WQ0033804_Monitoring - 08-2020_20200928

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0033804
Name of Facility:*
Month:* August
Report Information
Laurel Mountain Retreat
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2020
Upload Document*
WQ0033804.pdf 3.63MB
FDF only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
[e-mail]
Kimber Reese
Reviewer: Williams, Kendall
9/25/2020
This will be filled in autorratically

Is the project number correct? * WQ0033804
Is the monitoring report r Yes r No
accepted?*
Regional Office * Asheville
Accepted Date: 9/28/2020

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (; -1) Page of
Permit No.: WQ0033804 Facility Name: Laurel Mountain Retreat County: Buncombe Month: August Year: 2020
)111'i% rN 4 }q `,s xt pity` ii + t I£{}s t+mr ,.4 Field Name: 1B tii s a ¢ '1tyr i,Gi�tP4Yw+flt Field Name: 3
Did irrigation r
_
§ y ' r,: , . M1"i 4E;" , "r i { r a i vV i' +V. 4"�r `£M�`t4 n 5Y
Area acres 0.19 d , ha'4k, raaa 1 r Area (acres): 0.45
$ (acres): ,�4����$��il'�';4�����t�+��y. 4 9
at is facility?
Lw£
CoverCr �£�f}f(ii;t>„t I'iarX,i,t,¢;rt tact"t1�1£'�,Ij;°�i�4{4�.i4!it�,tlr�`Y'}��"'lnit`7„�'�V�ti,fir{�t ..._ _.___.
l`�h`t y"tiltU �'illtilAtiS ��. . £�4�`�klrt'�11��i�ki �y�}ti�'•-!�j;rti��7�h"td.,,,� ��: t£�+4"1�tu�Y`.'.,��{��'���5�Ias��s��al"t'tt�.�'��s Cover Crop:
(t8 bP,`a+, � n ,�..; r ti
�,� latirp� Houely'l2ate (in): 0.2�11� f ���Yj �ih
AYES NO C£tni{ ris s t,�'s.r ?r:+, e `Sapttti`mi r. ,h �ikif�, £ t 91 t {,Ss`ub, �£i`;4t +"t4ra+{{ Hourly Rate (in 0.2
v reri. iinY id ➢ . s r-0 0 % 1° r Lr;� ti i t u
, �'tld Annual Mate gin): 23.53 i "��;� fi{fig;s'bv,,, Annual Rate (in): 23.53
r! sY 3a ,sn,°1. i.,'1i 4dM1i1 kal e.,s nl+i{i,
Weather Freeboard ozg� Field Irrigated? ❑ YES No
Field Irrigated? El YES 0 No
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FORM: NDAR-1 05-16 NON-DISCHARGENON-DISCHARGE APPLICATION REPORT (NDAR-1) Pageof
P-rmit
No.: WQ0033804Facility
_me: Laurel MountainCounty:
Buncombe
Month:
August
--
Did irrigation
occur:
at
this facility?
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TF—ENTMW1111 7111
Page 3 Of (0
aur el Mountain Retreat
County: Buncombe
Month:
August
Field
Name:
Annual
Rate (in):
MEIN=
[]�YES
El NO
Field Irrigated?
_4
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FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page;,4- of (I
Did the application rates exceed the limits in Attachment B of your permit? Exompliant 7 Non-C
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? [/Compliant ❑ Non-C
Was a suitable vegetative cover maintained on all sites as specified in your permit? I/C.mpliant ❑ Non-C
Were all setbacks listed in your permit maintained for every application to each permitted site? [compliant ❑ Non-C
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? E7compliant El Non-C
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 tI
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
ORC: Robert Barr
Certification No.: 24262
Grade: SI Phone Number: 828-251-1900
Has the ORC changed since the previous NDAR-1 ? 7 Yes 0 No
1940
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
corrective
Permittee:
Laurel Mountain Retreat
Signing Official: Robert Barr
Signing Official's Title: Signatory
Phone Number: 828-251-1900 Permit Exp.: 1/31/22
VAW^ q-15-zo
Signature Date
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
r T
L
2111ibVi

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page E of 6
Permit No.: W00033804 Facility Name: Laurel Mountain Retreat
County: Buncombe :71 2020
PPI: 001 1 Flow Measuring Point: F-1 influent 7 Effluent F-1 No flow generated Parameter
Monitoring Point: ❑ Influent ❑ Effluent 7 Groundwater Lowering El surface water
ParameterCode
---of 00310
00610
00620
004 00
00530
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g
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mg/L
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su
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`
2
M
Y
3
11's
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4
R
@g g
i 5 u
00"
6 14:15
0.58
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7
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8
10,
11,11, Y11,11
11
IN 411
12 14:00
0.33 1
7.2
13
14
V
16
17
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11,1111,111, A1,11,111,111"!
1110
7.1
201 14:55
21
22
23
24
25,
261
271 14:00
0.33
7.2
2
1111
29
14111
30
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Wt
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Average:
Daily Maximum:
RX"I"NO,
7.20
...............................
Daily
Minimum:
7.10
Sampling
Type: Grab
Grab
Grab
Grab
U
Monthly
Limit
4
5
N
Daily
LIMIC 101R', 15
6
6-9bl
iatS 10
gog gg'­
Sample Frequency-
AYV. r
AW
A Y V­
4 X Year

Certified Laboratories
Name: Robert Barr Name: Pace Analytical, Inc.
Name: Kevin Bryan Name:
® all monitoring data and sampling frequencies meet the requirements in Attachment A of 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 the
action(s) taken. Attach additional sheets if necessary.
#-,perator in Responsible Charge (ORC) Certification
CRC: Robert Barr
Certification No.: 24262
Grade: Sl Phone Number: 828-251-1900
Has the ORC changed since the previous NDMR? El Yes ❑ No
V I /
V
. .. ........
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Page of (119
Compliant ❑ Non -Compliant
npliance and describe the corrective
Permittee: Laurel Mountain Retreat
Signing Official: Robert Barr
Signing Official's Title: Signatory
Phone Number: 828-251-1900 Permit Expiration: 1/31/2022
I-Iii-zo
Signature Date
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
Raleinh North C-rolin2 97600_4947
9