HomeMy WebLinkAboutWQ0033804_Monitoring - 12-2020_20210126Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month:* December
Report Information
wg0033804
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 6.69MB
FDF only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
kreese@rpbsystems.com
Kimber Reese
Reviewer: Williams, Kendall
1 /26/2021
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: 1/26/2021
FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (N AR-1) Page of
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FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (-1)
Page A of
WQ0033804
Facility Name: Laurel
Month:
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FORD: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT ( A ®1) Page of
Permit No.: WQ0033804
Facility Name: Laurel Mountain Retreat
County: Buncombe Month,
December
Year: 2020
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FORM: NDAR-1 05-15NON-DISCHARGE APPLICATION REPORT (tdDAR®1) page of
LP-
Didthe application rates exceed the limits in Attachment B of your permit? ompliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? eCompliant ❑ Non -compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? compliant Ej Non -compliant
Were all setbacks listed in your permit maintained for every application to each permitted situ Compliant ❑ Non -compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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
CRC: 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 Expo: 1/31/22
AA-J,\-
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 hater Resources
Information Processing unit
117 Mail Service Center
Raleigh, Forth Carolina 2769-1617
FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0033804 Facility Name. Laurel Mountain Retreat County: Buncombe Month: December Year: 2020
PPI: 001 Flow Measuring Point: ❑ Influent D Effluent ❑ No flow generated Parameter Monitoring Point: ❑ Influent (� Effluent ❑Groundwater Lowering El surface Water
Parameter Code
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Page of
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 date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
FORM: NGMR 05-16 NON -DISCHARGE MONITORING REPORT (N R)
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 NGMR? ❑ Yes ❑ No Phone Number: 828-251-1900 Permit Expiration: 1 /31 /2022
_q!�LJ I
Signature Gate Signature Gate
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 in
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.
OriginalMail ►. Two Copies to
Division of Water Resources
InformationSl