WQ0017530_Monitoring 01-2021_20210228

ORM: NDMR 10-13 NON -DISCHARGE MONITURINU KI=PuK i p4wiviml k
Permit No.: WQOOJ 7530 Facility Name: Highlands Cove WWTP County: Jacksol4 Month: January Year:
PPI: 001 Flow Measuring Point: Oinfluent EEffluent [:]No flow generated I Parameter Monitoring Point: E]Influent [AEffluent oGroundwater Lowering Osurfa(
Parameter Code
00310
50060
00610
�R
00620
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00400
70300
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00076
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holiday
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H
77
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14:10
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2,698
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NDMR 10-13
NON -DISCHARGE MONITORIN(i KtrL)K f (fvurtnnf
Certified Laboratories
Sampling Person(s)
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?
OCompliant ❑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 11
ORC: Mark Teague
Certification No.: 14243
Grade: WW-2, SI Phone Number: [phone]
Has the ORC changed since the previous NDMR? Dyes ONO
ra F /,�6
Signaturef:/
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee: Jerry West
Signing Official: Jerry West
Signing Official's Title= 1,�-�l
Permittee Certification
^ Permit Expiration:
Signature Date
/daT,�e
er p natty of law. that this document and all attachments were prepared under my direction or supervision in
wi a system designed to assure that all qual�ed personnel properly gathered and evaluated Iha information
ed on my inquiry of the person or persons who manage the system, or those persons directly responsible for
rmation, the tnlormatton submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
are th ere are significant penalties for submitting false information, including the possibility of fines and imprisonment for
II knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

M: NDAR-1 10-13
NON -DISCHARGE
APPLICATION
REPORT
(NDAR-1)
Facility Name: Highlands Cove WWTP
County: Jackson
Month:
January
Year:
2020
rPer7mitNo.- W00017530
Name:
D
Field
Name:
BField
rrigation occur
Area (acres):
2.13
4,
2.71
s
Area
(acres):
at
this facility?
Cover
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Cover Crop:
0.1
s' ; '4; " y
Hourly Rate
(in):
4
,�
Hourly Rate
(in):
GA�x
23.92
❑YES QNO
yrt ° "
Fop Annual Rate
(in):
r �..:-
Annual Rate (in):
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❑YES
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RM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) rage - U1
Permit
Permit No.: W00017530
7Did
Facility Name: Highlands Cove WWTP
County: Jackson Month: January
Year: 2020
. . . . . .
Field Name:
G
Field Name:
4A I' bk, AL
wMN,"R_t,
Area (acres):
1.1
Area (acres):
0.44
irrigation occur
rl
Cover Crop:
at this facility?
Cover Crop:
A
WARYMP
Hourly Rate (i n):
0.1
Hourly Rate (in):
0.1
Annual Rate (in):
23.92
DYES QN0
"AMY
I.
Annual Rate (in):
23.92
OR :1
Field Irrigated?
E]YES QNO
ow
i4b
Field Irrigated?
DYES [ZN0
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Ppp-mm: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: WO0017530
Facility Name: Highlands Cove WWTP
County: Jackson
Month: January
Year: 2020
Did irrigation occur
s
°'�°�
t
�
Field Name:
K
Field Name:
M
Area (acres);
2.2
a
Area (acres):
13.5
at this facility?
, �„` ��r
Cover Crop:
. a
Cover Crop:
at«:w
;s`.4 ys
0 r. : .a.'
rs• 3i
Hourly Rate (in):
0.1
Hourly Rate (in):
0.1
❑YES []NO
_ '
t i2.t
Annual Rate in
23.92
Annual Rate (In):
23.92
Weather
Freeboard
sa.
- iRii?
*
< 3
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[]YES ENO
? Y
Field Irrigated?
❑YES ❑� NO
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,

NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page
Permit No.: WQ0017530
Facility Name: Highlands Cove WWTP
County: Jackson
Month: January
Year: 2020
Did irrigation occur
=t� '
�� �"
Field Name:
O
Field Name:
at this facility?
" �� -
Area (acres):
1.02
Area (acres):
Cover Crop:
Cover Crop:
❑YES ONO
_'-
yY+
Hourly Rate (in):
0.1
Hourly Rate (in):
/Htttw14 j:
„Q3'
Annual Rate (in):
23.92
8;'a
Annual Rate (in):
Weather
Freeboard
N�1
y '�
Field Irrigated?
-]YES ONo
m� 4"�
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M: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) rdye
Did the application rates exceed the limits in Attachment B of your permit? OCompliant QNon-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Compliant ❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? OCompllant oNon-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? [DCompliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? DCompliant ❑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
arfinnrcl takan Attarh nfiditinnal sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Mark Teague
Permittee: Jerry West
Certification No.: 14243
Signing Official: Jerry,
Grade: WW-2, SI Phone Number: 828-586-5588
IW^�,est
Signing Official's Title:ILr
t` If "��lll— `
Has the ORC changed since the previous NDAR-1? Oyes �No
Phone Number: Permit Exp.:
l_
Signature Date
Signature ate
By this signature. I certify that this report is accurrate and complete to the best of my knowledge.
I certify, und7enalf that this document and all attachments were preparedunder my direction or supervision in accordance
and evaluated the information submitted. Based on my
with a systre that all qualified personnel properly gathered
inquiryons who manage the system, or those persons direclty responsible for gathering the information, the
informali ne best of my knowledge and befief, true, accurate, and complete. I am aware that there are sign�canl
rallies for submitting false information, including the possibility of fines and imprisonment for knowing violatlons.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
IN