WQ0033804_Monitoring - 11-2019_20191227

-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page L ofo3804 Facility Name: Laurel Mountain Retreat County: Buncombe Month: November Year: 2019
rWQ
P
Did irrigation occur
at this facility?
❑O YES ❑ No
.Field Name
` 1A
Field Name:
113
e(d dame
2
Field Name:
3
Area (acres).
0,2
Area (acres):
0.19
Area (acres)
0 34
Area (acres):
0.45
GaVeV: rop.
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Cover Crop
Cover Crop:
Hourly Rate: (in)
•, p' 2 `
Hourly Rate (in):
0.2
Hourly Rate',(in
0:2
Hourly Rate (in):
0.2
Annual Rate.{!
„ 2 53
Annual Rate (in):
23.53
Anal Rite jm)+
„ 23:53 ..
Annual Rate (in):
23.53
Weather
Freeboard
Field'Irrigated?
`p YES r 0 No .` :
Field Irrigated?
❑ YES O No
Field Irrigated?
iO YES L7 No
Field Irrigated?
❑ YES p NO
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FORM: NDAR-1 05-16
NON -DISCHARGE APPLICATION REPORT,'(NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
!Mere adequate measures taken to prevent effluent ponding in or runoff from the sites?
Page o
WI-Eompliant ❑ Non -Compliant
f'ompliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? C.?Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? r compliant ❑ Non -Compliant
Were all freeboards maintained in .accordance With the specified freeboard heights in your permit? 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: Robert Barr
Permittee:
Laurel Mountain Retreat
Certification No.: 24262
Signing Official:. Robert Barr
Grade: SI Phone Number: 828-251-1900
Signing Official's Title: Signatory
Has the ORC changed since the previous NDARA? ❑ Yes ❑ No
Phone Number: 828-251-1900 Permit Exp.: 1/31/22
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.informatlon, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina.27699-1617

NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page -• of T
o.: WQ0033804
Onid
Facility Name: Laurel Mountain Retreat
County: Buncombe
Month: November
Year: 2019
irrigation occur
at this facility?
O Yes ❑ No
Field
Field Name:
5
Field Name
a
6
Field Name:
7
Area (acres)
0 31
Area (acres):
0.33
Area (acres)
. 2
Area (acres):
0.38
Cover Croy
Cover Crop:
Cover Crop
Cover Crop:
Hourly Rate (in)
0 2;
Hourly Rate (in):
0.2
Hourly Rate'(in)
0 2`''
Hourly Rate (in):
0.2
Annual Rate (in)
23 53
Annual Rate (in):
23.53
Annual Rate (In)
„ �2153
Annual Rate (in):
23.53
Weather
Freeboard
i �Fie(d Irrigated?
' o LI NO 5, `
Field Irrigated?
❑Yes p No
Field Irrigated?
.Q. YES d NO
Field Irrigated?
❑ Yes O No
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FORM: NDAR-1 05-16
NON -DISCHARGE APPLICATION. REPORT'(NDAR=1)
Did the application rates exceed the limits in Attachment B of your permit?
Page Z- o
'Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? I , pliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 9e0mpliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? g t ompliant ❑ 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: Robert Barr
Permittee:
Laurel Mountain Retreat
Certification No.: 24262
Signing Official: Robert Barr
Grade: SI Phone Number: 828-251-1900
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-17 ❑ Yes ❑ No
Phone Number: 828-251-1900 Permit Exp.: 1/31/22
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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 05-16
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?
Page
[J Compliant ❑ Non -Compliant
Rflompliant ❑ Non -Compliant
p-compfant ❑ Non -Compliant
C Zbmpliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? o 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: Robert Barr
Permittee:
Laurel Mountain Retreat
Certification No.: 24262
Signing Official: Robert Barr
Grade: SI Phone Number: 828-25171900
Signing Official's Title: Signatory"
Has the ORC changed since the previous NDAR-1? ❑ Yes ❑ No
Phone Number: 828-251=1900 Permit Exp.: 1/31/22
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 attachmentswere 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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 2769.9-1617

-"
NUN-ulbUHAK(at MONITORING REPORT (NDMR)
Page 4 of�
W00033804
Facility Name:
Laurel Mountain Retreat
county:
Buncombe
Month: November
Year: 2019
PPI: 001
Flow Measuring Point: ❑ influent O Effluent ❑ No flow generated
Parameter Monitoring Point:
❑ influent
p Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code --►
° .50050 ;
00310
31816i _''
00610
00625 ;
00620
00600 `
00400
Q0665_
00530
0007B'.
C.
o
c
ypy
::
aci
o
mow'':'
�,
¢E
E,°._.'
o
�€CL
c v_
_
O
C9
a'
Z
O
.a ,.
tl
N
..
24-hr
hrs
GPD
mg/L
#t100':iml-
mg/L
mglL'«
mg/L
mgiL !
su
mglL', :
mg/L
NTU
1
4.10
1.41.' ;
2
"410
1,.42:
3
41U
1A
4
410
1.4,,
5
10:30
0.5
20
7.14
1-:43
6
20
1
7
20
8
539,
9
539
10
539
1.4
1.':_
12
,539' .
14
13
539.
14
539 , •.
1 4.
15
11:00
0.33
1;9W
—
7.5
16
1989 v.
i..4. .
17
d,989`
1.,45
18
1',989'
1.6
19
,9$9
.120
1,g .
21
;.
22
10:00
0.5
376 ;
7.4
1:45
23
.376, ;
1.4
24
376.
25
376
4
1.48
26
12:45
0.25
7.4
1.4.
27
250 :.
1.5
28
'250
29
250'=
1:61.
30
.250
1.4
31
Average:742
44:
Daily Maximum
7.50
1,61
Daily Minimum
20
000
7.14
Sampling Type
Galeula4ed•'
Grab
Grab
rat _.;°
Grab
„Gab
Grab
Grab
Grab
Recorder"
Monthly Limit
SeePermit
10
14 ..y'''
4
..`:
5
Daily Limit.
15
25
6
6-9
10
10
SampleFrequency:
Monthly--
4 X Year
4 X Year:
4 X Year
'4 X Year I
4 X Year
4 X year..;:
Weekly
!}',,X.Y.ear, ;
4 X Year
Continuous

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Sampling Person(s)
Name: Robert Barr
Name: Kevin Bryan
Name: Pace Analytical, Inc.
Name:
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
❑ 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: Robert. Barr
Permittee: Laurel Mountain Retreat
Certification No.: 24262
Signing Official: Robert Barr
Grade: SI Phone Number: 828-251-1900
Signing Official's Title: Signatory
Has the ORC changed since the previous NDMR? .❑ Yes ❑ No
Phone Number: 828-251-1900 Permit Expiration: 1/31/2022
1 z?I
i Z7iS
Signature Date
Signature Date
By this signature, I certify that this report is accumate 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 ofWater
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617