WQ0033804_Monitoring - 08-2016_20161004 (2)

FORM: NEAR -1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page J_ of
'Permit'No.:
W00033804
Facility Name:
Deerborne Cottages
County:
Buncombe
Month:
August
Year:
2016
Did irrigation occur
Field Name:
1A
Field Name:
1 B
Field Name.
2-1'
Field Name:
3
Area (acres):0.2
Area (acres): 0.19
Area (acres):. 0.34,_;
Area (acres):
0.45
at this
EYES
facility?
❑No
Cover Crop:
Woods., ,.
Cover Crop:
Woods
Cover Crop Woods,
Cover Crop:
Woods
Hourly. Rate (in):0.2
Hourly Rate (in): 0.2
Hourly Rate (in): '° 0.2
Hourly Rate (in): 0.2
Annual Rate (in):
23.53
Annual Rate (in):
23.53
Annual Rate (in):
23:53::"
Annual Rate (in):
23.53
Weather Freeboard
Field Irrigated?
❑YES
QNo-
Field Irrigated?
❑YES
ONO
Field Irrigated?
- ❑YES
2No `
Field Irrigated?
❑YES
ONO
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67/91
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5
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27
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28
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29
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31
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Monthly Loading:
12 Month Floating Total (in):
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0:00
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _J_ of ` _
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?
T
ompliant []Non -Compliant
24 -pliant ❑Non -Compliant
Co/mpliant [:]Non-compliant
ompliant ❑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: Richard Swilling
Permittee:
Deerborne Cottages, LLC
Certification No.: SI -993157
Signing Official: Robert Barr
Grade: SI Phone Number:[phone]
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? ❑Yes ❑✓ No
Phone Number: [phone] Permit Exp.: 12/31/16
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 ,2- of
`Permit No.:
W00033804
Facility Name:
Deerborne Cottages
County:
Buncombe
Month:
August
Year:
2016
DIC:Ifl'Igat1011 occurArea(acres):'
at this facility?
-Field Name:
4
Field Name:
5
Field Name G•
Field Name:
7
0,31
Area (acres): 0.33
Area (acres)., _ •' 0,42
Area (acres): 0.38
a_ Cover Crop: Woods
Cover Crop: Woods
Cover Crop:' ,Woods "
Cover Crop: Woods
DYES
❑NO
Hourly Rate (in):
0,2
Hourly Rate (in):
0.2
Hourly Rate (in):
0.2
Hourly Rate (in):
0.2
Annual Rate (in)
23.63
Annual Rate (in):
23.53
Annual Rate (in).,, - 28:53,`o
Annual Rate (in):
23.53
Weather Freeboard
Field Irrigated
❑YES
[jNO
Field Irrigated?
❑YES
ONO
_. "Field Irrigated?'
AYES .,
❑N0
Field Irrigated?
❑YES
[21No
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1
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66/84
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26
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66/85
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0.56
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27
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65/88
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28
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66/85
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29
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63/84
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62/86
0
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0.00
Monthly Loading:-
0 0.00
0.00
0 0.00
r y . 0.00
20;340 1.78
13.06'
12 Month Floating Total (in):

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page C, of
Did the application rates exceed the limits in Attachment B of your permit?
R116ompliant
❑Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Compliant
❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
compliant
❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
ECompliant
❑Non -Compliant
L71P-If /_/9
�/ r
Signature Date
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
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.
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Richard Swilling
Permittee:
Deerborre Cottages, LLC
Certification No.: SI -993157 _
Signing Official: Robert Barr
Grade: SI Phone Number:.: [phone]
Signing Official's Title: Signatory
Has the ORC changed -since the previous NDAR=1?. ❑Yes ONo
Phone Number:. (828) 251-1 00 Permit Exp.: 12/31/16
L71P-If /_/9
�/ r
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 3 of f -
Permit No.: WQ0033804
Facility Name:
Deerborne Cottages
County: Buncombe
Month:
August
Year:
2016
Did irrigation occur
..at -this facility?
Field Name;
8 s-
Field Name:
Field Name:
Field Name:
Area (acres): 0.44
Area (acres):
Area (acres):
Area (acres):
Cover Crop: Woods
Cover Crop:
Cover Crop:
Cover Crop:
DYES ❑No
Hourly Rate (in):
0.2
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
23.53
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather Freeboard
Field Irrigated?
UYES
j2INO
Field Irrigated?
DYES ❑No
Field Irrigated?,
DYES
[]No
Field Irrigated?
❑YES
[]NO
070 2 w m °i
o r ya
co a m
c` d a .. �2
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°F in ft ft
gal min
in
in
gal min
in in
gal min
in
in '
gal min
in
in
1 1
PC 67/91 0.2
0 0
0.00
-0.00
2
PC 68/91 0.1
0 0
0.00
0.00
3
PC 69/89 0
0 0
0>00
0.00
4
PC 69/87 0.4
0 0
0:00
0.00
5
PC 70/87 0.2 10
0 0
0.00
0.00
6
PC 68/85 . 0.3
0= 0__
_0.00
0.00".
.7
CL 169187 0.2 -
04 0 :`_
. 0,00
0.00 ,
8
CL 69/85 0.1
0 0 .:
- .0.00
0.00 .
9
,
PC 68/87 0.2
=' "` 0
"
' ' 0.00%,
10
CL 68180 0.1:,.
0 o,',:.
:0.00
0:00
11
PC 69/88 0.1 10
0' 0
0.00
0.00
12
. PC 71/88 0
- 0 0
0.00
0.00
13
: PC 71/87 0
0 • 0
0.00
0.00
14
PC . 71/88 0.1
.., 0 0
0.00
_,U0
15
PC 70/87 0
0 0 -
0.00
-.0.00
16
PC 69/89 0
0 0
0.00
0.00
171
PC 68/86 0.2
4• 0
0.00
0.00
18
CL 67/85 0.2 10
0 0
.0.00
0.00
19
CL 66/84 0.4
__0 0
`: ° ,-0;00
0:00 .
20
CL 70/86 0.2
0 0
0.00
0.00
21
CL 69/86 0.1
':0 0
0.00
'0.00
22
PC 66/83 0A
0
0.00
0:00
231
PC 65/83 0 1
0 0
0.00
0:00
241
CL 66/84 0
0 0
0.00
0.00
25
'PC 65/87 0
0 0
0.00
0.00 `
261
PC 66/85 0 10
0 0
0.00
0.00
271
CL - 65/88 0.2
0 0
0.00
0.00
281
CL 66/85 0.1
0 0
0.00
1 0.00
29
PC 63184 0.1
0 0
0.00
0:00
30
. PC 63/85 0
1 0 0 ` `
0.00
0.00
31
PC 62/86 0
0 0
0.00
0.00
0
0.00
Monthly Loading:
- 0 0.00
0.00°-
0 r 0.00 = -
- r _ -�`
0 0.00
'�`
-'.1.2 Month Floating Total (in):

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page7 of
Did the application rates exceed the limits in Attachment B of your permit? compliant ❑Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑>�mpliant ❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? //®Compliant ❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ✓pliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?pliant ❑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: Richard Swilling
Permittee:
Deerborne Cottages, LLC
Certification No.: SI -993157 -:
Signing Official: Robert Barr
Grade: SI Phone Number: (828):251-1900
Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? ❑Yes ❑p No
Phone Number: [phone] Permit Exp.: 12/31/16
`� lc?rll
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