WQ0029233_Monitoring - 02-2020_20200401

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I of �
Permit No.: WQ0029233
Facility Name: Bear Lake Reserve
County: Jackson
Month: February
Year: 2020
Did irrigation occur
Field Name:
A
Field Name:
B
Field Name:
C
Field Name:
D
Area (acres):
O67
Area (acres):
0.84
Area (acres):
0,82
Area (acres):
1.26
facility?
at this
Cover Crop;
Mature Forest
Cover Crop:
Mature Forest
CoverCrop.
matwe Forest
Cover Crop:
Mature Forest
El YES F,1 NO
Hourly Rate (in):
0, 0 51
Hourly Rate (in):
0.05
Hourly Rate (in).
0,05
Hourly Rate (in):
0.05
Annual Rate (in):
70.5 7.0
Annual Rate (in):
85.7/8.6
Annual Rate (in)-
72.517,2
Annual Rate (in):
69.6/7.0
Weather Freeboard
Field Irrigated?
L �,Fs NO
Fib
I? El NO
Field Irrigated?
L_ yes NO
Field Irrigated?
0 YES E1 NO
0
.2
N
U)
V
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4
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5
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6
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7
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13
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18
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201
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21
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24
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25
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42
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261
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27
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28
29
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30
31
Monthly Loading: 0
0.00
0
0.00
0.00
M-0
Month Floating Total (in): 12
1.56

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page f of G
Did the application rates exceed the limits in Attachment B of your permit?
O 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? El 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
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification 11 Permittee Certification
ORC: Michael Beck
Certification No.: SI-991669 WWIV-7930
Grade: SI WWIV Phone Number: [phone]
Has the ORC changed since the previous NDAR-1? ❑ Yes O No
31k 3 -24 -A-0
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee:
Bear Lake Reserve
Signing Official: Robert Barr
Signing Official's Title: Signatory
Phone Number: [phone] Permit Exp.: 10/31/19
V V W,711 2 `f-26
Signature Date
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.: W00029233
Facility Name: Bear Lake Reserve
County: Jackson
Month: February
Year: 2020
Did irrigation occur
Field Name,
Field Name:
F
ie[d ame:
G
Field Name:
H
facility?
Area (acres):
0,74
Area (acres):
0.95
f Area (acres),
0.71
Area (acres):
0.53
at this
El YES L No
Cover Crop:Mature
Hourly Rate (in):
Forest
0.05
Cover Crop:
p:
Hourly Rate (in):
Mature Forest
0.05
Cover Crop:
p:
Hourly Rate (in):
T Mature Forest
0.05
Cover Crop:
p:
Hourly Rate (in):
Mature Forest
0.05
Annual Rate (in),
70 2 7.0
Annual Rate (in):
73.9 / 7.4
Annual Rate (in):
63.5 / 6 3
Annual Rate (in):
77.3 / 7.7
>,
o
Weather
a °
O f0 f6
U ..
m Q
CL
w E y
N
a
Freeboard
m as Q7
m N M
a
U
0
(n M O-
o
V Field Irrigated?
.%Y:.
F
s"� '<C I z-
i
s Pan
E css
C 3 C
E 3 C'
f € o
i �7
Field Irrigated?
y -o o
E N N N
3 a E rn
Q ~
❑ YES ❑ NO
rn E T
>, C 3 CaS
a E 3
M mCL
J = J
Field Irrigated?
-o i z
l 43
i E
'?,
L YES NO
i oz ( E y tx
€_ C
E c `E
....) k „s
Field Irrigated?
d -o a
d
E .� N
3 Q E_ rn
i Q ~
❑YES [] No
rn E T rn
c 7 C
v E 3 a
�v
J = J
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0
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36
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7
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101
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11
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16
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17
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33
0
14
6
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0.00
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0
18
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19
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20
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21
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22
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24
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0
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0.00
25
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42
1
13
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0
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0,00
0
0
0.00
0.00
0
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0
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26
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45
0
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0.00
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271
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27
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0
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30
31
..
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0
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Month Floating Total (in):
0.00
1.44
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/y,�
0.0012
1 51

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page '7' of G
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?
0 Compliant ❑ Non -Compliant
2 Compliant ❑ Non -Compliant
PI Compliant ❑ Non -Compliant
El Compliant ❑ Non -Compliant
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: 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 0 No
Phone Number: [phone] Permit Exp.: 10/31/19
R 24- za
_3 2-,j�-Z0
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: February
Year: 2020
Field Name:
Field Name:
K
Field Name:
M
Field Name:
N
Did irrigation
occur------
-
Area (acres):
CJ:85
Area (acres):
0.99
Area (acres):
0.52
Area (acres):
0.58
at this facility?
Cover Crop;Mature
Forest`
Cover Crop:
p:
Mature Forest
Cover Crop:
p:
Mature Forest
Cover Crop:
p:
I Mature Forest
❑ YES D 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 Hate (in):
6687 6.7
Annual Rate (in):
60.2 / 6.0
Weather
Freeboard
Field Irrigated?
i YES
No
Field Irrigated?
❑ YES
PI No
Field Irngated7
' YES
NO
Field Irrigated?
❑YES
O No
w
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0
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i 0.00
0
0
0.00
0.00
0
0
0,00
0.00
0
0
0.00
0.00
4
CL
50
0
15
5
0
0
0 00
0 00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
5
R
51
0.1
15
5
0
0
0` 00
0 00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
6
R
53
3.5
15
5
0•
0
0.00
0.00 `
0
0
0.00
0.00
0-
0
0.00
0.00
0
1 0
0.00
0.00
7
R
34
1.5
15
5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0,00
0.00
0
0
0.00
0.00
8
0_
0
0.00
0.00
0
0
0.00
0.00
0
0
0,00
0.00
0
0
0.00
0.00
9
0
O
0.00
0.00
0
0
0.00
0.00
0 -
0
0.00
U0
0
0
0.00
0.00
10
CL
31
0.2
15
4
0 w
0
` 0,00
0 00
0
0
0.00
0.00
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0
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0.00
0
0
0.00
0.00
11
R
50
2.6
15
4
0
0
000
0,00
0
0
0.00
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0
0
000
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0
0
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0.00
-
12
CL
47
0.5
14
5
0
0
0 00
0 00
0
0
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0.00
0
0
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0
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0.00
13
R
51
1.5
14
5
0
0
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1 0,00
0
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0
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14
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31
0.2
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.i �0
0
O
0
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i,100
0,00
0
0
0
0
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0.00
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0.00
0
0
0
0
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0.00
0.00
0.00
0
0
0
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0.00
0.00
15
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16
0
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0
0
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17
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33
0
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0 C�0�00
0
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18
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40
0
14
6
0
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0
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0
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0,00
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19
CL
43
0.7
13
7
O
O CIO
0.00
0
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0
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0.00
0
0
0.00
0.00
20
PC
44
0
13
7 0
0
0 00
0,00
0
0
0.00
0.00
0
0
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0 00
0
O
0.00
0.00
21
CL
28
0.6
13
7 0
0
0 00
0 00
0
0
0.00
0,00
0
0
0 00
0 00
0
0
0.00
0.00
22
0
0
0,00 "
0 00,,;,,',
0
0
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0.00
0
0
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0.00
0
0
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0.00
23
0
0
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0
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0.00
0
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24
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39
0.1
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0
000
0 00 ''
0
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0
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0
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0.00
25
R
42
1
13
7 0
0
-0,00-
0,00
0
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0.00
0
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0
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0.00
261
CL
45
0
13
7 ! 0 _
0
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0
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0
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0.00
27
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26
0
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7 i0
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28
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27
0
13
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0
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0
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0
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0
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29
0
0
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0
0
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0
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coo
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I
31
Monthly Loading:
0
0.00
1,54
0
� � % �
0.00'Im
0
0.00 '
0
0.00
12 Month Floating Total (in):
1.57
. ,
1,54

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page M 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?
Rl Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
21 Compliant ❑ Non -Compliant
El Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 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
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
ORC: Michael Beck
Certification No.: SI-991669 WWIV-7930
Grade: SI WWIV Phone Number: [phone]
Has the ORC changed since the previous NDAR-1? ❑ Yes O No
!!� §�K 3 . ?4 - Zo
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Perm ittee:
Bear Lake Reserve
Signing Official: Robert Barr
Signing Official's Title: Signatory
Phone Number: [phone] Permit Exp.: 10/31/19
Signature Date
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 c-of
Permit No.: WQ0029233
Facility Name: Bear Lake Reserve
County: Jackson
Month: February
Year: 2020
Did irrigation occur
= �+aId dame.
0
Field Name:
P
Field Name:
Q`
Field Name:
R
Area (acres):
0,5
Area (acres):
1.1
Area (acres):
0.43
Area (acres):
0.7
this facility?
--
at
'Crop:
-- ---
-----
Cover
Mature Forest
Cover Crop:
Mature Forest
Cover Crop:
Mature F est
Cover Crop:
Mature Forest
❑ YES O NO
Hourly Rate (in):
I 0.05
Hourly Rate (in):
0.05
Hourly mate (in):
( 0 05
Hourly Rate (in):
0.05
)
1 Annual Rate (in)d
1
78.6 / 7.9
Annual Rate (in):
80.7 / 8.1
Annual Rate (in):
87 / 87
Annual Rate (in):
77.6 / 7.8
Weather Freeboard
Field Irrigated?
`--s L? No
Field Irrigated?
❑ YES ❑ NO
Field Irrigated'
__ Y , NO
Field Irrigated?
❑ YES O NO
a m m m
Ci am+ O. f6
o
E .� _V
en E csy
C
d v
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rn E rna
>. C 7 C_
0
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v
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M° E ix
a E m
m fl E 7 0
sa
( � E 0
3= E
a f°
'M `o E n v
l
`
°F
in ft ft
gal min
in in
gal min
in in
g ai min
in in
gal in
in in
1
0
0
0.00
0.00''
0
0
0.00
0.00
0
0
0.00 i 0,00
0
0
0.00
0.00
2
0
0
0,00
0,00
0
0
0.00
0.00
0
0
000 0.00
0
0
0.00
0.00
3
PC
36
0.2
15
5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0,000 00
0
0
0.00
0.00
4
CL
50
0
15
5
0
0
0.00
0 00
0
0
0.00
0.00
0
0
0 00_ _ 0.00
0
0
0.00
0.00
5
R
51
0.1
15
5
0
0
0 00
0.00
0
0
0.00
1 0.00
0
0
.0 �00�.0 00 ''
0
0
0.00
0.00
6
R
53
3.5
15
5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00 ; p 0 00
0
0
0.00
0.00
7
R
34
1.5
15
5
0
0
0
1 0�00
0 00
i 0,00
0.00
0
0
0
0
0.00
0.00
0.00
0.00
0
0
0
0
0.00 0.00
0.00 ~ 0,00
0
0
0
0
0.00
0.00
0.00
0.00
8
9
10
CL
31
0.2
1
15
4
0
t
0
0
1 0,00
0.00
0.00
0,00
0
0
0
0
0.00
0.00
0.00
0.00
0
0
0
0
0.00 0,00 :
0.00 0,00
0
0
0
0
0.00
0.00
0.00
0.00
11
R
50
2.6
15
4
0
0.00
0.00
0
0
0.00
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0
0
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121
CL
47
0.5
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5
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0
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131
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1 51
1.5
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5
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0
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0
0
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14
C
31
0.2
14
5
0
0
0.00
0 00
0
0
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0.00
0
0
0.00 00
0
0
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0.00
15
0
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..
0,00
0
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0.00
0
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0.06 10 00
0
0
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0.00
16
0
0
0
0.00
0 00
0
0
0.00
0.00
0
0
0.00 000
0
�
0
0.00
0.00
17
CL
33
0
14
6
0
0.00 __0.00
0
0
0.00
0.00
0
0
t}.00 0,00_
0
0
0.00
0.00
18
C
40
0
14
6
0
0
0,00
0 00
0
0
0.00
0.00
0
0
000 0.00
0
0
0.00
0.00
19
CL
43
0.7
13
7
0
0
0.00
0,00
0
0
0.00
0.00
0
0
0,00 "0.00
0
0
0.00
0.00
20
PC
44
0
13
7
v ?-
0
0.00
0.00
0
0
0.00
0.00
0
0
0 00 0.00
0
0
0.00
0.00
21
CL
28
0.6
13
7
0
0
0.00
0,00 ''
0
0
0.00
0.00
0
0
0 00 00
0
0
0.00
0.00
22
0
0
0 00
0 00 '''
0
0
0.00
0.00
0
0
0.00 i 0,00
0
0
0.00
0.00
23
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00 0.00 1T
0
0
0.00
0.00
24
R
39
0.1
13
7
Or_,_
0
0.00
0 00 ':
0
0
0.00
0.00
0
0
0.00 O,.OJ
0
0
0.00
0.00
251
R
42
1
13
- )i
0
0
v0
0
0
0 00
�0,00
0,00
0,00 ':
0
0
0
0
0.00
0.00
0.00
0.00
0
0
0
0
0 00 0 60
0,00 0,00
0
0
0
0
0.00
0.00
0.00
0.00
26
CL
45
0
13
%
27
CL
26
0
13
0
0 00
0 00
0
0
0.00
0.00
0 ;
0
0.00 0.00
0
0 1
0.00
0.00
28
CL
27
0
13
7
0 0 0,00
0 00 0
0
0.00
0.00 0 0 0 00 0.00
0
0
0.00
0.00
29
-41 0 a 00 '
0.00 0
0 1
0.00 1
0.00 0 0 0 00 10 00
0
0
0.00
0.00
31
0
0
0
0.00
Monthly Loading:
0.00
12 Month Floatin Total
9 (in)-ai.0`
1.48"

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 4- 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?
El Compliant ❑ Non -Compliant
[21 Compliant ❑ Non -Compliant
EI Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 2 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
ORC: Michael Beck
Certification No.: SI-991669 WWIV-7930
Grade: SI WWIV Phone Number: [phone]
Has the ORC changed since the previous NDAR-1? ❑ Yes M No
-24 -;Zo
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee:
Bear Lake Reserve
Signing Official: Robert Barr
Signing Official's Title: Signatory
Phone Number: [phone] Permit Exp.: 10/31/19
Signature Date
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) Page of 6
Permit No.: W00029233 Facility Name: Bear Lake Reserve
County: Jackson
Month: February
Year: 2020
Field Name
5
Field Name:
T
Field Name:
t1
Field Name:
Did irrigation occur - --
- - -
Area (acres):
0.92
Area (acres):
0.61
Area (acres):
0 58
Area (acres):
at this facility?
_
i Cover Crap:
Mature Forest
Cover Crop:
Mature Forest
Cover Crop:
Mature Forest
Cover Crop:
❑ YES P1 No
I hourly mate (ire):
0,05
Hourly Rate (in):
0.05
Hourly Rate (in):
0,05
Hourly Rate (in):
Annual Rat: (ins):,
67.4 6.7
Annual Rate (in):
73.5 / 7.3
Annual Rate (in):
9.":.4 / 9
Annual Rate (in):
Weather
Freeboard
Field #rrigated?l
U ., NO
Field Irrigated?
❑ YES
L� No
Field Irrigated?
�
NO
Field Irrigated?
❑YES
El NO
m c
i
F da
d -o
o
a�
E T a�
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❑ O
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OF
i
in
ft
ft
jai €n}
in in
gal
min
in
in
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min
in i
are
gal
min
in
in
1
0
0.00 C.00
0
0
0.00
0.00
0
0
0.00
0.00
2
0
0,00 0,00
0
0
0.00
0.00
0
0,00
m0.00
3
PC
36
0.2
15
5
0
0.00�� 000
0
0
0.00
0.00
0
0
0.00
0.00
4
CL
50
0
15
5
0
0
j _0.00 F C1,00
1 000 0,00
0
0
0
0
0.00
0.00
0.00
0.00
0 w
0
0
0
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0.00
0,00
0,00
5
R
51
0.1
15
5;
0
6
R
53
3.5
15
5
0
I. 0.00 0.00
0
0
0.00
0.00
0
0
0.00
0.00
7
R
34
1.5
15
5
_
0
0
I 0,00 rc0,00 ''
0
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8
01
FoL-------
00 0.00
0
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9
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10
CL
31
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0
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0
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11
R
50
2.6
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4
0
0
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0
0
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0
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121
CL
47
0.5
14
5
13
0
0 0n 0.00 ''
0
0
0.00
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0
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000
13
R
51
1.5
14
5
01
0
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0
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[
0
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14
C
31
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0
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0
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0.00
15
10
0
0.00 0.00
0
0
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0
0
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16
0
0
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0
0
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0.00
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0.00
17
CL
33
0
14
6
0
0
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0
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0 00
181
C
40
0
14
6
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0
0
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0.00
0
0
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0.00
19
CL
43
0.7
13
7
0
0
0.00 0.00
0
0
0.00
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0
0
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0,00
20
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44
0
13
7
0
0
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0
0
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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?
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?
0 Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
O 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
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 0 No
Phone Number: (828) 251-19 0 Permit Exp.: 10/31/19
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: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page �of
30
TV
rtas� �
----
—
31
�
Average.
25�a
6.20
2.80
0.38
27.25
4
Daily Maximum:
2,900
9.40
4.90
7.21
w 0.53
29.10
Daily Minimum:
0
3.00
0.69
7.11
�.....
0.29
...
2',' 25.40
...... _...,..._f ....... __ ...._..._
i...._�.d-�..
Sampling Type:
Recorder
Composite
Grab Composite
001
Grab
Co^mc to-- Recorder
Monthly Limit:
See Permit
10
14 4
_ $..__
Daily Limit:
15
25 6
�,
6-9
10 10
Sample Frequency:
ContinUOUS
See Permit i
Sec: Permit] See Permit
400 , '
5 x Week
e Permit' Continuous
" "'

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page 6 of
Sampling Person(s) 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? 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: 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 O No
Phone Number: [phone] Permit Expiration: 10/31/2019
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