WQ0004115_Monitoring - 03-2019_20190610

I
NUAK-1 10-13
7
NON -DISCHARGE
APPLICATION
REPORT
(NDAR-1)
- *2=1
- &�, 9
w�Z­ —0age
of
rmit No
Permit No.: W00004115
Facility Name:
CHAMPION HILLS,
POA
County: Henderson
Month:
March
Year: 2019
D!
Did irrigation
Field Name:
2
Field Name:
4
occur
IMMER
Area (acres):
11.27
5 ft
Area (acres):
20.35
at this facility?
. . . . . .
Cover Crop:
TUR FGRASS
Cover Crop:
TURFGRASS
[:]YES ENO
Tt
Hourly Rate (in):
%
Hourly Rate (in):
"WIN
Annual Rate (in):
Field Irrigated?
91
EIYES ENO
Annual Rate (in):
Field Irrigated?
91
E]YES ENO
iiUeather
Freeboard
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4)
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erations
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29
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0
0.00
31
MonthlyLoading:
12 Month Floating Total (in)*
A.60
PIA
0.00
,A
7.06

AR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page --U— of
Did the application rates exceed the limits in Attachment B of your permit?
pCompliant
[]Non -Compliant
Were adequate (measures taken to prevent effluent ponding in or runoff fftorn the sites?
❑✓ Compliant
❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
pcompliant
[--]Non-compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
pcompliant
❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
RICompliant
❑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 necessarv.
the non-compliance and
describe the corrective
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Karl Griffiths
Certification No.: 15613
Grade:
Has the ORC changed since tl
Phone Plumber:
INDAR-1?
828 696 1962
❑Yes DNo
Signature
By this signal , I certify that this report is accurrate and complete to the best -of my knowledge.
Permittee:
Champion Hills, POA
Signing Official: Karl Griffiths
Signing Official's Title: ASSISTANT SUPERINTENDANT
Phone Number: 8�8 6961962 , . Permit Exp.: 1/31/24
4/18/19 /'�/C 2 - 4/18/19
Date /qqualified
ature Date
I certify, under penalty of law, that thnt and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure tha personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons we -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

"' NON -DISCHARGE MONITORING REPORT (NDMR) = Page�of�
��� A 0 o
ermit No.: WQ0004115
Facility Name: Champion Hills, POA
County: Henderson
Month: March
Year: 2019
PPI:
Flow MeasuringPoint: ❑ Influent ❑ Effluent z"` -
❑ No:Now generated
Parameter Monitoring Point: ❑Influent El Effluent ❑Groundwater Lowering El Surface Water
Parameter Code
50050
00310
50060
31616
0061
00625
00620
00600
00400
00665
00530
00076
m
E
V FE-
c
O
1-
c
�0 QO
U Z Z
mg/L mg/L #/100 mL ---' �mglL mg/L
'
n v��si
�,l 5L�o
�� y
c
IL
_
C�vO
N
is
H
24-hr
firs
GPD
su
mg/L
mg/L
NTU
1
08:00
0.5
0
2
4
3
0
4
09:30
0.5
0
5
08:30
0.5
0�'��
6
09.10
0.5
0
7
08:10
0.5
0,
8
09;10
0.5
0?
9
0
10
11
0
12111:15
0.5
011
13
10:20
0.5
0
14
10:10
0.5
0"
15
10:00
0.5
0-
16
10:00
0.5
0
17
181
10:45
1 0.5
0..
19
08:20
0.5
0
20
11:45
0.5
0,
21
09:00
0.5
0
22
08:08
0.5
0 '
0
S
0
07:45
0.5
0 ' `
26
07:43
0.5
0
27
07:33
0.5
0
28
07:43
0.5
0
29
07:47
0.5
D
30
0
31
D .
Average:
0
Daily Maximum:
, D
Daily Minimum:
0 -
Sampling Type:
Monthly Avg. Limit:
Daily Limit:
70 000-
Continuous
Composite
10
15
Monthly
Grab
5xW
Grab
14
25
Monthly
Composite
4
6
Monthly
Composite
Monthly
Composite
Monthly
Composite
Monthly
Grab
5/Week
Composite
Monthly
Composite
Recorder
5
10
Monthly
Sample Frequency:
10
Continuous

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page of rqqq
Sampling Person(s) Certified Laboratories
Name: Danielle Hunter Name: Pace Analytical
Name: Name:
Does ail monitoring data and sampling frequencies meet the requirements.in Attachment A of your permit? I] 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 necessnry
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Karl Griffiths Permittee: Champion Hills POA
Certification No.: 15613 Signing Official: Karl Griffiths
Grade: SI Phone Number: 828-696-1962 Signing Official's Title: Assistant Superintendant
Has the ORC changed since the previous NDMR? ❑ Yes p No Phone Number: 828-696-1962 Permit Expiration: 1/31/2024
-�, A 1 f �!/ - , A A
LA � 9-
Zvi
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Signature Date
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page l of //\-
rRM7-NIDAR-1P 10-13
Permit No.: W00004115
FacilityName: CHAMPION HILLS, POA
county: Henderson
Month: March
D • irrigation •�■
• •
M1271311=
• •
-ivY+ilCover
Crop
e
FIYES EIN64AY 0 6
l e -.
®-Not
R-MIEFFIM
®®
' urly Rate (in):i=mmm
-in
R
Monthly
Ifio

PPPR7 NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page A of lJ'
Did the application rates exceed the limits in Attachment B of your permit?
❑p compliant
❑Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
OCompliant
❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
ElCompliant
❑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?
[DCompliant
❑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.
to stream.
I
Operator in Responsible Charge (ORC) Certification
I ORC: Karl Griffiths
Certification No.: 15613
Grade: Phone Number: 828 696 1962
Has the ORC changed since
NDAR-1? I ❑Yes . ❑✓ No
Signature
By this signat , 1 certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee:
Champion Hills, POA
Signing Official: Karl Griffiths
Signing Official's Title: ASSISTANT SUPERINTENDANT
Phone Number: 8 86961962 Permit Exp.: 1/31/24
4/18/19 ' 2 - 4/18/19
Date /qualified
ature Date
I certify, under penalty of law, that thnt and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure tha personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons we 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