WQ0029233_Monitoring - 11-2020_20201229

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0029233
Name of Facility:*
Month:* November
Report Information
Bear Lake Reserve
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2020
Upload Document*
WQ0029233.pdf 9.17MB
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
12/29/2020
This will be filled in automatically

Is the project number correct? * WQ0029233
Is the monitoring report r Yes r No
accepted?*
Regional Office * Asheville
Accepted Date: 1/4/2021

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of F3
Did the application rates exceed the limits in Attachment B of your permit? E/1 compliant El Non -compliant
Were adequate measures taken to prevent effluent pending in or runoff from the sites? E/1 Compliant E] Non -compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 2 compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? D-/ compliant Ll Non-compitant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? LD Compliant ID Non-compljant
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: Michael Beck Pennittee: Bear Lake Reserve
Certification No.: SI-991669 WWIV-7930 Signing Official: Robert Barr
Grade: Sl WWIV Phone Number: [phone] Signing Official's Title: Signatory
Has the CRC changed since the previous INIDAR-11? El Yes [1/ No Phone Number: [phone] Permit Exp.: 10/31/19
44 (2 -) -7 A!2_ I 1_11
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 Quality
Information Processing Unit
1617 Mail Service Center

Permit .0Bear L
NON -DISCHARGE NI°TORI G REPORT it ) Page of
Reserve County: Jackson Month: November Year: 2020
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FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page —a of
Sampling Person(s) Certified Laboratories
Name: Michael Beck Name: Environmental Testing Solutions, Inc,
Name: 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 date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessarv.
1 j
Operator in Responsible Charge (ORC) Certification Perrnittee Certification
ORC: Michael Beck Permittee: Sear Lake Reserve
Certification No.: SI-991669 WWIV-7930 Signing Official: Robert Barr
Grade: Sl WWIV Phone Number: [phone] Signing Official's Title: Signatory
Has the ORC changed since the previous NDMR? ❑ Yes No Phone Number: [phone] Permit Expiration: 10/31/2019
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
117 Mail Service Center
Raleigh, North Carolina 27699-1617