WQ0033804_Monitoring - 10-2021_20211124

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * October
Report Information
WQ0033804
Laurel Mountain Retreat
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
WQ0033804. pdf 2.76M B
PDF 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: Saunders, Erickson G
11 /24/2021
This will be filled in automatically

Is the project number correct?*
Is the monitoring report accepted?* Yes No
Regional Office*
Accepted Date:
12/6/2021

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ! of(,�O_
Permit No.: W00033804
Facility Name: Laurel Mountain Retreat
County: Buncombe
Month: October
Year: 2021
Did irrigation
Field Name:
1A
Field Name:
1B
Field Name:
2
Field Name:
3
occur
Area (acres):
0.2
Area (acres):
0.19
Area (acres):
0.34
Area (acres):
0.45
at this facility?
Cover era A�
Cover Crop:
P�
Cover Crop:
P�
Cover Crop:
P:
,21 YES Q No
Hourly Rate (in):
0.2
Hourly Rate (in):
0.2
Hourly Rate (in):
0.2
Hourly Rate (in):
0.2
Annual Rate (in):
23.53
Annual Rate (in):
23.53
Annual Rate (in):
23.53
Annual Rate (in):
23.53
Weather
Freeboard
Field Irrigated?
El Yes I Na
Field Irrigated?
❑ YES 0, NO
Field Irrigated?
0 YES 7 No
Field Irrigated?
❑ YES 0 No
❑
m
0
ms
N
Iv
E
a
F
c
o
Q
a
m
m
o
(n
y °'
CL u
-
5+ a
m p
❑
._
m y
E d
3 a
O a
>Q
cu ?;
E rn
i- 'C
L
tr
y c
'a
m
© O
J
E rn
c
E 3 o
9 o m
m S O
M J
a, n
E CD
c Q
0 d
> Q
a
m .°3
E rn
(-
=
a+
y=
a
m
A o
J
E
D a c
E `a
X o �a
v x o
J
d a
E 1
� g
0 4
7Q
a
m ::
E
M
H
_
y t
,� v
m
❑ O
J
E o�
a` c
E cs
K Q M
tv 2 0
J
m o
E D
_� a
O
> Q
a
m
E
~ a'
rn
M
❑ p
J
E tm
E
x 30 �
x o
J
�:
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
CL
76
0
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
00.00
2
0
0
0.00
0.00
0
0
0,00
0.00
0
O
0.00
0.00
0
0
0.00
0.00
3
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
4
PC
72
0.5
0
0
0,00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
a
0
0.00
0.00
5
R
70
0.13
7.58
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
DAD
0.00
6
CL
74
0.5
0
0
0,00
1 0.00
0
1 0
0-00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
7
CL
68
2
0
0
0,00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
D
C
0.00
0.00
8
CL
68
0.5
0
0
0"00
0.00
D
0
0.00
0.00
0
0
0.00
0.00
D
D
O,OD
0.00
9
0
0
0.00
0.00
0
0
0-00
0-00
0
0
0.00
0.00
D
C
0.00
0.Da
10
0
0
0,00
0A0
D
0
0.00
0.00
0
0
0.00
0.00
C
o
0.00
0.00
11
PC
76
0.13
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
O.00
O.Do
12
CL
69
0
7,58
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
C
C
0.00
0.00
13
C
76
0
0
0
0.00
0,00
0
0
0.00
0.00
0
0
0.00
0.00
C
0
DAD
0.00
14
PC
77
D
1
0
0
0.00
1 0.00
0
0
1 0.00
0.00
0
0
0-00 1
000
0
0
0.00
0.00
15
C
78
0
0
0
0.00
0.00
0
0
1 0.00
o.00
0
0
0.00
0.00
0
0
0,00
D.00
16
0
0
0.00
0.00
0
0
0.0O
0.00
0
0
0.00
0.00
C
0
0.00
0.00
171
0
0
0,00
0.00
a
0
0.00
0.00
0
0
0.00
0,00
D
0
0,00
().CD
181
C
65
0
0
0
0.00
0.00
0
0
0.00
0,00
0
0
0.00
0.00
0
0
0,00
0-OD
19
C
69
0
0
0
0.00
0.00
0
0
0-00
0,00
0
0
0.00
0.00
0
0
0.00
0.00
20
C
70
0
7.58
0
0
0.00
0.00
a
1 0
0.00
1 0,00
0
0
0.00
0.00
D
fl
0,00
O.Co
21
CL
72
0
0
0
0.00
0.00
0
0
0.00
0,00
0
0
0.00
0.00
0
0
0.00
0-OQ
22
CL
68
0
0
1 0
0.00
0.00
0
0
0.00
D"0O
0
0
0.00
0.00
O
0
0.00
0.00
23
0
D
0.00
0,00
0
0
0.00
0,00
0
0
0.00
0,00
0
D
0,00
0.00
24
0
0
1 0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
a
0"00
0.00
25
CL
70
0
0
0
0.00
0.00
0
0
0.00
0,00
0
0
0.00
0.00
0
0
0,00
0.00
26
CL
55
0,25
7.58
0
0
0.00
0.00
D
0
am
0,00
0
0
0.00
0.00
0
0
0,00
0.00
271
PC
62
0,06
0
0
0.00
0.00
0
0
0.00
0.00
0
0.00
0,00
0
0
0,00
0.00
28
CL
60
0
0
D
0.00
0.00
0
0
0.00
0,00
0
0.00
0"00
0
0
0,00
0.00
29
CL
58
0,06
0
0
0.00
0.00
0
0
0.00
0 OD
V
0
0.00
0.00
0
0
0.00
0.00
30
0
4
0.00
0.00
C
0
0.00
0,00
0
0.00
0.00
0
D
0,00
0.OD
31
0
0
0.00
0.00
D
0
0.00
0.00
0
0.00
0,00
0
0
0,00
0.00
Monthly Loading:
12 Month Floating Total (in):
0
0.00
0.00
D
0.00
O.OD
0.00
0.00
0
0 00
D.OD

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2 of �'
Permit No.: WQ0033804
Facility Name: Laurel Mountain Retreat
County: Buncombe
Month: October
Year: 2021
Did irrigation
Field Name:
4
Field Name:
5
Field Name:
6
Field Name:
7
occur
Area (acres):
0.31
Area (acres):
0.33
Area (acres):
0.42
Area (acres):
0.38
at this faculty?
Cover Crop:Cover
Crop:
P�
Cover Crop:
P�
Cover Crop:
P:
Ci YES ❑ No
Hourly Rate (in):
0.2
Hourly Rate (in):
02
Hourly Rate (in):
0.2
Hourly Rate (in):
0.2
Annual Rate (in):
23.53
Annual Rate (in):
23.53
Annual Rate (in):
23.53
Annual Rate (in):
23.53
Weather
Freeboard
Field Irrigated?
❑ YES 1] NO
Field Irrigated?
❑ YES [11 NO
Field irrigated?
DYES E] NO
Field Irrigated?
❑ Yes ❑ No
a
❑
'
O
y
N
CL
E
o
i
°'
a)
0
U)
in
0. U
.-
> CL
❑
m'D
E 9
-p
O EL
>a
a
d r
E m
01
=
a)
a G
a
C3 m
a)
7` G
E o
x 0 M
'���
m -a
E Q1
a
O Q-
>a
a
al -0
E m
i- .°�
=
CM
}+ G
a =o
❑ ro
E M
7 i G
E a.
x O�
`°x J
d
E G7
a
O a
as
p
d ate+
E �v
h .�
ati
T C
a
p m
E m
7� C
E 3
'ic p t0
��.°a
m a
E
a
O Q
>a
a
E
F ,�
-
U)
a
❑ m
E rn
y' C
E o
'K o m
S°r_j
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
CL
76
0
0
0
0,00
0.00
0
0
000
0.00
0
0
0.00
0.00
0
0
0.00
0.00
2
0
0
0.00
0.00
0
0
0.00
0,00
0
0
0.00
0.00
0
0
0-00
0.00
3
0
0
0.00
0.00
0
0
0.00
0,00
0
0
0.00
0.00
0
0
0.00
0.00
4
PC
72
0.5
0
0
0.00
0.00
0
0
0.00
0,00
0
0
O.00
0.00
0
0
0.00
0.00
5
R
7D
0.13
7.58
0
0
0,00
0.00
0
0
0.00
0.00
5,990
367.48
0.53
0.09
0
0
0.00
0.00
6
CL
74
1 0.5
0
0
0.00
0.00
0
0
0.00
0.00
0
0
O.00
0.00
0
0
0.00
0.00
7
CL
68
2
0
0
0.00
0.00
0
0
0.00
0,0C
0
0
0.00
O.DO
0
0
0.00
0.00
8
CL
68
0.5
0
D
0.00
0.00
0
0
0.00
0.00
0
0
0 00
0.00
0
0
0.00
0.00
9
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0-00
0.00
10
0
0
0.00
0.00
0
0
0.00
0.00
0
4
0.00
0.00
0
0
0.00
0.00
11
PC
76
0.13
0
0
0.00
0.00
0
0
0.00
0,00
0
0
0.00
0.00
0
0
0.00
0.00
121
CL
1 69
0
758
0
0
0.00
0.00
0
0
0.00
0.00
4,320
265.03
0.38
0.09
0
0
0-00
0.00
13
C
76
0
0
0
0.00
O.00
0
0
0.00
0.0C
0
0
0.00
0,00
0
0
0.00
0.00
14
PC
77
0
0
0
0.00
0.00
0
0
0.00
0,00
0
0
U0
0.00
0
0
0.00
0.00
15
C
78
0
0
0
0.00
0.00
0
0
0.00
0.00
0
O
0.00
0.00
0
0
0.00
0.00
16
0
0
0.00
0 00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
17
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
181
C
65
0
0
0
0-00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0-00
19
C
69
0
0
0
0.0D
1 0.00
0
D 1
O.DD
0.00
0
C
0.0c
0.00
0
0
0.00
0.00
20
C
70
0
7.58
0
0
0.00
0.00
C
0
0.00
0.00
5,260
322.7
0.46
0.09
0
0
0.00
0.00
21
CL
72
0
0
0
0.00
0.00
0
0
0-D0
0-00
0
0
0.00
0.00
0
0
0.00
0-00
22
CL
58
0
0
0
0.00
0.00
C
D
0.00
0.00
0
0
0.00
0.00
0
0
D.00
0.00
23
0
0
0.00
0.00
C
0
0.00
0.00
D
0
0,00
0.00
0
0
0.00
0.00
24
0
0
0.00
0,00
0
0
0.00
0,00
0
0
0.00
0.00
0
0
0.00
0,00
25
CL
70
0
0
0
0.00
0.00
0
0
0.00
1 0.00
0
0
0.00
0.00
0
0
1 0.00
0,00
261
CL
55
0.25
7.58
0
0
OA0
0.00
C
0
0.00
0.00
3,000
184.05
0.26
0.09
0
0
0.00
0.00
27
PC
62
0.06
0
0
0.00
0.00
0
0
O.CO
0.00
0
0
0,00
0.00
0
0
0.00
0,00
28
CL
60
O
0
D
0,00
0.00
0
0
O.OD
0-00
0
0
0.00
1 0.00
0
0
0.00
0.00
29
CL
58
0-06
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0-00
0.00
30
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
31
0
0 1
0.00 1
0.00
0
0
0.00
0.00
0
0
0.00
D.00
0
0
0.00
0.00
Monthly Loading:
0
0,00
0
0.00
1$,57p
1.63
0
0.00
12 Month Floating Total (in):
D.00
0.00
25.15
0.0c

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ,�f` of
Permit No.: WQ0033804
Facility Name: Laurel Mountain Retreat
County: Buncombe
Month: October
Year: 2021
Did irrigation
Field Name:
8
Field Name:
Field Name:
Field Name:
occur
Area (acres):
0.44
Area (acres):
Area (acres):
Area (acres):
at this facility?
Cover Crop -Cover
Crop:
P�
Cover Crop:
P�
Cover Crop:
P:
El YES ❑ NO
Hourly Rate (in):
0.2
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
23.53
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
❑ YES El No
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES G NO
Field Irrigated?
❑ YES ❑ No
❑
97
a
0
L
m
WE
(D
asp
a
C
°
r
y
E
°
U)
y
M
j u
-
a
Q
d vim-
y •a
E GI
a s
o a
� Q
a
CD .d,
E
o'
L
_
rn
�' G
a
❑ o
J
E rn
7` G
E 3 v
K° `"
a
z_j
v o
E .N
a
o a
� Q
a
N .�+
E
.¢'
F
_
a�
5. C
a
n `°
o
J
E rn
7` C
E a
x°°
o
2 J
m�
E 2
z1
o a
� Q
a
E ,rn
c
_
rn
?� .
a
❑ m
o
J
E rn
' C
E v
x° M
e
i J
m'a
E .�
a
o a
� Q
N
E a
H °'
_
m
�, C
v
❑ m
a
J
E rn
7 y` C
E a
x o m
o
__j
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
CL
76
0
0
0
0.00
0.00
2
0
0
0.00
0.00
3
0
0
0.00
0.00
4
PC
72
0.5
0
0
0.00
0.00
5
R
70
0.13
7.58
0
0
0.00
0,00
6
CL
74
0.5
0
0
0.00
0.00
7
CL
68
2
1
0
0
0.00
1 0.00
8
CL
68
0.5
0
0
0.00
0.00
9
0
0
0.00
0.00
101
0
0
0.00
0.00
111
PC
1 76
0,13
0
0
0.00
0,00
12
CL
69
0
7.58
0
0
0.00
0.00
13
C
76
0
0
0
0.00
0.00
14
PC
77
0
1
0
0
0.00
0.00
15
C
78
0
0
0
0.00
0.00
16
0
0
0.00
0.00
171
1
0
0
0.00
0.00
181
G
1 65
0
0
0
U0
0.00
19
C
69
0
0
0
0.00
0.00
20
C
70
0
7.58
0
0
0.00
0.00
21
CL
72
0
0
0
0.00
0.00
22
CL
68
0
0
0
0.00
0.00
23
0
0
0.00
0.00
241
1
1
0
0
0.00
0-00
25
CL
70
0
0
0
0,00
0.00
26
CL
55
0.25
7.58
0
0
0.00
0.00
27
PC
62
0.63
0
0
0.00
0.00
28
CL
60
0
0
0
0.00
0.00
29
CL
58
0.63
0
0
0.00
0.00
301
0
0
0.00
0.00
311
0
0.00
0.00
Monthly Loading:
0
0.00
0
000
0
0.00
0
0.D0
12 Month Floating Total (in):
0.00

FORM, 1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of 60
Did the application rates exceed the limits in Attachment B of your permit?
Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? o compliant ❑ Non -compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? o Compliant F1 Non -compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? [�l Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 7,1 Compliant a 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 (011 Certification
Permittee Certification
ORC: Kevin Bryan
Permitteo:
Laurel Mountain Retreat
Certification No.: 1010633
Signing Official: Robert Barr
Grade: SI Phone Number: 828-251-1900
Signing Official's Title: Signatory
Has the ORC changed since the previous Ni ❑ Yes ❑ No
Phone Number: 828-251-1900 Permit Exp.: 3/31/27
S i g n a re bate(
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 infonnalion submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible forgathering 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

FORM; NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 5 of C.9
Permit No.: WQ0033804
Facility Name: Laurel Mountain Retreat
County: Buncombe
Month: October
Year: 2021
PPI: 001
Flow Measuring Point: ❑ Influent El Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent ❑ Effluent El Groundwater Lowering ❑Surface water
Parameter Code - P-1
50050
00310
31616
00610
00625
00620
00600
00400
00665 1
00530
00076
i
2
dl
O
� N
O
;
La
v w
G
¢
CSi
i
! O
=
N
n
1 L
a
a
a
N Cn
rn
ii
24-hr
hrs
GPD
mg1L
#1100 ml-
mg/L
mg1L
mg/L
mg1L
su
mg1L
mg1L
NTU
1
856
3
2
856
7.8
3
856
4
4
856
3.4
5
12:30
0.33
1 856
7.2
2
6
617
5.8
7
617
3.8
8
617
2-1
9
617
3.8
10
617
2
11
617
3.3
121
12:10
0.25
617
72
5
13
658
2.4
14
658
2.2
15
658
6.1
16
658
6.2
17
658
5.5
181
658
6.3
19
658
6.3
20
14:05
0.25
658
7.2
6.8
21
500
7
22
500
7.2
23
500
1
7.6
241
500
7.8
251
500
8
261
14:45
0.25
500
7.2
1 8.2
27
524
8.2
28
524
8.6
29
524
9
30
524
9.8
31
524
9•5
Average:
628
5.76
Daily Maximum:
856
7.20
9.80
Daily Minimum:
500
7.20
2.00
Sampling Type:
Calculated
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Recorder
Monthly Limit:
See Permit
10
14
4
1
5
Daily Limit:
15
25
6
1
6-9
10
10
Sample Frequency:
Monthly
4 X Year
4 X Year
4 X Year
4 X Year
1 4 X Year
4 X Year
Weekly
4 X Year
4 X Year
Continuous

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page CC of 6
Sampling Person(s) Certified Laboratories
Name: Kevin Bryan Name: Pace Analytical, Inc.
Name: Robert Barr Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? o 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 dates) of the non-compliance and describe the corrective
actions) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Kevin Bryan Permittee: Laurel Mountain Retreat
Certification No.: 1010633 Signing Official: Robert Barr
Grade: SI Phone Number: 828-251-1900 Signing Official's Title: Signatory
Has the ORC changed since the previous NDMR? ❑ Yes 0 INC Phone Number: 828-251-1900 Permit Expiration: 3/21/2027
Signature
By this signature, I certify that this report is accurrate and complete to the best of my knowledgc
Date Signature Date
1 certify, under penalty of law, that this document and all allnchments 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 signifcant penalties for submitting false information, including the possibility of fines and imprisenmert 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