WQ0028693_Monitoring - 11-2020_20201229

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0028693
Name of Facility:*
Month:* November
Report Information
Mountaintop Golf & Lake Club
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2020
Upload Document*
WQ0028693. pdf 16.32 MB
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? * WQ0028693
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 q of 12-
Did the application rates exceed the limits in Attachment B of your permit? D compliant El Non -compliant
Were adequate measures taken to prevent effluent on in in or runoff from the sites? 1 2 compliant [j Non -compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 2 Compliant El Non -compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? [21 compliant [] Non -compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Z Compliant El 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 Permiffee Certification
ORC: Michael Beck Permittee: Mountaintop Golf & Lake Club
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 NDAR-1 El Yes 0 No Phone Number: [phone] Permit Exp.: 8/31/19
( ?, - 17 -
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
I
Unit
er
I . 'j
Information Processing Unit
.11
1617 Mail Service Center
AMAtzj& 1111f Vkr -C,

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Permit No.: WQ0028693 _
Facility Name; Mountaintop Golf & Lake Club WWTF County, Jackson
Month: November Year:
2020
PPI:
001
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FORM: NDMR 03-12
NON -DISCHARGE MONIT RIN REPORT (N )
Page
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Permit No.:_W00028693 Facility Name: Mountaintop Golf & Lake Club WWTF
County: Jackson
Month:
November
Year: 2020
PPI: 002 Flow Measuring Point:
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FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (N R)
Page of
Sampling Person(s) Certified Laboratories
Name: Michael Beck Name: Environmental Testing Solutions, Inc
Name; Name: Prisirrt Laboratories, Inc
®es all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0 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: Michael Beck Permittee: Mountaintop Golf & Lake Club
Certification No.: 81-991669 WWIV-7930 Signing Official: Robert Barr
Grade: Si WWIV Phone Number: [phone] Signing Official's Title: Signatory
Has the ORC changed since the previous NDM ? ❑ Yes E/1 No Phone Number: [phone] Permit Expiration: 8/31/2019
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
1617 Mail Service center
Raleigh, North Carolina 7699-1617