WQ0029233_Monitoring - 11-2019_20191227

-1 ud-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of��
o.: W00029233
Facility Name: Bear Lake Reserve
county: Jackson
Month: November
Year 2019
idirrigation occur
at this facility?
❑ YES ❑ NO
a.mK dk ii'{�A" i
F eld dame " ,R ��
�`� '�'
Field Name:
B
1@ t �. i�m� e o
�e d� amen G *
w � �"'
Field Name:
D
R�.1. Mar rn i` c L v'
rtAre'° ' c es 6 67 "� '
Area (acres):
0.84
ur3'.4 t
a (ac es) w't 0 82 �'
Area (acres):
1.26
+�CoV9�r Cu%eFoXe
Cover Crop:
Mature Forest
CoveCrop M t ire Foree ?
Cover Crop:Mature
Forest
HcRa��On 05� i'
i
Hourly Rate (in):
Y ( )
0.05
} ' Ho[r1` Ftta a n'05 y
(h. )
Hour ly Rate (in):
0.05
ni �( 05OP
Annual Rate (in):
85.7 / 8.6
Annual Rate (in):
69.6 / 7.0
Weather
Freeboard
Fie)r�rl"6�a�d?�
a1ia�
�Oe
M g, r ,E
Field Irrigated'?
g
❑ YES ❑ No
Flel Sri'" ate�7
�,,�� awm�gs�nw a�
''IrESx�> p-
a .a i �� a =^+
Field Irrigated?
g
El O NO
L
«
a
a CL
°
z
Ca)
TE_-p
o
a Ec
ov a
rn
:Ec
m-tc
o
E d
m°
a,c
E of
c
x o Ma
F
in
ft
ft
;" a
9 �
Mr�n� Jn
r ,t , ,lr�
. �D,.
gal
_min
- •In_-.�-
- i s �An
a
� g �
min in
, t �"°�.. � �
n
1. a.-
�Wjj
I Irinin
E)T j
in
1
C
42
0
15
9
0 Ox00, .�.*t0,00
%.
D ,.
0� :,
a,9,00"
0.00
M"', e i�
0 14a0;0U r
=� O OOi`
a
I _�yZo
� .0,
0.00
2:0�rr�
3tAOt'
,
0
0:,0,00
'' „0�00,
0
0
Q
0
0.00
0.00
0.00
0.00
€0,..,
;'-9"�0: _.
0 00 '
O i r'.
0 :,0 DO
,
v 0 00 ,
.+_=
�.
0.00
'''0 _
0
0
O
b- O
0.00
0.00
0.00
4
PC
38
0
15
9
)y,,', 014-1,
0
�u40 0 .'
,�0
D0;"";`'
0
Q
0.00
0.00
W, D� '�i
0 O Df��;;
0 00�,
0 A11
) �
:._ .00
0.00
5
PC
34
0
15
9
05
0N0
0 00�, :'
0
0
0.00
0.00;0
;;
0;0 DOS ,
, O,OD
0
0
0.00
0.00
6
CL
25
0
15
9
0* ;;R
0
0,00
"0 OOs '
0
0
0.00
0.00
.„'0_, ""
Q E`.0 00
0 00', .
0 ,.,
0
0.00
0.00
7
C
40
0
15
9
y" .D'
p `' OT00„„
� 0 O0 „
0
0
0.00
0.00
0 ""^
Q 090D.
0�'' �Y
`' Q
0. d
'0.00
8
CL
44
0.5
15
9
'0°` "•
p*`0�00`O,
dO�„
0
0
0.00
0.00
0.�''
0 000
,; o*off;`.
oale
��: Q
� �ob6e
0.00
9
10"-0.
0"ro
0"0i
Q
0d ,'
'0�00
!' , 0 00 ' `
;L"�0w00,.'`:,
0
0
0
0
0.00
0.00
0.00
0.00
, 0 ,'
�' 0 ?'
0 r0 0U� ;?
Q a000 ;`"
: 0 00,;:
000
0
0
0
0
0.00
0.00
0.00
0.00
17
C
34
0
15
9
, O:�r
0
.;d 0 04 .'
aUIyQ�PO:Z
0
0
0.00
0.00
�,,,Q7 '_
Q 0,00�r r
`: 0 OD
0
0
0.00
0.00
12
R
40
0.4
15
9
.Ot r
0
OaQO+a
0;04i .E
0
0
0.00
0.00D,r,;;
��
0 �Q OO�z
, ,0-00� _
0
0
0.00
0.00
13
C
14
0
15
9
0 w-
0 16 00
���a.
0 00`r�
0
0
0.00
0.00
D':
0e.,
r 0'00 i
0
p
0.00
0.00
14
PC
25
0
15
8.5
0
±�0 g0pa
' 0 0,0 #`
0
p
0.00
0.000�
0 :'0 00 -`
`�0�00
0
0
0.00
0.00
15
CL
40
0.1
15
8.5'•D
'.
0
',SrOt00{�yC
0,00, t'
0
0
0.00
0.00;0r
Q0�00 ;.
0.00'�`
0
Q
0.00
0.00
16
0:... ,
Q ,rir0.00. „
, 0,00.,
0
0
0.00
0.00
Oa § .
0 =0 00 .,
O.DO :. ,
0
0
0.00
0.00
17
.:9
0 =' Q`0 00."�,
A0.00;;
0
Q
0.00
0.00
0 ;
0 0 ,�0��0
00
0
0
0.00
0.00
181
C
1 38
0
15
8.5
h, 0 }„
0 0 00� ',"
$0 00;
0
Q
0.00
0.00M0
0 0 DOS
0 00 =
0
Q
0.00
0.00
19
CL
41
0
15
8.5',��,0'
0 0�0�-
,*�O100 ''�
0
Q
0.00
0.00
",0>PK i
0 ',000�F
000 ",.
0
p
0.00
0.00
20
C
45
0
15
8.5
� ;�,0,,y �
Q �000 ","Y
�?;:
0
0
0.00
0.00
Oi!``
0 Oi00
`O,OD-";.'
0
Q
0.00
0.00
21
22
C
CL
33
42
0
0
15
15
8.5
8.5
0�. ,� e;
" _�
�,0' m,a °;;
0 �0�00
_, ,,,.
piO�Ot),0,00:'
0`00; ';
_
0
0
0
p
0.00
0.00
0.00
0.00
"�
, 0 -
0�„;,,
�__
0 -0y00
0 0 OO�rw
O�QO, >
,' 0 00
0
0
p
p
0.00
0.00
0.00
0.00
23
�0
0 rOD_
N 000!
0
0
0.00
0.00
0`
00 ODD;
0,00=,
0
0
0.00
0.00
24g0`siM;
25
C
30
1
15
8.5�'0,
'"
0 a,) 0 00"0
00;00� �,
00
0 00";',•
0
0
Q
0
0.00
0.00
0.00
0.00
0''
" 0,`,`� : ?
0 q 00
0 0 00 "
0�00 ...
�40:000
0
0
0
0
0.00
0.00
0.00
0.00
26
PC
33
0
15
8
Q ; Q 00.E �
�0?QO,�
0
0
0.00
0.00
0, "
Q a 00.E
; ;0,00
0
0
0.00
0.00
27
R
48
0.5
15
8(f
0�+�f
Q p�00
"D;00„ ;
0
Q
0.00
0.00
0:
0 0,00s
;�OkOD`
0
0
0.00
0.00
28
U4,01W
0 w'drd-041
MUM
0
0
0.00
0.00
�_0 . �
0 �a U 0
0 00 �
0
0
0.00
0.00
291
1
w-VIV,
0 "GM
0 a0
0
p
0.00
0.00
Z,, 0� �
0 0 OQ
0,00- x
0
p
0.00
0.00
30
i7 0'�`;',
0 Oa DO
0,00 �;
0
Q
0.00
0.00
'4` ar,, �&11;
0 O 00,1
y 0,00,;t":
0
0
0.00
0.00
31,-0'r,r
0 '0�00,4
0
0
0.00
0.00�'0„,,°`
0 "O.0:00
0
0
0.00
0.00
Monthly Loading
12 Month Floating Total (In):,63.a
2 ,0;;", ,„
Od00
0
0.00
1.56
_C011 Aa
0 ODD-'
0
0.00
1.44

FORM: NDAR-1 08-11 NON-DIS.C.HARGE'APPLICAT..ION,REPORT, (NDAR-'I) Page
Did the application rates exceed the limits in Attachment B of your permit?ET Compliant ❑Non Compliant
Were adequate measures taken to. prevent effluent ponding in or runoff from the sites? o Compliant ❑Noncompliant•
Was a suitable vegetative cover maintained on all sites as specified in your permit? dcompllant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? rt Compllant ❑ Non -Compliant
Were all freeboards maintained in accordance wltk the specified freeboard heights in .your permit. CI Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(g).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 p No
Phone Number: [phone] Permit Exp.: 10/31/19
r
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

1 1 NUN-DI5CHARGE APPLICATION -REPORT (NDAR-1) Page 6_ of _
F:O-
o WQ0029233.. Facility Name: Bear Lake Reserve :County:. Jackson ;., Month: November Year.:. 2019
*�1 ),��
Field Name:
F
F, M'h.9e
� i2tT'tt-ear �h A
Field Name:
H
id irrigation occur
Area acres
y 0, n,r� telE
Area acres
(acres):
0.95
1 s pre {acre$)5
(] €7 C " E"
E� ���
Area (acres):
0.53
at this facility?
�t
€. G rer io s.
�', I�fature For85t,"y
Cover. Crop:
Mature Forest _
g�:over Crop'
°t I titre SA se � ;
Cover Crop:
Mature Forest
❑ YES R] NO
��� . a`%iia.s,
05
,.;
Hourly Rate m
Y ( )Ci
0.05
x r� )r�
Mate th
�0 QS F
Hourly Rate m .
Y ( )
0.05
' ('()
..',
�r�l$�
RN t
q'7J
Annual Rate (in):
73:9 T7.4'
Annual Rate (in):
77.3 /7.7
Weather Freeboard
.
� F eii!° E"
NtpE)
N
� { '`
Field Irrigated?
❑ YES El NO
S Q iej) fir[(}a d?
'd'aN.. „ __L pis�,+.ryk'd,.anp9.k
1 ,Y� ` `t� k',
Field Irrigated?
❑ YES O No
m o ..^y�
o + y G
,.N,;s "`':€a.E,...a € ..,
y,("
Y4._. _v.3E rhL.•&`'lIid•rs.., s'E.C.>.v(1,
� AI iBSI i i -p^ *r ...;
qsr
°v
a� o
O
E O)a
a' R, FdrM S Six �, u`
kR1Z
T7t'
�.:'k 'f 9 •! 'A-"
UR Wt
L31
�+�'
c� o
'C
rn .
E of
V.�+ R d f0
p d C ` t7
CL r,&
>, a�»z
y
sz'a ro� �,3'�"E`d�'at,1':
� -
$ (,
Eta
�� E��( ��.:
b 3 Y E+d��..
�,°�
E Gl
-:
.�.
y ,�
E
�i
1-
a C
-a v
o
7 �. C
E 7
•X Q (Q -
'��E'_ �;
�a ��
y^y�
��"' C..
~a " Eg�'F"
�.€ ttMR lPko
E N
o
- C
c a
01 .ii
E t
i=
`a C
-
7 C
E_
0 M
x' °
s
lC (�
"§�
a
o
m x o
Im
e r
o o
o
thE'i
,
.3,
3 p 4 YRk<
l (
O
F in ft ft
E 5 y,U'b %s +i, -,: , s
;: i s '+ t E L
9 al
min
m
in
tE T ''•
,tnlaxi„x,
Ir1
gal
min
in
in
1
C
42
0
15
9
; :"1
0
9.0t1. U tIQ M
0
Q
0.00
0.00
0
E a,fH�Iv
;.E W;,
-�° Qt10°� ;,.:
0
0
0.00
0.00
2
�� .', O''.�
Q
'U
00,�,�,,fl ci0
0
O
0.00
0.00
y.,,.i3 Q0�00
0
O
0.00
0.00
33gtaE.
°
0000?,':
0
Q
0.00
0.00s.4
,,`'
0
�:
0
Q
U.00
0.00
<30 F0�3
4
PC
38
0
15
9f`
0
is(iQO.,.:_
0
0
0.00
0.00ur_s
0
,E,,i1..!? tpn0�t)
0
0
0.00
0.00
5
PC
34
0
15
9
, ,u, ` `
0
}0€
Q` ! ,
0
0
0.00
0.00
,.>} 0 0
.
i 'flw W4
0
0
0.00
0.00
. 6
CL
25
0
15
9
4 s€
EJ .,m.,.
0
b?OD,r''1'=bQt)A"
O
0
0.00
0.00*x�
0,3,j'#`�llA'€'
�s
�iQi1,0„,
O
Q
0.00
0.00
0
��00� 'if1
0­
Q
0.00
0.00
x a� O0�0
0
..
0"
0.00.
0.00
8
CL
44
0.5
15
9°�"S
Yn6 E EO€ T en 6>
0
Od7Ok.:h �S n
0
O
0.00
0.00
k.Ew.Ai..: QfIOO`,
O�tIQ
O
0
0.00
0.00
9
x0 00 _.'; U 00 r;
':
0
Q
0.00
0.00
' j 0
; 00Q, 0 0,'
4
b
0
0.00
0.00
10
"r0 ` ',
0
emu; 0 `00 F D YiO
0 •
0
0.00
0.00 "
� 0 f ._ 0
,.
>. C# t10 " " Q OE4.
.. .0
0
0.00
0.00
11
C
34
0
15
9
' {} g Syr
0
is "0 ?Q;
0
0
0.00
0.00
Sm , 0
•.
' 0 0'q,',"yl"
0
Q
0.'00
0.00
12
R
40
0.4
15
9
x a+EQ6
ar, &0r
0
QxObQ
':� �..:t13Q';
,..
..
0
0
0
0
0.00
0.00
0.00
0.00.(#"..:
.s
xa..4 0
.�
kO,pQ`a.'
Mi. 5
0
0
0
0
0.00
0.00"
0.00
0.00
13
C
14
0
15
9
14
PC
25
0
15
8.5
�' E ;04 n
Q
m
0
0
0.00
0.00
0�, ` 0L1�0ti
0 00
0
0
0.00
0.00
15
CL
40
0.1
15
8.5
0` ",1
0
0 O0 i3 00 a.
0
0
0.00
0.00
0
"" r ;
4! Obi s0 Qp
"` '0
0
0.00
0.00
16
*0
0
"b O(�,E 4S €idit E t<
0
O
0.00
0.00
? 0
Q QOEEP
0
0
0.00
0.00
17°
0
"Ij QDari,"
0
0
0.00
0.00
..,E"i
R t_
0 '. QQ
E.
00
��0
t3l 00
"1 N
0:
Q
O.00
0.00
18
C
38
0
15
8.5
0'
0
0>00 0 Q
0
0
0.00
0.00
� .:m 0
0
0
0.00
0.00
19
CL
41.
0
15
8.5Q
!
0w
��b`"j0
0
Q
0.00
0.00
U'0
_
y a�€Qtja 00(fi
0
0
0.00
0.00
20
C
45 •.
,, 0
15
8.5
0
0 OQ' a3 S30a
0
0
0.00
0.00
fi w0£,ht,r Q
{i QQ F t{ ,Q.00
0
0
0.00
0.00
21
C
33
0
15
8.560;
"° Q
;Oa000 00 ,';'
0
Q
0.00
0.00
Om_ 0j
3 0ti 00
0
0
0.00
0.00
22
CL
42
0
15
8.5
u�
MESEI��,„ Q
r y{1°QA, ` �0
0
Q
0.00
b.00a�v
v 30� <' 0
,0
�3aO LSD ODE,
0
Q
0.00
0.00
23_0
�R �Q 3���
0
0
0.00
0.00 .
MOM 0
'�� E'er' 0
0
0.00
0.00
24
t�b 0
O�".��0�'I���kI 3� �cVi �
� 0
0
0.00
0.00
� g���+� c 0
Y��xAtY V OQ 0
0
0.00
0.00
25
C
30
1
15
8.5
0
.Q
t' '
a ob 0ii ,
r0�00� 0 00 ��•
,
o
0
0
0
0.00
0.00
0.00
0.00
.
�E 0
k i# k Q
o
08 o 00 € o
4 00�" E 0 00= 0
Q
Q
0.00
0.00
0.00
0.00
26
PC
33
0
15
8fl"'r
27
R
48
0.5
15
8t=YO",.,;
0
�E,O �0 gi30"
0
Q
0.00
0.00
Oa 0
Q 0
�,.;OCIf; QQ',
0
0.00
0.00
2835
a 0
�Q10 k fi.0
0
0
0.00
0.00a
w. 0
1 t 'OQ{
0
0
0.00
0.00
29
0
Q
0:00
0.00
30rs
hn 0e
; 0
0
0.00
0.00
30
a�`0 �i 0
�bp#'c £1D 4 #
0
O
0.00
0.00
i:r; 04
a .
E 0
Q
0.00
0.00
31
b�fi�d9U
0-r
0
0.00 -
. 0.00.�t3.''
01
„ . a.�1i00
O,t} xa n0 OQ_ .; 0
n
0
0.00
0.00
0.00
Monthly Loading,"
0 ..
'� 00
0
.0 00.
0
Q'QD 0
12 Month Floating Total (in):
1.51

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
RCompliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? E�<mpliant ❑ Non -Compliant
Was a suitable vegetative. cover maintained on all sites as specified in your permit? IT&mpliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? IJ 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(§). 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
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 directlon 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
It
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
16.17 Mail Service.Center "
Raleigh,'
North Carolina 27699-1617 .

NON-DISCHARGE'APPLICATION REPORT (NDAR-1) Page _) of
o.: WQ0029233 Facility Name: Bear Lake Reserve County: Jackson, I. -Month:- . November .Year: 2019
Did irrigation occur.
L FI®Id,Name
p .�
, y; 1 ,
Field Name:
K
M s�
Field Name
N
'
at this facility?
t A ea (acres)"
i� �D 85
Area (acres):
0.99
E+,Area (acres)
Area (acres):
0.58
CoVe1C1�p`
d
"# Mature Forest'
Cover Crop:
p•^�h
Mature Forest
4 r`� over, Crop
f �blatu�e orestC��"
POOR
Cover Crop:
Mature Forest
❑ YES p No
xl�ourly,Rate'(n)"
0 Q5 #
Hourly Rate (in):
0.05
Houly Ratein)
:I. 3 �t/
r0 Q5
Hourly Rate (in):
0.05
Ah4at,Ra*(in)
80�0 !8 0
Annual Rate (in):
71.0 / 7.1rAnnuRte`'(In)�
66 8%6,7
Annual Rate (in):
60.2 / 6.0
Weather Freeboard
'Fiel ir4lrriga ed?
o vES } NOS
Field Irrigated?
❑ YES O No
Fggfyyeld � g ted?
i stawO, `
Field Irrigated?
❑ YES O NO
i fA�y,/tl�!''"�I
W-N,ft",}y[
GI
3x Y
a d
c °' m
>, m o� w e
U O. 10
o m Q �°
°' b s >� a
n ®
isu 9 M
o=
m°Dr kvE yt �
t� CL C
v s8 ��
m y o
01 G1 i
a E
oM E rn
>. C 7 C
o =E 5v
1}
a r §.o
"I
Gfi a
+ >
,�,z
`
r � �m �i
�diS' �C
�' z E
E v o
y
v.,
o� E o�
a
�,c c
'v E 'v
CL o
E v) �o
« N D
o Q ' ` >�a� �
t
i,_j ar�
fib{"�o � �"
sr.r , �'..
rn
O ° f' '`
Q
E m m
G o 2 0
�, d E y
4 c,` a,yi= "
Q EY
Fi }�,
, � a x� o
r8 a O
o E t;
o a •°)
,�
p m 0 m
O O
d 93 10
A� ,,
.r .: .fit
..1
�'S i�
=
J J
61!
J :zJt:
Q
Lb
OF in ft ft
alb ,:min
„�. +
yin. ` ` in ,,. '
�n,�; _n a
gal min
in in
; .�.
a); -„rrin
>in in �'
gal min
in in
1
2
C
42
0
15
9
" , 0; :. �:
0;°
0
r '0 00 k4"
0
' e 0 00i4
0
0
0.00
0.00
�,;
0
x, :{0 00 °�
` ;' "0 00 j ;:
0
O
0.00
0.00
0
00
D 00 -'
0
0
0.00
0.00
„'. 0.�c:- oi>
O
�;0.0Q,
"�0 00'''
0
0
0.00
0.00
3
0 �'';
0
0 00
ODO
0
0
0.00
0.00
* 0 : . ;
Q
S DO
`; 0 0t)
0
0
0.00
0.00
4
PC
38
0
15
9
0 0 x ; `
00
Q0
,, 0 D0�
0
0
0.00
0.00
tl a
0
D OQ
; 0 00'
0
0
0.00
0.00
5
PC
34
0
15
9�
0
0
Q 00 „..
ODO
0
0
0.00
0.00
0 " '=
0
,
U 00 r
'. 0 00
0
0
0.00
0.00
6
C L
25
0
15
9
0 =, :«
O0
00,;
0 00 „'�
0
0
0.00
0.00
O F ,`:=
0.:
U 00 +?
-;
, 0 00 ` ;
0
0
0.00
0.00
7
C
40
0
1'5
9
0"
p
0
0
0.00
0.00
0 -`
0
Q 00
D 00,"
0
0
0.00
0.00
8
CL
44
0.5
15
9
p ` "`
Q
'0 00 ,
,,, ,x0 00 .;
0
0
0.00
0.00
0
w
0 OD
0 is 100_;,'
0
0
0.00
0.00
9
0 -' a rv;
O
0 00
0 DQ :`
0
0
0.00
0.00
0- <>
0
x 0 OD _.
0 00
0
0
0.00
0.00
10
0 r 0
0 00
0 00
0
0
0.00
0.00
0'
0:000
0
0
0.00
0.00
11
C
34
0
15
9
0 0
0 00
0 00
0
0
0.00
0.00
0=
0 0 00
0„00
0
0
0.00
0.00
12
R
40
0.4
15
9
0 ` .. 0
Q QO `
, ` 0 00 :
0
0
0.00
0.00
0 .;
0 Q OQa
,'
„. 0 OOt;;
0
0
0.00
0.00
13
C
14
0
15
9
Q,QO
0 00
0
0
0.00
0.00
O,R
0 ;0 00
0 �0,._
0
0
0.00
0.00
14
PC
25
0
15
8.5
D� z ,' 0
0 00 fi
D 00' ,;
0
O
0.00
0.00
0 °'
0 :p 00
0 00
0
O
0.00
0.00
15
CL
40
0.1
15
0
0
0
0.00
0.00
,
.'+
0
0
0.00
0.00
16
0' •' 0
0 O0
0 00
0
0
0.00
0.00
0
0 Oq
0 OQ
0
0
0.00
0.00
17
O,n; ' Q
0 00
0 00 h'
0
O
0.00
0.00
O P,::..,
0 0 00 ,..,,
,0 00,,,.:;
0
0
0.00
0.00
18
C
38
0
15
8.5
0 ' ; '., 0
-Q QO
Ow00
0
0
0.00
0.00
0;;'--'
0 : , 0, 00
k; 0 00 °
0
0
0.00
0.00
19
CL
41
0
15
8.5
0 t 0
0
0
0.00
0.000
0
0 OD
0
0
0.00
0.00
20
21
G-'
C
' 45
33
' '0. -
15
8.5
0 >" 0
,0 Oq
D DO
"
0
0
0.00
0.00
0 `;; r;;
0 Q 00 ,
:;` 0 OD _ ;
0
0
0.00
0.00
0
15
8.5
D ,'' 0
0 00
0-00
0
0
0.00
0:00
a v 0 c ,.'
0 r 0. 00
0, 00,: '
0
0
0.00
0.00
22
CL
42
0
15
8.5
0 i -. 0
... . 0�
�0 DO ``
0
0
0.00
0.00
Q
0
0
0.00
0.00
23O
: O
0, DD
= 0 Oq�, ,
0
O
0.00
0.00
0 - "
O U Oq
0 00' .
0
O
0.00
0.00
24
�0: ,` .{ 0
�0�00 1'r
.�D QO
0
0
0.00
0.00
0,„ �;� _
0 000
�U 00 •
0
0
0.00
0.00
25
C
30
1
15
8.5
O
�D 00
f3 AO' ��
0
0
0.00
0.00
0,;'_,.„�,
0 s 000
., 0 00 .,=
0
0
0.00
0.00
26
PC
33
0
15
8
O , 0
b9100 r
O DD
0
0
0.00
0.00
0 ;
, _
0 :0.00�?�0
h q0 '
0
0
0.00
0.00
27
R
48
0.5
15
8
, 0� 46; .y 0
0 00
D DO ;`
0
0
0.00
0.00
M 0
0
0, 00,,'
0
0
0.00
0.00
28
29
0'-. 0
0 00+'.;r0
'''0
00�
0
0
0.00
0.00
�' , 01°. ,�.`
0 0 00 n
0 OOt
0
0
0.00
0.00
0 r" 0
00
a�0 00 x
0''
0
0.00
0.00
0
0 4 00
0 00
0
0
0.00
0.00
30
D,; ,; 0
;0 00}F
0 00 ''
0
0
0.00
0.000w,..,
O 0 00
0, 00,' =
0
0
0.00
0.00
31
q ` 0
,p� "
.000
0 DO join-
0 OD
0
0
0.00
0.00
0
0 Q'.Og0
00, .
0
0
0.00
0.00
Monthly
Loading:
0
0.00
r9 0
0;00
0
0.0012
Month Floating
Total
(in):
:;1 54
1.57 ;:.
'1;54 '`
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
7
EKompliant ❑ Non -Compliant
compliant ❑ Non -Compliant
Crrcompliant ❑ Non -Compliant
%Compliant ❑ Non -Compliant
iUompliant ❑ 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
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

' �o-i NUN-UIUUHAKUF- APPLIGATION'REPORT (NDAR-1") Page "r of 90
o.: WQ0029233
Facility Name: Bear Lake Reserve
county;, Jackson
. Month: November.
Year:- 2019
Did irrigation occur
at this facility?--��---
❑ YES p No
"xF�lpid k+tfte�
% ` O
a
Field Name:
P
Id Name'' Q
b
Field Name:
R
�3FY Y ,Y 4
,,€Area {cres�
A '
0
"Area (acres):
1.1,
1� Nvs.3 �, i Y'.A3`3- t t
Area (acres) f� fl 4
Area (acres):
0.7
k Cciver Crap
ilfiatGre wrest
Cover Crop:
Mature Forest
,CaVerCro d s ature Forest
Cover Crop:
p:
Mature Forest
� ! Y Rate (in}
0 Q5 � j
Hourly Rate (in):
0.05
NHS riy Rat+it'(�r1)" 0 0,5 °
Hourly Rate (in):
0.05
A&ritu'f Rats i
M x7$y6 t�7»9
'Annual Rate (in):
( )
80.7 / 8.1��0ua
°Rateln) -$7 9/'87
Annual Rate (in):
( )
77.6 / 7.8
�,
p
Weather
Freeboard
'11rigatei#
s��'
tit
v
� a
O a
�'7�aY�7als�¢"y
N Qt
iti'k
�s �; , C7,o A
#� y: C ° ,
t
�' g h
a
4t 9 >hf O
Field Irrigated?
❑ YES O NoV4RElctlrr
ga1d CJ YES �,* Y�O
Field Irrigated?
❑YES p No
01
O
c`
m
t
GI
.�.
aai
a
E
C
a
:.
a
p
p�
E
o
••
•.:.,
N .0
�. O
N
a
O a
Ot ' d
�+
E.
1- 'C
,. �. C
co
a
a o)
7 C
E 0 'v
o �o,.
N= O
a,
r
��C}
L�. it 4
" 3� a
D tL
�."s*�'
JFy a �.
a:
��. °C
Y y`.�
�, a
oo ��pp
4 O,¢
"i„'.z�- _ .�,i
t
3 �'+ C v
E �v
��pp
O O
�,b
E 01
fl
o O
i
N
E _rn
1-
,� o
o
J
E 5 ''0
a C
= J
OF
in
ft
ft
gal
min
in
in
gai
'„ mtrt ° �in� __
.in_
gal
min
in
in
1
C
42
0
15
9
0'
0
`'0 00,
0 0,0„u
0
0
0.00
0.00
0 ; ;;;
Q ;0;00,�
0 OQ �, ,'
0
0
0.00
0.00
2�
0
0
0'00
000
0
0
0.00
0.00
0 �,;
0 �0`00 r
0 00
0
0
0.00
0.00
3
w0 „I ..
0
fx,.¢00 .
,# , 000 -
0
0
0.00
0.00
�0' :;. , .
0 q 00 ,,00's
0
0
0.00
0.00
4
PC
38
0
15
9
g 0,
0
" 'i100 y ,
0,00 •;_"
0
0
0.00
0.00
p '; :'
0 1-0 Q0� p
` �0 QO `."'
0
0
0.00
0.00
5
PC
34
0
15
9
lw' "..,,i
0
b,0� , _
Q_00, :`
0
0
0.00
0.00
0 U�OQ
,,'` ,0>00 ' i
0
0
0.00
0.00
6
CL
25
0
15
9
0:"
.0 00,
U
00.'._'
0
0
0.00
0.00:
0 - , .,;'
0 0 00
0 00 ''
0
0
0.00
0.00
7
C
40
0
15
9
0
`4 00
# tl
Q0 °
" " 0
0
0.00
0.00
0,,.:; s.
0 0 00
0, bQ ,
0
0
0.00
0.00
8
CL
44
0.5
15
9
j;;,"Q;� ; .
0
`, .d 00
AD ,.;
0
0
0.00'
0.00
0,.;:_ , "„
0 Q Qq
` q 00;
0
0
0.00
0.00
9
0.""....
0
;0 Q¢
0 (i0. ,.'
0
0
0.00
0.00
.0 ;: ;<M
0 00 . €0"00'
0
0
0.00
0.00
10
F ,�;.;
0
0
0
0.00
0.00
0 -'. -
0 0 00
{i 00 .f_
0
0
0.00
0.00
11
C
34
0
15
9_0,;;
a ;
0
;., 4 0,0,, ,
Q Q0 ,;,;
0
0
0.00
0.00
OS ' ';
0 q 00
0 00 ;:
0
0
0.00
0.00
12
R
40
0.4
15
9q
.,�
0
0 00 . ,
';„ 0 UU �_
0
0
0.00
0.00
0 ` s, _
0 :,{) 00 ', ,
„ p, Oq _ �'
0
0
0.00
0.00
13
C
14
0
15
9p
0
0QO�
0'00
0
0
0.00
0.00
0_..,y
0
0
0
0.00
0.00
14
PC
25
0
1,L8.5
a 0 _
0
Q0u„
Q400€ ;
0
0
0.00
0.00
0b 00 _,
",. 0 00,, ;
0
0
0.00
0.00
15
CL
40
0.1
15
8.5
s , fl:
0
;,1 Ofl k
,0 �� r i
0
0
0.00
0.00
0i 2a . i
0 YO OD ,
00
0
0
0.00
0.00
16
k 0;', '.
0
0 O,Q
,p 00.'..
0
0
0.00
0.00
0:` .`
0 0 00
p 00 `.
0
0
0.00
0.00
17,4
, :''
0
0xfl0 „
z , 0 fl0 ;;
0
0
0.00
0.00
0 , ;
0 0 00 "
'' 0 00, tir,
0
0
0.00
0.00
18
C
38
0
15
8.5
g,0� ,"
0
000�"
0OQ .<
0.
0
0.00
0.00
0
0 0 O0
0 Ofl ,:
0
0
0.00
0.00
19
CL
41
0
15
8.5
0 + �'
000
DflO
0
0
0.00
0.00
0 Q QO
0 00
0
0
0.00
0.00
20
C
45" _
....0 .
" 15
8.5
,:
0
, �I�0�1 r
0,l�
'
0
0
0.00
0.00
b Ms .;��',
0 :.. "(100 ..,
, 0 00, ��_
0
0
0.00
0.00
21
22
C
CL
33
42
0
0
15
15
8.5
8.5
�0;!�
f 0;' ''
0
0
=0"00;
O,QO
0 fl0, ;;:
0 00',:;
0
0
0
0
0.00
0.00
0.00
0.00
O,,;g ,
U .,
0 0,00
0 0 OQ •'.
0 OD;. '_
;;; 0.00 ':
0
0
0
0
0.00
0.00
0.00
0.00
23
0#fir
-0
�t�0,r�a
3 s
:"i fl0 ,;;';
0
0
0.00
0.00
0., �.r
0
0
0
0.00
0.00
24
4
0
0 q0
�,D a0 "',
0
0
0.00
0.00
t 0
0 Gl QQ �.
0, 0,(
0::
0
0
0.00
0.00
25
C
30
1
15
8.5
�J
x
0(%AllnT
0
0
0.00
0.00
0..
0 :'0 0
0,.00
,:
0
0
0.00
0.00
26
PC
33
0
15
8
U
„ '.Q, "_
0 00'
0
0
0.00
0.00
0
0
0
0
0
0.00
0.00
27
R
48
0.5
15
8
�;Qu'3G
0
`0 00
'Q DO ':
0
0
0.00
0.00
Q r:, ,;
0 O,flO „
O..00..;i
0
O
0.00
0.00
28,
0
AM
0
0
0.00
0.00
�0,
0 0 Q4 r
0 00
0
0
0.00
0.00
29
Q
.0
0
0.00
0.00
0 r '"+
0r00
O,OQ
0
O
0.00
0.00
30
0w
0O
Q„D ;
. fl i70
0
0
0.00
0.00
0<'. -
0 0, {
Q�
�<' 0,00
0
0
0.00
0.00
0
0.00
:0.00
.:1.:48..�,,
0.00
0. °'
0 ;.0
00 z
b q0 °
0
0
0.00
0.00
Monthly Loading
12 Month Floating Total (in):
; 0 _
Q 00 ;;'
:,16Q �.
0
.. O.g ', `.
-b'0 OQ,��•
;'9.60,
0
0.00
1.55

FORM: NDAR-1.08-11 NON=DISCHARGE APPLICATION,REPORT'(NDAR4) Page
Did the application rates exceed the limits in Attachment B of your permit? e'EompuanY ❑Nan Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ErCompliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? dCompliant ❑ Non -Compliant
Were all setbacks "listed in your.permit maintained for every application to each permitted site? dCompliant ❑ Non -Compliant
Were all freeboards maintained .in:accordance with the specified freeboard heights in, your permit? ©'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:
gear, Lake Reserire.
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
ra�a3_)
Signature Date
Signature Date
By this signature, I certify that this report 1s 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 managethe 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 27699-161�7

-i uo-11 NON -DISCHARGE APPLICATION REPORT•(NDAR-1) Page J of•�_
Q0029233 Facility Name: Bear Lake Reserve County: • Jackson Month:. November Year: 2019
Pirrigawfion
Dioccur
FeIdFNarrid Z t S
Field Name:
TIe1dNaine
Field Name:
1 µ 4
Area' (acres):
0.61
'Areaac ems) {"a
0 58 is
Area (acres):
at this facility?
;� ;Cover Crop Mature Forest
'-!
Cover Crop:.
Mature Forest
Cover"Crop
.Fr 2'_d +a �at,:3r,
Mature Forest,,';
Iry.,r5 i•AiSk .�
Cover Crop:
❑ YES p No
„Hourly Rae�(ih)0 U5 ��
Hourly Rate (in):
0.05
Houi�rR�ate`(ui)�
r..,r....., .
£ `0 D5 i
Hourly Rate (in):
�� Anr ai R te$ inj fi7 $�1�8a7 U*' �±
Annual Rate (in):
73.5 / 7.3
�Arinu l R to irij
,r
.�...
��" 95�4*t 9 5 ' `°
.
Annual Rate (in):
Weather
Freeboard
Fteldlrrlgated?`IES[7rfor;
Field Irrigated?
❑ YEs O No
Irrigatetl?C1YE5
ti
Field Irrigated?
❑ YES
h_Fietl
rNo „
❑ NO
O
�.
c
w
.-.
°'
y
w a
am
�um�g'ay
E� r
�i ,a / ���oo
ti® G
f`p'E��`���
°'i:7i C
m y
`y
E.
a
d
mw
rn
C
�+,_
E °>
O C
m
x �.
} raa'
Gfn °
rn
+C
E��trn
+3f C%;
m •o
d
v
01
m.,
rn
a.c
E cm
° c
°
h
L°
��
°air
io �i;
ai' �w°
j§
E°o:
?c,
E�
�o
E°'ve
Et
s
n�
..
E°v:
E
�o
Em
�v
E�'v
d
w
E
m
°
N
�.
co c?
r` ��c`
Q €t
i-1 �i�4 *
Q
° �
x J
° a
>¢
j= •`
=
C
J
X ° p
m x
J
° Q Y
`J„ '4
: 1►
a mu
�(o
a av� "
x o
o a
F °f
C
p o=
K o m
o
{9
3
01
F-
►•
a
0 f0
3 n
, v
s tF.
-,
, i C�.�„i
k
�'a
r
,
!
J
J
OF
in
ft
ft
�,' .gal
•inin �; in' y_
, in',
gal
min
in
in
;,gal'„
_min
min__
; in y�?
gal
min
in
in
1
C
42
0
15
9
fr0.:: '-
0
0
0
0.00
0.00
s 0 , -j
0
0 00 �,
0 OOt'
2
wp.'..'
0 0 00
r 0 QO .
0
0
0.00
0.00
0, ,A ,.` ,
Q
3
U " :1
0 0 00
0
0
0.00
0.00
0, °., °r
Q
0 00,0,_0,0
4
PC
38
0
15
9
0`
0 „Q" Qb
O OO'
0
0
0.00
0.00 "
OTC
,"..
-
Q
0 0D•.'?"
5
PC
34
0
15
9
d0 ! s
0 0.00:',
0
0
0.00
0.00
0 ;, ,
Q
6
CL
25
0
15
9
0 `: "
0 4;O 60i,'{
;� 0 00'as'
0
0
0.00
0.00
0 ;
0 ':'0;0
7
C
40
0
15
9
.0':,;'':
0 D Op"y
: 0 OQ". =
0
0
0.00
0.00
0; `'
Q 0 OD
0.00,
Y.
"
8
CL
44
0.5
15
9
0:': `
00 00,
;':" 0 Op •
0
0
0.00
0.00
0 °,;
0 0 OD • '
0 p0 i
90
ar e,'
0 D 00 „
<, 0 00
0
0
0.00
0.00
�Q' �, u�
' 00
10
0,; ,;
0 :0,00,D
00;k
0
Q
0.00
0.00
.Q "0 DO
0 00
11
C
34
0
15
9
.Q::' ' "`
p ; D
00 ,
°,Q�OQ�;:
0
0
0.00
0.00
D 1:., ;',�
0
12
R
40
0.4
15
9
{0`:. `
0 0`90','.
"000, '
0
0
0.00
0.00
0
13
C
14
0
15
9
0"`: s
0 I; Oq�Qrau
T !Q 00
0
Q
0.00
0.00
Q
Q
0 00
14
PC
25
0
15
8.5
0'.
0 DO
w` 0 OQ ".
0
0
0.00
0.00
0; ,°,
0 006
0 00. �:;
15
CL
40
0.1
15
8.5
D;z "
0
0
Q
0.00
0.00
0"-
p
16
0 ` • ''
Q 3::p 00 .
O.00, .`'
0
0
0.00
0.00
0:
0 0 00
°;;. O:OQ ;
17
0,
0'
0
O
0.00
0.00
0 .'_
0 0 00
18
C
38
0
15
8.5
0' ` Y`
0 D 00
0 00
0
0
0.00
0.00
0
Q
19
CL
41
0
15
8.5
EQ '
Q p OQ�'
D 00 `;:
0
0
0.00
0.00
D
Q 0 Ol)
pkpD '
20
C
45
0
15
8.5
0. ` . '
0 0 00
0
0
0.00
0.00
p w.
0 0 00 ,
5; 0. 00 ;;
21
C
33
0
15
8.5
0 ,. ':
0 'n'OO z
0 00 -
0
0
0.00
0.00
0
0
22
CL
42
0
15
8.5
, ` 0,, ;,,.,
0 Q OQ ,w
7; 0 OQ,;:
0
0
0.00
0.00
D
0 o DD
n D"p
23Q
0 0 00
0 00{
0
0
0.00
0.00
0 r
0 0
240*,
, :
0A§0�..
' 0 00„ _.'
0
0
0.00
0.00
O ,i: `.
0
25
C
30
1
15
8.5
0 ' • ",
Q
0
Q
0.00
0.00
0
Q r { 0 OQ
0 00 ;'•
26
PC
33
0
15
8
°g0.;.-
0 .:0 00 ��
;A 00..,;
0
0
0.00
0.00
0
0
0:00, '
27
R
48
0.5
15
8
0 0 QO
O Olio;;
0
0
0.00
0.00
0
0 Q 00+
; 0 .061.1
28
0 <0'QO r
0 DO '',
0
0
0.00
0.00
29
0
0
0
0.00
0.00
7 0.,.
3o
0
• Q
0.00
0.00
0
311
1
0
0
0.00 1
0.00
0 •''.:
0 0 Q0
0 OQ '::
Monthly Loading:
0-J'pp
0
0.00
,� 0 _
O.OD ";
0
0.00
12 Month Floating Total (in):

FORM: NDAR-1 08-11
NON-DISCHARGEAPPLICATION:REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
Page
Btompliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
rtompliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all, sites as specified in your permit?.
VCompliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained.for every application to each. permitted .site?
-Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with .the specified freeboard heights in your permit?
G2'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:1 Robert Barr
Grade: SI WWIV Phone Number: [phone]
Signing Official's Title: ' " Signatory
Has the ORC changed since the previous NDAR-77 ❑yes No
Phone Number: [phone] Permit Exp.: 10/31/19
)2-27 6
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 in 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

uts- i 1 NON -DISCHARGE -MONITORING ,REPORT (NDMR) Page (, of GV
W00029233
Facility Name: Bear Lake Reserve
County: Jackson
Month: November
Year: 2019
PPI: 001
Flow Measuring Point: ❑ Influent R1 Effluent ❑ No flow generated .
Parameter Monitoring Point: ❑ Influent 0 Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code -�
5QQ5Q
00310
31616
00610
0062�'
00400
0053Q
00078
110$25i
C0600
C0665; ;
>°'
1'N
L
Ems_
3 "�
o
�'
o
c�
v
�c
Q
U
V in
:� i9 9
m
:i.
Yy§
to`
Rya
24-hr
hrs;GPR
mg/L
#/1QO
mg/L
su
lL
NTU
,";,
mL;
mg/L;`.:>:
m M.
„ ►ng�[y.;
m9/L
mg1L
..
1
10:30
1
0
��
7.17
0.34
x"
, ,
2
1,300''
L
0.36
3
1i300
r eq�g
0.34
4
07:00
1
*1; 4,00
?
7.14
' ` -
0.39
ti
..
5
06:30
1
7.13
0.37
5
06:00
1
7.2
M�
0.36
7
05:30
1
a0
=
7.18
0.33
>>
8
05:15
1'z
0 s
4
7.15
0.41
_s
7-10.45
Q
10
0
0.42
a
a
11
05:30
1
u.a
7.12'
0.4
'12
07:30
1
3';0bb , ;`:
"
`r.`
7.19
0.53
"
13
05:30
1
A
�s
7.15
�'
0.48
'.
7.21
.
0.46
x,
15
05:30
10.
0�
3:
7.22
39
161
�
0.44
17
0.4
18
07:30
1
7.17
*
0.33'-
19
10:00
1
i6>�
sty
,
7.21
0.4
20
10:30
1
24.00 -,`
12
5`
0.34
Y'72'
7.2
r�
0.42
.364 ;,
11.4
t
21
05:30
1
:0
7.16
0.37
22
05:00
1
7.14
0.35
23
1.;20U
3
0.38
24
1a;200+�
a
3 ;
0.42
:.
25
08:00
1
�100
< 2.0
<`1i0�'
- 0 12
E 12 3>
7.19
0.39
e
��1 8��., _'
13
26
05:00
1
0:_
"4' ,'�.
7.15
0.45
27
05:30
1
Q,,;
7.22
0.38
28 Holiday H
Holiday
0.4
29 Holiday H
, kA,'
x,
Holiday
0.36
30�
0.35
31
'
.t�ti�.fi�M��.6*t#x
"' ...�. *L: `,,
%
r �.s' ` �..'ai Si
A {,� Y i �
L `AX.S° :,
3Yn
' 3�
Average
710
6.00
2'24y
0 23
.,
0.40
^5S
',�2'73
12.20
✓.
Daily Maximum
12.00
Ov '
0 34
1,2+ 0,'-
7.22
0.53
64,
_
4,90
+g 3 ;`
13.00
Daily Minimum
2.00
'1;oQ !,;
0 12
` r720
7.12
-`2 �`(jrS
.. 0.33w11.
11.40
Sampling Type
Composite
Composite
Goigposttef
Grab
Gaaitipgsla
Recorder
Monthly Limit:See..;;perfrii
10
:.14:.:;,
4
Daily Limit
5
15
25
6
6-9`
10...
10
Sample Frequency
GonflnupUj!
See Permit
See Permit
See Permit
508 Permit
5 x Week
`$ee Pefttlit`
Continuous

FORM: NDMR 08-11 NON=DISCFIARGE .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 requirementsin 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
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 21 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 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, orthose 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