WQ0033804_Monitoring - 09-2020_20201023

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0033804
Name of Facility:*
Month:* September
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 3.7MB
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
10/23/2020
This will be filled in automatically

Is the project number correct? * WQ0033804
Is the monitoring report r Yes r No
accepted?*
Regional Office * Asheville
Accepted Date: 10/26/2020

FORM: NDAR-105-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of (10
No.: WQ0033804
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Facility Name:Laurel Mountain
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FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page I of 40
Permit No.: WQ0033804
Facility Name: Laurel Mountain Retreat
county. Buncom September
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Area (acres):
this facility?
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• the application rates exceed the limits in Attachment B of your p-
Were adequate measures taken . prevent effluent . ding
Page of CP
Compliant ❑ Non -Compliant
ompliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all situ as specified in your permit? D<10mpliant ❑ 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? ?,CIO" pliant ❑ 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 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
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: NDMR 05-16 NON -DISCHARGE MONITORING REPORT ( ) Page 50f
Permit No.: WQ0033804 Facility Name: Laurel Mountain Retreat County: Buncombe Month: September 111.1 Year: 2020
PPI: 001 Flow Measuring Point: ❑Influent ❑� Effluent ❑ No flow generated Parameter Monitoring Point: ❑Influent 0 Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code 11. x 00310
00610
00620
00400
00530
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hrs mg/L
mg/L
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27
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30
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Average 3.70
0.00
7.50
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Daily Maximum. 3.70
0.10
7.50
�: 7.30
2.50
®wily Minimum - 3.70
_.: 0.10
7.50
7.20
2.50;
Sampling Type Grab
Grab
Grab
GraE?`
Grab
Monthly Limit 10
4
5
Daily Limit 15
-
6
6-9z
10
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Sample Frequency I1la 4 X Year
ar 4 X Year
4 X Year
Weekly
;4 4 X Year
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Page 6 of b
Sampling Person(s)
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 ❑ 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 clate(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: Sl Phone Number: 828-251-1900 Signing Official's Title: Signatory
Has the ORC changed since the previous NDMR? ❑ Yes ❑ No Phone Number: 828-251-1900 Permit Expiration: 1/31/2022
Z4-) 10-i-
/Y-201
Signature Date Signature Date
By this signature, I certify that this report is accurrale 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
- a I I •