WQ0035784_Monitoring - 03-2020_20200430

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-11)
Page 1
of
3
Permit No.:
WQ0035784
Facility Name: Cottages of Boone
county: Watauga
Month: March
Year:
2020
Did
irrigation
OCCUR
Field Name:
2
Field Name:
4
at this f lity?
facility?
Area (acres):
2.7
zll
Area (acres):
2.72
Cover Crop:
Mixed Forest
Cover Crop:
Mixed Forest
0
YES
❑ No
Hourly Rate (in):
0.15
Hourly Rate (in):
0.15
Annual Rate (in):
101.4
Annual Rate (in):
101.4
Weather
Freeboard
# i ) , $4� „+.
Field Irrigated?
El res
❑ No
Field Irrigated?
fl YES
❑ No
'0a
E o
E d
m m
>. c
_
o
ca
t
a
•&
an
oa
Fm
OC
m=o
o¢
f O1
0'°
x0
y
d
N
7 t
i Q
J
J
Q
J=
J
_
_
°F
in
ft
It
gal
min
in
in
gal
min
in
in
1
PC
34
1 0.2 1
3
4.5
0
0
0.00
0.00
0
0
0.00
0.00
2
CL
42
1 0 1
2.7
4.5
20,000
1 188.68
0.27
0.09
10,000
92.593
0.14
1 0.09
3
CL
47
1 0.1 1
2.5
4.5
20,000
188.68
0.27
0.09
10,000
92.593
0.14
0.09
4
20,000
188.68
0.27
0.09
10,000
92.593
0.14
0.09
5
CL
41
1 0 1
4.5
4.5
20,010
188.77
0.27
0.09
0
0
0.00
0.00
6
CL
35
1 0
5
4.5
ri4 ht �iI!E!..
10,000
94.34
0.14
0.09
10,000
92.593
0.14
OA9
5..;.!
10,000
94.34
0.14
0.09
10,000
92.593
0.14
0.09
6
6,396
60.34
0.09
0.09
4,970
46.019
0.07
0.07
9
PC
33
0
5
4.5
27,152
256.15
0.37
0.09
10,012
92.704
0.14
0.09
10
CL
50
0.2
6.6
4.5
22,162
209.08
0.30
0.09
10,000
92.593
0.14
1 0.09
11
CL
49
0
8
6.5
32,514
306.74
0.44
0.09
10,000
92.593.
0.14
1 0.09
12
C
40
1 0
9
7.5
18,604
175.51
0.25
0.09
15,830
146.57
0.21
0.09
13
CL
58
0.1
10.5
7.5
0
0
0.00
0.00
0
0
0.00
0.00
14
30,568
288.38
0.42
0.09
0
0
0.00
0.00
15
30,668
288.38
0.42
0.09
0
0
0.00
0.00
16
R
36
0.3
11.5 .
7.5
0
0
0.00
0.00
o
0
0.00
0.00
17
CL
45
0
11
7.5
i I �
6,084
57.396
0.08
0.08
0
0
0.00
0.00
18
CL
45
0.1
11
7.5
,){(i L ft_
0
0
0.00
0.00
0
0 1
0.00
0.00
19
CL
54
0
10.5
-
7.5
g lI l
18,308
172.72
0.25
0.09
10,000
92.593 1
0.14
0.09
20
PC
60
0
11
7.5
22,645
213.63
0.31
0.09
10,000
92.593
0.14
1 0.09
21
22,645
213.63
0.31
0.09
0
0.
0.00
0.00
22
22,645
213.63
0.31
0.09
0
0
0.00
0.00
23
R
40
0.5
13
7.5
0
0
0.00
0.00
0
0
0.00
0.00
24
PC
46
0.3
12.5
7.5
0
0
0.00
0.00
0
0
0.00
0.00
25
R
44
1
12
7.5
0
0
0.00
O.00
0
0
0.00
0.00
26
CL
44
0
11.5
7.5
0
0
0.00
0.00
0
0
0.00
0.00
27
PC
55
0
12.5
7.5
25,016
236
0.34
0.09
18,166
168.2
0.25
0.09
28
18,088
170.64
0.25
0.09
10,000
92.593
0.14
0.09
29
18,088
170.64
0.25
0.09
0
0
0.00
0.00
30
PC
49
0
14.8
7.5
18,088
170.64
0.25
0.09
0
0
0.00
0.00
31
CL
45
0
14.8
7:5
0
0
0.00
0.00
3,754
34.759
0.05
0.05
51.75

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page % of 3
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?
gCompliant ❑ Non -Compliant
Compliant ❑ Non -Compliant
Compliant ❑ Non -Compliant
L] Compliant ❑ Non -Compliant
C�.ompliant ❑ 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
G44Nnks) mnen..umcn auwuunal snecis If necessary.
Operator in Responsible Charge (ORC) Certification
v Permittee Certification
ORC: Dale Holman
Permittee:
Boone Cottages
Certification No.: SI 1003141
Signing Official: Robert Barr
Grade: SI Phone Number: 828-251-1900
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? ❑ yes ❑ No
Phone Number: 828-251-1900 Permit Exp.: 4/30/17
ignature Date
Signature Date
By this signature, I certify that this report is accurtate 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 0e-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2—of 3

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page � f--
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?
V/mpliant
❑ Non -Compliant
C//ompliant
❑ Non -Compliant
,❑-,
Lg compliant
El Non -Compliant
5KO-mpliant
❑ Non -Compliant
7J 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
tanen. r uacn auaulonal sneets if
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Dale Holman
Permittee:
Boone Cottages
Certification No.: SI 1003141 -
Signing Official: Robert Barr
Grade: SI Phone Number: 828-251-1900
Signing Official's Title: Signatory
.Has the ORC changed since the previous NDARA? ❑ yes ❑ No
Phone Number: 828-251-1900 Permit Exp.: 4/30/17
4 1z-z�Alulv
tl-Z3 2.43
Signature Date
Signature Date
By this signature, I certify that this report is accurate and complete to the beat 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: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 3 of3

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 3 of 3
Sampling Person(s) Certified Laboratories
Name: Dale Holman Name: Water Tech Labs, Inc.
Name: Robert Barr Name: Pace Analytical
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of 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
duioigsf Ldnen. nodcu duwuunm sneers n necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Dale Holman
Permittee: Boone Cottages
Certification No.: SI 1003141
Signing Official: Robert Barr
Grade: SI Phone Number: 828-251-1900
Signing Official's Title: Signatory
Has the ORC changed since the previous NDMR? Oyes ❑ No
Phone Number: 828-251-1900 Permit Expiration: 4/30/2017
Signature Date
Signature Date
By this signature, I certify that this report is accurate 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 property gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or Nose 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