WQ0015515_Monitoring - 10-2022_20221130

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * October
Report Information
WQ0015515
Bear Pen Village
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
WQ0015515-10-22.pdf 1.14MB
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
11 /30/2022
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: 12/13/2022

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of4
Permit No.: WQ0015515
Facility Name: Bear Pen Village WWTP County: Watauga
Month: October
Year: 2022
Did
Field Name:
1
Field Name:
2 Field Name:
I ;
3 Field Name:
4
irrigation occur
Area (acres):
1.5
--
Area (acres):
1.5
Area (acres):
1.5 11 Area (acres):
1.5
at this facility?
Cover Crop:Ash/Chestnut
Cover Crop:
p;
Ash/Chestnut
Cover Crop:
p:
Ash/Chestnut Cover Cro p:
Ash/Chestnut
es ® NO
Hourly Rate (in):
0.2
Hourly Rate (in):
0.2
Hourly Rate (in):
0.2 Hourly Rate (in):
0.2
Annual Rate (in):1,
44
Annual Rate (in):
44
Annual Rate (in):
44 Annual Rate (in):
44
Weather
Freeboard
Field Irrigated?
[] No
Field Irrigated?
1, NO
Field Irrigated?
' Ell No Field Irrigated?
� No
a
>, O
a`>
>Y
)
f0
Q.
E
~
°
f6
O-
d
d
cc
O
fn
�'
Q co
_
�` a
co Q
O N%
Ln
y v
E °' 07 .O.
Q E0)
O Q E-
a
rn E rn
>. C 3 T C
co •X O
D O c0 S O
J J
m a
E °1
Q
O Q
% a
a
N
H
=
P >, C 3` c
t6 .X O
D O c0 2 O
J 2 J
m y
E d
Q'
O Q
i Q
a
N 4;
I-
�'
rn
>. C
O
J
E a� m a
�` C E °'
X O Q'
c0 S O O Q
J i Q
a
N
E
H
rn E a
>. C �' C
a E 3
X O cc
O O M= O
J cd J
°F
in
ft
ft
_-
gal min
in in
gal
min
in in
gal
min
in
in gal
min
in in
1
0 0
0.00 0.00
0
0
0.00 0.00
0
0
0.00
0.00 0
0
0.00 0.00
2
0 0
0.00 0.00
0-1
0
1 0.00 1 0.00
1 0
0
0.00
0.00 1
1 0
0
0.00 0.00
3 C
70
1.5
35
0 0
0.00 0.00
0
0
0.00 0.00 0
0
0.00
0.00 0
0
0.00 0.00
4 C
68
0
36
6,250 134.12
0.15 1 0.07
F 6,250
134.12
0.15 0.07 5,976
128.24
0.15
0.07 [ 6,250
134.12
j 0.15 0.07
5 C
66
0
36
0 1 0
0.00 1 0.00
0
0
0.00 ___0_._0011 0
0
0.00
0.00 I 0
0
0.00 ] 0.00
6 C.
66
0
36
0 1 0
0.00 I 0.00
0
0
0.00 ; 0.000
0
0.00
0.00 0
0
0.00 0.00
7 C
68
0
36
0 0
0.00 0.00
0
0
0.00 0.00 0
0
0.00
0.00 0
0
0.00 0.00
8
0 0
0.00 [ 0.00
0
0
i 0.00 0.00 0
0
0.00
0.00 I 0
0
0.00 0.00
9
i 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[;C]E70
0
36
1 0 0
0.00 0.00 11
0
0
0.00 0.00 0
0
0.00
0.00 0
0
0.00 1 0.00
11 C
1 66
0
36
' 0 0
0.00 0.00 11
0
0
0.00 3 0.00 0
0
0.00
0.00 0
0
E 0.00 0.00
12 PC
60
0
36I
0 0
0.00 0.00 11
0
0
0.00 1 0.00 I 0
0
0.00
0 00 0
i 0
I 0.00 0.00
13 PC
62
0.3
36
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
14 C
64
0
36
0 0
0.00 j 0.00
0
0
0.00 0.00 0
0
0.00
0.00 0
0
0.00 0.00
15
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
0 0
0.00 0.00
I 0
0
0.00 0.00 0
0
0.00
0.00 0
0
0,00 0.00
17 PC
64
1
35
0 00
0.00 1 0.00 1
0
0
0.00 0.00 IE 0
0
0.00
0.00 0
0
[ 0.00 0.00
18 C
38
0
35
0 0
0.00 0.00
0
0
0.00 0,00 0
0
0.00
0.00 { 0
0
0.00 0.00
19IPC]44
0
35
0 0
0.00 0.00
0
0
0.00 0.00 0
0
0.00
0.00 0
0
0.00 0.00
20'42
0
35
0 0
0.00 0.00 I
0
0
0.00 0.000
0
0.00
0.00 j� 0
( 0
0.00 0.00
2156
0
35
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
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 !
0 0
0.00 0.00
0
0
0.00 0.00 0
0
0.00
0.00 0
0
1 0.00 0.00
24 C
74
0
34
] 0 0
0.00 0.00I
0
0
0.00 0.00 1 0
0
0.00
0.00 i 0
1 0
1 0.00 0.00
25' C
70
0
34
0 0
0.00 0.00
0
0
0.00 0.00 1'' 0
0
0.00 1
0.00 0
0
0.00 Q00
26 PC
64
0
34
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
27 C
68
0
34
0 0
0.00 0.00
0
0
0.00 0.00 0
0
0.00
0.00 0
0
0.00 0.00
C
58
0
34
0 0
0.00 0.00
0
0
0.00 0.00 I 0
0
0.00
0.00
0
I 0
0.00 0.00
29
0 0
0.00 0.00
0
0
0.00 0.00 0
0
0.00
0.00
0
0
0.00 0 00
128
30
j 0 0
0.00 0.00
0
0
0.00 0.00 0
0
0.00
0.00
0
0
0.00 j 0,00
31 R
56
1
34
0 i 0
0.00 0.00
0
0
0.00 0.00 3 0
0
0.00
0.00
0
0
0.00 0.00
Monthly Loading
6,250
0.15
6,250
„�„
0.15
0.15
6,250;,
12 Month Floating Total (in):
2.66
`
2.66
2.69
2.66 `

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2 of a
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?
21 Compliant
❑ Non -Compliant
21 Compliant
❑ Non -Compliant
0 Compliant
❑ Non -Compliant
ED Compliant
❑ Non -Compliant
0 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 Rowe Permittee:
Heavenly Mountain Residential Association, Inc
Certification No.: Signing Official: Robert Barr
Grade: SI Phone Number: [phone] Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? LE Yes fda Phone Number: (828)-251-1900 Permit Exp.: 11/30/23
71l I-2,2�2
Robes Rovve (food 21. 2QL2 13:53 ESTI #
Signature Date Signature Date
By this signature. I certify that this report is accurrale and complete to the best of my knowledge_ I certify, under penally 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 knovring 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 (NCMR) Page 3 of 4
Permit No.: WQ0015515
=ility fume: Hear Pen Village WWTP
PPI: 001
Flow Measuring Point: ® Influent ID, Effluent U No flow generated
Parameter Code
50060
00310
600ii0
31616
00610
00625
a)
Lo
€ m r
LL
Q
>YY tg
C�
z
0
24-hr
hrs
GPD
mcglL
m 1L
#t100 mL
m
mg7L
County: Watauga
Month:cteber
Year: 2022
Parameter Monitoring Point: El Influent E�l Effluent E� Groundwater Lowering ❑ Surface water
00400
0060
00600
OtI665,
us
as
0
CL
z
0
CL
su
m
ma7L
tires'
am
pro M,
LIM
tlE
t llll
D.
®
.._
c
-Montlily Limit:

FORM: NDMR 33-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 4 at 4
Sampling Person(s)
Name: Robert Rowe
Name: Robert P. Parr
Na€ne: Water Tech
Name:
Certified Laboratories
P1 Compliant J 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
actions) taken. Attach additional sheets if necessary,
Operator in Responsible Charge (ORC) Certification
Perm ittee Certification
ORC: Robert Rowe
Permittee: Heavenly Mountain Residential Association, Inc.
Certification No.: 1012111
Signing Official: Robert Parr
Grade: SI Phone Number: [phone]
Signing Official's Title: Signatory
Has the ORC changed since the previousNDMR? R Yes QI
Phone Number: (828) 2 '1-1900 Permit Expiration: 11130/2023
Ff
t
4 3
m
� €�
i f.t� i y 21 ESI'
Signature
Date Signature Date
By this signature, I certify that this apo t is accurrale and complete to the best of my knowledge. € certify, under penally of law, that this document and all a€taehmenis were prepared under my direction or supen+ision in
accordance with a systemdesigned to assure that all qualified personnel properly gathered and evaluated the information
submitted. used on my inquiry of the person or persons who manage the system, or thaw persons directly responsible far
gathering the information,. the information submitted is, to the best of my knoodedge and belief, true, accurate. and complete. I am
aware that there are significant penalties for submitting false iriformation, Including the possibility of fines and imprisonment for
knowing violafians.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1917