WQ0004115_Monitoring - 12-2021_20220131

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * December
Report Information
WQ0004115
Champion Hills
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 1.53M 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: EADS\wgerald 1
1 /31 /2022
This will be filled in automatically

Is the project number correct?* WQ0004115
Is the monitoring report accepted?* Yes No
Regional Office* Asheville
Accepted Date:
3/28/2022

WQ0004115
F,,ilityNa,,:
CHAMPION HILLS CLUB
County: Henderson
Month:
December
Did irrigation occurl
Field Name:
at this facility'?
•
f
Ll YES 2 No
HourlyTURFGRASS
■ Rate
r - ,
Annual Rate (in):
ISM
ME
__--
----
--_-
----
___-_
----
-_MEISM
----
OW
-_--
MM
----
mmmm
m�■�ME
MMINMISM�
mm
mm
ME
�11=11M
MM
ME
m
Mom m
ISM
M
111MI=
IN=
ME�
®=gym
®
11=11=11M
11=11W
MWIMM
ME
���■�
®___
__
MM
---
----
----
m
mmm
MW
ME
ME
m
mom■=
MMINWIMMISM
MM
WE
ME
=0
®___
__
-___
----
-_--
-ME
m
mom ��
����
����
M=11=11=11M
ME
m
___ __
----
----
-_--
----
®___
©
-_--
----
-_-_
-_--
®___
_
MM
ME
-_--
----
---
m_M___-_----ME
-_-_---ISM
®___
__
-_--
--ME
-___
----
®___
__
-___
----
_---
----
®___
__
-__-
----
-_ME
----
®___
-___
----
MM
WE
-ME
m IMI==
=IMM
11MM
M=11=11=11M
ME
®___
__
-11M
----
-_--
----
®_____-
_-------_�---�
///-//

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of_k
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding 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?
0 Compliant
❑ Non -Compliant
0 Compliant
❑ Non -Compliant
0 Compliant
❑ Non -Compliant
A Compliant
❑ Non -Compliant
❑ 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
011 KARL GRIFFITHS Permittee:
CHAMPION HILLS POA
Certification No.: 15613 Signing Official: KARL GRIFFITHS
Grade: Phone Number: 828 696 1962 Signing Official's Title: ASSISTANT SUPERINTENDANT
Has the ORC ch nged since the previo Ill? ❑ Yes p No Phone Number: ermit Exp.: 1131124
1 /19/22 1 /19/22
Si ature Date Signature Date
By this signature, I c tTy that this report is accurrate and complete to the best of my knowledge. I certify, under penalty of law, that this dccument a d 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 passibility 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 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No.: W00004115
Facility Name: Champion Hills, POA
County: Henderson
Month: December
Year: 2021
PPI: 002
Flow Measuring Point: Influent Ll Effluent : No flow generated
Parameter Monitoring Point: Ll Influent Ll Effluent LJ Groundwater Lowering Surface Water
Parameter Code
50050
00310
50060
1 31616
00610
00625
00620
00600
00400
00665
00530
00076
i
Q
O
E m
O
L
O
_ m m
oE
E
m
�
Q
~
0
a
~O Qn
e'n~�~
fl
24-hr
hrs
GPD
mg1L
mg1L
91100 ml_
mg/L
mg/L
mg/L
mg/L
su
mg/L
mgtL
NTU
1
07:45
2
0
No Flow
No Flow
No Flow
2
08:00
1.75
0
No Flow
No Flow
No Flow
3
07:40
1.58
0
No Flow
No Flow
No Flow
4
0
No Flow
No Flow
No Flow
5
0
No Flow
No Flow
No Flow
6
07:45
2
0
No Flow
No Flow
No Flow
7
07:45
2
0
No Flow
No Flow
No Flow
8
07:50
2.17
0
No Flow
No Flow
No Flow
9
08:00
1.75
0
No Flow
No Flow
No Flow
10
08:00
1 83
0
No Flow
No Flow
No Flow
11
0
No Flaw
No Flow
No Flow
121
0
No Flow
No Flaw
No Flow
13
08:00
2
0
No Flow
No Flow
No Flow
14
07:50
2
0
No Flow
No Flow
No Flow
15
08:00
2.33
0
No Flow
No Flow
No Flow
16
08:00
1.67
0
No Flow
No Flow
No Flow
17
08-00
1 75
0
No Flow
No Flow
No Flow
18
0
No Flow
No Flow
No Flow
19
0
No Flow
No Flow
No Flow
20
08-00
1.75
0
No Flow
No Flow
No Flow
21
08:00
2
0
No Flow
No Flow
No Flow
22
0810
1.58
0
No Flow
No Flow
No Flow
231
Holiday
0
No Flow
No Flow
No Flow
241
Holiday
0
No Flow
No Flow
No Flow
25
0
No Flow
No Flow
No Flow
26
0
No Flow
No Flow
No Flow
27
08:00
3.17
0
No Flow
No Flow
No Flow
28
08:05
2.5
0
No Flow
No Flow
No Flow
29
11-15
1.5
0
No Flow
No Flow
No Flow
301
08:00
1,83
0
No Flow
No Flow
No Flaw
311
Holiday
0
No Flow
No Flow
No Flow
Average:
0
0.00
0.00
Daily Maximum:
0
000
0.00
0.00
Daily Minimum:
0
0.00
000
0.00
Sampling Type:
Composite
Grab
Grab
Composite
Composite
Composite
Composite
Grab
Composite
Composite
Recorder
Monthly Avg. Limit:
70,000
10
14
4
5
Daily Limit:
15
25
6
10
10
Sample Frequency:
Continuous
Monthly
5xW
Monthly
Monthiy
Monthly
Month€y
Monthly I
5Mleek
Monthly
Monthly
Continuous

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of 2
Sampling Person(s) Certified Laboratories
Name: Danielle Hunter Name: Pace Analytical
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.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Danielle Hunter Permittee: Champion Hills POA
Certification Nil 1007992 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 E-1 Nc Phone Number: 828-696-1962 Permit Expiration: 1/31/2024
2� ��M1/�/ W � V V � ✓ 1
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
\iVNv
Signature Date
I cerlify. 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 ar persons who manage the system, or those persons directly responsible for
gathering the information. the information suhmitled 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