WQ0012690_Monitoring - 05-2023_20230630

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * May
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*
05-2023 Mt Mitchell NDMR-AR.pdf 428.41 KB
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
6/30/2023
This will be filled in automatically

Is the project number correct?* W00012690
Is the monitoring report accepted?* Yes NO
Regional Office* Asheville
Reviewer: _anonymous
Review Date: 7/24/2023

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Ponnit No.: WQ001 2690
Fadlity Name: MT. MITCHELL STATE PARK
County: Yancey
Month: May
1
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certifled Laboratories
Name: Operators Name: Statesville Analytical
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0 Compliant o Non-compllant
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: Todd Robinson
Permittee: Mt. Mitchell State Park
Certification No.: 1006252
Signing Official: Robert McGrew
Grade: Si Phone Number. [phone]
Signing Official's Title: Superintendant
Has the ORC changed since the previous NDMR? m Yes o No
Phone Number. (828) 6754611 Permit Expiration: 9/30/2026
B/2912023
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Signature Date
Signature Date
By tht signature, I tartly that this report Is accurate and complete to the treat of my lnowledge.
1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In
axerdance with a system designed to assure that all qualified personnel properly gadwmd and evaluated the Information
submitted. Based on my inquiry of the person or persons who manage the system, or Moser persons directly responsible for
gallredng the Information, the inlionnation submitted 1% to the best of my Rrrawledge and beW true, accurate, and complete. I am
aware Itrat there are slg IfksM penalties for submitting telss krfomretlon, Including the possMy of fines and Imprisonment for
knowing vlolabons.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1017 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page —Of
W00012690
Facility Name: MT. MITCHELL STATE PARK
County. Yancey
Month: May
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Did irrigation
at this facility?
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Ho Rate Q%��ff
Hourly Rate (in):
Annual Rate
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Monthly Loading:
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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?
® Compliant 0 Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
la Compliant 0 Non -Compliant
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?
m Compliant ❑ 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.
SYSTEM STARTED
Operator In Responsible Charge (ORC) Certification
Permlttee Certification
ORC: Todd Robinson
Permittee:
Mt. Mitchell State Park
Certification No.: 1006252
Signing Official: Robert McGraw
Grade: Si Phone Number. [phone]
Signing Official's Inds: Superintendent
Has the ORC changed since the previous NDAR-7? ® Yes a No
Phone Number. [phone] Permit Exp.: 9/30/26
6l2gl2023
,
Signature Date
Signature Date
By this signature, I certify that this report Is aecurrate and complete to the best of my Wrowledge.
1 ce , under rtify, penalty of law, that this document and all attachments were prepared carder my direction or supervision In accordance
with a system designed to assure that al qualified personnel property gathered and evaluated the it formation submitted. Based on my
inquiry of the person or persons who manage the system, or two persons directly responsible for gathering the information, the
Information submitted is, to the best of my Isowtedge and belief. true, accurate, and complete. I am aware that there are significant
penal ies for submitting Use Information, including the possibility of fires and imprisonment for knowing vblallons.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 276994617