WQ0035784_Monitoring - 12-2020_20210609

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0035784
Name of Facility:* Cottages of Boone
Month:* December
Report Information
Type *
Revised - NDMR, NDAR-1, NDAR-2,
NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2020
Upload Document*
WQ0035784 (DEC20) 1.79MB
Revised 6-8-21.pdf
FDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Kimber Reese
Reviewer: Lloyd, Chloe D
6/9/2021
This w ill be filled in automatically

Is the project number correct?* WQ0035784
Is the monitoring report t: Yes r No
accepted?*
Regional Office* Winston-Salem
Accepted Date: 6/21/2021

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: WQ0035784
Facility Name: Cottages of Boone
County: Watauga Month: December
Year: 2020
"� 1 � Field Name: 2
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-'I} Page c7�� If
Permit No.: WQ0035784
Facility Name: Cottages of Boone
County: Watauga Month: December
Year: 2020
Did irrigation occur
- "U Field Name: 6
-MM-Field Name;
Area (acres);
2,59
Area
this facility?
(acres):
at
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Cover Crop:
Mixed Forest
1,12
cover crop:
YES [I NO
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Hourly Rate (in):
0.15
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Annual Rate (in):
101.4Annual
&
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Weather
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(d
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12 Month Floatin
52.44

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of _�
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent pending in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
U-Compliant El Non -Compliant
M-1fompliant [] Non -compliant
}Compliant El Non -Compliant
acompliant El Non -Compliant
VCompliant 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 Permittee Certification
ORC: Dale Holman Pormitteo: Boone Cottages
Certification No.: Sl 1003141 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? El Yes Phone Number: 828-251-1900 Permit Exp.: 4/30/17
ne
Signature Date Signature Date
By this signature, I certify that this report is accurrale 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
Raleigh, North Carolina 27699-1617