WQ0033804_Monitoring - 05-2020_20200824

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0033804
Name of Facility:* Laurel Mountain Retreat
Month:* May Year:* 2020
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR WQ0033804.pdf 3.25MB
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 autorratically
Initial Review
Reviewer: Williams, Kendall
Is the project number correct?* WQ0033804

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

FORM: NDAR-1 05-16
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page
of 4-
Permit No.: WQ0033804
Facility Name:
Laurel Mountain Retfeat
County: Buncombe Month:
May
Year:
2020
on occur Did irrigation
g
.._
°
Field Name:
18�
Field Name:-
3
at this facility?
�
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Area (acres):
0.19
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Area jacres):
0.45
'�»
Cover Crop:
P
��
�
Cover Crop:
7 YES ❑ NO
��
Hourly Rate (in):
0.2
Hourly Rate (in):
0.2
�atl
Annual Rate (in):
23.53
Annual Rate (in):
23.53
Weather
Freeboard
Field Irrigated?
Yes
[2] NO
field Irrigated?
© Yfs
E] No
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FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of 4-
Did the application rates exceed the limits in Attachment B of your permit? FeMmpliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 2rcompliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? (Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? [Kompliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 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: Robert Barr
Permittee:
- taurel Mountain Retreat
Certification No.: 24262
Signing Official: Robert Barr
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.: 1/31/22
VVNA-
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

FORM: NDAR-1 05-16
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page 7i' of ¢'
Permit No.: WQ0033804
Facility Name: Laurel Mountain Retreat
County: Buncombe
Month:
May
Year:
2020
Did irrigation occur
Field Name:
5
Field Name:
7
P� T
Area (acres):
0.33
Area (acres):
0.38
at this facility?
Cover Crop:
Cover Crop:
YES NO
Hourly Rate (in):
0.2
Hourly Rate (in):
0.2
Annual Rate (in):
23.53
Annual Rate (in):
23.53
Weather
Freeboard
Field Irrigated?
.0 Yes
Q NO
Field Irrigated?
0 YES
Q No
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FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _f,- 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?
[tompliant
❑ Non -Compliant
(Compliant
❑ Non -Compliant
W'Compliant
❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ecloompliant ❑ 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
artinn/sl taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC:,-- Robert Barr
Permitt6d:
-Laurel Mountain Retreat
Certification No.: 24262
Signing 60cial: ' Robert Barr
Grade: SI Phone Number: 828-251-1900
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? yes ❑ No'
Phone Number: 828-251-1900 Permit Exp.: 1/31/22
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
designed toassure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
with a system
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: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 3 of

FORM: NDAR-105-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _;� 04t--
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? Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ,Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? E<mpliant ❑ 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: Robert Barr
Permittee:
Laurel Mountain Retreat
Certification No.: 24262
Signing Official' Robert Barr
Grade: SI Phone Number: 828-251-1900
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? ❑ yes ❑ No
Phone Numbe^r:- 828-251-1900 Permit Exp.: 1/31/22
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 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

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 4 of

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page-4-- of
Sampling Person(s) 11 Certified Laboratories
Name: Robert Barr Name: Pace Analytical, Inc.
Name: Kevin Bryan Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 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 necess2rv.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Robert Barr
Permittee: Laurel Mountain Retreat
Certification No.: 24262
Signing Official: Robert Barr
Grade: SI Phone Number: 828-251-1900
Signing Official's Title: Signatory
Has the ORC changed since the previous NDMR? F-1 Yes El No
Phone Number: 828-251-1900 Permit Expiration: 1/3112022
14?,d2,
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 violafions.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617