WQ0000488_Monitoring - 05-2020_20200617

F(DRU NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page t of&
Permit No.: W00000488
Facility Name: Jordan Lake SRA - Vista Point
County: Chatham
• irrigation occur
facility?
Area (acres):
Area (acres):
Area (acres):
Area
at this
21 YES I NO
Hour ly Ra e (my.
Hourly Rate (in
Hourly Rate (in):
Annual Rate (in):1:Annual
Rate (in):
Annual Rate (in):
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FOF M: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page � ofO
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?
O Compliant ❑ Non -Compliant
21 Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
I] Compliant ❑ Non -Compliant
21 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: William Baker III
Permittee:
Jordan Lake SRA
Certification No.: 1003671
Signing Official: Shederick Mole
Grade: SI Phone Number: 919-362-0586
Signing Official's Title: Park Superintendent IV
❑ yes 21 No
Phone Number: 919-362-0586 Permit Exp.: 10/31/20
`
/A#
'2L_ 6/8/20yn
6/8/20
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 9 of
Permit No.: W00000488
Facility Name: Jordan Lake SRA - Vista Point
County: Chatham
Month: May
Year: 2020
PPI: 001
Flow Measuring Point: ❑ Influent O Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent O Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code 0
50050
00310
50060
31616
00610
00625
00620
00600
00400
00665
00530
of
O
C
v
0
O
i
O
p
E
O
C
O
E
Q
L
L3 C
a)
L
2
Z
�
2
afn
0
o
s
031
'a
M Cz
�0
paU.
o
24-hr
hrs
GPD
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
1
475
2
475
3
475
4
09,25
0.5
475
6.61
5
09:40
3
386
0.52
6.63
6
09:30
0.5
386
7
09:45
3
386
0.2
6.7
8
386
9
386
10
386
11
0935
0.75
386
6.65
12
257
13
257
14
257
15
257
16
257
17
257
18
09:50
0.5
257
6.66
19
09:50
0.5
538
20
09:10
0.5
538
21
10:15
0.5
538
221
12:55
0.5
538
23
10:00
3
538
0.35
6.67
24
12:30
3
538
0.49
618
25
0910
3
538
0.63
6.98
26
10:35
0.5
538
27
720
281
09:30
0.5
720
29
1430
0.5
720
30
720
31
720
Average:
461
0.44
Daily Maximum:
720
0.63
6.98
Daily Minimum:
257
0.20
6.61
Sampling Type:
Estimate
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
2,350
Daily Limit:
Sample Frequency:
Monthly
3 x Year
See Permit
3 x Year
3 x Year
3 x Year
3 x Year
3 x Year
See Permit
3 x Year
3 x Year

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page oL of e•
Sampling Person(s) Certified Laboratories
Name: Kegan Butler Name: Cameron Testing Services Inc.
Name: William Baker Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? El 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: William Baker III
Permittee: Jordan Lake SRA
Certification No.: 1003671
Signing Official: Shederick Mole
Grade: SI Phone Number: 919-362-0586
Signing Official's Title: Park Superintendent IV
Has the ORC changed since the previous NDMR? ❑ yes O No
PhrNmber.919-362-0586 Permit Expiration: 10/31/2020
J�/ 6/8/2020
6/8/2020
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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617