WQ0017530_Monitoring - 11-2019_20191226

FORM: NDMR 10-13
Permit No.: WQ001 7 Perm
NON -DISCHARGE MONITORING REPORT (NDMR)
Page _ of
530
F -Facility Name: Highlands Cove VVWTP
County: Jackson
Month: November
Year:
PPI: 001
Flow Measuring Point: Elinfluent ElEffluent E]No flow generated
Parameter Monitoring Point: ElInfluent [ZEffluent EjGroundwater Lowering Elsurfa(
Parameter Code
_06
00310
600
00620
00400
70300
00076
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Type:
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composite
t
Recorder
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4
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10
Sample Frequency-
5 x Week
Monthly
71
Monthly
VV..1,
I

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) II Certified Laboratories
Name: Mark Teague Name: Environmental, Inc.
Name: Name: Pace Analytical
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
actinnfcl takan Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Mark Teague
Permittee: Jerry West
Certification No.: 14243
Signing Official: Jerry West
Grade: WW-2, SI Phone Number: [phone]
Signing Official's Title:
Has the ORC changed since the previous NDMR? ❑Yes ❑No
Phone Number: Permit Expiration:
zettw
lz_&h�
Signature Date
/ Signature Date
61.�,ti
By this signature, I certify that This report is accurrate and complete to the best of my knowledge.
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

rPem
ORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
No.: W00017530
Facility Name: Highlands Cove WWTP
County: Jackson
Month: November
Year: 2019
t=lel[�a a
r '' .
°'�s 1�
Field Name:
B
tr Fie ilVa�ne�
£46 Field Name:
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D
Did irrigation occur
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eras)
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at this facility?
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? ..
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r-A1
Annual Rate (in):
23.92
gnnuitate"(in)
c ` 23 92` .: Annual Rate (in):
23.92
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FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
' Permit No.: W00017530
Facility Name. Highlands Cove WWTP
County. Jackson Month: November
Year: 2019
Flatti NemR tx" 7 Field Name: G
°6 r
Field Name:
I
Did irrigation occur
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rP,,,itoN
M: NDAR-1
10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
.:WQ0017530
Facility Name: Highlands Cove WWTP
county: Jackson
Month: November
Year: 2019
Field;Neme
J `
Field Name:
K
Pield-.Name
L
Field Name:
M
k`
f
Did irrigation occur
ioo6' " •
'`"
Area (acres):
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Area'{acres)
5.35
Area (acres):
13.5
at this facility?
y
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''
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Cover Crop
% r
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01
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j 2349 ;Y,
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23.92
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FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: W00017530
Facility Name: Highlands Cove WWTP
County: Jackson
Month: November
Year: 2019
FiQ)d,Nilie
Field Name:
O
Field Name:
Did irrigation occur
a Area`(acress};
2 4
Area (acres):
1.02
Area (acres):
at this facility?
Cover Crop:
Crop.
Cover Crop:
.5"r
Hourly"Bata (its)'
;'��} 01 "
Hourly Rate (in):
0.1
Houriy Rate (in}:
01
Hourly Rate (in):
❑YES ONO
,Attnua) i3alae (ltt} 23+92
Annual Rate (in):
23.92
fy'
Annual date (in):
23"92 .
Annual Rate (in):
Weather
Freeboard
',*leid.lrrigated�' []YES []Np
Field Irrigated?
❑YES ENO
Flold irrigated?
-❑Y,5 .; QQ NO
Field Irrigated?
❑YES (]NO
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V
M: NDAR-110-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
pplication 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?
Page of
❑s Compliant
❑Non -Compliant
Compliant
❑Non -Compliant
Compliant
❑Non -Compliant
(]Compliant
❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? RICompliant ❑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
ORC: Mark Teague
Certification No.: 14243
Grade: WW-2, SI Phone Number: 828-586-5588
Has the ORC changed since the previous NDAR-1? ❑Yes f_,11No
1z z 0
Signature Date
By this signature, I certify that this report is accurrale and complete to the best of my knowledge.
Permittee:
Jerry West
Signing Official: Jerry West
Signing Official's Title:
Phone Number:
Permittee Certification
Permit Exp.:
' I 1
�- a/ ,I ?
Signature r' Dad
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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617