WQ0004115_Monitoring - 05-2020_20200824

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0004115
Name of Facility:* Champion Hills
Month:* May Year:* 2020
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR WQ0004115.pdf 2.45MB
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?* WQ0004115

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

-FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page J_ of

JFORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page � of
Did the application rates exceed the limits in Attachment B of your permit?
Elcompliant
EINon-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
[ZCompliant
EINon-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
ECompliant
EINon-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
[21Compliant
EINon-compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
EZCompliant
[INon-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: 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? RYes [ZNo ❑Phone
6/18/20
Number: 8286961962 Permit Exp.: 1/31/24
6/18/20
Si/ature Date
ur
Signat / 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: N.DMR 10-13. NON -DISCHARGE MONITORING REPORT (NDMR) Page of

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s)
Name: Danielle Hunter
Name:
Name: Pace Analytical
Name:
Certified Laboratories
woes all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? [Z compliant El 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 nPrP.-,qnry
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Danielle Hunter
Permittee: Champion Hills POA
Certification No.: 1007992
Signing Official: Robert Barr
Grade: Sl Phone Number: 828-251-1900
Signing Official's Title: Signatory
Has the ORC changed since the previous NDMR? E-1 Yes E] No
*
Phone Number: 828-696-1962 Permit Expiration: 1/31/2024
&ow
.Vj l
7� 6-2:::!!;;
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