WQ0029233_Monitoring - 12-2020_20210126

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0029233
Name of Facility:*
Month:* December
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 9.1 MB
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
1 /26/2021
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: 1/26/2021

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
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FORM: NDAR-1 08-11 ON -DISCHARGE APPLICATION REPORT {NDAR®1}
Page of
WQ0029233
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FORM: N®AR-1 08-11 NON -DISCHARGE APPLICATION REPORT {N AR-1) Page of
Permit No.:
WQ0029233
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDA -1) Page of
Permit No.: i1102923
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Facility Name:Bear Lake Reserve
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o December
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Did irrigation occur
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rate exceed the limits in Attachment B of your permit? 0 Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 2 compliant ❑ 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? [21 compliant ❑ Non -compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 2 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.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Michael Beck Permittee:
Bear Lake Reserve
Certification No,: SI-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 NDA,R-1? ❑ Yes L/I No Phone Number: [phone] Permit Exp.: 10/31/19
NIj
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

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (N R) Page of
Permit No.: WQ0029233 Facility Name: Bear Lake Reserve County: Jackson Month: December Year: 2020
PPI: 001 now Measuring Point: ❑ Influent � Effluent ❑ No flow generated Parameter Monitoring Point: `El influent D Effluent 11 Groundwater Lowering ❑ Surface Water
Parameter Code
as
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00310
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mg/L
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mg/L
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0.43
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0.8
400
10 06:00
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716
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Average 3.70
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15.90
17.90
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Sam-pling Type Composite
Monthly Limit. w 10
Composite
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Recorder*
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Daily Limit § 15
Sample Frequency- '
p q y �: See Permit
6
t See Permit
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1
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FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page 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 necessary.
r
Operator in Responsible charge (RC) certification Permittee certification
Rc: Michael Beck Permittee: Bear Lake Reserve
Certification No.: SI-991669 WWIV-7930 Signing Official: Robert Barr
Grade: SI WWIV Phone Number: [phone] Signing Official's title: Signatory
Has the GRc changed since the previous NDMR? ❑ Yes E/1 No Phone Number: [phone] Permit Expiration: 10/31/2019
L-2 -6 - _4 I-) JIS -2
Signature Date Signature Date
By this signature, 1 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 F Two Copiesto
Division of Water Quality