WQ0000488_Monitoring - 10-2020_20201104

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page / of
Permit No.: WQ0000488
Facility Name: Jordan Lake SRA - Vista Point
County: Chatham
Month: October
• irrigation occur
facility.
Area (acres):
Area (acres):
at this
Cover Crop:
Cover Crop:
[J] YES F] NO
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (iny
Annual Rate (in):
Annual Rate (in):
... .Field
Irrigated?
Field Irrigated?•
. .. -.
•
12 Month Floating Total (in):�

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page (:91 of C-9,
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
❑� 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: 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 P1 No
Phone Number: 919-362-0586 Permit Exp.: 1/31/27
C
11 /2/20
11 /2/20
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 I of
Permit No.: W00000488
Facility Name: Jordan Lake SRA - Vista Point
County: Chatham
Month: October
Year: 2020
PPI: 001
Flow Measuring Point: ❑ Influent f✓1 Effluent No flow generated
Parameter Monitoring Point: I_l Influent ❑ Effluent ❑Groundwater Lowering ❑ Surface Water
Parameter Code —►
50050
00310
50060
31616
00610
00625
00620
00600
00400
00665
00530
>.
' N
Q 1=
O
C
N
_ _
E `''
O
LL
L
m
ry N
> C
'a L.
O
F— d t
U
E
U O
LL O
U
C
O
Q
—
L
C
a)
N U)
O
Y .-�
o Z
�
�0,,
N
...
Z
C
G7
�a
O
~ Y
Z
=
d.
N
2
O
f6 t
>Z.
~ N
a
d
'O N
f6 C '6
.
~ 0 U)
U)0
24-hr
hrs
GPD
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
1
1000
3
840
0.26
6.76
2
840
3
840
4
840
5
09:50
0.5
840
6
11 24
3
829
0.24
6.7
7
09:45
3
829
0.39
6.75
8
829
9
829
10
829
11
829
12
09.15
0.5
829
13
700
14
0805
3
700
0.19
7
15
700
16
08:30
0.5
700
17
700
18
700
19
09:25
0.5
700
20
757
21
757
22
09:10
3
757
0.33
6.82
23
757
24
757
25
757
26
09:20
0.5
757
27
300
28
300
29
08:52
0.5
300
30
10:45
0.5
300
31
300
Average:
700
0.28
Daily Maximum:
840
0.39
7.00
Daily Minimum:
300
0.19 1
1
6.70
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

r /
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of r�
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? ❑✓ 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 2 No
Ph a Num 919-362-0586 Permit Expiration: 1/31/2027
JL11 /2/2020
11 /2/2020
Signature Date
Signature Date
By this signature, I certify that this report is accurrale 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