 4 j
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5 ? Hourly Rate (In)e
0 l Annual date (Ini �
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DocuSign Envelope ID: DF40B8DD-5CD1-4F2A-9955-B2Fl3Al89800
FOW DAR- 1 - 3 NON -DISCHARGE APPLICATION REPORT NDAR_1) Page of
Did the application rates exceed the limits in Attachment B of your permit? , =CcnnpQ­,t
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? m -m x =_�vent
Was a suitable vegetative cover maintained on all sites as specified in your permit? Compliant Non-Comphant
Were all setbacks listed in your permit maintained for every application to each permitted site? - coptan= C N rr zt
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? _£
if the adiltp is ncrt-c pliant, o' ase exPla n in the space below the reascn(s) the facility was not in ecmohance. Provide in your expianafion the dates, ;3 the nonzo mp ance and desCnbe itte _< r`ecti-eve
actionk's` taken. Attach additional snee,� =t necessary.
Operator in Responsible Charge (oRC) Certification
i Perrnittee Certification
ORC. Enc Youngs
Permittee:
Wallace Lott, LL
Certification No,. 1000412
Signing Official: Sean Dwier
Grotto. SS Phone Number: (910) 45-1219
Director
Signing Official's Title:
Has the oRC changed since the previous NDAR-1? Yes 3 No
Phone Number: Permit Ettp,_ 4- 0122
tj
Suat Vw�ur 02-7u1-2022 1 1:55 AM S
€ Signature Date
Signature Date
By the s4nittioe, I certify #0 Ow . is acosrale ar4 - te -
i car' fy p er penatty of iaw ttnat .' :t . decutn rat �' 28 si€ ::- ` - my a
(
wAh a system designed to aswe rr_wt alquishfied earsorietm-Dropwils gathered wad ovakiiatea tle .xqorrmeson submi$led Basses unmy
[ iry o-he mms n of iaiaore whomanage mane the system, or - _ of ;Epp'trft itre t
;.
=.ri'-<r swn € orr ted is, to tina teat a ;ny knoisiedge and be- , tnA, c c_ , p4m- 1 mr, awanamai ttiem are �r
P[
-
Penalties for sut-mil r-, false ntomatsctr+, itickiiiiifo the pmitmny of Faies and V_ 40--i'� kraut ,N Vant ndit
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617