WQ0029233_Monitoring - 12-2019_20200129

NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) ( Page I of 30
ermit No.: W00029233
Facility Name: Bear Lake Reserve
county: Jackson
Month: December
Year: 2019
Did irrigation occur
at this facility?
❑ YES No
Field Name:
B
` I el a e,
r
C �'
VuG
Field Name:
D
a 0"t6° N
Area (acres):
0.84
r
082'
Area (acres):
1.26
= co er Croce
w
, M
Cover Crop:
Mature Forest
to e F °` -
Cover Crop:
Mature Forest
Ho Rae it j
�
w 0`0
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0.05
=G a r at ice.
u_,y �' )
0.'0
�a
Hourly Rate (in):
0.05
a
ie I �Ig )e
O
�� `:
Annual Rate (in):
85.7 / 8.6a
n -
7
Annual Rate (in):
69.6 / 7.0
Weather
Freeboard
Field Irrigated?
❑ YES R NO
£ et ;g
i O
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❑ YES O NO
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FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT:(NDAR-1)
Page 70f
Did the application rates exceed thel limits in Attachment B of your permit?
o 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 maintained on all sites as specified in your permit?
o Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
o Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
o compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of
action(s) taken. Attach additional sheets if necessary.
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 ORCchanged since the previous NDAR-1? ❑ yes p No
Phone Number: [phone] Permit Exp.: 10/31/19
llh
�G./WV
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

NUAK-1 uu-i i NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page G of,6
Permit No.: WQ0029233 Facility Name: Bear Lake Reserve County: Jackson Month: December Year: 2019
Did irrigation occur
Ila
Po- °
Field
Field Name:
F
i Na 'e�
Field Name:
H
rsea (ac s)-
x7. i
Area (acres):
0.95
A ac );91=211
Area (acres):
0.53
at this facility?
iM ove Frog.,Fa
est
Cover Crop:
Mature Forest
Go a
f e Fps
Cover Crop:
Mature Forest
❑ YES O NO
0.0
o�Ra
0
Hourly Rate (in):
0.05!ura
Hourly Rate (In):
0.05
A nu to (I
8
deaf in'
cal"
02 7 O
s D
Annual Rate (in):
73.9 / 7.4
Annual Rate (in):
77.3 / 7.7
Weather
Freeboard
Field Irrigated?
❑ YES 0 No
eld I g'a 7
Field Irrigated?
❑ YES i] NO
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1.51

FORM: NDAR-1 08-11 NON -DISCHARGE 'APPLICATION REPORT (NDAR=1) Page Z"of�. N.
Did the application rates exceed the limits in Attachment. B of your permit?
I] 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 maintained on all sites as specified in your permit? o Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained #or every application to each permittedsite? 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 dates) 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
vv)/�
(Zo
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

NUHK-1 Ud-'I1 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page � of,�
it No.: WQ0029233
r
Facility Name: Bear Lake Reserve
County: Jackson
Month: December
Year: 2019
irrigation occur'
at this facility?
Field Name:
K�'IFField
' '�
Name:
N
��Atea (acresy
7 4 85
Area (acres):
0.99
Aria
Area (acres):
0.58
r ti �x �Q�erCxpp
�h �Mattlre Forest
Cover Crop:
Mature Forest
Go�rerC'ro p MaiUre Forest
Cover Crop:
Mature Forest
❑ Yes ONO
Hobly Fite;�)`
i iI 7_ o 05 `
Hourly Rate (in):
0.05
Hogtly RatA�(mj� O,Q3_ s -,
Hourly Rate (in):
0.05
�Ani�at@;{x`
800('8 Q
Annual Rate (in):
71.0 / 7.1
�L Alrsntial Rate;{is�) fi6'`8l67
Annual Rate (in):
60.2 / 6.0
Weather
Freeboard
n Fietd'Irri�laed�
,(��XES �no
Field Irrigated?
❑ Yes p No
Flel± (rrgatet(1 CI YES 5 �f t�0
Field lrrigated7
❑Yes ONO
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FORM: NI AR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR4)
Page - of N
Did the application rates exceed the limits in Attachment B of your permit?
o 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 maintained on all sites as specified in. your permit?
o compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
o compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
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
actinnfsl fnkun" Afforrh mrirlifl—I :c.................
o compliant ❑Non -Compliant
the non-compliance and describe the corrective
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 p No
Signature Date
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: (828) 251-19 Permit Exp.: 10/31/19
l 2�%
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

m: NUMM--1 ua-i i NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page_=of y.
Permit No.: W00029233
Facility Name: Bear Lake Reserve
County: Jackson
Month: December
Year: 2019
Did irrigation occur
at this facility?
❑ YES O No
Y
Field Name:
P
Meld a
Field Name:
R
A(acres 0
-
Area (acres):
1.1
res . 3 i ai
Area (acres):
0.7
Gow_ r.Cropa Mature ors
Cover Crop:
Mature Forest.
o : C o M re Fo s
Cover Crop:
Mature Forest
r �r� in : 0
Hourly Rate (in):
0.05
4Ho y, Ra a (In ` Y
Hourly Rate (in):
0.05
n a I2at�e 86 9
Annual Rate (in):
80.7 / 8.1
Annual .ate f 87/ 6 r
Annual Rate (in):
77.6 / 7.8
Weather
Freeboard
Field Irrigated?
❑ YES ONO
! R = fr
Field Irrigated?
❑ YES O No
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uF1 60, a,„�
0
0.00:.�01
1.48,E_1760
0
0.00
1.55

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION, REPORT (NDAR-1) Page 17—of—ON
Did the application rates exceed the limits in Attachment B of your permit?
o 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 maintained on all sites as specified in your permit?
o compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
o Compliant ❑ Non -,Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
21 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
°ter#inn/c1,fe4cn Aff­k'.,.1diR---1..1,.._a_ a.._____
the non-compliance and describe the corrective
�^�••�••��� .�..�. ccW 11 IlGIrcJA01y.
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
L 2��
Signature Date Signature Date
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge. I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
Inquiry of the person or persons who manage:the system, or those persons directly responsible for gathering the Information, the
Information submitted Is, to the best of.my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false Information, Including the possibility of fines and Imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

NON -DISCHARGE APPLICATION'. REPORT (NDAR-1) Page-.2 of
rNDAR-1.08-11
r: . WQ0029233
Facility Name: Bear Lake Reserve
county; • , :Jackson
Month:. December ..
Year: 2019,
II1PIIgat1O11 OCCUP
�h
Field Name:
T��
��
Field Name:
r �3
fk��n�
Area (acres):
0.61
v,H���1'��"fl
a 1 5iaffxigi� y
�
(acres):
Area acres
this facility.�,��,:
Cover Crop:
Mature Forest
�B �. ,tip 3
�� � �k'�'b b �� ��t�ix �� ���
Cover Crop:,
at
❑ YES 21 No
F
Hourly Rate (in):
0.05
�jt� r ����
...� ,
Hourly Rate (in):
7
;.'Annual Rate.(in):
73.517.3 -
��
Annual Rate (in):
Weather
Freeboard
r
Field Irrigated?
❑ YES O No
w a
Field Irrigated?
❑ YES ❑ No
,
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FORM: NDARml 08-11 NON-DISCHARGE'APP..LICATION'REPORT:(NDAR=1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
q 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 maintained. -on all'sites as specified in your permit?
o Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted -site?
o compliant ❑ Non -Compliant
Were all freeboards maintained in accordance -with the specified freeboard heights in your permit? -
0-Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of
action(s) taken. Attach additional sheets if npcpssary
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 NDAR-1? ❑ Yes M No
Phone Number: [phone] Permit Exp.: 10/31/19
216.
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

NUMK Ut$-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page (0 of
Permit
Permit No.: WQ0029233
Facility Name: Bear Lake Reserve _Fcounty.
Jackson
Month: December
Year: 2019
PPI: 001
Flow Measuring Point: El Influent R Effluent El No flow generated
Parameter Monitoring Point: El Influent R1 Effluent El Groundwater Lowering 0 Surface -
ce Water
Parameter Code
00310
1161$-;
00610
:09201--
00400
00076
1: 6065`
C0600
Cdki6
7
M
0
0
E
0
0
0
Q
C.
0) a
0 0 0
C,
0 '�CL 0,
k�
24-hr
hirs
GPDmg/L
­ML,
mg/L
su.
NTU
m4lL_
mg/L
mg/L::
goo_F4
0.4
2
05:00
1
'800--
7.18
0.41
3
06:30
1
1 OW_
5.6
3.7
7.21
-q.6:
0.43
IT,
23.6
4
05:00
1
7.19
0.4
5
05:00
1
7.15
0.36
6
06:00
7.16
0.39
7,
700:
0.35
81
0.42
9
05:30
1
7 2
0.42
10
05:30
1
'0 4r','
7.17
0.35
7777
11
06:00
1
7.16
0.39
12
05:30
1
7.19
0.4
13
08:00
1
7.14
0.37
A i
1 4
600
K
0.4
_000
0.44
16
05:30
1
-1
­767
7.18
0.38
j
17
06:00
77777
7.15
0.35
18
06:00
1
7.9
13
_;':
7.17
0.41
33.5
4
19
05:30
1
7.14
0.39
20
06:00
1
0
7.12
0.36
t
21
0.
0.3
22
0;
0.32
23
05:30
1
0
7.13
0.33
24
H
J
H
0.38
r.
2 6
H
H
.4
26.
05:00
7.16
0.4
271
05:00
7.14
0.37
...
28
0
0.35
29
0.43
30
05:00
1
0
7.1
0.42
.
. . .............
31
05:30
1
7.19
0.38
Average:
6.75
8.35
0.38
28.55
Daily Maximum:
t � p�'0®
4 r:
'
7.90
13.00
7.21
0.44
33.50
Daily Minimum:
5.60
3.70
22,30
7.10
3;60
0.30
23.60
Qd
Sampling Type:
no f",
Composite
Composite
Grab
Recorder
Monthly Limit:
P
10
4­,
1 �'.l r•
4
24
5"', i:
Daily Limit:
15
25"
6
6 -9
10.
10
Sample Frequency:
See Permit
8�e Permit'
See Permit
,See Pefm'it
5x . 'W6ek
Continuous

FORM: NDMR 08-11
NON -DISCHARGE MONITORING REPORT (NDMR)
Page �of
Sampling Person(s)
Name: Michael Beck
Name:
Certified Laboratories
Name: Environmental Testing Solutions, Inc.
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑ Compliant O Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
and monthly averages were exceeded. Aeration was increased and effluent improved. No water was discharged to the fields as all effluent was
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 . p 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.
1 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 T.wo Copies to:
Division: of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617