WQ0029233_Monitoring - 11-2016_20170103

FORM NDAR-i OS-�t NON-DISCHARGE APPLICATION REPORT �NDAR-1) Page � of �
Permit No.: WQ0029233 Faciiiry Name: Bear Lake Reserve counry: Jackson Month: November vear: 2016
Fie�d Name: A Field Name: B Field Name: C Field Name: D
Did irrigation ocC}�r prea (acres�: 0.67 Area (acres�: 0.84 Area (acres): 0.82 Area (acres�: 126
at t�i��;�2i,cflityT q-`
� Cover Crop: Malure Forest Cover Crop: Mature Forest Cover Crop� Mature Forest Cover Crop: Malure Forest
��� Hourl Rate m): 0.05 Hourl Rate m 0.05 Hourl Rate m 0.05 Houd Rate in 0.05
❑� rEs J���`]nro 3 C�� i I y 1' Y (' )� Y f 1� Y f' 1�
Annual Rate (in): 70.5 / 7.0 Annual Rate (in�: 85.7/8.6 Annual Rate (in): 72.5/ 72 Annual Rate (in): 69.6/ 7A
Weathe p�f{Jl Field Irrigated? []vEs ❑No Field Irrigated7 �ve5 ❑No Field Irrigated7 []vE5 [�No Field Irrigated? �ves �no
w
i ❑ _
° m v°' ar o a rn E r rn m v a rn E rn m a v a E rn w a v rn E rn
�` O ` V m 0 1] O, Of r �. C J_ C W N.d. T C �" C E Gi U.d. T C J L` C E N N.d. >. C ] D C
m U � .a m j � � �a E m �� v £ � o � 'o, E m �A 'c E � c � a E � ',� �o E � �o � a E � 'm � E � �
� a O � � 'K o m Oi m K o m m X o R p a 1- ._ p �t 0 �
d �� a a o a ��� o o �= o o a ��c o o ,� = o o a i= �� o o m x o ° m x
dF a (n �� ' 4 - J � J > a _ J � J J< _ J � J > a _ J � J
3 "'
°F in ft ft gal min in in gal min in in gal min in in gal min in in
1 PC 44 0 9 � 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 OAO 0 0 0.00 0.00
2 C 70 0 9 6S 0 0 0.00 0.00 0 0 0.00 0.00 0 0 Q00 000 0 0 0.00 0.00
3 C 40 0 9 6.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00
4 C 43 0 9 6.5 0 0 0.00 OAO D 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00
5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00
5 D 0 0.00 OAO 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00
7 C 40 0 9 6.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 OAO 0 0 0.00 0.00
8 C 34 0 9 6S � 0 OAO 0.00 0 0 0.00 0.00 0 0 0.00 0,00 0 0 0.00 0.00
9 C 50 0 9 6.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00
'10 C 44 0 9 6.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 OAO
11 C 58 0 9 6.5 0 0 0.00 0.00 0 0 0.00 0.00 0 0 D.00 0.00 0 0 0.00 0.00
� Z 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00
13 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00 0 0 0.00 0.00
�a c ss o s s o 0 0 00 0 00 0 0 0.00 0.00 0 0 0.00 0 00 0 0 0.00 0-00
is c aa o s s o 0 0 00 0.00 0 0 0.00 0 00 0 0 0 00 0 00 0 0 0.00 0-00
ts c 50 0 9 s �00 20 0 oa o.0a aoo 22.86 0 oa o.oa 900 22-86 0 oa o oa i,aoo 42.17 o.oa o.oa
17 C 54 0 11 6 700 20 0.04 0,04 800 24.1 0.04 0.04 900 27.69 0.04 OA4 1400 42.17 0.04 0.04
�a c 55 0 72 � 700 20 o.0a O.o4 800 24.1 o.oa o 0a 900 27.69 o.0a a oa �,aoo 42.17 O oa o 0a
i9 0 0 0.00 0.00 0 0 0 00 0 00 0 0 0.00 0 00 0 0 0.00 o.oa
zo 0 0 0.00 0.00 0 0 0 00 0.00 0 0 0.00 0.00 0 0 0 00 0 00
z� c az o iz � �o0 20 0 oa a.oa aoo 24.1 0 oa o oa soo 27.69 o.oa o.oa i,aoo 42.17 a oa o.oa
22 C 35 0 13 7 70p 20 0.04 0.04 800 24.1 0.04 0.04 900 27.69 0.04 0.04 1,400 42.17 0.04 0.04
23 c 3s o 7a.5 a 700 20 0.04 o.0a a0o 24.1 o.oa o.oa sa0 27.69 0.04 O.Oa 1.aoo 42.17 oAa o.oa
za o 0 0.00 0.00 0 0 0.00 0 00 0 0 0.00 0.00 0 0 0 00 0 oa
25 C 44 0 14.5 8 700 20 0.04 0.04 800 24,1 0.04 0.04 900 27.69 0.04 0.04 1.400 42.17 0.04 0.04
26 0 0 0.00 0.00 D 0 0.00 0.00 0 0 0.00 OAO 0 O 0.00 0.00
27 0 0 0.00 0.00 0 0 OAO 0.00 0 0 0.00 0.00 0 0 O.OD 0.00
28 C 33 0 14.5 8 700 20 0.04 0.04 800 24.1 0.04 0.04 900 27.69 0.04 0.04 1,400 42.17 0.04 OA4
29 R 48 1.4 15 9 700 20 0.04 0.04 800 24.1 0.04 0.04 900 27.69 0.04 0.04 1,400 42.17 0.04 0.04
30 CL 54 0.3 15 9 �00 20 0.04 a.oa 800 24.1 0.04 OD4 900 27.69 0.04 0.04 1400 42.17 0.04 0.04
3� 0 0 0.00 0.00 0 0 0.00 OAO 0 0 0.00 0.00 0 0 0.00 0.00
Monthly Loading: 7.000 0.38 8.000 " -- 0.35 9,000 0.40 14.000 -�,-,� 4 0.41
�..
12 Month Floating Total (in�: 2.95 ,,,t .�_-. -._.�, 2.89 2.89 -_.: . ��..� 2.80..„ ,. �.:_

FORM: NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT (NDAR-1). Page � 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? �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? ❑� Compliant F. ❑Non-Compliant
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.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Michael Beck Permittee:
Bear Lake Reserve
Certification No.: SI-991669 WWIV-7930 Signing Official: RoberC Barr
Grade: SI WWIV Phone Number: [phone] Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? ❑ves �tuo Phone Number: [phone] Permit Exp.: 9/30/14
� � �3a `
a�a�� �6
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 ta +
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

���� 98'Z ���%.� � �'%//������
F% ���� Zb'0 ���-�_;,'�„ 000'9
00�0 00�0 Q 0
vo'o vo'o E9'Z� oos
ti0'0 40'0 £9�Z6 009
ti0'0 40'0 £9�Z6 009
00'0 00�0 0 0
oo'o oo'0 0 0
b0'0 b0'0 E9�Z6 009
oo'o oo'0 0 0
vo'o vo'o E9'Z6 oos
vo'o vo'o E9'Z6 009
vo'o vo'o £9'Z6 009
00'0 00'0 0 0
00'0 00'0 '0 - 0
ti0'0 40'0 £9�Z� 009
vo'o tio'o £9'Z6 009
vo'0 v0'o E9'Z6 009
oo'o oo'0 0 0
00'0 00'0 0 0
oo�o oo�0 0 0
oo'o oo'0 0 0
00'0 00'0 0 0
oo•o 00 0 O O
00'0 00'0 0 0
00'0 00'0 0 0
oo'o oo'0 0 0
00'0 00'0 0 0
oo'o oo'0 0 0
oo�o oo�o 0 0
00'0 00'0 0 0
00'0 00'0 0 0
00'0 00'0 0 0
ui ui uiw �e6
r � r �
a= x o p =• -i a o
c. °c � o. °f. d � '° c
co`� � m� o.� am
3
oN❑ sa�l� �pa;e6���1 pla!d
L'L l £'LL :(u�) a;e� �enuuy
50'0 :(ui) a;ea IC��noH
�sa�o� a�n�eW :do�� �ano�
£9'0 :(sa��e) ea�y
H :aweN Pla!�
960Z :�eaA �aqwanoN
� ;o � a6ed
0
Z6'£Z
Z�'EZ
Zb'EZ
0
0
Z6'£Z
0
Zb'EZ
Z 6'£Z
Z6'EZ
0
0
Z��EZ
Z6'£Z
ZZ'6£
0
0
0
0
0
O
0
0
0
0
0
0
�
� "�',a���'�`�'��a'' Z6'Z ,,�y���, ; �,�'f� i�
8 ,��,�� 6£'0 '����i� 000`06
c�...... � „a�
oo�o oo�o p o
3,,:-'; b0'0 b0'0 91��tiZ 000`l
t�' b0'0 ti0'0 S���Z 000' 4
t�: tio'o vo'o Sti'�Z 000' �
00'0 00'0 0 0
oo'o oo'0 0 0
3' ` ti0'0 b0'0 Sb��Z 000' 4
� 00'0 00'0 0 0
��r vo�o vo�o Sb�bZ 000' G
3, r.;� b0'0 40'0 5b�t�Z 000' 6
3' ti0'0 b0'0 9���Z 000' 6
_ 00'0 . 00'0 0 0
�" 00'0 00'0 0 0
3�` b0'0 VO'0 9f���Z 000� 6
t. °�,;� ti0'0 ti0'0 5�'��Z 000'6
�,��.;; 40'0 ti0'0 9��i�Z 000'6
.��•d-ti' 00'0 00'0 0 0
oo�o oo�0 0 0
f oo'o oo'0 0 0
���: oo'o oo'0 0 0
00'0 00'0 0 0
9���" oo O oO O O O
00'0 00'0 0 0
00'0 00'0 0 0
oo�o oo�0 0 0
00'0 00'0 O 0
00'0 00'0 0 0
oo�o oo�o 0 0
00'0 00'0 O 0
00'0 00'0 0 0
00'0 00'0 0 0
t;�; �.;��� ui u� uiw �e6
3_; �
: �' — D <
>,k:'; o°ri o X d v '-i a o
'' a c� a°'. a 3 a c
3.>' �'—c �� � m co 3
o?�r ::';: cc `� � cn a a m
oN❑ S3A❑r �pa;e6i��� p�ai�
,b �;. b'L l 6'£L :(ui) a;ea �enuuy
Hr=� �: 80�0 :(ui) a;ea R��noN
;sa�o� a�n;eW :do�� �ano�
96'0 :(sa�oe) ea�y
•awe ai
� Stl,tii �
:(ui) �e;ol 6ui;eold 4�UolA! Z6
0� . x :6uipeol �14�uoW
0 ."ti : - '
ZZ�6£ ==�17[?$'�,'` ��, 6 54 £'0 b5 l�
�
_. _
ZZ�6£ (�{{#S; �' 6 56 ti'6 84 2�
# '
ZZ'6E �US` .. 8 9'46 0 £E �
,,,r ....��ti� rio:� . � N PI .d - � �-_��v�� a
:y�uo� uos�{�e� :�uno� an�asa�y a�e� �ea8 :aweN r����oe�
�6-�lb���f) lbOd321 N011�d�l�dd�d 3J21t1H�Sl�-NON
8 S'ti6 0 titi � 5Z
vz
8 9'b6 0 9£ � £Z
L E4 0 9£ � ZZ
L Z6 0 Z4 � 6Z
Z6
LL
6
6
s
5'9 6
S'9 6
9's 6
s�s s
s�s s
9'9 6
5'9 6
5'9 6
L 6
� �
w
ai
a d
a � �
0
°� m �
m r.
�
p�eoqaa��
Oz
s�
0 9B � 84
0 b8 � L6
0 09 � 94
o sb � s6
0 9S � bb
��
Z4
0 89 � 66
0 bti � 0 4
0 05 � 6
o vE � s
0 Ob � L
9
s
0 £b � 4
0 Ob � £
0 OL � Z
0 bb �d 4
ui �o
�
�
� � �
� 3 3
-o' � � v
� n m
� � Q �
� m' fD
aay;eaM
ON❑ 531� r❑
�l��ili�e� siy} �e
an��o uoi�e6iaa� pid
EEZ6ZOOOM �'�N �!w�ad
6 4-80 6-2�`d4N �W�10� +

FORM: NDAR-1 08-11
NON-DISCHARGE APPLICATION REPORT (NDAR-1)
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?
Page � of G '
❑� Compliant ❑Non-Compliant
❑✓ Compliant ❑Non-Compliant
❑� Compliant ❑Non-Compliant
❑� Compliant ❑Non-Compliant
OCompliant ❑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: Michael BeCk Permittee:
Bear Lake Reserve
Certification No.: SI-991669 WWIV-7930 Signing officia�: Robert Barr
Grade: SI WWIV Phone Number: [phone] Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-17 ❑Yes Orvo Phone Number: [phone] Permit Exp.: 9/30/14
� � �� � a-a� �- �� � �3a���O
Signature Date Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I ceRify, 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
Permit No.: WQ0029233
Did irrigation occur
at this facility?
❑� YES ❑NO
�06�-DISCHARGE APPLICATION IaEPORT (NDAF�-1)
Faciiity Name: Bear Lake Reserve county:
Weather Freeboard . - { F�eld;
� 3
Gi L � ��
r
O }' O � V�1 .0 y''O s
m V ` Q � =.c�i �,�::
� �
a'�.+ � C�1 � � C ' �-� � �
� F a o co
� � a ���
°F in ft ft ';� " t�al ;
1 PC 44 0 9 7 a.=.�fl�,-°��"
2 C 70 0 9 6.5 ��'D �;���
3 C 40 0 9 6.5 ��' �� �
n
4 C 43 0 9 6.5 -�0=�g1�
5
6
7 C 40 0 9 6.5
8 C 34 0 9 6.5
9 C 50 0 9 6.5
10 C 44 0 9 6.5
11 C 58 0 9 6.5
12
13
14 C 55 0 9 6
15 C 48 0 9 6
16 C 50 0 9 6
17 C 54 0 11 6
18 C 55 0 12 7
19
20 �
21 C 42 0 12 7
22 C 35 0 13 7
23 C 36 0 14.5 S
24
25 C 44 0 14.5 8
26
27
28 C 33 0 14.5 8
29 R 48 1.4 15 9
30 CL 54 0.3 15 9
31
Monthly Loadinc
12 Month Floating Total (in
Field Name: K
Area (acres): 0.99
Cover Crop: Mature Forest
Hourly Rate (in): 0.05
Annual Rate (in): 71.0 / 7.1
Field Irrigated7 ❑� YES ❑No
£ N N d T C 7` C
�o • 'v E � a
' Q ~ � � J � = J
�
gal min in in
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
1,000 30.21 0.04 0.04
�,000 30.21 0.04 o.oa
1,000 30.21 0.04 0.04
0 0 0.00 0.00
0 0 0.00 0:00,
1,000 30.21 0.04 0.04
1,000 30.21 0.04 0.04
�,000 30.21 o.oa o.04
0 0 0.00 0.00
1,000 30.21 0.04 0.04
0 0 0.00 0.00
0 0 0.00 0.00
1,000 30.21 0.04 0.04
1,000 30.21 0.04 0.04
1,000 30.21 0.04 0.04
0 0 0.00 0.00
10,000 �� � 0.37 �":���
�-� .: . . . ,,,,� - =� 2.97 �y�`',��,'
Page � of �
Jackson �tonth: November vear: 2016
�
Field Name: N
Area (acres): 0.58
,� ��_��; Cover Crop: Mature Forest
Hourly Rate (in): 0.05
Annual Rate (in): 60.2 ! 6.0
o '.�� Field Irrigated? ❑� YES ❑No
z�U
^ C�� � d d d �. C 7�` C
i a� � E� • v E��
? p.-: O p. f- � � J �= J
„� ; i Q �
��;. ' gal min in in
36ra ' 0 0 0.00 0.00
�o �:' o 0 0.00 0.00
�0, ,; ��� 0 0 0.00 0.00
)0 : 0 0 0.00 0.00
)0 ,..�`; 0 0 0.00 0.00
70:..i: 0 0 0.00 0.00
�q G'; 0 0 0.00 0.00
7�? �;,' 0 0 0.00 0.00
�0..`_' 0 0 0.00 0.00
}A F:'; 0 0 0.00 0.00
)0,, u;° 0 0 0.00 0.00
)tI ,'�� 0 0 0.00 0.00
�4J ='�' 0 0 0.00 0.00
3a ��;:���� o 0 0.00 0.00
)0. =; : 0 0 0.00 0.00
)4," � 600 20.91 0.04 0.04
�4";;' 600 20.91 0.04 0.04
��,:: soo 20.91 0.04 0.04
)0 ;:' 0 0 0.00 0.00
30,,;''` 0 = �0�:- �4.00 ,; , ��.,0.00
ad<<� 600 20.91 0.04 0.04
34� r 600 20.91 0.04 0.04
)4,.; 600 20.91 0.04 0.04
�
]0_°., 0 0 0.00 0.00
)4 => 600 20.91 0.04 0.04
)0 ' ' 0 0 0.00 0.00
�0 '` 0 0 0.00 0.00
�4:; 600 20.91 0.04 0.04
�4 ':: 600 20.91 0.04 0.04
�4 '' 600 20.91 0.04 0.04
)0 ''' 0 0 0.00 0.00
6, 000 � ��;�J�� 0.38 y� � ���
���f ✓ �%'� 'N 9 Na �s
�.�., ,a. �; �.N : 2.75 �,�.;�tr„�

FORM: NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT (NDAR-1) Page �'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?
❑� Compliant
❑� Compliant
�Compliant
�Compliant
❑� Compliant
❑Non-Compliant
❑Non-Compliant
❑Non-Compliant
❑Non-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: MiChael BeCk � Permittee:
Bear Lake Reserve
Certification No.: SI-991669 WWIV-7930 Signing Official: Robert Barr
Grade: SI WWIV Phone Number: [phone] Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? ❑ves ONo Phone Number: ($28) 251-1900 Permit Exp.: 9/30/14
: .� �?�-- c :� ���� � �� % � a � �
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 Seroice Center
Raleigh, North Carolina 27699-1617

� FORM: NDAR-1 08-11
Permit No.: WQ0029233
Did irrigation occur
at thlS ��Clllt�?
❑� YES ❑NO
Weather
� = c
�
O "' *''
mU ``° .`"_°
0 � a Q
� E "
w � d
d F- a
?' °F in
1 PC 44 0
2 C �o 0
3 C 40 0
4 C 43 0
Freeboard
�
Y �
� � V
�.
fn lC Q
� m
'
ft ft
9 7
9 6.5
9 6.5
9 6.5
C 40 0 9 6.5
C 34 0 9 6.5
C 50 0 9 6.5
C 44 0 9 6.5
C 58 0 9 6.5
55
48
50
54
55
42
35
36
44
C 33 0 14.5 8
R 48 1.4 15 9
CL 54 0.3 15 9
Monthly Loadin
12 Nlonth Floating Total (ir
�d04�-�ISCHARGE APPLICATION REPORT (fV�AR-1)
Faci�ity �ame: Bear Lake Reserve county: Jackson n�onth
Z��
�
�
�
�
�
1
�
�
0
�
0
�
�
�
1
0
: :
: :
�
�
�
: :
: :
: :
�
: :
�
�
: :
: :
�
Field Name: P
Area (acres): 1.1
Cover Crop: Mature Forest
Hourly Rate (in): 0.05
Annual Rate (in): 80.7 / 8.1
Field Irrigated? ❑� YES ❑rvo
D � � �
� d y N a C 7�` C
� ' E R • 'a 8 � =o
> � ~ � � J � = J
gal min in in
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
1,100 23. 97 0.04 0.04
1,100 23. 97 0.04 0.04
1,100 23. 97 0.04 0.04
0 0 0.00 0.00
0 0 0.00 0.00
1,100 23. 97 0.04 0.04
1,100 23. 97 0.04 0.04
1,100 23.97 0.04 0.04
0 0 0.00 0.00
1,100 23.97 0.04 0.04�
0 0 0.00 0.00
0 0 0.00 0.00
1,100 23. 97 0.04 0.04
1,100 23. 97 0.04 0.04
1,100 23.97 0.04 0.04
0 0 0.00 0.00
11,000 � 0.37 ='', , ,
; %i,,, 2.72 ;c �' u:;;; ,
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14.75
14.75
14.75
0
0
14.75
14.75
14.75
0
14.75
0
0
14.75
14.75
14.75
0
Page �bf C
November Year: 2016
Field Name: R
Area (acres): 0.7
Cover Crop: Mature Forest
Hourly Rate (in): 0.05
Annual Rate (in); 77.6 / 7.8
Field Irrigated? ❑� YES ❑No
'O � E �
�d N N� A C 7 y` C
� � m � 'a � 7 'O
a m �u � •X o �
> Q ~ _ � J � = J
gal min in in
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 p 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
700 10.7 0.04 0.04
700 10.7 0.04 0.04
700 10.7 0.04 0.04
0 0 0.00 0.00
0 0 0.00 0.00
700 10.7 0.04 0.04
700 10.7 - 0.04 0.04
700 10.7 0.04 0.04
0 0 0.00 0.00
700 10.7 0.04 0.04
- 0 0 0.00 0.00
0 0 0.00 0.00
700 10.7 0.04 0.04
700 10.7 0.04 0.04
700 10.7 0.04 0.04
0 0 0.00 0.00
7,000 ,�� ' 0.37
�i'� � , � � ,,. 2.80

FORM: NDAR-1 08-11
NON-DISCHARGE APPLICATION REPORT (NDAR-1)
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?
Page ¢ t�f �
❑� Compliant ❑Non-Compliant
❑� Compliant ❑Non-Compliant
❑� Compliant ❑Non-Compliant
❑✓ Compliant ❑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: MiChael Beck Permittee:
Bear Lake Reserve
Certification No.: SI-991669 WWIV-7930 Signing Official: Robert Barr
�_
Grade: SI WWIV Phone Number: [phone] Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? ❑Yes ONo Phone Number: (82$) 251-1900 Permit Exp.: 9/30/14
, j �� !L
� aa�a ���
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
Permit No.: WQ0029233
Did irrigation occur
at this facility?
DYES ❑NO
Weather Freeboard
� ` c
�
«
O �' O p� N .0
� (� � :d � C_ m
0 � Q a o � �
w � d � � Q
G1 �
� � a � �o
°F in ft ft
1 PC 44 0 9 7
2 C 70 0 9 6.5
3 C 40 0 9 6.5
4 C 43 0 9 6.5
5
6
7 C 40 0 9 6.5
8 C 34 0 9 6.5
9 C 50 0 9 6.5
10 C 44 0 9 6.5
11 C 58 0 9 6.5
12
13
14 C 55 0 9 6
15 C 48 0 9 6
16 C 50 0 9 6
17 C 54 0 11 6
18 C 55 0 12 7
19
20
21 C 42 0 12 7
22 C 35 0 13 7
23 C 36 0 14.5 8
24
25 C 44 0 14.5 8
26
27
28 C 33 0 14.5 8
29 R 48 1.4 15 9
30 CL 54 0.3 15 9
31
12 Month Floating Total
P��i�-DISCHARGE APPLICATION REPORT (i�D�4R-1)
Facility Name: Bear Lake Reserve county: Jackson
Field Name: T
Area (acres): 0.61
Cover Crop: Mature Forest
Hourly Rate (in): 0.05
Annual Rate (in): 73.5 / 7.3
Field Irrigated? ❑✓ YES ❑No
,;,;_
E y d m �, c � T c
� ' � � 3 �
' fl, E o � � m . X o � o
' Q ~ � � J � = J
gal min in in ,�,.;
0 0 0.00 0.00 ' �''
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
i 0 0 0.00 0.00 i, ;
0 0 0.00 0.00
0 0 0.00 0.00 ,;°,'�
0 0 0.00 0.00
0 0 0.00 0.00 k�;
0 0 0.00 0.00 `3
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
�a � � �.QD 0.��
0 0 0.00 0.00
�o0 18.47 0.04 0.04
700 18.47 O.oa o.04 z��
700 18.47 0.04 0.04 ?_.
0 0 0.00 0.00
0 0 0.00 0.00
�o0 18.47 o.oa o.oa
700 18.47 o.oa o.oa
�o0 18.47 0.04 o.oa
0 0 0.00 0.00
700 18.47 0.04 o.oa
0 0 0.00 0.00
0 0 0.00 0.00
700 18.47 0.04 0.04
�o0 18.47 o.oa o.oa
700 18.47 0.04 0.04 � :
0 0 0.00 0.00
7,000 ��' � 0.42 �,�
�°'� Np����� ����� " 2.93 ��"��. <���4�.>
'F �• �
Page �/ of �
month: November Year: 2016
Field Name:
Area (acres)•
aTesf =�` Cover Crop:
Hourly Rate (in):
a.5 �° ' Annual Rate (in):
�Np, •',F Field Irrigated? ❑YES ❑rvo
c
�= d -o �o rn E o�
3� C�. � d d d >. C 7�` C
� 'L7 � - 3 E � ' 'O � 7 'O
<�o= oa E=•°f oo �=o
0 :C .� :, > Q � J � J
s
°,�ca ,�� .�'� gal min in in
a as
e e�
0 �������� 0.00

FORM: N�,4R-1 08-11 " NON-DISCHARGE APPLICATION REPORT (NDAR-1) Page � bf �
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
❑� Compliant
❑� Compliant
❑� Compliant
OCompliant
❑Non-Compliant
❑Non-Compliant
❑Non-Compliant
❑Non-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: Michael Beck Permittee:
Bear Lake Reserve
Certification No.: SI-991669 WWIV-7930 Signing Official: Robert Barr
Grade: SI WWIV Phone Number: [phone] Signing Official's Title: Signatory
Has the ORC changed since the previous NDAR-1? ❑Yes �No Phone Number: [phone] Permit Exp.: 9/30[14
°�����!��. �-��-'�o Z � a ��
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 directty 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 Tw►o Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

� FORM: NDMR 08-11 �lOM-DISCHARGE �IIONITORING REPOF2i (NDIVIR) Page � of alJ

FORM: NDMR 08-11 NON-DISCHARGE MONITORING REPORT (NDMR) . Page � Sf �'
Sampling Person(s)
Name: Michael Beck
Certified Laboratories
Name: Environmental Testing Solutions, Inc.
Name: I Name:
�
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑� Gompliant ❑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
a�u�n�a� ianci i. �uo�i i auwu�i iai ai iccw u i icce;
. , . . . r
A
Operator in Responsible Charge (ORC) Certification Permittee Certification
oRc: Michael Beck Permittee: Bear Lake Reserve
Certification No.: SI-991669 WWIV-7930 Signing otficia�: Robert Barr
Grade: SI WWIV Phone Number: [phone] Signing Official's 7itle: Signatory
Has the ORC changed since the previous NDMR? �Yes Onlo Phone Number: [phone] Permit Expiration: 9/30/2014
� r 3a
' �� ������� l�
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 antl all attachments were prepared under my direction or supervision in
accordance wiih 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 Seniice Center
Raleigh, North Carolina 27699-1617