WQ0029233_Monitoring - 05-2020_20200824

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0029233
Name of Facility:* Bear Lake Reserve
Month:* May
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2020
Upload Document*
WQ0029233.pdf
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: 8/24/2020
This will be filled in &Aorratically
Initial Review
Reviewer: Williams, Kendall
Is the project number correct?* WQ0029233
5.7MB

Is the monitoring report r Yes r No
accepted?*
Regional Office* Asheville
Accepted Date: 8/24/2020

E' 9

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I of 19
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?
❑.. Compliant ❑ Non -Compliant
El Compliant ❑ Non -Compliant
El Compliant ❑ Non -Compliant
2 Compliant ❑ Non -Compliant
[21 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 qhpi-tq if n,-r.-_Qqqry
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: Sl WWIV Phone Number: [phone]
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-11? ❑ Yes El No
Phone Number: [phone] Permit Exp.: 10/31/19
iO
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 2 of (I
Did the application rates exceed the limits in Attachment B of your permit?
[21 compliant El Non -compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Ma compliant El Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
[21 compliant E] Non -compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
M, Compliant E] Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
[Z Compliant M 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(sl taken- Attach nrlditirin:41 chppfiz if nj-f,.aQQnnt
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Michael Beck
Permittee:
Bear Lake Reserve
Certification No.: SI-991669 WWW7930
Signing Official: Robert Barr
Grade: SI WWIV Phone Number: [phone]
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? El Yes [21 No
Phone Number: [phone] Permit Exp.: 10/31/19
if Tmc—
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

I Mor/mIll

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page -3 of(
Did the application rates exceed the limits in Attachment B of your permit?
P1 compliant ❑ Non -compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
P1 Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
2 Compliant ❑ Non -compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
El compliant E] Non -compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
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
action(s) taken. Attach additional sheets if necessary.
2 compliant [] Non -compliant
the non-compliance and describe the corrective
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Michael Beck
Permittee:
Bear Lake Reserve
Certification No.: SI-991669 WWIV-7030
Signing Official: Robert Barr
Grade: Sl VVWIV Phone Number: [phone]
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-J? El Yes FZI No
Phone Number: [phone] Permit Exp.: 10/31/19
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 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

MUM omm
mmm

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page --f—of to
Did the application rates exceed the limits in Attachment B of your permit? 7 compliant El Non -compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? El compliant El Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? [2] Compliant ❑ Non -compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? El compliant El Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? F, compliant E] 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(A) taken Attach ntirlitinnal eh—te if -.--
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-J? El Yes R No
Phone Number: [phone] Permit Exp.: 10/31/19
61 -?15-U
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

i
IBM/ m low: m

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 6- of�
Did the application rates exceed the limits in Attachment B of your permit?
Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 21 Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? E Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? [21 Compliant ❑ Nan -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? D 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
aetinnW taken Attach nrlrtitinnal chente if n—.... —
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 [21 No
Phone Number:,- [phone] Permit Up.: 10/31/19
igna r.�.o 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 4

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page __L_1 of (V
Sampling Person(s)
Name: Michael Beck
Name:
Certified Laboratories
Name: Environmental Testing Solutions, Inc.
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 2 Compliant [:1 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
taKen. Attach aaaitionai Sheets it 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: Sl WWIV Phone Number: [phone]
Signing Official's Title: Signatory
Has the ORC changed since the previous NDMR? El Yes 21 No
Phone Number: [phone] Permit Expiration: 10/31/2019
b
zffAj &i -
J
Signature Datezv?z
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