WQ0035784_Monitoring - 12-2016_20170203

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of 3
Permit No.:
WQ0035784
Facility Name:
Cottages of Boone
County:
Watauga
Month:
December
Year:
2016
Did iration OCCUr
at tts ""b 1�i ty?
®•
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
Area (acres): 2.8
Area (acres): 2.7
Area•(acres): 1.86 ._
Area (acres): 2.72
Cover Crop: Mixed Forest,
Cover Crop:Mixed Forest
Cover Crop:Mixed. Forest
Cover Crop:Mixed Forest
d�y DY -
NO
®�No
,�,
Hourly Rate
(in):
0.15
Hourly
Rate (in):
0.15
Hourly
Rate'(1n),
0.15
Hourly
Rate (in):
0.15
"'r%
Ok
Annual Rate (in):
101.4
Annual Rate (in):
101.4
Annual Rate (in):
101.4`
Annual Rate (in):
101.4
eta
Freeboard
Field Irrigated?
DYES
NO
Field Irrigate
YES
NO
Fieldirrigated?
AYES
❑No
Field Irrigated?
❑� YES
❑No
>,
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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
PC
38
1.2
21.2
27
0
0
0.00 •
0.00
0
0
0.00
0.00
0
0 ' .
.0.00
11:00
0
0
0.00
0.00
2
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32
0
20
27
0
0
0,00
0.00
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=0:00
0
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5;000.
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4,07
0.07
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1,188
;0
0,02
-0.02
10,000
0
0.14
0.14
4
R
36
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19.5
27
0 "
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9
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0
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26.5
0
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0
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° 0,00
0
0
0.00
0.00
0
01'
0.00
0.00
0
0
0.00
0.00
11
0
0
0.00
0.00
0
0
0.00
0.00
0.
0
0.00
0.00`
0
1 0
0.00
1 0.00
12
R
40
0
15
26.5
0
0
0.00
0:00
0
0
0.00
0.00
0
:. 0 ' `
. `0F00
"O00- ° `
0
0
0.00
0.00
13
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32
0.1
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0
0
0.00
0.00
0
0
0.00
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14
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34
0
14
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0
0
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0
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0:00
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0.00
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15
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24
0
14
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5,000
0
0,07
0.07
5,000
0
0.07
0.07
1,230
0
0.02.,
0:02
0
0
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0.00
16
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18
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'L0.00'.'
0
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0.00
0.00
19
PC
35
0.1
13
26.5
2,632
•0 `
"0:03
0.03
0
0
0.00
0.00
0
0
, 0.00..
0:00
5,000
0
0.07
0.07
20
C
26
0
12
26.5
5,000
0 ; .
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. O.Q7
5,000
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0.07
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2,344
0
0.03
0.03
21
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34
0
13
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5;000
0
0.07
0.07
5,000
0
0.07
0.07
1,206
0
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0:02
4,040
0
0.05
0.05
22
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46
0
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0.
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0.00
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23
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0:00
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0.00
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0
0.00
0,00
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0
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0.00
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0
0
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261
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45
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26.5
0
0
0.00
0.00
0
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0.00
0.00
0
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0.00
0
0
0.00
0.00
271
PC
54
0.1
12.1
26.5
0
0
'0.00'
0.00
0
0
0.00
0.00
0
0
0.00
0;00 '
0
0
0.00
0.00
28
C
32
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12.7
26.5
0
0
0.00
0.00
0
0
0.00
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0
0.00
0,00
0
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0.00
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29
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26.5
0
0
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0.00
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26
1
12.7
26.5
0
0
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0.00
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0
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0
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0.00
0
0
0.00
0.00
31
•0
0
0.00
0.00 ,
0
0
0.00
0.00
0
8,624
0
0.00
0.17
23.0J •
0:00
0 0
21,384 Oj -
0.00 0.00
0.29 c
Monthly Loading:
12 Month Floating Total (in):
22,632 0.30
33.07
20,000 = 0.27..
31.54

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?
E�eompliant ❑Non -Compliant
[,�empliant
❑Non -Compliant
ff 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: Robert Barr
Permittee:
Boone Cottages
Certification No.: SI 24262
Signing Official: Robert Barr
Grade: SI Phone Number: 828-251-1900
Signing Official's Title: Signatory
Has the ORC changed since the previous NDARA? ❑Yes ❑No
Phone Number: 828-251-1900 Permit Exp.: 4/30/17
112-311 �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 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 `y of 2
Permit No.:
W00035784
Facility Name:
Cottages of Boone
County: Watauga
Month:
December
Year: 2016
Field Name:
5
Field Name:
6
Field Name:
Field Name:
DICT irrigation
occurArea
(acres):
1,72
Area (acres):
2.59
Area (acres):
Area (acres):
at thI11S facility?
2YES ❑Np
Cover Crop:Mixed
Forest
Cover Crop:
P'
Mixed Forest
Cover Crop:
P�
Cover Crop:
P'
Hourly Rate (in): 0.15
Hourly Rate (in): 0.15
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
101.4
Annual Rate (in):
101.4
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
[]YES
EINo
Field Irrigated?
AYES
[]NO
Field Irrigated?
❑YES ❑Ho
Field Irrigated?
❑YES ❑NO
T
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J J
OF
in
ft
ft
gal min
in
in
gal
min
in
in
gal min
in in
gal min
in in
1
PC
38
1.2
21.2
27
0 0
0.00
0.00
0
0
0.00
0.00
2
PC
32
0
20
27
0 0
0.00
0,00
0
0
0.00
0.00
3
0 0
0.00
0.00;
2,726
0
0.04
0.04
4
R
36
0.1
19.5
27
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
6
R
35
1.1
18
26.5
0 0
0.000.00
0
0
0.00
1 0.00
7
C
42
0.7
17.5
26.5
0 0.
0.00
0,00
0
0
0.00
0.00
8
C
33
0
17
26.5
0 0
0;00
0.00
0
0
0.00
0.00
9
SN
19
0 1
16.4
26.5
0 0
0.00
0.00
0
0
0.00
0.00
10
0 0
0.00
0.00
0
0
0.00
0.00
11
0 0
0.00
0.00
0
0
0.00
0.00
12
R
40
0
15
26.5
0 0
0.00
"0.00
0
0
0.00
0.00
13
C
32
0.1
14.5
26.5
0 0
0.00
0.00
0
0
0.00
0.00
14
PC
34
0
14
26.5
0 0
0,00.
0.00
0
0
0.00
0.00
15
C
24
0
14
26.5
0 0
0,00
0.00
206
0
0.00
0.00
16
PC
18
0
13.8
26.5
0 - 0
0.00
0.00
0
0
0.00
0.00
17
0 0
0.00
0.00
0
0
0.00
0.00
18
0 0
0.00
0.00
0
1 0
0.00
1 0.00
19
PC
35
0.1
13
26.5
0 0
0.00
0.00
1,420
0
0.02
0.02
20
C
26
0
12
26.5
0 0
0.00 ::
0:00
0
0
0.00
0.00
21
C
34
0
13
26.5
0 0
0.00 `
0.00
0
0
0.00
0.00
22
PC
46
0
12.1
26.5
0 0.
0,00 -
0.00
0
0
0.00
0.00
23
C
39
0
12.1
26.5
0 0
0.00
0.00
0
0
0.00
0.00
24
0 0
0.00
0.00
0
1 0
0.00
1 0.00
25
0 0
0.00
0.00
0
0
0.00
1 0.00
26
R
45
0.4
12.1
26.5
0 0
0.00
0.00
0
0
0.00
0.00
27
PC
54
0.1
12.1
26.5
0 0
0.00
0.00
0
0
0.00
0.00
28
C
32
0.2
12.7
26.5
0 0
0.00
0.00
0
0
0.00
0.00
29
PC
40
0.4
12.7
26.5
0 0
0.00
0.00
0
0
0.00
0.00
30
SN
26
1
12.7
26.5
0 0
0.00
0.00
0
0
0.00
0.00
31
1
0 0
0.00
0.00
0
0
0.00
1 0.00
0
0.00joi
_' 0 -
r
0.00 t r
Monthly Loading:
F__12 Month Floating Total (in):
0 0.00
10.80.
4,352 = _ 0.06 :,-
_ :,. 25.10

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?
D651 --pliant ❑Non -Compliant
❑;wpliant
❑Non -Compliant
ORC: Robert Barr
❑Non -Compliant
,❑l�w/mpliant
IJCompliant
❑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: Robert Barr
Permittee:
Boone Cottages
Certification No.: SI 24262
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 ❑No
Phone Number: 828-251-1900 Permit Exp.: 4/30/17
VV0 i 12�31t�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 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 7
Permit No.: WQ0035784
Facility Name:
Cottages of Boone
County:
Watauga
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 1
50050
00310
00940
31616
00510
00625
00620
00400
00665
70300
00530
00076
�o O
d y
E
O O
+y
!J.m
•a
L
U
E
f0
0,2
LL O
v
LU
•0
.= E
d m0
.�
O Z
F-
Y
Z
s
h O
0.
w
IA fA
0
C V
N ca
9
7
f -
24 -hr hrs
GPD
mg/L
mg/L
#/100 mL
mg1L
mg/L
mg/L
su
mg/L
mg/L
mg/L
NTU
1
06:30 2.5
38,903
6.87
0.059
2
06:00 2.5
43,207
6.67
0.061
3
40,186
0.076
4
07:20 2.5
40,186
7.12
0.058
5
37,281
0.071
6
06:30 2.5
37,281
6.82
0.058
7
08:50 2.5
40,843
6.8
0.058
8
09:00 2.5
39,076
3.4
<1.0
3.6
0.56
3.5
7.01
'7.79
<2.5
0.06 4
9
07:00 2.5
36,274
6.83
0.06
10
29,256
0.084
11
29,256
0.076
07:00 2.5
29,2.56
6.51
0.06
13
06:30 2.5
22,152
7.05
0.058
112
14
07:00 2.5
39,405
6.78
0.06
15
06:00 2.5
18,658
6.89
0.066
16.
10:15 2.5
8,944
6.75
0.168
17
15,203
0.098
18
15,203
0.084 _
19
10:15 2.5
15,203
6.87
0.058
20
06:00 2.5
16,118
6.9
0.062
21
06:00 2.5
7,820
6.83
0.062
221
05:15 2.5
20.486
6.85
0.103
23
09:45 2.5
..:228
6.89
0.085
24
0
0.098
25
0
0.084
26
09:20 2.5
11,579
6.96
0.069
27
05:30 2.5
7,353
7.05
0.064
28
05:30 2.5
9,070
7.07
0.07
29
10:00 2.5
8,069
6.88
0.066
30
06:30 2.5
6,055
6.94
0.072
31
6,250
0.07
Average:
21,574
3.40
1.00
3.60
0.56
3.50
7.79
0.00
0.07
Daily Maximum:
43,207
3.40
1.00
3.60
0.56
3.50
7.12
7.79
2.50
0.17
Daily Minimum:
0
3.40
1.00
3.60
0.56
3.50
6.51
7.79
2.50
0.06
Sampling Type:
Recorder
Composite
Composite
Grab
Composite
Composite
:Composite
Grab
Composite
Composite
Composite
Recorder
Monthly Limit:
108,530
10 1
14
4
10
5
Daily Limit:
15
25
6
6-9
10
10
Sample Frequency:
Continuous
Monthly 1
3 x Year
Monthly
Monthly
Monthly
T Monthly
5 x Week
Monthly
3 x Year
Monthly
Continuous

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page -3 of,
77
Sampling Person(s) 11 Certified Laboratories
Name: Robert Barr 11 Name: Water Tech Labs, Inc.
Name: Rudy Broschinski Name: Pace Analytical
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?ompliant ❑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: Robert Barr
Permittee: Boone Cottages
Certification No.: SI 24262
Signing Official: Robert Barr
Grade: SI Phone Number: 828-251-1900
Signing Official's Title: Signatory
Has the ORC changed since the previous NDMR? ❑Yes ❑No
Phone Number: 828-251-1900 Permit Expiration: 4/30/2017
VL4� �? /23)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