WQ0004115_Monitoring - 11-2021_20220412

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DWR - NonDischarge Monitoring Report Submittal
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NORTH CAROLINA
Enrlranmenlel QHaflly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0004115
Name of Facility:* Champion Hills
Month:* November Year:* 2021
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR WQ0004115-11-21.pdf 1.65MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2,NDMLR,GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter:* Kimber Reese
Signature:
(A
Date of submittal: 4/12/2022
This will be filled in automatically
Initial Review
.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Gerald,Wanda

Is the project number correct?* WQ0004115
Is the monitoring report accepted?* Yes No
Regional Office* Asheville
Accepted Date: 4/25/2022

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20 35
- NDAR-1 10-13 FORM,
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CHAMPION 2
NON-DISCHARGE APPLICATION REPORT(CNoDuAntRy:1)
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FORM: NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit? (]Compliant Organ-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Ocompliant [ Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? OCompliant Elkton-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Licompliant ©Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Ocompnant QNon-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.
DISCHARGE TO STREAM
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: 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 changed since the previous NDAR-1? Oyes OM) Phone Number: 828 6961962 Permit Exp.: 1/31/24
1 � �
Si ure Date Sign re Date
By this signature,I'certify that this report is accurrate and complete to the best of my knowledge. 1 certify,under penally of law,that this do ent 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

FORM:NDMR 10-13 NON-DISCHARGE MONITORING REPORT(NDMR) Page 1 of 2
Permit No.: WQ0004115 Facility Name: Champion Hills, POA County: Henderson Month: November Year: 2021 1
PPI: 002 Flow Measuring Point: C Influent []Effluent C No flow generated 1 Parameter Monitoring Point: '.Influent ❑Effluent ❑Groundwater Lowering ❑Surface Water
Parameter Code 50050 00310 50060 31616 00610 E 00625 00620 ( 00600 00400 00665 1 00530 00076
ro E y E `Q L y y CA
�, _ E ~ rn o a ° ;e - U w 0 }v, a ar mel' o7 i 2 s l e + a
fG U C C o N. 0 d o fU , ate. o 2 CL o fl- o 3 0
U H m b cu L.L. o r — •- 1- ._ l— m F w
ce oU FcU U a-
YZ Z z o u?
1-
0
a_ co
24-hr hrs GPD mglL mglL #1100 mL mg/L mglL mglL mg/L su mglL mglL U
1 07:40 2 0 No Flow No Flow No Flow
2 07:45 1.75 0 No Flow No Flow No Flow
3 08:00 1.5 0 No Flow j j No Flow No Flow
4 09:30 0.75 0 No Flow i No Flow No Flow
5 08:00 1 0 No Flow j I No Flow ( No Flow
6 0 No Flow � No Flow No Flow
7 0 ' No Flow -- No Flow No Flow
8 07:45 2.58 0 No Flow II No Flow 1 No Flow
9 07 40 1.67 0 No Flow i No Flow No Flow
10 07:45 1,75 0 No Flow i I No Flow I No Flow
11 07 45 1,58 0 1 No Flow I No Flow No Flow
12 07:40 1,83 0 No Flow No Flow i No Flow
13 0 No Flow 1 No Flow I I No Flow
E - 1
14 0 No Flow ' No Flow ] No Flow
I`
15 07:45 2.08 0 No Flow No Flow ; No Flow
16 07.50 1.67 0 No Flow I No Flow No Flow l
—
17 07:45 1.5 0 No Flow I No Flow i i No Flow
18 07:40 1.67 0 No Flow i No Flock No Flow
19 08.00 1.33 0 No Flow € No Flow No Flow 1
20 0 No Flow No Flow No Flow
21 0 j No Flow No Flow I No Flow
22 08:00 1.75 0 No Flow No Flow No Flow
23 07:50 1,67 0 No Flow No Flow I No Flow
241 08:00 1.75 Cl No Flow No Flow I No Flow
25 Holiday 0 J No Flow [ ! No Flow I No Flow
26 Holiday 0 No Flow j I No Flow I No Flow ;
27 0 No Flow i No Flow No Flow
28 0 i No Flow j No Flow No Flow
29 07:45 1.75 0 No Flow No Flow I No Flow
30 07:50 1.83 0 1 No Flow No Flow No Flow
31
Average: 0 0.00 I 0,00
Daily Maximum: 0 0.00 0.00 1 0.00 t
Daily Minimum: 0 0 00 G,00 0.00
Sampling Type: l Composite Grab Grab Co' poste Composite Composite Composite Gras Composite Composite Recorder
Monthly Avg.Limit: 70,000 ' 10 ! 14 4 5 i
Daily Limit: 15 I 25 6 10 10 Il —
Sample Frequency: Continuous i Monthly 5A,',/ Monthly Monthly i Monthly Monthly Monthly 5'V eek Monthly Monthly l Continuous j I

FORM:NDMR 10-13 NON-DISCHARGE MONITORING REPORT (NDMR) Page 2 of 2
r
II
Sampling Person(s) Certified Laboratories
Name: Danielle Hunter Name: Pace Analytical
Name: Name:
.21
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 No.: 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? ves No Phone Number: 828-696-1962 Permit Expiration: 1/31/2024
I.
kI •y1 }` 3fpy
Signature Date Signature Date
By this signature.I certify that,his repnr t ws accurrate and cnrnplaie io the Im'nl of my knewlarige. I certify.under penally of law,that this document and all attachments were prepared under illy 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 l am
aware That there are significant penalties for submitting false iinformation 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