WQ0035784_Monitoring - 06-2020_20200722

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0035784
Name of Facility:* Cottages of Boone
Month:* June Year:* 2020
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR WQ0035784.pdf 10.24MB
FDF Only
Please upload only one combined pdf document. Upload GW-59 individually.
Confirmation Email Address:* [e-mail]
Name of Submitter:* Kimber Reese
Signature:*
Date of submittal: 7/22/2020
This will be filled in &Aorratically
Initial Review
Reviewer: Williams, Kendall
Is the project number correct?* WQ0035784

Is the monitoring report Yes r No
accepted?*
Regional Office* Winston-Salem
Accepted Date: 7/22/2020

FORM: Are-1 -11 NON -DISCHARGE APPUCATIONREPORT (-1) Page _ L of

FORM- DAR-1 08-11 NON -DISCHARGE APPLICATION REPORT A -t) Pam j of
Did the application rates exceed the limits in Attachment B of your permit? pliant L-] pion-Gompilant
Were adequate measures kale to prevent effluent pending in or runoff from the sites? PIompliant ❑ iion-Cornphart
Was a suitable vegetative cover maintained on all sites as specified in your permit? compliant [.1 Non -compliant
Were all setbacks listed in your permit maintained for every application to each permitted situ compliant Non -Compliant
Were all freeboards maintained in accordance ith the specified freeboard heights in your permit? °_pliant E] Gaon-compiiar t
If the facility is nose -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) certification Perra ittee certification
oF®Ie Fiirflrl perirllttee:
Boone Cottages
Certification No.: Si 1003141 Signing official: Robed rr
Grade: ` SI phone Number: 828-251-1900 Signing Official's title: Signatory
Has the o C charmed since the previous AR-1? ❑ Yes El No phone umber: 828-251-1900 Permit Exp.: 4130/22
Signature late Signature Gate
By this signature, l certify that this report is accurrate and complete to the best of my knowledge. l 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. Rased en my
Inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information subirfitted is, to the best of my imewledge,and belief,, true, accurate, and complete. l am aware that there are significant
penalties for subriditting false information, including the passibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of rater Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 2 699-1617

FORM: AR-f 08-11 NON -DISCHARGE APPUCATION REPO - ' Page _ ()f

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT 4NDAR-1 I Page 2— of - -3
Did the application rates exceed the limits in Attachment B of your permit? ocompliant El Non-Compliark
Were adequate measures taken to prevent effluent pending in or runoff from the sites? 2K—pflant E] Non -compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? Z-11c'e-pliant C] Non-Comphant
10,
Were ail setbacks listed in your perin it maintained for every application to each permitted site? L*'Compliant D (ion -compliant
111�
Were all freeboards maintained in accordance with the specified freeboard heights in your permitnlphant [-I Non -Compliant
If the facility is non-comptiant, 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 fORC) Certification Retrainee Certification
or mat
ORC:
F Dale Holmman Ponnittee: Boone Cottages
Certification No.: SI 1003141 Signing Official : Robert Beff
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.: 4/30/22
Signature Date Signature to
By this signature, I certify that this report is accurrate and complete to the bestof my lrnowledge. i certify, under penalty of law, that this document and all attachments were prepared under my directiofi or supervision in accordance
with a system designed to assure that ail qualified personnel property gathered and evaluated the information submitted. Based on my
inquiry of the personer 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 mfonnation, 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 Carotinst 27699-1,617

FORM: NDMR 03-1 MON-DISCHARGE ; MONITOR! REPORT (NDMR) Pa e ._ of

FORM, 03-1C WDISCH i 1 Page —3at._
ansurimin f-e orris Certified Laboratories
Maitre: Dale Holman Name: Water Tech crabs, Inc,
Name: Hobert BarrPace Analytical
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your it /C;7.-t "I goat Compliant
If the facility is non -compliant, please explain in the space beclow the mason(s) the facility was not in compliance. Provide in your explanation the i em(s) of the non-carripliance Bud describe the corrective
actionk) takam Affnrla nddiifinnn9 ohtc U, ---
Operator
air Responsible Charge {G� Certification st6attcas
Per ittee: Booneages
Certification0 141 Signing Official: Robert Darr
flan Number: -2 1-1 0 Signing Offic irs Title: Signatory
the previous N ? E']Yes [A No Phone ter: 82 -2-1-190 Permit Expirations: 4 3 202022
Signature bate Signature Date
By this signature, l cattily tfaat this report is accurreta and Complete to'the best of rly knowledge. 1 oertify, gander penalty oflaw, that tots document and all attachments were prepared under my eirection or supervision in
acourdance with a system designed to assure quit all qualified personnel properly limaroed and evaluated the information
i-submitted. Based on any inquiry of go person or persons who manage the system, or e person directly responsible for
gathariaag tip information, ad anon submitted is, to the, best of y itrunu belief, ef, time, accu ant€ plete. p .
aware thatthere are significant penalties for subletting false lnfsrmat` -, mouding the possitserof fines and inquisontiveM fer
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
information Processing Unit
1617 Mail Service Center