WQ0012690_Monitoring - 10-2020_20201104

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page —Lof
Permit No.: WQ0012690
Facility Name: Mount Mitchell State Park
County: Yancey
Month: October
Year: 2020
PPI:
Flow Measuring Point: 7 Influent 7 Effluent ❑ No flow generated
Parameter Monitoring Point: -__; Influent [] Effluent _ Groundwater Lowering ::1 Surface Water
Parameter Code -►
50050
00400
00310
00530
00610
31613
0
` v
O F
O
v
F0
F
O
3
=
mmeo
O
'
a
m
o
E
£
Q
o
LL oC
U
24-hr
hrs
GPD
su
mg/L
mg/L
mg/L
#1100 mL
1
563
2
10:15
0.3
0
3
543
4
0
5
1,197
6
1,256
7
1,313
8
0
9
10:40
0.3
560
10
0
11
364
12
0
13
570
14
10:25
0.4
0
15
589
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Average:
464
Daily Maximum:
1.313
Daily Minimum:
0
Sampling Type:
Recorder
Monthly Avg. Limit:
1,800
Daily Limit:
Sample Frequency:

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Robert J. Kramer Name: ETS, Inc.
Name: Name: KACE Environmental, Inc.
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 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 J. Kramer
Permittee: Mt. Mitchell State Park
Certification No.: 1005910
Signing Official: Ken Deaver
Grade: III Phone Number: [phone]
Signing Officials Title: Authorized Representative
Has the ORC changed since the previous NDMR? ❑ Yes 0 No
Phone Number: [phone] Permit Expiration: 9.30.2020
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 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of
•.: VVQ0012690
Facility Name: Mount Mitchell State Park
county.October
1 1
Did irrigation occur
Fie •
__
Area (acres):
Area (acres)::
Area
this facility?
..
• •
Silverat • -
■si ..
. .
[vl YES NO
Hourly etate (my,
Hourly Rate (in):
W-MriTrFIEZ151
,Annual
te llirf�
Annual Rate (in
r
r
•
r
m©®m-
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1 1
• I
____
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FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page a of CC
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?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
0 Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
El Compliant ❑ Non -Compliant
D Compliant ❑ Non -Compliant
71 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: Ken Deaver
Permittee:
Mt. Mitchell State Park
Certification No.: 922372
Signing Official: Ken Deaver
Grade: SI Phone Number: [phone]
Signing Official's Title: Authorized Representative
Has the ORC changed since the previous NDAR-1? ❑ yes E No
Phone Number: [phone] Permit Exp.: 9.30.2020
G %
i (l �_ i4�t) j 3i z c
V Signature Date
Signature ate
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