WQ0033804_Monitoring - 10-2016_20161202

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page —L of
Permit No.: W00033804
Facility Name:
Deerborne Cottages
County:
Buncombe
Month: - - October
Year: 2016
PPI:
001
Flow Measuring Point: ❑influent [2]Effluent ❑No Flow generated
Parameter Monitoring Point:
❑Influent Effluent ❑Groundwater Lowering ❑Surface Water
Parameter Code --0.
.,:50050 '
00310
31616
00610 00625
00620
00600
00400
00665
00530
00076
O
0"34
Daily Maximum.
978
7.10
9
Daily Minimum:
723
P
O
=
E Y
Sampling Type:
9
a
w
a o
Z'
0
U
Monthly Limit:
to
m
'�v
a
z
lo-
a
Daily Limit:
15
25
0
U
10
10
Sample Frequency:
cz
4 x Year
4x Year
4 x Year
d
1 4x.Year F4 x Year
Continuous
o
t-
24 -hr
hrs
GPD
mg/L
#K00 mL
mg/L mg/L
mg/L
mg/L
su
-mg7L
mg/L
NTU
1
939
2
939
3
4
•J39 :.:
0.3 "
5
939
0.2
6
;' 939
0.2
7
15:00
0.33
!1F: 960
7
0:,3
8
0.3
93
F
_0.3
10
0.4
12
� 723
13
14
15:45
0.25
723
7
4.31
15
978
0.2
16
978- ;'
0.3�
17
078
_,
0:2
18
978: ', ,
-
0.3
19
97$" :'
0:3
20
97$
21
14:45
0.25
976
-
7.1
0,29
22
877 -
•0.4
23
817
24
87 :'
_
0.3
25
0;3
26
$7T
02
27
877_
28
11'15
025
877
71
tl"28
29
-:
1
30
850
31
850
0.9
Average:-_
876
0"34
Daily Maximum.
978
7.10
1.00
Daily Minimum:
723
7.00
0.20
Sampling Type:
° Est (matt .e
Grab
Grab '°
Grab
Grab Grab Grab Grab
Grab Grab
Recgtder
Monthly Limit:
5k60=
10
14 ' -
4
5
Daily Limit:
15
25
6
6-9
10
10
Sample Frequency:
Mgnthly
4 x Year
4x Year
4 x Year
4 xYear '; 4 x Year 4 x,Year Weekly
1 4x.Year F4 x Year
Continuous

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page --E—of
a
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? 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 NDMR? ❑Yes ONo
Phone Number: [phone] Permit Expiration: 12/31/2016
%/ 9AZI
z�
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