WQ0029233_Monitoring - 10-2019_20191122

NUN -DISCHARGE. APPLICATION REPORT (NDAR-1) Page of (1i
W00029233 Facility Name: Bear Lake Reserve County: Jacks n Month: October Year: 2019
Did irrigation
occur
�PM �)eld N'a►ne
,
A= �.
Field
Name:
B
`Field Name
C
Field
Name:
D
Area (acres)
0
67
Area
(acres):
0.84
Area (acres)"
0 82 ;,
Area
(acres):
1.26
at
this
facility?
U d a !rt
nCoverNCrop
R
Mature
Forest
Cover
Crop:
Mature Forest
Cover Crop
Mature Forest `
Cover
Crop:
Mature Forest
❑ YES
O No
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Hourly
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n)�;70�5�1'7
n
;�
Annual
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�72�5172
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Weather
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Fie d`j%rig
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] Nq
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O No
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L
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1 63 :"
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-
1,56
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
ZCompllant El
F Compliant ❑ Non -Compliant
Compliant ❑ Non -Compliant
2/compliant ❑ Non -Compliant
L.YCompliant ❑ 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 ho.' "' 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? p yes p No
Phone Number: [phone] Permit Exp.: 10/31/19
r
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

c-I l NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page --- 01--__
P)p rWQ0029233 Facility Name: Bear Lake Reserve County: Jackson Month: October Year: 2019
®Id irrigation occur
Field Name:
F�elrt
Field Name:
H
p
�R�
Area :
acresrea
( )
0.95
i, i
�iGr�
A (acres):
0.53
at this facility?
�ie1��Crdp i
ia7
Cover Crop:
Mature Forest
,3MafUreFo(esf
Cover Crop:
Mature Foresti�i
Correll Croai
1uNtatRl
rre' p �t ' '
❑ YES ❑ NO
"tz Hott�'i�afe (�nj
T� 0'b5 ,
Hourly Rate (in):
0.05
t�uy"!e'"{ n3
�� aer , �xd fii
r p�05�
Hourl y Rate (in):
0.05
°tom; �1rI0
2 l�70
Annual Rate (in):
73.917.4
y t}rfn�IRa (�rtj
63�6�6,3 ,
Annual Rate (in):
77.3 / 7.7
!hleather Freeboard
k�'y4c F & Ay -
26 k i f
�SJR
Field Irrigated?
❑ Yes
p No
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y i� ti r S
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p „
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12
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z �jp��=
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0
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'""

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 freeboardheights in your permit?
Page
pliant ❑ Non -Compliant
Compliant ❑ Non -Compliant
L160mpliant ❑ Non -Compliant
2`Compliant ❑ Non -Compliant
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: (828) 2 1-1900 Permit Exp.: 10/31/19
II 22 is
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-ulb( lF1AKUh APPLICATION REPORT
(NDAR-1) Page _ of
W00029233
Facility Name: Bear Lake Reserve
County: Jackson Month: October
Year: 2019
id irrigation
Field Name: K
Field Name M Field Name:
N
occur
g7.Arsa
at this facility?
(acres)§
�`k
' ` , 0 85
k Area (acres):
0.99
Area cres "
y r )
r " 0 52
Area (acres):
0.58
Cover Crop
, °Mature Forest'
< Cover Crop:Mature
Forest
Gover'Cro" P
s Mature Fo`rest,., `
Cover Crop:
p:
Mature Forest
❑ YES O No
Hquy"Rate (m}�t`
;Q 05 ' h
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0.05
Hpurty:Rte (�n)
0 Ob a
Hourly Rate (in):
0.05
Annul'Rate (iri)
p
980 0 ! $ Q
o
Annual Rate (in):
71.0 / 7.1
nAnnual°Rten�A'6ti
8 / 8 7
Annual Rate (in):
60.2 / 6.0
Weather
Freeboard
Mid lrr atetl7
p YE53 f �o }„
Field Irrigated?
❑ YES p NO
Field}Irrigated?
�p YE5 1�1 N0
Field Irrigated?
❑YES p No
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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?
7Page�mplianon-Compliant
Compliant ❑ Non -Compliant
Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? g,.'mpllant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑ C pliant ❑ 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: MichaelBeck
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-I?' ❑ 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

001pp_4P_:_4__
o-" NON -DISCHARGE APPLICATION REPORT (NDAR-1) Pageof
W00029233
Facility Name: Bear Lake Reserve
County: Jackson
Month: October
Year: 2019
ak t�ieid Name,
i7
Field Name:
P
fi®Id Nance
Q ,;
Field Name:
R
Did irrigation occurp�5
b�
Area acres .
( )
1.1
' f aArea acre"s
{ )
043r„
Area (acres):
0.7
at this facility?
`v �a �CoVer Crop
" Mature Forest
Cover Crop:
Mature Forest
Cover Crop
A Y
~Mature Forest -
Cover Crop:
Mature Forest
❑ YES p No
�i F( y Rate m
p 0 05 ''
HourlyRate(in):
0.05
Ho r Rdta in
Hourly Rate (in):
0.05
";, Annua:Ratei{iri) °
-,
78 6§/7
., .,.� � ,,, "•,• �
Annual Rate in :
( )
80.7 / 8.1
4 Annual Raier(tri)
��8 8;7 -
Annual Rate (in):
77.6 / 7.8
Weather Freeboard
e ' FieCdrrlatec!?
rCYES a ,� �'NO
Field Irrigated?
❑ YES ONO
Field {rrigatOd7
YES C) iVo `
Field
Irrigated?
❑ YES O No
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12 Month Floating Total
(in):
1.48

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page
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?
Compliant C3 Non -Compliant
E Compliant ❑ Non -Compliant
.pileompliant ❑ Non -Compliant
❑ pliant ❑ Non -Compliant
ompllant ❑ Non -Compliant
If the facility is non -compliant, please explain iti 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
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

iNON-DISCHARGE APPLICATION.REPORT(NDAR-1) Page Hofo.:9233
rWQ
Facility Name: Bear Lake Reserve County: Jackson Month: October Year: 2019
Did irrigation occur
Fi®Id'Name
° ; S
Field Name:
T
Fi®Id Name
U' M
Field Name:
��tArea {acres}
D'92
Area (acres):
0.61
Area (acres)
x 0 58
Area (acres):
at this facility?.�
Cover Chop
;A aNtature Forest
Cover.Crop:
Mature Forest
Cover Crop
Forest
Cover Crop:
4Mafure
❑ YES EI No
Hourly Rate (i)�
' 0 05
Hourly Rate (in):
0.05
; Hourly�',Rate (fn)
r ` 0 05
Hourly Rate m ;
y (' )
.. Annuat� Rate (m�
�' 67 4ti"/E67
Annual Rate m
( ):
73.5 / 7.3
AnnualRate'
° a 95 Q/�9 5
Annual Rate (in):
�fn)
=
Weather
Freeboard
` Flelil lfrigated�
C] 5 ` q ryO� iT,
Field Irrigated?
❑ YES O N0
Fle�lc( lrrigtit
LJ C�'No
Field Irrigated?
❑Yes ❑
:7
1�E5
No
T
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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?
i
Was a suitable vegetative cover maintained; on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for eve a I' t' t h
Page
❑ C� pliant ❑ Non -Compliant
Compliant ❑ Non -Compliant
Compliant ❑ Non -Compliant
ry pp Ica Ion o eac perm) a site . ❑ Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance With the specified freeboard heights in your permit? ❑ Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-corfipliance 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
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-ul,l:tlAKUft MUNI I UKING REPORT (NDIAR) Page _(,,p of
W00029233 Facility Name: Bear Lake Reserve County: Jackson Month: October Year: 2019
PPI: 001
Flow Measuring Point: ❑ Influent O Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent t2 Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code -�
St)Q5p
00310
31618
00610
40B�O ,r
00400
=00530'
00076
816.39
C0600
C0665;;,
c
10
H (q
0
,r III
E
G
O'.i�
Y..
O O O
0
o
�s
z
s
_
24-hr
hrs
f t?D , "..
mg/L
#/100 tnl
mg
mg!! .,
su
m
NTU
mg/L
mglL
1
5:30
1
�� i:Q >
�, =r''t�
7.18
1.01
2
05:00
1
3 800 ,
7.22
0.48
3
06:30
1
1it700
<2.0
<10, :'
37
?128`„_
7.19
�25;,
0.49
484,:;:
17.6
25
4
05:30
1
0 _
7.17
0.52
5
000,0.5
6
0.45
7
05:00
1
1000..
7.2
0.46
8
06:00
1
7.16
0.44
}
9
07:00
1
0
7.15
0.4
;
10
05:00
1
0
7.18
0.43
11
05:45
1
7.21
0.5
12
0.55
a
13
1fi00 ,'
0.44
14
05:00
1
1;600�
7.24
0.38
15
05:00
1
0 " _
"�.. ,
7.22
0.41
F `
16
05:30
1
_
7.19
40
r
17
05:30
1
,"o
7.18
0.36
18
05:00
1
500=
7.14
0.39
19
2 500
n
0.42
20
2,800-
0.47
x
21
06.00
1
2tD0 ,
8.21
0.42
"
22
05:00
1
=0
"� k .�
7.2
0.44
23
08:30
1
0
7.17
0.41
24
05:00
1
410Q, '.'
FE "
7.16
0.47
25
05:45
1
Q
^,
7.18
0.45
26
3QbD�
"
•0.4
27
3000
0.41
28
06:00
1
r3�j0'0
7.23
, ' s �;
0.34
29
11:30
1
115 9Q a
3.9
Z..., :
2.6
;239 ;;
7..20
0.44
26.5
4.1
30
05:00
7.19
0.43
31
05:00
1
7.21
0.39
Average
1,377 `.
1.95
2 65
3.15
18 35
2.15
0.44
3 "51'
22 05
30
Daily Maximum
4,70D ';
3.90
7,00.','-
3.70
7.
:23 90 *;
8.21
430 , _
1.01
4.84 , "
26.50
4 10..
Daily Minimum
0,
2.00
;. 1 00
2.60
12 80
7.14
2 50 `,
0.34
; 18''..,
17.60
Sam lin Type:
Sampling Yp
"'
Recorder ;Composite
,Grak+'° "Composite
Composite
Grab
Cdrtiposite'
Recorder
--
Monthly Limit.
See•i'errnit
10
1.4
4
_
5
„
Daily Limit:
15
25, : -
6
g_g
jf) r.,
10
Sample Frequency:
Continuous
See Permit
Seal Permit
See Permit
`See Permit
5 x Week
See•:Permit
Continuous

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDIVIR) 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? 121 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 I] No Phone Number: [phone] Permit Expiration: 10/31/2019
Signature Date
By this signature, I certifythat 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

• vv- a
Wu
_tNo..
Q0029233
Did irrigation occur
at this
facility?
❑ YES
i] NO
Weather
Freeboard
C
o
�:+
.:
tm
N
CL M
p
Q
p
O
p 0
w
E
N
Ito a
CL
1­_
d
p
�ft
OF
in
ft
1
CL
64
0
1 15
10
2
CL
67
0.1
15
10
3
C
65
0
1 15
10
41
PC
68
0
15
1 10
PC
63
1 0.3
15
1 10
C
60
0.2
15
10
PC
58
0.5
15
10
PC
56
0
15
.10
C
52
0
15
10
PC
48
1 0
1 15
10
PC
45
0
15
10
R
58
0.3
15
9.5
PC
40
0
15
9.5
CL
30
0 1
15
9.5
C
39 1
1.4 1
15
9.5
R
52
0.3
15
9.5
CL
41
0.5
15
9.5
PC
35
0
15
9.5
C
42
0
15
9
PC
40
1 2.7 1
15 1
9
CL
67
0
15
9
C
62
0
15
9
R
64
2.5
15
9
Monthly Loadin
12 Month Floating Total (il
NUN -DISCHARGE APPLICATION REPORT
Facility Name: Bear Lake Reserve
Cover Crop�mcm=
Annual Rate (in):,
77-
D o o�e� aTe a
i 1-1 D,U DARE
JItnlrc
�0
NBC
1 11
1 1 1
1 1 1
lA'i1f„�"AAW'°�
inAU��1
��{00@�
�
111
111
�¢
D° °.
'ry°_ c°�je
WE
Q an JLf fk. p 1
111
1 11
° n a 71,F
�
�1
11E
1 1/
j��0.°,p
DR*
NFWM
w/1
W'
•
October
.
7- ._Field
71
Name:'
Cover Crop:
Mature Forest
-
i ,.
j',0,04JO
f }
-
1
�F
e 0 do
7�R
°.°,.r�
0 OU,
s a o off'
E,
DON-
v:k7? °
I n.0n 2�Y
o 0 0
aa�an��aa� `
Wfl[.:�alilelli
1 1 1
1 1 1
1 11 '
IO�w
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-1 it
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�.t',A,y�,•6 0,/•
�0y...�.�,k,.::r
'''SEX° l8 00

FORM: NDAR-1 08-11 N0N=DISCHARGE'-APPLICATION'REPORT.(NDAR-1) Page_. o
Did the application rates exceed the limits. in, Attachment. B of your permit? .
Compliant ❑ Non -Compliant
Were adequate measures taken: o prevent .effluent ponding in or runoff from the sites? L"J Compliant ❑ Non -Compliant
Was a suitable vegetative cover'maintained on all sites -as specified in your permit? C4mpliant ❑Non -Compliant
Were all setbacks listed in your permit maintained for every application: to each permitted:site?. I Compliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in. your permit? ICompfiant ❑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
2&i0h(S) taken- Attach aririitinnal chPatc if normec , .'
Operator in Responsible Charge (ORC)`Certification
Permittee Certification
ORC: ,•.. � Michael;Beck
Permittee:
Bear Lake Reserve
Certification No.: SI-991669 WWIV77930
Signing Official: Robe[t:Barr .
Grade: SI WWIV Phone Number: (828) 251A 900
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? . ❑ Yes O No
Phone Number: (828).251 '1.900 Permit Exp.: 10/31/19
r
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:276994617:..

County:Facility Name: Bear Lake Reserve
_ • October
1
{rI'yi!�Il1l��1_ t 1Field Name:
i — n• I:l(iCd]t!f - =l(.i
Cover C
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1_3C i 0W 1 1 /ff

FORM: NDAR-1 08-11 NON=D.ISCHARGE'APPLICATIOi1 "REPORT (NDARA) Page o
Did the application rates exceed the.limits'"in Attachment.l3 of .your permit?
"I"Impliant ❑ Non -Compliant
Were adequate measures taken o prevent effluent.ponding in or runoff from the sites? 2 Compliant ❑Non -Compliant
Was a suitable vegetative covert Maintained on all .sites as specified in your permit? D-Compfiant ❑Non -Compliant
Were all setbacks listed in your permmit maintained for every application to each permitted sited 2tomprant ❑Non -Compliant
Were all freeboards maintained in accordan,ce with- the specified freeboard heights in your permit? 4e 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
. "nr.tinn(s1 takan Cffnnh AAi+-1
Operator in Responsible Charge (ORC) Certification, : Rermittee 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: (828) 2 1-1900 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
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 responsiblefor gathering the information, the
information submitted is, to the be'st`of. my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties.for submitting falsednformatton; 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:ServI a Center
Raleigh"'"North Carolina 27699.-1617

Area (acres): rT
Annual-
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1.57

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION,.REPORT: (NDAR=1) Page 790
Did-the application rates exceed the limits .in Attachment B of your permit? ompiiant ❑Non -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?53 Compliant ❑Non Compliant
Were all setbacks listed in .your permit maintained for every application to each. permitted site? g eompfiant ❑Non -Compliant
Were all freeboards maintained in' accorda.6ce.vdith the specified freeboard heights in your, permit? ❑ pliant ❑ Nan -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 -corn niinnnp anri riperrihm Oho nnr— i—
Operator in Responsible Chargb`(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 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 th6,system, or those persons directly responsible for gathering the information, the
information submitted Is, to the.best.of mgknowledge and belief, true, accurate, and complete..) 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 Quafi4y
Information Processing Unit
161.7. Mail Service:Center
Raleigh, North Carolina 27699=1617

Facility Name: Bear Lake Reserve County:
--- Ur�� 4lr°��`ll�i'1� •._L4 . .,.� - ��f71� Jackson
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EaPOE
IE
^J�`•-

FORM: NDAR-1 08-11 NON-DISCHARGE'APPLICATIOW;REPORT:(NDDAR-'I) Page o
Did the application rates exceed the limits in Attachment l3 of our permit?,
y p Compliant ❑ Non -Compliant
Were adequate measures taken fo prevent efffluent'ponding in or runoff from the sites? 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,maintall ed for,every application to each permitted site? El pliant ❑ Non -Compliant
Were all freeboards maintained in accordance_ . with the specified freeboard heights in your permit? l ompllant ❑ 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 dP.qndhP the enrmnfi a
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 21 No
Phone Number: [phone] Permit Exp.: 10/31/19
be
Signature - Date
Signature Date
By this signature, I certify that this report is accurrata 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.mariage the system, or those persons directly responsible for 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 Caroll'na'27699-1617

PMMit.No.: WQ0029233 I
Itt)-wammoml
7
W WOO-1 I
IN I If
-iDs
�EMDIEII MAE
-71�E-73- LL M
i� FEM K]

FORM: NDAR-1 08-11
NON-DIS.C-HARGE`APPLIcAT.!oW!'R'EPOR-T. .(NDAk-4) Page'-'
Did theapplication rates exceed.the limits in Attachment:13 of your permit? 'Pliant [Ell Non-Complia lic rn rit
Were adequate measures takenloprevent : effluent ponding in or runoff from the -sites?
Ptompliant 0 Non -Compliant
Was a suitable vegetative cover maintainedon: all sites as specified in your permit?
E3 Compliant 0 Non -Compliant
Were all setbacks -listed in your.peninit maintained ',f6r'e'very application to, each permitted'site?
C3 Compliant El Non -Compliant
Were all freeboards maintained -accordance with the specified freeboard; heights in yo"ur. i pi ermit?
0 Compliant 0 Non-Compliarit'
If the facility is non -compliant, please explain.. in, the space be[ow the reason(s) the'facility was not in cnnirinlianrA PmvirI,-_invniir=vnInn*.f1A. . fk- �f
Operator in Responsible Charge
::(ORC)' Certification Permittee Certification
ORC: Michael Beck
Permittee:
Bear Lake_ Reserve
Certification No.: SI-991669 WWIV-793'0 Signing Official: Robe rt Barr
Grade: Sl WWIV Phone Number: 251-1900 Signing Official's Title: Signatory:
Has the ORC changed since the previous, NDAR-1? El Yes 9 No Phone Number:
251-1.900'.. 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, Linder penalty of law, that t
I . his document and ;kit attachments were prepared under my direction or supervision In accordance
with a system designed to assure that.all quialified personnel properly gathered and evaluated the information submitted. Based on, my
inquiry of -the person or persons who manage tfi6.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 submittinj�false'16for.mation,,Inclu.ding the possibility of fines and Imprisonment for knowing violations.
Mail Original and Two Copies to:
Division -of Water Quality
Information Proces * i sing Unit
1617.-Mail Service Center
Raleigh, -North Carolina 276$9-1617

!Q200292L33�'
NON -DISCHARGE MONITORING REPORT (NDMR) +� - Page
� of
PP
Facility Name:
Bear Lake Reserve
county:
Jackson
Month: October
Year: 2019'
001
Flow Measuring Point: ❑ Influent 2 Effluent ❑ No flow generated
Parameter Monitng•Point•
❑ Influent 2 Effluent ❑ Groundwater Lowering
❑ Surface Water
Parameter Code --0
50050 - "
00310
3161B
00610
00620
00400
U0530
00076
' CO600
C0665
c
OAU
\
E
E °'
c
o
�a
oS
>.
¢
=
CL
,
24-hr
hrs
GPD !
mglL
#/10d t»L<';
mg/L
fng/L
su
mg/L
NTU
mg/L
1
5:30
1
:<
7.18
,.,.;
:i
1.01
q
2
05:00
1
3;800 :,
r .
7.22
"
0.48
3
06:30
1
1OD0
< 2.0
3.7
12 8f
7.19
0.49
�4'$4
17 6
2
4
05:30
7.17
0.52
0.5
6
1;000
%�
0.45
7
05:00
1
1, 000
,
7:2
0.46
8
06:00
1
❑
*
7.16
0.44
,.
g
9
07:00
5
7.15
0.4
'r
10
05:00
1
0
7.18
0.43
11
05:45
7.21
0.5
12
0.55
13
0.44
Pi
�
14
05:00
1
1t300
7.24
0.38
15
05:00
1
7.22
a f.:
0.41
s
16
05:30
1
D'
7.19 '
40
17
05:30
1
0:
7.18
0.36
7777
18
05:00
1
500
""
7.14
r
0.39
u ,77-7777
19
R,5,00
t
0.42
20
2,60D
0.47
21
06:00
1
2,6Q0,''
8.21
0.42
_77-
22
05:00
1
0;'
7:2
' a<
0.44
n.
23
08:30
1
7.17
0.41
s
24
05:00
1
7.16
0.47
25
05:45.
7.18
0T
45
26
$1000
r R:
dt
r
27
3 000
Y
0
28
06:00
1
31.00f4`�
7.23
0
29
11:303
9
7
2.6
«23=
7..20
43
08"
-'
26 5
4
30
05:00
1
4�`
�1 �' a
7.19
0.43
31
05:00
7.21
'
0.39
Average:
1,377
1.95
2 65
3.15
0.44
22.05
Daily Maximum:
4;700q
3 90
7,00 .:
3.70
k ,.ri23"90
8.21
�f30"
1.01
4 84.'.;
26.50
Daily Minimum:
0.
2 00
1 00
2.60
12 80x '
7.14
2 50
0.34'2
18 `
17.60
Sampling Type:
RecQW
Composite
`, Giab
Composite
rCvinpoarte
Grab
Composre
Recorder
Monthly Limit:
See Permit
10
14,'
4
r
5.
Daily Limit:
15
25
6
6-9 .
10
10
Sample Frequency:
Continuous`
See Permit
See Pgrmit
See Permit
S46POrmib
5 x..Week
18be.Pdri
Continuous
;

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 meet1he requirements i.n 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
raKen. Anacn aaamonal sneets IT 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 I] 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