WQ0029233_Monitoring - 09-2019_20191030

NUN-DISCHARGE APPLICATION REPORT (NDAR-1) Page i of &
029233 Facility Name: Bear Lake Reserve county: Jackson Month: September Year: 2019
Virrilgawtioi
id occur
at this facility?
❑ YES (] NO
,Field
Name:
B
Field Name
C ;;
Field Name:D
Area (acres)
0 67
Area (acres):
0.84
Area {aare's)
0.82 -
Area (acres):
1.26
a Cover Crop
,Mature Forest '"
Cover Crop:
Mature Forest
CovewCrop.
Mature Forest ``
Cover Crop:
Mature Forest
Hourly Rate;( n)
0 05'
Hourly Rate (in):
0.05
:' Hourly Rate (in)
p.o5, ,
Hourly Rate (in):
0.05
Annual Rate (�)
". 70 5/7 0
Annual Rate (in):
85.7 / 8.6
Annual Rate,(n)
72 5 / 72
Annual Rate (in):
69.6 / 7.0
Weather
Freeboard
Field lrtigafad?
❑ YES fp No
Field Irrigated?
❑ YES ONO
Field Irrigated?
❑ was ' I] htO
Field Irrigated?
❑ YES p NO
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.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?
Page otqq
21 Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
o Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintainedion 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 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: Sl 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 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

"'' VV'" NUN-UISGHARGE APPLICATION REPORT (NDAR-1) Page ` of L
o.: WQ0029233 Facility Name: Bear Lake Reserve County: Jackson Month: September Year: 2019
ICE II'1'Igat1011 OCCUI'
at this facility?
❑ Yes ONO
Fuld Name
: ,
Field Name:
F
Field,Name
G ;.
Field Name:
H
Area (acres)
0 74
Area (acres):
0.95
Area (acres)
0.71'
Area (acres):
0.53
Cover`Crop
Mature Fo"rest
Cover Crop:
Mature Forest
Cover"Crop
-
Mature Forest
Cover Crop:
Mature Forest
Hourly Rate (in)
,, 0 OCs
Hourly Rate (in):
0.05
Hourly, Rbte (in).
0;05.
Hourly Rate (in):
0.05
Anrtyai Rats(in)
70 2 7 0
Annual Rate (in):
73.9 / 7.4
Annual Race*):
Annual Rate (in):
77.3 / 7.7
Weather
Freeboard
Field 1 igaled?
❑ YE NO _
Field Irrigated?
❑ Yes O NO
Field Irrigated?
C] YE5 CI NO
Field Irrigated?
❑ YES p NO
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0.00
1.44
0,
O OQ
1,59.
0

FORM: NDAR-1 08-11
h ON0 DISCHARGE APPLICATION REPORT (NDAR-1)
®id the application rages exceed the limits in Attachment B of your permit?
Were adequate measures taker` 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 � of
171 Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
0 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 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-9? ❑ Yes 0 No
Phone Number: [phone] Permit Exp.: 10/31/19
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 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: NDAR-1 08-11
R9ONZISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rapes 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 coder maintained: on all sites as specified in your permit?
Were ai9l setbacks listed in your permit maintained for every application to each permitted site?
Page � of
Rl Compliant ❑ Non -Compliant
(D Compliant ❑ Non -Compliant
21 Compliant ❑ Non -Compliant
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 additinnal shPafc if necassary
Operator in Responsible Charge (ORGY 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 [D No
Phone Number: [phone]. Permit Exp.: 10/31/19
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 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

„R-' vo-1 i NON -DISCHARGE APPLICATION REPORT (NDAR-'I) Page � of
No.: WQ0029233 Facility Name: Bear Lake Reserve County: Jackson month: September Year: 2019
Did irrigation occur
"IQid {+tafit�e
Field Name:
P
Fieldme�
Q :.
Field Name:
R
AYea {acres}
0 5
Area (acres):
1.1
Area {acres)
0 E43
Area (acres):
0.7
at this facility?
f Cover Crop
Nafurel=oYest
Cover Crop:
Mature Forest
Govef Cr',ap
Mature Forest ;,
Cover Crop:
Mature Forest
❑ YES ❑O NO
Hourly Rate(4ry)
0"05
�`
Hourly Rate (in):
0.05
.
(lour.". Ratt in )
0 05` ' W
Hourly Rate m
y ( )
0.05
i�»nua! RaB {i�►)
k� 6 l 7 9
Annual Rate (in):
80.7 / 8.1
}LpgWI F�ae'(irt)
x .
B7 3 $ 7
Annual Rate (in):
77.6 / 7.8
Weather
Freeboard
lefd'1rri9atedT
, ❑'`Y 5 [ NO ,.',
Field Irrigated?
❑ YES 0 NO
Fleltf Irrlgated7
D 3rE (✓[ No
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❑YES No
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12 Month Floating Total (in):
160; s'r
1.48'
f:;60 °�
1.55

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-11)
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?
Page of
0 Compliant fE]Non-Compliant
O Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained, on all sites as specified in your permit? p Compliant ❑ Non -Compliant
Were all setbacks listed in y permit ermit maintained for eve application to h permitted site?
� each prmO 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
actlon(sl taken. Attach additinnal shePtc if nPraccary
Operator in Responsible Charge (ORC) Certification
Perm ittee 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
--A
lam/ 1
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 (duality
Information Processing Unit
1617 Mail Service Center
Raleigh, (North Carolina 27699-1617

NUN -DISCHARGE APPLICATION REPORT (NDAR-1) Page _5 ofW
No.: W00029233 Facility Name: Bear Lake Reserve County: Jackson Month: September Year: 2019
Did irrigation occur
at this facility?
❑ YES (] No
�ieid Naitle
S;
Field Name:
T
:Field Name
U
Field Name:
.0,sz
Area (acres):
0.61
Area (acres]
0.58
Area (acres):
.0 et
Mature Forest ` `
Cover Crop:
Mature Forest
, Cover Crop
nnaatore'i=oresc
Cover Crop:
Hourly Rate;(�Cr)
0 Q5
Hourly Rate (in):
0.05
Haas Raie�(m)
0 0
"
Hourly Rate (in):
Ar�nuai Rte;(ir!)
a ' 67,4/.6 7
Annual Rate (in):
73.5 / 7.3
Ari�ual Rate`(In)
- • 95 4"I9 5 , '; ':
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
'C7 YES ` -'Cj NO
Field Irrigated?
❑ YES p NO
i'fel'd"Irrigated?
' D YES C} NO
Field Irrigated?
DYES ❑ NO
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9
9;-"'.
0
";:00 ,
"''fl,tiQ
0
0
0.00
0.00
0"l ,
0
0.00•
0.00
21
0 ." ,
0
0 00 "
. ; 0"00''''
0
0
0.00
0.00
0 ;. '
0
p.00
O.OD;
22
o `Q, �.
0
D 4D ,;�;
0
0
0.00
0.00
0
0
0 00� .
' :� 0:D0_ M:
23
C
57
0
15
9.5
0
0
0
0.00
0.00
0 `;.',".,.
00
00
O.Ob'
24
C
60
0
15
9.5
0 ;
0
AO -,,
,' , 0�00 "'
0
0
0.00
0.00
fl: "`
0
Q 00
_: 0,00•
25
C
59
0
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9.5
0„ . "
0D
00=
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0
0
0.00
0.00
_0 �:
0
ow •
• y '0.00 .
26
C
61
0
15
9.5
Q..", .
0
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0 40. ti�
0
0
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0.00
0 �, " "�
Q
D.bO
' 0.00'
27
28
C
68
0
15
10
0 ..; ;
Oa .
0
0
5 0 OOS.
0p : '
0 QO r
0
0
0
0
0.00
0.00
0.00
0.00
i)..;
0"
0
0
29
0,"" a-_':
00
D0, ,"
0 00 , ;
0
0
0.00
0.00
0. ; .•. :i
0
30
PC
61
1.3
15
10
0 " "',
0
0.00 "
',' 0 00 'i
0
0
0.00
0.00
0 ' :.
0
0.00
O,OD
31
0,,% " _':;
0
,0:0Q,
` ,Q 00.::`
0
0
0.00
0.00
1.56
0.00
0"::� _:
0:
fl QO:
�1,57
0.00
Monthly Loading:
12 Month Floating Total (in):
.. "A-.; M
:..0 0D
�`t 4g`;.`
0
0
0.00

FORM: NDAR-1 08-11
MOiN-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?
Page of
0 Compliant ❑ Non -Compliant
21 Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintalned on all sites as specified in your permit? o Compliant ❑ Non -Compliant
Were all setbacks listed in your permit main: tained for every application to each permitted site? ❑ 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 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 O No
Phone Number: [phone] Permit Exp.: 10/31/19
IB -
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

VO-1 I NUN-D15CHARGE MONITORING REPORT (NDMR) Page �e of_S
F--.0029233 Facility Name: Bear Lake Reserve county: Jackson .Month: September Year: 2019
Flow Measuring Point: ❑ Influent 23 Effluent ❑ No Flow generated
Parameter Monitoring Point: ❑ Influent O Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code ---�
60060
00310
31616 :'
00610
0062Q,, '
00400
00530"
00076
81`636,
C0600
CQ665 `
A
m
o
Q Etd
�.
c
1- v�
O
p
„GPD";`
LO
O
m
c��0
m.:a
u
E
E
2
a
�.
0 c
E.m
Sl3
a
0
rr-:z
�
O
_ c
O)C
0 0 0
ti
ra
C' C
0 &: 0
3-ct
OC
24-hr
hrs
mg/L
#1�900;tnt'
mg/L
mglL'";''
su
mg/L
NTU
; niglL '
mglL
mg/� `
1
2;300
0.7
2
holiday
H
-2;3Q0 ` �<
H
0.75
3
05:00
1
2�30p'.
7.23
0.67
4
05:15
10`�
7.2
0.71'
5
08:00
1
1,500.
7.19
0.83
6
06:00
1
7.16
0.88
7
0
0.9
�.
8-
0.8
9
05:30
1
7.17
0.81
'
;
10
10:30
1
.;3300 .<'
3.4
2 .;
3.5
101-;r
7.19
64:
0.61
3.91;.'_
14
2
11
07:00
1
7.22
0.57
12
10:00
1
p.
7.2
0.59
13
05:30
1
; 0
7.21
t� `
0.6
14
13Q0 ''
0.75
151e30'0
0.7
16
05:30
1
1300
7.18
0.84
17
06:30
1
0
7.15
0.89
18
05:30
1
Q
7.16
0.77
19
06:00
1
7.14
_
0.72
20
05:00
1
.2;000'
7.19
0.81
21
p .
:.
0.85
22
p
0.87
23
05:30
1
p ,
7.18
0.9
24
06:30
1
1Q0t?.. s�"
< 2.0
v1, .,
< 2.5
$ 3 ."';;
7.17;,<
2.5 .. "
1.02
cOr90� ,;
7.81
2.i `".
25
05:30
1s300.,''
7.19
` ,
0.92.
26
06:00
7.16
0.95
27
10:00
1
0
7.17
0.9
28
1.400
0.95
29
0.99
-
30
05:00
1
1;4 5
7.2
1.1
31
a
s.
Average
90
1.70
1.41, .
1.75
a9 20 ` `
: 3 20 .:: `
0.81
10.91
2.05'
Daily Maximum
: 3600<,
3.40
`2,D0, """�
3.50
1'0:10.;�-
7.23'640
","
1.10
",91
14.00
2.10`'. -
Daily Minimum
=(1
2.00
1
2.50
,8 30 i'
7.14
. ;-25p
0.57
7.81
2 06,
Sampling Typect�rdgr,:°
Monthly Limit.
S;e0::P_ rra'>t
Composite
10
Graff ; :,
14
Composite
4
Ovmpo$►t!
Grab
04fiposite
5 `"
Recorder
-
Daily Limit:
15
25-
6
6-9
10
10
Sample Frequency:
Continuous l
See Permit
See, P6rmitj
See Permit
See, Permit
5 x Week
' SeB.0 rMit"
Continuous

FORM: NDMR 08-11 'NON -DISCHARGE MONITORING REPORT (NDMR) Page Ili
Sampling Person(s) Certified Laboratories
Name: Michael Beck Name: Environmental Testing Solutions, Inc.
Name: Name:
Does aiu 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 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 NDMR? ❑ Yes 121 No Phone Number: [phone] Permit Expiration: 10/31/2019
V
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 Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

"� C�xn.� r3r�h lu`�11PI�3-J'tIGJEti Puri
y_�
-- - i-7-- — C—c»—
,_JQi �- �1, C 6JC -
r 1
sr---.
o D
_ J—b ::N-goo
to C1�c I; Cf1?
�:n��;•,��;dr�0�� r�b�i77r? i

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 of r
[D Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the ,4ites? O Compliant ❑Non -Compliant
Was a suitable vegetative cover maintainedion 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? (] Compliant ❑Non Compliant
Weirs 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 reasons) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
nniinn(c) 4.hcn Aff—k _k,... _ :c---_-___.
Operator in Responsible Charge.(ORC); Certification II Permittee Certification
ORC: Michael Beck
Certification No.: SI-991669 WWIV-7930
Grade: SI WWIV Phone Number: . [phone]
Has the ORC changed since the previous NDAR-1? ❑ Yes p No
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee:
Bear Lake Reserve
Signing official: Robert Barr
Signing Official's Title: Signatory
Phone Number: [phone] Permit Exp.: 10/31/19
V vw/�� lq_3ql� -
Signature Date
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 Mail Service Center
Raleigh, North Carolina 27699.1617

' 1 VI\IVI. IVLpru X.I VU-11
r
Permit No.: iWQ0029233
Did irrigation occur
at this facility?
0 YES ❑O NO
Weather
'Freeboard
a
0
1•
(4)O
`°
`G
C d
a so
C
E.
w
cc
E
CL
G
Q.
OF
in
ft
ft
1.
_2
3
PCk64
0
15
8
4
. C
0
15
85
C
0
15
8
6
CL
0
15
8
PC
58
0
15
1 8.5
C
68 '
0
15
8- 5
C
67
0
15
.8.5
C
66
0
15
8.5:
C
64
0.1
15
8.5
C
61
1 0.7
15
9
PC
65
0
15
9
C
64
0
15
9
R
60
0.1
15
9
PC
52
0 1
15.
9
C 57 1 0 1 15 9.5
C 60 0 15 9.5
C 59 0 15 9.5
C 61 0 15 9.5
C 68 0 15 10
PC 61 1.3 15 1 10
Monthly Loading
12 Month
NUN-IJISCHARGE APPLICATION REPORT (NDAR-1)
Facility Name: Bear Lake Reserve County: Jackson
n ♦ Yj ,.: �. ' }.
Area (acres):
EEL
„i ryr�i
y
k�
NO' • �.
o�u�SLFI
Fly -Tim
1 1 1
,t�tk1'40
T�
�
M DE
�E
E
W i'J
r D_ g
iii
Wlrlrllllll
1 1 1
�GF-
1i °
1_.D ED
�@�-11111
1D_'tIQ j��
1 11
1 11
�E
G ° °
Lr'� E
�[ENI
° °
1. ;LNt kl
U"-@.-.IT]
��
1 1 1
1 1 1
f @' @ °'
1
MIN
Page G of,
Month: September
Year: 2019
Field Name:
H
Area (acres):
0.53
Cover Crop:
Mature Forest
Hourly Rate (in):
0.05
Annual Rate (in):
77.317.7
Field Irrigated?
❑ YEs O No
Q
� .
_E
~ I
�v
� -j
E»
j
b0
Q `
gal
min
in
In
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
'
0
0
0
0
0.00
0.00
0.00
0.00
0
0
0.00
0.00
Q
0'
0
0.00
0.00
b .
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
'
0
0
0
0
0.00
0.00
0.00
0.00
n'
0
0
0.00
0.00
0
0
0.00 .
0.00
0
0
0.00
0.00
0
0
0
0.00
0.00
0 v
a
0
0
0.00
0.00
0
0
0.00
0.00
Q
0
0
0.00
0.00
0
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
Q
0
0
0.00
0.00
0
10
0.00
0.00
'
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
1 0
0.00
0.00
0
0
0.00
0.00
0
0
61.51.
0.00
.0.00
0
0.00

FORK ,NDAR-1 08-11 NON4—DISCHARGE APPLICATION REPORT (NDAR-9) Page Z �of
Did the. application rates exceed the limits in Attachment B of your permit? a Compliant ❑Non -Compliant
Were adequate_ measures taken to prevent effluent-pohding in or runoff from the Sites? 0 compliant ❑Non Gomullant
Was a.sultable vegetative coder maintained ohill sites as specified in your permit? o Compliant ❑Non compnanl
Were all setbacks listed in your permit xmaintapned for every application to each permitted site? O Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the.specified freeboard heights in your "pelrmit? . o Compliant , ❑Nun 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 thrand describe the'corrective
ae#innlcl plianbe
f.lr Aff-1, . AAHi--- b.d... &- s _
Operator in`Responsible Charge (OR0 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-17 ❑ Yes O No
Phone Number: (828)' 251-1900 Permit.Exp.: 10/31/19
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
a
with a system designed to assure that all qualified personnel properly.gathered and evaluated the information submitted. Based on
inquiry of the person or persons Who manage the, system, or those persoris: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
Rbileigh;'North Carolina 27699-1.617

SeptemberFacility Name: Bear Lake Reserve County: Jackson Month:
F Gi'L•1C] Glu - -- C��i uP7„� ui
Cover Crop-r (�c3�a�Cc -r Il�,l,� —1
-Cover Crop:
�n..,.,�47'(�� 1 1 �L-��flfln�Ua1411�kr
�r-I.�U.:L���wF�l�JO��(}:00 —� 1 �IA�A�l��n1t-S��r,��'+_�_ •��.'Z�/��.IM
�iiyL_� P4:t. O i;r.—� ■ O • L U i �Ail%j lY �:iti ■ �a Y �— O ibii �f
b
��� �Cr►�ru _)C�— era C _ �� �®�� (�r� �C-��ra--- f — cb-_�L= �� �®I
�-_ �—�0�:1���_=�� __� I C � o0 1 11 / 11 L= o __ ion_ _� o o =-►� ---a-° �--� oo�
,__ _ o= —io _ 1_I o �,�-0 01. 0■0 111 111 � _ � � --poi 1 � o�C � • a J�ooi
011
0
n —
22
23
24
25
=
="'Ltr vr_ J s�s•��'l'i�'l'a l --�U1 —�"� l�e1W.JrLrLo,;_uJ_
.0 �00 L_U00_�o� 1 .1
L- G RT iO 1 1 1

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION; REPORT (N®AR-1)
Page of
Did the application crates exceed the limits in Attachment B of your permit?
o Compliant ❑Nor. Compliant
Were adequate measures taken to prevent effluent ponding in or runoff.from the sites?
o Compliant ❑Non -Compliant
Was Ea Suitable vegetative cover maintainer, 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?
a compliant ❑Non -Compliant
Were all freeboards maintained in acco'rdann ce With the Specified freeboard heights in your permit?.
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
action(s) taken. Attach additional sheets if necessary. ,
o Compliant El Non -Compliant
the non-compliance and describe the corrective .
Operator in Responsible Charge,(ORC) Certification Permittee Certification
ORC: Michael Beck
Certification No.: SI-991669 WWIV-7930
Grade: SI WWIV Phone Number: [phone]
Has the ORC changed since the previous NDAR-1? ❑ Yes p No
Signature Date
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge.
Permit Exp.: 10/31/19
/Z)
V 1f
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.
Permittee:
Bear Lake Reserve
Signing Official: Robert Barr
Signing Official's Title: Signatory
Phone Number: [phone]
Mail Original and Two Copies to:
Division of Water Quality -
Information Processing Unit
1617. Mail Serdice Center
Raleigh, North Carolina 27699-1617

'rvntw, rvunrt- t vo- t t
s
Permit No.: WQ0029233
Did irrigation occur
at this facility?
❑ YES O NO
Weather Freeboard
as ;� c •�.
c w °
o CL 'a c �
m 4L N M a
a oM
un
°F in ft ft
PC
64
0
15
8
C
67
0
15
8
C
70
0
15
8
EL
65
0
15
8
PC
58
0
15
8.5
C
68
0
15.
8.5
C
67
0
15
8.5
C
66
0
15
8.5
C
64
0.1
15
8.5
C
61
0.7
15
9
PC
65
0
15
9
C
64
0
15
9
R
60
0.1
15
9
PC
52
0
15
9
C
57
0
15
9.5
C
60
0
15
9.5.
C
59
0
15
9.5
C
61
0
15
9.5
C
68
0
15
10
PC I 61 1, 1.3 1 1-5-J 10
12 Month Floating Total
NON -DISCHARGE APPLICATION REPORT.(NDAR-1)
Facility Name: Bear Lake Reserve
County:
t�
����
771
CJ
BE
JM�M�_t
1 11
1 11
�t
0 O0,',{
,!hi.�D�vv
7)it.00
vv
1 11
1 11
t 0 QO
L-'D49 ",
v1
1 11
1 11
v
��„
_aO�DD :y
4�y'Dyo�vv
1 11
1 11
rt
-III■
ib � r D D 0
�� 0 �8 I�
vo
1 11
1 11
L 0
�kwn+00
_�rL
..vAQ,O ��I�
1
1 11
1 11
1�0
OD
4 tl0vv
1 11
1 11
Mill
f�6
{jJIM
00i1
Page 41- of,�,-
Month:
September
Year:
201
Field Name:
R
Area (acres):
0"7
t
Cover Crop:
Mature Forest
Hourly Rate (in):
0.05
Annual Rate (in):
77"6 / 7"8
o
Field Irrigated?
❑ YES
O No
o
a a
IVCL .9
-ii v
E �
J
� _
n
gal
min
in
in
0
0
0.00
0.00
}0
0
0
0.00
0.00
0
0
0.00
0.00
'
0
0
0.00
0.00
00
0
0
0.00
0.00
l
0
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORt(NbAIZ-1) Page, of
lid the application -rates exceed the limits in Attachment B of your permit? o compliant El Non -Compliant
fore adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑ compliant ❑ Not, Compllant
Vas a suitable vegetative' cover maintained on all sites as specified in your permit? 2 Compliant ❑ Non -Compliant'
Vere all setbacks listed in your permit maintained for every application to each permitted site? o compliant El. Non -Compliant
Mere 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 explanatioh.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 Bar[
Grade: SI WWIV Phone Number: [phone]. Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? ❑Yes 0 No Phone Number: [phone] Permit Exp.: 10/31/19
N"
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 myknowledge 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

EMU E
rc 10,
99
1
cam' �E T IC °'A}_
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i 1.56
.o)

FORM: NDAR-1 08-11
MON-DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
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?
10 Compliant
❑ Non -Compliant
El Compliant
❑ Non -Compliant
Q Compliant
❑ Non -Compliant
0 Compliant
❑ Non -Compliant
Were a9l freeboards maintained in accordance with the specified freeboard heights in your permit? ID 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
ORC: Michael Beck
Certification No.: SI-991669 WWIV-7930
Grade: SI WWIV Phone Number: [phone]
Has the ORC changed since the previous NDAR-1? ❑ Yes O No
Signature
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification -
Permittee:
Bear Lake Reserve
Signing Official: Robert Barr
Signing Official's Title: Signatory
Phone Number: [phone] Permit Exp.: 10/31/19
Date 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 Water Quality
Information Processing Unit
161.7 Mail Service Center
Raleigh, North Carolina 27699-1617

K UU-1 1 NON -DISCHARGE MONITORING REPORT-(NDMR) C-If _�3 Page of
Q
P, 29233 Facility Name: Bear Lake Reserve County: Jackson Month:, September Year: 2019
PPI: 001 Flow Measuring Point: L1 Influent 2 Effluent El No flow generated Parameter Monitor [21 Effluent El Groundwater Lowering El Surface Water
J�ng Point: 0 Influent
Parameter Code 10. 00310 1161 00610 00400 00076, C0600
,41.1 e
qpoosc
0
co
0
E
10,
0 0
0
P 0 E
6 CL
L)QQ
Q tea' z
0
0
24-hr I hirs in NTU ..,G.PE mg/L I/I 60i mg/L Su
mg/L _g1L
0.7
H 2 holiday 0.75
H
3 05:00
7.23 0.67
4 05:15
7.2 0.71
7.19 0.83
6 08:00 1
7$002 j
6 06:00 1 1
7.16 0.88
7 0.9 6,
8
0.8
9 05:30
7.17 0.81
10 10:30 1 3.4 3.510 7.19 0.61 14
7.22
11 07:00 1
0.57
.2 j
7 0.59.
12 10:00 1 A;
13 05:30
7 21' 0.6
14
0.75
16 1,3000:7
16 05:30 1 1`300 0.84
7.18
17 06:30 1 5� 0.89
7.15
18 05:30 716 0.77 11111..
A4,
19 06:00 1 7.14 0.72
20 05:00 1
0.81
7.19,
21
0.85
22 g­
0.87
7.18
0.9
23 05:30 1
24 06:30 1 <
.02 -A
< 2.0 2.5 7.17
7.81
25 05:30 1 777-7,
0 0.95-
0.92
7.19
26 :06:00 --i . ... 7.16
27 10:00 1 7.17 0.9
28
0.95
29
0.99
7-
30 05:00 g,
7
7.2
31
777
Average: 1.70
1.75 0.81
10.91
Maximum:
14.00
Daily M 3.40 '�'­2'1 7.23 10
�q� 3.50
rNUM
VQOO
d2
Minimum:
7.14
C
4,
).57
00
Daily Minimum- 250 ��in,
10 7.81
g]
Composite :4 5
Type:
I Lim
it:
Composite �14,qm _pos
Sampling Type: Ra-o*` Grab Recorder
y Im
Monthly Limit: 10 h4 4
77,71
10
6 11, 1". I'll Daily Limitq. 15 7_7 6-9
sY
,
Sample Frequency: See Permit tSee Permit Po 5 x Week �$ee;Rem�it Continuous

FORM:'NDMR 08-11 y w, y: t: a> .NON=DISGHARGEi MONITORING-REPORT'(NDMR)
Page G of
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? o compliant: ❑ Non -compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not incompliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
Operator in Responsible Charge.(ORC)-Certification
Permittee Certification
ORC: Michael Beck
Permittee: Bear Lake Reserve
Certification No.: SI-991669- WWIV-7930
Signing Official: RobertBarr
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.
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