WQ0024694_Monitoring - 10-2022_20221129

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * October
Report Information
WQ0024694
Brights Creek Golf Club WWTP
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
DMR Brights Creek WWTP- 3.69MB
Oct 2022.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Rickie Daniels
Reviewer: Gerald, Wanda
Rid
11 /29/2022
This will be filled in automatically

Is the project number correct?* WQ0024694
Is the monitoring report accepted?* Yes No
Regional Office* Asheville
Reviewer: _anonymous
Review Date: 12/2/2022

Page Of -3
FORM: NDAR-1 08-11
f
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?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
E,] compliant
E] Non -compliant
Compliant
❑ Non -compliant
Compliant
❑ Non -Compliant
Compliant
❑ Non -compliant
❑ 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: Ken Deaver
Perm ittee:
AQUA NC
Certification No.: 992372
Signing Official: 'S � G -^- -.-I B key, —
Grade: SI Phone Number: 828-657-1810
Signing Official's Title: a0c i, d, j—
Has the ORC changed since the previous NDAR-1 ? F1 Yes P1 No
Phone Number: 910-4V;8712 Permit Exp.: 10/31/24
4)
ll-ZZY-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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page a If 3
Permit No.: WQ0024694
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Facility Name: Bright's Creek Golf Club
I County: Polk
Month: October
Did irrigation
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Cover Crop:
Cover Crop:
YES NO
Hourly Rate (in):
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FORM: NOAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I of
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County: Polk Month: October
Field Name:
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Area (acres):
Area (acres:
Area (acres):
at this facility?
Cover Cr)p:
Cover Crop:
Cover Crop:
YES NO
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Annual Rate (in):
Annual Rate (in):
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Annual Rate (in):'
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