WQ0033804_Monitoring - 09-2022_20221028

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * September
Report Information
WQ0033804
Laurel Mountain Retreat
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
WQ0033804-9-22.pdf 2.77MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Kimber Reese
Reviewer: Gerald, Wanda
10/28/2022
This will be filled in automatically

Is the project number correct?*
Is the monitoring report accepted?* Yes No
Regional Office*
Reviewer: _anonymous
Review Date: 11/22/2022

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of 6
Permit No.: WQ0033804
Facility Name: Laurel Mountain Retreat
County: Buncombe
Month: tember Sep
Did irrigation
Field Name.
Field Namel
-I
occur
Area (acres):
Area (acres) -
at this facility'?
Cover Crop.
El YES El NO
Hourly Rate (in):
0
Hourly Rate (in):
Annual Rate 0n.):1
M
mmm=
M
mm=�
M
M===
Monthly Loadinlflmnmmm=rrr
12 Month Floating Total (,Alwvmffww��

FORM: NDAR=1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2 of 6
Permit No.: WQ0033804
Facility Name: Laurel Mountain Retreat
County: Buncombe
Month: September
Did irrigation
occur
Area (acres):
at this facility?
A YES NO
Hourly Rate (in):
Annual R■ ate (in):
Annual Rate (in):
Field Irriaated?
Field Irrig led?
?_W lrrigated?.���:
Field Irrig ated?l
Field Irrigated?
Mombly Loading:

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-'I) Page 3 of 6
Permit No.: WQ0033804
Facility Name: Laurel Mountain Retreat
County: Buncombe
September
Year: 2022
Did irrigation
Field Name:
8 Field Name:
Field Name:
Field Name:
occur
Area (acres);
0.44 Area (acres):
Area (acres):
Area (acres):
at this facility?
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
YES NO
Hourly Rate (in):
0,2 Hourly Rate (in):
Hourly Rate (in):I
Hourly Rate (in):
Annual Rate (in):
2153 Annual Rate (in):
Annual Rate (in):
E
j Annual Rate (in):
Weather
Freeboard
Field Irrigated?
YES N 0 Field irrigated?
7--7 YES NO
Field Irrigated?
YrS NO
Field Irrigated?
YES NO
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12 Month Floating Total (in):
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FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDA -1) Page 4 of 6
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent pending in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listedin your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
CQmrlilant Non -Compliant
Compliant Non -Compliant
Compliant _Nan -Compliant
D Compliant — Non -Compliant
Compliant E 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 Perrnittee:
Laurel Mountain Retreat
Certification No.: 2 262 Signing Official: Robert Barr
Grade: Sl Phone Number. 828-251-1900 Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR- ? yes No Phone Number: 828-25' -1900 Permit Exp.. 3131/27
01 i #Gee+
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 lave, ilia! this document and of 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 ruy_
inquiry of the person or persons who manage :he systemor those persons directly responsible for gathering the Information. the
information submitted is, to the best of my knowledge and belief.. true,. accurate, and ccrneete_ l am aware trial there are significant
penalties for submitting false €nfortration, including the possibility of flnes 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: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 5 of 6
Permit No.: WQ0033804
Facility Name:
Laurel Mountain Retreat
County:
Buncombe
Month: September
Flow Measuring Point:
El Influent [21 Effluent El No flow generated
on
r
r
IN
ILI-
31
Average.
362
2.40
1.00 3.80
4.10
14.10
18A0
2.10
410
Daily Maximum.
520,
2.40
1,00 3..80
4.10
14.10
1 .40
7.17
2.10
4.10
100
Daily Minimum:
351
2.40
1:00 3.80
410
14.10
18.40
6.60
110
4.10
t}.
Sampling Type:
Caicutated
Grab
Grab Grab
Grab `
Grab
Grab
Grab
Grab
Grab
Recorder
Monthly Limit:
S Permit
10
14 4
5
Daily Limit:
15
25 6
6-9
10
10
Sample Frequency:1
Monthiy ,
4 X Year
4 X Year 4 X Year
4 XYe r
4 X Year
4 X Year
Weekly
4 X Year
4 X Year I
Confront s

FORK NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 6 of 6
Sampling Person(s) Certified Laboratories
Name: Robert Barr Name; Pace Analytical, Inc.
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? P:1 Compliant [I 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: Sl Phone Number: 828-251-1900
Signing Official's Title: Signatory
Has the ORC changed since the previous NDMR? 17-1 Yes 0 No
Phone Number: 828-251-1900 Permit Expiration: 3/21/2027
WMY
� hAov
I 1�r� L� ( I L�
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 low, 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 property 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. —1
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617