WQ0033804_Monitoring - 12-2016_20170203

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page } off'-'
Permit No.: .it(00033804
Facility Name:
Deerborne Cottages
County:
Buncombe
Month:
December
Year:
2016
DO irrigatio`A occur
this city
tv�
�Y"a'�'J' ❑N�J
,Field Name,
"
1d
Field Name:
1B
Ffeld Name 2`
Field Name:
3
Area(acres)' 0.2
Area (acres): 0.19
Area acres} 0.34
Area acres 0.45
Caved Crop: Woods
Cover Crop: Woods
,, Cover Cf6lj . Woods -
Cover Crop: Woods
i burly Rate (in):. 0 2 R:
Hourly Rate (in): 0.2
Hourly Rate {in}:' 0.2
Hourly Rate (in): 0.2
��•`-�.y�>
Annual'Rate
{Erf)s
- 23:53
;..
Annual
Rate (in):
23.53
Annual Rate
(in):
23.53
��,
Annual
Rate (in):
23.53
WeakFreeboard
igated?
' ❑ YE:S'
[�N©;
Field Irrigated?
[]YES
RINO
Field lrlrigated?
❑Yes
21NO
Field Irrigated?
❑Yes
ONO
T
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OF in ft ft
gal'
mm,.
in
In
gal
min
in
in
gal
M11n
in
in _
gal
min
in
in
1
C 48/51 0
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2
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0
0
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. 0.00
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0
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3
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4
0
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0
0
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4
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5
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: Q,00''D.00;•
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0.000;._
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0
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6
CL 47/54 0.3
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0
0
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0
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0
0
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7
PC 41/55 0
0
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0
0
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00
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0
0
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8
CL 44/45 0 10
0
0
0.00, •
0.00''
0
0
0.00
0.00
0
0
0.00
0=00
0
0
0.00
0.00
9
CL 34/35 0
0
0,
:0.00 :'
p.0(?
0
0
0.00
0.00
0 " "
Q
0.00
0.00
0
0
0.00
0.00
10
PC 40/48 0
0
6
0.00 _
l 0.00.
1 0
0
0.00
0.00
0
0
O.QQ '" ° 0.00
0
0
0.00
0.00
11
PC 47/55 0",
0,
0„
0.00
Q;O6'
0
0
0.00
0.00
0
: 0� "
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0
0
0.00
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12
CL 52/56 0
0
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A 0
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13
CL 35/48 0
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0
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14
CL 38/451 0.10
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, 04.00
0
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0
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15
CL 32/28 0
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0 A::6.00•
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0
0
0.00
0.00
16
CL 19/32 0 10
•0
Q
600
0•66`:
0
0
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0
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0
0
0.00
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17
CL 51/55 0.1°0°
6
0.00 •,
:0.00
0
0
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0
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0.00
18
CL 45/50 0.2
0
0
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0
0 ,
"0.00 � ;
, ;11.00
0
0
0.00
0.00
19
CL 37/48 0
0
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0
0.00
0.06 .
0
0
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0 •
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20
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21
PC 45/46 0
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22
PC 37/50 0 10
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23
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24
PC 43/45 0
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25
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6
0
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0,40
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0
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26
PC 45/48 0.1
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27
CL 47/51 0.2
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28
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0.04
0
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29
PC 46/48 0.1
0'
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4A0":
0
0
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0.00
0
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0
0
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0.00
30
C 29/40 0 10'0
0
? 0;00.
p `04,
0
0
0.00
0.00
0
01-:.11
4.00 _
0.00
0
0
0.00
0.00
31
PC 40/51 0
Monthly Loading:
12 Month Floating Total (in):
0
0 .
0
0:00`
0.00
0.00
0.00 .,
0
0
0.00
0.00
0
s Q
0.00, ° •;
4.00 .;
0
0
0
0.00 0.00
0.00fl
0 00
0 0.00
0.00
0 0.00
0.00

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?
(�ompliant ❑Non -Compliant
(�ompliant
❑Non -Compliant
2Compliant
❑Non -Compliant
Compliant
❑Non -Compliant
Certification No.: SI -993157
Signing Official: Robert Barr
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
;z
21
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-9)
Page ;�-- of `!-
Permit No.: WQ0033804
Facility Name:
Deerborne Cottages
County:
Buncombe
Month:
December
Year:
2016
Did irrigation occur
Field!Name:
4 '
Field Name:
5
Field Name:
6
Field Name:
7
Area (acres): 0.31
Area (acres): 0.33
Area (acres): 0.42
Area (acres):
0.38
at this facility?
Cover Crop:
Woods
Cover Crop:
Woods
Cover Crop:
Woods
Cover Crop:
Woods
EYES
❑NO
Hourly Rate (in):
0.2
Hourly Rate (in):
0.2
Hourly Rate (in):
0.2
Hourly Rate (in):
0.2
Annual Rate (in):
23.53
Annual Rate (in):
23.53
Annual Rate (in):
23.53
Annual Rate (in):
23.53
Weather
Freeboard
Field Irrigated?
❑YES
ENO
Field Irrigated?
❑YES
ENO
Field Irrigated?
EYES
❑No
Field Irrigated?
❑YES
ENO
❑
°
U
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N
w
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y
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OF
in ft ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
C
48/51
0
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
2
C
34/50
0 10
0
0
0.00
0.00
0
0
0.00
0.00
3,780
231.9
0.33
0.09
0
0
0.00
0.00
3
CL
45/50
0.2
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
CL
42/48
0.5
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
CL
41/50
0.1
0
1 0
0.00:
1 0.00
0 1
0
0.00
0.00
0
0
.0.00
0.00
0
0
0.00
0.00
6
CL
47/54
0.3
0
0
0.00
0.00
0
0
0.00
1 0.00
0
0
0.00
0.00
0
0
0.00
0.00
7
PC
41/55
0
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0,00
0
0
0.00
0.00
8
CL
44/45
0 10
0
0
0.00
0.00
0
0
0.00
0.00
850
52.147
0.07
0.07
0
0
0.00
0.00
9
CL
34/35
0
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
101
PC
40/48
0
0
0
1 0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
11
PC
47/55
0
0
0
0.00
0.00
0 1
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
12
CL
52/56
0
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
CL
35/48
0
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
14
CL
38/45
0.1
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
15
CL
32/28
0
0
0
0,00
0.00
0
0
0.00
0.00
0
0
0.00 `
0.00
0
0
0.00
0.00
16
CL
19/32
0 10
0
0
0.00
0.00
0
0
0.00
0.00
4,030
247.24
0.35
0.09
0
0
0.00
0.00
17
CL
51/55
0.1
0
0
0.00
0.00
0
0
0.00
0.00
0
.0,
0.00
0.00
0
0
0.00
0.00
18
CL
45/50
0.2
.0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0 1
0.00
0.00
19
CL
37/48
0
0
0
0.00
0,00
0
0
0.00
0.00
0
0
0.00
0;00
0
0
0.00
0.00
20
PC
38/50
0
0
0
0.00
0:00
0
0
0.00
0.00
0
0
0.06
0.00
0
0
0.00
0.00
21
PC
45/46
0
0
0:
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
22
PC
37/50
0 10
0
0
0.00
0.00
0
0
0.00
0.00
2,850
173.62
0.25
0.09
0
0
0.00
0.00
23
PC
45/48
0
0
0
0,00
0.00
0
0
0.00
0.00
0
0
0.00
0:00
0
0
0.00
0.00
24
PC
43/45
0
0
0
0.00
0,00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
25
PC
45/50
0
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
26
PC
45/48
0.1
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0;00
0.00
0
0
0.00
0.00
271
CL
47/51
0.2
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0,00
0.00
0
1 0
0.00
0.00
281
PC
45/59
0
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
29
PC
46/48
0.1
0
0
0.00
0:00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
30
C
29/40
0 10
0
0
0.00
0.00
0
0
0.00
0.00
3:100
190.18
0.27
0709
0
0
0.00
0.00
31
PC
140/51
0
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
1 0:00
0
0
0.00
0.00
Monthly Loading:
0
0:00.
0.00
0
, __ ,
0.00
0.00,.
{G
14,590
1.28
14.11
0 _ ,. , ,
0.00
12 Month Floating Total (in):
0.00''

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of __C7
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?
Xompliant
❑Non -Compliant
[Compliant
❑Non -Compliant
©C mpliant
❑Non -Compliant
Compjant ❑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 ONO
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 3- o*---
Permit No.: WQ0033804
Facility Name:
Deerborne Cottages
County: Buncombe
Month:
December
Year:
2016
Did irrigation occur
Field Name:
8
Field Name:
-
Field Name:
Field Name:
Area (acres): 0.44
Area (acres):
Area (acres):
Area (acres):
at this facility?
EYES ❑No
Cover Crop:
Woods
Cover Crop:
Cover Crop:
Cover Crop:
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?
DYES
ENO
Field Irrigated?
DYES
❑No
Field Irrigated?
DYES
[]No
Field Irrigated?
DYES
[-]NO
a
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= a Ear
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rn
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>a =
m
>.c
Ev
M
O p
E Trn
a -c
Eg'v
K 0 M
� x p
OF in ft ft
gal min
in
in'
gal min
in
in
gal min
in
in
gal min
in
in
1
C 48/511 0
0 0
0.00
0.00
2
C 34/501 0 10
0 0
0,00
0,00
3
CL 45/50 0.2
.0, 0
0:00
0:00.
4
CL 42/48 0.5
0 0 '
0.00
0.00
5
CL 41/50 0.1
0 0
0.00
0.00
6
CL 47/54 0.3
0 0
0.00
0.00
7
PC 41/55 0
0 0
0.00
0.00
8
CL 44/45 0 10
0 0
0.00
0:00
9
CL 34/35 0
0 0
0.00
0;00
10
PC 40/48 0
0 0
0.00
0.00
Ill
PC 47/55 0
0 0
'0.00
0.00
12
CL 52/56 0
0 0
0.00
0.00
13
CL 35/48 0
.0 0
0.00
0.00
14
CL 38/45 0.1
0 0
0.00
0.00'
15
CL 32/28 0
0 0
0.00
0.00
16
CL 19/32 0 10
0 0
0.00
0.00
171
CL 51/55 0.1
0 0,
0,00
0:00
181
CL 45/50 0.2
0 0.
no
0,00'
CL 37/48 0
0 .. 0
_ 0.00
0.00
20
PC 38/50 0
0 0
0.00
0,00
119
21
PC 45/46 0
0 0
0.00
0.00..
-
22
PC 37/50 0 10
0 0.
0.00
0.00
23
PC 45/48 0
0 0..
0.00
0.00
PC 43/45 0
0 0
0.00
0.00
25
PC 45/50 0
0 0
0.00
0.00
124
26
PC 45/481 0.1 1
0
0.00
0;00
27
CL 47/511 0.2 1
0 0
0,00
0.00
28
PC 45/591 0 1
0 0 : '
0.00
0.00
29
PC 46/48 0.1
0 D
4 0.00
1 0.00
30
C 29/40 0 10
.0 0
0,00
0.00
31
PC 40/51 0 1
Monthly Loading:
0 0
U
0,00
0,00
0.00am
0100
0
--
-70-0
0 0.00
0 0.00
12 Month Floating Total (in):

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page —3- 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?
I4c.ompliant ❑Non -Compliant
,E�Ampliant ❑Non -Compliant
LJcompliant ❑Non -Compliant
-
❑Co❑ pliant ❑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 necessarv.
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 R]No
Phone Number: [phone] Permit Exp.: 12/31/16
l� J7
23
i
t 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: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page +-of 46 --
Permit
Permit No.: WQ0033804
Facility Name:
Deerborne Cottages
County:
Buncombe
Month: December
Year: 2016
PPI:001
Flow Measuring Point: ❑influent DEffluent ❑No Flow generated
Parameter Monitoring Point:
❑Influent DEffluent [:]Groundwater Lowering ❑Surface water
Parameter Code 10
50050
00310
3'1,616
00610
00625
00620
00600
00400
006565
00,530
00076
0
U` O
E
~
O O
u-
LO
m
SO
w
V
L o
Qm
0
Z
t
p
_
a
F CL
0.
m yC
Wv
N U
)
p,
I.-
24 -hr hrs
GPD
mg/L
#/100 mL
mg/L
mg1L
mg/L
mg/L
su
mg/L
mg/L
MTU
1
738
0.3.
2
13:20 0.17
197
7.1
0.27
3
.197
0.2
4
197
0.2
5
197
0.2
6
197
_
0:1
7
197
03
8
11:40 0.58
197
<2.0
<1:0
0.18
<0,50
7.5
7;5
7.2
1.1
<2.8
.0<25
9
1,135
03
10
. 0.3
11
1.M5
_
0:4
12
1,135
0,3 . .
13
1,135 ,
0:3
14
1.135 r
0.6
15
1,135
0.3
16
12:20 0.33
1,135
7
0,24
17
774 "`'
0.2
18
774
0.2
19
774
0.2
20
774
0,9
21
774
0.2
22
13:40 0.33
974
7.2
0.24
23
718
24
718
4.8
25
718
0.8
26
71$
0.5
27
718
-
0.2
28
718
0,2
29
718
0;3
30
10:50 0.25
718
7.1
0.24
31
700
0.3
Average:
719
0.00
1,00
0.18
0.00
7.50
7,50
1,10
0.00
0.32
Daily Maximum:
1,135
2.00
1.00
0.18
0.56
7.50
7.50
7.20
1.10
2.80
0.90
Daily Minimum:
197
2.00
1.00:
0.18
0.50
7.50
7.50
7.00
1.10
2.80
010
Sampling Type:
l=stimate
Grab
Grab'.
Grab
;Grab
Grab
Grab
Grab
Grab
Grab
Recorder
Monthly Limit:
5,360
10
14
4
5
Daily Limit:
15
25
6
6-9
10
10
Sample Frequency:
Monthly "1
4 x Year
4 x Year
4 x Year
4 x Year
4 x Year
4 x Year
Weekly
4 x Year
4 x Year
continuous

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page q-- of
Sampling Person(s) 11 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 ❑� No
z//, / ,
Phone Number: [phone] Permit Expiration: 12/31/2016
4 /Z4//'�
OA,�Z,_ .1123fi:��
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