WQ0035784_Monitoring - 09-2020_20201026

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0035784
Name of Facility:* Cottages of Boone
Month:* September
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2020
Upload Document*
WQ0035784.pdf 2.87MB
FDF Cnly
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
10/23/2020
This will be filled in automatically

Is the project number correct? * WQ0035784
Is the monitoring report r Yes r No
accepted?*
Regional Office * Winston-Salem
Accepted Date: 10/26/2020

NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page j2, of -5-

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?
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 permits
Ercompliant
❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted situ
21compliant
❑ 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: Dale Holman Permittee:
Boone Cottages
Certification No.: SI 1003141 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 Number: 828-251-1900 Permit Exp.: 4/30/17
eu
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: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Parameter Code
00310
ft'
31616
00625
00400
-5
70300
075
00076
< E
0
E B
-
LO
a
V
P
0
1 n
LL 0
:L,
w 0
u
z
B
0
0
24-hr
#/100 mL
mg/L
Su
m g L
1,0_
NIU
hrs mg/L
1
06:00
2
&W-
7.02
2
05:30
7.22
0.244
0.343
3 00:10
2
4
09:30
2
7.44
0.214
- - - - - - - - - - -
6
to
NINE-
0.224
0-0
7
06:30
2
7.22
0.238
8
05:30
2!
7.31
1
0.241
9
08:00
2
3
6.87
.1
M­
0.243
W-0-
SO
TO
09-:35
2
- - - - - - -
7.13
0.219
11
06:00
2
7.18
12
T3
ew
0.244
14
06:00
2
7.29
0.236
15
06:00
2
10, Wfl
26.7
<1
7
_g,
7.33
0236
161
09:10
2
1-
752
0.2
171
07:05
2
NINE
74
0.22
18
10:05
W�l
7.
0.223
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T9
-
11111-
IN
0.236
zY
20
.2 9
21
05:05
2
9
22l
05:30
2
6. 8
23 08:30
2
6.77
0.186
24
09:00
2
8110
T6
09:00
2
I
7.1
IN
T6
0.177
27l
0.17
28
05:30
2
7. 7
0.168
29
06:00
2
7.22
0.151
_2
TO
10-:00
7.07
0.173
31
KIM
Average:
26.70
1.00
�1110�
7.00
-77W
(�22
Daily Maximum:
26.70
1.00
7.00
7.52
g-0
0.34
Daily Minim um:
Mr
M IN
26.70
1.0 0
7.0 0
6.77
Sampling Type:
ME Composite
_ggo
-
Grab
0 _,
=m1poffi
Composite
ra
om osite
P
Recorder
Monthly Li mit:
'M
10
P
14
W
I I
%,Tl:-
Daily Limit:
15
6 -9
10
M
Sample Frequency:11._
Mont 11,
Monthly
Monthly
5 x Week

Is
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 5 of
Sampling Person(s) 11 Certified Laboratories
Name: Dale Holman Name: Water Tech Labs, Inc.
Name: Robert Barr Dame: Pace Analytical
Boo
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Dale Holman Permittee: Boone Cottages
Certification No.: SI 1003141 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 I] No Phone Number: 828-251-1900 Permit Expiration: 4/30/2017
1
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