WQ0029233_Monitoring - 08-2016_20161004 (2)

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I of (i
Permit No.:
WQ0029233
Facility Name:
Bear Lake Reserve
County:
Jackson
Month:
August
Year:
2016
DICi It'flCJat1011 OCCUf"
at this facility?
[AYES ❑No
Field Name;
A
Field Name:
B
Field, Name*'
Field Name:
D
Area (acres): , 0..67
Area (acres): 0.84
; Asea (acres),
Area (acres): 1.26
Crop: UatEa Forest
Cover Crop: Mature Forest
Cover. CropMatur81"orest,
,,. :
Cover Crop: Mature Forest
-' HoiuHy Rate (In): 0:05
Hourly Rate (in): 0.05
�louHy Rate (in) 0735
Hourly Rate (in): 0.05
Annual Rate (in):, - ,' ,;70.5 / 7.0.
Annual Rate (in): 85.7/8.6
'Annual Rate (in): -12.6/ 7.2 "
Annual Rate (in): 69.6/7.0
Weather
Freeboard
.Field :Irrigated?
❑YES' ��;
[]"N(}; �
Field Irrigated?
❑YEs
❑tvo
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: AYES
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Monthly Loading:
12 Month Floating Total (in):
2,400 L -W2 0.11
2.54
3,900 0.11
�;;,; 2.39 :r

FORM: NDAR-1 08-11
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?
Page _L_ of
❑Compliant ❑Non -Compliant J
[Zcompliant ❑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? ❑� Compliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑� 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 Michael Beck
Permittee:
Bear Lake Reserve
Certification No.: SI -991669 WWIV-7930
Signing Official: Robert Barr
Grade: SI WWIV Phone Number: [phone]
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? ❑Yes [ZNo
Phone Number: [phone] Permit Exp.: 9/30/14
r
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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page -I?,-- of
Permit No.:
W00029233
Facility Name:
Bear Lake Reserve
County:
Jackson
Month:
August
Year:
2016
Did irrigation occur
at this facility?
❑✓ YES ❑rvo
Fiefd,Name:
_ E
Field Name:
F
Fteld iVame:
G
Field Name:
H
--
Area (acres): 0.74
Area (acres): 0.95
Area (acres): 0,71
Area (acres): 0.53
Cover Crop,Mature Forest,;
Cover Crop: Mature Forest
P
; Cover Cro : Mature Forest ,"
P
Cover Crop: Mature Forest
P
Hourly Rate (in). - 0:05 ''
Hourly Rate (in): 0.05
Hourly Rate (in) 0:05
Hourly Rate (in): 0.05
Annual Rate (in): 70.2/7.0
Annual Rate (in): 73.9/7.4
Annual Hate (in): 03.5/6.3
Annual Rate (in): 77.3/7.7
Weather
Freeboard
f(e(d'Inigated?
• DYES
❑Nq ° ,.
Field Irrigated?
❑� YES
❑No
Meld irrigated?
AYES
❑N0,
Field Irrigated?
❑� YES
-]NO
o
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2' of `r
Did the application rates exceed the limits in Attachment B of your permit?
❑� Compliant ❑Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? OCompliant ❑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? ❑✓ compliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑� 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: Michael Beck
Permittee:
Bear Lake Reserve
Certification No.: SI -991669 WWIV-7930
Signing Official: Robert Barr
Grade: SI WWIV Phone Number: [phone]
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? ❑yes ONo
Phone Number: [phone] Permit Exp.: 9/30/14
4 61
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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page � of
Permit No.:
WQ0029233
Facility Name:
Bear Lake Reserve
County:
Jackson
Month:
August
Year:
2016
ICI It'ilgat1017 OCCUI'
Field Name:
1
Field Name:
K
Field Name:
M
Field Name:
N
Area (acres): 0.85
Area (acres): 0.99
Area (acres): 0.52
Area (acres):
0.58
at this facility?
Cover crop:
Mature Forest
Cover Crop:
Mature Forest
Cover Crop:
Mature Forest
Cover Crop:
Mature Forest
❑� YES
❑No
. Hourly Rate (in).
'0.05
Hourly Rate (in):
0.05
Hourly Rate (in):
0.05
Hourly Rate (in):
0.05
Annual Rate (in):
80.0 /•8.0 _
Annual Rate (in):
71.0/7.1
Annual Rate (in):
, 66.8 /:6 . 7
Annual Rate (in):
60.2/6.0
Weather
Freeboard
Field Irrigated?
[AYES
❑No
Field Irrigated?
❑� YES
❑No
Field Irrigated?
t21YES
[:]No
Field Irrigated?
EZYES
❑No
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0
9
20
0
0
0.06
a,00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
24
PC
69
0
9
20
'0
0
0.00
0;00
0
0
0.00
0.00
0
0
0,00
0.00
0
0
0.00
0.00
25
C
64
0
9
20
0
0
0.00
0.00.
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
26
C
70
0
9
20
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
0
0
0.00
0.00
0
0
0.00
0.00
0
O
0.00
0.00
0
0
0.00
0.00
28
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
1 0.00
29
C
64
0.1
9
19.5
0
0
0.00"
0.00
0
0
0.00
0.00
0
1 0
0.00
0.00
0
0
0.00
0.00
30
C
67
0
9
19.5
0
0
0.00
0,00
0
0
0.00
0.00
.0
1 0
0.00
0.00
1 0
0
0.00
0.00
31
C
74
1 0
9
19
0
0
ox
0.00
0
0
0.00
0.00
0
1,500
0
0,00
0,11
2.47
0.00
0
1,800
0
*'
0.00 0.00
0 11
2.37 = f w
Monthly Loading:
2,700 0.12
2:53
3,000, = 0.11
_F . _,: _, 2.60 s
12 Month Floating Total (in):

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 3 of Y
Did the application rates exceed the limits in Attachment B of your permit?
❑✓ Compliant
❑Non -Compliant 1
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?
ECompliant
❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
OCompliant
❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
❑✓ 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 necessarv.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
Operator in Responsible Charge`(ORC) Certification
Permittee Certification
ORC: Michael Beck
Permittee:
Bear Lake Reserve
Certification No.: 8I-991669 WWIV-7930
Signing Official: Robert Barr
Grade: SI WWIV Phone Number: [phone]
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? []Yes ONO
Phone Number: [phone] Permit Exp.: 9/30/14
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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page A___ of L
Permit No.:
W00029233
Facility Name:
Bear Lake Reserve
County:
Jackson
Month:
August
Year:
2016
Field
Name:.
O
Field
Name:
P
Ffetd�1lame
Q
Field
Name:
R
Did irrigation
occuro.as
Area
(acres):
06
Area
(acres):
1.1
Area
(acres),
Area
(acres):
0.7
at this
facility?
coverGrop:
Matt�reForesf'r..
Cover Crop:
Mature Forest
Covdx'Cr°p ,..Mature'Forest
Cover Crop:
Mature Forest
Rate (in).
0;05
Hourly Rate (in):
0.05
HotittRat: ((n) 05
Hourly Rate (in):
0.05
EYES
[-]NO
Annual Rate {in):
'. 78.617 9 , .
Annual Rate (in):
80.7 / 8.1
Annual Rate {in).
Annual Rate (in):
77.6/7.8
Weather
Freeboard
Field Irrigated? .EYES •�= ❑Np�,
Field Irrigated?
EYES
❑No
,>=ield Irrrgat�tl'7 ESS ❑NQ
Field Irrigated?
EYES
❑No
v
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78
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18
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81
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19
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70
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25
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64
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0
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0
0
0.00
0.00
26
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70
0
9
20
0
0.00 ,
` 0.00
0
0
0.00
0.00
0 "
0
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0
0
0.00
0.00
27
.6
0
OAO. -
O,OD,',.
0
0
0.00
0.00
0
0
O.OU "0:00
0
0
0.00
0.00
28
;�� 4:
0
4,40
0.00:
0
0
0.00
0.00
0.
0
0.00..: - 0.00 ':
0
0
0.00
0.00
29
C
64
0.1
9
19.5
- 4
0
4.40'
0.00:
0
0
0.00
0.00
0
0
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0
0
0.00
0.00
30
CF74
0
9
19.5
"
0
0
0.00
0.00:"
0
0
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0.00
0
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0. F0 0.00
0
0
0.00
0.00
31
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0
9
19
0
0
0,00i'
0000
0
0
0.00
0.00
O
0
0.00 ', 0.00:
0
0
0.00j4W
Monthly Loading:
" ,1 X500 ':
0.11
2.57 "_
3,600
r .: _
0.12
2.35
"1,500 '.
0.13..
263.:
2,100
E
. =
0.11
2
12 Month Floating Total (in):

FORM: NDAR-1* 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page J— of
Did the application rates exceed the limits in Attachment B of your permit?
RICompliant
E:]Non-Compliant
Were adequate measures taken to prevent -effluent ponding in or runoff from the sites?
FZ]Compliant
ONon-compliant
Was a suitable vegetativecover maintained on all sites as specified in your permit?
[21compliant
EINon-compliant
Were all setbacks listed iri.you . r permit . maintained
intained for every application to each permitted site?
ElCompliant
EINon-compliant
Were all freeboards maintained in6`66dr,61ndi.6 with the specified freeboard heights in your permit?
ElCompliant
[:]Non-compliant
If the facility is non-compliant,.p'leas-6 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
Operator in ResDdhsibIe`Charge7 OkpyCbirtification
Permittee Certification
RC: Michael Beck
Permittee:
Bear Lake Reserve
Certification Now: SI-991669-,-:WAV-7930
Sighing Official:. Robert Barr'
Grade: SI WWIV Phone Number :
Signing Official's Title: Signatory
HastheORC changed since the'pre'vio6s'NdAR-i? tYes FINO
J�
Phone Number' [phone] Permit Exp.: 9/30/14
p,
Signature Date
Signature Date
By this signature, (.certify that Ahis'report is accurrate and complet 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 property 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 Quality
Information Processing Unit
1617 Mail Service Center -
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
4-1
Page S of �O
Permit No.:
W00029233
Facility Name:
Bear Lake Reserve
County:
Jackson
Month:
August
Year: 2016
Did irrigation occur
at this facility?
DYES []NO
Field Name:
S
Field Name:
T
Field Name:
U
Field Name:
Area (acres): 0:92
Area (acres): 0.61
Area(acres). . 0.56
Area (acres):
Cover Crop: Mature Forest
Cover Crop: Mature Forest
Cover'Crop: `• 'Mature.Forest
Cover Crop:
Hourly Rate (in): 0.05
Hourly Rate (in): 0.05
Hourly Rate (in): 0.05 ,
Hourly Rate (in):
Annual Rata (in);
-67.4/6.7
Annual Rate (in):
73.5/7.3
Annual Rate (in):.
, 95.4 1,;9.5
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
(]YES
[]NO.:
Field Irrigated?
❑� YES
EI
Field Irrigated?
(]YES t3NO
Field Irrigated?
❑YES -]NO
T
m
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°F.,
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in
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min
in
in
gal .
min
in
in
gal min
in in
1
PC
75
0:
12
22
1,100-
16.82
0.04
0.04
600
15.83
0.04
0.04
,600
17.7
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2
C
72
0.7
12
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4
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83
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5
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85
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11
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12
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75
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15
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78
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16
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67
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17
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69
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18
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81
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19
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70
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21
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22
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72
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23
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25
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26
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27
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0:00
0
0
0.00
0.00
0
0
0.00
0.00
2131
0
0
0.00
0,00
0
0
0.00
0.00
0
0
0.00
0.00
29
C
64
0.1
9
19.5
0
0
0.00
0.00
0
0
0.00
0.00
0 _
0
0.00
" 0.00 `
30
C
67
0
9
19.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
31
C
74
0 9 19
Monthly Loading:1
0
0
0,00
2.53
0.00
0
1,800
0
i 3-
_
0.00
0.11
2.51
0.00
0
9,800
0
0.00
0.11
. 2.37
0.00
0 =
0.00
n
12 Month Floating Total (in):

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page .S of�
Did the application rates exceed the limits in Attachment B of your permit?
[]Compliant ❑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? ❑� Compliant []Non -Compliant
Were all freeboards maintained. in accordance with the specified freeboard heights in your permit? ❑� 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 necessarv.
Operator in Resppnsible Charge,(ORC) Certification
Permittee Certification
ORC:. Michael Beck
Permittee:
Bear Lake Reserve
Certification No.: S1-991669 WWII/ -7930
Signing Official: Robert Barr
Grade: SI WWIV Phone Number: : ` .[phone]
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-77 'Elves ONO
Phone Number: [phone] Permit Exp.: 9/30/14
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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina. 27699-1617