WQ0028693_Monitoring - 11-2019_20191227

8-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ) of /y
WQ002 )693
Facility Name: Mountaintop Golf & Lake Club WWTF
county: Jackson
Month: November
Year: 2019
id irrigation occur---
at this facility?
p Yes ❑ No
Flald Name
Oi
Field Name:
02
Fielct Name
Q3'�
Field Name:
04
;AreAA acres)
$.Q9
Area (acres):
4.35
Area (acres)
4;32
Area (acres):
4.26
Cover crn
, P
Blue rass�Bent ras
9, 9
cover Crop:
P:
Blue rass�Bent ras
9 9
Cover Cro
.P'
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. k 9 ,, ., t9
Cover Crop:
P:
Blue rass/Bent rass
9 9
Hourly RatQ (m�
Q.1'S
Hourly Rate (in):
0.15
Hourly Rate: (in)
0:15
Hourly Rate (in):
0.15
AnnuBi Rate<(n)
182'
Annual Rate (in):
18.2
AYi�OalRat� (in)
-g 1,8 2 ,
Annual Rate (ln):
18.2
Weather
Freeboard
Field Irrigated?,
,O YES CI NO -:
Field Irrigated?
❑O YES ❑ NO
Field Irrigated?
❑ YEs CJ NO
Field Irrigated?
❑YES ❑� NO
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Monthly Loading
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36,000
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12 Month Floating Total (in):
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6:99
0:40 .;
0.00

FORM: NDAR-1 08-11
NON --DISCHARGE APPLICATION REPORT (NDARA )
Did the application rates exceed the limits in Attachment B of your permit?
Page
21 Compliant ❑ Non -Compliant
Mere 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 ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? o compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with .the specified freeboard heights in 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 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: Michael Beck
Permittee:
Mountaintop Golf & Lake Club
Certification No.: SI-991669 WWIV-7930
Signing Official: Robert Barr
Grade: SI WWIV Phone Number: [phone]
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? ❑ Yes 21 No
Phone Number: (828) ;251-1900 ' . Permit Exp.: 8/31/19
Signature Date
. Signature Date
By this signature, I certify that this report Is accumate 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 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

a-i NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page � of to
WQ0028693 Facility Name: Mountaintop Golf & Lake Club WWTF County: Jackson- ",Month: November Year: 2019
id irrigation occur
at this facility?
O YES ❑ No
Name
05
Field Name:
06
F1eld Name
0T "
Field Name:
08
Area {acres)
3 37
Area (acres):
3.95
A_ rea (acres)
4A2t
Area (acres):
2.31
Cover,Crop
Bluegrass/Bentgras
Cover Crop:
Bluegrass/Bentgras
; C°Ver Chop
Bluegrass/Bentgras
Cover Crop:
Bluegrass/Bentgrass
Hourly Rate.{in)
p "1;5
Hourly Rate (in):
0.15
Hourly Rate"(m):
0.1'
Hourly Rate (in);
0.15
Annua} Rate':{irk)
48;2 �„
Annual Rate (in):
18.2
Annual Rata (mj
18.2'•
Annual Rate (in):
18.2
Weather
Freeboard
Fleld IITlgated?
OYES ) NO
Field Irrigated?
❑ YES 0 No
Fieltl Irrigatsd
,O YES C1 No
Field Irrigated?
❑ YES ❑p NO
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EL0
Monthly Loading:
12 Month Floating Total (in):
0
Or00
0,00
0
0.00
0.00

FORM: NDAR-1 08-11
NON -DISCHARGE- APPLICATION REPORT,.(NDAR-1)
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?
Page
ED Compliant ❑ Non -Compliant
El Compliant ❑ Non -Compliant
21 Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
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 date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Perniittee Certification
ORC: Michael Beck
Permittee:
Mountaintop Golf,& Lake Club
Certification No.: SI-991669 WWIV-7930
Signing Official: Robert"Barr
Grade: Sl WWIV Phone Number: [phone]
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? ❑ Yes 21 No
Phone Number: [phone] Permit Exp.: 8/31/19
Signature Date
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 dlrection 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 Quality
Information Processing Unit
1617 Mali Service Center
Raleigh, North Carolina 27699-1617

s-�� NON -DISCHARGE APPLICATIONS REPORT (NDAR-1) Page .� of / "
WQ0028693 -
PDidirrigation
Facility Name: Mountaintop Golf & Lake Club WWTF
county: Jackson
Month: November
Year: 2019
occur
at this facility/?
O Yes ❑ No
FIe)d Name
09;
Field Name:
10
Field Name
11
Field Name:
12
(�c'res)
Area (acres):
2.22rea
(acres);2.16
Area (acres):
3.88
CoirerCro
Blue rass/Bent ras
Cover Crop:
Blue rass/Bent ras
Gover Cro P
Blue rass/t3en ras
Cover Crop:
Blue rass/Bent rass
tidurly Rate (m)
0:15
Hourly Rate (in):
0.15
Hourly Rate; (m).
,- 0A 5' '
Hourly Rate (in):
0.15
al!Rate
18 2
Annual Rate (in):
18.2
Annual i#ate°(m),
15.2
Annual Rate (in):
18.2
Weather
Freeboard
s Fjetc� irrigated?
Q YESp 3 p No
Field Irrigated?
❑ Yes RI NO
Field irrigated?
U YES (Q tYo
Field Irrigated?
❑ YES p No
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FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION, REPORT .(NDARA)
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?
Page
O Compliant ❑ Non -Compliant
21 Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
ID Compliant ❑ Non -Compliant
i] 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
(s) tal(en: Attach aaa tlonal sheets it necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Michael Beck
Permittee:
Mountaintop Golf & Lake Club
Certification No.: SI-991669 WWIV-7930
Signing Official: Robert Barr
Grade: SI WWIV Phone Number: - [phone]
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-11 ❑ yes 0 No
Phone Number: [phone] Permit Exp.: 8/31/19
12-2-?, j
Signature Date
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 allattachments 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

�- I NON -DISCHARGE APPLICATION ,REPORT (NDAR-11) Page _ft- of/ "�'
WQ0028693 Facility Name: Mountaintop Golf & Lake Club WWTF . County: Jackson Month: November Year: 2019
id irrigation occur
at this facility?
O YES ❑ N0
Field Name
13
Field Name:
14
Field Name
15`
Field Name:
16
Area (ages)
3.38,
Area (acres):
2.81
Area (antes)
4,16
Area (acres):
1.76
,Cover Gio p
Biue rays/Bent ras`
8, g
Cover Crop:
P
Blue rass/Bent ras
9 9
Cover Cro p.,
Blue rass(Bentgras'
.:,. 9,,. ...,.
Cover crop:
BluegrasslBentgrass
Houtly Rate'{tn)
0.15.
Hourly Rate (in):
0.15
Hdutly Rate?(m)
0.15
Hourly Rate (in):
0.15
Annual Rafe.(in) 18 2
Annual Rate (in):
18.2
Annual RatelOn)�
.'' . 1'8:2
Annual Rate (in):
18.2
Weather
Freeboard
Fi,@id (rrigated? C] YES ;` 'fO"No
Field Irrigated?
❑YES O No
Field Irrigated?
OYES ?Ito' . "
Field Irrigated?
❑ YES ❑ NO
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19
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20
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21
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31
0.00
0.00
Monthly Loading:
12 Month Floating Total (in):
0
"0.00 ;:
0 00
0
0 . `'
0;00'
4,00
0
0.00
0.00

FORM: NDA14-1 08-11
NON-DISCHARGEAPPLICATION REPORT (NDAR-1)
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?
Pa74ge
0 Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
21 Compliant ❑ Non -Compliant
0 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: Michael Beck
Permittee:
Mountaintop Golf & Lake Club
Certification No.: SI-991669 WWIV-7930
Signing Official: Robert Barr
Grade: SI WWIV Phone Number: [phone]
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? ❑ Yes O No
Phone Number: [phone]• Permit Exp.: 8/31/19
Signature Date
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 information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gatheringthe 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

0-11 NON-DI5CHARGE APPLICATION REPORT (NDAR-1) Page J of J-"
r
Q0028693
PDi!!irri1-gawVion
Facility Name: Mountaintop Golf &Lake Club WWTF
county: Jackson T
Month: November
Year: 2019
occur
at this facility?
21 YES ❑ No
Field Name
17
Field Name:
18
Field Name
19;
Field Name:
20
Area,3.93
Area (acres):
3.26
Area nacres)
-
3 64
Area (acres):
3.96
CoverCro '
I?,
flue rass/Sent ras
g g ..
Cover Crop:
p:
Blue rass/Bent ras
9 9
Cover Cro p
Blue rass/Ben ra
... 9 t9
Cover Crop:
p:
Blue rass/Bent rass
9 9
Howdy Rate (m).
' ' ` ' 0.1'5:
Hourly Rate (in):
0.15
Houriy Rate'(in).
0:15
Hourly Rate (in):
0.15
Annual Rate (in)
1$ 2
Annual Rate (in):
18.2
Annul Rate (10)'
18 2
Annual Rate (in):
18.2
Weather
Freeboard
Field 1[rigte51?
,❑ YE5 NO :;'
Field Irrigated?
❑YES O No
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r Vr[Ivl. ry U/1R-I VO-I I
NON -DISCHARGE APPLICATION- REPORT (NDAR=1)
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 maintainedon all sites.as specified in your permit?
Page
0-7!qqCompliant El Non -Compliant
0 Compliant ❑ Non -Compliant
121 Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? o Compliant ❑ Non -Compliant '
Were all freeboards maintained in accordance with the specified freeboard heights in 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 date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if hecessarv.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Michael Beck
Permittee:
Mountaintop Golf &Lake Club
Certification No.: SI-991669 WWIV-7930
Signing Official: Robert Barr
Grade: SI WWIV Phone Number: [phone]
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? ❑ Yes O No
Phone Number: [phone] Permit Exp.: 8/31/19
J2— 2.e)—/ .
Signature Date
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 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

- I NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _a of 1 v
WQ0028693 Facility Name: Mountaintop Golf & Lake Club WWTF County: Jackson Month: November Year: 2019
Did irrigation occur
at this facility?
2 YES ❑ No
Field Name
21
Field Name:
22
.Field Name
23'
Field Name:
24
Area (acres)
x w".33 „
Area (acres):
5.49
Area (acres)
2.99
Area (acres):
3.81
Cover , ro +Blue
p
rass/Bent ras
9, g.
Cover Cro P
slue rass/sent ras
9 9
cover, Cro ,
p,
Blue rasa/sent ras
9 ....... 9.
Cover Crop:
P
Blue rass/Bent rass
9 9
Hourly Rate (m)
0 `15
Hourly Rate (in):
0.15
Hourly Rate (m):
-" 0.15
Hourly Rate (in):
0.15
Arnual Rate,gOn)
182
Annual Rate (in):
18.2
Annual 4iate'(in)
18�2�
Annual Rate (in):
18.2
Weather
Freeboard
Fie(d Irrigates(?
.lj YES i� NO '-
Field Irrigated?
❑ YES O No
Field Irrigated?
ONES`.CE NO.
Field Irrigated?
❑ YES ❑ No
❑
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Monthly Loading:
12 Month Floating Total (in):
0`
0 00
0
0
0.00
0.00

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment l3 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?
Page
" .
21 Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
2 Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
21 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: Michael Beck
Permittee:
Mountaintop Golf & Lake. Club
Certification No.: SI-991669 WWIV-7930
Signing Official: Robert Barr
Grade: SI WWIV Phone Number: [phone]
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? ❑ Yes [D No
Phone Number: [phone] Permit Exp.: 8/31/19
7v�
Signature Date
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 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.Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of /
WQ0028693
Pid
Facility Name: Mountaintop Golf & Lake Club WWTF
County: Jackson
Month: November
Year: 2019
irrigation occur
at this facility?
❑ YES ❑ NO
Field Name
25
Field Name:
26
Field Nam®
27'
Field Name:
28
{Area (acres)
4.56
=" � - -
Area (acres):
( )
4.05
Area acres
3 47
Area (acres):
t )
2.28
Cover:Crop
Bluegrassi&66igras
Cover Crop:
Bluegrass/Bentgras
Cover crop
Bluegrass%Benfgra `
Cover Crop:
Bluegrass/Bentgrass
Hourly Rath (m)
„0.13
Hourly Rate (in):
0.15
Hourly Rate (m)
0.15
Hourly Rate (in):
0.15
Annual Rate (�h)
18.2
Annual Rate (in):
18.2
Annual Rate°(In)
182+
Annual Rate (in):
18.2
Weather
Freeboard
Eleld Irrigated .-
IT 'YES, 4 - :
Field Irrigated?
❑ YES p NO
Field Irrigated?
, C7 YES p No
Field Irrigated?
❑ YES ONO
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12 Month Floating Total (in):
;U' "
0:00
0A0 ::'
0
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0.00"
0.00
0
0.00

FORM: NbA'R-1 08-11
NON-DISCHARGE,APPLICATION REPORT.(NDAR-1)
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?
Page
O Compliant ❑. Non-Compli9qant
O Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
(] Compliant ❑ Non -Compliant
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 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: Michael Beck
Permittee:
Mountaintop Golf & Lake Club
Certification No.: SI-991669 WWIV-7930
Signing Official: Robert Barr
Grade: SI WWIV Phone Number: [phone]
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? ❑ Yes O No
Phone Number: [phone] Permit Exp.: 8/31/19
i
Signature Date
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 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 Quality
Information Processing Unit
161.7 Mail Service Center
Raleigh, North Carolina 27699-1617

-� NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2F of I
WQ0028693
Facility Name: Mountaintop Golf & Lake Club WWTF
County: Jackson
Month: November
Year: 2019
Did irrigation occur
at this facility?
21 YES No
Field 1Jame
29
=�
Field Name:
30
`Field Hama
= 31
Field Name:
32
Area (acres)
"'Cover Crop'
4.24
Bluegrass/Bentgras.
_
Area (acres):
Cover Crop:
5.34
Bluegrass/Bentgras
Area {acres}
<CoverCro p
4 74
Blue rass/Bent ra
.g 9
Area (acres):
Cover Crop:
p
4.8
Blue rass/Bent rass
9
Ho..urly Rate (m)
01.5.
Hourly Rate (in):
0.15
Hourly•Fta9e {m): 0:15
Hourly Rate (in):
0.15
Annual Rate (inj
r 1$:1 r
Annual Rate (in):
18.2
Ar�rival Rat®{�ri) 18:2 i
Annual Rate (in):
18.2
Weather
Freeboard
Field frrigatad?
CJ YES C7 NO
Field Irrigated?
YES ❑ No
Field irrigated? " O YE5 No,-._
Field Irrigated?
O YES ❑ NO
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11
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16
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28
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t;'20
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4,800
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0.03
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16,587
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0.13
29
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0
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0.17
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0.00'
0
0
0.00
0.64
0.00
Monthly Loading:
12 Month Floating Total (in):
3600Q ::
77,645 r;
0.60
83,019

FORM: NDAR-1 08-11
NONZISCHARGE APPLICATION REPORT'(NDARA)
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?
Page
0 Compliant ❑ Non -Compliant ,
E1 Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
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 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: Michael Beck
Permittee:
Mountaintop Golf & Lake Club
Certification No.: SI-991669 WWIV-7930
Signing Official: Robert Barr
Grade: SI WWIV Phone Number:- [phone]
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? ❑ Yes p No
Phone Number: [phone] Permit Exp.: 8/31/19
.7�a,,MQ
Signature Date
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 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

NON -DISCHARGE MONITORING.. REPORT (NDMR) Page -1 of I T-1
RQ0028693 Facility Name: Mountaintop Golf & Lake Club WWTF -F County. Jackson Month: November Year: 2019
PP
PPI: 001
0017
Flow 0
Flow Measuring Point: 0 Influent 21 Effluent [I No flow generated
Parameter Monitoring Point: El Influent 91 Effluent El Groundwater Lowering El Surface Water
Parameter Code --o.
500501,
00310
00940
31616
�``066
00620
70300
�-0904-
00076
O(,) S
C0600
C0666
io
E
0
0
E
0
to
0
V
-
0
r-
10'. 11�. �
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:., sl-
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-E
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0 -6 -6
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5:
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0 0
0 0
0 0
z
- B,!O C.
r
24-hr
hrs
GP
mg/L
'mjgiL
mg/L
mldiLl�,-
#/100 m L
mg/L
7
mg/L
rn�g!L
NTU
in L
mg/L
g1L
1
07:00
1
1.28
2
14i4W
1.3
3
14,406
1.2
4
10:30
1
14300
2.,
7.4 8 1%9
0.26
5
06:30
1
1.31
6
07:30
1
-f11;-,fb Of,
< 2.0
1
19.6
7.
1.28
5.25
25
7
09:00
1
9060
20
T11
1.23
8
08:30
1
19 0),400.,
�2.4
7j;4,
1.3
9
7.
.31
10
.716
1.25
11
09:00
1
7 500;
1.28
12
06:00
1
-7
1.34
13
09:00
1
1.25
14
08:00
1
61000-
1.28
15
06:30
1
7.
1.21
16
6' 00
q:
1.2
17
1.25
18
10:00
1.3
19
06:30
1
400"
1.26
20
08:30
1
-'4700
11
82'
12
7.9
330
1.29
11.4
21
07:30
1
'900,
1.18
22
08:30
1
7 11
1.2
23
&,200
1.18
24
25
10:30
-
.6 200�
3�
1.16
26
08-
.00,
1
V00
1.22
27
09:00
1.19
28
Holiday
H
1.6,0 0,
1.24
29
Holiday
H
--46i 01;Holiday,
ay
1.26
30
1.21
31
Average:
5.50�
82.00
3.46
112
13.75
330.00
P.0 0
1.21
18.20
-7
2­5
Daily Maximum:
11.00
82.00
12.00
6' ;§0
19.60
:
7Y99
330.00
156,
1.34
25.00
2,90'
Daily Minimum:
2.00
82.00
1.00
7.90
-X
02 -'
330.00
2,50
0.26
:2 .1
11.40
Z60,
Sampling Type:
Composite
7`�
Grab
G'
Grab
Composite
Grab
"Otte
Recorder
Monthly Limit:
ma.
10
14
Daily Limit:,
15
25
6-9 .
10
10
Sample Frequency-[t6ri�tp
Us'l
See Permit
KYear
3 x Year
5:9*66V
See Permit.
rmit
See Permit
6 k
3 x Year
See Par mit I
Continuous I

FORM: NDMR'08-11 NON-DISCHARGEMONITORING'-REPORT,(NDMR) Page
Sampling Person(s) Certified Laboratories
Name: Michael Beck Name: Environmental. Testing Solutions, Inc
Name:. Name: Prisim Laboratories, Inc
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 date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessarv. rt
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Michael Beck Permittee: Mountaintop Golf&Lake Club
Certification No.: SI-991669 WWIV-7930 Signing Official: Robert Barr
Grade: SI WWIV Phone Number: [phone] Signing Official's Title:- Signatory
Has the ORC changed since the previous NDMR? ❑ Yes 21 No Phone Number: [phone] Permit Expiration: 8/31/2019
Signature Date 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 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 far submitting false information, including the, possibility of fines and Imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDIVIR 08-11 NOWDISCHARGE `MONITORING REPORT (NDMR) Page
Sampling Person(s) Certified Laboratories
Name: Michael Beck Name: Environmental Testing Solutions, Inc
Name: Name: Prisim Laboratories, Inc
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?R1 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- Michael Beck Permittee: Mountaintop Golf & Lake Club
Certification No.,.'. SI-991669 WWIV-7930 Signing Official: Robert Barr
Grade: Sl WWIV Phone Number: [phone] Signing Official's Title: Signatory .
Has the.ORC changed since the previous NDMR? ❑ Yes El No Phone Number: [phone] Permit Expiration: 8/31/2019
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Signature Date
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 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 Watbr,Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617