WQ0004115_Monitoring - 06-2020_20200722

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0004115
Name of Facility:* Champion Hills, POA
Month:* June Year:* 2020
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR WQ0004115.pdf 22.39MB
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?* WQ0004115

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

FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page ! of—�—
Permit No.:
WQ0004115 Facility Name: CHAMPION'•• County: HendersonArea (acres):; Area (acres):
at this facility?
. 1 1
Did irrigation occur
■�-�
Cover Crop:
YES NO Hourly Rate (in) Hourly R
Annual Rate (in):_
. Annual Rate (in):
• • • • . • - • .. - . Q • an . I ITI • , • • VJField Irrigated?Q • - • • , • . Q •
111111,0113,M111 mill mill
®--___
m�m 1 � ®- � �• � 11• 11 �� 11• 11 �� 11' 11 •' ® 11 111
• n t h I y L •.• i n . . .• %//,/,/10/� 11• %//O///�j///// 11• �/////j�j///��/. 11: j�///// "• j////� 11
• •. . • j//////�000�®' j/////� j/////// j/////�% j///�/j�i////Z • • //////; j///////

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Pageaof A
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?
ECompliant [-]Non-compliant
ECompliant [—]Non-compliant
ECompliant ❑Non -Compliant
❑✓ Compliant ❑Non -Compliant
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.
0
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Karl Griffiths
Permittee:
Champion Hills, POA
Certification No.: 15613
Signing Official: Karl Griffiths
Grade: Phone Number: 828 696 1962
Signing Official's Title: ASSISTANT SUPERINTENDANT
Has the ORC changed since the previous NDAR-1? ❑yes ENO
Phone Number: 828 6 61962 Permit Exp.: 1/31/24
7/17/20
1. 7/17/20
Signature Date
/rnature Date
By this signatu , 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 10-13
NON -DISCHARGE MONITORING REPORT (NDMR)
Page L, of 91
1
07:50
1.67
2
08:03
1.12
3
08:05
1.42
4
08:10
1.5
5
08:11
1.07
08:10 1.42
09:15 0.75
08:08 1.03
08:00 1.33
08:03 1.2
08:00 1.42
08:13 1.28
08:03 1.12
08:00 1.33
OT57 1.05
08:00 1.25
09:15 0.92
08:15 1.25
08:08 1.87
08:06 1.25
07:50 1.83
08:00 1.67
Daily Maximum:
Daily Minimum:
'N
_0
_4"
Sampling Type:
Composite
_ . ..... .... Grabie
Composii
Monthly Avg. Limit:
10
15
14
25
Daily Limit:
Sample Frequency:
Monthly
Monthl
Monthly

FORM: NDMR 10-13
NON -DISCHARGE MONITORING REPORT (NDMR)
Page _C24f
Sampling Person(s) Certified Laboratories
Name: Danielle Hunter Name: Pace Analytical
Name: 11 Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of 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 Permittee Certification
ORC: Danielle Hunter Permittee: Champion Hills POA
Certification No.: 1007992 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 0 No Phone Number: 828-696-1962 Permit Expiration: 1/3112024
n W .10 I , _
ja �`dj'W
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
10MMA
Signature Date
1 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