WQ0033804_Monitoring - 02-2020_20200401

, FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page l Of___f_
Permit No.: Q11 :14
•
Buncombe
•nth: February/
1
irrigation
• me:'��
• occur
at this facility?
Cover Crop:
Cover Cro
El YES I NO
Hourly Rate (in):
Hourly (in)-.
Hourly Rate On)-
aI
YES El NO
jeld Irrigated?
Field Irrigat
Field Irrigated?
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FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Pagel of_-4—
r
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?
EeKompliant ❑ Non -Compliant
l[Xompliant ❑ Non -Compliant
I?fompliant ❑ Non -Compliant
EK.mpliant ❑ Non -Compliant
9-lompliant ❑ 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 Barr
Permittee:
Laurel Mountain Retreat
Certification No.: 24262
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.: 1/31/22
VVU/\- 3-25- u
3-Lr-20
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 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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _Z__0f 4-
Permit No.: W00033804
Facility Name: Laurel Mountain Retreat
County: Buncombe
Month: February
Year: 2020
Did irrigation occur
Field Name:
4
Field Name:
5
Field Name:
6
Field Name:
7
this facility?
Area (acres):
0.31
Area (acres):
0.33
Area (acres):
0.42
Area (acres):
0.38
at
Cover Crop:Cover
Crop:
P:
Cover Crop:
p�
Cover Crop:
P:
O YES ❑ No
Hourly Rate (in):
0.2
Hourly Rate (in):
0.2
Hourly Rate (in):
0.2
Hourly Rate (in):
0.2
Annual Rate (in):
23.53
Annual Rate (in):
23.53
Annual Rate (in):
23.53
Annual Rate (in):
23.53
Weather
Freeboard
Field Irrigated?
[_i YES [ No
Field Irrigated?
❑ YES El No
Field Irrigated?
' YES Cl No
Field Irrigated?
❑ YES O No
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26
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27
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28
SN
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0 1
1
0 1
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30
31
io
Monthly Loading:
0
00
00
0
0.00
0.00
8,880
14.70
0.00
12 Month Floating Total (in):

FORM: NDAR-1 05-16
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page Z of ¢ ,
Did the application rates exceed the limits in Attachment B of your permit?
8'Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 2rcompliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑�mpliant ❑ 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? [�oCompliant ❑ 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 Barr
Permittee:
Laurel Mountain Retreat
Certification No.: 24262
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.: 1/31/22
M�� 20WUL____3-Z1
?r-Z )--
-?_D
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

-6 , FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 3 of
Permit No.: WQ0033804 Facility Name: Laurel Mountain Retreat
County: Buncombe
Month: February
Year: 2020
Field Name.)
Did irrigation occur
8
-
Field Name:
Field Name:
Field Name:
--
Area (acres):
this facility?
° 0.44
Area (acres):
Area (acres):
Area (acres):
at i---
Cover Crop,
�
Cover Crop:
Cover Crop,
Cover Crop:
2 YES ❑ No Hourly Rate (in);
.,y...__
0.2
� �23,53 �
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in)
1
Annual Rate (in):
Annual Rate (in):!
Annual Rate (in):
Weather
Freeboard Field Irrigated?
i .YES �;
Field Irrigated?
❑YES ❑ No
Field Irrigated?
L = Yts NO
Field Irrigated?
❑YES ❑ No
CD
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31
Monthly Loading:
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0
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12 Month Floating Total (in):

FORM: NDAR-1 05-16
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page 3 of If— ,
Did the application rates exceed the limits in Attachment B of your permit?
22ompliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? u compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ��ompliant El Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 14 Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? PrIC101mpliant ❑ 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 Barr
Permittee:
Laurel Mountain Retreat
Certification No.: 24262
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.: 1/31/22
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

. FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 4- of �
Permit No.: W00033804
Facility Name: Laurel Mountain Retreat
County: Buncombe
Month: February
Year: 2020
PPI: 001
Flow Measuring Point: Ll Influent LI Effluent ❑ No Flow generated
Parameter Monitoring Point: ❑ Influent ❑ Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code -i
50050
00310
31616
00610
00625
00620
00600
00400
00665
00530
00076
0
' O
O F
0
c
O
E :.
~
o
tL
m
_ E
U 0
LL "6E
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f6
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a
c
D CM
o
Z
c
.
tO" O
2
L
0
a
a)
;o C
N (n
to
y�
3
►-
24-hr
hrs
GPD
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
NTU
1
320
12
2
320
12
3
320
1.4
4
320
1.5
5
320
1.5
_
6
13:35
0.33
187
7.3
1.2
7
187
1.2
8
187
1.2
9
187
1.2
10
187
1.3
11
187
1.1
12
187
1A
13
1155
0.33
187
7.1
13
141
439
1.2
15
439
1.3
16
439
1.2
17
439
1.4
18
439
1.4
19
439
1.5
20
14:00
0.42
439
7.1
1.2
21
414
1.2
22
414
1.2
23
414
1.1
24
414
1.1''
25
414
1.2
26
414
1.2
27
13:15
0.42
414
7.5
1.2
28
320
1,3
29
320
1.2
30
31
Average:
335
1.25
Daily Maximum:
439
7.50
1.50
Daily Minimum:
187
7.10
1.10
Sampling Type:
Calculated
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Recorder
Monthly Limit:
See Permit
10
14
4
5
Daily Limit:
15
25
6
6-9
10
10
Sample Frequency:
Monthly
4 X Year
4 X Year
4 X Year
4 X Year
4 X Year
4 X Year
Weekly
4 X Year
4 X Year
Continuous

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page q__ of -I--- ,
Sampling Person(s)
Name: Robert Barr
Name: Kevin Bryan
Name: Pace Analytical, Inc.
Name:
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
pliant ❑ 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 Barr
Permittee: Laurel Mountain Retreat
Certification No.: 24262
Signing Official: Robert Barr
Grade: SI Phone Number: 828-251-1900
Signing Official's Title: Signatory
Has the ORC changed since the previous NDMR? ❑ yes ❑ No
Phone Number: 828-251-1900 Permit Expiration: 1/31/2022
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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