WQ0035784_Monitoring - 10-2023_20231127

Monitoring Report Submittal
..................................................
Permit Number#* WQ0035784
Name of Facility:* THE COTTAGES OF BOONE WWTP
Month: * October Year: * 2023
Report Information
Type *
Revised - NDMR, NDAR-1, NDAR-2, NDMLR
Upload Document*
10-2023 COB (NDAR-1) 2.pdf 447.75KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * Envirolink, Inc.
Signature:
Date of submittal: 11/27/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0035784
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 11/27/2023

DocuSign Envelope ID: D242FFAE-064C-4D63-BCOB-OADFD2BE4685
FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: WQ0035784
Facility Name: Cottages of Boone
County: Watauga
Month: October
Year: 2023
• irrigation occur
at this facility?
21 YES NO
Area (acres):
Area (acres):
Area (acres):
Area (acres):
Cover Crop:
Mixed Forest
Mixed Forest
Mixed Forest
Mixed Forest
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate1
1 •
1
a 11:140
Field Irrigated?
Field Irrigated?
Field Irrigated?
Field Irrigated?
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DocuSign Envelope ID: D242FFAE-064C-4D63-BCOB-OADFD2BE4685
FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: WQ0035784
Facility Name: Cottages of Boone
County: Watauga
Month: October
Year: 2023
• irrigation occur
at this facility?
21 YES NO
Area (acres):
Area (acres):
Area (acres):
Area (acres):
Cover Crop:
Mixed Forest
Mixed Forest
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate1
1Annual
Rate (in):
Annual Rate (in):
a 11:140
Field Irrigated?
Field Irrigated?
Field Irrigated?
Field Irrigated?
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DocuSign Envelope ID: D242FFAE-064C-4D63-BCOB-OADFD2BE4685
FORM: 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?
Page of
o Compliant
❑ Non -Compliant
o Compliant
❑ Non -Compliant
o Compliant
❑ Non -Compliant
o Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? o 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: Todd Franklin Robinson
Permittee:
Wallace Loft, LLC
Certification No.: 1006252
Signing Official: Wen De Tam
Grade: SS Phone Number: [phone]
Signing Official's Title: Di rector
Has the ORC changed since the previous NDAR-1? ❑ Yes o No
Phone Number: Permit Exp.: 4/30/26
Digitally signed by: Todd Robinson
Todd DN: CN = Todd Robinson email =
[e-mail] C = US
Rob O = ENVIROLINK, INC. OU = ORC 11/27/2023
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28-Nov-2023 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
7 AM S(