WQ0012690_Monitoring - 05-2022_20221014

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * May
Report Information
WQ0012690
MT MITCHELL STATE PARK
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
05-2022 NDMR-AR - Mt 432.34KB
Mitchell SP.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Envirolink, Inc.
Reviewer: Gerald, Wanda
10/14/2022
This will be filled in automatically

Is the project number correct?*
Is the monitoring report accepted?* Yes NO
Regional Office*
Reviewer: _anonymous
Review Date: 10/31/2022

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page . of
Name: Operators Name: Statesville Aria - c -
Marne_ 11 Name:
Does all i o ltod data and p frequenciest the r r - t � C I�t of your permit? � Compliant � � ��i�
-f the facility is Ron- npllent, please explain in the space to the reasons tits: facility was not in compliance. Provide -n your explanation the date(s) of the on-com- al i -e and desc.. a corrective
c-110n(s) to een- Attach ad itl n�I sheets if necessany.
Operator In Responsible Charge ( ) Certification Permittes Certification
o Cc Eric Youngs Pe i fit. Mitchell State Par-
Certification No.: i Signing Official. Roped Mc
ra ez - Phone oer ' 1 ) 5 s 9 Signing -sl�e TWO: er Trite ant
Has the 011RC changed since the previous M yes ® No Phone Number _ 7 Permit Expiratiom9130/2026
Dgft:;y a grad - d- Younga
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Moic
--Date, 2 17,29'-5A 25- '0A' -
Si natire Date Signature bete
By this s tar e; i canHV th i this report is 21=w- ie -3OHO to fe W, w my wvwiedgm - rt v, a mr �� 3 v, ��t �€� �� s��i aria I �t ���r � prepare �_� r� Y �i � �: �' _ -_ °;
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sub ripe. Swed an my irauiryj of t person ar parsons who manage trie sybme�: or vvse persais d y '=8s2-crziUM for
ga -i to €nfamnWi, ors, Non su>m a !&, to the bet of nny kra° dge ama befla-111. tea, aw-urwI& and rnpiata. i B
aw—we that tem we ft-nificent ponaffles subm.-Hi-3 false Information hoUding ft of tip ami i�r-pmerr tar
l kno"Or rig
Mai- Onginal and Two Copies tog
'vi ton of Water -resources
Information Processing Unit
1617 Mai- SGIVIce Center
a--gh, North Caro-lne 7=t67
'i

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Permit No.: WQOO 12690
Facility Name:
MT. MITCHELL STATE PARK
County.
Yancey Month: May
PPI: 001
Flow Me rinPoint: E, influent 2 Effluent 13 No flow generated
IU g
L
g Point:
11 Influent 2 Effluent Ej Groundwater Lowering Surface Water7
•
-
-------------- ....
!LA
— - - - — ----------
al y aximum:
Daily Minimum:
. ..................
. ..... . .
. ............... . ...........
an y Limit:
Daily Limit:
mm"Qij_.
,
=.

FORM: DAR-, t -t3 NOWDISCHARGE APPLICATIONREPORT =I)
Page Ofc
Did the application rates exceed the limits in Attachment B of your permit?
a Compliant Q Non-Complizint
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
[a Compliant El flompliant
Was suitable vegetative cover maintained on all sites as specifiedin your it
0 Compliant 13 No i;pliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
RI Compliant 0 Nowmpflant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
0 COM.Pliant 0 Non -Compliant
if the facility is non -compliant, please explain in the space below the reason(s) the facility s not in cornplianca. Provide in your explanation the date(s) ofthe non-compliance and dead � tits �-o- -tive
action(s) take. Attach additional sheets if necessary.
Operatic- in s cnsible Charge C) Cortific-liltion
Perinittee Certification
Eric w-n s P r _tt =
Mt. Mitchell State Palk
Certification _- 10 .113signingOfficial: Robert McGraw
Grade- Si Dho-e Number. ( 10) 465=1219 Signing cial's H-W Supenritendant
Has the RC changed since the Pravio a Nib _$=E1-1 0 yes a itio Phone Number., ) 75_ 611 Pe- rit =p.: 91 _2
igbIN Eir-ad W, Ert _ours.
l IC _
Signature Data Signature Dam
Bythis siggrunure, [ ft-ammponis amr-ateto f k e p [ cer-UN, unds, malty of [ , mat this docurnam and Wi a 5 were premnod undo, ray dlmctbn or sar i*n in so-mrdan
w a system des[riso to assum met an qualifies P= w r,31 "pedy gW evaluated the Woff-'atiOn iiubmi ed on my
i€quiyat r P� € wit tvs ,c3iheae i <tyE e € [� �e ti � t € e 8t'an.Uh
� t � uan � Che t �f ti C e > a rats; a P3 . i a �s z� tint €e are wguce it
pantiftleas for submitting false infammallo h1duiling tip p sibifl y of flees Red imp n�s a i-bP krmwimg Aolatlarist
Mail 0ri inai anI n Copies to -
Division f Water Resources
information Processing --nit
�617Hai_ Service Center
Raleigh, North Carolina 7691 `€ 7

FORM NDAR-1 10A3 M.-OWDISC HA.RGE APPLICATION REPORT (NDAR-l' Page