WQ0004115_Monitoring - 01-2021_20210225

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0004115
Name of Facility:* Champion Hills
Month:* January
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
WQ0004115.pdf 3.48MB
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
2/25/2021
This will be filled in automatically

Is the project number correct? * WQ0004115
Is the monitoring report r Yes r No
accepted?*
Regional Office * Asheville
Accepted Date: 2/25/2021

`
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
��
p�o / ���_
Field Name:
4
Area (acres):
20.35
Cover Crop:
TURFGRASS
Hourly Rate (in):
Annual Rate (in):
91
Field Irrigated?
F]YES ONO
gal min
in in

�fW: NDAR-1 10-13
Page aof
Did the application rate exceed the limits in Attachment B of your permit? QCompliant ❑Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? QCompliant ❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? QCompliant ❑Non -compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? QCompliant [:]Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? QCompliant ❑Non -Compliant
If the facility is noncompliant, 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: Karl Griffiths Permittee:
Champion Fulls, PCA
Certification No.: 15613 Signing official: Karl Griffiths
Grade: Phone umber: 828 696 1962 SigningOfficial's Title: ASSISTANT" SUP RINTPNDANT
Has the oRC Chan ed since the pro lous NDAR-1? ❑Yes 21No Phone number: 828 6 61962 Permit Exp.: 1/31/24
2/18/21 2/18/21
gnature Date Si asure Date
By this signature ertify that this report is accurrate and complete to the best of my knowledge. I certify, under penalty of law, that this ocument and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure th 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 Dater Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 276 9-1617

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0004115 Facility Name: Champion Hills, POA County: Henderson Month: January Year: 2021
PPI:
Flow Measuring Point: ❑ Influent ❑ Effluent Q No flow generated
Parameter Monitoring Point:
❑ Influent
❑ Effluent ❑ Groundwater Lowering
❑ Surface water
Parameter Code
31616
M
00626
00600
M
00665
00076
.
E
0
a®�
0
Ir
o
24-hr
hrs
mg/L
#1100 mL
mg/L
mgtL
-Y
NTU
mg1L
1
Holiday ryV
r.
;
No Flow
2
� �
t ;.
m
4 ,
., F
No Flaw
3
30
,..
No Flow
.
�
4
08:20
1.67
.>
No Flow
x
5
08:15
1.3340
No Flow
ti
6
08:17
1.22
12:00�
7 s
�r
x
No Flow
No Flow.
7 08:15
8
13:45
0.75
1
� �1.
� �
� �"
No Flow
g
,��
f
.
No Flow
r
101
�:.
A
No Flow
t:
_
11
08:15
1.5$
t1370
No Flaw
12
08:20
1.25
t {;
.
? eve
No Flaw
xt;
13
08:15
1.92
1,,No
Flow
14
08:17
1.38
~:max
t„
No Flow
;.
xF
15
08:13
1.28
# ._
_
No Flowx
..
F
_
=
ter.
No
,
17
-Flow-
No Flow
18
08:30
2
`7�
<
No Flow
h
19
08:20
1.33
.
rx
.r
No FlowMAc
n
20
08:18
1.7
mw
_
_
Na FlawWINxr
..
21
08:10
1.58�
"�
NoFlowSZ
221 08:10
1.33.
23r-
24
r
imp
low
25
08:20
2
261
08:55
1.087y
27
08:20
2
�'��
mow_ ,�
IMMS
Na Flow
281
08:15
1.75
29
07:30
1.5
bra;
r-
� -;��"
� .
}�
No Flow
30
���. � �'IBM
t t=-
� � -�
No Flow
� ��=�;,� �.h,: �
� U�=
No Flow
s
u
Average
NcIAMEMAN
0.00
�f
Daily Maximum
-
=
0.00
v
Daily Minimum
ry
m.
=
0.00
Sampling Type r s. t composite
ti
Grab
Composite
y I
Composite
Composite =',
Recorder
,
Monthly Avg. Limit ` ...
10
14
pt
,
r
Daily Limit:
15Lf,x
25
10
Sample Frequency
tfn
Monthly
Monthly
Monthly
r;
Monthly
Monthly
3fiiy Continuous:
a

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Danielle Hunter Name: Pace Analytical
Name: Name:
Does c>f1, mogiftoring data and, san,%pHng frequencie--s meet the requirem. entsin Attachment chmen Of yourpermit? ompliant ❑ 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: Danielle Hunter Permittee: Champion Hills PCA
Certification No,: 1007992 Signing Official: Robert Barr
Grade: S1 Phone Number: 328-251-1900 Signing Official's Title: Signatory
Has the ORC changed since the previous NDMR? El Yes No Phone Number: 828-696-1962 Permit Expiration: 1/31/2024
act2n,'__ �C)' a6 .�ri 2- - 2 Z -2.1
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