WQ0033804_Monitoring - 11-2022_20221222

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
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*
WQ0033804-12-22.pdf 2.69MB
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
12/22/2022
This will be filled in automatically

Is the project number correct?*
Is the monitoring report accepted?* Yes No
Regional Office*
Reviewer: _anonymous
Review Date: 1/11/2023

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
I Month: November
Year: 2022
Did irrigation occur
Field Name:
1A
Field Name:
1 B
Field Name:
2
Field Name:
3
Area (acres),
0.2
Area (acres):
0.19
Area (acres):
0.34
Area (acres):
0.45
at this facility?
Cover Crop:
Cover Crop:
Cover Crop:
1
Cover Crop:
YES NO
Hourly Rate (in):
0.2
Hourly Rate (in):
0.2
Hourly Rate (in):
0;2
Hourly Rate (in):
U
Annual Rate (in):
23.53
Annual Rate (in):
2153
Ann
23.53
Annual Rate (in):
23.53
Weather
Freeboard
Field Irrigated?
YES NO
Field Irrigated?
YES NO
Field Irrigated?
l Ei YES 0 No
Field Irrigated?
0 YES NO
LMi
(D
CL
CL M
7a
0.
E ,
0 CL
E cc
9
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a
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z
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75
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55
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it
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11 0,00
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3
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52
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4
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65
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5
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9
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14
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16
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21
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Monthly Loading:
�12
i
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_7_7=-73-o
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10M
-
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Month Floating Total (in)-
0,00
&00
" L�
���
-00
I EOO
0 00

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2 of 6
Permit No.: VVQ0033804
Facility Name: Laurel Mountain Retreat
County: Buncombe
Month: November
Year: 2022
Did irrigation
Field Name:
4
Field Name:
5
Field Name:
6
Field Name:
7
occur
Area (acres):
0.31
Area (acres):
033
Area (acres):
0.42
Area (acres):
-
0.38
at this facility?
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
YES NO
Hourly Rate (in):
0.2
Hourly Rate (in):
0,2
Hourly Rate (in):
0.2
Hourly Rate (in):
02
Annual Rate (in):
23,532
Annual Rate (in):
23,53
Annual Rate (in):
23.53
Annual Rate (in):
23.53
Weather
Freeboard
Field Irrigated?
[D YES NO
Field Irrigated?
YES - NO
Field Irrigated?
E YES El NO
Field Irrigated?
YES - NO
0
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otal (i
12 Month Floating T n):
0.00
000

FORM NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-'I) Page 3 of 6
Permit No,: VVQ0033804
Facility Name: Laurel Mountain Retreat
County: Buncombe
Month: November
Year: 2022
Did irrigation occur
Field Name: 8
-
Field Name:
Field Named Field Name:
I
Area nacres): 0.44
I Area (acres):
s):
Area (acres): Area (acres):
i
at this facility?
Cover Crop:i
Cover Crop:
-
Cover Crop: Cover Crop:
YES N
FE O
Hourly Rate (in): 0.2
Hourly Rate (in):
Hourly Rate (in): Hourly Rate (in):
Annual Rate (in): 23,53
I Annual Rate (in):
Annual Rate (in)- I Annual Rate (in):
Weather
Freeboard
Field Irrigated? YES NO
Field Irrigated?
YES El NO
Field Irrigated YES --- NO Field Irrigated?
YES Ll NO
70
C)
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Monthly Loading:
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12 Month Floating
aclo

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-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 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?
Compliant 'Ell Non -Compliant
Compliant U Non -Compliant
Compliant Non-Carnpliant
Compliant 7_1 NGn-Compliant
is Compliant [111 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 (CRC) Certification Permittee Certification
CRC: 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 [SRC changed since the previous NDAR-1? 11 Yes F] No Phone Number: 828-251-1900 Permit Exp.: 3/31/27
A
(V
Signature Date Signature Date
By this signature. I cerlufy that this report is accurrate and complete to the best of mv 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 oesigned to assure that all qualified personnel properly gathered and evaluated the information submitted Based oil Ifly
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the infoTrnation the
information submitted is, to the best of my knowledge and belief. true aMirate, and complete I arn aware thatthereare significant
penalties for submitting false informat!onincluding the possibfflty 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: NOW 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 5 of 6
Permit No.: WQ0033804
Facility Name: Laurel Mountain Retreat
County: Buncombe
Month: November
• s -t . _ _
i - - _ - s a s ; a �.. - .. ' a a... . s _ x _ -
E
m
•
f E
1,
Daily '
_ s
Monthly Limit:

FORM: 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? ED Compliant El 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 PGrmittee 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 revious NDMR? Ell Yes El No Phone Number: 828-251-1900 Permit Expiration: 3/21/2027
V
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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 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 Fhat 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