WQ0012690_Monitoring - 03-2023_20230526

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * March
WQ0012690
MT. MITCHELL STATE PARK
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2023
Upload Document*
03-2023 Mt Mitchell NDMR-AR.pdf 578.96KB
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: Wanda.Gerald
5/26/2023
This will be filled in automatically

Is the project number correct?* WQ0012690
Is the monitoring report accepted?* Yes No
Regional Office* Asheville
Reviewer: _anonymous
Review Date: 6/9/2023

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ___ of
Did the application rates exceed the limits in Attachment B of your permit?
m Compliant ❑ NorrCompliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
m Compliant o NornCompliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
m Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
O Compliant o Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
m Compliant o 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 I Permittee Certification
ORC: Todd Robinson
Certification No.: 1006252
Grade: Si Phone Number: [phone]
Has the ORC changed since the previous NDAR-1? m yes o No
Z6�V)VIZ91 /_ 1 /fh- 4/25/2023
Signature Date
By this signature, i certify that this report is aceurrate and complete to the beat of my lowwledge.
Pennittee. Mt. Mitchell State Park
Signing official: Robert McGraw
Signing Official's Title: Superintendant
Phone Number (828) 6 5-461 Permit Exp.: 9/30/26
Signature Data
I certify, under penalty of law, that this document and at 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 parsons 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 irdarnatlon, Including the possibility of fines and imprisonment for (mowing 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 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: Q11 .•1
Facility Name: MT. MITCHELL STATE PARK
1
Flow Measuring Point: 11 Influent 121 Effluent 11 No flow generated
Parameter Monitoring Point: 11 Influent 121 Effluent 11 Groundwater Lowering 11 Surface Water
Monsoon

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Operators Name: Statesville Analytical
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? m 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
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OCT
Operator In Responsible Charge (ORC) Certification
Permiltee Certification
ORC: Todd Robinson
Permittee: Mt. Mitchell State Park
Certification No.: 1006252
Signing Official: Robert McGraw
Grade: SI Phone Number. [phone]
Signing Official's Title: Superintendant
Has the ORC changed since the previous NDMR? m Yes ❑ No
Phone N, 28) 675-461 Permit Expiration: 9/30/2026
4/2512023
Signature Data
Signature Date
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge.
I certiy, under penally 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