WQ0000488_Monitoring - 11-2019_20200729

FORM: NL ' 08-11 NON -DISCHARGE APPLIC, )N REPORT (NDAR-1) Page /
Permit No.: WQ0000488
Facility Name: Jordan Lake SRA - Vista Point
11 County: Chatham
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this facility?
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.Area
(acres):
Area (acresy
at
CoverCr
Cover Crop:,
2 YFS 0 NO
Hourly Rate (i_
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in),
1
.•. rField
Irrigated?
■ •
Field IrrigatedT
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FORM: NE, 08-11 NON -DISCHARGE APPLIC,'' )N REPORT (NDAR-1) Page 0
Did the application rates exceed the limits in Attachment B of your permit? p Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? O Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? a Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 2 Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? o 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
ORC: William Baker III
Certification No.: 1003671
Grade: SI Phone Number: 919-362-0586
❑ Yes 0 No
olf 12/2/19
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee:
Jordan Lake SRA
Signing Official: Shederick Mole
Signing Officials Title: Park Superintendent IV
Phone Number: 919-362-0586 Permit Exp.: 10/31/20
� I AZL— � V r 12/2/1 £
Signature Date
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: ND 3-12 NON -DISCHARGE MONIT( IG REPORT (NDMR) Page 1
Permit No.: W00000488
Facility Name: Jordan Lake SRA - Vista Point
County: Chatham
Month: November
Year: 2019
PPI: 001
Flow Measuring Point: ❑ influent 9 Effluent ❑ No Flow generated
Parameter Monitoring Point: ❑ Influent 0 Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code 11
50050
00310
50060
31616
00610"`
00625
00620 '
00600
00400
- 00665
00530
M
0
2:
N
Q
C
E
F�
O
LL3
O
Fy
0Q
:
�
vQ
O
C
L
z
Y rn
N
a
N
3
Qt", iO
�z0
24-hr
hrs
GPD
mg/L
mg/L
#/100 mL
mg/L -
mg/L
mg/L
mg/L
"su
mg/L
mg/L
1
600
2
600
3
4
10:00
0.5
600
600
m
{
i
5
600
6
08:40
3
614
0.5
6,71
7
614
8
614
_.�..
9
614
10
614
11
614
12
08:50
0.5
614
m
13
09:00
0.5
483
14
09:40
3
483
0.21
7.0,1
15
483
16
483
17
483
18
08:50
0.5
483
19
563
20
563
21
09:00
3
563
061
6.91
22
563
23
563
24
563
25
09:30
0.5
563
26
08:20
3
563
0.8
6.77 `
27
600
28
600
_
29
600
30
600
31
Average:
570
0.53
Daily Maximum:
614
0.80
7.01'
Daily Minimum:
483
0.21
6.71
Sampling Type:
Estimate
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
2,350
Daily Limit:
Sample Frequency:1
Monthly 1
3 x Year
See Permit
3 x Year
3 x Year
3 x Year
3 x Year
3 x Year
See.Permitj
3 x Year
3 x Year

FORM: NC 13-12
NON -DISCHARGE MONITi IG REPORT (NDMR)
Page A I
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? O 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
dl:Uullkb) ldRCll. PULCIU11 duWOuildl SIICCrS II
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 Officials Title: Park Superintendent IV
Has the ORC changed since the previous NDMR? ❑ yes O No
Phone Number: 919-362-0586 Permit Expiration: 10/31/2020
'
12/2/2019
12/2/2019
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