WQ0029233_Monitoring - 12-2016_20170203

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Ip
Permit No.:
W00029233
Facility Name:
Bear Lake Reserve
County:
Jackson
Month:
December
Year:
2016
Field Name:
A
Field Name:
B
,Field Nameq-
C
Field Name:
D
Did i .til,
q
at t 11
�(�
ation occur
acility?
���p
Area (acres):
Oi67
Area (acres):
0.84
Area (acres): 0,82
Area (acres):
1.26
-
Cover Crop: Mature Forest ` .
Cover Crop: Mature Forest
Cover Crop: Mature`Forest
Cover Crop: Mature Forest
DYES ""
_\ o,
Hourly Rate'(1n);
0:05
Hourly Rate (in):
0.05
Hourly mate (in):
0.0 i
Hourly Rate (in):
0.05
� t3<
1
Annual Rate
(in):
70.517.0
Annual
Rate (in):
85.7
/ 8.6
Annual Rate
(in):
72.5
J 7.2
Annual
Rate (in):
69.6/7.0
`��illyeath"ef ' FreeboardField`lrr!gated?
DYES
NO
Field Irrigated?
DYES
[:]NO
Field Irrigated?
DYES'
❑No
Field Irrigated?
DYES
[]NO
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in in
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min
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1
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1,300
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0.04
8
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0 14
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800
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1,300
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0.04
9
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0 13.5
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800
24.1
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0.04
800
24.62
..' 0.01' ;,
, 0.04
1,300
39.16
0.04
0.04
10
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0
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0.001,
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11
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12
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15
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'0.0-4
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16
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17
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18
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19
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0.5 12
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CL 39
0 12
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700
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0,04
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24.62
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0.04
1,300
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21
C 25
0 12.5
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23
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0
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0.00.
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0
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24
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28
C 45
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0.00
29
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30
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0 14
14
700
20
0.04
0.04
800
24.1
0.04
0.04
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24.620.04
0.04 1
1,300
39.16
0.04
0.04
31
0
0
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0.00: '=
0
0
0.00
0.00
0 1
0
1 0.00
0.00
0
0
0.00
0.00
L-12
Monthly Loading:
Month Floating Total (in):
7;000
0;38'
3,33
8,000pg
..
0.35
3.24:_
8,000,
0.36 : °
3.25 "
13,000
A
, . _.
0.38,.hF
3.18

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page —j— of (01
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 ❑Non -Compliant
Compliant ❑Non -Compliant
ECompliant ❑Non -Compliant
[Zcompliant ❑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: [phone] Permit Exp.: 9/30/14
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.:
W00029233
Facility Name: Bear Lake Reserve
County:
Jackson
Month:
December
Year:
2016
Field Name;
'E
Field Name:
F
1`(eld'Name:•
G
Field Name:
H
ICI 11'rlgat1011 OCCUI'
at this facility?
❑� YES ONO
Area(acres):
0,74
Area (acres):
0.95
Area•(acres):
Area (acres):
0.53
Corer crop: Mature Forest
1�•
Cover Crop: Mature Forest
P�
Cover Crop, Matureltorest
P�
Cover Crop: Mature Forest
P�
Hourly Rite (14)0.05
Hourly Rate (in): 0.05
Hourly Rate {inj: • 0".05 °
Hourly Rate (in): 0.05
Annual Rate (in), 7.0.2/7.0
Annual Rate (in): 73.9/7.4
AnhUal "Rate (inj: 63.516.3 -
Annual Rate (in): 77.3/7.7
Weather
Freeboard
FWd irrigated� =°
❑YE5
❑N0
Field Irrigated?
DYES
ONO
Field irrigated?
AYES
❑�o
Field Irrigated?
DYES
❑No
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in
1
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38
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2
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43
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24.45
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600
12.63
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3
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8
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35
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9
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004
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0.04
10
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0
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0
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11
0
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12
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12
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15
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30
0
12
13
800.;
39.22
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0.04
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23.12
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16
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28
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17
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21
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25
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22
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23
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0
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24
0
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490 "
0
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28
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45
0.1
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29
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30
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0
14
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800 -
39.22
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0.04
1,000
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0.04
0.04
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23.12
600
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0.04
0.04
31
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0.00
0
0
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- O.aO=
0.00_
0
0
0.00
0.00
Monthly Loading:
81000
0.4.0
3.32
_
10,000 r
_y,
0.39
3.31
'�%
$500-
0.4i,
6,000r
12 Month Floating Total (in):

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2—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 ❑Non -Compliant
OCompliant [-]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: [phone] Permit Exp.: 9/30/14
4--�
/ 12? IZ?_
,ti
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 a of �
Permit No.:
W00029233
Facility Name:
Bear Lake Reserve
County:
Jackson
Month:
December
Year:
2016
DICT irrigation
Field Name:
!
Field Name:
K
Field Names
M
Field Name:
N
occur
Area (acres):
0.85
Area (acres):
0.99
1., Atea (acres):.
0.52
Area (acres):
0.58
at this facility?
Cover Crop:Mature
Forest`
Cover Crop:Mature
Forest
Cover Crop,
N,
Mature Forest
P.
Cover Crop:
Mature Forest
OYES
ENO
Hourly Rate (in):
0.05
Hourly Rate (in):
0.05
iourly Rate (in):
0.05
Hourly Rate (in):
0.05
Annual Rate (in):
'80.0/8.0
Annual Rate (in):
71.0/7.1
Ah. pual Rate (in):
66.8/6.7
Annual Rate (in):
60.2 / 6.0
Weather
Freeboard
Field Irrigated?
❑YES
ENO
Field Irrigated?
❑✓ YES
ENO
Field Irrigated?
DYES
ENO "
Field Irrigated?
AYES
ENO
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FORM: NDAR71 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page -5 Of (0
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? [2]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
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 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 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: [phone] Permit Exp.: 9/30/14
%
�� ) (2,72/1-
-�E-)7
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 r of
Permit No.:
WQ0029233
Facility Name:
Bear Lake Reserve
County:
Jackson
Month:
December
Year:
2016
Field Name:
O
Field Name:
P
'Field fume:
Q
Field Name:
R
Did irrigation occur
Area (acres):
0.5
Area (acres):
1.1
'Area (acres):
0.43
Area (acres):
0.7
at this facility?
Cover. Crop:Mature
Forest
Cover Crop:Mature
Forest
Cover Crop*,,,
p:.
Mature Forest � `
P.
Cover Crop:
Mature Forest
OYES
[-]NO
Hourly Rate (in):
0.05
Hourly Rate (in):
0.05
Hourly Rare (in)
0:05
Hourly Rate (in):
0.05
Annual Rate (in):
78.617.9
Annual Rate (in):
80.7/8.1
Annual Rate (in):
87.3/8.7
Annual Rate (in):
77.6/7.8
Weather
Freeboard
Field Irrigated?
❑YES
ONO
Field Irrigated?
❑� YES
[:]NO
Field irrigated?
AYES
[IND.
Field Irrigated?
❑� YES
[]NO
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14.75
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0.04
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12.23
0.04
0.04
8
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9
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28
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29
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0
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23.97
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3.22
Monthly Loading:
12 Month Floating Total (in):1
11,000 0.37 * ;=
�.;_. .;: 3.09e;
5,OQ0 0.43
3.49

I
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I of Ea
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?
OCompliant ❑Non -Compliant
ElCompliant ❑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? OCompliant []Non-compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 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 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: [phone] Permit Exp.: 9/30/14
f 26-_1
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

r
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page_ of
Permit No.:
W00029233
Facility Name:
Bear Lake Reserve
County:
Jackson
Month:
December
Year:
2016
Did irrigation occur
at this facility?
DYES ❑No
Field Name:,
S
Field Name:
T
Field Name:
U'
Field Name:
Area (acres).: 0:92
Area (acres): 0.61
Areal (acres)* 0.58
Area (acres):
---
Cover Crop: Mature Forest
Cover Crop: Mature Forest
Cover Crap: Mature forest
Cover Crop:
Hourly Rate (in):0.05
Hourly Rate (in): 0.05
Hourly Rate (in), 0.:05
Hourly Rate (in):
-Annual Rate (in):
67.4/6.7
Annual Rate (in):
73.5/7.3
Annual Rate (in):
95.419.5
Annual Rate (in):
Weather
Freeboard
'Field Irrigated?
DYES
❑No
Field Irrigated?
DYES
❑No
Field Irrigated?
EYES
❑No
Field Irrigated?
❑YES
LINO
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0.00
25
0
0
0.00
0100
0
0
0.00
0.00
0
0
0.00
0.00
26
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0,00.,
27
R
48
0.2
14
14
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0100''
28
C
45
0.1
14
14
0
0
0.00
0
0
0.00
0.00
0
0
0.00
0,00
29
R
43
0.5
14
14
0
0
0.00
0
0
0.00
0.00
0
0
0.00
0.00.
30
C
40
0
14
14
900
; 13.76
0,04
700
18.47
0.04
0.04
600
17.7
0.04
0.04.
31
0
0
g3.25
0.00
0
0
0.00
0.00
0
0
0.00
G.00,
�
Monthly Loading:
9,000
7,000
' ,
_:<
0.42
3.35
' `. _
: , _
6,000
0.38
113
0
0.00��
12 Month Floating Total (in):

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of �p '
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?
0compliant
❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Ocompliant
❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
0compliant
❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
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.
Phone Number: [phone] Permit Exp.: 9/30/14
,M__V�q
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
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
,M__V�q
&4, 1-25-17
i18-:> /.?-
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: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page �, of
Permit No.: WQ0029233
Facility Name:
Bear Lake Reserve
County: Jackson
Month: December
Year: 2016
PPI: 001
Flow Measuring Point: ❑Influent [2]Effluent ❑No Flow generated
Parameter Monitoring Point: ❑Influent ❑� Effluent ❑Groundwater Lowering ❑Surface Water
Parameter Code ol
50050
00310 31616
00610 00620
00400
00530
00076
c
O
2
_
0
c m.
a
_ o v7
-
_ _
o
�-
m u. 0
E z
°
F-
c~i
O
ti
O
_.
24 -hr hrs
S
mg/L #1100 mL
mg/L mglL
su
mIL
mg/L
NTUPD
11:00 1
06.8
0.43
2 11:30 1
3 90D
6.8
0.31
®
/ • 11 �
911
-®�
1 11
Mon,
®®®®--®--
-Dailymoron

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page _-L of (' . . .
Sampling Person(s) Certified Laboratories
Name: Michael Beck Name: Environmental Testing Solutions, 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: 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 NDMR? ❑Yes ZNo
Phone Number: [phone] Permit Expiration: 9/30/2014
e
J27/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