WQ0029233_Monitoring - 03-2020_20200430

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page i
of L
Permit Na:
WQ0029233
Facility Name:
Bear Lake Reserve
County: Jackson
Month: March
Year:
2020
Did irrigation occur
Field Name:
B
Field Name:
D
at this facility,� .
Area (acres):
0.84
Area (acres):
1.26
Cover Crop:
Mature Forest
Cover Crop:
Mature Forest
O Yes
❑ NO
Hourly Rate (in):
0.05
Hourly Rate (in):
0.05
Annual Rate (in):
85.7 / 8.6
Annual Rate (in):
69.617.0
Weather
Freeboard
Field Irrigated?
O Yes
❑ NO
Field Irrigated?
O Yes
❑ NO
a
0°
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in
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ft
gal
min
in
in
gal
min
in
in
1
0
0
0
0.00
0.00
0
0
0
0.00
0.00
2
PC
38
0
7
13
0
0
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0.00
0.00
0
0
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0.00
3
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0.00
4
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0
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0 -
0
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0.00
5
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0
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14
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0
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6
PC
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0.1,
6
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0
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0.00
0
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7
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9
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0.00
0.00
0
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0.00
10
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42
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0
0
0
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0.00
0
0
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0.00
0.00
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0
0
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0.00
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12
PC
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0
7
15
28:57
1,200
36.14
0.05
0.05
36.92
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48.19
0.05
0.05
13
R
54
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7
16
0
0
0
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16
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41
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47
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0
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0
0
0.00
0.00
18
CL
43
0.2
8
17
28.57
1,200
36.14
0.05
0.05
36.92
1,600
48.19
0.05
0.05
19
PC
46
0.1
8
17
28.57
1,200
36.14
o.Ds
o.05
36.92
lsoo
48.19
0.05
0.05
20
PC
50
-0
8
17
28.57
- 1,200
36.14
0.05
0.05
36.92
1,600
48.19
0:05
0.05
21
0
0
0
0.00
0.00
0
0
0
0.00
0.00
22
0
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0
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23
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48
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aj 0
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25
PC
50
1 2
8
18
28.57
E
1,200
36.14
0.05
0.05
36.92
1,600
48.19
0.05
0.05
26=R.
9
19
28.57
1,200
36.14
0.05
0.05
36.92
1,600
48.19
0.05
0.05
27
9
19
28.57
1,200
36.14
0.05
0.05
36.92
1,600
48.19
0.05
0.05
28
0
0
0
0.00
0.00
0
0
O
0.00
0.00
29
0
0
0
0.00
0.00
0
0
0
0.00
0.00
30
9
19
28.57
1,200
36.14
0.05
0.05
36.92
1,600
48.19
0.05
0.05
31
10
20
0
0
0
0.00
0.00
0
0
0
0.00
0.00
Monthly
Loading:
9,600
0.42
12,800
0.37
12 Month Floating Total (in):
1.98
1.81

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ( of�
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?
E1 Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
M Compliant ❑ Non -Compliant
RI Compliant ❑ Non -Compliant
El 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
awuu(s) ianen. Aiiacn addidur t sheets it 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? p Yes R No
Phone Number: [phone] Permit Exp.: 10/31/19
%-P;_-
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
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)
Page 7i &6
Permit No.:
WQ0029233
Facility Name:
Bear Lake Reserve
county: Jackson
Montn: March
Year:
2020
Did irrigation occur
Field Name:
F
Field Name:
H
at this facility?
Area (acres:
0.95
Area (acres):
( )
0.53
Cover Crop;
P�
Mature Forest
Cover Crop:
Mature Forest
O YES
❑ NO
Hourly Rate (in):
0.05
Hourly Rate (in):
0.05
Annual Rate (in):
73.9
/ 7.4
Annual Rate (in):
77.3 / 7.7
Weather
Freeboard
Field Irrigated?
O YES
❑ NO
Field Irrigated?
El YES
❑ NO
i
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1
0
0
0
0.00
0.00
0
0
0
0.00
0.00
2
PC
38
0
7
13
0
0
0
0.00
0.00
0
0
0
0.00
0.00
3
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44
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0
0
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6
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46
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0
0
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0.00
6
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43
0.1
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14
0
0
0
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- 0.00
0
0
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7
0
0
0
0.00
0.00
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0
0
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0.00
8
0
0
0
0.00
0.00
0
0
0
0.00
0.00
9
PC
36
0
6
14
Q
0
0
0.00
0.00
0
0
0
0.00
0.00
10
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42
1 0.2
6
44
0
0
0.
0.00
0.00
0
0
0
0.00
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46
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0
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12
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1 0
7
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i6ty 49.02
1,200
29.34
0.05
0.05
28.9
700
14.74
'0.05
0.05
13
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0.3
7
16
0
0
0
0.00
0.00
0
0
0
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0.00
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0
0
0
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28.9
700
14.74
0.05
o.os
19
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0.1
8
17
49.02
1,200
29.34
O.o5
0.05
28.9
700
14.74
0.05
0.05
20
PC
0
8
17
49.02
1,200
29.34
0.05
0.05
28.9
700
14.74
0.05
0.05
21
0
0
0
0.00
0.00
0
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0
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22
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23
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48
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18
49.02
1,200
29.34
0.05
0.05
28.9
700
14.74
0.05
0.05
26
CL
46
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19
49.02
1,zoo
29.34
0.05
0.05
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700
14.74
0.05
0.05
27
Pc
55
0
9
19
49.02
1,200
29.34
0.05
0.05
28.9
700
14.74
0.0s
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2s
0
0
0
0.00
0.00
0
0
0
0.00
0.00
29
0
0
0
0.00
0.00
0
0
0
0.00
0.00
TO
PC
42
0.2.
9
19
49.02
1,200
29.34
0.05
0.05
28.9
700
14.74
0.05
0.05
31
R 1
48
0.1
10
20
0
0
0
0.00
0.00
0
0
0
0.00
0.00
Monthly
Loading:
9,600
0.37
5,600
0.39
12 Month Floating Total (in):
1.81
1.90

FORM:, NDAR 1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _2� of -4f—
Did the application rates exceed the limits in Attachment B of your permit?
21 Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
I]+ Compliant
❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
o Compliant
❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
0+ Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
M 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
duwIgs) rdncu. nudrai duwuunai sneers n 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]
819ning Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? D yes 21 No
Phone Number: [phone] Permit Exp.: 10/31/19
f
V
Signature Date
Signature Date
By this signature, I certify that this report is amurrdle and complete to the best of my knowledge.
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 3
of W
Permit No.:
WQ0029233
Facility Name:
Bear Lake Reserve
county: Jackson
Month: March
Year:
2020
Did
irrigation occur
Field Name:
K
Field Name:
N
at this facility?
Area (acres):
0.99
Area (acres):
0.58
Cover Crop:Mature
Forest
Cover Crop:
Mature Forest
❑
YES
❑ No
�t `Ft` �,..:
Hourly Rate (in):
0.05
Hourly Rate (in):
0.05
Annual Rate (in):
71.0
/ 7.1
Annual Rate (in):
60.2 /
6.0
Weather
Freeboard
b
Field Irrigated?
21YES
❑ NO
Field Irrigated?
0 YES
❑ NO
w
0
o
0
o
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in
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ft
gal
min
in
in
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min
in
in
11
0
0
0.00
0.00
D
0
0
0.00
0.00
2
PC
38
0
1 7
13
0
0
0
0.00
0.00
0
0
0
0.00
0.00
3
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44
0.2
1 7
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0
0
0
0.00
0.00
0
0
0
0.00
0.00
4
C
41
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1 7
13
0
0
0
0.00
0.00
0
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0.00
0.00
5
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0
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0.00
6
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9
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0
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10
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0
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12
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7
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i
i
20.48
} �r, 5(, Ei
1,400
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27.87
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0.05
13
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18
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43
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17
E.
20.48
,e:.`C,
1,400
42-.3
0.05
0.05
21.08
800
27.87
0.05
0.05
19
PC
46
0.1
8
17
20.48
1,400
42.3
0:05
0.05
21.08
800
27.87
0.05
0.05
20
PC
50
0
a
17
20.48
1,400
42.3
0.05
0:05 _
21.08
800
27.87
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0.05
21
0
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0
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0.00
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22
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0
0
0
0.00
0.00
0
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0.00
0.00
25
PC
50
2
8
18
20.48
1,400
42.3
0.05
0.05
21.08
800
27.87
0.05
0.05
26
CL
46
0
9
19
20.48
1,400
42.3
0.05
0.05
21.08
800
27.87
0.05
0.05
27
PC
55
0
9
19
20.48
1,400-
42.3
0.05
0.05
21.08
a0o
27.87
0.05
0.65
28
0
0
0
0.00
0.00
0
0000
000
29
0
0
0
0.00
0.00
0
0
0
0.00
0.00
30
PC
42
0.2
9
19
20.48
1,400
42.3
0.05
0.05
21.08
800
27.87
0.05
0.05
31
R
48
0.1
10
20
0
0
0
0.00
0.00
0
0
0
0.00
0.00
Monthly
Loading:
11,200
0.42
6,400
0.41
12
Month
Floating Total (in):
1.99
Mw
1.98

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?
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?
ED Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
21 Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reasons) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
renen. AUaOn auunional sneers Ir
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 D No
Phone Number: [phone] Permit Exp.: 10/31/19
as-Ao
*4­1� ¢_ -U
Signature Date
Signature Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
I runty, 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)
Page -4- of 60,
Permit No.:
WQ0029233
Facility Name:
Bear Lake Reserve
county: Jackson
Month: March
Year:
2020
Did
irrigation occur
t "' ` 11t
Field Name:
P
Field Name:
R
at
this facility?
Area (acres):
1.1
Area (acres):
0.7
Cover Crop:Mature
Forest
Cover Crop:
Mature Forest
0
YES
❑ NO
Hourly Rate (in):
0.05
Hourly Rate (in):
0.05
Annual Rate (in):
80.7
/ 8.1
Annual Rate (in):
77.6 / 7.8
Weather
Freeboard
Field Irrigated?
I] YES
❑.NO
Field Irrigated?
O YES
❑ NO
GV
E.y
>
ma
E dE
e::
a•ocf
Ec
c
E
M
E
A°
oE
@�T•yM@
_ALo
o
N
°F
in
it
ft
gal
min
in
in
gal
min
in
Iin
1
0
0
0
0.00
0.00
0
0
0
0.00
Jill0.00
2
PC
38
0
7
13
0
0
0
0.00
0.00
0
0
0
0.00
0.00
3
R
44
0.2
7
13
0
0
0
0.00
0.00
0
0
0
0.00
0.00
4
C
41
0.9
7
13
0
0
0
0.00
0.00
0
0
0
0.0o
0.00
6
C
46
0
7
14
0
0
0
0.00
0.00
0
0.00
0.00
6
PC
43
0.1
6
14
0
0
0
0.00
0.00
0
O
0
0.00
0.00
7
0
0
0
0.00
0.00
0
0
0
0.00
0.00
8
0
0
0
0.00
0.00
0
0
0 1
0.00
0.00
9
PC
36
0
6
14
0
0
0
0.00
0.00
0
0
0
0.00
0.00
10
R
42
0.2
- 6
14
0
0
0
0.00
0.00
0
0
0
0.00
0.00
11
C
46
0.1
6
15
0
0
0
0.00
0.00
0
0
0
0.00
1 0.00
12
PC
40
0
7
15
25.45
1,500
32.68
0.05
0.05
17.7
1,000
15.29
0.05
0.05
13
R
54
0.3
7
16
0
0
0
0.00
0.00
0
0
0
0.00
0.00
14
0
0
0
0.00
0.00
0
0
0
0.00
0.00
15
0
0
0
0.00
0.00
0
0
0
0.00
0.00
16
C
41
0
7
16
0
0
0
0:00
0.00
0
0
0
0.00
0.00
17
R
47
0.7
7
16
0
0
1 0
OAO
0.00
0
0
0,
0.00
0.00
18
CL
43
0.2
8
17
25.45
1,500
32.68
0.05
0.05
17.7
- 1,000
15.29
0.05
0.05
19
PC
46
0.1
8
17
25.45
1,500
32.68
0.05
0.05
17.7
1,000
15.29
0.05
0.05
20
PC
50
0
8
17
25.45
1,500
32.68.
0.05
0.05 -
17.7
1,000
15.29
0.05
0.05
21
�tiR�`
0
( jj
`)'
o
0
0.00
0.00
0
0
0
0.00
0.00
22
4':
O
P � ! sa � �; 0
0
0.00
0.00
0
0
0
0.00
0.00
23
R
48
0.7
- 8
17
pis.
0
g t" 0
0
0.00
0.00
0
0
0
0.00
0.00
24
R
52
0.6
8
17
0
0
0
0.00
0.00
0
0
0
0.00
0.00
25
PC
50
2
8
18
25.45
1,500
32.68
0.05
0.05
17.7
1,000
15.29
0.05
0.05
26
CL
46
0
9
19
25.45
1,500
32.68
0.05
0.05
17.7
NN1,000
15.29
0.05
0.05
27
PC
55
0
9
19
25.45
1,500
32.68
0.05
0.05
17.7
1,000 1
15.29
0.05
0.05
28
,� 0
0
0
0.00
0.00
0
0
0
0.00
0.00
29
rg
L 0
! 0
0
0.00
0.00
0
0
0
0.00
0.00
30
PC
42
0.2
19
�tr 25.45
)1is; 1,500
32.68
0.05
0.05
17.7
1,000
1529
0.05
0.05
31
R
48
0.1
20
"' �, 0
),41t`^di#�i', 0
0
0.00
0.00
0
0
0
0.00
0.00
Monthly
Loading:
12,000
M
0.40
8,000
0.42
12 Month Floating Total (in):
1110MENNIM
1.88
1.97
IM

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 4- of-4-
Did the application rates exceed the limits in Attachment B of your permit?
0 Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
O Compliant
❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
O Compliant
❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
0 Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
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
awuu(s) iaRen. ALiacn auemonai 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-17 ❑ yes 0 No
Phone Number: [phone] Permit Exp.: 10/31/19
O
f Z&` lo
Signature Date
Signature Date
By this signature, I certify that this report is accurate andcomplete 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, tree, 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 S of L

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page 9 of Y
Did the application rates exceed the limits in Attachment B of your permit?
21 Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
O Compliant
❑ Nan -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
O Compliant
❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
O Compliant
❑ Nan -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
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
autioutsf wneu. nhacn auamonai sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Michael Beck
Permittee: gear Lake Reserve
Certification No.: SI-991669 WWIV-7930
Signing Official: Robert Barr
Grader SI WWIV Phone Number: [phone]
Signing Official's -Title: Signatory
Has the ORC changed since the previous NDAR-1? ❑ Yes 0 No
Phone Number: [phone] Permit Exp.: 10/31/19
A -A SI -I 0
¢ -ZP-2�0
Signature Date
Signature Date
By this signature, I certify that this repon is accumate and complete to the best of my knowledge.
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: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page 4 of 4

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page L of L
Sampling Person(s) 11 Certified Laboratories
Name: Michael Beck Name: Environmental Testing Solutions, Inc.
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? El Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the mason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
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 NDMR? ❑ yes 0 No
Phone Number: [phone] Permit Expiration: 10/31/2019
a8-ao
4-zy-zo
Signature Date
Signature Date
By this signature, 1 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 qualfed 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