WQ0029233_Monitoring - 08-2019_20190927

1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page, of
Facility Name: Bear Lake Reserve County: Jackson Month: August Year: 2019
irrigation o r�
j ' I I
ate�'f
C YES El No
�Fi®Id?Name.
A'
Field Name:
B
FI®Id Name
C
Field Name:
D
Area {acres)
0.67
Area (acres):
0.84
Area (acres)
0.82
Area (acres):
1.26
L E Cover Grop
Mature .Forest
Cover Crop:
Mature Forest
Cover Crop
Mature Forest
Cover Crop:
Mature Forest
Hourly Rate.j"i
Hourly Rate (in):
0.05
Hourly Rate;,(in):
0.05
Hourly Rate (in):
0.05
ater �ualii Re '
Anar!,al l to t r�)
70 S ! 7S0
Annual Rate (in):
85.7 / 8.6
Annual 2at®r(m)
-, 72 517 2
Annual Rate (in):
69.6 / 7.0
sheWl Bt
ion
and
Fieldlrrigattfd?
£L7 YES k ❑ No
Field Irrigate-?
��-YES�ik C C�,NO.'
Field Irrigated?
'CJ YES Q No
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OYES ❑ NO
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Monthly Loading:
12 Month Floating Total (in):
12,000 !
Q"66
13,800
.13,800 ..;
0,61.:
19,200

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
Page o
O Compliant . ❑ Non -Compliant - . .
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
p Compliant ❑'Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
❑ Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
i] Compliant ❑ No -
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 necessarv.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Michael Beck
Permittee:
gear Lake Reserve
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.: 10/31/19
w6Q 644-,
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

-� ua-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 4.- ofy
o.: WO0029233 Facility Name: Bear Lake Reserve County: Jackson Month: August Year: 2019
id irrigation occur
Field Name,
E
Field Name:
F
Field Name
G
Field Name:
H
,Area (ages)
0 74
Area (acres):
0.95
Area {acres}
0.71
Area (acres):
0.53
at this facility?
`Cover Crop
,Mature Forest
Cover Crop:
Mature Forest
Cover, Crop
' `Mature Forest
Cover Crop:
Mature Forest
O YES ❑ rvo
Hourly
005
Hourly Rate (in):
0.05
Hourly Rate: (in):
0.05
Hourly Rate (in):
0.05
AnrivahRate {in}�
70 2 !_7 0 g�
Annual Rate (in):
73.9 / 7.4
Annual Rate. (in)
63 5/6 3
Annual Rate (in):
77.3 / 7.7
Weather
Freeboard
Field`1 te�7
CI YES Nc
Field.lrrigated?
❑� YES ❑ NO
Field Irrigated?
.CI -YES Q No M. '
Field Irrigated?
❑ YES ❑ No
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Monthly Loading:
12 Q00 ``
0 60
14,400
0.56
-il2'10,
0 62
8,400
0.58
12 Month Floating Total (in):
1:44

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
2 Compliant ❑ Non -Compliant
O 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 necessarv.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Michael Beck
Permittee:
gear Lake Reserve
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 NDARA? ❑ Yes O No
Phone Number: [phone] Permit Exp.: 10/31/19
Signature Date
Signature Date .
By this signature, I certify that this report is accurate 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

��- NUN -DISCHARGE APPLICATION REPORT (NDAR-1) Page_ of_
29233 Facility Name: Bear Lake Reserve county: Jackson Month: August Year: 2019
r
Id irrigation occur
at this facility?
field Name
I
Field Name:
K
Field Name
M'
Field Name:
N
Ar®a (acres
0 85
Area (acres):
0.99
Area (acres)
0 52
Area (acres):
0.58
'Cover Crop
Mature Forest
Cover Crop:
Mature Forest
Cover Ctop
]Mature Forest
Cover Crop:
Mature Forest
O YES ❑ NO
Hourly ,, tJm,,
0.05
Hourly Rate (in):
0.05
Hourly Rate:'(�ri)
0 05:
Hourly Rate (in):
0.05
Huai Rate in
,s- { )
80 Q l B 0 :;
Annual Rate (in):
71.0 / 7.1
Annual Rate�(in)
�... _
88 I8 7 • ;;
Annual Rate (in):
60.2 / 6.0
Weather
Freeboard
Field lrrigatedl+
CIMYE$ L'1 NO'
Field Irrigated?
(] Yes ❑ No
Fielf�l�rrigated7
Ci;vFs Ci NO_ i ,
Field Irrigated?
O Yes ❑ No
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Monthly Loading:
12 Month Floating Total (in):
',13200 .`'
: ° 0 57' ,'
i 54,1:57
15,60011111F
0.58
8,400
0'59
1,:54
9,600
0.61
1.57

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
!N
Rl Compliant
❑ Non -Compliant
O Compliant
❑ Non -Compliant
O Compliant
❑ Non -Compliant
0 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 necessarv.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Michael Beck
Permittee:
Bear Lake Reserve
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.: 10/31/19
I IA4-11-
AXj\-- - I(L�jj_
-
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 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

NUN-DI5CHARGE APPLICATION' REPORT
(NDAR-1) Page l of029233
Facility Name: Bear Lake Reserve
r1rdagawtion
County: Jackson Month: August" Year: 2019
Name O; Field Name: P
ioccur
Field Name Q Field Name: R
Area {acres} p,5 area (acres): 1.1
at this faClllty?
``,
Area (acres)
0 43 , '
Area (acres):
0.7
Cover. Crop
Mature Forest
Cover Crop:
Mature Forest
k >Cover'crop Mature Forest Cover Crop: Mature Forest
Hourly Rate'(in): 0:05- Hourly Rate in 0.05
l] YES ❑ NO y ( )
:Hourly Rafe m .
Y ( ).
0:05"
Hourly Rate (in):
0.05
Annual Rate?(rn)� 78 6 !7 9; ' Annual Rate (in): 80.7 / 8.1
gnnual Rate (�n)
; : 87 3 / 8 7
Annual Rate (in):
77.6 / 7.8
Weather Freeboard Irrigated? C7 Yt s) rho Field Irrigated? 0 YES ❑ No
x . �.
1=ieil`)rigated?
U YES
Field Irrigated?
(] Yes ❑ No
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Monthly
Loading:
16,800
0.56
7,200:
`0:62
10,800
0.57
12
Month Floating
Total
(in):
1.48
1:60"
1.55

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
O Compliant ❑ Non -Compliant
21 Compliant ❑ Non -Compliant
21 Compliant ❑ Non -Compliant
21 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:
Bear Lake Reserve
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.: 10/31/19
2��6h&� 17_�PI+41
51"fig
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

NUN-U]SC HARGE APPLICATION REPORT (NDAR-1) Page J of�
W00029233
Facility Name: Bear Lake Reserve
County: Jackson Month:
August
Year: 2019
ririgation occur
ieid Name g
Field Name: T
Field Name U
Field Name:
at this facility?
Area (acres) ° D.9Z
Area (acres): 0.61
Area (acres).'0.58
Area (acres):
Cover Crop
Mature Forest
Cover Crop:
Mature Forest
Cover Crop.
Mature,Forest
Cover Crop:
Hpy Rate;(In)"
0 05
Hourly Rate (in):
0.05
H°Urly Rate'(in)
. 0.05
Hourly Rate (in):
O Yes ❑ No
Annual Rafe (in)
w 67 4 l 6 7 �P
t
Annual Rate (in):
73.5 / 7.3
Annual Rate (in)
9 4 /9 5
Annual Rate (in):
Weather Freeboard
FField 1ra'igted?
a ..
CI;YE$ L7 NO r
Field Irrigated?
0 Yes ❑ No
Fielii'Irrigated?
. C] E5 C1 NO
Field Irrigated?
❑ YES ❑ NO
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Loading:
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061
1,57
0
0.0012
Month Floating Total (in):

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
Q Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
O 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:
Bear Lake Reserve
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 Rl No
Phone Number: [phone] Permit Exp.: 10/31/19
1
NQa4)41-10)
q zi l5
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

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FORM: NDMR 08-11 'NON -DISCHARGE MONITORING REPORT (NDMR) Page
Sampling Person(s) Certified Laboratories
Name: Michael Beck Name: Environmental Testing Solutions, Inc.
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑ Compliant O 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 ner.Pccary
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Michael Beck Permittee: Bear Lake Reserve
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 O No Phone Number: [phone] Permit Expiration: 10/31/2019
%�We-5, . pav�, %2,71(�
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