WQ0020881_Regional Office Historical File Pre 2018

Pat McCrory
Governor .
MCDENR
North Carolina Department of Environment and Natural Resources
May 28, 2015
Mr. Jarid A. Church — Acting Park Superintendent
NC DENR Division of Parks and Recreation
135 Shortleaf Drive
Statesville, North Carolina 28677
Dear Mr. Church:
Donald R. van der Vaart
Secretary
Subject: Permit No. WQ0020881
Lake Nonnan State Park Swim
Beach and Campground
Wastewater Irrigation System
h edell County
In accordance with your permit renewal request received March 30, 2015, we are forwarding
herewith Permit No. WQ0020881 dated May 28, 2015, to the North Carolina Division of
Parks and Recreation for the continued operation of the subject wastewater treatment and irrigation
facilities. Please note that this renewed permit shall become effective on October 1, 2015 (i.e. the day
after the expiration date of the existing permit).
This permit shall be effective from October 1, 2015 until September 30, 2020, shall void Permit
No. WQ0020881 issued September 11, 2008; and shall be subject to the conditions and limitations as
specified therein. Please pay particular attention to the monitoring requirements listed in Attachments A
and B, for they may differ from the previous permit issuance. Failure to establish an adequate system for
collecting and maintaining the required operational information shall result in future compliance
problems.
For your convenience, customized electronic copies of your facility's NDMR and NDAR-1
reporting forms are available for download at: http://portal.ncdenr.or:z/web/wq/aps/lau/reporting.
Please note the following permit conditions are new or have been significantly modified
since the last permit issuance dated September 12, 2008:
v Condition II.10. — land within the Compliance Boundary owned by others must have an
easement
i Condition IIIA. — effluent cannot pond or runoff from the approved sites in Attachment B
Condition III.6. — the irrigation equipment must be periodically tested and calibrated
o Condition I11.9. - public access to the spray areas and treatment facilities is prohibited
Condition IV.6. — freeboard is to be treasured weekly and recorded
Condition IV.7. — describes submission of the monitoring and application data
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Phone: [phone] Internet: httP:/1Portal.ncdenr.org1web1wg
An Equal Opportunity 1 Affirmative Action Employer — Made in part with recycled paper

Mr. Jarid A. Church
May 28, 2015
Page 2 bf 2
➢ Condition IV.8. —lists the minimal requirements for recording residual removal events
➢ Condition IV.11. —describes occurrence and appropriate responses to noncompliant events
➢ Condition VI.8. —the permit maybe revoked or modified under certain circumstances
➢. Condition-VI.9. —the facilities may not be expanded if certain conditions. prevail
If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30days following receipt of
this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail
Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and
binding.
If you need additional information concerning this permit, please contact David Goodrich at (919)
807-6352 or by email at [e-mail].
Sincerely,
lbrS>Zimmerman, Director .
Aay ,
Division of Water Resources, NCDENR
cc: Iredell County Health Department (Electronic Copy)
Mooresville Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Central Files.
Digital Permit Archive (Electronic Copy)

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER IRRIGATION SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules and Regulations
PERMISSION IS HEREBY GRANTED TO
North Carolina Division ®f Parks & Recreation
Iredell County
FOR THE
continued operation of a 15,000 gallon per day (GPD) wastewater treatment and irrigation facility
consisting of:
an acceptance of 15,000 GPD (to include 3,300 GPD from the Family Campground) of wastewater
(monthly average) during April through October and 3,500 GPD of wastewater (monthly average) during
November through March and consisting of a 78 GPM influent pump station with dual grinder pumps, a
15,000 gallon septic tank with effluent filters, an aerated 780,000 gallon treatment and.storage lagoon to
provide 10 days of treatment and 42 days of storage at maximum storage design flow with two 3HP
aerators, chlorine disinfection in a 8,112 gallon chlorine contact chamber, a 135 GPM irrigation pump
station, and a second set irrigation system to irrigate two 1,715 acre irrigation zones: Zone A and Zone B,
to serve Lake Norman State Park Swim Beach and Family Campground, with no discharge of wastes to
surface waters, pursuant to the application received March 30, 2015, and in conformity with the project
plans, specifications, and other supporting data subsequently filed and approved by the Department of
Environment and Natural Resources and considered a part of this permit.
This permit shall be effective from October 1, 2015 until September 30, 2020, shall void Permit No.
WQ0020881 issued September 12, 2008, and shall be subject to the following specified conditions and
limitations:
I. SCHEDULES
1. No later than six months prior to the expiration of this permit, the Pennittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note. Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal
application. [15A NCAC 02T .0105(d), 02T .0106, 02T .0109, 02T .0115(c)]
WQ0020881 Version3.0 Shell Version 150213 Page 1 of 8

it. PERFORMANCE STANDARDS
1. The subject non -discharge facilities shall be effectively maintained and operated at all times so,there
is no discharge to surface waters, nor any contravention of groundwater or surface water standards.
In the event the facilities fail to perform satisfactorily, including the creation of nuisance conditions
due to improper operation and maintenance, or failure of the irrigation areas. to adequately assimilate
the effluent, .the Permittee shall take immediate corrective actions including Division required actions,
such as the construction of additional or replacement wastewater treatment or irrigation facilities.
[G.S. 143-215.1, 143.-213.3(a)]
2. This permit. shall not relieve the Permittee of their responsibility for damages to_ groundwater or
surface water resulting from the operation of this facility. [15A NCAC 02B .0200, 02L .0100]
3. All wells constructed for purposes of groundwater monitoring shall be constructed in. accordance with
15A NCAC 02C .0108 (Standards of Construction for Wells Other than Water Supply), and any other
jurisdictional laws and regulations pertaining to well construction. [15A NCAC 02C .0108]
4. Effluent quality shall not exceed the limitations specified in Attachment A. [15A NCAC 02T
.0108(b)(1)]
5. Application rates, whether hydraulic, nutrient or other pollutant,. shall not exceed those specified in
Attachment B. [15A NCAC 02T .0505(c), 02T .0505(n)]
6. This disposal system was individually permitted on or after December 30, 1983; therefore, the
compliance boundary is established at either 250 feet from the effluent disposal area, or. 50 feet within -
the property boundary, whichever is closest to the effluent disposal area. An exceedance of
groundwater standards at or beyond the compliance boundary is subject to remediation action
according to 15A NCAC 02L .0106(d)(2) as well as enforcement actions in accordance with North
Carolina General Statute 143-215.6A through 143-215.6C. [15A NCAC 02L .0106(d)(2), 02L
.0107(b)]
7. In accordance with 15A NCAC 02L ,0108, the review boundary is established midway between the,
compliance boundary and the effluent disposal area. Any exceedance of groundwater standards at the
review boundary shall require action in accordance with 15A NCAC 02L .0106. [15A NCAC 02L
.0106, 02L .0108]-
8. The. Permittee shall, apply fora permit modification to establish a new. compliance boundary prior to
any sale or transfer of property affecting a compliance boundary. [15A NCAC 02L .0107(c)]
9. In accordance with 15A NCAC 02L .0107(d), no wells., excluding Division approved monitoring
wells, shall be constructed within the compliance boundary except as provided for in 15A NCAC 02L
.0107(g). [15A NCAC 02L .0107]
10. Except as provided for in 15A NCAC 02L .0107(g), the Permittee shall ensure any landowner who is
not the Permittee and owns land within the compliance boundary shall execute and file with the
Iredell County Register of Deeds an easement running with the land containing the following items:
a. A notice of the permit and -number or other description as allowed in 15A NCAC 02L .0107(f)(1);
b. Prohibits construction and operation of water supply wells within the compliance boundary; and
c. Reserves the right of the Permittee or the State to enter the property within the compliance
boundary for purposes related to the permit.
The Director may terminate the easement when its purpose has been fulfilled or is no longer needed. .
[15A NCAC 02L .0107(f)]
WQ0020881 Version 3.0 Shell Version 1502.13 Page 2-of 8

11. The facilities permitted herein shall be constructed according to the following setbacks:
a. . The setbacks for irrigation sites permitted under 15A NCAC 02H .0200 shall be as follows (all
distances in feet):
i.---Any_habitable-xesidence_or-place_ofpublic_assembly_under_separate_ownership.: 4.0.0
ii. Surface waters: 100
iii. Any well with exception of monitoring wells: 100
iv. Any property line: 150
v.. Public right of way: 50
[15A NCAC 02H..02190)]
b. The setbacks for storage and treatment units permitted under 15A NCAC 02H .0200 shall be as
follows (all distances in feet):
i. Any well with exception of monitoring wells: 100
I Any.property line: 50
[15A NCAC 02H .02196)]
III. OPERATION AND MAINTENANCE REOUIREMENTS
1. The facilities shall be properly maintained and operated at all times. The facilities shall be effectively
maintained and operated as a non -discharge system to prevent the -discharge of any wastewater
resulting from the operation of this facility. The Permittee shall maintain an Operation and
Maintenance Plan, which at a minimum shall include operational functions, maintenance schedules, -
safety measures and a spill response plan. [15A NCAC 02T .0507]
2. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the subject non -discharge facilities, in accordance with 15A NCAC 08G .0200 the
Permittee shall designate and employ a certified operator in responsible charge (ORC) and one or
more certified operator(s) as back-up ORC(s). The ORC or their back-up shall visit the facilities in
accordance with 15A NCAC 08G .0200, and shall comply with all other conditions specified in the
previously cited rules. [15A NCAC 02T .0117]
3. A suitable year round vegetative cover shall be maintained at all times, such that crop health is
optimized, allows for even distribution of effluent and allows inspection of the irrigation system.
[15ANCAC 02T .0108(b)(1)]
4. Adequate measures shall be taken to prevent effluent ponding in or runoff from the irrigation sites
listed in.Attachment B. [15A NCAC 02T .0108(b)(1)]
5. Irrigation shall not be performed during inclement weather or when the ground is in a condition that
will cause ponding or runoff. [15A NCAC 02T .0108(b)(1)]
6. All irrigation equipment shall be tested and calibrated at least once per pen -nit' cycle. Calibration
records shall be maintained at the facility for a period of no less than five years, and shall be. made
available to the Division upon request. [15A NCAC 02T .0108(b)(1)]
7. Only effluent from the Lake Norman State Park facility shall be irrigated on the sites listed in
Attaclunent B. [G.S. 143-215.1]
8. No automobiles or machinery shall be. allowed on the irrigation sites except during . equipment
installation or while maintenance is being performed. [15A NCAC 02T .0108(b)(1)]
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9.. Public access to the irrigation sites and wastewater .treatment facilities shall be� prohibited. [15A
NCAC 02T .0505(q)]
10. The residuals generated from the wastewater treatment facilities shall be disposed or utilized in
accordance with 15A NCAC 02T .1100. The Permittee shall maintain a residual management plan
pursuant to 15A NCAC 02T .0508 [15A NCAC 02T .0508, 02T .1100]
11. Diversion -or bypassing of untreated or partiallytreated wastewater from the treatment facilities is
prohibited. [15A NCAC 02T .05050)]
12. Freeboard in the lagoon shall not be less than two feet at any time. - [15A NCAC 02T .0505(d)]
13. A gauge to monitor waste levels in the lagoon shall be provided. This gauge shall have readily visible
permanent markings, at inch or tenth. of a foot increments, indicating the following elevations:
maximum liquid level at the top of the temporary liquid storage volume; minimum liquid level at the
bottom of the temporary liquid storage volume; and the lowest point on top of the dam. [15A NCAC
02T .0108(b)(1)]
14. A protective vegetative cover shall be established and maintained on all earthen embankments (i.e.,
outside toe of embankment to maximum allowable temporary storage elevation on the inside of the
embankment), berms, pipe runs, erosion control areas, and surface water diversions. Trees, shrubs,
and other woody: vegetation. shall not be allowed :to grow on the earthen' dikes - or embankments.
Earthen embankment areas shall be kept mowed or otherwise controlled and accessible. [15A NCAC
02T .0108(b)(1)]
IV. MONITORING AND REPORTING REQUIREMENTS
1. Any Division required monitoring (including groundwater, plant tissue, soil and surface water
analyses) necessary to ensure groundwater, and surface water protection shall be. established, and an
acceptable sampling reporting schedule shall be followed. [15A NCAC 02T .0108(c)]
2. A Division certified laboratory shall conduct all laboratory analyses for the required effluent,
groundwater or surface water parameters., [15A NCAC 02H .08001
3. Flow through the treatment facility shall be continuously monitored, and daily flow values shall be
reported on Form NDMR.
The Permittee shall 'install ' and maintain an appropriate flow measurement device to ensure the
accuracy and reliability of flow measurement consistent with accepted engineering and scientific
practices. Selected flow measurement devices shall,be capable of measuring. flows with a maximum
deviation of less than ten percent from true flow; accurately calibrated at a minimum of once per year;
.and maintained to ensure the accuracy of measurements is consistent with the selected device's
accepted capability. The Permittee shall maintain records of flow measurement device calibration on
file for a period of at least five years. At a minimum, documentation shall include:
a. Date of flow measurement device calibration,
b. Name of person performing calibration, and
c. Percent from true flow.
[15A NCAC 02T .0105(k)]
4. The Permittee shall monitor the effluent. from the subject facilities at the frequencies and locations for
the parameters specified in Attachment A. [15A NCAC 02T .0108(c)]
5:. The Permittee shall maintain adequate records tracking the amount of effluent irrigated. At a
minimum, these records shall include the following information for each irrigation site listed in
Attachment B:
WQ0020881 Version 3.0 Shell Version 150213 Page 4 of 8

a. Date of irrigation;
b. Volume of effluent irrigated;
c. Site irrigated;
d. Length of time site is irrigated;
e. Continuous weekly_, monthly and year-to-date hydra. is (inchesLcr_Q) loadJngs.;
f. Continuous monthly and year-to-date loadings for any non -hydraulic parameter specifically
limited in Attachment B;
g. Weather conditions; and
h. Maintenance of cover crops.
[15A NCAC 02T .0108(c)]
6. Freeboard (i.e., waste level to the lowest embankment elevation) in the lagoon shall be measured to
the nearest inch or tenth of a foot, and recorded weekly. Weekly freeboard records shall be
maintained at the facility for a period of no less than five years, and shall be made available to the
Division upon request. [15A NCAC 02T .0108(c)]
7... Three copies of all monitoring data (as specified in Conditions IV.3. and IVA) on Form NDMR for
each PPI and three copies of all operation and disposal records (as specified in Conditions IV.5. and
IVA) on Form NDAR-1 for every site in Attachment B shall be submitted on or before the last day of
the following month. If no activities occurred during the monitoring month, monitoring reports are
still required documenting the absence .of the activity. All information shall be submitted to the
following address:
Division of Water Resources _
Information Processing Unit-
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[15A NCAC 02T .0105(1)]
A record shall be maintained of all residuals removed from this facility. This record shall be
maintained at the facility for a period of no less than five years, and shall be made available to the
Division upon request. At a minimum, this record shall include:
a. Name of the residuals hauler;
b. Non -Discharge permit number authorizing the residuals disposal, or a letter from a municipality
agreeing to accept the residuals;
c. Date the residuals were hauled; and
d. Volume of residuals removed.
[15ANCAC 02T .0108(b)(1)]
9. A maintenance log shall be maintained at this facility. This log shall be maintained at the facility for
a period of no less than five years, and shall be made available to the Division upon request. At a
minimum, this log shall include:
a. Date and results of power interruption testing on alternate power supply;
b. Date of calibration of flow measurement device;
c. Visual observations of the plant and plant site; and
d. Record of preventative maintenance (e.g., changing of equipment, adjustments,' testing,
inspections and cleanings, etc.).
[15A NCAC 02T .0108(b) (1)]
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10: An annual representative soils analysis (i.e., Standard Soil Fertility Analysis) .shall be conducted on
each irrigation site listed in Attachment B. These results shall be ,maintained at the facility for a
period of no less than five years, and shall be made available to the Division upon request. At a
minimum, the Standard. Soil Fertility Analysis shall include the following parameters: .
Acidity
Exchangeable Sodium Percentage
Phosphorus
Base Saturation (by calculation)
Magnesium
Potassium
Calcium
Manganese
Sodium
Cation Exchange Capacity
Percent Humic Matter
Zinc
Copper
pH
[15A NCAC 02T .0108(c)]
11. Noncompliance Notification:
The Permittee shall report by telephone to the Mo' oresville Regional Office, telephone number (704)
663-1699, as soon as possible, but in no case more than 24 hours, or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
a. Treatment of wastes abnormal in quantity or characteristic, including the known passage of a
hazardous substance.
b. Any process unit failure (e.g., mechanical; electrical, etc.), due to known or unknown reasons,
rendering the facility incapable of adequate wastewater treatment.
c. Any facility failure resulting in a by-pass directly to receiving surface waters.
d. Any time self -monitoring indicates the facility has gone out of compliance with its permit
limitations.
e. Ponding in or runoff from the irrigation sites.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside. normal business hours shall be reported to the Division's Emergency
Response personnel at telephone' number (800) 662-795.6; [phone], or [phone].
Persons reporting such occurrences by telephone shall also file a, written report in letter form within
five days following first knowledge of the occurrence. This report shall outline the actions taken or
proposed to betaken to ensure the problem does not recur. [15A NCAC 02T .0105(1), 02T .0108(b).
(1)]
V. INSPECTIONS
1. The Permittee shall .provide adequate inspection and maintenance to ensure proper operation of .the
wastewater treatment and irrigation facilities. [15A NCAC 02T .01.08(b)]
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2. The Pennittee -or their designee shall inspect the wastewater treatment and irrigation facilities to
prevent malfunctions, facility deterioration and operator errors resulting in discharges, which may
cause the release of wastes to the environment, a threat to .human health or a public nuisance. The
Permittee shall maintain an inspection log- that includes, at a minimum, the date and time of
inspection, observations made, and any maintenance, repairs, or corrective actions taken. Z -
Pennittee shall maintain this inspection log for a period of five years from the date of the inspection,
and this log shall be made available to the Division upon request. [15A NCAC 02T .0108(b)] .
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the wastewater treatment and irrigation facilities
-permitted herein at any reasonable time for the purpose of.determining compliance with this permit;
may inspect or copy any records required to be maintained under the terms and conditions of this
permit, and may collect groundwater, surface water or leachate samples. [G.S. 143-21.5.3(a)(2)]
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Pennittee to
an enforcement action by the Division in accordance with North Carolina General Statutes .143-
.215.6A to 143-215.6C. [G.S. 143-215.6A to 143-215.6C]
2. This permit shall become voidable if the permitted facilities are not constructed in accordance with
the conditions of this permit, the Division approved plans and specifications, and other supporting
documentation. [15A NCAC 02T .0110]
3. This pen -nit iseffective only with respect to the nature and volume of wastes described in the pen -nit
application; Division approved plans and specifications, and other supporting documentation. No
variances to applicable rules governing the construction or operation of the permitted facilities are
granted, unless specifically requested and approved in this permit pursuant to 15A NCAC 02T
.0105(n). [G.S.143-21.5.1]
4. The issuance of this pen -nit does not exempt the Pennittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies
(e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules
in 15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4
and under General Permit NCG010000; any requirements pertaining to wetlands under 15A NCAC
02B .0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of Chapter 143 of
the General Statutes. [15A NCAC 02T .0105(c)(6)]
In the event the pennitted facilities change ownership or the Permittee changes their naive, a formal
permit modification request shall be submitted to the Division. This request shall be made on official
Division forms, and shall include appropriate property ownership documentation and other supporting
documentation as necessary. The Pennnittee of record shall remain fully responsible for maintaining
and operating the facilities permitted herein until a permit is issued to the new owner. [15A NCAC
02T .0104]
6. The Pennittee shall retain a set of Division approved plans and specifications for the life of the
facilities permitted herein. [15A NCAC 02T .0108(b)(1)]
7. The Pennittee shall maintain this permit until all permitted facilities herein are properly closed or
permitted under another pen -nit issued by the appropriate permitting authority. [15A NCAC 02T
.01050)]
8. This permit is subject to revocation or unilateral modification upon 60 days notice from the Division
Director, in whole or part for the requirements listed in 15A NCAC 02T .0110. [15A NCAC 02T
.0110]
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9. Unless the Division Director grants a -variance, expansion of the permitted facilities contained herein
shall not be granted if the Permittee exemplifies any of the criteria in 15.A NCAC 02T .0120(b). [15A
NCAC 02T .0120]
10. The Permittee shall pay the annual fee within 30 days after being billed by the Division.- Failure to
-pay the annual fee accordingly shall be cause for the Division to revoke this permit. [15A NCAC 02T
.0105(e)(3)]
Permit issued this the 28th day of May 2015, effective on October 1, 2015.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
r
r S. Zimmerman, Director
Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number WQ0020881
WQ0020881 Version 3.0 Shell Version 150213 Page 8 of 8

ATTACHMENT A — LIMITATIONS AND MONITORING REQUIREMENTS Permit Number: WQ0020881 I Version: 3.0
PPI 001— WWTF Effluent
EFFLUENT CHARACTERISTICS
EFFLUENT LIMITS
I
MONITORING REQUIREMENTS
PCs
Code
Parameter Description
Units of
Measure
Monthly
Average'
Monthly
Geometric Mean
Daily Minimum
Daily Maximum
Measurement
Frequency
I
Sample
Type
0031'0
BOD, 5-Day (20 °C)
mg/L
4 X yeard
Grab
50060
Chlorine, Total Residual
mg/L
Monthly
Grab
31613
Colifonn, Fecal MF, M-FC Broth, 44.5 °C
#/100 mL
b
4 X yeard
Grab
50050
Flow, in Conduit or thru Treatment. Plant - Winter`
GPD
3,500
Continuous_
I
Recorder
50050
Flow, in Conduit or thru Treatment Plant - Summerr
GPD
15,000
Continuous
Recorder
00610
Nitrogen, Ammonia Total (as N)
mg/L
4 X yeard
Grab
00625
Nitrogen, Kjeldahl, Total (as N)
mg/L
4 X years
Grab
00620
Nitrogen, Nitrate Total (as N)
mg/L
4 X yeard
Grab
00400
OR,
su
Weekly
Grab
00665
Phosphorus, Total (as P)
mg/L
4 X yeard
Grab
00530
Solids,.Total Suspended
mg/L
4 X yeard
Grab
Monthly averages for all but fecal colifonm shall be the arithmetic mean of all samples collected during the reporting period.
b Monthly average for fecal coliform shall be the geometric mean of all samples collected during the reporting period.
` Daily maximum shall be the maximum value of all samples collected during the reporting period.
d 4 X year sampling shall be conducted during March, June, September and December. '
Winter sampling shall be conducted from November l through March 31.
r Summer sampling shall be conducted from April I through October 31.
WQ0020881 Version 3.0 Attachment A I Page 1 of 1

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ATTACHMENT B - APPROVED LAND APPLICATION SITES AND LIMITATIONS Permit Number: WQ0020881
North Carolina Division of Parks & Recreation -Lake Norman State Park, Swim Beach and Family Campground
Version: 3.0
IRRIGATION AREA INFORMATION
APPLICATION LIMITATIONS
Field
Owner
County
Latitude
Longitude
Net
Dominant
Parameter
Hourly
Yearly
Units
Acreage
Soil Series
Rate
Max
Zone A
NC Division of Parks & Recreation
Iredell
35039'06"
80056'39"
1.72
Cecil (Pacolet)
01284— Non -Discharge Application Rate
0.4
30.16
Inches
Zone B
NC Division of Parks & Recreation
Iredell
35039'06"
80056135'
1.72
Cecil (Pacolet)
01284— Non -Discharge Application Rate
0.4
30.16
Inches
Totals
3.44
WQ0020881 Version 3.0 Attaclunent B I Page 1 of 1

THIS PAGE BLANK

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FIGURE 2
LAKE NORMAN STATE PARK
SURFACE IRRIGATION SYSTEM
IREDELL COUNTY
WQ0020881
SITE DETAIL MAP .

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page
of
Permit No.: WQ0020881
Facility Name:
NC Division of Parks & Rec. - Lake Norman
County: Iredell
Flow Measuring •o■ Influent 0 Effluent ■
■ Influent■Effluent■Groundwater
LoweringSurface
Water E
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: Q11 1::1
Facility Name: NC Division of - - Norman
CoUnty: Iredell
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Pat McCrory
Governor
F ILE
C®ENR
North Carolina Department of Environment and Natural Resources
May 28, 2015
Mr. Jarid A. Church — Acting Park Superintendent
NC DENR Division of Parks and Recreation
135 Shortleaf Drive
Statesville, North Carolina 28677
Dear Mr. Church:
Donald R. van der Vaart
Secretary
RECEIVED/NCDENR/DWR
MAY 2 6 2.015
MOORESVILLWOROS
E REGIONAL OFFICE
Subject: Permit No. WQ0020881
Lake Nonnan State Park Swim
Beach and Campground
Wastewater Irrigation System
Iredell County
In accordance with your permit renewal request received March 30, 2015, we are forwarding
herewith Permit No. WQ0020881 dated May 28, 2015, to the North Carolina Division of
Parks and Recreation for the continued operation of the subject wastewater treatment and irrigation
facilities. Please note that this renewed permit shall become effective on October 1, 2015 (i.e. the day
after the expiration date of the existing permit).
This permit shall be effective from October 1, 2015 until September 30, 2020, shall void Permit
No. WQ0020881 issued September 11, 2008, and shall be subject to the conditions and limitations as
specified therein. Please pay particular attention to the monitoring requirements listed in Attachments A
and B, for they may differ from the previous permit issuance. Failure to establish an adequate system for
collecting and maintaining the required operational information shall result in future compliance
problems.
For your convenience, customized electronic copies of your facility's NDMR and NDAR-1
reporting fortes are available for download at: http://portal.ncdenr.org/web/wq/aps/lau/reportin?.
Please note the following permit conditions are new or have been significantly modified
since the last permit issuance dated September 12, 2008:
➢ Condition II.10. — land within the Compliance Boundary owned by others must have an
easement
Condition IIIA. — effluent cannot pond or runoff from the approved sites in Attachment B
3- Condition IH.6. — the irrigation equipment must be periodically tested and calibrated
Condition I1I.9. - public access to the spray areas and treatment facilities is prohibited
Condition IV.6. — freeboard is to be measured weekly and recorded
Condition IV.7. — describes submission of the monitoring and application data
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Phone: [phone] Internet: hrio://Portal.ncdenr.oro/weblwa
An Equal Opportunity 1 Affirmative Action Employer —Made in part with recycled paper

Mr. Jarid A: Church
May 28, 2015'' I
Page 2 df 2- -J _ J 4
➢ Condition IV.8. —lists the minimal requirements for recording residual removal events
➢ Condition IV.11. — describes occurrence and appropriate responses to noncompliant events
➢ Condition VI.8. — the permit may be revoked or modified under certain circumstances
➢ Condition-VI.9. —the facilities may not be expanded if certain conditions. prevail
If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail
Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and
binding.
If you need additional information concerning this permit, please contact David Goodrich at (919)
807-6352 or by email at [e-mail].
Sincerely,
or Srman ' Director .
Y � .
Division of Water Resources, NCDENR
cc: Iredell County Health Department (Electronic Copy)
Mooresville Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Central Files.
Digital Permit Archive (Electronic Copy)

I.
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT
RF�F��Fo/�co
IIq y 2 B F"R�owR
IA. �OJC
F ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER IRRIGATION SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules and Regulations
PERMISSION IS HEREBY GRANTED TO
North Carolina. Division of Parks & Recreation
Iredell County
FOR THE
oPP1o111-
continued operation of a 15,000 gallon per day (GPD) wastewater treatment and irrigation facility
consisting of:
an acceptance of 15,000 GPD (to include 3,300 GPD from the Family Campground) of wastewater
(monthly average) during April through October and 3,500 GPD of wastewater (monthly average) during
November through March and consisting of a 78 GPM influent pump station with dual grinder pumps, a
15,000 gallon septic tank with effluent filters, an aerated 780,000 gallon treatment and storage lagoon to
provide 10 days of treatment and 42 days of storage at maximum storage design flow with two 3HP
aerators, chlorine disinfection in a 8,112 gallon chlorine contact chamber, a 135 GPM irrigation pump
station, and a second set irrigation system to irrigate two 1,715 acre irrigation zones: Zone A and Zone B,
to serve Lake Norman State Park Swim Beach and Family Campground, with no discharge of wastes to
surface waters, pursuant to the application received March 30, 2015, and in conformity with the project
plans, specifications, and other supporting data subsequently filed and approved by the Department of
Environment and Natural Resources and considered a part of this permit.
This permit shall be effective from October 1, 2015 until September 30, 2020, shall void Permit No.
WQ0020881 issued September 12, 2008, and shall be subject to the following specified conditions and
limitations:
SCHEDULES
No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal
application. [15A NCAC 02T .0105(d), 02T .0106, 02T .0109, 02T .0115(c)]
WQ0020881 Version 3.0 Shell Version 150213 Page 1 of 8

H. PERFORMANCE STANDARDS
1. The subject -non -discharge facilities shall be effectively maintained and operated at all times so there
is no discharge to surface waters, nor any contravention of groundwater or surface water standards.
In. theevent"the facilities fail to perform satisfactorily, including the creation of nuisance conditions
due to improper operation and maintenance, or failure of the irrigation areas to adequately assimilate
the effluent, the Pem: ittee shall take immediate corrective actions including Division required actions,
such as the construction of additional or replacement wastewater treatment or irrigation facilities.
[G.S. 143-215.1, 143-213.3(a)]
2. This permit. shall not relieve the Permittee of their responsibility for damages to groundwater or
surface water resulting from the operation of this facility. [15A NCAC 02B .0200, 02L .0100]
3. All wells constructed for purposes of groundwater monitoring shall be constructed in. accordance with
15A NCAC 02C .0108 (Standards of Construction for Wells Other than Water Supply), and any other
jurisdictional laws and regulations pertaining to well construction. [15A NCAC 02C .0108]
4. Effluent quality shall not exceed the limitations specified in Attachment A. [15A NCAC 02T
.0108(b)(1)]
5. Application rates, whether hydraulic, nutrient or other pollutant, shall not exceed those specified in
Attachment B. [15A NCAC 02T .0505(c), 02T .0505(n)]
6. This disposal system was individually permitted on or after December 30, 1983; therefore, the
compliance boundary is established at either 250 feet from the effluent disposal area, or.50 feet within
the property boundary, whichever is closest to the effluent disposal area. An exceedance of
groundwater standards at or beyond the compliance boundary is subject to remediation action
according to 15A NCAC 02L .0106(d)(2) as well as enforcement actions in accordance with North
Carolina General Statute 143-215.6A through 143-215.6C. [15A NCAC 02L .0106(d)(2), 02L
.0107(b)]
7. In accordance with 15A NCAC 02L .0108, the review boundary is established midway between the
compliance boundary and the effluent disposal area. Any exceedance of groundwater. standards at the
review boundary shall require action in accordance with 15A NCAC 02L .0106. [15A NCAC 02L
.0106, 02L .01.08]
8. The. Permittee shall apply for a permit modification to establish anew. compliance boundary prior to
any sale or transfer of property affecting a compliance boundary. [15A NCAC 02L .0107(c)]
9. In accordance with 15A NCAC 02L .0107(d), no wells; excluding Division approved monitoring
wells, shall be constructed within the compliance boundary except as provided for in 15A NCAC 02L
.0107(g). [15A:NCAC 02L .0107]
10. Except as provided for in 15A NCAC 02L .0107(g), the Permittee shall ensure any landowner who is
not the Permittee and owns land within the compliance boundary shall execute and file with the
Iredell County Register of Deeds an easement running with the land containing the following items:
a. A notice of the permit and.number or other description as allowed in 15A NCAC 02L .0107(f)(1);
b. Prohibits construction and operation of water supply wells within the compliance boundary; and
c. Reserves the right of the Permittee or the State to enter the . property within the compliance
boundary for purposes related to the permit.
The Director may terminate the easement when its purpose has been fulfilled or is no longer needed.
[1.5A NCAC 02L .0107(f)]
WQ0020881 Version 3.0 Shell Version 1502.13 Page 2-of 8

V
11. The facilities permitted herein shall be constructed according to the following setbacks:
a. The setbacks for irrigation sites permitted under 15A NCAC 02H .0200 shall be as follows (all
distances in feet):
i .any_habitable�esidence_oLplace_of-pubhc_assembly_under_separate_ownership.: 4Q0
I Surface waters: 100
iii. Any well with exception of monitoring wells: 100
iv. Any property line: 150
v. Public right of way: 50
[15A NCAC 02H..02190)]
b. The setbacks for storage and treatment units permitted under 15A NCAC 02H .0200 shall be as
follows (all distances in feet):
i. Any well with exception of monitoring wells: 100
I. Any property line: 50
[15A NCAC 02H .02190)]
III. OPERATION AND MAINTENANCE REQUIREMENTS
1. The facilities shall be properly maintained and operated at all times. The facilities shall be effectively
maintained and operated as a non -discharge system to prevent the discharge of any wastewater
resulting from the operation of this facility. The Permittee shall maintain an Operation and
Maintenance Plan, which at a minimum shall include operational functions, maintenance schedules,
safety measures and a spill response plan. [15A NCAC 02T .0507]
2. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the subject non -discharge facilities, in accordance with 15A NCAC 08G .0200 the
Permittee shall designate and employ a certified operator in responsible charge (ORC) and one or
more certified operator(s) as back-up ORC(s). The ORC or their back-up shall visit the facilities in
accordance -with 15A NCAC 08G .0200, and shall comply with all other conditions specified in the
previously cited rules. [15A NCAC 02T .0117]
3. A suitable year round vegetative cover shall be maintained at all times, such that crop health is
optimized, allows for even distribution of effluent and allows inspection of the irrigation system.
[15ANCAC 02T .0108(b)(1)]
4. Adequate measures shall be taken to prevent effluent ponding in or runoff from the irrigation sites
listed in.Attaclunent B. [15A NCAC 02T .0108(b)(1)]
5. Irrigation shall not be performed during inclement weather or when the ground is in a condition that
will cause ponding or runoff. [15A NCAC 02T .0108(b)(1)]
6. All irrigation equipment shall be tested and calibrated at least once per pen -nit cycle. Calibration
records shall be maintained at the facility for a period of no less than five years, and shall be made
available to the Division upon request. [15A NCAC 02T .0108(b)(1)]
7. Only effluent from the Lake Norman State Park facility shall be irrigated on the sites listed in
Attachment B. [G.S. 143-215.1]
8. No automobiles or machinery shall be allowed on the irrigation sites except during equipment
installation or while maintenance is being performed. [15A NCAC 02T .0108(b)(1)]
WQ0020881 Version 3.0 Shell Version 150213 Page 3 of 8

9.. Public access to. the irrigation sites and wastewater treatment facilities shall be prohibited. [15A
NCAC 02T .0505(q)]
10. The residuals generated from the wastewater treatment facilities shall be disposed of utilized in
accordance with 15A NCAC 02T .1100. The Permittee. shall maintain a residual management plan
pursuant to 15A NCAC 02T .0508 [15A NCAC 02T .0508, 02T .1100]
11. Diversion -or bypassing of untreated or partially treated wastewater from the treatment facilities is
prohibited. [15A NCAC 02T .05050)]
12. Freeboard in the lagoon shall not be less than two feet at anytime. [15A NCAC 02T .0505(d)]
13. A gauge to monitor waste levels in the lagoon shall be provided. This gauge shall have readily visible
permanent markings, at inch or tenth. of a foot increments, indicating the following elevations:
maximum liquid level at the top of the temporary liquid storage volume; minimum liquid level at the
bottom of the temporary liquid storage volume; and the lowest point on top of the dam. [15A NCAC
02T .0108(b)(1)]
14. A protective vegetative cover shall be established and maintained on all earthen embankments (i.e.,
outside toe of embankment to maximum allowable temporary storage elevation on the inside of the
embankment), berms, pipe runs, erosion control areas, and surface water diversions. Trees, shrubs,
and other. woody: vegetation. shall not be allowed ..to : -grow on the earthen dikes - or embankments.
Earthen embankment areas shall be kept mowed or otherwise controlled and accessible. [15A NCAC
02T .0108(b)(1)]
IV. MONITORING AND REPORTING REOUIREMENTS
1. Any Division required monitoring (including groundwater, plant tissue, soil and surface water
analyses) necessary to ensure groundwater and surface water protection shall be established, and an
acceptable sampling reporting schedule shall be followed. [15A NCAC 02T .'0108(c)]
2. A Division certified laboratory shall conduct all laboratory analyses for the required effluent,
groundwater or surface water parameters. [15A NCAC 02H .0800]
3. Flow through the treatment facility shall be continuously monitored, and daily flow values shall be
reported on Form NDMR.
The Permittee shall install ' and maintain an appropriate flow measurement device to ensure the
accuracy and reliability of flow measurement consistent with accepted engineering and scientific
practices. Selected flow measurement devices shallbe capable of measuring. flows with a maximum
deviation of less than ten percent from true flow; accurately calibrated at a minimum. of once per year;
and maintained to ensure the accuracy of measurements is consistent with the selected device's
accepted capability. The Permittee shall maintain records of flow measurement device calibration on
file for a period of at least five years.' At a minimum, documentation shall include:
a. Date of flow measurement device calibration,
b. Name of person performing calibration, and
c. Percent from true flow.
[15A NCAC 02T .0105(k)]
4. The Permittee shall monitor the effluent from the subject facilities at the frequencies and locations for
the parameters specified in Attachment A. [15A NCAC 02T .0108(c)]
5'. The Permittee shall maintain adequate records tracking the amount of effluent irrigated. At a
minimum, these records shall include the following information for each irrigation site listed in
Attachment B:
WQ0020881 Version 3.0 Shell Version 150213 Page4 of 8

a. Date of irrigation;
b. Volume of effluent irrigated;
c. Site irrigated;
d. Length of time site is irrigated;
e. Continuous weekly_, monthly, and year-to-date hvdraulic bchesLacr-Q) loadings;
f. Continuous monthly and year-to-date loadings for any non -hydraulic parameter specifically
limited in Attachment B;
g. Weather conditions; and
h. Maintenance of cover crops.
[15A NCAC 02T .0108(c)]
6. Freeboard (i.e., waste level to the lowest embankment elevation) in the lagoon shall be measured to
the nearest inch or tenth of a foot, and recorded weekly. Weekly freeboard records shall be
maintained at the facility for a period of no less than five years, and shall be made available to the
Division upon request. [15A NCAC 02T .0108(c)]
7. Three copies of all monitoring data (as specified in Conditions IV.3. and IV.4.) on Form NDMR for
each PPI and three copies of all operation and disposal records (as specified in Conditions IV.5. and
IV.6.) on Form NDAR-1 for every site in Attachment B shall be submitted on or before the last day of
the following month. If no activities occurred during the monitoring month, monitoring reports are
still required documenting the absence of the activity. All information shall be submitted to the
following address:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[15A NCAC 02T .0105(1)]
A record shall be maintained of all residuals removed from this facility. This record shall be
maintained at the facility for a period of no less than five years, and shall be made available to the
Division upon request. At a minimum, this record shall include:
a. Name of the residuals hauler;
b. Non -Discharge permit number authorizing the residuals disposal, or a letter from a municipality
agreeing to accept the residuals;
c. Date the residuals were hauled; and
d. Volume of residuals removed.
[15A NCAC 02T .0108(b)(1)]
9. A maintenance log shall be maintained at this facility. This log shall be maintained at the facility for
a period of no less than five years, and shall be made available to the Division upon request. At a
minimum, this log shall include:
a. Date and results of power interruption testing on alternate power supply;
b. Date of calibration of flow measurement device;
c. Visual observations of the plant and plant site; and
d. Record of preventative maintenance (e.g., changing of equipment, adjustments,' testing,
inspections and cleanings, etc.).
[15A NCAC 02T .0I08(b) (1)]
WQ0020881 Version 3.0 Shell Version 150213 Page 5 of 8

LIVO,
-10. An annual representative soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on
each irrigation site listed in Attachment B. These results shall be maintained at the facility for a
period of no less than five years, and shall be made available to the Division upon request. At a
minimum, the Standard Soil Fertility Analysis shall include the following parameters:
Acidity
Exchangeable Sodium Percentage
Phosphorus
Base Saturation (by calculation)
Magnesium
Potassium
Calcium
Manganese
Sodium
Cation Exchange Capacity
Percent Humic Matter
Zinc
Copper
pH
[15A NCAC 02T .0108(c)]
11. Noncompliance Notification:
The Permittee shall report by telephone to the 1VIooresvilIe Regional Office, telephone number (704)
663-1699, as soon as possible, but in no case more than 24 hours, or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
a. Treatment of wastes abnormal in quantity or characteristic, including the known passage of a
hazardous substance.
b. Any process unit failure (e.g., mechanical; electrical, etc.), due to known or unknown reasons,
rendering the facility incapable of adequate wastewater treatment.
c. Any facility failure resulting in a by-pass directly to receiving surface waters.
d. Any time self -monitoring indicates the facility has gone out of compliance with its permit
limitations.
e. Ponding in or runoff from the irrigation sites.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone]; (800)- 858-0368, or. (919) - 733-3300.
Persons reporting such occurrences by telephone shall also file a written report in letter form within
five days following first knowledge of the occurrence. This report shall outline the actions taken or
proposed to be taken to ensure the problem does not recur. [15A NCAC 02T .0105(l), 02T .0108(b)
GA
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
wastewater treatment and irrigation facilities. [15A NCAC 02T .0108(b)]
WQ0020881 Version 3.0 . Shell Version 150213 Page 6 of 8

2. The Pennittee or their designee shall inspect the wastewater treatment and irrigation facilities to
prevent malfunctions, facility deterioration and operator errors resulting in discharges, which may
cause the release of wastes to the environment, a threat to .human health or a public nuisance. The
Pennittee shall maintain an inspection log that includes, at a minimum, the date and time of
inspection, observations made, and any maintenance, repairs, or corrective actions taken. The
Pennittee shall maintain this inspection log for a period of five years from the date of the inspection,
and this log shall be made available to the Division upon request. [15A NCAC 02T '.0108(b)]
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the wastewater treatment and irrigation facilities
permitted herein at any reasonable time for the purpose of.determining compliance with this permit;
may inspect or copy any records required to be maintained under the terms and conditions of this
permit, and may collect groundwater, surface water or leachate samples. [G.S. 143-21.5.3(a)(2)]
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Pennittee to
an enforcement action by the Division in accordance with North .Carolina General Statutes 143-
215.6A to 143-215.6C. [G.S. 143-215.6A to 143-215.6C]
2. This permit shall become voidable if the permitted facilities are not constricted in accordance with
the conditions of this permit, the Division approved plans and specifications, and other supporting
documentation. [15A NCAC 02T .0110]
3. This permit is effective only with respect to the nature and volume of wastes described in the permit
application; Division approved plans and specifications, and other supporting documentation. No
variances to applicable rules governing the construction or operation of the permitted facilities are
granted, unless specifically requested and approved in this permit pursuant to 15A NCAC 02T
.0105(n). [G.S.143-21.5.1]
4. The issuance of this permit does not exempt the Pennittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies
(e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules
in 15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4
and under General Permit NCGO10000; any requirements pertaining to wetlands under 15A NCAC
02B .0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of Chapter 143 of
the General Statutes. [15A NCAC 02T'.0105(c)(6)]
In the event the permitted facilities change ownership or the Permittee changes their name, a formal
permit modification request shall be submitted to the Division. This request shall be made on official
Division forms, and shall include appropriate property ownership documentation and other supporting
documentation as necessary. The Permittee of record shall remain fully responsible for maintaining
and operating the facilities permitted herein until a permit is issued to the new owner. [15A NCAC
02T .0104]
The Pennittee shall retain a set of Division approved plans and specifications for the life, of the
facilities permitted herein. [15A NCAC 02T .0108(b)(1)]
7. The Permittee shall maintain this permit until all pennitted facilities herein are properly closed or
permitted under another permit issued by the appropriate permitting authority. [15A NCAC 02T
.01050)]
8. This permit is subject to revocation or unilateral modification upon 60 days notice from the Division
Director, in whole or part for the requirements listed in 15A NCAC 02T .0110. [15A NCAC 02T
.0110]
WQ0020881 Version 3.0 Shell Version 150213 Page 7 of 8

9. Unless the Division Director grants a -variance, expansion of the permitted facilities contained herein .
shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC 02T .0120(b). [15A
NCAC 02T .0120]
10. The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to
.pay the annual fee accordingly shall because for the Division to revoke this permit. [15A NCAC 02T
.0105(e)(3)]
Permit issued this the 28th day of May 2015, effective on October 1, 2015-
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
r S. Zimmerman, Director
Divis on of Water Resources
By Authority of the Environmental Management Commission
Permit Number WQ0020881
WQ0020891 Version 3.0 Shell Version 150213 Page 8 of 8

ATTACHMENT A — LIMITATIONS AND MONITORING REQUIREMENTS Permit Number: WQ0020881 I Version: 3.0
PPI 001— WWTF Effluent
EFFLUENT CHARACTERISTICS
EFFLUENT LIMITS
I
MONITORING REQUIREMENTS
PCS
Code
Parameter Description
Units of
Measure
Monthly
Averages
Monthly
Geometric Mean
Daily Minimum
Daily Maximum '
Measurement
Frequency
Sample
Type
00310
BOD, 5-Day (20 °C)
mg/L.
4 X year
I
Grab
50060
Chlorine, Total Residual
mg/L
Monthly
Grab
31613
Coliform, Fecal MF, M-FC Broth, 44.5 °C
#/100 mL
b
4 X years
I
Grab
50050
Flow, in Conduit or thru Treatment Plant - Wintere
GPD
3,500
Continuous
Recorder
50050
Flow, in Conduit or thru Treatment Plant - Summerr
GPD
15,000
Continuous
Recorder
00610
Nitrogen, Ammonia Total (as N)
mg/L
4 X year
Grab
00625
Nitrogen, Kjeldahl, Total (as N)
mg/L
4 X yea?
Grab
00620
Nitrogen, Nitrate Total (as N)
mg/L
4 X years
Grab
00400
pH
su
Weekly
I Grab
00665
Phosphorus, Total (as P)
mg/L
4 X year
Grab
00530
Solids, Total Suspended
mg/L
4 X years
Grab
s Monthly averages for all but fecal colifonn shall be the arithmetic mean of all samples collected during the reporting period.
b Monthly average for fecal coliform shall be the geometric mean of all samples collected during the reporting period.
` Daily maximum shall be the maximum value of all samples collected during the reporting period.
ye +r ainc}i�Q shall be canduc ed durix areh June Septeaabe a d i)ecemr.
Winter sampling shall be conducted from November t through March 31.
r Summer sampling shall be conducted from April I through October 31.
WQ0020881 Version 3.0 Attaclunent A I Page 1 of 1

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ATTACHMENT B - APPROVED LAND APPLICATION SITES AND LIMITATIONS Permit Number: WQ0020881
North Carolina Division of Parks & Recreation — Lake Norman State Park, Swim Beach and Family Campground
Version: 3.0
IRRIGATION AREA INFORMATION
APPLICATION LIMITATIONS
Field
Owner
County
Latitude
Longitude
Net
Acreage
Dominant
Soil Series
Parameter
Hourly
Rate
Yea4rly
Max
Units
Zone A
NC Division of Parks & Recreation
Iredell
35039'06''
80056'39"
1.72
Cecil (Pacolet)
01284 — Non -Discharge Application Rate
0.4
30.II6
Inches
Zone B
NC Division of Parks & Recreation
Iredell
35039206"
80056135"
1.72
Cecil (Pacolet)
01284- Non -Discharge Application Rate
0.4
30.16
Inches
Totals
3.44
WQ0020881 Version 3.0 Attachment B I Page 1 of 1

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FIGURE 2
LAKE NORMAN STATE PARK
SURFACE IRRIGATION SYSTEM
IREDELL COUNTY
wgggo881
SITE DETAIL MAP

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page
I of
Permit No.: WQ0020881
Facility Name:
NC Division of Parks & Rec. - Lake Norman
County: Iredell
Flow Measuring Point: El influent 2] Effluent E] No flow generated
Parameter Monitoring Point:
El Influent
[I Effluent■Groundwater Lowering
Average:
Daily Maximum:
Daily Minimum::.
Sampling Type:
Recorder:'.
Recorder
Grab
Grab is
Grab
Grab
Grab
= Grab
,A
Monthly Avg. Limit:
3,500
Daily Limit:
,;Summer
Winter
5"
_Savle Frequencv-VC6611hudds
I Continuous
I; 4k,",
I 4 x year
4xyear
4 x year
Weekly
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7
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
September 12, 2008
William Rhinehart, Jr. — Park Superintendent
NCDENR (Division of Parks & Recreation)
159 Inland Sea Lane
Troutman, NC 28166
Dear Mr. Rhinehart:
Coleen H. Sullins, Director
Division of Water Quality
S E P 18 2008
DENR MRO
muifer Protection
Subject: Permit No. WQ0020881
Lake Norman State Park Swim
Beach and Campground
Wastewater Surface Irrigation
Iredell County
In accordance with your permit modification request received June 13, 2008, we are forwarding
herewith Permit No. WQ0020881, dated September 12, 2008, to North Carolina Division of Parks and
Recreation for the construction and continued operation of the subject wastewater treatment and surface
irrigation facilities. This modification includes the addition of 3,300 gallons per day (GPD) from the
family campground with no change in the total capacity of the treatment facility.
s'
This permit shall be effective from the date of issuance until September 30, 201\ shall void
Permit No. WQ0020881 issued October 25, 2006, and shall be subject to the conditions and limitations as
specified therein. Please pay particular attention to the monitoring requirements in this permit. Failure to
establish an adequate system for collecting and maintaining the required operational information will
result in future compliance problems. Please note that effluent sampling parameters and frequencies have
been changed (Attachment A).
If any parts; requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within thirty (30) days following receipt of
this permit. This request must be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service
Center, Raleigh, NC 27699-6714. Unless such demands are made this permit shall be final and binding.
If you need additional information concerning this matter, please contact Matthew Fleahman at
[phone] or [e-mail].
Sincerely,
oleen H. Sullins
NorthCarolina
Naturally
Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636 Telephone : [phone]
Internet: www.ncwaterquality.org Location: 2728 Capital Boulevard Raleigh, NC 27604 Fax 1: [phone]
Fax 2: [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper Customer Service: [phone]

cc: IredelLC_outtty e lth Department
�1VIoo"iresviil�le�Re ion!I�Off�ic�,Aau.i5fe"xil~rtote�n.:.�e'�i;
G. Robert Graham, P.E., George Finch/Boney and Associates. PO Box 10472 Raleigh NC 27605
Technical Assistance and Certification Unit (with rating sheet attached)
APS Central Files
LAU Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
SURFACE IRRIGATION SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
North Carolina Division of Parks & Recreation
Iredell County
continued operation of a spray irrigation treatment and disposal facility approved to accept 15,000 GPD
(to include 3,300 GPD from the Family Campground) of wastewater (monthly average) during April
through October and 3,500 GPD of wastewater (monthly average) during November through March and
consisting of a 78 GPM influent pump station with dual grinder pumps, a 15,000 gallon septic tank with
effluent filters, an aerated 780,000 gallon treatment and storage lagoon to provide 10 days of treatment
and 42 days of storage at maximum design flow with two 3HP aerators, chlorine disinfection in a 8,112
gallon chlorine contact chamber, a 135 GPM irrigation pump station, and a solid set irrigation system to
irrigate two 1.715 acre irrigation zones: Zone A and Zone B , to serve Lake Norman State Park Swim
Beach and Family Campground, with no discharge of wastes to the surface waters, pursuant to the
application received June 13, 2008, and subsequent additional information received by the Division of
Water Quality (Division), and in conformity with the project plan, specifications, and other supporting
data subsequently filed and approved by the Department of Environment and Natural Resources and
considered a part of this permit.
This permit shall be effective from the date of issuance until September 30, 2011, shall void Permit
No. WQ0020881 issued October 25, 2006, and shall be subject to the following specified conditions and
limitations:
I. SCHEDULES [please review the entire permit for reporting, monitoring, and other on -going activities]
No later than six (6) months prior to the expiration of this permit, the Permittee shall request renewal
of this permit on official Division form(s). Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note that Rule
15A NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal
application.
WQ0020881 Version 2.1 Shell Version 080827 Page 1 of 8

II. PERFORMANCE STANDARDS
The surface irrigation facilities shall be effectively maintained and operated at all times so that there
is no discharge to the surface waters, nor any contravention of groundwater or surface water
standards. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions due to improper operation and maintenance, or failure of the irrigation area to
adequately assimilate the wastewater, the Permittee shall take immediate corrective actions including
those actions that may be required by the Division, such as the construction of additional or
replacement wastewater treatment and disposal facilities.
2. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to ground
or surface waters resulting from the operation of this facility.
All wells that are constructed for purposes of groundwater monitoring shall be constructed in
accordance with 15A NCAC 02C .0108 (Standards of Construction for Wells Other than Water
Supply) and any other state and local laws and regulations pertaining to well construction.
4. Effluent limitations shall not exceed those specified in Attachment A.
Application rate(s), whether hydraulic, nutrient, or other pollutant shall not exceed those specified in
Attachment B.
6. The compliance boundary for the disposal system is specified by rules in 15A NCAC 02L,
Groundwater Classifications and Standards. This disposal system was individually permitted on or
after December 30, 1983; therefore, the compliance boundary is established at either 250 feet from
the waste disposal area, or 50 feet within the property boundary, whichever is closest to the waste
disposal area. An exceedance of groundwater standards at or beyond the compliance boundary is
subject to remediation action according to 15A NCAC 02L .0106(d)(2) as well as enforcement
actions in accordance with North Carolina General Statute 143-215.6A through 143-215.6C.
7. The Permittee shall apply for a permit modification prior to any sale or transfer of property that
affects a compliance boundary to establish a new compliance boundary.
In accordance with 15A NCAC 02L .0107(d), no wells, other than monitoring wells, shall be
constructed within the compliance boundary except as provided by 15A NCAC 02L .0107(g).
9. The review boundary is established around the disposal systems midway between the compliance
boundary and the perimeter of the waste disposal area. Any exceedance of standards at the review
boundary shall require action in accordance with 15A NCAC 02L .0106.
10. The facilities permitted herein must be constructed according to the following setbacks:
a. The setbacks for Irrigation sites shall be as follows (all distances in feet):
i. Any habitable residence or place of public assembly under separate ownership
ii. Surface waters:
iii. Any well with exception of monitoring wells:
iv. Any property line:
v. Public right of way:
b. The setbacks for Treatment and storage units shall be as follows (all distances in feet):
i. Any well with exception of monitoring wells:
ii. Any property line:
400
100
100
150
50
100
50
WQ0020881 Version 2.1 Shell Version 080827 Page 2 of 8

III. OPERATION AND MAINTENANCE REQUIREMENTS
1. The facilities shall be properly maintained and operated at all times. The facilities shall be effectively
maintained and operated as a non -discharge system to prevent the discharge of any wastewater
resulting from the operation of this facility. The Permittee shall maintain an Operation and
Maintenance Plan pursuant to 15A NCAC 02T .0507 including operational functions, maintenance
schedules, safety measures, and a spill response plan.
Upon classification of the wastewater treatment and irrigation facilities by the Water Pollution
Control System Operators Certification Commission (WPCSOCC), the Permittee shall designate and
employ a certified operator to be in responsible charge (ORC) and one or more certified operator(s) to
be back-up ORC(s) of the facilities in accordance with. 15A NCAC 08G .02W The ORC shall visit
the facilities in accordance with 15A NCAC 08G .0200 or as specified in this permit and shall comply
with all other conditions specified in these rules.
3. A suitable year round vegetative cover shall be maintained such that crop health is optimized, allows
for even distribution of effluent, and allows inspection of the irrigation system.
4. Adequate measures shall be taken to prevent wastewater ponding or runoff from the irrigation field.
5. Irrigation shall not be performed during inclement weather or when the ground is in a condition that
will cause ponding or runoff.
6. All waste application equipment must be tested and calibrated at least once per permit cycle. Records
of the calibration must be maintained for five years.
7. No type of wastewater other than that from Lake Norman State Park Swim Beach and Family
Campground shall be irrigated onto the irrigation area.
8. No traffic or equipment shall be allowed on the disposal area except while installation occurs or while
normal maintenance is being performed.
9. Public access to the land application sites shall be controlled. Such controls may include the posting
of signs showing the activities being conducted at each site.
10. The residuals generated from these treatment facilities must be disposed / utilized in accordance with
15A NCAC 02T .1100. The Permittee shall maintain a residual management plan pursuant to 15A
NCAC 02T .0508.
11. Diversion or bypassing of the untreated wastewater from the treatment facilities is prohibited.
12. Freeboard in the lagoon shall not be less than two feet at any time.
13. A waste -level gauge, to monitor waste levels in the lagoon, shall be provided. This gauge shall have
readily visible permanent markings indicating the maximum liquid level at the top of the temporary
liquid storage volume, minimum liquid level at the bottom of the temporary liquid storage volume,
and the lowest point on top of the dam elevations. Caution must be taken not to damage the integrity
of the liner when installing the gauge.
14. A protective vegetative cover shall be established and maintained on all earthen basin embankments
(outside toe of embankment to maximum allowable temporary storage elevation on the inside of the
embankment), berms, pipe runs, erosion control areas, and surface water diversions. Trees, shrubs,
and other woody vegetation shall not be allowed to grow on the earthen basin dikes or embankments.
Earthen basin embankment areas shall be kept mowed or otherwise controlled and accessible.
WQ0020881 Version 2.1 Shell Version 080827 Page 3 of 8

IV. MONITORING AND REPORTING REQUIREMENTS
1. Any monitoring (including groundwater, surface water, soil or plant tissue analyses) deemed
necessary by the Division to ensure surface and ground water protection will be established and an
acceptable sampling reporting schedule shall be followed.
2. All laboratory analyses for effluent, ground waters, or surface waters shall be made by a laboratory
certified by the Division for the required parameter(s) under 15A NCAC 02H .0800.
Flow through the treatment facility shall be continuously monitored and daily flow values shall be
reported on Form NDMR.
The Permittee shall install and maintain an appropriate flow measurement device consistent with
approved engineering and scientific practices to ensure the accuracy and reliability of flow
measurement. Flow measurement devices selected shall be capable of measuring flows with a
maximum deviation of less than 10 percent from true flow, accurately calibrated at a minimum of
once per year, and maintained to ensure that the accuracy of the measurements is consistent with the
accepted capability of that type of device. The Permittee shall keep records of flow measurement
device calibration on file for a period of at least three years. At a minimum, data to be included in
this documentation shall be:
a. Date of flow measurement device calibration,
b. Name of person performing calibration, and
c. Percent from true flow.
4. The effluent from the subject facilities shall be monitored by the Permittee at the frequency(ies) and
location(s) for the parameter(s) specified in Attachment A.
5. The Permittee tracking the amount of wastewater disposed shall maintain adequate records. These
records shall include, but are not necessarily limited to, the following information:
a. Date of irrigation,
b. Volume of wastewater irrigated,
c. Field irrigated,
d. Length of time field is irrigated,
e. Continuous weekly, monthly, and year-to-date hydraulic (inches/acre) loadings for each field,
f. Continuous monthly and year-to-date loadings for any non -hydraulic parameter specifically
limited in Attachment B for each field,
g. Weather conditions, and
h. Maintenance of cover crops.
Freeboard (waste level to the lowest elevation on the top of the embankment) in the lagoon shall be
recorded weekly.
7. A record shall be maintained of all residuals removed from this facility. This record shall include the
name of the hauler, permit authorizing the disposal or a letter from a municipality agreeing to accept
the residuals, date the residuals were hauled, and volume of residuals removed.
8. A maintenance log shall be maintained at this facility including but not limited to the following items:
a. Visual observations of the plant and plant site.
b. Record of preventative maintenance (changing of filters, adjusting belt tensions, alarm testing,
diffuser inspections and cleanings, etc.).
c. Date of calibration of flow measurement device.
d. Date and results of power interruption testing on alternate power supply.
WQ0020881 Version 2.1 Shell Version 080827 Page 4 of 8

Three (3) copies of all monitoring data [as specified -in Conditions IV. 3. and IV. 4.] on Form NDMR
for each PPI and three (3) copies of all operation and disposal records [as specified in Conditions IV.
5 and IV. 6.] on Form NDAR-1 for every field shall be submitted on or before the last day of the
following month. If no activities occurred during the monitoring month, monitoring reports are still
required documenting the absence of the activity. All information shall be submitted to the following
address:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
10. An annual representative soils analysis (Standard Soil Fertility Analysis) shall be conducted on each
irrigation field and the results maintained on file by the Permittee for a minimum of five years. The
Standard Soil Fertility Analysis shall include, but is not necessarily limited to, the following
parameters:
Acidity
Manganese
Potassium
Calcium
Percent Humic Matter
Sodium
Copper
pH
Zinc
Magnesium
Base Saturation (by calculation)
Phosphorus
Cation Exchange Capacity
Exchangeable Sodium Percentage
11. Noncompliance Notification:
The Permittee shall report by telephone to the Mooresville Regional Office, telephone number (704)
663-1699, as soon as possible, but in no case more than 24 hours or on the next working day
following the occurrence or first knowledge of the occurrence of any of the, following:
a. Any occurrence at the wastewater treatment facility which results in the treatment of significant
amounts of wastes which are abnormal in quantity or characteristic, such as the dumping of the
contents of a sludge digester; the known passage of a slug of hazardous substance through the
facility; or any other unusual circumstances including ponding in the irrigation field or runoff
from the irrigation fields.
b.. Any process unit failure, due to known or unknown reasons, that render the facility incapable of
adequate wastewater treatment such as mechanical or electrical failures of pumps, aerators,
compressors, etc.
c. Any failure of disposal system resulting in a by-pass directly to receiving waters.
d. Any time that self -monitoring information indicates that the facility has gone out of compliance
with its permit limitations including, but not limited to, freeboard measurements, effluent
limitations, exceedances of groundwater standards, or overloading of any field.
For any emergency that requires immediate reporting (e.g., discharges to surface waters, imminent
failure of a storage structure, etc.) outside normal business hours must be reported to the Division's
Emergency Response personnel at telephone number [phone], [phone], or (919) 733-
3300. Persons reporting such occurrences by telephone shall also file a written report in letter form
within five (5) days following first knowledge of the occurrence. This report must outline the actions
taken or proposed to be taken to ensure that the problem does not recur.
V. INSPECTIONS
1. Adequate inspection and maintenance shall be provided by the Permittee to ensure proper operation
of the subject facilities.
WQ0020881 Version 2.1 Shell Version 080827 Page 5 of 8

2. The Permittee or his designee shall inspect the wastewater treatment and disposal facilities to prevent
malfunctions and deterioration, operator errors and discharges which may cause or lead to the release
of wastes to the environment, a threat to human health, or a nuisance. The Permittee shall keep an
inspection log or summary including at least the date and time of inspection, observations made, and
any maintenance, repairs, or corrective actions taken by the Permittee. This log of inspections shall
be maintained by the Permittee for a period of five years from the date of the inspection and shall be
made available upon request to the Division or other permitting authority.
3. Any duly authorized officer, employee, or representative of the Division may, upon presentation of
credentials, enter and inspect any property, premises or place on or related to the disposal site or
facility at any reasonable time for the purpose of determining compliance with thig permit; may
inspect or copy any records that must be maintained under the terms and conditions of this permit,
and may obtain samples of groundwater, surface water, or leachate.
VI. GENERAL CONDITIONS
1. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee
to anenforcement action by the Division in accordance with North Carolina General Statute 143-
215.6A to 143-215.6C.
2. This permit shall become voidable unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other supporting data.
3. This permit is effective only with respect to the nature and volume of wastes described in the
application and other supporting data. No variances to applicable rules governing the construction
and / or operation of the permitted facilities are granted unless specifically requested and granted in
this permit.
4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be unposed by other government agencies (local, state,
and federal) that have jurisdiction. Of particular concern to the Division are applicable river buffer
rules in 15A NCAC 02B .0200, erosion and sedimentation control requirements in 15A NCAC
Chapter 4 and under the Division's General Permit NCGO10000, and any requirements pertaining to
wetlands under 15A NCAC 02B .0200 and O2H .0500.
5. In the event there is a desire for the facilities to change ownership, or there is a name change of the
Permittee, a formal permit request must be submitted to the Division on official Division form(s),
documentation from the parties involved, and other supporting materials as may be appropriate. The
approval of this request will be considered on its merits and may or may not be approved. The
Permittee of record shall remain fully responsible for compliance until a permit is issued to the new
owner.
6. The Permittee shall retain a set of approved plans and specifications for the life of the facilities
permitted herein.
7. The Permittee shall maintain this permit until all permitted facilities herein are properly closed or
permitted under another permit issued by the appropriate permitting authority.
The Permittee must pay the annual fee within thirty (30) days after being billed by the Division.
Failure to pay the fee accordingly may cause the Division to initiate action to revoke this permit
pursuant to 15A NCAC 02T .0105(e).
WQ0020881 Version 2.1 Shell Version 080827 ' Page 6 of 8

Permit issued this the 12'h day of September 2008
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
�oleen H. Sullins, Director
v Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0020881
WQ0020881 Version 2.1 Shell Version 080827 Page 7 of 8

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WQ0020881 Version 2.1 Shell Version 080827 Page 8 of 8

ATTACHMENT A - LIMITATIONS AND MONITORING REQUIREMENTS
PPI 001— WWTF INFLUENT
Permit Number: WQ0020881 Version: 2.1
EFFLUENT CHARACTERISTICS
EFFLUENT LIMITS
MONITORING REQUIREMENTS
Parameter Description - PCS Code
Monthly Average'
Weekly Average
Daily Maximum`
Measurement
Frequency
Sample
Type
Coliform, Fecal MF, M-FC Agar,44.5C,241ir - 31613
b
4 X year
Grab
Nitrogen, Kjeldahl, Total (as N) - 00625
4 X year
Grab
Nitrogen, Nitrate Total (as N) - 00620
4 X year
Grab
Phosphors, Total (as P) - 00665
4 X yeard
Grab
Flow, in conduit or thr treatment plant - 50050 - Winter
3,500
gpd
Continuous
Recorder
Flow, in conduit or thr treatment plant - 50050 - Summer
15,000
gpd
Continuous
Recorder
BOD, 5-Day (20 Deg. C) - 00310
4 X year
Grab
Solids, Total Suspended - 00530
4 X year
Grab
Nitrogen, Ammonia Total (as N) - 00610
4 X yeard
Grab
pH — 00400
Weekly
Grab
Chlorine, Total Residual - 50060
Monthly
Grab
Notes:
' Monthly averages for all but fecal coliform shall be the arithmetic mean of all samples collected during the reporting period.
b Monthly average for fecal coliform shall be the geometric mean of all samples collected during the reporting period.
`Daily maximum shall be the maximum value of all samples collected during the reporting period..
d 4 X year sampling shall be conducted during March, June, September and December.
'Winter sampling shall be conducted from November 1 through March 31.
f Summer sampling shall be conducted from April 1 through October 31.
WQ0020881 Version 2.1 Attachment A Page 1 of 2

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WQ0020881 Version 2.1 Attachment A Page 2 of 2

ATTACHMENT B - APPROVED LAND APPLICATION SITES AND LIMITATIONS Permit Number: WQ0020881 Version: 2.1
North Carolina Division of Parks & Recreation — Lake Norman State Park Swim Beach and Family Campground a
UTILIZATION AREA INFORMATION
APPLICATION LIMITATIONS
Field/ Basin
Owner
County
Latitude
Longitude
Net
Acreage
Dominant
Soil Series
Parameter
Rate
Yearly
Max
Units
ZONE A
Division Of Parks & Recreation
Iredell
35°39'50"
80°55'55"
1.72
Cecil (pacolet)
50045 - Application Rate Area Sprayed
0.4
30.16
Inches
ZONE B
Division Of Parks & Recreation
Iredell
35°39'50"
80°55'55"
1.72
Cecil (pacolet)
50045 - Application Rate Area Sprayed
0.4
30.16
inches
Total
3.44
WQ0020881 Version 2.1 Attachment B Page 1 of 2

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WQ0020881 Version 2.1 Attachment B Page 2 of 2

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Division of Water Resources
6. Does the facility treat and dispose of industrial wastewater? No
If yes, complete items below, If no, skip to the next section.
Indicate the approximate percentage of wastewater makeup:
Industrial: % Domestic: _% Stormwater: %
State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON —DISCHARGE SYSTEM RENEWAL
FORM: NDSR 09-19
For all industrial wastewater sources (excluding those permitted under a pretreatment permit), provide a detailed industrial
C�
process description including:
• An overview of the manufacturing process
Z�
• An inventory of all materials used for manufacture, including chemicals and biological matter
• An overview of cleaning and treatment methodology, including an inventory of treatment materials and compounds
Has the nature of wastes (e.g., change in industrial processes, introduction of new materials or chemicals, etc.) described in the
approved permit application(s) changed? n Yes or Z No
If yes, a permit modification request shall be submitted to the Division. FG.S. 143_-_21 -5. 1 (dil
111. SITE MAP:
1. Provide an updated site map in accordance with 15A NCAC 02T.0105(d) that shows the following (if applicable):
The site map is not required to be sip L-.
signed or sealed by a Professional Engineer. However, the map must indicate the source of
information. For example, parcel lines taken from a county GIS map should reference the GIS website.
Legend, north arrow, and scale
Topographic contours on all disposal sites
El Soil mapping units on all disposal sites
21 All facility -related structures and fences within the treatment, storage, and disposal areas
❑ All habitable residences and places of assembly within 500 feet of all treatment, storage, and irrigations sites
171 Location of all wells, streams (ephemeral, intermittent, and perennial), springs, takes, ponds, ditches, and other Surface
drainage features within 500 feet of all waste treatment, storage, and disposal site(s)
171 Latitude and longitude coordinates of all monitoring wells (decimal degrees to 6 digits)
2] Location and identification of major components of the waste disposal system
0 The wetted perimeter of all irrigation fields with field names (named according to the approved permit)
F1 Location and ownership of property boundaries within 500 feet of the disposal area (including road/rail right-of-ways)
❑ The delineation of compliance and review boundaries
(:] Distance measurements verifying all setbacks are being met
C] Stormwater drainage controls
El 100-year floodplain
0 For reclaimed water generation permits, provide a separate map showing all distribution lines and utilization permit
locations that are connected to the water Z�aencration facility and are permitted by the Non -Discharge Branch (excludes
Local Program permitted facilities). Include all reclaimed water distribution line and reclaimed water utilization permit
numbers.

Division of Water Resources
IV. GROUNDWATER MONITORING WELLS
State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE SYSTEM RENEWAL
FORM; NDSR 09-19
1. Does the facility have a proposed or existing groundwater monitoring well network? ❑ Yes or ® No
If no, skip to next section.
If yes, complete the following table (NOTE — This table may be expanded for additional wells):
Well Name
Status
Latitude'
Longitude °
Gradient
Location
Select
-
Select
Select
Select
-
Select
Select
Select
-
Select
Select
Select
-
Select
Select
Select
-
Select
Select.
Select
C.-
Select
Select
Select
- °
Select
Select
Select
°
-
Select
Select
Select
-
Select
Select
Select
"
- °
Select
Select
a. - Coordinates must be in NAD83 and have 6 decimal degrees
V. SETBACK WAIVERS, EASEMENTS, AND LEASES:
1. Does the permit have any setback waivers, easements, or leases'? ❑ Yes or ® No
If yes, provide copies of all documents and complete the table below:
Document
Type
Grantor or
Parcel No.
Grantee
Expiration
pate
County
Registered
Deed
Book
Deed Page
Document
Description
Select
Select
Select
i
Select
f
Select
Select
Select
a_ The document description shall list any reduced setbacks with distance, etc.
2. For reclaimed water utilization permits:
Is reclaimed water utilized on property not controlled by the generator? ❑ Yes or ❑ No
A lease, easement, or agreement must be provided allowing for the utilization of reclaimed water on the property or within the
facility. For irrigation of reclaimed water, an easement is required per 15A NCAC 02U .0501l61. All documents shall be listed
in the table above.

State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE SYSTEM RENEWAL
FORM: NDSR 09-19
VI. RELATED PERMITS
1. If this permit has interactions with other wastewater permits (collection systems, NPDES, etc.), complete the table below
(provide additional pages if necessary):
Permit Tv a Permit No. Description
?. Does the facility have an approved flow reduction (15A NCAC 021C .01 l4(f)]7 ❑ Yes or ®No
If yes, attach the measured monthly average amount of wastewater flow contributed per unit for the 12 months prior to permit
renewal. If any of these monthly averages are within 20% of the approved value, the Permittee shall provide a reevaluation of
the reduced flow value using the methodology applied to the original flow reduction application. Also, attach a copy of the
flow reduction approval letter.
APPLICANT'S CERTIFICATION 15A NCAC 02T .0106(b)
I, Scott Avis , attest that this renewal application has been reviewed by me, and is accurate and complete to the best of my
knowledge. I understand that any unauthorized discharge of wastewater from this non -discharge system to surface waters or the land
may result in an enforcement action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim
against. the Division of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this
application are not completed, this application may be returned to me as incomplete. I further certify that the Applicant or any parent,
subsidiary, or other affiliate of the Applicant has not been convicted of an environmental crime, has not abandoned a wastewater facility
without proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant
with any active compliance schedule, and does not have any overdue annual fees.
NOTE — In accordance with General Statutes 1=43-21.5.6A and 143-215.6B, any person who knowingly makes any false statement,
representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include.a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation. The Applicant's Certification shall be signed in accordance with
15A NCAC 0.2T .0106(b). Per 15A NCAC 02T .01.06(c), an alternate person may be designated as the signing official if a delegation
letter is provided front a person who meets the criteria in 15A NCAC 02T .0106(b)
Signature: -t-- Date:
THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED TO:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERIVIITTING SECTION
NON -DISCHARGE BRANCH
By U.S. Postal Service: By Courier: By Email:
Non -Discharge Branch Non -Discharge Branch — Archdale 942W Non-Discharae.Renorts@ncdcnr.L1ov
161.7 Mail Service Center 512 N. Salisbury St.
Raleigh, NC 27699-1617 Raleigh, NC 27604
TELEPHONE NUMBER: [phone]

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. maps prepared for this w bsde are generated from recorded deeds, plats, and other public tecords Usersof these m aps are 1—by notif ied that the information provided herein should be verflied. hedell County assumes no legal responsibilities for any of the information contained on this site. Users are advised that the use of any of this Information is at their mi
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tact the Bedell County Tax Collector's Office

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Dragonfly Trail Picnicking` �\ _ Entrance
w
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® f
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2.6 miles (traveling north from trailhead Red
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i - Lake Norman
4
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P 9.75 miles
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f Moored"ville

i
AQUIFER PROTECTIrGIONAL STAFF. REPORT
p�Date: 10/5/06 County: Iredell
To: Aquifer Protection Central Office
Central Office Reviewer: Matt Fleahman
Regional Login No:
Permittee: NC DENR Div. of Parks & Rec.
Project Name: Lake Norman State Park
Application No.: W00020881
L GENERAL INFORMATION
1. This application is (check all that apply): ❑ New X Renewal
❑ Minor Modification ❑ Major Modification
X Surface Irrigation ❑ Reuse ❑ Recycle ❑ High Rate Infiltration ❑ Evaporation/Infiltration Lagoon
❑ Land Application of Residuals ❑ Attachment B included ❑ 503 regulated ❑ 503 exempt
❑ Distribution of Residuals ❑ Surface Disposal
❑ Closed -loop .Groundwater Remediation ❑ Other Injection Wells (including in situ remediation)
Was a site visit conducted in order to prepare this report? ❑ Yes or ❑ No.
a. Date of site visit: June 10, 2006
b. Person contacted and contact information: Casey Rhinehardt, Park Superintendant 704/528-6350
c. Site visit conducted by: Peggy Finley
d. Inspection Report Attached: ❑ Yes or ❑ No. IN BIMS
2. Is the following information entered into the BIMS record for this application correct?
X Yes or ❑ No. If no, please complete the following or indicate that it is correct on the current application.
For Treatment Facilities:
a. Location:
b. Driving Directions:
c. USGS Quadrangle Map name and number:
d. Latitude: Longitude.
e. Regulated Activities / Type of Wastes (e.g., subdivision, food processing, municipal wastewater):
For Disposal and Infection Sites:
(If multiple sites either indicate which sites the information applies to, copy and paste a new section into the
document for each site, or attach additional pages for each site)
a. Location(s):
b. Driving Directions:
c. USGS Quadrangle Map name and number:
d.. Latitude: Longitude:
FORM: Lake Norman SP Staff rpt 10-06 1

41
AQUIFER PROTECTION REGIONAL STAFF REPORT
III RENEWAL AND MODIFICATIONAPPLICATIONS (use previous section for new or maior modification
systems)
Description Of Waste(S) And Facilities.
1. Are there appropriately certified ORCs for the facilities? X Yes or ❑ No.
Operator in Charge: Barry Myers Certificate #:SI986154
Backup- Operator in Charge: David Fesperman Certificate #:SI14852
2. Is the design, maintenance and operation (e.g. adequate aeration, sludge wasting, sludge storage, effluent
storage, etc) of the treatment facilities adequate for the type of waste and disposal system? X Yes or ❑ No. If
no, please explain:
3. Are the site conditions (soils, topography, depth to water table, etc) maintained appropriately and adequately
assimilating the waste? X Yes or ❑ No.
4. Has the site changed in any way that may affect permit (drainage added, new wells inside the compliance
boundary, new development, etc.)? NO
5. Is the residuals management plan for the facility adequate and/or acceptable to the Division?
X Yes or ❑ No.
6. Are the existing application rates (hydraulic or nutrient) still acceptable? X Yes or ❑ No.
7. Is the existing groundwater monitoring program (number of wells, frequency of monitoring, monitoring
parameters, etc.) adequate? ❑ Yes ❑ No X N/A.
8. Will seasonal or other restrictions be required for added sites? ❑ Yes ❑ No X N/A If yes, attach list of sites
with restrictions (Certification B?)
9. Are there any buffer conflicts (treatment facilities or disposal sites)? ❑ Yes or X No.
10. Is the description of the facilities, type and/or volume of waste(s) as written in the existing permit correct?
X Yes or ❑ No.
11. Were monitoring wells properly constructed and located? ❑ Yes or ❑ No X N/A.
12. Has a review of all self -monitoring data been conducted (GW, NDMR, and NDAR as applicable)? X Yes or
❑ No ❑ N/A. Please summarize any findings resulting from this review: Data indicated that the waste
disposal system is in compliance. There have been some omissions of data on the reports forms. These
were discussed with the permittee and they have been corrected.
13. Check all that apply: X No compliance issues; ❑ Notice(s) of violation within the last permit cycle; ❑
Current enforcement action(s) ❑ Currently under SOC; ❑ Currently under JOC; ❑ Currently under
moratorium.
14. Have all compliance dates/conditions in the existing permit, (SOC, JOC, etc.) been complied with? ❑ Yes
❑ No ❑ Not Determined X N/A..
15. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit? ❑
Yes or X No ❑ N/A.
FORM: Lake Norman SP Staff rpt 10-06 2

R
AQUIFER PROTECTION REGIONAL STAFF REPORT
V. EVALUATIONAND RECOMMENDATIONS
1. Provide any additional narrative regarding your review of the application.
2. Attach Well Construction Data Sheet - if needed information is available
3. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes X No.
4. List any items that you would like APS Central Office to obtain through an additional information request.
Make sure'that you provide a reason for each item:
Item Reason
5. List specific Permit conditions that you recommend be removed from the permit when issued. Make sure that
you provide a reason for each condition:
Condition Reason
6. List specific special conditions or compliance schedules that you recommend to be included in the permit when
issued. Make sure that you provide a reason for each special condition:
Condition . Reason
7. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office; ❑ Hold,
pending review of draft permit by regional office; ❑ Issue upon receipt of needed additional information; X
Issue; ❑ Deny. If deny, please state reasons:
8. Signature of report preparer(s):
Signature of APS regional super
Date: fi
FORM: Lake Norman SP Staff rpt 10-06 3

AQUIFER PROTECTION SECTION -
APPLICATION REVIEW REQUEST FORM
Date: September 28, 2006
To: ❑ Landon Davidson, ARO-APS
David May, WaRO-APS
❑ Art Barnhardt, FRO-APS
Charlie Stehman, WiRO-APS
® Andrew Pitner, MRO-APS
Sherri Knight, WSRO-APS
❑ Jay Zimmerman, RRO-APS
Dn
rn
-o
From: Matt Fleahman, PG, Land A licati0
v
UCD
N
Telephone: [phone]
J
o�
CO
v
(919 715-0588
E-Mail. matthew.fleahman ncmail.n
ao
Q
A. Permit Number: WQ0020881
B. Owner: NCDENR Division of Park and Rec
C. Facility/Operation:
❑ Proposed ® Existing ® Facility ® Operation
D. Application:
1. Permit Type: ❑ Animal ® Surface Irrigation ❑ Reuse ❑ H-R Infiltration
❑ Recycle ❑ I/E Lagoon ❑ GW Remediation (ND)
❑ UIC - (5QW) closed loop water only geothermal
For Residuals: ❑ Land App. ❑ D&M ❑ Surface Disposal
❑ 503 ❑ 503 Exempt ❑ Animal
2. Project Type: ❑ New ❑ Major Mod. ❑ Mirior Mod. ® Renewal ❑ Renewal w/ Mod.
E. Comments/Other Information: ❑ I would like to accompany you on a site visit.
Attached, you will find all information submitted in support of the above -referenced application for your
review, comment, and/or action. Within 30 calendar days, please take the following actions:
® Return a Completed Form APSSRR.
❑ Attach Well Construction Data Sheet.
❑ Attach Attachment B for Certification by the LAPCU.
❑ Issue an Attachment B Certification from the RO*.
* Remember that you will be responsible for coordinating site visits, reviews, as well as additional
information requests with other RO-APS representatives in order to prepare a complete Attachment B for
certification. Refer to the RPP SOP for additional detail.
When you receive this request form, please write your name and dates in the spaces below, make a copy
of this sheet, and return it to the appropriate Central Office -Aquifer Protection Section contact person
listed above.
RO-APS Reviewer:
Date:
FORM: APSARR 02/06 Page 1 of 1

W A7- 9Q
Michael F. Easley, Governor
�OF
G
William G. Ross Jr., Secretary
`O
t.-
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
September 28, 2006
William Rhinehart, Jr.
NCDENR (Division of Parks&Recreation)
159 Inland Sea Lane
Troutman, NC 28166
Subject: Acknowledgement of Application No. WQ0020881
Lake Norman State Park - New Swim & Beach
Surface Irrigation
Iredell County
Dear Mr. Rhinehart, Jr.:
D EC E 9 W 1E.
SEP 2 9 20d6
NC DENR NiRO
DWQ - A uifer Protection
The Aquifer Protection Section of the Division of Water Quality (the Division) acknowledges receipt of
your permit application and supporting materials on September 25, 2006. This application package has
been assigned the number listed above and will be reviewed by Matthew Fleahman.
The reviewer will perform a detailed review and contact you with a request for additional information if
necessary. To ensure the maximum efficiency in processing permit applications, the Division requests
your assistance in providing a timely and complete response to any additional information requests.
Please be aware that the Division's Regional Office, copied below, must provide recommendations prior
to final action by the Division. Please also note at this time, processing permit applications can take as
long as 60 - 90 days after receipt of a complete application. To check on the status of your application,
you can visit http://h2o.enr.state.ne.us/bims/reports/reportsPermits.htinl.
If you have any questions, please contact Matthew Fleahman by phone at [phone] or by email at
[e-mail]. If the reviewer is unavailable, you may leave a message and they will
respond promptly. Also note that the Division has reorganized. To review our new organizational chart,
go to http://h2o.enr.state.ne.us/documents/dwq_or chart.pdf.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES
ON THIS PROJECT.
Sincerely,
for Kim H. Colson, P.E.
Supervisor
cc: (Mooresville Regional Office, Aquifer Protection Section
APS Central Files - Application No. WQ0020881
Aquifer Protection Section 1636 Mail Service Center
Internet: www.ncwaterguality.org Location: 2728 Capital Boulevard
An Equal Opportunity/Affirmative Action Employer— 50% Recycled110% Post Consumer Paper
NorthCarolina
Naturally
Raleigh, NC 27699-1636 Telephone: [phone]
Raleigh, NC 27604 Fax 1: [phone]
Fax 2: [phone]
Customer Service: [phone]

.a.
State of forth Carolina
Department of Environment and Natural Resources
Division of Water Quality
INSTRUCTIONS FOR FORM: WWR 09-06
(RENEWAL WITHOUT MODIFICATION OF WASTEWATER NON —DISCHARGE SYSTEMS)
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at.-
http://h2o.enr.state.nc.ttsl7ciulniain.htinl
This form is for renewal without modification for all wastewater non -discharge systems. Wastewater non -discharge
systems include: High Rate Infiltration Systems; Infiltration/Evaporation Lagoons; Reclaimed Water Utilization
Systems; Wastewater Recycle Systems; Single Fancily Surface Irrigation Systems; and Surface Irrigation Systems.
This application may not be used for renewal of Land Application of Residuals Permits. u�
A. Application Form (All Application Packages):
4''+
✓ Submit one (1) original and two (2) copies of the completed and appropriately executed applicatioMorin
Any changes made to this form will result in the application package being returned.
✓ If the Applicant is a corporation or company, it must be registered for business with the NC Secret4y of
.;
State (http://www.secretary.state.nc.us/Corporations/CSearch.aspx).
✓ If the Applicant is a partnership, sole proprietorship, trade name, or d/b/a enclose a copy of the certiiicate
j
filed with the register of deeds in the county of business.
�-
✓ The application must be signed appropriately in accordance with 15A NCAC 2T .0106(b). An alternate
person may be designated as the signing official, provided that a delegation letter is provided from a person
who meets the referenced criteria. You may download an example delegation letter from the LAU web site.
✓ Submit three (3) copies of the most recently issued existing permit.
B. Additional Forms (Single Family Residence Surface Irrigation Systems Only):
✓ Submit one (1) original and two (2) copies of a completed and properly executed Form SFR O&M 09-06.
This Form may be downloaded at: http://h2o.enr.state.nc.us/lau/Uplications.html#Single
C. Site Map
✓ Submit three (3) copies of an updated site map if required as part of the original submittal in accordance
with 15A NCAC 2T .0105(d).
I. GENERAL INFORMATION:
1. Permittee's name (Owner of the facility): William C. Rhinehart, Jr./State of NC/DENR/Div of Parks and
Rec
2. Complete mailing address of Permittee: Lake Norman State Park, 159 Inland Sea Lane
City: Troutman State: NC Zip: 28166
Telephone number: (_704_) 528-6350 Facsimile number: [phone]
Email Address: lake.norman(a ncmail.net
3. Facility name (name of the subdivision, shopping center, etc.): Lake Norman State Park Swim Beach
4. Complete address of the physical location of the facility (if different from above): 137 Shortleaf Lane,
City: Statesville State: NC Zip: 28677
5. County where project is located: Iredell
6. Name and affiliation of contact person who can answer questions about project: William Rhinehart, Park
Superintendent Email Address: [e-mail]_
FORM: WWR 09-06 Page 1

.-N
II. PERMIT INFORMATION:
4
1. Existing permit number _WQ0020881 and the issuance date June 19, 2002
2. Existing permit type:
❑ High -Rate Infiltration ❑ Evaporation Lagoons ❑ Reclaimed Water Utilization
❑ Single Family Surface Irrigation XXX Surface Irrigation ❑ Wastewater Recycle
3. Has the treatment and disposal system been constructed? X XX Yes ❑ No
4. If the system has not been constructed, would you like to rescind your permit (i.e. the permitted facilities
will not be needed)? ❑ Yes ❑ No N/A
5. Has the wastewater system been connected to a municipal or community sewer system? ❑ Yes XX
No
Applicant's Certification [signing authority must be in compliance with 15A NCAC 2T .0106(b)]:
�--
(signing authority name and title)
attest that this application for Lake Norman State Park Swim Beach (facility name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that any discharge
of wastewater from this non -discharge system to surface waters or the land will result in an immediate enforcement
action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against
the Division of Water Quality should a condition of this permit be violated. I also understand that if all required
parts of this application package are not completed and that if all required supporting information and attachments
are not included, this application package will be returned to me as incomplete. I further certify that the applicant or
any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without -
proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are
compliant with any active compliance schedule, and do not have any overdue annual fees under Rule 2T .01-0 . = 7
Note: In accordance with NC General Statutes 143-215.6A and 143-215.613, any person who knowingly maps any -;
false statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, _j
which may includl yfment to exceed $10,0 0 as w 11 as civil penalties'up to $25,000 per violation. -:
_ D r.,
Signature: Date: ® r
CJ1 r
THE COMPLETED RENEWAL APPLICATION SHAL E SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
AQUIFER PROTECTION SECTION
By U.S. Postal Service:
1636 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1636
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
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FORM: WWR 09-06 Page 2

OF W gTF9 '// Michael F. Easley, Governor
Q ��—+�• W� �l�S William G. Ross Jr., Secretary
y/ North Carolina Department of Environment and Natural Resources
r
> =J _ / Alan W. Klimek, P.E., Director
Division of Water Quality
November 29, 2004
Dr. Phillip K. McKnelly, Director
Division of Parks and Recreation �y
Department of Environment and Natural Resources
1615 Mail Service Center DEL ?,J04
Raleigh, NC 27699-1615
'arks & Re;reatp� Subject: Permit No. WQO ft@# .
Lake Norman State Park Swim Beach
DEC Z 3 2004 Wastewater Spray Irrigation
. ` k Iredell County
Dear Mr. McKnelly:
��erai���r�s/Ybrkshfr.,
In accordance with a telephone request from William C. Rhinehart received on November 29, 2004, we are
forwarding herewith the corrected Permit No. WQ0020881, issued June 19, 2002, for the subject facility.
The following correction has been made to the permit:
The statement, "A mini -click sensor shall be installed to ensure irrigation will not occur by
automation during precipitation events or when the ground is wet." has been removed from
Condition I1.4, as this is not, and no plans have been made to make this, an automated system.
Please replace Permit No. WQ0020881 with the corrected Permit No. WQ0020881, issued June 19,
2002.
If you have any questions regarding this request, please do not hesitate to contact Michelle McKay at (919)
715-6187. Thank you for your cooperation.
Sincerely
-"Alan W. Klimek, P.E.
Cc: Mooresville Regional Office, Aquifer Protection Section
William C. Rhinehart
Permit File WQ0020881
NorthCarolina
Natura!!rf
Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636 Phone [phone] Customer Service
Internet: http://h2o.enr.stite.nc.tis 2728 Capital Boulevard Raleigh, NC 27604 Fax [phone]
Fax [phone]
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Michael F. Easley. Governor
William G. Ross Jr...Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek. P.E.. Director
Division of Water Quality
June 19, 2002
Dr. Philip K. McKnelly, Director
Division of Parks and Recreation
Department of Environment and Natural Resources
1615 Mail Service Center
Raleigh, NC 27699-1615
Subject: Permit No. WQ0020881
Lake Norman State Park Swim Beach
Wastewater Spray Irrigation
Iredell County
Dear Dr. McKnelly:
In accordance with your application received December 10, 2001, we are forwarding herewith Permit No.
WQ0020881, dated June 19, 2002, to the Division of Parks and Recreation for the construction and operation of the subject
wastewater treatment and spray irrigation facilities.
This permit shall be effective from the date of issuance until May 31, 2007, and shall be subject to the conditions
and limitations as specified therein. Please pay particular attention to the monitoring requirements in this permit. Failure to
establish an adequate system for , collecting and maintaining the required operational information will result in future
compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request an
adjudicatory hearing upon written request within thirty (30) days following receipt of this permit. This request must be in the
form of a written petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of
Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714. Unless such demands are made this permit
shall be final and binding.
One set of approved plans and specifications is being forwarded to you. If you need additional information
concerning this matter, please contact Sue Homewood at [phone] extension, 2.
Sincere
/Alan W. Klimek, P.E.
cc: Iredell County Health Department
Mooresville Regional Office, Water Quality Section
Mooresville Regional Office, Groundwater Section
Groundwater Section, Central Office
Mr. William J. Burns, Park Superintendent, Lake Norman State Park
Matthew O'Brien, S&ME, Inc.
Jeff Smith, Bulla-Smith Design Engineers
Technical Assistance and Certification Unit
Non -Discharge Compliance/Enforcement Unit
Water Quality Central Files
NDPU Files
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
DENR Customer Service Center
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NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
SPRAY IRRIGATION SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended,
and other applicable Laws, Rules, and Regulations
PERMISSION iS HEREBY GRANTED TO
Division of Parks & Recreation
Iredell County
FOR THE
construction and operation of a spray irrigation treatment and disposal facility approved to accept 15,000 GPD of
wastewater (monthly average) during April through October and 3,500 GPD of wastewater (monthly average)
during November through March and consisting of a 78 GPM influent pump station with dual grinder pumps, a
15,000 gallon septic tank with effluent filters, an aerated 780,000 gallon treatment and storage lagoon to provide
10 days of treatment and 42 days of storage at maximum design flow with two 3HP aerators, chlorine disinfection
in a 8,112 gallon chlorine contact chamber, a 135 GPM irrigation pump station, and a solid set irrigation system
to irrigate two 1.715 acre irrigation zones: Zone A and Zone B , to serve Lake Norman State Park Swim Beach,
with no discharge of wastes to the surface waters, pursuant to the application received December 10, 2001, and in
conformity with the project plan, specifications, and other supporting data subsequently filed and approved by the
Department of Environment and Natural Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until May 31, 2007, and shall be subject to the
following specified conditions and limitations:
L PERFORMANCE STANDARDS
Upon completion of construction and prior to operation of this permitted facility, a certification must
be received from a professional engineer certifying that the permitted facility has been installed in
accordance with this permit, the approved plans and specifications, and other supporting materials. If
this project is to be completed in phases and partially certified, you shall retain the responsibility to
track further construction approved under the same permit and shall provide a final certificate of
completion once the entire project has been completed. Mail the Certification to the Non -Discharge
Permitting Unit, Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617.
2. The Mooresville Regional Office, telephone number [phone], shall be notified at least forty-
eight (48) hours in advance of operation of the installed facilities so that an in -place inspection can be
made. Such notification to the regional supervisor shall be made during the normal office hours from
8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State Holidays.

The spray irrigation facilities shall be effectively maintained and operated at all times so that there is
no discharge to the surface waters, nor any contamination of ground waters which will render them
unsatisfactory for normal use. In the event that the facilities fail to perform satisfactorily, including
the creation of nuisance conditions or failure of the irrigation area to adequately assimilate the
wastewater, the Permittee shall take immediate corrective actions including those actions that may be
required by the Division of Water Quality (Division), such as the construction of additional or
replacement wastewater treatment and disposal facilities.
4. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to surface
or groundwaters resulting from the operation of this facility.
The residuals generated from these treatment facilities must be disposed in accordance with General
Statute 143-215.1 and in a manner approved by the Division.
Diversion or bypassing of the untreated wastewater from the treatment facilities is prohibited.
The following buffers shall be maintained:
a) 400 feet between wetted area and any residence or places of public assembly under separate
ownership,
b) 150 feet between wetted area and property lines,
c) 100 feet between wetted area and wells,
d) 100 feet between wetted area and drainageways or surface water bodies,
e) 50 feet between wetted area and public right of ways,
f) 100 feet between wastewater treatment units and wells, and
g) 50 feet between wastewater treatment units and property lines.
A leakage test shall be performed on the influent pump tank, the septic tank, and the chlorine contact
chamber/pump tank to insure that any exfiltration occurs at a rate which does not exceed twenty (20)
gallons per twenty-four (24) hours per 1,000 gallons of tank capacity. The engineer's certification
will serve as proof of compliance with this condition.
II. OPERATION AND MAINTENANCE REQUIREMENTS
The facilities shall be properly maintained and operated at all times.
2. Upon classification of the facility by the Water Pollution Control System Operators Certification
Commission (WPCSOCC), the Permittee shall employ a certified wastewater treatment plant operator
to be in responsible charge (ORC) of the wastewater treatment facilities. The operator must hold a
certificate of the type and grade at least equivalent to or greater than the classification assigned to the
wastewater treatment facilities by the WPCSOCC. The Permittee must also employ a certified back-
up operator of the appropriate type and grade to comply with the conditions of 15A NCAC 8G .0202.
The ORC of the facility must visit each Class I facility at least weekly and each Class lI, III, and IV
facility at least daily, excluding weekends and holidays, and must properly manage and document
daily operation and maintenance of the facility and must comply with all other conditions of 15A
NCAC 8G .0202. Once the facility is classified, the Permittee must submit a letter to the WPCSOCC
which designates the operator in responsible charge within thirty days after the wastewater treatment
facilities are 50% complete.
A suitable year round vegetative cover shall be maintained on the entire irrigation area.
4. Irrigation shall not be performed during inclement weather or when the ground is in a condition that
will cause runoff.
Adequate measures shall be taken to prevent wastewater runoff from the spray field.
9.

6. The facilities shall be effectively maintained and operated as a non -discharge system to prevent the
discharge of any wastewater resulting from the operation of this facility.
7. The application rate shall not exceed a cumulative loading of 30.16 inches over any twelve (12)
month period at an instantaneous application rate not to exceed 0.4 inches per hour.
8. No type of wastewater other than that from Lake Norman State Park Swim Beach shall be sprayed
onto the irrigation area.
9. No traffic or equipment shall be allowed on the disposal area except while installation occurs or while
normal maintenance is being performed.
10. Public access to the land application sites shall be controlled during active site use. Such controls
may include the posting of signs showing the activities being conducted at each site.
11. Freeboard in the lagoon shall not be less than two feet at any time.
12. A waste -level gauge, to monitor waste levels in the storage pond, shall be installed within 60 days of
issuance of this permit. This gauge shall have readily visible permanent markings indicating the
maximum liquid level at the top of the temporary liquid storage volume, minimum liquid level at the
bottom of the temporary liquid storage volume, and top of the dam elevations. Caution must be taken
not to damage the integrity of the liner when installing the gauge.
13. A protective vegetative cover shall be established and maintained on all earthen basin embankments
(outside toe of embankment to maximum pumping elevation), berms, pipe runs, erosion control areas,
and surface water diversions. Trees, shrubs, and other woody vegetation shall not be allowed to grow
on the earthen basin dikes or embankments. Earthen basin embankment areas shall be kept mowed or
otherwise controlled and accessible.
III. MONITORING AND REPORTING REQUIREMENTS
1. Any monitoring (including groundwater, surface water, soil or plant tissue analyses) deemed
necessary by the Division to insure surface and ground water protection will be established and an
acceptable sampling reporting schedule shall be followed.
2. Adequate records shall be maintained by the Permittee tracking the amount of wastewater disposed.
These records shall include, but are not necessarily limited to, the following information:
a. date of irrigation,
b. volume of wastewater irrigated,
c. zone irrigated,
d. length of time zone is irrigated,
e. continuous weekly, monthly, and year-to-date hydraulic (inches/acre) loadings for each zone,
f.' weather conditions, and
g. maintenance of cover crops.
3. Influent flow shall be continuously monitored and daily flow values shall be reported on Form
NDMR.
The Permittee shall install an appropriate flow measurement device consistent with approved
engineering and scientific practices. to ensure the accuracy and reliability of influent flow
measurement. Flow measurement devices selected shall be capable of measuring flows with a
maximum deviation of less than 10 percent from true flow, accurately calibrated at a minimum of
once per year; and maintained to ensure that the accuracy of the measurements is consistent with the
accepted capability of that type of device. Records of flow measurement device calibration shall be
kept on file by the Perrittee for a period of at least three years. At a minimum, data to be included in
this documentation shall be:

a. Date of flow measurement device calibration
b. Name of person performing calibration
c. Percent from true flow
4. The effluent from the subject facilities shall be monitored by the Permittee at the point following
chlorination and prior to irrigation every March, July and November for the following parameters:
BOD5 TSS
Fecal Coliform pH
NH3 as N
Three (3) copies of all operation and disposal records (as specified in condition I11 2) on Form
NDAR-1 and three (3) copies of all influent and effluent monitoring data (as specified in condition III
3 and III 4) on Form NDMR-1 shall be submitted on or before the last day of the following month.
All information shall be submitted to the following address:
NC Division of Water Quality
Water Quality Section
Non -Discharge Compliance/Enforcement Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
A representative annual soils analysis (Standard Soil Fertility Analysis) shall be conducted on each
spray field and the results maintained on file by the Permittee for a minimum of five years. The
Standard Soil Fertility Analysis shall include, but is not necessarily limited to, the following
parameters:
Acidity Manganese Potassium
Calcium Percent Humic Matter Sodium
Copper pH Zinc
Magnesium Exchangeable Sodium Percentage Phosphorus
Cation Exchange Capacity Base Saturation (by calculation)
7. Noncompliance Notification:
The Permittee shall report by telephone to the Mooresville Regional Office, telephone number (704)
663-1699, as soon as possible,. but in no case more than 24 hours or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence at the wastewater- treatment facility which results in the treatment of significant
amounts of wastes which are abnonnal in quantity or characteristic, such as the dumping of the
contents of a sludge digester; the known passage of a slug of hazardous substance through the
facility; or any other unusual circumstances.
Any process unit failure, due to known or unknown reasons, that render the facility incapable of
adequate wastewater treatment such as mechanical or electrical failures of pumps, aerators,
compressors, etc.
c. Any failure of a pumping station, sewer line, or treatment facility resulting in a by-pass directly to
receiving waters without treatment of all or any portion of the influent to such station or facility.
d. Any time that self -monitoring information indicates that the facility has gone out of compliance
with its permit limitations.
Persons reporting such occurrences by telephone shall also file a written report in letter form within
five (5) days following first knowledge of the occurrence. This report must outline the actions taken
or proposed to be taken to ensure that the problem does not recur.

IV. GROUNDWATER REQUIREMENTS
The COMPLIANCE BOUNDARY for the disposal system is specified by regulations in 15A NCAC
2L, Groundwater Classifications and Standards. The Compliance Boundary is for the disposal system
constructed after December 31, 1983 is established at either (1) 250 feet from the waste disposal area,
or (2) 50 feet within the property boundary, whichever is closest to the waste disposal area. An
exceedance of Groundwater Quality Standards at or beyond the Compliance Boundary is subject to
immediate remediation action in addition to the penalty provisions applicable under General Statute
143-215.6A(a)(1).
In accordance with 15A NCAC 2L, a REVIEW BOUNDARY is established around the disposal
systems midway between the Compliance Boundary and the perimeter of the waste disposal area.
Any exceedance of standards at the Review Boundary shall require remediation action on the part of
the Permittee.
Waste application activities shall not occur when the vertical separation between depth of application
and the water table is at less than one (1) foot. Verification of the water table elevation may be
confirmed by water level readings obtained from auger borings(s), which should be done within 24
hours, prior to application of wastewater. Any open borings must be properly filled with native soil,
prior to application to decrease the chance of any waste contaminating the groundwater.
4. The lagoon shall have a liner of natural material at least one foot in thickness, having a hydraulic
conductivity of no greater than 1 x 10-6 cm/sec after compaction, or a synthetic liner of sufficient
thickness to exhibit structural integrity and an effective hydraulic conductivity of no greater than that
of the natural material liner according to 15A NCAC 2H .0219(f)..
V. INSPECTIONS
Adequate inspection, maintenance, and cleaning shall be provided by the Permittee to insure proper
operation of the subject facilities.
The Permittee or his designee shall inspect the wastewater treatment and disposal facilities to prevent
malfunctions and deterioration, operator errors and discharges which may cause or lead to the release
of wastes to the environment, a threat to human health, or a nuisance. The Permittee shall keep an
inspection log or summary including at least the date and time of inspection, observations made, and
any maintenance, repairs, or corrective actions taken by the Permittee. This log of inspections shall
be maintained by the Permittee for a period of three years from the date of the inspection and shall be
made available upon request to the Division or other pernlitting authority.
Any duly authorized officer, employee, or representative of the Division may, upon presentation of
credentials, enter and inspect any property, premises or place on or related to the disposal site or
facility at any reasonable time for the purpose of determining compliance with this permit; may
inspect or copy any records that must be maintained under the terms and conditions of this pennit,
and may obtain samples of groundwater, surface water, or leachate.
VI. GENERAL CONDITIONS
This permit shall become voidable unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other supporting data.
2. This permit is effective only with respect to the nature and volume of wastes described in the
application and other supporting data.

This pen -nit is not transferable. In the event there is a desire for the facilities to change ownership, or
there is a name change of the Permittee, a formal permit request must be submitted to the Division
accompanied by an application fee, documentation from the parties involved, and other supporting
materials as may be appropriate. The approval of this request will be considered on its merits and
may or may not be approved.
4. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee
to an enforcement action by the Division in accordance with North Carolina General Statute 143-
215.6A to 143-215.6C.
The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances which may be imposed by other government agencies (local, state,
and federal) which have jurisdiction, including but not limited to applicable river buffer rules in 15A
NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Chapter 4 and under
the Division's General Permit NCGO10000, and any requirements pertaining to wetlands under 15A
NCAC 2B .0200 and 2H .0500.
6. A set of approved plans and specifications for the subject project must be retained by the Pennittee
for the life of the project.
The annual administering and compliance fee must be paid by the Permittee within thirty (30) days
after being billed by the Division. Failure to pay the fee accordingly may cause the Division to
initiate action to revoke this permit as specified by 15A NCAC 2H .0205 (c)(4).
The Permittee, at least six (6) months prior to the expiration of this permit, shall request its extension.
Upon receipt of the request, the Commission will review the adequacy of the facilities described
therein, and if warranted, will extend the permit for such period of time and under such conditions
and limitations as it may deem appropriate.
Permit issued this the 19"' day of June, 2002
NORTH C ,, LIMA ENVIRONMENTAL MANAGEMENT COMMISSION
;;Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0020881

Permit No. WQ0020881
June 19, 2002
ENGINEER'S CERTIFICATION
Partial Final
I, , as a duly registered Professional Engineer in the State of
North Carolina, having been authorized to observe (periodically, weekly, frill time) the construction of the project,
Project Name
Location and County
for the Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation
of the construction such that the construction was observed to be built within substantial compliance and intent of
this permit, the approved plans and specifications, and other supporting materials.
Signature
Date
Registration No.

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September 5, 2006
TAMMY DODD
DIVISION OF PARKS & RECREATION
1615 MAIL SERVICE CENTER
RALEIGH, NC 27699
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E.,Director
i&j c 14dl.A. W atcLQP all
�n Ll
SAc P - 8 ��;!'�
FJC DEhJF, MR0
DWQ -Aquifer Protection
Subject: Permit Renewal Reminder
Surface Irrigation
Lake Norman State Park
Permit Number WQ0020881
Iredell County
Dear Ms. Dodd,
As of this date, our records indicate that the above -referenced permit, which was issued on June
19, 2002 and expires on May 31, 2007, has not been renewed. It is both a condition of your permit and.
required by 15A NCAC 2H .0211 to request a renewal of your permit at least 180 calendar days prior to
its expiration date.
Failure to apply for permit renewal, and operation of your facility without an active permit may
result in the assessment of civil penalties in accordance with North Carolina General Statute §143-
215.6A. Therefore, it is imperative that you submit a permit renewal application package for review as
soon as possible.
Please.submit the enclosed Wastewater Renewal without Modification Application (Form WWR
06-06) in triplicate to the following address:
Aquifer Protection Section
Land Application Unit
1636 Mail Service Center
Raleigh, NC 27699-1636
Please note that if the facility has never been constructed or if the facility has been connected to
sewer service, the Permittee has the option of rescinding the permit. Thank you in advance for your
cooperation and timely response. If you have any questions, please contact Nathaniel Thornburg at (919)
715-6160 or at [e-mail].
Sincerely,
Nathaniel D. Thornburg
Environmental Engineer I1
cc: R'4on^ res7il iiI'e�RegiohML®1ff ct e Aqui_ fe> P,r�ot®R ion.SectionU ,
APS Central Files
NoTrthCarolina
Naturally
Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636 Phone [phone] Customer Service
Internet: www.ncwaterquality.org 2728 Capital Boulevard Raleigh, NC 27604 Fax [phone]
Fax [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/l0% Post Consumer Paper

—
An updated accounting of the land application site's cumulative
__FV
pollutant loading rates CPLRs
d
�
Required Item
Status Code
N
R
T
M
For previously permitted sites without a soil series name indicated in the
Attachment B, submit County Soil Survey Map (or equivalent) clearly
✓
indicate the location of the land application site and in accordance with
the soil map requirements in the "Soil Scientist Evaluati n Policy"
Acknowledgement of field transfer from Land Owner (Fields may not
T_
be permitted to multiple Permittees over the same timeperiod)
This item may be required for land application site with a status code "M", please contact the Division if you need assistant in
determining attachment requirements.
® Crop Type should include the most likely crop types for the life of the permit (five years).
Predominant Soils Series Name must be either the name of the soil indicated in Attachment "B" of the existing permit, -or
name of the soil series as provided by the licensed soil scientist.
® Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each
site must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please
note that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct
mapping unit. If a representative slope is provided, it must be determined accordingly:
® For sites previously permitted for use, but do not have an established soil mapping unit (the mapping unit provides
information on both the soil series name and the slope of the soil), the Applicant may determine the representative slope
by using the average slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 8%
would have a representative slope of 6%.
New Sites to be permitted must have slopes determined as part of the soils report prepared by a licensed soil scientist.
® Acceptable methods for determining location coordinates (i.e., Iatitude and longitude) and their corresponding codes are as
follows:
• Address Matching (ADD) • Digital or Raw Photo Extraction (EXT)
• Aerial Photography with Ground Control (AER) • Geodetic Quality GPS Survey (GEO)
• Cadastral Survey (SUR) • LORAN-C Navigation Device (LOR)
• Conversion from Coordinate Plane (CP) • Navigation Quality GPS (GPS)
• Conversion from Township -Section -Range (TSR) • Remote Sensing (RS)
• Conversion from Universal Trans Merc (UTM) • Zip Code Centroid (ZIP)
• Map Interpretation by Digital or Manual Extraction (MAP)
C. Waterbody and Classifications Information: (new sites only)
® Use an 8.5 by 11-inch copy of the portion of a 7.5-minute USGS Topographic Map 'to identify the location where the
residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each
map portion must be labeled with the map name and number, the identified location, and be of clear and reproducible quality.
® Surface water body classifications information may be found at: hyp://deg.nc.sov/about/divisions/water-
resources/planninJclassification-standards/classifications
® Any questions concerning the waterbody and its classification, please contact the Division's regional offices.
® A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
http://dbq.nc.gov/contact/regional-offices
® General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodies with assigned
subbasins, location descriptions, stream index numbers and established classifications.
1. Identify the project area on a 7.5 minute USGS topographical map (an 8.5 x 11-inch sheet showing the project area
should be submitted with the permit application regardless of whether a Stream classification was completed).
2. Determine the names of all the closest down slope surface waters from the project site. For unnamed tributaries, see
Table 1: Unnamed Tributaries Entering Other States or for Specific Basin Areas. Label any unnamed tributaries as
"UT to stream name" as the waterbody name.
3. Open the link hn:/Ideq.ne.gov/about/divisions/water-resources/planning/classification-standards/classifications.
® Stream Classification Process: One of the options below may be used depending on the known initial project information.
® KNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select proper basin from the List all Waterbodies in Basin sorted report. Sort hydrologically as this will provide
the proper location descriptions if multiple runs.
INSTRUCTIONS FOR FORM: LASC 06-16 Page 2 of 3

2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ KNOWN COUNTY WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select the proper county from the List all Waterbodies in county, hydrologically report.
2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and CIassifications applicable to the project.
❑ UNKNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Use the Clickable basin map to hydrologically sorted list report.
2. Click on the approximate project location to bring up the hydrologically sorted list.
3. Locate the name of the identified waterbody (from General Directions) on the list.
4. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
5. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ Notes on index number and unnamed streams:
Unnamed Streams 15A NCAC 02B 0301M
❑ Any stream which is not named in the schedule of stream classifications carries the same classification as that assigned
to the stream segment to which it is tributary (at the point of entry) except:
(A) unnamed streams specifically described in the schedule of classifications;
(B) unnamed freshwaters tributary to tidal saltwaters will be classified "C"; or
(C) after November 1, 1986, any newly created areas of tidal saltwater which are connected to Class SA waters by
approved dredging projects will be classified "SC" unless case -by -case reclassification proceedings are conducted.
❑ The following river basins have different policies for unnamed streams entering other states or for specific areas of the
basin:
Unnamed Tributaries Entering Other States or for Specific Basin Areas
Hiwassee River Basin
Streams entering Georgia or Tennessee shall be classified "C Tr."
Little Tennesse River
Basin And Savannah
River Drainage Area
Streams entering Georgia or Tennessee shall be classified "C Tr." Such streams in the Savannah
River drainage area entering South Carolina shall be classified "B Tr."
French Broad River
Basin
Streams entering Tennessee will be classified "B."
Watauga River Basin
Streams entering the State of Tennessee are classified "C."
Broad River Basin
Streams entering South Carolina are classified "C."
New River Basin
Streams entering the State of Tennessee are classified "C."
Catawba River Basin
Streams entering South Carolina are classified "C."
Yadkin -Pee Dee River
Basin
Streams entering Virginia are classified "C," and such streams entering South Carolina are
classified "C."
Lumber River Basin
Streams entering South Carolina are classified "C Sw."
Roanoke River Basin
Streams entering Virginia are classified "C." Except that all backwaters of John H. Kerr
Reservoir and the North Carolina portion of streams tributary thereto not otherwise named or
described shall carry the classification `B." and all backwaters of Lake Gaston and the North
Carolina portion of streams tributary thereto not otherwise named or described shall carry the
classification "C and B."
Chowan River Basin
Streams entering Virginia are classified "C."
Tar -Pamlico River
Basin
All drainage canals not noted in the schedule are classified "C Sw." except the main drainage
canals to Pamlico Sound and its bays which shall be classified "SC."
Pas uotank River Basin
All draina a canals not noted in the schedule are classified "C."
INSTRUCTIONS FOR FORM: LASC 06-16 Page 3 of')

LAND APPLICATION SITE CERTIFICATION
Applicant's name: Synagro Western Piedmont
Land application sites currently certified: 813.6 net acres and Total to be certified: 1,192.2 net acres.
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Code"
Site/Field ID
Landowner(s)
Lessee(s) or Operator(s)
Net Acres
County
Crop(s)
Predominant Soil
Series Nameb
Mapping Unit
or Rep. Slope`
IR-36-1
Chris Cartner
52.6
Iredell
Corn, Wheat
E3
...
N
IR-36-2
Chris Cartner
19.4
Iredell
Cam, Wheat
N
IR-36-3
Chris Cartner
21.9
Iredell
Cam, Wheat
`r'
:.
N
-3 -4
Chris Cartner
4I.5
Iredell
Corn Wheat
=w,=�u
�,i-'�-»�,
�'�-,;-:.
N
IR-36-5
Chris Cartner
23.8
Iredell
Cam, Wheat
MEN
s
N
RA-05-1
Allen Livegood
12.3
Rowan
Fescue Pasture
E
�w^ �..
N
RA-05-2
Allen Livegood
44.8
Rowan
Fescue Pastured
+-M
N
RA-05-3
Allen Livegood
18.5
Rowan
Fescue Pasture
N
RA-53-1
51S
Rowan
>
N
RA-53-2
2r
=1Y
Rowan
e5�
N
AL-13-4
_31%I1IfSpS
Alexander
eSCtXeS`
N
AL-13-5�
,
Alexanderee'
N
AL-13-5
�. y' ®a
Alexander
��la
N
AL-15-1
�� o
i.�
t
Alexander
og%'�; 'tl lieai
N
AL-15-2
°
�
Alexander
�.-fieffi,s,
„
N
AL-15-3;
, �_Y '
+ ea old
Alexander
N
AL-16-1
'. �a.. J:.
•f
Alexander
i 1115
E' e
N
CD-03-2aes1
y17 $'s,1
N
CD-03-3a`�S^-dtas
N.
CD-03-6
� ? e
, e
N
CD-03-7
N
CD-03-9
.3 ,r
Y ate'm
des e`!
FORM: L.ASC 06-16 Page I

LAND APPLICATION SITE CERTIFICATION
- 3LaLus i.vuc iur lams appucanon spies are: ♦ N tiNew) • tc ticenewea) ♦ M (Mootttea) i T (I ransterreo) ♦ D (Deleted)
b Soil Series Narne (i.e. Appling, Cecil, etc.)
° Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2)
11. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C):
Site/Field ID
Latitude
Lon itude
g'
Location
Datum
Location Method Code
Location Accuracy
Waterbody Subbasin and
Stream Index No.
Current and Proposed
p
Class
IR-36-1
35.47.21.87
80.47.37.64
NAD 83
MAP
Nearest Second
12-108-20
C
C
IR-36--2
35.47.5.64
-80.47.18.7
NAD 83
MAP
Nearest Second
12-108-20
C
C
IR-36-3
35.51.7.51
-80.46.58.71
NAD 83
MAP
Nearest Second
12-108-13
C
C
IR-36-4
35.51.10.76
-80.47.5.53
NAD 83
MAP
Nearest Second
12-108-13
C
C
IR-36-5
35.50.55.1
-80-47.45.84
NAD 83
MAP
Nearest Second
12-108-13
C
C
RA-05-1
35.42.45.35
-8039.37.18
NAD 83
MAP
Nearest Second
12-108-21-3
C
C
RA-05-2
35.42.20.19
-80.39.40.59
NAD 83
MAP
Nearest Second
12-108-21-3
C
C
RA-05-3
35.42.8.74
-80.39.33.62
NAD 83
MA13
Nearest Second
12-108-21-3
C
C
RA-53-1
Q
-8� Q �` .',
NAD 83
MAP
Nearest Second
12-108-20-4
C
C
RA-53-2
8A 1
NAD 83
MAP
Nearest Second
12-108-20-4
C
C
AL-13-47''6�9
NAD 83
MAP
Nearest Second
11-69-7-(0.7)
WS-IV
WS-[V
AL-13-5
:3: z5 �'.�;'
)
NAD 83
MAP
Nearest Second
11-69 7-(0.7)
WS-1V
WS-IV
AL-13-6
�fi�� �4 ".
Kf sL 7'i50 9q
,: .,.,-.__..
NAD 83
MAP
Nearest Second
11-69-7-1-1
WS-IV
WS-IV
AL-I5-1
°$
s 1Qkr}.:
NAD 83
MAP
Nearest Second
11-69-4
FORM: LASC 06-16
Page 2

LAND APPLICATION SITE CERTIFICATION
AL-15-2
EMT,-
- :'_a'6�
�`�; `: afl,
NAD 83
MAP
Nearest Second
AL-15-3
8- �
NAD 83
MAP
Nearest Second
- -
AL-16-1
I -385
NAD 83
MAP
Nearest Second
iG
iCi
CD-03-2
`$ t 4
NAD 83
MAP
Nearest Second
11-59-(1)
CD-03-3''-55;02
":4Q� (
NAD 83
MAP
Nearest Second
11-59-(1)
CD-03-6
NAD 83
MAP
Nearest Second
11-58-[5.5)
WS-IV
WS-IV
CD-03-7
5; r`3
NAD 83
MAP
Nearest Second
11-58-(5.5)
WS-IV
WS-IV
CD-03-915
=3.
r '
NAD 83
MAP
Nearest Second
11 57-(2)
WS-IV;CA
WS-IV;CA
Note: Piease xeep the site information (1.) anu wateruody information (11.) of the same tield on the same page.
FORM: LASC 06-16
Page 3

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0016247 (Synagro Western Piedmont RLAP)
Inspection Plan
Inspections will be conducted an a weekly basis at the land application site during activities of the project. Inspection
frequency is based on the time frame to complete the project and the amount of dry tons to be land applied from the
facility. In all cases, fields shall be inspected during application or within 49 hours following application. The inspections
will consist of inspecting a current field that Is being applied as well as inspecting random fields that have been completed.
These inspections will consist of:
1. Verifying that the "Pre -Operations Check List" has been completed and signed by both operational and technical
staff. 1
2. Checking the calculated loads to Insure the correct amount of residuals are being land applied.
3. Insuring that all manned equipment has a copy of the spill control plan, the permit, and the operations and
maintenance plan.
4. insuring that the field has been flagged properly and that all buffers are being adhered to.
5. Insuring that the "Crop and Landowner Verification" form has been filled out.
6. Verifying that the residuals have been adequately sampled to confirm compliance.
The records will be kept in the project files in the respective office for the. project. The Permittee or inspector shall report
by telephone to thw�LtrE/I)WR Mooresville Regional Office at 704-663-1699, as soon as possible, but no later than 24
hours after, or the next working day, following the occurrence or first knowledge of the occurrence of the following.
• Any occurrence with the distribution program resulting in the land application of significant amounts of
material that is abnormal In quantity or characteristics.
• Any failure of the distribution system that results in the release of material to surface waters.
• Anytime that self -monitoring information indicates that the facility has gone out of compliance with the
permit.
• Any process failure that results in the system not adequately treating the residuals.
• Any spill or discharge from a vehicle or piping system during residuals transportation.
Any release that requires imme late eporting outside of normal business hours shall be called in to AG'AFi t 3 62w
956 t8_00 8 Oi#ar9I9�T38s3800. These numbers are to be called in the event of a release to surface waters or
ment faI ure of�a storage system when the event occurs outside of normal business hours. Within 5 days of the first
notice of an occurrence, a written response in the form of a letter shall be sent to DENR outlining the actions taken or
purposed actions taken to ensure that the problem does not recur.
Persons responsible for inspections on this project are as follows:
Robert N. Roth, Technical Services Manager or his designee

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0016247
Sampling Plan
Sampling for this project consists of sampling the residuals prior to each land application event. The chart at
the bottom of Attachment A provides a listing of required sampling, based on the dry tonnage applied from
each individual WWTP. Based on the recent dry tonnage applied, each plant will need to be sampled either
once or four times per year.
The residuals shall be sampled annually for the following: (Regulatory level in milligrams per liter in parentheses.)
Arsenic (5.0)
1, 4-Dichlorobenzene (7.5)
Nitrobenzene (2.0)
Barium (100.0)
1, 2-Dichloroethane (0.5)
Pentachlorophenol (100.0)
Benzene (0.5)
1,1-Dichloroethylene (0.7)
Pyridine (5.0)
Cadmium (1.0)
2, 4-Dinitrotoluene (0.13)
Selenium (1.0)
Carbon tetrachloride (0.5)
Endrin (0.02)
Silver (5.0)
Chlordane (0.03)
Hexachlorobenzene (0.13
Tetra chloroethylene (0.7)
Chlorobenzene (100.0)
Heptachlor (and its hydroAdel (0.008) Toxaphene (0.5)
Chloroform (6.0)
Hexachloro-1,3-butadiene (0.5)
Trichloroethylene (0.5)
Chromium (5,0)
Hexachlorethane (3.0)
2,4,5-Trlchlorophenol (400.0)
M-Cresol (200.0)
Lead (5.0)
2,4,6-Trichicrophenol (2.0)
a -Cresol (200.0)
Lindane (0.4)
2,4,5 TP (Silvex) (1.0)
p-Cresol (200.0)
Mercury (0.2)
Vinyl Chloride (0.2)
Cresol (200.0)
Methoxychior (10.0)
2,4-13 (10.0)
Methyl ethyl ketone (200.0)
The residuals will also be sampled based on the chart below for the following constituents
Dry Tons Generated
(short tons per year)
Monitoring Frequency
(Established in 40 CFR 503 and 15A NCAC 02T.1111)
<319
1 time per year
=>319-<1,650
1 per Quarter (4 times per year)
=>1,650-<16,500
1 every 60 days (6 times per year)
=>16,500
1 every month (12 times per year)
Aluminum
Ammonia -Nitrogen
Arsenic
Cadmium
Calcium
Copper
Lead
Sodium Adsorption Ratio (SAR)
Magnesium
Mercury
Molybdenum
Nickel
Nitrate -Nitrite Nitrogen
Phosphorous
Potassium
PH
Plant Available Nitrogen (calculation)
Selenium
Sodium
%Total Solids
Total Kjeldahl Nitrogen
Zinc
In order to meet pathogen requirements, the material from each plant will be sampled for fecal coliform density. The
means to verify vector attraction reduction monitoring requirements will vary based on each plant. For the City of
Statesville's WWTP's, the residuals will be tested using the specific oxygen uptake rate. For the West Stanly WWTP and
Norwood WWTP, the requirements will be met through the material passing a 30 day bench scale test. The samples that
will be pulled for the TCLP, nutrient and metals sample, and fecal coliform density will be taken from the storage areas of
each plant. In contrast, for the City of Statesville's WWTP's, the SOUR samples will be taken prior to belt -pressing the
residuals. Samples collected for nutrients/metals analysis and TCLP/RCI will be composite samples. The following people
are responsible for sampling:
Robert N Roth, Technical Services Manager or his designee.

SPILL RESPONSE PLAN
PROTECT: SYNAGRO WESTERN PIEDMONT PERMIT WQ0016247
IN THE UNLIKELY EVENT OF A SPILL THE FOLLOWING ACTIONS SHALL BE TAKEN
IMMEDIATELY:
1. MANAGEMENT OF SPILL CLEAN-UP ACTIVITIES:
The Synagro Operations Manager shall take immediate charge and initiate clean-up activities. Synagro labor and
equipment is to be utilized. In the event additional labor and equipment is required, assistance may be requested from the
NC Department of Transportation, and other private contractors as necessary.
2. HALT THE SOURCE OF THE SPILL:
Such as a ruptured container or damaged transport unit.
3. CONTAIN THE SPILL:
Form a barrier. Sufficient quantities of straw shall be used for such purposes. Earthen barriers may be constructed to
augment the straw bale containment area of the spill. The Synagro Operations Manager or the person in charge on the
spill site will advise the clean-up personnel where to get the straw, lime, and other items necessary to complete the clean-
up operation, i.e., local farmers, farm supply centers, nurseries, etc.
4. CLEAN-UP:
Employ front-end loaders, vacuum equipment, sludge application vehicles, and/or local septic tank service to remove as
much of the spilled material as possible. Straw and/or sand should be scattered in the spill area to soak up the remaining
material. The straw- and sand -soaked material will be collected and removed to a disposal area approved by
representatives of the state regulatory agency.
5. FINAL CLEAN-UP:
Employ rotary brush sweeper if needed, and apply lime to the spill area upon the approval of the clean-up efforts by the
state regulatory representative. If the event occurs on private property, the clean-up will be completed to the satisfaction
of the property owner and state regulatory representatives. The ultimate goal will be to restore the spill area to its original
condition if possible.
6. NOTIFICATION:
As soon as possible after the spill occurs, the Synagro Operations Manager or assistant will notify the Synagro Central
office, and they will then be responsible for notifying other key Synagro personnel.
7. REPORTING:
Synagro Central personnel will notify the Mooresville Regional office at [phone] as soon as possible, but not more
than 24 hours after, or on the next working day following the occurrence. The Operations Manager shall provide a written
report within 48 hours of the spill to the Technical Services Director. The report shall list all relative information and
actions taken. Synagro Central personnel will file a written report to the Mooresville Regional office of the NCDENR
within 5 days of the occurrence. For after hours reporting the Division's emergency number shall be called to report all
incidences (1-800-858-0368) or (919-733-3300).

SYNAGRO, WESTERN PIEDMONT CLASS B PERMIT
WQ 0016247
SOIL SCIENTIST CERTIFICATION
This is to certify that soil profile evaluations were conducted on the proposedapplication
sites for the Western Piedmont project by Piedmont Environmental Associates, P.A. on
behalf of Synagro Central, LLC. The evaluations consisted of hand auger borings and
descriptions of the soils on the application sites. All hand auger borings included in this
package were either performed by me or under my direct supervision. All other work
performed for this permit application was conducted by Synagro Central, LLC.
G. Christopher Murray, L.S.S.
No. 1284
Synagro, Western Piedmont WWTP Project, Various Fields

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
WATER QUALITY REGIONAL OPERATIONS SECTION
NON -DISCHARGE APPLICATION REVIEW REQUEST FORM
'Division of Water Resources
March 31, 2015 RECEIVEDJNCDENR/DWI�
To: MRO-WQROS: Michael Parker / Andrew Pitner APR
- 2 2015
From: David Goodrich, Water Quality Permitting Section - Non -Discharge Permitting Unit
WQROs
MOORESVILLE REGIONAL OFFICE
Permit Number: WQ0020881 Permit Type: Wastewater Irrigation
Applicant: NC DENR Division of Parks and Recreation Project Type: Renewal
Owner Type: State Owner in Bl_-MS? Yes
Facility Name: Lake Norman State Park Facility in Bl MS? Yes
Fee Category: None Fee Amount: $0
Comments/Other Information:
Attached, you will find all information submitted in support of the above -referenced application for your review,
comment, and/or action. Within 45 calendar days, please take the following actions:
® Return this form completed. ®Return a completed staff report.
❑ Attach an Attachment B for Certification. ❑ Issue an Attachment B. Certification.
When you receive this request form, please write your name and dates in the spaces below, make a copy of this sheet, and
return it to the appropriate Central Office Water Quality Permitting Section contact person listed above.
r,.O-IVQROS RevieNNIer:
Date: 46 `
5
FORM: WQROSNDARR 0 1- 15 Page 1 of 1

Aut"
NCDENR
North Carolina Department of Environment and Natural Resources
.Pat McCrory
Governor
March 31, 2015
JARID A. CHURCH — ACTING PARK SUPERINTENDENT
NC DENR DIVISION OF PARKS AND RECREATION
135 SHORTLEAF DRIVE
STATESVILLE, .NORTH CAROLINA 28677
Dear Mr. Church:
Donald R. van der Vaart
Secretary
RECENED/NCDENR/DWR
APR 2 2015
WOROS
MOORESVILLE REGIONAL OFFICE
Subject: Acknowledgement of
Application No. WQ0020881
Lake Norman State Park
Wastewater Irrigation System
Iredell County
The Water Quality Permitting Section acknowledges receipt of your permit application and
supp
orting documentation received on March 30, 2015. Your application package has been assigned the
number listed above, and the primary reviewer is David Goodrich.
Central and Regional Office staff will perform a detailed review of the provided application, and
may contact you with a request for additional information. To ensure maximum efficiency in processing
permit applications, the Division of Water Resources requests your assistance in providing a timely and
complete response to any additional information requests.
Please note that processing standard review permit applications may take as long as 60 to 90 days
after receipt of a complete application. If you have any questions, please contact
David Goodrich at [phone] or [e-mail].
Sincerely,
Jon Risgaard, Branch Manager
Division of Water Resources
cc: Mooresville Regional Office, Water Quality Regional Operations Section
Permit File WQ0020881
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Phone: [phone] Internet: http://Dortal.ncdenr.6ro/web/wo
An Equal Opportunity 1 Affirmative Action Employer— Made in part with recycled paper

Central Files: APS _ SWP _
3/31 /2015
Permit Number W00020881
Permit Tracking Slip -
Program Category
Status Project Type
Non -discharge
In review Renewal
Permit Type
Version Permit Classification
Wastewater Irrigation
C Individual
Primary Reviewer
Permit Contact Affiliation
david.goodrich
G Robert Graham
PE
Coastal SWRule
309 N Boylan Ave
Raleigh NC 276031402
Permitted Flow
15,000
Facility
Facility Name
Major/Minor Region
Lake Norman State Park Swim Beach
Major Mooresville
Location Address
County
137 Shortleaf Ln
Iredell
Facility Contact Affiliation
Statesville NC 28677
Owner
Owner Name Owner Type
NC DENR Division of Parks and Recreation Government - State
Owner Affiliation
Matthew H. Windsor
1792 Pilot Knob Park Rd
Dates/Events" Pinnacle NC 27043
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
6/19/2002 3/30/2015
Pn3ulatnd Activities R"Unrted /Rrcelved Evers
Domestic, other RO staff report received
RO staff report requested
Outfall
Waterbody Name Streamindex Number Current Class Subbasin

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
0WIM
NON -DISCHARGE PERMIT OWNERSHIP/NAME CHANGE
Division of WaterResourcesINSTRUCTIONS FOR FORM: NDPONC 11-13 & SUPPORTING DOCUMENTATION
This form is for ownership changes or name changes of a non -discharge system permit. Please note that "Permittee"
references the existing permit holder, and that "Applicant" references the entity applying for the ownership/name change.
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website at:
http:11portal. ncdenr. org/web/wq/aps/lau
A. Non -Discharge Permit Ownership/Name Change (FORM: NDPONC 11-13) Application (All Applications):
® Submit an original completed and appropriately executed Non -Discharge Permit Ownership/Name Change (FORM:
NDPONC 11-13) application.
❑ The Existing Permittee's Certification shall be signed in accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T
.0106 c , an alternate person may be designated as the signing official if a delegation letter is provided from a person who
meets the criteria in 15A NCAC 02T .0106(b).
❑ The Applicant's Certification shall be signed in accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T .0106(c), an
alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the
criteria in 15A NCAC 02T .0106(b).
B. Existing Permit (All Applications):
0 Submit a copy of the most recently issued permit.
C. Property Ownership Documentation (All Applications):
➢ Per 15A NCAC 02T .0504(f), 15A NCAC 02T .0604(e), 15A NCAC 02T .0704(fl, 15A NCAC 02T .0804, 15A NCAC 02T
.1004(d), 15A NCAC 02T .1104(d)(7), 15A NCAC 02T. I 104(e)(5),15A NCAC 02U .0201(e) or 15A NCAC 02U .0202(f),
the Applicant shall demonstrate they are the owner of all property containing the non -discharge system facilities:
JI Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or
ElWritten notarized intent to purchase agreement signed by both parties with a plat or survey map, or
❑ Written notarized lease agreement that specifically indicates the intended use of the property and has been signed by both
parties, as well as a plat or survey map. Lease agreements shall adhere to the requirements of 15A NCAC 02L .0107.
D. Certificate of Public Convenience and Necessity (All Applications where the Applicant is a Privately -Owned Public Utility): ?
❑ Per 15A NCAC 02T .0115(a)(1), provide one copy of the Certificate of Public Convenience and Necessity from the North
Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served
by the non -discharge system.
E. Operational Agreements (All Applications where the Applicant is a Home/Property Owners' Association or Developer of lots to
be sold):
➢ Home/Propegy Owners' Associations
�I ❑ Per 15A NCAC 02T .0115(c), submit an original properly executed Operational Agreement (FORM: HOA).
❑ Per 15A NCAC 02T .0115(c), submit an original proposed or approved Articles of Incorporation, Declarations and By-
laws.
➢ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit an original of the properly executed Operational Agreement (FORM: DEV).
F. Operation and Maintenance Agreement (All Applications for Single -Family Wastewater Irrigation Systems):
❑ Per 15A NCAC 02T .0604(h), submit an original of a notarized Operation and Maintenance Agreement (FORM: SFRWWIS
� `� O&M) that has been signed and dated by all deeded property owners.
Y" THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED TO:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RE I�R.C��MENR WR
DIVISION OF WATER RESOURCES 6������
WATER QUALITY PERMITTING SECTIONA��,
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service: By Courier/Special Deliv ter Quality
1617 MAIL SERVICE CENTER 512 N. SALISBURY miffing Section
RALEIGH, NORTH CAROLINA 27699-1617 RALEIGH, NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone] FAX NUMBER: [phone]-
INSTRUCTIONS FOR FORM: NDPONC 11-13 & SUPPORTING DOCUMENTATION Page 1 of 1

State of North Carolina
IDDepartment of Environment and Natural Resources
Division of Water Resources
Y NON -DISCHARGE PERMIT OWNERSHIP/NAME CHANGE
®lvWon of Water Resources FORM: NDPONC 11-13
I. EXISTING PERMITTEE INFORMATION:
1. Permittee's name: William C. Rhinehart. Jr.
2. Signature authority's name: William C. Rhinehart, Jr. per 15A NCAC 02T .0106(b) Title: Park Superintendent
3. Permittee's mailing address: Lake Norman State Park
City: Troutman State: NC Zip: 28166-
4. Permittee's contact information: Phone number: 704) 528-6350 Email Address: casey.rhinehart(a,ncparks.gov
5. Demonstration of historical consideration for permit approval — 15A NCAC 02T .0120:
Has the Permittee or any parent, subsidiary or other affiliate exhibited the following?
a. Has been convicted of environmental crimes under Federal law or G.S. 143-215.6B? ❑ Yes or ® No
b. Has previously abandoned a wastewater treatment facility without properly closing that facility? ❑ Yes or ® No
c. Has unpaid civil penalty where all appeals have been abandoned or exhausted? ❑ Yes or ® No
d. Is non -compliant with anexisting non -discharge permit, settlement agreement or order? ❑ Yes or ® No
e. Has unpaid annual fees in accordance with 15A NCAC 02T .0105(e)(2)? ❑ Yes or ® No
H. FACILITY INFORMATION:
1. Facility name: Lake Norman State Park Swim Beach and Family Campground RECEIVED/1)ENW)W
2. Facility's physical address: 135 Shortleaf Drive
City: Statesville State: NC Zip: 28677- County: Iredell� 3���
III. PERMIT INFORMATION: Watee Quality
Permitting Section
1. Existing permit number: WQ0020881 and most recent issuance date: September 12, 2008
2. Existing permit type: Other Non -Discharge Wastewater
3. Reason for the permit application: Name Change
4. Has the facility been constructed? ® Yes or ❑ No
►IA\ m tel\QY Meel ATO RUVA.11914103
1.
pplicanfs name: Jarid A. Church
2. Signature authority's name: Jarid A. Church per 15A NCAC 02T .0106(b) Title: Acting Park Superintendent
3. Applicant's mailing address: Lake Norman State Park
City: Troutman State: NC Zip: 28166-
4. Applicant's contact information: Phone number: 104) 528-6350 Email Address: iarid.church([e-mail]
5. Demonstration of historical consideration for permit approval — 15A NCAC 02T .0120:
Has the Applicant or any parent, subsidiary or other affiliate exhibited the following?
a. Has been convicted of environmental crimes under Federal law or G.S. 143-215.6B? ❑ Yes or ® No
b. Has previously abandoned a wastewater treatment facility without properly closing that facility? ❑ Yes or ® No
c. Has unpaid civil penalty where all appeals have been abandoned or exhausted? ❑ Yes or ® No
d. Is non -compliant with an existing non -discharge permit, settlement agreement or order? ❑ Yes or ® No
e. Has unpaid annual fees in accordance with 15ANCAC 02T .0105(e)(2)? ❑ Yes or ® No
A
FORM: NDPONC 11-13 Page 1 of 2

Existing Permittee's Certification per 15A NCAC 02T .0106(b):
( �ilv(( Su pty(viwdk,yfcl %/ attest that this application for
(Signature Authority's name & title from Application Item 1.2.)
Tcbz �z�� � I r,- It o k!6'fMC,1 Si744.0 C)ruv' �e )I:.1 1(
(Facility name from Application Item H.1.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that prior to reissuance of the
permit into the Applicant's name, any discharge of wastewater from this non -discharge system -to surface waters or the land will result
in an enforcement action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against
the Division of Water Resources should a condition of the existing permit be violated. I also understand that if all required parts of
this application package are not completed and that if all required supporting information and attachments are not included, this
application package will be returned as incomplete. I further certify that the existing Permittee or any affiliate has not been convicted
of an environmental crime, has not abandoned a wastewater facility without proper closure, does not have an outstanding civil penalty
where all appeals have been exhausted or abandoned, are compliant with any active compliance schedule, and do not have any
overdue annual fees per 15A NCAC 02T .0105(e).
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement,
representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: N/At Date:
Applicant's Certification per 15A NCAC 02T .0106(b):
F7J_r attest that this application for
(Signature Authority's name & title from Application Item IV.2.)
name from Application Item H.1.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that after reissuance of the permit
into the Applicant's name, any discharge of wastewater from this non -discharge system to surface waters or the land will result in an
enforcement action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the
Division of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this
application package are not completed and that if all required supporting information and attachments are not included, this
application package will be returned to me as incomplete. I further certify that the Applicant or any affiliate has not been convicted of
an environmental crime, has not abandoned a wastewater facility without proper closure, does not have an outstanding civil penalty
where all appeals have been exhausted or abandoned, are compliant with any active compliance schedule, and do not have any
overdue annual fees per 15A NCAC 02T .0105(e).
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement,
representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: i�;� Date:
FORM: NDPONC 11-13 Page 2 of 2

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
_ NON -DISCHARGE SYSTEM RENEWAL
`Division of Water Resources INSTRUCTIONS FOR FORM: NDSR 11-13 & SUPPORTING DOCUMENTATION
This form is for renewal without modification for all non -discharge system permits, except Residuals Management permits.
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website at:
http: Aportal.ncdenr. org/web/W1qps11au
A. Non -Discharge System Renewal (FORM: NDSR 11-13) Application (All Application Packages):
Submit one original and one copy of the completed and appropriately executed Non -Discharge System Renewal (FORM:
NDSR 11-13) application.
❑ The Applicant's Certification shall be signed in accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T .0106(c), an
alternate person may be designated as the signing official if a delegation letter .is provided from a person who meets the
criteria in 15A NCAC 02T .0106(b).
B. Existing Permit (All Application Packages):
Submit two copies of the most recently issued permit.
C. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .0115(a)(1), provide two copies of the Certificate of Public Convenience and Necessity from the North
Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served
by the non -discharge system.
D. Operation and Maintenance Agreement (All Application Packages for Single -Family Residences):
,,tK ❑ Submit one original and one copy of the signed Operation and Maintenance Agreement (FORM: SFRWWIS O&M).
E. Operational Agreements (All Application Packages for Home/Property Owners' Associations and Developers of lots to be sold):
➢ Home/Property Owners' Associations
Nip` ❑ Per 15A NCAC 02T .0115(c), submit an original and one copy of the properly executed Operational Agreement (FORM:
HOA.
❑ Per 15A NCAC 02T .0115(c), submit an original and one copy of the proposed or approved Articles of Incorporation,
Declarations and By-laws.
➢ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit an original and one copy of the properly executed Operational Agreement (FORM:
DEV).
F. Site Map (All Application Packages for permits originally issued or modified after September 1, 2006):
0 Submit two copies of an updated site map in accordance with 15A NCAC 02T .0105(d).
THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED TO:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DTVTSION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
512 N. SALISBURY ST.
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
MAR
Water Qualit,
Permitting Serb®r
INSTRUCTIONS FOR FORM: NDSR 11-13 & SUPPORTING DOCUMENTATION Page 1 of 1

State of North Carolina
Department of Environment and Natural Resources
MR Division of Water Resources
NON -DISCHARGE SYSTEM RENEWAL
Division of Water Resources FORM: NDSR 11-13
I. PERMITTEE INFORMATION:
1. Permittee's name: Jarid A. Church
2. Signature authority's name: Jarid A. Church per 15A NCAC 02T .0106(b) Title: Acting Park Superintendent
3. Permittee's mailing address: Lake Norman State Park
City: Troutman State: NC Zip: 28166-
4. Permittee's contact information: Phone number: 704) 528-6350 Email Address: jarid.church(a_,ncparks.gov
H. FACILITY INFORMATION:
1. Facility name: Lake Norman State Park Swim Beach and Family Campground
2. Facility's physical address: 135 Shortleaf Dr
City: Statesville State: NC Zip: 28677- County: Iredell
III. PERMIT INFORMATION:
1. Existing permit number: WQ0020881 and most recent issuance date: September 12, 2008 RECEIVED�DE�
WR
2. Existing permit type: Other Non -Discharge Wastewater
3. Has the facility been constructed? ® Yes or ❑ No
� 30 ����
4. Demonstration of historical consideration for permit approval — 15A NCAC 02T .0120: Water Queiiy
'Has the Applicant or any parent, subsidiary or other affiliate exhibited the following? Permitting Section
a. Has been convicted of environmental crimes under Federal law or G.S. 143-215.6B? ❑ Yes or ® No
b. Has previously abandoned a wastewater treatment facility without properly closing that facility? ❑ Yes or ® No
c. Has unpaid civil penalty where, all appeals have been abandoned or exhausted? ❑ Yes or ® No
d. Is non -compliant with an existing non -discharge permit, settlement agreement or order? ❑ Yes or ® No
e. Has unpaid annual fees in accordance with 15A NCAC 02T .0105(e)(2)? ❑ Yes or ® No
Applicant's Certification per
I,
(Signature Authority's name & title from Application Item I.2.)
(Facility name from Application Item II.1.)
that this application for
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that any discharge of wastewater
from this non -discharge system to surface waters or the land will result in an immediate enforcement action that may include civil
penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a
condition of this permit be violated. I also understand that if all required parts of this application package are not completed and that
if all required supporting information and attachments are not included, this application package will be returned to me as incomplete.
I further certify that the Applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater
facility without proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are
compliant with any active compliance schedule, and do not have any overdue annual fees per 15A NCAC 02T .0105(e).
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement,
representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: C Date: C all o I (-v
FORM: NDSR 11- 3 Page 1 of 1

(� WATE ,jGv Michael F. Easley, Governor
William G. Ross Jr., Secretary
05 p North Carolina Department of Environment and Natural Resources
�r
Coleen H_ Sullins,171recter
Division of Water Quality
September 12, 2008 -S
William Rhinehart, Jr. — Park Superintendent
NCDENR (Division of Parks & Recreation) RV
159 Inland Sea Lane �.•
Troutman, NC 28166
Subject: Permit No. WQ0020881
Lake Norman State Park Swim
Beach and Campground
Wastewater Surface irrigation
Iredell County
Dear Mr. Rhinehart:
In accordance with your permit modification request received June 13, 2008, we are forwarding
herewith Permit No. WQ0020881, dated September 12, 2008, to North Carolina Division of Parks and
Recreation for the construction and continued operation of the subject wastewater treatment and surface
irrigation facilities. This modification includes the addition of 3,300 gallons per day (GPD) from the
family campground with no change in the total capacity of the treatment facility.
This permit shall be effective from the date of issuance until September 30, 2011, shall void
Permit No. WQ0020881 issued October 25, 2006, and shall be subject to the conditions and limitations as
specified therein. Please pay particular attention to the monitoring requirements in this permit. Failure to
establish an adequate system for collecting and maintaining the required operational information will
result in future compliance problems. Please note that effluent sampling parameters and frequencies have
been changed (Attachment A).
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within thirty (30) days following receipt of
this permit. This request must be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service
Center, Raleigh, NC 27699-6714. Unless such demands are made this permit shall be final and binding.
If you need additional information concerning this matter, please contact Matthew Flaahman at
[phone] or [e-mail].
Sincerely,
Coleen H. Sullins
NOf Caro inn
J rall f
1636 Mail Service Center Raleigh, NC 27699-1636 Telephone : [phone]
Aquifer Protection Section 919 7 f 5-0588 .
Internet www.nc ater u r iodation: 2728 Capital 13ouievard Raleigh, NC 27604 Fax �, [phone]
An Equal opportunity/AlTrmativc Action Employer— SODA Recycled/lo% Post Consumer Paper Customer service: [phone]

cc: Iredell County Health Department
Mooresville Regional Office, Aquifer Protection Section
G. Robert Graham, P.E., George Finch/Boney and Associates. PO Box 10472 Raleigh NC 27605
Technical Assistance and Certification Unit (with rating sheet attached)
APS Central Files
LAU Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
SURFACE IRRIGATION SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
North Carolina Division of Parks & Recreation
Iredell County
FOR THE
continued operation of a spray irrigation treatment and disposal facility approved to accept 15,000 GPD
(to include 3,300 GPD from the Family Campground) of wastewater (monthly average) during April
through October and 3,500 GPD .of wastewater (monthly average) during November through March- and
consisting of a 78 GPM influent pump station with dual grinder pumps, a 15,000 gallon septic tank with
effluent filters, an aerated 780,000 gallon treatment and storage lagoon to provide 10 days of treatment
and 42 days of storage at maximum design flow with two 3HP aerators, chlorine disinfection in a 8,112
gallon chlorine contact chamber, a 135 GPM irrigation pump station, and a solid set irrigation system to
irrigate two 1.715 acre irrigation zones: Zone A and Zone B , to serve Lake Norman State Park Swim
Beach and Family Campground, with no discharge of wastes to the surface waters, pursuant to the
application received Tune 13, 2008, and subsequent additional information received by the Division of
Water Quality (Division), and in conformity with the project plan, specifications, and other supporting
data subsequently filed and approved by the Department of Environment and Natural Resources and
considered a part of this permit.
This permit shall be effective from the date of issuance until September 30,;W, shall void Permit
No. WQ0020881 issued October 25, 2006, and shall be subject to the following specified conditions and
limitations:
T. SCHEDULES [please review the entire permit for reporting, monitoring, and other on -going activities]
1. No later than six (6) months prior to the expiration of this permit, the Permittee shall request renewal
of this permit on official Division fomi(s). Upon receipt of the request, the Division will review the
adequacy of the .facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note that Rule
15A NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal
application.
WQ0020881 Version 2.1 Shell Version 080827 Page 1 of 8

1x. PERFORMANCE STANDARDS
1. The surface irrigation facilities shall be effectively maintained and operated at all times so that there
is no discharge to the surface .waters, nor any contravention of groundwater or surface water
standards. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions due to improper operation and maintenance, or failure of the irrigation area to
adequately assimilate the wastewater, the Permittee shall take immediate corrective actions including
those actions that may be required by the Division, such as the construction of additional or
replacement wastewater treatment and disposal facilities.
2. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to ground
or surface waters resulting from the operation of this facility.
3. All wells that are constructed for purposes of groundwater monitoring shall be constructed in
accordance with 15A NCAC 02C .0108 (Standards of Construction for Wells Other than Water
Supply) and any other state and local laws and regulations pertaining to well construction.
4. Effluent limitations shall not exceed those specified in Attachment A.
5. Application rate(s), whether hydraulic, nutrient, or other pollutant shall not exceed those specified in
Attachment B.
6. The compliance boundary for the disposal system is specified by rules in 15A NCAC 02L,
Groundwater Classifications and Standards. This disposal system was individually permitted on or
after December 30, 1983; therefore, the compliance boundary is established at either 250 feet from
the waste disposal area, or 50 feet within the property boundary, whichever is closest to the waste
disposal area. An exceedance of groundwater standards at or beyond the compliance boundary is
subject to remediation action according to 15A NCAC 02L .0106(d)(2) as well as enforcement
actions in accordance with North Carolina General Statute 143-215.6A through 143-215.6C.
7. The Permittee shall apply for a permit modification prior to any sale or transfer of property that
affects a compliance boundary to establish a new compliance boundary.
8. In accordance with 15A NCAC 02L .0107(d), no wells, other than monitoring wells, shall be
constructed within the compliance boundary except as provided by 15A NCAC 02L .0107(g).
9. The review boundary is established around the disposal systems midway between the compliance
boundary and the perimeter of the waste disposal area. Any exceedance of standards at the review
boundary shall require action in accordance. with 15A NCAC 02L .0106.
10. The facilities permitted herein must be constructed according to the following setbacks:
a. The setbacks for Irrigation sites shall be as follows (all distances in feet):
L Any habitable residence or place of public assembly under separate ownership: 400
ii. Surface waters: 100
iii. Any well with exception of monitoring wells: too
iv. Any property line: 150.
v. PubIic right of way: 50
b. The setbacks for Treatment and storage units shall be as follows (all distances in feet):
i. Any well with exception of monitoring wells: 100
ii. Any property line: 50
WQ0620881 Version 2.1 Shell Version 080827 Page 2 of 8

in. OPERATION AND MAINTENANCE REQUIREMENTS
1. The facilities shall be properly maintained and operated at all times, The facilities shall be effectively
maintained and operated as a non -discharge system to prevent the discharge of any wastewater
resulting from the operation of this facility. The Permittee shall maintain an Operation and
Maintenance Plan pursuant to 15A NCAC 02T .0507. including operational functions, maintenance
schedules, safety measures, and a spill response plan.
2. Upon classification of the wastewater treatment and irrigation facilities by the Water Pollution
Control System Operators Certification Commission (WPCSOCC), the Permittee shall designate and
employ a certified operator to be in responsible charge (ORC) and one or more certified operator(s) to
be back-up ORC(s) of the facilities in accordance with 15A NCAC 08G .0200. The ORC shall visit
the facilities in accordance with 15A NCAC 08G .0200 or as specified in this permit and shall comply
with all other conditions specified in these rules.
3. A suitable year round vegetative'cover shall be maintained such that crop health is optimized, allows
for even distribution of effluent, and allows inspection of the irrigation system.
4. Adequate measures shall be taken to prevent wastewater ponding or runoff from the irrigation field.
S. Irrigation shall not be performed during inclement weather or when the ground is in a condition that
will cause ponding or nmoff.
A\ 6. All waste application equipment must be tested and calibrated at least once per permit cycle. Records
. of the calibration must be maintained for live years.
No type of wastewater other than that from Lake Norman State Park Swim Beach and Family
Campground shall be irrigated onto the irrigation area.
8_ No traffic or equipment shall be allowed on the disposal area except while installation occurs or while
normal maintenance is being performed.
9. Public access to the land application sites shall be controlled. Such controls may include the posting
of signs showing the activities being conducted at each site.
10. The residuals generated from these treatment facilities must be disposed / utilized in accordance with
15A NCAC 02T .1100. The Permittee shall maintain a residual management plan pursuant to 15A
NCAC 02T .0508.
11. Diversion or bypassing of the untreated wastewater from the treatment facilities is prohibited.
12.' Freeboard in the lagoon shall not be less than two feet at any time.
13. A waste -level gauge, to monitor waste levels in the lagoon, shall be provided. This gauge shall have
readily visible permanent markings indicating the maximum liquid level at the top of the temporary
liquid storage volume, minimum liquid level at the bottom of the temporary liquid storage volume,
and the lowest point on top of the dam elevations, Caution must be taken not to damage the integrity
of the liner when installing the gauge.
14. A protective vegetative cover shall be established and maintained on all earthen basin embankments
(outside toe of embankment to maximum allowable temporary storage elevation on the inside of the
embankment), berms, pipe runs, erosion control areas, and surface water diversions. Trees, shrubs,
V, and other woody vegetation shall not be allowed to grow on the earthen basin dikes or embankments.
Earthen basin embankment areas shall be kept mowed or otherwise controlled and accessible.
WQo020881 Version 2.1 Shell Version 080827 Page 3 of 8

IV. MONITORING AND REPORTING REQUIREMENTS
1. Any monitoring (including groundwater, surface water, soil or plant tissue analyses) deemed
necessary by the Division to ensure surface and ground water protection will be established and an
acceptable sampling reporting schedule shall be followed.
2. All laboratory analyses for effluent, ground waters, or surface waters shall be made by a laboratory
certified by the Division for the required parameter(s) under 15A NCAC 02H .0800.
3. Flow through the treatment facility shall be continuously monitored and daily flow values shall be
reported on Form NDMR.
The Permittee shall install and maintain an appropriate flow measurement device consistent with
approved engineering and scientific practices to ensure the accuracy and reliability of flow
measurement. Flow measurement devices selected shall be capable of measuring flows with a
maximum deviation of less than 10 percent from true flow, accurately calibrated at a minimum of
once per year, and maintained to ensurethat the accuracy of the measurements is consistent with the
accepted capability of that type of device. The Permittee shall- keep records of flow measurement
device calibration on file for a period of at least three years. At a minimum, data to be included in
this documentation shall be:
a. Date of flow measurement device calibration,
b. Name of person performing calibration, and
c. Percent from true flow.
4. The effluent from the subject facilities shall be monitored by the Permittee at the frequency(ies) and
location(s) for the parameter(s) specified in Attachment A.
5, The Permittee tracking the amount of wastewater disposed shall maintain adequate records. These
records shall include, but are not necessarily limited to, the following information:
a. Date of irrigation,
b. Volume of wastewater irrigated,
c. Field irrigated,
d. Length of time field is irrigated,
e. Continuous weekly, monthly, and year-to-date hydraulic (inches/acre) loadings for each field,
f. Continuous monthly and year-to-date loadings for any non hydraulic parameter specifically
linuted in Attachment B for each field,
g. Weather conditions, and
h. Maintenance of cover crops.
6. Freeboard (waste level to the lowest elevation on the top of the embankment) in the lagoon shall be
recorded weekly.
7. A record shall be maintained of all residuals removed from this facility. This record shall include the
name of the hauler, permit authorizing the disposal or a letter from a municipality agreeing to accept
the residuals, date the residuals were hauled, and volume of residuals removed.
S. A maintenance log shall be maintained at this facility including but not limited to the following items:
a. Visual observations of the plant and plant site.
b. Record of preventative maintenance (changing of filters, adjusting belt tensions, alarm testing,
diffuser inspections and cleanings, etc.).
c. Date of calibration of flow measurement device.
d. Date and results of power interruption testing on alternate power supply.
WQ0020881 Version 2.1 Shell Version 080827 Page 4 of 9

9. Three (3) copies of all monitoring data [as specified in Conditions 1V. 3. and W. 4.) on Form NDMR
for each PPI and three (3) copies of all operation and disposal records [as specified in Conditions IV.
5 and 1V. 6.1 on Form NDAR-1 for every field shall be;eigbipti on;br;ki for 'thc',last. daye; Qf::the
.following months If no activities occurred during the monitoring month, monitoring reports are still
cumenting the absence of the activity. All information shall be submitted to the following
regairecl do
address:
Division of Water Qualityi
Information Processing Unit
1617 Mail Service Center,
Raleigh, North Carolina 27699 ;1617
10. An annual representative soils analysis (Standard Soil Fertility Analysis) shall be conducted on each
irrigation field and the results maintained on file by the Permittee for a minimum of five years. The
Standard Soil Fertility Analysis shall include, but is not necessarily limited to, the following
parameters:
Acidi
Manganese
Potassium
Calcium
Percent Humic Matter
Sodium
Copper
PH
Zinc
Magnesium
Base Saturation k calculation
Phosphorus
Cation Exchange Capacity
Exchangeable Sodium Percentage
11. Noncompliance Notification:
The Permittee shall report by telephone to the Mooresville Regional Office, telephone number (704)
663-1699, as soon as possiblebut in no case more than 24 hours or on the next working day
following the occurrence or first knowledge of the occurrence of any of the. following:
i
a. Any occurrence at the wastewater treatment facility which;results in the treatment of significant
amounts of wastes which are abnormal in quantity or characteristic, such as the dumping of the
contents of a sludge digester; the known passage of a slug of hazardous substance through the
facility; or any other unusual circumstances including ponding in the irrigation field or runoff
from the irrigation fields.
I
b. Any process unit failure, due to known or unknown reasons, that render the facility incapable of
adequate wastewater treatment such as mechanical or electrical failures of pumps, aerators,
compressors, etc.
c. Any failure of disposal system resulting in a by-pass directly to receiving waters.
i
d. Any time that self -monitoring information indicates that the facility has gone out of compliance
with its permit limitations including, but not limited to, freeboard measurements, effluent
limitations, exceedances of groundwater standards, or overloading of any field.
For any emergency that requires immediate reporting (e.g., discharges to surface waters, imminent
failure of a storage structure, etc.) outside normal business hours must be reported to the Division's
Emergency Response personnel at telephone number [phone], [phone], or (919) 733-
3300. Persons reporting such occurrences by telephone shall also file a written report in letter form
within five (5) days following first knowledge of the occurrence. This report must outline the actions
taken or proposed to be taken to ensure that the problem does not recur.
V. INSPECTIONS
1. Adequate inspection and maintenance shall be provided by the Permittee to ensure proper operation
of the subject facilities.
WQ0020881 Version 2.1 Shell Version 080827 Page 5 of 8

2. The Permittec or his designee shall inspect the wastewater treatment and disposal facilities to prevent
malfunctions and deterioration, operator errors and discharges which may cause or lead to the release
of wastes to the environment, a threat to human health, or a nuisance. The Permittee shall keep an
inspection log or summary including at least the date and time of inspection, observations made, and
any maintenance, repairs, or corrective actions taken by the Permittee. This log of inspections shall
be maintained by the Permittee for a period of five years from the date of the inspection and shall be
made available upon request to the Division or other permitting authority.
3. Any duly authorized officer, employee, or representative of the Division may, upon presentation of
credentials, enter and inspect any property, premises or place on or related to the disposal site or
facility at any reasonable time for the purpose of determining compliance with this permit; may
inspect or copy any records that must be maintained under the terms and conditions of this permit,
and may obtain samples of groundwater, surface water, or leachate.
VI. GENERAL CONDITIONS
I. Failure to abide by the conditions -and limitations contained in this permit may subject the Permittee
to an -enforcement action by the Division in accordance with North Carolina General Statute 143-
215.6A to 143-215.6C.
2. This permit shall become voidable unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other supporting data.
3. This permit is effective only with respect to the nature and volume of wastes described in the
application and other supporting data. No variances to applicable rules governing the construction
and / or operation of the permitted facilities are granted unless specifically requested and granted in
this permit.
4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other government agencies (local, state,
and federal) that have jurisdiction. Of particular concern to the Division are applicable river buffer
rules in 15A NCAC 02B .0200, erosion and sedimentation control requirements in 15A NCAC
Chapter 4 and under the Division's General Permit NCG010000, and any requirements pertaining to
wetlands under 15A NCAC 02B .0200 and 02H .0500.
5. In the event there is a desire for the facilities to change ownership, or there is a name change of the
Permittee, a formal permit request must be submitted to the Division on official Division form(s),
documentation from the parties involved, and other supporting materials as may be appropriate. The
approval of this request will be considered on its merits and may or may not be approved. The
Permittee of record shall remain fully responsible for compliance until a permit is issued to the new
owner.
6. The Permittee shall retain a set of approved plans and specifications for the life of the facilities
permitted herein.
7. The Permittee shall maintain this permit until all permitted facilities herein are properly closed or
permitted under another permit issued by the appropriate permitting authority.
8. The Permittee must pay the annual fee within thirty (30) days after being billed by the Division.
Failure to pay the fee accordingly may cause the Division to initiate action to revoke this permit
pursuant to 15A NCAC 02T .0105(e).
WQ0020881 Version 2.1 Shell Version 080827 ' Page 6 of 8

Permit issued this the 121b day of September 2008
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
w
oleen H. Sullins, Director
41
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0020881
WQ0020881 Version 2.1 Shell Version 080827 Page 7 of 8

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WQ0020981 Version 2.1 Attachment A Page 2 of 2

ATTACHMENT B - APPROVED LAND APPLICATION SITES AND LIMITATIONS Permit Number: WQ0020881 Version: 2.1
North Carolina Division of Parks & Recreation — Lake Norman State Park Swim Beach and Family Campground
UTILIZATION AREA INFORMATION
APPLICATION LIMITATIONS
Field/ Basin
Owner
County
Latitude
Longitude
Net
Acreage
Dominant
Soil Series
Parameter
Rate
Yearly
Units
ZONE A
Division Of Parks & Recreation
Iredell
35039'50"
80055155"
1.72
Cecil (pacolet)
50045 - Application Rate Area Sprayed
0.4
30.16
inches
ZONE B
Division Of Parks & Recreation
Iredell
351139'50"
80055,55"
1.72
Cecil (pacolet)
50045 - Application Rate Area Sprayed
0.4
30.16
inches
•per
3.44
WQ0020881 Version 2.1 Attachment B Page I of 2

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April 6, 2009
Ms. Peggy Finley
Mooresville Regional Office DWQ
610 E. Center Ave, Ste 301
Mooresville, NC 28115
George Finch I Boney and Associates,P.A.
309 North Boylan Avenue
Raleigh, NC 27603-1402
Post Office Box 10472
Raleigh, NC 27605-0472
T 9191833-1212
F 9191834-3203
a. C. ' _U....,''
APR 8 2009
DWQ - Aci li r Protedon
i
re: Engineer's Certification — WQ0033349
Lake Norman State Park — Family Campground Pump Station and Force Main
Dear Ms. -'Finley:
Enclosed are my Engineering Certification, Record Drawings and supporting documentation as
required by permit number WQ0033349.
Call if you have questions or need additional information.
Sincerely,
George Finch/Boney and Associates, P.A.
.err----
G. Robert Graham, P.E.
Enclosures
Cc: Casey Rhinehart
i
land planning • landscape architecture • civil engineering • land surveying

4
0
0� w A rF9oG Michael F. Easley, Governor
> r William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
o �c
Coleen H. Sullins, Director
ArV TSeptember 9, 2008 SAP 1 ® 2 008
Mr. William C. Rhinehart, Jr, Park Superintendent
NCDENR-Division of Parks and Recreation
159 Inland Sea Drive
Troutman, NC 28166
Subject: Permit No. WQ0033349
Family Campgroundj.Pum'p Station=_arld
Force IViain,)
kWllastewafier Goll_ectlo°b`.-System Ex� tension
Iredell County, North Carolina
Dear Mr. Rhinehart,
In accordance with your application received on August 25, 2008, we are forwarding herewith
Permit No. WQ0033349, dated September 9, 2008, to the NCDENR-Division of Park and Recreation
for the construction and operation of the subject wastewater collection system extension. This permit
shall be effective from the date of issuance until rescinded and shall be subject to the conditions and
limitations as specified therein. This cover letter shall be considered a part of this permit and. is
therefore incorporated therein by reference.
Please pay particular attention to Permit Condition 3 which requires that the wastewater
collection facilities be properly operated and maintained in accordance with 15A NCAC 2T .0403 or any
individual system -wide collection system permit issued to the Permittee.
Permitting of this project does not constitute an acceptance of any part of the project that does
not meet 1) 15A NCAC 2T; 2) the Division of Water Quality's (Division) Gravity Sewer Minimum Design
Criteria adopted February 12, 1996, as applicable; 3) and the Division's Minimum Design Criteria for
the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000, as applicable,
unless specifically mentioned herein. Division approval is based on acceptance of the certification
provided by a North Carolina -licensed Professional Engineer in the application. It shall be the
Permittee's responsibility to ensure that the as -constructed project meets the appropriate design criteria
and rules. Failure to comply may result in penalties in accordance with North Carolina General Statute
§143-215.6A through §143-215.6C, construction of additional or replacement wastewater collection
facilities, and/or referral of the North Carolina -licensed Professional Engineer to the licensing board.
Noce hCarolina
Naturally
Mooresville Regional Office 610 East Center Ave., Suite 301 Mooresville, NC 28115 Phone: [phone] Fax: [phone]
Internet: www.ncmwaterquality.org Customer Service: 1-877-623-6748 An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer
Paper

le
Mr. Rhinehart
Page 2
September 9, 2008
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted for the
construction and operation of approximately 3,316 linear feet of 2-inch force main, a 25 gpm pump
station(with duplex pumps, on site audible and visual high water alarms, and a portable generator
receptacle with telemetry), and the discharge of 3,300 gallons per day of domestic wastewater in
conformity with 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February
12, 1996, as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump
Stations and Force Mains adopted June 1, 2000, as applicable; and other supporting data subsequently
filed and approved by the Department of Environment and Natural Resources and considered a part of
this permit.
The sewage and wastewater collected by this system shall be treated in the Lake Norman State
Park Swim Beach WWTP (Non -Discharge Permit WQ0020881) prior to being discharged into the
receiving stream.
Assessing subsequent impacts to the downstream collection system and treatment
facility is the complete responsibility of the NCDENR-Division of Parks and Recreation.
NCDENR-Division of Parks and Recreation must utilize whatever tracking tools necessary for
planning additions of sewer flow in order to maintain compliance with the WWTF permitted
limits and the collection system permit.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit.
This request must be in the form of a written petition, conforming to Chapter 150E of North Carolina
General Statutes,. and filed with the Office of Administrative Hearings, 6714 Mail Service Center,
Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and binding.
If you need additional information concerning this matter, please contact Dee Browder at (704)
663-1699.
S erely,,
for Coleen H. Sullins
cc: Mooresville Regional Office, Collection System Permit Files
G. Robert Graham, George Finch/Boney and Associates, PA
APS, 'M _ "ft%
APS, Central Office
Surface Water Protection Central Files
PERCS

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division of Water Quality's
(Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996, as applicable; the
Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force
Mains adopted June 1, 2000, as applicable; and other supporting materials unless specifically
mentioned herein.
2. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
3. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system -wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required, the following performance criteria shall be met as provided in 15A NCAC 2T
.0403:
a. The sewer system shall be effectively maintained and operated at all times to prevent
discharge to land or surface waters, and any contravention of the groundwater standards in
15A NCAC 2L .0200 or.the surface water standards in 15A NCAQ 2B .0200.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan shall be developed and implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e.
365 days per year). Pump stations that are connected to a telemetry system shall be
inspected at least once per week.
e. High -priority sewer lines shall be inspected at least once per every six-month period of time.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Inspection and maintenance records shall be maintained for a period of at least three years.
h. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required by
North Carolina General Statute §143-215.1 C.

4. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by documentation from the parties involved, and
other supporting materials as may be appropriate. The approval of this request shall be
considered on its merits and may or may not be approved.
5. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State.
6. Per 15A NCAC 2T .0116, upon completion of construction and prior to operation of these
permitted facilities, the completed Engineering Certification form attached to this permit shall be
submitted with the required supporting documents to the address provided on the form. A complete
certification is one where the form is fully executed and the supporting documents are provided as
applicable.
7. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities.
8. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the. Fast -Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable; and other supporting materials may subject the Permittee to an
enforcement action by the Division, in accordance with North Carolina General Statutes §143-
215.6A through §143-215.6C.
9. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or replacement
facilities.
10. The issuance of this permit shall not exempt the Permittee from complying with any and all
statutes, rules, regulations, or ordinances that may be imposed by other government agencies
(local, state and federal) which have jurisdiction, including but not limited to applicable river buffer
rules in 15A NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4
and under the Division's General Permit NCG010000, and any requirements pertaining to wetlands
under 15A NCAC 213.0200 and 15A NCAC 2H .0500.
11. Noncompliance Notification:
The Permittee shall verbally report to a Division of Water Quality employee at the Mooresville
Regional Office, telephone number [phone], as soon as possible, but in no case more than
24 hours or on the next working day, following the occurrence or first knowledge of the occurrence
of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility incapable
of adequate wastewater transport, such as mechanical or electrical failures of pumps, line
blockage or breakage, etc.; or
b. Any failure of a pumping station or sewer line resulting in a by-pass directly to receiving waters
without treatment of all or any portion of the influent to such station or facility.

Voice mail messages or faxed information is permissible, but shall not be considered as the
initial verbal report. Overflows and spills occurring outside normal business hours may also be
reported to the Division of Emergency Management at telephone number [phone] or
[phone]. Persons reporting any of the above occurrences shall file a spill report by
completing Part I of Form CS-SSO (or the most current Division approved form), within five days
following first knowledge of the occurrence. This report shall outline the actions taken or
proposed to ensure that the problem does not recur. Part II of Form CS-SSO (or the most
current Division approved form) can also be completed to show that the SSO was beyond
control.
Permit issued this the 9th day of September 2008.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
z //-
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0033349

Fast Track Engineering Certification
Permit No. WQ0033349
September 9, 2008
OWner/WQCS/WWTP PE APS
William C. Rhinehart, Jr., Park Supt. G. Robert Graham Peggy Finley
NCDENR-Div. of Park and Recreation George Finch/Boney and Assoc. PA MRO
159 Inland Sea Drive PO Box 10472 610 E. Center Ave, Ste 301
Troutman, NC 28166 Raleigh, NC 27605 Mooresville, NC 28115
Complete and submit this form to the permit issuing regional office with the following:
• One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection
system extension
• Supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generator(s) or storage greater than longest past three year outage reliability option selected) for any pump
stations permitted as part of this project
• Changes to the project should be clearly identified on the record drawings or in written summary form. Permit
modifications are required for any changes resulting in non-compliance with this permit regulations or
minimum design criteria.
This project shall not be considered complete nor allowed to operate until this Engineer's Certification and all
required supporting documentation have been received by the Division. Therefore, it is highly recommended
that this certification be sent in a manner that provides proof of receipt by the Division.
ENGINEER'S CERTIFICATION
❑ Partial ❑ Final
, as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of Family Campground Pump Station
and Force Main, an Iredell County project for the Permittee, hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be built within
substantial compliance of this permit; 15A NCAC 2T; the Division of Water Quality's (Division) Gravity Sewer
Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the
Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting
materials.
North Carolina Professional Engineer's
seal, signature, and date:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
MOORESVILLE REGIONAL OFFICE
SURFACE WATER PROTECTION
610 EAST CENTER AVENUE, SUITE 301
MOORESVILLE NC 28115
The Permittee is responsible for tracking all partial certifications up until a final certification is received. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion of this
Engineer's Certification shall be considered a violation of the permit and shall subject the Permittee to appropriate
enforcement actions.

Fast Track Enqineerinq Certification
Permit No. W00033349
September 9, 2008
Owner/WQCS/WWTP PE APS
William C. Rhinehart, Jr., Park Supt. G. Robert Graham Peggy Finley
NCDENR-Div. of Park and Recreation George Finch/Boney and Assoc. PA MRO
159 Inland Sea Drive PO Box 10472 610 E. Center Ave, Ste 301
Troutman, NC 28166 Raleigh, NC 27605 Mooresville, NC 28115
Complete and submit this form to the permit issuing regional office with the following:
• One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection
system extension
• Supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generator(s) or storage greater than longest past three year outage reliability option selected) for any pump
stations permitted as part of this project
Changes to the project should be clearly identified on the record drawings or in written summary form. Permit
modifications are required for any changes resulting in non-compliance with this permit regulations or
minimum desiqn criteria.
This project shall not be considered complete nor allowed to operate until this Engineer's Certification and all
required supporting documentation have been received by the Division. Therefore, it is highly recommended
that this certification be sent in a manner that provides proof of receipt by the Division.
ENGINEER'S CERTIFICATION
❑ Partial Final
I. &. 9Zo)ahr%&mkowl , as a duly registered Professional Engineer in the State of North Carolina, having been
authorized to observe (❑ periodically, Xweekly, ❑ full time) the construction of Family Campground Pump Station
and Force Main, an Iredell County project for the Permittee, hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be built within
substantial compliance of this permit; 15A NCAC 2T; the Division of Water Quality's (Division) Gravity Sewer
Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the
Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting
materials.
North Carolina Professional Engineer's
seal, signature, and date:
CARO
. !
AL
10084
............
�
��uuun►+���
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
MOORESVILLE REGIONAL OFFICE
SURFACE WATER PROTECTION
610 EAST CENTER AVENUE, SUITE 301
MOORESVILLE NC 28115
The Permittee is responsible for tracking all partial certifications up until a final certification is received. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion of this
Engineer's Certification shall be considered a violation of the permit and shall subject the Permittee to appropriate
enforcement actions.

ti
PUMP CALCULATIONS
FOR
FAMILY CAMPGROUND PUMP STATION
LAKE NORMAN STATE PARK — TROUTMAN NC
April 6, 2009
Calculations are included herein in accordance with "Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains", Section 1.03 B. as follows:
La. Total dynamic head calculations have been prepared using new and end of service conditions.
The following page (page 2) shows a node map for the computer simulation of the pump
operations. Pages 3 shows the system curve for the new pump station. Computer simulations were
run for the Hydromatic HPGHX pumps installed at the Family Campground Pump Station. These
calculations were prepared using the Myers Pump Company software for the design of pumped
collection systems.
Lb., Under new conditions, the pump station will operate at 35 gpm @ 138' TDH . Under worn
pipe conditions, the pump station will operate at 31 gpm @ 142' TDH.
2. Calculations for pump cycle and run times and wet well buoyancy are provided at the end of
these calculations. Due to the low flow, we are only able to achieve 1.7 pump cycles per hour. The
campground bath house being served is a low use facility. In reality, during prolonged periods of
non-use, the pump will not operate at all. The pump station is located away from the camp sites and
odor should not be a problem. If it is, the Park staff can add odor -masking chemicals or flush the
wet well with clean water before extended periods of non-use.
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nPuri%i/HPGflflX
91:i9

i
Section GRINDER Page 406
Dated DECEMBER 2002
Supersedes JANUARY 2000
Data niurin/HPGHHX
MODEL: HPGHX/HPGHHX — Explosion -Proof Grinder Pumps
Physical Data:
DISCHARGE SIZE
, 3" 125 LB. FLANGE ON HPGHHX
IMPELLER TYPE
SEMI -OPEN 5 VANE
CABLE LENGTH
30' STANDARD
PAINT
PAINTED AFTER ASSEMBLY. DARK GREEN,
ENAMEL, ONE COAT, AIR DRIED.
Temperature:
MAXIMUM LIQUID
140OF
MAXIMUM STATOR
311 OF
OIL FLASH POINT
390OF
HEAT SENSOR Open:
Closed:
257OF MAX./2390F MIN.
1 1940F MAX./149OF MIN.
Technical Data:
POWER CORD TYPE
STW/STW-A WATER RESISTANT 600V, 60°C
SENSOR CORD TYPE
16-4 STW-A WATER RESISTANT 600V, 60°C, 10 AMPS
MOTOR HOUSING
CAST IRON ASTM A-48. CLASS 30
CASING
CAST IRON ASTM A-48 CLASS 30
U- Z
00
IMPELLER
RED BRASS #85-5-5-5 ASTM B584-836
to �-
CUTTERS
Q
Stationary:
440C STAINLESS STEEL HARDENED TO 55-60 ROCKWELL C
CC
w
Upper (Axial):
440C STAINLESS STEEL HARDENED TO 55-60 ROCKWELL C
a z
Lower (Radial):
440C STAINLESS STEEL HARDENED TO 55-60 ROCKWELL C
MOTOR SHAFT
416 STAINLESS STEEL
HARDWARE
300 SERIES STAINLESS STEEL
"O" RINGS
BUNA N
MECHANICAL SEALS
Standard:
UPPER AND LOWER CARBON/CERAM IC/BUNA-N, TYPE 21
Optional:
LOWER TUNGSTEN CARBIDE/TUNGSTEN CARBIDE/BUNA-N, TYPE 21
UPPER BEARING
(RADIAL) SINGLE ROW BALL (6303)
LOWER BEARING
(THRUST) SINGLE ROW BALL (6308)
MIN. B-10 BEARING LIFE
50,000 Hrs
Irfo NYDROMATIC°

Electrical 11 M glimi
Data
Section GRINDER Page 307
Dated JANUARY 2002
Supersedes O(TOBER 2000
MODEL: .HPGHX/HPGHHX-Explosion-Proof Grinder Pump
R.P.M.
3450
MOTOR TYPE
ENCLOSED, OIL COOLED INDUCTION
MOTOR DESIGN NEMA TYPE
B (3o) L (1 o)
GENERAL INSULATION CLASS
F
STATOR WINDING CLASS
F
MAXIMUM STATOR TEMPERATURE
1550C - 311OF
MOTOR PROTECTION
BI-METALLIC, TEMPERATURE SENSITIVE DISC,
SIZED TO OPEN AT 1200C AND AUTOMATICALLY
RESET C 30-350C DIFFERENTIAL, ONE IN
SINGLE PHASE, TWO IN THREE PHASE
ELECTRICAL RATINGS
HEAT
SENSOR
24VDC
5AMPS
115VAC
5AMPS
230VAC
5AMPS
SEAL FAIL
300VAC 5mA
VOLTAGE TOLERANCE
±10%
0
3.0
200
1
F
1.2
20.6
17.9
25.8
22.4
81
70.5
3.8
16.2
4.1
230
5.0
230
1
F
1.2
29.5
35.5
125
5.5
28.8
6.0
3.0
3
G
1.2
9.4
4.7
3.8
11.2
5.6
4.5
46.2
23
1 18.5
3.2
14.4
3.8
230
460
575
5.0
200
3
G
1.2
17.9
15.6
7.8
6.2
21.5
18.7
9.4
7.5
83
72
36
28.8
5.4
28.7
6.2
230
4 00
575
7.5
200
3
H
1.2
24.8
21.5
10.8
29.7
25.8
12.9 1
149.5
130
65
7.4
51.8
8.6
230
460
575
8.6
10.3 1
52
Ir'jl?o HYDROMATICO
S r

NORMNNEW
»» PUMP ««
A PROGRAM FOR DETERMINING
PIPE FLOWS AND SYSTEM HEADS
OF A PRESSURIZED SEWER SYSTEM
PROJECT NAME : FAMILY CAMPGROUND PUMP STATION - LAKE NORMAN STATE PARK
PUMPS OPERATING : ONE PUMP OPERATING - NEW PIPE CONDITIONS
TOTAL PUMP FLOW : 35 GPM @ 138' TDH
DESIGN FLOW : 25 GPM @ 125' TDH
INPUT DATA FILENAME = NORMANI.DAT
TABULATED OUTPUT FILENAME = NORMANI.OUT
POSTPROCESSING RESULTS FILENAME = NORMAN1.RES
THE FOLLOWING UNITS ARE SPECIFIED:
FLOWRATE IS EXPRESSED IN GPM AND PRESSURE IN PSIG
PIPE TYPES FOR THIS SYSTEM
DIAMETER
DIAMETER
PIPE
LENGTH
NOMINAL
I.D.
ROUGHNESS
TYPE
----------------------------------------------------------
(ft)
(in)
(in)
COEFFICIENT
1
18.00
2.00
2.00
140.000
2
1607.00
2.00
2.15
140.000
3
1575.00
2.00
2.15
140.000
4
141.00
2.00
2.15
140.000
PUMP DATA FOR THIS SYSTEM
PUMP TYPE # 1 IS DESCRIBED BY THE FOLLOWING DATA:
HEAD
DISCHARGE
(ft)
---------------------------
(gpm)
165.00
0.000
125.00
48.000
105.00
66.000
Page 1

4.
NORMNNEW
FITTING TYPES FOR THIS SYSTEM
FITTING MINOR LOSS
TYPE COEFFICIENT
---------------------------
1 2.00
PIPELINE DATA FOR THIS SYSTEM
PIPE
UPSTREAM
DOWNSTREAM
PIPE
LENGTH
DIAMETER
ROUGHNESS
MINOR LOSS
NUMBER
-------------------------------------------------------------------------------
NODE
NODE
TYPE
(ft)
, (in)
COEFF.
COEFF.
1
1
0
4
141.00
2.15
140.000
2.00
2
2
1
3
1575.00
2.15
140.000
2.00
3
3
2
2
1607.00
2.15
140.000
2.00
SUMMARY OF DATA FOR PIPES ASSIGNED
ASSIGNED
CONNECTING
LENGTH
DIAMETER
ROUGHNESS
MINOR LOSS
PIPE
-------------------------------------------------------------------------
NODE
(ft)
(in)
COEFF.
COEFF.
4
3
18.00
2.00
140.000
2.00
JUNCTION NODE DATA FOR THIS SYSTEM
JUNCTION
ELEVATION
PUMP
PIPE
FITTING PUMP
NUMBER
----------------------------------------------------------------
(ft)
TYPE
TYPE
TYPE STATUS
TE
835.00
1
837.00
0
0
0 ----
2
815.00
0
0
0 ----
3
764.50
1
1
1 OPEN
S I M U L A T I O N R E S U L T S
THE RESULTS ARE OBTAINED IN 4 TRIALS --- ACCURACY = 0.00000
PIPE
FLOWRATE
DIAMETER
VELOCITY
HEAD LOSS
MINOR LOSS
PUMP HEAD
NUMBER
------------------------------------------------------------------------------
(gpm)
(in)
(ft/s)
(ft)
(ft)
(ft)
1
35.434
2.15
3.13
2.78
0.30
0.00
2
35.434
2.15
3.13
31.04
0.30
0.00
3
35.434
2.15
3.13
31.67
0.30
0.00
4
35.434
2.00
3.62
0.50
0.41
137.82
HYDRAULIC
JUNCTION
JUNCTION
ELEVATION
GRADE
PRESSURE
NUMBER
--------------------------------------------------------
(ft)
(ft)
(psi)
1
837.00
838.08
0.47
2
815.00
869.43
23.59
3
764.50
901.41
59.33
Page 2

NORMNNEW
s,s *** MYERS PUMP ANALYSIS COMPLETE *****
Page 3
- g-

NORMNOLD
»» PUMP ««
A PROGRAM FOR DETERMINING
PIPE FLOWS AND SYSTEM HEADS
OF A PRESSURIZED SEWER SYSTEM
PROJECT NAME : FAMILY CAMPGROUND - LAKE NORMAN STATE PARK
PUMPS OPERATING : ONE PUMP OPERATING - WORN PIPE CONDITIONS
TOTAL PUMP FLOW : 31 GPM @ 142' TDH
DESIGN FLOW : 25 GPM @ 125' TDH
INPUT DATA FILENAME = NORMANI.DAT
TABULATED OUTPUT FILENAME = NORMANI.OUT
POSTPROCESSING RESULTS FILENAME = NORMANI.RES
THE FOLLOWING UNITS ARE SPECIFIED:
FLOWRATE IS EXPRESSED IN GPM AND PRESSURE IN PSIG
PIPE TYPES FOR THIS SYSTEM
DIAMETER
DIAMETER
PIPE
LENGTH
NOMINAL
I.D.
ROUGHNESS
TYPE
----------------------------------------------------------
(ft)
(in)
(in)
COEFFICIENT
1
18.00
2.00
2.00
120.000
2
1607.00
2.00
2.15
120.000
3
1575.00
2.00
2.15
120.000
4
141.00
2.00
2.15
120.000
PUMP DATA FOR THIS SYSTEM
PUMP TYPE # 1 IS DESCRIBED BY THE FOLLOWING DATA:
HEAD
DISCHARGE
(ft)
---------------------------
(gpm)
165.00
0.000
125.00
48.000
105.00
66.000
Page 1
.-- 7

NORMNOLD
FITTING TYPES FOR THIS SYSTEM
FITTING MINOR LOSS
TYPE COEFFICIENT
---------------------------
1 2.00
PIPELINE DATA FOR THIS SYSTEM
PIPE
UPSTREAM
DOWNSTREAM
PIPE
LENGTH
DIAMETER
ROUGHNESS
MINOR LOSS
NUMBER
-------------------------------------------------------------------------------
NODE
NODE
TYPE
(ft)
(in)
COEFF.
COEFF.
1
1
0
4
141.00
2.15
120.000
2.00
2
2
1
3
1575.00
2.15
120.000
2.00
3
3
2
2
1607.00
2.15
120.000
2.00
SUMMARY OF DATA FOR PIPES ASSIGNED
ASSIGNED
CONNECTING
LENGTH
DIAMETER
ROUGHNESS
MINOR LOSS
PIPE
-------------------------------------------------------------------------
NODE
(ft)
(in)
COEFF.
COEFF.
4
3
18.00
2.00
120.000
2.00
JUNCTION NODE DATA FOR THIS SYSTEM
JUNCTION
ELEVATION
PUMP
PIPE
FITTING PUMP
NUMBER
----------------------------------------------------------------
(ft)
TYPE
TYPE
TYPE STATUS
TE
835.00
1
837.00
0
0
0 ----
2
815.00
0
0
0 ----
3
764.50
1
1
1 OPEN
S I M U L A T I O N R E S U L T S
THE
RESULTS ARE
OBTAINED IN
4 TRIALS
--- ACCURACY
= 0.00001
PIPE
FLOWRATE
DIAMETER
VELOCITY
HEAD LOSS
MINOR LOSS
PUMP HEAD
NUMBER
------------------------------------------------------------------------------
(gpm)
(in)
(ft/s)
(ft)
(ft)
(ft)
1
31.393
2.15
2.77
2.95
0.24
0.00
2
31.393
2.15
2.77
33.00
0.24
0.00
3
31.393
2.15
2.77
33.67
0.24
0.00
4
31.393
2.00
3.21
0.54
0.32
141.70
HYDRAULIC
JUNCTION
JUNCTION
ELEVATION
GRADE
PRESSURE
NUMBER
--------------------------------------------------------
(ft)
(ft)
(psi)
1
837.00
838.19
0.52
2
815.00
871.44
24.46
Page 2
_10 ,

NORMNOLD
764.50 905.35 61.03
'`*** MYERS PUMP ANALYSIS COMPLETE
Page 3

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Project Number:
Date:
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AQUIFER PROTECTION REGIONAL STAFF REPORT
LJ = 11
Date: 7/3/08 County: Iredell
To: Aquifer Protection Central Office Permittee: NCDENR Div. Parks and Rec.
Central Office Reviewer: Matt Fleahman Project Name: Lake Norman State Park
Application No.: WQ0020881
L GENERAL INFORMATION
1. This application is (check all that apply): New Renewal
X Minor Modification ❑ Major Modification
X Surface Irrigation Reuse ❑ Recycle ❑ High Rate Infiltration ❑ Evaporation/Infiltration Lagoon
❑ Land Application of Residuals ❑ Attachment B included ❑ 503 regulated ❑ 503
exempt
❑ Distribution of Residuals ❑ Surface Disposal
❑ Closed -loop Groundwater Remediation ❑ Other Injection Wells (including in situ remediation)
Was a site visit conducted in order to prepare this report? X Yes or No.
a. Date of site visit: 7/2/08
b. Person contacted and contact information: Casey Rhinehardt, Park Superintendent 704/528-6350
c. Site visit conducted by: Peggy Finley
d. Inspection Report Attached: ❑ Yes or X No.
2. Is the following information entered into the BIMS record for this application correct?
X Yes or ❑ No. If no, please complete the following or indicate that it is correct on the current
application.
For Treatment Facilities:
a. Location:
b. Driving Directions:
c. USGS Quadrangle Map name and number:
d. Latitude: Longitude:
e. Regulated Activities / Type of Wastes (e.g., subdivision, food processing, municipal wastewater):
domestic wastewater
For Disposal and Injection Sites:
(If multiple sites either indicate which sites the information applies to copy and paste a new section
into the document for each site or attach additional pages for each site)
a. Location(s):
b. Driving Directions:
c. USGS Quadrangle Map name and number:
d. Latitude: Longitude:
FORM: Lake Norman SP Staff report MOD 7-3-08 1

11-1
AQUIFER PROTECTION REGIONAL STAFF REPORT
r
ILRENEWALS AND MINOR MODIFICATIONAPPLICATIONS
Discription of Waste and Facilities
1. Are there appropriately certified ORCs for the facilities? YES
2. Is the design, maintenance and operation (e.g. adequate aeration, sludge wasting, sludge storage,
effluent storage, etc.) of the treatment facilities adequate for the type of waste and disposal
system? YES
3. Are the site conditions (soils, topography, depth to water table, etc) maintained appropriately and
adequately assimilating the waste? YES
4. Has the site changed in any way that may affect the permit Does the application (maps, plans, etc.)
represent the actual site (property lines, well surface drainage)?
5. Is the residuals management plan for the facility adequate and/or acceptable to the Division? YES
or ❑ No. If no, please explain:
6. Are the existing application rates (hydraulic or nutrient) still acceptable? YES or ❑ No.
7. Is the existing groundwater monitoring program (number of wells, frequency of monitoring,
monitoring parameters, etc.) adequate? NA
8. Will seasonal or other restrictions be required for added sites? NA
9. Are there any buffer conflicts (treatment facilities or disposal sites)? NO
10. Is the description of the facilities, type and/or volume of waste(s) as written in the existing permit
correct? YES
11. Were monitoring wells properly constructed and located? NA
12. Has a review of all self -monitoring data been conducted (GW, NDMR, NDAR as applicable)?
YES Please summarize any findings from this review: DATA INDICATES COMPLIANCE
13. Check all that apply: X No compliance issues
14.If any items checked, please explain and attach any documents that may help clarify
answer/comments. NA
15. Have all the compliance dates/conditions in the existing permit, (SOC, JOC) been complied with?
NA
16. Are there any issues related to compliance/enforcement that should be resolved before issuing the
permit? NA
FORM: Lake Norman SP Staff report MOD 7-3-08 2

:-A
AQUIFER PROTECTION REGIONAL STAFF REPORT
0
V. EVAL UATIONAND RECOMMENDATIONS
1. Provide any additional narrative regarding your review of the application.: The permit modification
request is for installation of a 24nch PVC force main so that wastewater from the family
campground area can be directed to the permitted treatment plant that serves the swim beach
bath houses. The package plant at the campground will be decommissioned. Based on a review
of historical data, the increase in flow is not expected to create compliance issues since the
treatment plant is currently underutilized.
2. Attach Well Construction Data Sheet - if needed information is available
3. Do you foresee any problems with issuance/renewal of this permit? Yes X No.
4. List any items that you would like APS Central Office to obtain through an additional information
request. Make sure that you provide a reason for each item:
Item Reason
5. List specific Permit conditions that you recommend to be removed from the permit when issued.
Make sure that you provide a reason for each condition:
Condition Reason
6. List specific special conditions or compliance schedules that you recommend be included in
the permit when issued. Make sure that you provide a reason for each special condition:
Condition Reason
7. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office;
❑ Hold, pending review of draft permit by regional office; Issue upon receipt of needed additional
information and engineering review; X Issue; ❑ Deny. If deny, please state reasons:
Signature of report preparer(s):
Signature of APS regional supervisor: p
Date:
FORM: Lake Norman SP Staff report MOD 7-3-08 3

Date: June 24, 200E
To:
❑ Landon I
❑ Art Barnhardt, FRO-APS
® Andrew Pitner, MRO-APS
❑ Jay Zimmerman, RRO-APS
From: Matt Fleahman, PG, Land Application Unit
❑ Charlie Stehman, WiRO-APS
❑ Sherri Knight, WSRO-APS
Telephone: [phone] Fax: [phone]
E-Mail: [e-mail]
A. Permit Number: W00020881
B. Owner: NCDENR Div Parks and Rec
C. Facility/Operation:
❑ Proposed ® Existing ® Facility ® Operation
D. Application:
L Permit Type: ❑
Animal
® Surface Irrigation ❑ Reuse
❑ H-R Infiltration
❑
Recycle
❑ I/E Lagoon ❑ GW Remediation (ND)
❑
UIC - (5QW) closed loop water only geothermal
For Residuals:
❑
Land App. ❑ D&M
❑ Surface Disposal
❑
503 ❑ 503 Exempt
❑ Animal
2. Project Type: ❑
New ❑
Major Mod. ® Minor Mod. ❑ Renewal
❑ Renewal w/ Mod.
E. Comments/Other Information: ❑ I would like to accompany you on a site visit.
Attached, you will find all information submitted in support of the above -referenced application for your
review, comment, and/or action. Within 30 calendar days, please take the following actions:
® Return a Completed Form APSARR.
❑ Attach Well Construction Data Sheet.
❑ Attach Attachment B for Certification by the LAPCU.
❑ Issue an Attachment B Certification from the RO*.
* Remember that you will be responsible for coordinating site visits, reviews, as well as additional
information requests with other RO-APS representatives in order to prepare a complete Attachment B for
certification. Refer to the RPP SOP for additional detail.
When you receive this request form, please write your name and dates in the spaces below, make a copy
of this sheet, and return it to the appropriate Central Office -Aquifer Protection Section contact person
listed above.
RO-APS Reviewer:
Date:
FORM: APSARR 02/06 Page 1 of 1

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins Director
Division of Water Quality
June 24, 2008
William C. Rhinehart, Jr
NCDENR - Division of Parks & Recreation
159 Inland Sea Lane
Troutman, NC 28166
Subject: Acknowledgement of Application No. WQ0020881
Lake Norman State Park Swim Beach
Surface Irrigation System
Iredell
Dear Mr. Rlunehart:
The Aquifer Protection Section of the Division of Water Quality (Division) acknowledges receipt of your permit
application and supporting materials on June 13, 2008. This application package has been assigned the number listed
above and will be reviewed by Matthew Fleahman.
The reviewer will perform a detailed review and contact you with a request for additional information if necessary.
To ensure the maximum efficiency in processing permit applications, the Division requests your assistance in
providing a timely and complete response to any additional information requests.
Please. be aware that the Division's Regional Office, copied below, must provide recommendations prior to final
action by the Division. Please also note at this time, processing permit applications can take as long as 60 - 90 days
after receipt of a complete application.
If you have any questions, please contact Matthew Fleahman at 919-715-6173, or via e-mail at
[e-mail]. If the reviewer is unavailable, you may leave a message, and they will respond
promptly. Also note that the Division has reorganized. To review our new organizational chart, go to
bqp://h2o.enr.state.nc.us/documents/dwq orgchart.pdf.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS
PROJECT.
Sincerely,
CLA A
for Kim H. Colson, PE
Supervisor
cc: �lIoores� villa. egt.otaal{7ff=e,A U7ife Protection e-."
G. Robert Graham, George FmchBoney & Assoc, PO Box 10472, Raleigh, NC 27605
Permit Application File WQ0020881
Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636
Internet: www.ncwater0ualitv.or4 Location: 2728 Capital Boulevard Raleigh, NC 27604
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper
NorthCarolina
Aaturally
Telephone: [phone]
Fax 1: [phone]
Fax 2: [phone]
Customer Service: [phone]

gf Iba
June 13, 2008
Mr. Matt Fleahman
Division of Water Quality
1636 Mail Service Center
Raleigh NC 27699-1636
Re: Minor Permit Modification Application
Lake Norman State Park Swim Beach WWTF — WQ0020881
Dear Matt:
George Finch I Boney and Associates,P.A.
309 North Boylan Avenue
Raleigh, NC 27603-1402
Post Office Box 10472
Raleigh, NC 27605-0472
T 919 1 833-1212
F 919 1 834-3203
Enclosed is the original and three copies of the minor permit modification application referenced
above. There are no physical changes to be made to the treatment facilities. This modification
application is only to allow additional flow from the Lake Norman State Park family campground to be
treated at the facility previously permitted for flow from the swim beach only.
Also enclosed are copies of water use records from the family campground for the previous three
years and NDMR copies showing flows at the existing swim beach wastewater treatment facility for the
previous two years. Summary sheets are also provided showing monthly total water use, average daily
use, and peak day use for the family campground and average daily use and peak day use for the swim
beach WWTF. Combining these flows throughout the year is still well within the permit limits on both
an average day and peak daily flow basis.
Plans, specifications and a fast track application for the pump station and force main to pump the
family campground flow to the swim beach was previously submitted to the Mooresville Regional
Office of DWQ, but were returned to us pending this permit modification. The family campground
currently uses a package treatment plant that discharges to Lake Norman. Completion of the pump
station and force main project will allow abandonment of the package plant as requested by the
Mooresville Regional Office.
Please call me if you have questions about any of this information or need additional
information.
Sincerely,
George Finch/Boney and Associates, P.A.
G. Robert Graham, P.E.
Attachments
Cc: Casey Rhinehart, Jr., Lake Norman State Park
�EIVEO I EoRS ®�
RA veer PrctPc
,�P
land planning • landscape architecture • civil engineering • land surveying

�OF W ATFh'Q State of North Carolina
`O 6 Department of Environment and Natural Resources
C0
7-Division of Water Quality
p -5, WASTEWATER IRRIGATION SYSTEMS APPLICATION
FORM: WWIS 12-06
(THIS FORMMAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
Application Number: (to be completed by DWQ)
I. GENERAL INFORMATION:
1. Applicant's name (See Instruction A): NCDENR — Division of Parks & Recreation
Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately Owned Public Utility
❑ Federal ® State ❑ Municipal ❑ County
Signature authority's name: William C. Rhinehart, Jr. (per 15A NCAC 2T .0106) Title: Park Superintendent
Applicant's mailing address: 159 Inland Sea Lane
City: Troutman State: NC Zip: 28166-
Telephone number: 704) 528-6350 Fax number: 704 528-5623 Email Address: [e-mail]
2. Facility name (name of the subdivision, shopping center, etc.): Lake Norman State Park Swim Beach
Facility's physical address: S.R. 1402
City: Troutman State: NC Zip: 28166- County: Iredell
Wastewater Treatment Facility: Latitude: 35' 38' 50" Longitude: -80' 56' 45" USGS Map Name: Troutman NC
3. Consulting Engineer's name: G. Robert Graham License Number: 10084 Firm: George Finch/Bonev and Assoc.
Engineer's mailing address: P.O. Box 10472
City: Ralei h State: NC Zip: 27605-0472
Telephone number: 919) 833-1212 Fax number: 919 834-3203 Email Address: rgraham ,, gfba.net
4. Consulting Soil Scientist's name: N/A License Number: Firm:
Soil Scientist's mailing address:
City: State: Zip: -
Telephone number: (--) _- Fax number: (_) _- Email Address:
5. Consulting Geologist's name: N/A License Number: Firm:
Geologist's mailing address:
City: State: Zip: -
Telephone number: (_) = Fax number: (_) _- Email Address:
6. Consulting Agronomist's name: N/A Firm:
Agronomist's mailing address:
City: State: Zip: -
Telephone number: (_) _- Fax number: (_) _- Email Address:
FORM: WWIS 12-06 Page 5

II. PERMIT INFORMATION:
1. Project is: ❑ New ❑ Major Modification ® Minor Modification
2. Fee submitted: $0 (See Instruction C) ` 7 Existing Permit No.: WQ0020881, issue date: October 25, 2006
3. Facility status: ® Existing ❑ Proposed
Was this system approved for reclaimed disposal under 15A NCAC 2H .0219(k)? ❑ Yes or ® No
4. Does this project utilize: ® public funds and/or ❑ private funds; ® public lands and/or ❑ private lands
5. What is the status of the following appropriate permits/certifications?
Permit/Certification
Submitted
Approved
Permit/Certification No.
Agency Reviewer
Erosion & Sedimentation
Control Plan
N/A
Nationwide 12 or 404
-N/A
Wetlands 401
N/A
Stormwater Management Plan
N/A
Dam Safety
N/A
Sewer System
Yes
No
Mooresville R.O.
Other:
N/A
6. Does the project comply with all setbacks found in the river basin rules (15A NCAC 2B .0200)? ® Yes or ❑ No
If no, list non -compliant setbacks:
7. Is the project in a Coastal Area as defined per 15A NCAC 2H .0403? ❑ Yes or ® No
If yes, verify that the facility will comply with the following requirements in 15A NCAC 2H .404(g) as applicable:
✓ Is aerated flow equalization of at least 25% average daily flow provided? ❑ Yes or ❑ No
✓ How'will noise and odor be controlled?
✓ Are all essential treatment units provided in duplicate? ❑ Yes or ❑ No
✓ Is there an impounded public surface water supply within 500 feet of the wetted area? ❑ Yes or ❑ No
✓ Is there a public shallow ground water supply (less than 50 feet deep) within 500 feet of the facility? ❑ Yes or ❑ No
✓ Is the disposal loading rate greater than 10 gallons per day per square foot (GPD/ft)? ❑ Yes or ❑ No
✓ How much green area is provided? square feet (ft)
✓ Is the green area shown on the plans? ❑ Yes or ❑ No
R�APFec
J�N
FORM: WWIS 12-06 Page 6

- III. INFORMATION ON WASTEWATER GENERATION:
1. What is the origin of the wastewater (i.e., school, subdivision, hospital, municipality, shopping center, industry, apartments,
condominiums, etc.)? Additional flow from family campground
2. Volume of wastewater flow for this project: 3300 gallons per day (GPD)
3. Explanation of how wastewater flow was determined (15A NCAC 2T .0114(c)):
Type of Establishment
Basis of Flow
Flow Per Unit
Number of Units
Total
Campground
Gallons/Day
100
33
3300
Gallons/
Gallons/
Gallons/
Gallons/
Gallons/
Gallons/
Gallons/
Gallons/
Total
4. Nature of wastewater: ® 100% Domestic Waste (residential, commercial, etc)
❑ 100% Industrial
❑ Combination of Industrial and Domestic Waste: % Domestic % Industrial
❑ MI unicipal waste (town, city, etc.)
4 Is there a Pretreatment Program in effect? ❑ Yes or ❑ No
5. Wastewater characteristics (See 15A NCAC 2T .0505(b)):
Parameter
Estimated Influent Concentration
Designed Effluent Concentration
(monthly average)
Biochemical Oxygen Demand (BOD5)
mg/1
mg/I
Total Suspended Solids (TSS)
mg/l
mg/1
Ammonia Nitrogen (NH3-N)
mg/l
mg/1
Nitrate Nitrogen (NO3-N)
mg/I
mg/1
Nitrite Nitrogen (NO2-N)
mg/I
mg/l
Total Nitrogen
mg/1
mg/1
Total Phosphorus
mg/I
mg/1
Total Kjeldhal Nitrogen
��'� fa3
��WE z r: _
crvA....e-m 4d.E-Cx�.9 'M:YZ �'5..^e
m 1
g/
Fecal Coliforms�
5
k �.
per 100 ml
FORM: WWIS 12-06 Page 7

IV. GENERAL PROJECT INFORMATION:
1. Brief project description: Plant will receive flow from a family campground, not listed in current permit; capacity available.
2. In accordance with 15A NCAC 2T .0506, provide the minimum distance in feet from the facility's irrigation system and
treatment/storage units to each parameter (distances greater than 500 feet may be marked N/A): N/A
Setback Parameter
Irrigation System
Treatment/Storage
Units
Any habitable residence or place of assembly under separate ownership or not
to be maintained as part of the project site
Any habitable residence or place of assembly owned by the permittee to be
maintained as part of the project site
Any private or public water supply source
Surface waters (streams — intermittent and perennial, perennial waterbodies,
and wetlands)
Groundwater lowering ditches (where the bottom of the ditch intersects the
SHWT.,��E,.
R
Subsurface groundwater lowering drainage systems
F
,`�,
Surface water diversions (ephemeral streams waterways ditches)
�M `
Cse�ku.rs
Any well with exception of monitoring wells
Any property line
Top of slope of embankments or cuts of two feet or more in vertical height
s � "I' �T
�� '.
Any water line from a disposal system
Any swimming pool
Public right of way'
t .T i mad
a ..
i. xi gee. ..
Nitrification field
Any building foundation or basement
' g a� r
�R�e�
1
Impounded public water supplies
Public shallow groundwater supply (less than 50 feet deep)
I
W11 1
.11, _
FORM: WWIS 12-06 Page 8

✓ Does the Applicant intend on complying with 15A NCAC 2T .0506(c)? ❑ Yes or ❑ No N/A
If yes, complete the following table:
Designed Effluent
Designed Effluent
Estimated Influent
Parameter
Concentration
Concentration
Concentration
(monthly average)
(daily maximum)
Biochemical Oxygen Demand
mg/1
mg/1
mg/1
(BOD5)
Total Suspended Solids (TSS)
mg/1
mg/l
mg/l
Ammonia Nitrogen (NH3-N)
mg/1
mg/1
mg/1
Nitrate Nitrogen (NO3-N)
mg/l
mg/1
, H4
Fecal Coliforms
r
per 100 ml
per 100 ml
Turbidity
NTUs
✓ If any setback is not met, how will the project provide equal or better protection of the Waters of the State with no
increased potential for health concerns or nuisance conditions?
3. The treatment and disposal facilities must be secured to prevent unauthorized entry. Details and notations of restricted access
measures shall be shown on submitted plans and specifications. Briefly describe the measures being taken in accordance
with 15A NCAC .2T .0505(q): ExistingFence
ence
4. What is the 100-year flood elevation? 760 feet mean sea level. Source: FEMA
✓ Are any treatment units or wetted areas located within the 100-year flood plain? ❑ Yes or ❑ No
If yes, briefly describe which treatment units and/or irrigation areas are affected: , and the measures being taken to
protect them against flooding:
If yes, does the Applicant have documentation of compliance with § 143 Article 21 Part 6? ❑ Yes or ❑ No
5. Method to provide system reliability per 15A NCAC 2T .0505(1) (See Instruction R):
6. What is the specified method of disinfection?
✓ If chlorine, specify detention time provided: minutes (30 minutes minimum required). Please indicate in what
part of the wastewater system chlorine contact time occurs (i.e. chlorine contact chamber):
✓ If ultraviolet (UV), specify the number of banks: , total lamps: and maximum capacity: gpm.
7. How many days of residuals storage are provided (15A NCAC 2T .0505(o))?
FORM: WWIS 12-06 Page 9

- V. DESIGN INFORMATION FOR NEW OR MODIFIED PORTIONS OF THE WASTEWATER TREATMENT FACILITY
1. Type of treatment system (fixed film, suspended growth, etc): N/A
2. Provide the number and dimensions of each treatment unit, and provide their location in the specifications and plans. If an
item is not applicable, do not fill in the requested information:
a. PRELIMINARY TREATMENT (i.e., physical operations such as large solids screening and equalization to remove
problem characteristics such as abrasive grit and clogging rags, as well as to dampen high flows):
Treatment Unit
Number
of Units
Manufacturer
or Material
Dimensions (ft)
/ Spacings (in)
Volume
(gallons)
Plan Sheet
Number
Specification
Page Number
Select
Select
Select
Select
Select
b. PRIMARY TREATMENT (i.e., physical operations such as fine screening and sedimentation to remove floating and
settable solids):
Treatment Unit
Number
of Units
Manufacturer
or Material
Dimensions (ft)
/ S acin s mm(gallons)
Volume
Plan Sheet
Number
Specification
Page Number
Select
Select
Select
c. SECONDARY / TERTIARY TREATMENT (i.e., biological and chemical processes to remove organics and nutrients)
Treatment Unit
Number
of Units
Manufacturer
or Material
Dimensions (ft)
Volume
(gallons)
Plan Sheet
I Number
Specification
Page Number
Select
Select
Select
Select
Select
Select
Select
Select
FORM: WWIS 12-06 Page 10

d. DISINFECTION
Treatment Unit
Number
of Units
Manufacturer
or Material(gallons)
Dimensions (ft)
Volume
Plan Sheet
Number
Specification
Page Number
Select
Select
Select
e. RESIDUAL TREATMENT
Treatment Unit
Number
of Units
Manufacturer
or Material(gallons)
Dimensions (ft)
Volume
Plan Sheet
Number
Specification
Page Number
Select
Select
Select
f. PUMPS
Location
Number
of Pumps
Purpose
Manufacturer /
Type
Capacity
Plan Sheet
Number
Specification
Page Number
GPM
I TDH
g. BLOWERS
Location
No. of
Blowers
Units Served
Manufacturer /
Type
Capacity
CF
Plan Sheet
Number
Specification
Pa a Number
FORM: WWIS 12-06 Page 11

h. MIXERS
Location
No. of
Mixers
Units Served
Manufacturer /
Type
Power
h
Plan Sheet
Number
Specification
I Pa a Number
i. RECORDING DEVICES & RELIABILITY
Device
Number
Of Units
Maximum
Capacity
Manufacturer
Locaon
ti
Plan Sheet
Number
Specification
Page Number
Select
Select
Select
Select
Select
FORM: WWIS 12-06 Page 12

VI. DESIGN INFORMATION FOR STORAGE IMPOUNDMENTS N/A
1. Provide the number of earthen impoundments in the system:
2. Are any impoundments designed to receive adjacent surface runoff? ❑ Yes or ❑ No
If Yes, please specify which impoundment: and the drainage area: ft2.
3. Are impoundment(s) designed to include a discharge point (pipe, emergency spillway, etc)? ❑ Yes or ❑ No
4. Provide the design measures proposed for impoundment liner protection from wind driven wave action:
5. Provide the location of each design element in the specifications and engineering plans for each storage unit:
Storage Impoundment
Plan Sheet
Number
Specification
Page Number
Liner material (15A NCAC 2T .0505(e) and (f))?
❑ Synthetic I ❑ Clay
❑ Concrete I ❑ Steel
Liner installation and testing requirements
Inside berm surface dimensions (L x W x H)
ft ft ft
Bottom dimensions (L x W)
ft
ft
Embankment side slope
Mean seasonal high water table depth *
ft
Finished grade elevation
ft
Depth from bottom to top of embankment
ft
Total volume
W7
gallons
Design freeboard
ft
Depth of minimum liquid level (above permanent
liquid level)
ft
Effective volume provided **
ft3
gallons
Effective storage time provided
days
* NOTE: The liner shall be protected from impacts of the seasonal high water table as necessary.
** NOTE: The storage volume should be calculated between the top of any permanent liquid level (as indicated by outlet
pipe) and maximum allowable liquid level in the impoundment.
FORM: WWIS 12-06 Page 13

VII. DESIGN INFORMATION FOR IRRIGATION SYSTEM N/A
1. The irrigation system is: ❑ Spray ❑ Drip
2. Disposal system is: ❑ existing ❑ proposed.
3. If applicable, provide the location of each design element in the specifications and engineering plans:
Plan Sheet
Specification
Irrigation Pump Tank
Number
Page Number
Internal dimensions (L x W x H or (p x H)
ft
ft
ft
Total volume
ft3 gallons
Dosing volume
ft, gallons
Audible & visual alarms
F
Equipment to irrigation during ram events
prevent
:, W,
4. List any equipment (note sheet number of the plans or page number in the specifications) not specifically mentioned above
(pump hoist, odor control equipment, etc.):
5. Minimum depth to mean seasonal high water table within irrigation field(s) per Soil Scientist's Evaluation:
feet below ground surface. Must be at.least one -foot vertical separation between SHWT and ground surface per 15A NCAC
2T .0505(p).
6. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area? ❑ Yes or ❑ No
If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if structures are to be
maintained or modified:
7. Loading rates recommended by the Soil Scientist Evaluation:
Fields within
Recommended Loading
Recommended Loading
Loading
If Seasonal,
list
Soil Series
Soil Area
Rate
Rate
Recommended
appropriate
(in/hr)
(in/yr)
months
❑ Annual
❑ Seasonal
❑ Annual
❑ Seasonal
❑ Annual
❑ Seasonal
❑ Annual
❑ Seasonal
❑ Annual
❑ Seasonal
8. Design loading rates are equal or less than the loading rates recommended by Soil Scientist? ❑ Yes or ❑ No
If No, explain why 15A NCAC 2T .0505(n) is not met:
FORM: WWIS 12-06 Page 14

9. Provide the following location information for the approximate center of each irrigation field / zone:
Field / Zone
Latitude
Longitude
0
,
„
0
0
0
0
,
„
0
0
„
0
0
0
0
,
„
- 0
,
0
0
,
0
,
0
,
0
,
0
,
0
0
,
0
0
,
0
0
0
0
,
0
_ 0
0
,
0
,
0
0
,
0
,
„
0
0
,
0
,
0
0
0
„
0
0
0
,
0
0
,
_ 0
,
0
0
,
0
0
,
✓ Level of accuracy?
✓ Method of measurement?
✓ Datum?
FORM: WWIS 12-06 Page 15

10. Irrigation Design (fill in the appropriate information for either a spray or drip irrigation system):
a. Spray Irrigation:
Field / Zone
Design Area (ft)
Number of
Nozzles
Maximum Irrigation
Precipitation Rate in/hr
Design Annual Loading
Rate in/ r)
Totalreir
E S M b
..�_, �{€�E .s., eaa%<��`� x_1?.,.t*, �.5.��-�i
3 1 4 YL ?
5 _
?a ..v.� � .. .. x ..z'.. �'P._...a. �x . i,��kS�`,�rR._. �`,?:. �:• �.E
Spray Irrigation Design Element
Plan Sheet
Number
Specification
I Page Number
Wetted diameter of nozzles
ft
Wetted area of nozzles
ft,
Nozzle capacity
gpm
Nozzle manufacturer / model
/
Elevation of highest nozzle
ft
FORM: WWIS 12-06 Page 16

b. Drip Irrigation:
Field / Zone
Design Area (ft)
Number of
Nozzles
Maximum Irrigation
Precipitation Rate in/hr
Design Annual Loading
Rate in/ r
Total
KK... .�`..,.,
t
Drip Irrigation Design Element
Plan Sheet
Number
Specification
I PaRe Number
Wetted area of emitters
ft2
Distance between laterals
ft
Distance between emitters
ft
Emitter capacity
gpm
Emitter manufacturer / model
/
Elevation of highest emitter
ft
FORM: WWIS 12-06 Page 17

• 11. Cover crop information: N/A
Use the Nutrient Management in North Carolina's Realistic Yield Expectations webpage
(http://www.soil.ncsu.edu/nmp/ncnniwe/yields/index.php#county) to determine the PAN (lbs/acre) and Phosphorus removal
(lbs/acre) rates for each cover crop.
Cover Crop
Soil Series
% Slope
Nitrogen Removal Rate
lbs/acre
Phosphorus Removal
Rate lbs/acre
✓ Proposed mineralization rate: and volatilization rate:
✓ Irrigation area based upon the nitrogen balance: ft2
✓ Irrigation area based upon the phosphorus balance: ft2
✓ Irrigation area based upon the water balance: ft2
✓ Site is: ❑ hydraulically limited ❑ nutrient limited
FORM: WWIS 12-06 Page 18

Professional Engineer's Certification:
I, G. Robert Graham , attest that this application for
Lake Norman State Park Swim Beach W WTF has been reviewed by me and is accurate, complete
and consistent with the information supplied in the engineering plans, calculations, and all other supporting documentation to the best
of my knowledge. I further attest that to the best of my knowledge the proposed design has been prepared in accordance with this
application package and its instructions as well as all applicable regulations and statutes. Although other professionals may have
developed certain portions of this submittal package, inclusion of these materials under my signature and seal signifies that I have
reviewed this material and have judged it to be consistent with the proposed design. Note: In accordance with NC General Statutes
143-215.6A and 143-215.613, any person who knowingly makes any false statement, representation, or certification in any application
package shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,000 as well as civil penalties up to
$25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
\`,�p�nnu►rnrrry,�
�.� �• •FESS/•
1
s
10084
ll'f6BFRT
Applicant's Certification (signing authority must be in compliance with 15A NCAC 2T .0106(b)):
William C. RhinehartJr. Park Superintendent _
(signing authority name) (title)
attest that this application for Lake Norman State Park Swim Beach W WTF
(facility name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that any discharge of wastewater
from this non -discharge system to surface waters or the land will result in an immediate enforcement action that may include civil
penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Quality should a condition
of this permit be violated. I also understand that if all required parts of this application package are not completed and that if all
required supporting information and attachments are not included, this application package will be returned to me as incomplete. I
further certify that the applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater
facility without proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are
compliant with any active compliance schedule, and do not have any overdue annual fees under Rule 2T .0105. Note: In accordance
with NC General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false statement, representation, or
certification in application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,000 as
well as civil pena ies up to $25,000 per vio$ti9q n i i
Date: O
RECENEDIDENRI
?golfer protection S
30" 13 2A08
FORM: WWIS 12-06 Page 19

\o�OF \NAT�9QG Michael F. Easley, Governor
William G. Ross Jr., Secretary
y North Carolina Department of Environment and Natural Resources
r
--q Alan W. Klimek, P.E., Director
C� Division of Water Quality
November 29, 2004
Dr. Phillip K. McKnelly, Director
Division of Parks and Recreation
Department of Environment and Natural Resources
1615 Mail Service Center
Raleigh, NC 27699-1615
Subject: Permit No. WQ0020881 Correction
Lake Norman State Park Swim Beach
Wastewater Spray Irrigation
Iredell County
Dear Mr. McKnelly:
In accordance with a telephone request from William C. Rhinehart received on November 29, 2004, we are
forwarding herewith the corrected Permit No. WQ0020881, issued June 19, 2002, for the subject facility.
The following correction has been made to the permit:
The statement, "A mini -click sensor shall be installed to ensure irrigation will not occur by
automation during precipitation events or when the ground is wet." has been removed from
Condition II.4, as this is not, and no plans have been made to make this, an automated system.
Please replace Permit No. WQ0020881 with the corrected Permit No. WQ0020881, issued June 19,
2002.
If you have any questions regarding this request, please do not hesitate to contact Michelle McKay at (919)
715-6187. Thank you for your cooperation.
Cc: Mooresville Regional-Offic.e,_Aquifer Protection SectioliF,
William C. Rhinehart -
Permit File WQ0020881
Sincerely
(ZZ-1
Alan W. Klimek, P.E.
NC DEPT' OF EIdVIRONME-N T
AND NATURAL RESOURCES
RECEIVED
DEC - 7 2Q04
MOORESVILLE REGIONAL OFFICE
DVVQ-OPOI)NC N/,,',E'ER SECTION one
North Carolina
Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636 Phone [phone] Customer Service
Internet: http://h2o.enr.state. ncus 2728 Capital Boulevard Raleigh, NC 27604 Fax [phone]
Fax [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

f �0� W A T�9P
�O G
UJ �
June 19, 2002
Dr. Philip K. McKnelly, Director
Division of Parks and Recreation
Department of Environment and Natural Resources
1615 Mail Service Center
Raleigh, NC 27699-1615
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
Subject: Pert -nit No. WQ0020881
Lake Norman State Park Swim Beach
Wastewater Spray Irrigation
Iredell County
Dear Dr. McKnelly:
In accordance with your application received December 10, 2001, we are forwarding herewith Permit No.
WQ0020881, dated June 19, 2002, to the Division of Parks and Recreation for the construction and operation of the subject
wastewater treatment and spray irrigation facilities.
This permit shall be effective from the date of issuance until May 31, 2007, and shall be subject to the conditions
and limitations as specified therein. Please pay particular attention to the monitoring requirements in this permit. Failure to
establish an adequate system for collecting and maintaining the required operational information will result in future
compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request an
adjudicatory hearing upon written request within thirty (30) days following receipt of this permit. This request must be in the
form of a written petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of
Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714. Unless such demands are made this permit
shall be final and binding.
One set of approved plans and specifications is being forwarded to you. If you need additional information
concerning this matter, please contact Sue Homewood at [phone] extension 2.
Sincere
��
-Alan W. Klimek, P.E.
cc: Iredell County Health Department
Mooresville Regional Office, Water Quality Section
Mooresville Regional Office, Groundwater Section
Groundwater Section, Central Office
Mr. William J. Burns, Park Superintendent, Lake Norman State Park
Matthew O'Brien, S&ME, Inc.
Jeff Smith, Bulla-Smith Design Engineers
Technical Assistance and Certification Unit
Non -Discharge Compliance/Enforcement Unit
Water Quality Central Files
NDPU Files
ir
Non -Discharge Permitting Unit Internet http://h2o.enr.state.nc.us/ndpu I4f-DEMR
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] Fax [phone]
DENR Customer Service Center Telephone [phone]
An Equal Opportunity Action Employer 50% recycled/10% post -consumer paper

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
SPRAY IRRIGATION SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended,
and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Division of Parks & Recreation
Iredell County
FOR THE
construction and operation of a spray irrigation treatment and disposal facility approved to accept 15,000 GPD of
wastewater (monthly average) during April through October and 3,500 GPD of wastewater (monthly average)
during November through March and consisting of a 78 GPM influent pump station with dual grinder pumps, a
15,000 gallon septic tank with effluent filters, an aerated 780,000 gallon treatment and storage lagoon to provide
10 days of treatment and 42 days of storage at maximum design flow with two 3HP aerators, chlorine disinfection
in a 8,112 gallon chlorine contact chamber, a 135 GPM irrigation pump station, and a solid set irrigation system
to irrigate two 1.715 acre irrigation zones: Zone A and Zone B , to serve Lake Norman State Park Swim Beach,
with no discharge of wastes to the surface waters, pursuant to the application received December 10, 2001, and in
conformity with the project plan, specifications, and other supporting data subsequently filed and approved by the
Department of Environment and Natural Resources anal considered a part of this permit.
This permit shall be effective from the date of issuance until May 31, 2007, and shall be subject to the
following specified conditions and limitations:
I. PERFORMANCE STANDARDS
Upon completion of construction and prior to operation of this permitted facility, a certification must
be received from a professional engineer certifying that the permitted facility has been installed in
accordance with this permit, the approved plans and specifications, and other supporting materials. If
this project is to be completed in phases and partially certified, you shall retain the responsibility to
track further construction approved under the same permit, and shall provide a final certificate of
completion once the entire project has been completed. Mail the Certification to the Non -Discharge
Permitting Unit, Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617.
2. The Mooresville Regional Office, telephone number [phone], shall be notified at least forty-
eight (48) hours in advance of operation of the installed facilities so that an in -place inspection can be
made. Such notification to the regional supervisor shall be made during the normal office hours fi-om
8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State Holidays.

The spray irrigation facilities shall be effectively maintained and operated at all times so that there is
no discharge to the surface waters, nor any contamination of ground waters which will render them
unsatisfactory for normal use. In the event that the facilities fail to perform satisfactorily, including
the creation of nuisance conditions or failure of the irrigation area to adequately assimilate the
wastewater, the Permittee shall take immediate corrective actions including those actions that may be
required by the Division of Water Quality (Division), such as the construction of additional or
replacement wastewater treatment and disposal facilities.
4. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to surface
or groundwaters resulting from the operation of this facility.
The residuals generated from these treatment facilities must be disposed in accordance with General
Statute 143-215.1 and in a manner approved by the Division.
Diversion or bypassing of the untreated wastewater from the treatment facilities is prohibited.
The following buffers shall be maintained:
a) 400 feet between wetted area and any residence or places of public assembly under separate
ownership,
b) 150 feet between wetted area and property lines,
c) 100 feet between wetted area and wells,
d) 100 feet between wetted area and drainageways or surface water bodies,
e) 50 feet between wetted area and public right of ways,
f) 100 feet between wastewater treatment units and wells, and
g) 50 feet between wastewater treatment units and property lines.
8. A leakage test shall be performed on the influent pump tank, the septic tank, and the chlorine contact
chamber/pump tank to insure that any exfiltration occurs at a rate which does not exceed twenty (20)
gallons per twenty-four (24) hours per 1,000 gallons of tank capacity. The engineer's certification
will serve as proof of compliance with this condition.
II. OPERATION AND MAINTENANCE REQUIREMENTS
The facilities shall be properly maintained and operated at all times.
Upon classification of the facility by the Water Pollution Control System Operators Certification
Commission (WPCSOCC), the Pernlittee shall employ a certified wastewater treatment plant operator
to be in responsible charge (ORC) of the wastewater treatment facilities. The operator must hold a
certificate of the type and grade at least equivalent to or greater than the classification assigned to the
wastewater treatment facilities by the WPCSOCC. The Permittee must also employ a certified back-
up operator of the appropriate type and grade to comply with the conditions of 15A NCAC 8G .0202.
The ORC of the facility must visit each Class I facility at least weekly and each Class II, III, and IV
facility at least daily, excluding weekends and holidays, and must properly manage and document
daily operation and maintenance of the facility and must comply with all other conditions of 15A
NCAC 8G .0202. Once the facility is classified, the Permittee must submit a letter to the WPCSOCC
which designates the operator in responsible charge within thirty days after the wastewater treatment
facilities are 50% complete.
A suitable year round vegetative cover shall be maintained on the entire irrigation area.
4. Irrigation shall not be performed during inclement weather or when the ground is in a condition that
will cause runoff.
Adequate measures shall be taken to prevent wastewater runoff from the spray field.

The facilities shall be effectively maintained and operated as a non -discharge system to prevent the
discharge of any wastewater resulting from the operation of this facility.
The application rate shall not exceed a cumulative loading of 30.16 inches over any twelve (12)
month period at an instantaneous application rate not to exceed 0.4 inches per hour.
No type of wastewater other than that from Lake Norman State Park Swim Beach shall be sprayed
onto the irrigation area.
9. No traffic or equipment shall be allowed on the disposal area except while installation occurs or while
normal maintenance is being performed.
10. Public access to the land application sites shall be controlled during active site use. Such controls
may include the posting of signs showing the activities being conducted at each site.
11. Freeboard in the lagoon shall not be less than two feet at any time.
12. A waste -level gauge, to monitor waste levels in the storage pond, shall be installed within 60 days of
issuance of this pen -nit. This gauge shall have readily visible permanent markings indicating the
maximum liquid level at the top of the temporary liquid storage volume, minimum liquid level at the
bottom of the temporary liquid storage volume, and top of the dam elevations. Caution must be taken
not to damage the integrity of the liner when installing the gauge.
13. A protective vegetative cover shall be established and maintained on all earthen basin embankments
(outside toe of embankment to maximum pumping elevation), berms, pipe runs, erosion control areas,
and surface water diversions. Trees, shrubs, and other woody vegetation shall not be allowed to grow
on the earthen basin dikes or embankments. Earthen basin embankment areas shall be kept mowed or
otherwise controlled and accessible.
III. MONITORING AND REPORTING REQUIREMENTS
Any monitoring (including groundwater, surface water, soil or plant tissue analyses) deemed
necessary by the Division to insure surface and ground water protection will be established and an
acceptable sampling reporting schedule shall be followed.
2. Adequate records shall be maintained by the Permittee tracking the amount of wastewater disposed.
These records shall include, but are not necessarily limited to, the following information:
a. date of irrigation,
b. volume of wastewater irrigated,
c. zone irrigated,
d. length of time zone is irrigated,
e. continuous weekly, monthly, and year-to-date hydraulic (inches/acre) loadings for each zone,
f. weather conditions, and
g. maintenance of cover crops.
Influent flow shall be continuously monitored and daily flow values shall be reported on Form
NDMR.
The Permittee shall install an appropriate flow measurement device consistent with approved
engineering and scientific practices to ensure the accuracy and reliability of influent flow
measurement. Flow measurement devices selected shall be capable of measuring flows with a
maximum deviation of less than 10 percent from true flow, accurately calibrated at a minimum of
once per year, and maintained to ensure that the accuracy of the measurements is consistent with the
accepted capability of that type of device. Records of flow measurement device calibration shall be
kept on file by the Permittee for a period of at least three years. At a minimum, data to be included in
this documentation shall be:

a. Date of flow measurement device calibration
b. Name of person performing calibration
c. Percent from true flow
4. The effluent from the subject facilities shall be monitored by the Permittee at the point following
chlorination and prior to irrigation every March, July and November for the following parameters:
BOD5 TSS
Fecal Colifonn pH
NH3 as N
5. Three (3) copies of all operation and disposal records (as specified in condition III 2) on Form
NDAR-1 and three (3) copies of all influent and effluent monitoring data (as specified in condition III
3 and III 4) on Form NDMR-1 shall be submitted on or before the last day of the following month.
All information shall be submitted to the following address:
NC Division of Water Quality
Water Quality Section
Non -Discharge Compliance/Enforcement Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
6. A representative annual soils analysis (Standard Soil Fertility Analysis) shall be conducted on each
spray field and the results maintained on file by the Pennittee for a minimum of five years. The
Standard Soil Fertility Analysis shall include, but is not necessarily limited to, the following
parameters:
Acidity
Calcium
Copper
Magnesium
Cation Exchange Capacity
7. Noncompliance Notification:
Manganese Potassium
Percent Humic Matter Sodium
pH Zinc
Exchangeable Sodium Percentage Phosphorus
Base Saturation (by calculation)
The Permittee shall report by telephone to the Mooresville Regional Office, telephone number (704)
663-1699, as soon as possible, but in no case more than 24 hours or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence at the wastewater treatment facility which results in the treatment of significant
amounts of wastes which are abnormal in quantity or characteristic, such as the dumping of the
contents of a sludge digester; the known passage of a slug of hazardous substance through the
facility; or any other unusual circumstances.
b. Any process unit failure, due to known or unknown reasons, that render the facility incapable of
adequate wastewater treatment such as mechanical or electrical failures of pumps, aerators,
compressors, etc.
c. Any failure of a pumping station, sewer line, or treatment facility resulting in a by-pass directly to
receiving waters without treatment of all or any portion of the influent to such station or facility.
d. Any time that self -monitoring information indicates that the facility has gone out of compliance
with its permit limitations.
Persons reporting such occurrences by telephone shall also file a written report in letter form within
five (5) days following first knowledge of the occurrence. This report must outline the actions taken
or proposed to be taken to ensure that the problem does not recur.

IV. GROUNDWATER REQUIREMENTS
The COMPLIANCE BOUNDARY for the disposal system is specified by regulations in 15A NCAC
2L, Groundwater Classifications and Standards. The Compliance Boundary is for the disposal system
constructed after December 31, 1983 is established at either (1) 250 feet from the waste disposal area,
or (2) 50 feet within the property boundary, whichever is closest to the waste disposal area. An
exceedance of Groundwater Quality Standards at or beyond the Compliance Boundary is subject to
immediate remediation action in addition to the penalty provisions applicable under General Statute
143-215.6A(a)(1).
2. In accordance with 15A NCAC 2L, a REVIEW BOUNDARY is established around the disposal
systems midway between the Compliance Boundary and the perimeter of the waste disposal area.
Any exceedance of standards at the Review Boundary shall require remediation action on the part of
the Permittee.
Waste application activities shall not occur when the vertical separation between depth of application
and the water table is at less than one (1) foot. Verification of the water table elevation may be
confirmed by water level readings obtained from auger borings(s), which should be done within 24
hours, prior to application of wastewater. Any open borings must be properly filled with native soil,
prior to application to decrease the chance of any waste contaminating the groundwater.
4. The lagoon shall have a liner of natural material at least one foot in thickness, having a hydraulic
conductivity of no greater than 1 x 10-6 cm/sec after compaction, or a synthetic liner of sufficient
thickness to exhibit structural integrity and an effective hydraulic conductivity of no greater than that
of the natural material liner according to 15A NCAC 2H .0219(f)..
V. INSPECTIONS
Adequate inspection, maintenance, and cleaning shall be provided by the Permittee to insure proper
operation of the subject facilities.
2. The Permittee or his designee shall inspect the wastewater treatment and disposal facilities to prevent
malfunctions and deterioration, operator errors and discharges which may cause or lead to the release
of wastes to the environment, a threat to human health, or a nuisance. The Permittee shall keep an
inspection log or summary including at least the date and time of inspection, observations made, and
any maintenance, repairs, or corrective actions taken by the Permittee. This log of inspections shall
be maintained by the Permittee for a period of three years from the date of the inspection and shall be
made available upon request to the Division or other permitting authority.
Any duly authorized officer, employee, or representative of the Division may, upon presentation of
credentials, enter and inspect any property, premises or place on or related to the disposal site or
facility at any reasonable time for the purpose of determining compliance with this permit; may
inspect or copy any records that must be maintained under the terms and conditions of this permit,
and may obtain samples of groundwater, surface water, or leachate.
VI. GENERAL CONDITIONS
This permit shall become voidable unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other supporting data.
2. This permit is effective only with respect to the nature and volume of wastes described in the
application and other supporting data.

This permit is not transferable. In the event there is a desire for the facilities to change ownership, or
there is a name change of the Permittee, a formal permit request must be submitted to the Division
accompanied by an application fee, documentation from the parties involved, and other supporting
materials as may be appropriate. The approval of this request will be considered on its merits and
may or may not be approved.
4. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee
to an enforcement action by the Division in accordance with North Carolina General Statute 143-
215.6A to 143-215.6C.
The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances which may be imposed by other government agencies (local, state,
and federal) which have jurisdiction, including but not limited to applicable river buffer rules in 15A
NCAC 213 .0200, erosion and sedimentation control requirements in 15A NCAC Chapter 4 and under
the Division's General Permit NCGO10000, and any requirements pertaining to wetlands under 15A
NCAC 213.0200 and 2H .0500.
6. A set of approved plans and specifications for the subject project must be retained by the Permittee
for the life of the project.
7. The annual administering and compliance fee must be paid by the Permittee within thirty (30) days
after being billed by the Division. Failure to pay the fee accordingly may cause the Division to
initiate action to revoke this permit as specified by 15A NCAC 2H .0205 (c)(4).
The Permittee, at least six (6) months prior to the expiration of this permit, shall request its extension.
Upon receipt of the request, the Commission will review the adequacy of the facilities described
therein, and if warranted, will extend the permit for such period of time and under such conditions
and limitations as it may deem appropriate.
Permit issued this the 19`h day of June, 2002
NORTH CAWLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Man W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0020881

Permit No. WQ0020881
June 19, 2002
ENGINEER'S CERTIFICATION
Partial Final
I, , as a duly registered Professional Engineer in the State of
North Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project,
Project Name
Location and County
for the Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation
of the construction such that the construction was observed to be built within substantial compliance and intent of
this permit, the approved plans and 'specifications, and other supporting materials.
Signature
Date
Registration No.

January 30, 2003
Mr. Pete Caldwell
NC Department of Environment
And Natural Resources
Division of Water Quality
919 N. Main Street
Mooresville, NC 28115
WC DEPT. OF ENVIRONMENT
AND NATURAL RESOURCES
SVILLE REGIONAL 0"'FICE
r-
FES ® 4 2003
WAInQuAMSECTIM
Re: E&NR State Parks and Recreation
New Swim Beach & Picnic Area
Lake j!( rmal State- Bark _
ID'#99042580-1A Code #49916 Item #4772
Subject: Additions to Plans — Permit No W-OOM8=8 Y
Dear Pete:
Your office reviewed and approved plans for the referenced project in
June of 2002. We are proposing an addition to the peninsula area of
the project to add a shelter and parking lot. Storm water from the
paved area will be discharged to a level spreader a shown on sheet
C4.08 (Enclosed).
If you -have any questions, please do not hesitate to call.
SincerelyWr.
mith, YPE
Cc: Mr. Larry Ourts — NCDENR, Div. of Parks and Recreation
Mr. Jud Burns — Lake Norman State Park
Mr. Kenny Hunt — State Construction Office
Mr. Bill Davis - State Construction Office
Department of Insurance
'n*
BSdE
BULLA SMITH
DESIGN ENGINEERING
(1) 704.333.3122
(Y) 704.333.8252
www.builasmith.com
1347 Harding Place
Suite 201
Charlotte, NC 28204

W ATFRp Michael F. Easley, Governor
�0 G ;pit: 0r"- 0"Wiltiiiirrf3!XI2"o`ss Jr., Secretary
rq n c;� rh a iM r -n
� r North Carolina Department+df:�nLltt?oi1mVnt�nd,Nat%ral Resources
p Alari`W; Klimek, .E., Director
Divisiodof Water Quality
June 19, 2002 JUN 2 7 2002
Dr. Philip K. McKnelly, Director
Division of Parks and Recreation
Department of Environment and Natural Resources
1615 Mail Service Center
Raleigh, NC 27699-1615
Subject: Permit No. WQ0020881
Lake Norman State Park Swim Beach
Wastewater Spray Irrigation
Iredell County
Dear Dr. McKnelly:
In accordance with your application received December 10, 2001, we are forwarding herewith Permit No.
WQ0020881, dated June 19, 2002, to the Division of Parks and Recreation for the construction and operation of the subject
wastewater treatment and spray irrigation facilities.
This permit shall be effective from the date of -issuance until May 31, 2007, and shall be subject to the conditions
and limitations as specified therein. Please pay particular attention to the monitoring requirements in this permit. Failure to
establish an adequate system for collecting and maintaining the required operational information will result in future
compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request an
adjudicatory hearing upon written request within thirty (30) days following receipt of this permit. This request must be in the
form of a written petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of
Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714. Unless such demands are made this permit
shall be final and binding.
One set of approved plans and specifications is being forwarded to you. If you need additional information
concerning this matter, please contact Sue Homewood at [phone] extensionf 02.
Sincer
_-a
f Alan W. Klimek, P.E.
cc: Iredell County Health Department
Mooresville Regional Office, Water Quality Section
Mooresville Regional Office, Groundwater Section_
Groundwater Section, Central Office
Mr. William J. Burns, Park Superintendent, Lake Norman State Park
Matthew O'Brien, S&ME, Inc.
Jeff Smith, Bulla-Smith Design Engineers
Technical Assistance and Certification Unit
Non -Discharge Compliance/Enforcement Unit
Water Quality Central Files
NDPU Files
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
Internet http://h2o.ear.state.ne.us/ndpu
Telephone [phone] Fax [phone]
DENR Customer Service Center
An Equal Opportunity Action Employer
Telephone [phone]
50% recycled/10% post -consumer paper

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
SPRAY IRRIGATION SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended,
and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Division of Parks & Recreation
Iredell County
FOR THE
construction and operation of a spray irrigation treatment and disposal facility approved to accept 15,000 GPD of
wastewater (monthly average) during April through October and 3,500 GPD of wastewater (monthly average)
during November through March and consisting of a 78 GPM influent pump station with dual grinder pumps, a
15,000 gallon septic tank with effluent filters, an aerated 780,000 gallon treatment and storage lagoon to provide
10 days of treatment and 42 days of storage at maximum design flow with two 3HP aerators, chlorine disinfection
in a 8,112 gallon chlorine contact chamber, a 135 GPM irrigation pump station, and a solid set irrigation system
to irrigate two 1.715 acre irrigation zones: Zone A and Zone B , to serve Lake Norman State Park Swim Beach,
with no discharge of wastes to the surface waters, pursuant to the application received December 10, 2001, and in
conformity with the project plan, specifications, and other supporting data subsequently filed and approved by the
Department of Environment and Natural Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until May 31, 2007, and shall be subject to the
following specified conditions and limitations:
I. PERFORMANCE STANDARDS
1. Upon completion of construction and prior to operation of this permitted facility, a certification must
be received from a professional engineer certifying that the permitted facility has been installed in
accordance with this permit, the approved plans and specifications, and other supporting materials. If
this project is to be completed in phases and partially certified, you shall retain the responsibility to
track further construction approved under the same permit, and shall provide a final certificate of
completion once the entire project has been completed. Mail the Certification to the Non -Discharge
Permitting Unit, Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617.
2. The Mooresville Regional Office, telephone number [phone], shall be notified at least forty-
eight (48) hours in advance of operation of the installed facilities so that an in -place inspection can be
made. Such notification to the regional supervisor shall be made during the normal office hours from
8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State Holidays.

The spray irrigation facilities shall be effectively maintained and operated at all times so that there is
no discharge to the surface waters, nor any contamination of ground waters which will render them
unsatisfactory for normal use. In the event that the facilities fail to perform satisfactorily, including
the creation of nuisance conditions or failure of the irrigation area to adequately assimilate the
wastewater, the Permittee shall take immediate corrective actions including those actions that may be
required by the Division of Water Quality (Division), such as the construction of additional or
replacement wastewater treatment and disposal facilities.
4. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to surface
or groundwaters resulting from the operation of this facility.
5. The residuals generated from these treatment facilities must be disposed in accordance with General
Statute 143-215.1 and in a manner approved by the Division.
Diversion or bypassing of the untreated wastewater from the treatment facilities is prohibited.
The following buffers shall be maintained:
a) 400 feet between wetted area and any residence or places of public assembly under separate
ownership,
b) 150 feet between wetted area and property lines,
c) 100 feet between wetted area and wells,
d) 100 feet between wetted area and drainageways or surface water bodies,
e) 50 feet between wetted area and public right of ways,
f) 100 feet between wastewater treatment units and wells, and
g) 50 feet between wastewater treatment units and property lines.
8. A leakage test shall be performed on the influent pump tank, the septic tank, and the chlorine contact
chamber/pump tank to insure that any exfiltration occurs at a rate which. does not exceed twenty (20)
gallons per twenty-four (24) hours per 1,000 gallons of tank capacity. The engineer's certification
will serve as proof of compliance with this condition.
H. OPERATION AND MAINTENANCE REQUIREMENTS
1. The facilities shall be properly maintained and operated at all times.
2. Upon classification of the facility by the Water Pollution Control System Operators Certification
Commission (WPCSOCC), the Permittee shall employ a certified wastewater treatment plant operator
to be in responsible charge (ORC) of the wastewater treatment facilities. The operator must hold a
certificate of the type and grade at least equivalent to or greater than -the classification assigned to the
wastewater treatment facilities ,by the WPCSOCC. The Permittee must also employ a certified back-
up operator of the appropriate type and grade to comply with the conditions of 15A NCAC 8G .0202.
The ORC of the facility must visit each Class I facility at least weekly and each Class II, III, and IV
facility at least daily, excluding weekends and holidays, and must properly manage and document
daily operation and maintenance of the facility and must comply with all other conditions of 15A
NCAC 8G .0202. Once the facility is classified, the Permittee must submit a letter to the WPCSOCC
which designates the operator in responsible charge within thirty days after the wastewater treatment
facilities are 50% complete.
A suitable year round vegetative cover shall be maintained on the entire irrigation area.
4. Irrigation shall not be performed during inclement weather or when the ground is in a condition that
will cause runoff." A mini -click sensor shall be installed to ensure irrigation will not occur by
automation during precipitation events or when the ground is wet.
Adequate measures shall be taken to prevent wastewater runoff from the spray .field.
2

IV. GROUNDWATER REQUIREMENTS
The COMPLIANCE BOUNDARY for the disposal system is specified by regulations in 15A NCAC
2L, Groundwater Classifications and Standards. The Compliance Boundary is for the disposal system
constructed after December 31, 1983 is established at either (1) 250 feet from the waste disposal area,
or (2) 50 feet within the property boundary, whichever is closest to the waste disposal area. An
exceedance of Groundwater Quality Standards at or beyond the Compliance Boundary is subject to
immediate remediation action in addition to the penalty provisions applicable under General Statute
143-215.6A(a)(1).
2. In accordance with 15A NCAC 2L, a REVIEW BOUNDARY is established around the disposal
systems midway between the Compliance Boundary and the perimeter of the waste disposal area.
Any exceedance of standards at the Review Boundary shall require remediation action on the part of
the Permittee.
Waste application activities shall not occur when the vertical separation between depth of application
and the water table is at less than one (1) foot. Verification of the water table elevation may be
confirmed by water level readings obtained from auger borings(s), which should be done within 24
hours, prior to application of wastewater.' Any open borings must be properly filled with native soil,
prior to application to decrease the chance of any waste contaminating the groundwater.
4. The lagoon shall have a liner of natural material at least one foot in thickness, having a hydraulic
conductivity of no greater than 1 x 10-6 cm/sec after compaction, or a synthetic liner of sufficient
thickness to exhibit structural integrity and an effective hydraulic conductivity of no greater than that
of the natural material liner according to 15A NCAC 2H .0219(f)..
V. INSPECTIONS
Adequate inspection, maintenance, and cleaning shall be provided by the Permittee to insure proper
operation of the subject facilities.
2. The Permittee or his designee shall inspect the wastewater treatment and disposal facilities to prevent
malfunctions and deterioration, operator errors and discharges which may cause or lead to the release
of wastes to the environment, a threat to human health, or a nuisance. The Permittee shall keep an
inspection log or summary including at least the date and time of inspection, observations made, and
any maintenance, repairs, or corrective actions taken by the Permittee. This log of inspections shall
be maintained by the Permittee for a period of three years from the date of the inspection and shall be
made available upon request to the Division or other permitting authority.
3. Any duly authorized officer, employee, or representative of the Division may, upon presentation of
credentials, enter and inspect any property, premises or place on or related to the disposal site or
facility at any reasonable time for the purpose of determining compliance with this permit; may
inspect or copy any records that must be maintained under the terms and conditions of this permit,
and may obtain samples of groundwater, surface water, or leachate.
VI. GENERAL CONDITIONS
1. This permit shall become voidable unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other supporting data.
2. This permit is effective only with respect to the nature and volume of wastes described in the
application and other supporting data.

This permit is not transferable. In the event there is a desire for the facilities to change ownership, or
there is a name change of the Permittee, a formal permit request must be submitted to the Division
accompanied by an application fee, documentation from the parties involved, and other supporting
materials as may be appropriate. The approval of this request will be considered on its merits and
may or may not be approved.
4. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee
to an enforcement action by the Division in accordance with North Carolina General Statute 143-
215.6A to 143-215.6C.
The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances which may be imposed by other government agencies (local, state,
and federal) which have jurisdiction, including but not limited to applicable river buffer rules in 15A
NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Chapter 4 and under
the Division's General Permit NCGO10000, and any requirements pertaining to wetlands under 15A
NCAC 2B .0200 and 2H .0500.
6. A set of approved plans and specifications for the subject project must be retained by the Permittee
_ for the life of the project.
7. The annual administering and compliance fee must be paid by the Permittee within thirty (30) days
after being billed by the Division. Failure to pay the fee accordingly may cause the Division to
initiate action to revoke this permit as specified by 15A NCAC 2H .0205 (c)(4).
8. The Permittee, at least six (6) months prior to the expiration of this permit, shall request its extension.
Upon receipt of the request, the Commission will review the adequacy of the facilities described
therein, and if warranted, will extend the permit for such period of time and under such conditions
and limitations as it may deem appropriate.
Permit issued this the 19"' day of June, 2002
NORTH OLINA ENV ONMENTAL MANAGEMENT COMMISSION
/Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0020881
Col

Permit No. WQ0020881
June 19, 2002
ENGINEER'S CERTIFICATION _
Partial Final
I, , as a duly registered Professional Engineer in the State of
North Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project,
Project Name
Location and County
for the Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation
of the construction such that the construction was observed to be built within substantial compliance and intent of
this permit, the approved plans and specifications, and other supporting materials.
Signature
Date
Registration No.
7

DIVISION OF WATER QUALITY
GROUNDWATER SECTION
March 25, 2002
MEMORANDUM
To: Kim Colson
cc: Matt Helle
Through: Debra Watts
From: Thomas E. Cadwallader, P.E.
Subject: Lake Norman State Park / WWTP and Spray Irrigation
Iredell County
WQ0020881/GW02020
""ECEIVED
EEC t7EP-I: 4F EI VIRONjJgE(+dT
AND NATURAL RBO URCN
P�ISS
00RESVILLE h'E GIONAL OFFICE
The Lake Norman State Park (formerly known as Duke Power State Park) is proposing to build a beach
access and picnic area near the village of Troutman in Iredell County. The public bathrooms and shower
facilities will have a wastewater capacity of 15,000 gpd for the period April through September and a
rest of the year capacity of 200 gpd. This represents an average annual capacity of approximately 7,600
gpd.
The proposed treatment scheme consists of wastewater being pumped from the bathhouse to the
`z treatment area. Wastewater will enter a septic tank for sedimentation of solids. Septic tank effluent will
flow to an aerobic lagoon, which will have the dual function of treatment and storage. Lagoon effluent
will be disinfected with chlorine prior to spray irrigation on land. Influent and effluent will be metered.
The Grouiidwater Section has reviewed the subject new permit application and recommends issuance of
the permit with the following conditions:
1. Vertical Separation Requirements:
a. Waste application activities shall not occur when the vertical separation between depth of
application and the water table is at less than one (1) foot. Verification of the water table
elevation can be confirmed by water level readings obtained from auger boring(s), which
must be done within 24 hours, prior to application of wastewater.
Any open borings must be properly filled with native soil, prior to application to decrease the
gw02O2O.doc Page 1 of 2 gw02020.doc

F,� 1-4
chance of any waste contaminating the groundwater.
2. Liner Requirements:
The lagoon shall have either a liner of natural material at least one (1) foot in thickness and
having a hydraulic conductivity of no greater than 1 x 10"6 centimeters per second when
compacted, or a synthetic liner of sufficient thickness to exhibit structural integrity and an
effective hydraulic conductivity no greater than that of the natural material liner, according to
15A NCAC 2H .0219(f).
3. Applicable Boundaries:
a. The COMPLIANCE BOUNDARY for the disposal system is specified by regulations in 15A
NCAC 2L, Groundwater Classifications and Standards. The Compliance Boundary for the
disposal system individually permitted after December 31, 1983 is established at either 250 feet
from the waste disposal area, or 50 feet within the property boundary; whichever is closest to the
waste disposal area. An. exceedance of Groundwater Quality Standards at or beyond the
Compliance Boundary is subject to immediate remediation action according to 15A NCAC 2L
.0106(d)(2).
b. The REVIEW BOUNDARY is established around the disposal systems midway between the
Compliance Boundary and the perimeter of the waste disposal area. Any exceedance of standards
at the Review Boundary shall require action in accordance with 15A NCAC 2L .0106(d)(1).
7. Additional Requirements:
Any groundwater quality monitoring, as deemed necessary by the Division, shall be provided.
If there are any questions please call Tom Cadwallader at 919-715-6173.
Attachment: Site Layout of Proposed Facilities
gw02020.doc Page 2 of 2 gNv02020.doc

OF W A T�9 Michael F. Easley, Governor
O� QG William G. Ross Jr., Secretary
t North Carolina Department of EnviropmCent and Natural Resources
� • � Gregory J. TOJI)e>,'b;I�.,.A�f'ng�Du'��Ej(7?ot'�
O � �"tC,"'. Division of-W2l�r:?;Qual¢tyrc�
March 25, 2002
Mr. William J. Burns, Park Superintendent
Lake Norman State Park
DENR-Div. Parks and Recreation
159 Inland Sea Lane
Troutman, NC 28166-7631
MAR 2 6 2002
=xi'� 'a:l. <:�i•, -:c� day Q„e•�� �'. �i�77i
Subject: Application No. WQ0020881
Additional Information Request
Lake Norman State Park New Swim
Beach
Wastewater Irrigation System
Iredell County
Dear Mr. Burns:
The Mooresville Regional Office has conducted a preliminary review of the subject permit application
package. Additional information is required before we may continue our review. Please address the
following items no later than April 25, 2002.
1. Seasonal use of the park will result in significant fluctuations in organic and hydraulic
loading to the wastewater treatment system. Operational difficulties may develop as a result
of the decreased organic loading during low flow periods. Please provide a discussion
regarding design and/or operational steps to be taken to address this issue.
Please be aware that you are responsible for meeting all requirements set forth in North Carolina rules
and regulations. Any oversights that occurred in the review of the subject application package are still
the responsibility of the applicant. In addition, any omissions made in responding to the above items may
result in future requests for additional information.
Please reference the subject application number when providing the requested information. Three copies
of all revised and/or additional documentation should be signed, sealed, dated, and submitted to my
attention at the address below. Please note that failure to provide this additional information on or before
the above requested date may result in your application being returned as incomplete.
If you have any questions regarding this request, please do not hesitate to contact me at [phone],
extension 502. Thank you for your cooperation.
S irtcerely,
o-Homewood
Non -Discharge Permitting Unit
Cc: _Mike Parker; IVlboresville Regioaal Office, Water_Quality_Section
Tom Cadwallader, Groundwater Section, Central Office
S&ME Engineering, Inc., Greensboro location
Permit Application File WQ0020881
NCDERR
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
DENR Customer Service Center
An Equal Opportunity Action Employer
Internet http://h2o.enr.nc.state.us/ndpu
Telephone [phone] Fax [phone]
Telephone [phone]
50% recycled/10% post -consumer paper

\ �c \,d h TF
Alichacl F. Easley. Governor
C �0 �.,� William G. Ross Jr.. Secretary
//�,0, 6- Z. �] North Carolina Department of Environment and Natural Resources
co 7
r=/' f Gregory J. Thorpe. Ph.D., Actine Director
O ( JJ tf Division of Water Quality
i� ice► �° A a ,�
Mr. NVrilliam J. Burns, Park Superintendent
Lake Norman State Park
DENR-Div. Parks and Recreation
159 Inland Sea Lane
Troutman, NC 28166-7631
Dear Mr. Burns:
March 25, 2002 MAY 0 3 2002
1101
11C DEPT. OF ENVIRONMENT
AND NATURAL RESOURCES
MOORESVILLE REGIOtuAL OFFICE
Subject: Application No. IAIQ0020881
Additional Information Request
Lake Norman State Park Neer Swim
Beach
Wastewater Irrigation System
Iredell County
The Mooresville Regional Office has conducted a preliminary review of the subject permit application
package. Additional information is required before we may continue our review. Please address the
following items no later than April 25, 2002.
1. Seasonal use of the park will result in significant fluctuations in organic and hydraulic
loading to the wastewater treatment system. Operational difficulties may develop as a result
of the decreased organic loading during low flow periods. Please provide a discussion
regarding design and/or operational steps to be taken to address this issue.
Please be aware that you are responsible for meeting all requirements set forth in North Carolina rules
and regulations. Any oversights that occurred in the review of the subject application package are still
the responsibility of the applicant. In addition, any omissions made in responding to the above items may
result in future requests for additional information.
Please reference the subject application number when providing the requested information. Three copies
of all revised and/or additional documentation should be signed, sealed, dated, and submitted to my
attention at the address below. Please note that failure to provide this additional information on or before
the above requested date may result in your application being returned as incomplete.
If you have any questions regarding this request, please do not hesitate to contact me at [phone],
extension 502. Thank you for your cooperation.
Sincerely, �\ —
_ L�1
e-Homewood
Non -Discharge Permitting Unit
Cc: Mike Parker, Mooresville Regional Office, Water Quality Section
Tom Cadwallader, Groundwater Section, Central Office
S&ME Engineering, Inc.; Greensboro location
Permit Application File WQ0020881
Non-Discharse Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
DENR Customer Service Center
An Equal Opportunity Action Employer
Internet http://h2o.enr.nc.state.us/ndpu
Telephone [phone] Fax [phone]
Telephone [phone]
50% recycled/10% post -consumer paper
b
c
n

\O��F W kT FRQG
6 r
Michael F. Easley, Governor
William G. Ross Jr., secretary
North Carolina Department of Environment and Natural Resources
February 21, 2002
Mr. William J. Burns, Park Superin endent
Lake Norman State Park
DENR-Div. Parks and Recreation
159 Inland Sea Lane
Troutman, NC 28166-7631 1
Dear Mr. Burns:
Gregory J. Thorpe, Ph.D., Acting, Director
Division of Water Quality
Subject: Application No. WQ0020881
Additional Information Request
Lake Norman State Park New Swim
Beach
Wastewater Irrigation System
Iredell County
The Non -Discharge Permitting Unit has conducted.a preliminary review of the subject permit
application package. Additional information is required before we may continue our review.
Please address the following items no later than March 22, 2002.
I. 15A NCAC 2H .0206(b) requires an authorized individual to sign the permit
application form. In the case of a municipal, state or other public entity, a signature is
required by either a principal executive officer (Division Director), ranking elected
official, or other duly authorized employee. Duly authorized employee's must
provide proof from the principal executive officer or ranking elected official that they
have been authorized to sign the application.
2. The engineering drawings may not indicate that they are preliminary. Drawings may
indicate they are "Not for Construction" however, they must still be final drawings.
Please submit new drawings without the "preliminary" indication.
3. Please explain how the summer and winter populations for the beach were
determined. Please provide any supporting documentation that may be available.
4. It appears that irrigation nozzles labeled B1, B2, B3 may be located outside of the
areas designated ,as usable by the soil scientist report. Please carefully review and..
address this issue.
5. The engineering calculations for the influent pump station note the length of
forcemain as being 1360 feet. The engineering drawings show that length to be a
total of 1684.42 feet. Please review and clarify the discreDancv.
6. The table provided with the drawing of a typical pump station does not provide
elevations for the irrigation pump station. The chlorine contact tank drawings refers
to the pump station details for levels and elevation.
7. It appears that the alarm level in the chlorine contact chamber is below the invert
level from the lagoon. With a gravity flow from the lagoon to the chlorine contact
chamber this would cause an alarm condition whenever the pump was not actif
NCDENR
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
DENR Customer Service Center
An Equal opportunity Action Employer
Internet http://h2o.enr.nc.state.us/ndpu
Telephone [phone] Fax [phone]
Telephone [phone]
50% recycled/10% post -consumer paper

8. Since the irrigation system is automated by float levels it will be necessary to provide
a rain -sensor shutoff to ensure that there will be no instances of irrigation during rain
events. Please provide specifications and drawings showing this equipment.
9. The Irrigation Pump Station Design worksheet determines equivalent lengths of
forcemain, however the information provided in the table does not match the
engineering drawings. For example, it shows only 160 feet of 4 inch forcemain and
the drawings show 476.1 feet of 4 inch forcemain. There is another page of the
engineer's calculations that show headloss through each zone of the irrigation system
however that table does not appear incorporated into the Irrigation Pump Station
Design worksheet. Please re -review and submit clarification or revised calculations.
Please note that comments from the Regional Office and Groundwater Section are pending at this
time, and additional requests may be necessary to address these comments. Please be aware that
you are responsible for meeting all requirements set forth in North Carolina rules and
regulations. Any oversights that occurred in the review of the subject application package are
still the responsibility of the applicant. In addition, any omissions made in responding to the
above items may result in future requests for additional information.
Please reference the subject application number when providing the requested information.
Three copies of all revised and/or additional documentation should be signed, sealed, dated, and
submitted to my attention at the address above. Please note that failure to provide this additional
information on or before the above requested date may result in your application being returned
as incomplete.
If you have any questions regarding this request, please do not hesitate to contact me at (919)
733-5083, extension 502. Thank you for your cooperation.
Sincerely,
• d
I `\
Sue Homewood
Non -Discharge Permitting Unit
Cc: Mooresville Regional Office, Water Quality Section
Tom Cadwallader, Groundwater Section, Central Office
S&ME Engineering, Inc., Greensboro location
Permit Application File WQ0020881

•
April 12, 2002
NCDENR
Division of Water Quality
Non Discharge Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Attention: Ms. Sue Homewood
Reference: LAKE NORMAN STATE PARK
ADDITIONAL INFORMATION REQUEST
Permit No. WQ0020881
S&ME, Inc. Job No. 1588-01-033
Dear Ms. Homewood:
S&ME, Inc. (S&ME) has received your letter of March 25, -2002 to Mr. Burns, Park Superintendent.
The following are answers to the requests for additional information:
Comments - Ms. Sue Homewood, DENR
1. Seasonal use of the park will result in significant fluctuations in organic and hydraulic loading
to the wastewater treatment system. Operational difficulties may develop as a ' result of the
decreased organic loading during low flow periods. Please provide a discussion regarding design
and/or operational steps to be taken to address this issue.
Response: The aerated lagoon system is ideal for systems which experience flow
fluctuations similar to those projected, as it is capable of buffering for low flow and low
organic loading. The wastewater treatment system is designed for maximum summer flow
conditions with storage based on the water balance. During low flow conditions which
occur during the cooler months there will be longer retention time for treatment when the
microorganisms in the lagoon have a slower metabolism. Use of the park is expected to
pick up steadily in the spring and decrease steadily in the fall, which will also allow for the
biological system to adjust. f�— -_. . . ...
AFR 1111 6. 2002
SWE, Inc. I [phone] I _
3718 Old Battleground Road [phone] fax
Greensboro, North Carolina 27A10 [phone] www 5fr iil ` b li-OHARGE 'PERMITTING
if

Additional Information WQ0020881
Lake Norman State Park
S&ME Project No. 1588-01-033
April 12, 2002
The operators at the park will monitor the system regularly. The aeration times for the
lagoon can be adjusted by both frequency and duration. This will allow for the
optimization of the treatment process, as well as power consumption. In addition, the
lagoon levels will be brought down (weather permitting) in the fall to allow for greater
retention time. In summary, the lagoon system is the preferred treatment system for the
projected flows.
If any additional information is required please feel free to call S&ME at 800-849-2985.
Sincerely,
S&ME, Inc.
Matthew H O'Brien
Natural Resources Manager
cc Mr. Jeff Smith, P.E. Bulla Smith Design Engineers
,
APR 1 6 2002
1
i i :11R.,7 j

•
E; _.�� _
April 18, 2002
NCDENR
Division of Water Quality
Non Discharge Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Attention: Ms. Sue Homewood
Reference: LAKE NORMAN STATE PARK
ADDITIONAL INFORMATION REQUEST
Permit # WQ0020881
S&ME, Inc. Job No. 1588-01-033
Dear Ms. Homewood:
APB 2 2 2002
� i
!! 'JIB-CISCi iAi�GL Z. V' *MT G
S&ME, Inc. (S&ME) has received your letter of February. 21, 2002 to Mr. Burns, Park
Surperintendent. The responses were sent out March 10, 2002, may this serve as a second
transmission of that transmittal. Please note that this letter includes all additional questions and
responses for your review. The following are answers to the requests for additional information.
Comments (2/21/02) - Ms. Sue Homewood. DENR
1. 15A NCAC 2H .0206(b) requires an authorized individual to sign the permit application form.
In the case of a municipal, state, or other public entity, a signature is required by either a principal
executive officer (Division Director), ranking elected official, or other duly authorized employee.
Duly authorized employee's must provide proof from the principal executive officer or ranking
elected official that they have been authorized to sign the application.
Response: " The revised permit application form has been signed by a duly authorized
representative.
2. The engineering drawings may not indicate that they are preliminary. Drawings may indicate
that they are `Not for Construction" however, they must still be final drawings. Please submit
new drawings without the "preliminary" indication.
Response: Revised drawings do not indicate "preliminary".
SWE, Inc. [phone]
3718 Old Battleground Road [phone] fax
Greensboro, North Carolina 27410 [phone] www smeinc.com

3. Please explain how the summer and winter populations for the beach were determined. Please
provide any supporting documentation that may be available.
Response: Ori 'nal response from Jud Burns. Attendance was projected based on current
attendance levels at one of state park's busiest swimming areas at Hanging Rock. Hanging
Rock will be visited by 900-1000 swimmers daily on July 4 and the weekends around the 4th.
Parking at Hanging Rock has a similar capacity to that which has been designated for Lake
Norman, but a lot of their parking accommodates hikers and a large number of picnickers.
With visitors to Lake Norman being primarily swimmers, more' swimmers should be
anticipated here. Planning for 1500 swimmers daily provides a margin for error and the
capability to divert campground wastewater to this system if water use remains under
projections. Winter use figures are significantly lowers because people don't go swimming in
cold weather.
4. It appears that irrigation nozzles labeled B 1, B2, B3 may be located outside of the areas
designated as usable by the soil scientist report. Please carefully review and address this issue.
Response: Nozzles B 1, B2, and B3 have been moved inside the usable area. Please refer to
the revised drawings.
5. The. engineering calculations for the influent pump station note the length of forcemain as
being 1360 feet. The engineering drawings show that length to be a total of 1684.42 feet. Please
review and clarify the discrepancy.
Response: The engineering drawings and calculations were reviewed and it appeared that the
drawings had a typographical error. This was corrected and the plans and calculations now
contain matching numbers.
6. The table provided with the drawing of a typical pump station does not provide elevations for
the irrigation pump station. The chlorine contract tank drawings refers to the pump station details
for the levels and elevation.
Response: The note on the chlorine contact chamber has been deleted and the elevations
have been added to the chlorine contact detail.
7. It appears that the alarm level in the chlorine contact chamber is below the invert level from
the lagoon. With a gravity flow from the lagoon to the chlorine contact chamber this would cause
an alarm condition whenever the pump was not activated.
Response: The invert level to the lagoon is 834.00'. The invert into the chlorine contact
chamber is 827.00.' The drawings were revised to clarify this.
8. Since the irrigation system is automated by float levels, it will be necessary e-a--rain-_----------------
sensor shutoff to ensure that there will be no instances of irrigation during rain e,erftp'lase,%3 FCTION
provide specifications and drawings showing this equipment.
APR 2 2 2002
L
LNON-CISCHARGIE PERMITTING

4
Response: A Mini Click H rain sensor has been added to the plans.
9. The Irrigation Pump Station Design worksheet determines equivalent lengths of forcemain,
however the information provided in the table does not match the engineering drawings. For
example, it shows only 160 feet of 4 inch forcemain and the drawings show 476.1 feet of 4 inch
forcemain. There is another page of the engineer's calculations that show headloss through each
zone of the irrigation system however that table does not appear incorporated into the Irrigation
Pump Station Design worksheet. Please re -review and submit clarification of revised calculations.
Response: The most recent irrigation pump station calculations were not included in the
submittal. The new calculation sheet is attached and corresponds to the zone calculations.
However, in determining the total dynamic head, the zone with the most headloss (starting
with segment A and moving to the furthest point) is used to determine the worst case
scenario. A scaled 8 1/2" x 1.1" drawing has been provided -to aid in reviewing the spray
irrigation design.
Comments - Jud Burns
C-102. Should drains beat the end of the sprinkler lines to facilitate off-season drainage?
I do not see a water source within the spray irrigation complex. We will need water at the lagoon
area for employees to wash off any contaminants (wastewater, chlorine, etc.).
Response: Low flow drains are at the base of each riser to drain the riser when irrigation is
not occurring. The pipes are to be buried "below the frost line so that freezing and breaking of
the pipes should not occur. Irrigation may occur twelve month of the year so there should be
no need to drain the pipe.
Yard hydrants have been added to the plans around the lagoon area, as well as a sink and an
eye wash area is proposed inside the building.
D-101 Add a variety of seed to the fescue that is specified. Fescue, by itself, rarely survives at
LAND.
Response: Seeding for the irrigation area will be the same as proposed for the rest of the site.
Need seed�pecs form Bulla Smith.
I VVATFR QUAUTY SECTION
APR 2 2 2002
I�
NON -DISCHARGE PERMITTING

D-103 Chlorine is a powerful corrosive. How will corrosion be prevented in. the building
containing the chlorine? Is the chlorine in liquid form?
Response: The chlorine is in the form of a bleach, similar to that which is sold in Wal-Mart
and other supermarkets. Most homes have bottled bleach and use it to do laundry. The
chlorine will be stored on top of a spill containment containers which will prevent the bleach
from reaching the floor if a spill is encountered. In addition, the floor of the building will be
coated with a corrosion resistant paint. Corrosion resistant materials are specified where
possible.
Comments - Alan Jeffreys
Sheet C-101 (DWQ plans on SEWER)
1. These plans are completely different from the rest of the drawings. It appears that these plans
were hold overs from design development submittal!
Response: The plans have been updated to match the rest of the drawings.
2. The connector road is not shown on these drawings and the parking drainage is different?
Response: See comment for #1 above.
3. The 15,000 settling tank is shown to be located beside the lagoon. Please show this located at
the bathhouse building. . This will allow you to use effluent pumps in lieu of the large grinder
pumps that you are putting their?
Response: The 15,000 gallon settling tank is proposed beside the lagoon to both prevent
access to the public and to be hidden. If the tank should fail or should there ever be a spill,
the current location minimizes the public health concern. Grinder pumps are much more
reliable than they were in the past. Grinding of the waste aids in its biological decomposition
and reduces sludge accumulation.
Sheet D-102
1. On the detail 6-D-102, I think there should be more surface gravel around the drain than the 2
ft. X 1 ft. Amount that is shown? There will be a lot of sewage running down the sprinkler head
when it cuts off.
Response: When irrigation of treated effluent stops, approximately 1/10th of a gallon will
drain from each of the sprinkler risers. This amounts to less than 5 gallons over the entire
spray area that will drain. The draining process will occur within a couple of seconds, and the
surface area around the drain is more than adequate for this operation. ;See -the attached-::,. — ---
calculations for further clarification. Tv SECTiON
APR 2 2 2002
i
ICON -DISCHARGE PERMITTING

2. Please specify a concrete valve box ring around all sewer and water valve boxes.. .
Response: A concrete valve ring has been added to the drawings.
Sheet D-103
1. Why are we cooling the room for the chlorination equipment. I have no objection to heating it
with ceiling mounted heater?
Response: We have found that a through the wall heat pump (heating and cooling) works
much better than a box heater with a fan and louvers at a similar cost. The heat pump reduces
humidity which prevents condensation from forming and retards corrosion. It also prevents
dust from outside the building from entering when the fan is on.
Sheet D-104
1. Why are we putting a sump pump inside the valve box. Why not put a drain pipe in side of this
vault and drain it back to the lift station. Please see me and I will explain it!
Response: The pump station has been modified to have the valve box located inside the wet
well. Please see the revised plans.
2. A better cross sectional view of the lagoon should be given for the contractor to construct.
Poor details on this!
Response: A better cross -sectional view has been included. Please see the revised drawings.
Sheet D-104
1. I do not see the need for stand by generator Connection of generator for this type of
operation> If the power goes out we will close down the toilets. We have got a 30 day storage
supply on the irrigation field, so we have no need for back up power here. I have talked with
Water Quality here in Raleigh and they will waiver this requirement.
Response: The generator connection is required by the regulations. We could remove it with
written approval from the DWQ. The backup power connection adds protection to the
operation.
2. You may have to put a telemetry system on the pump controls panel to keep from have to
inspect the pump stations on daily basis. Please see me about this?
Response: A telemetry system is now proposed. However, the pump station and irrigation
system should be inspected daily when the park is in use. The irrigation�--field_ and system._.._. _ .... _
should be inspected daily. A telemetry system will only indicate alarm conditiogs c __ t.
a field is too wet to irrigate.-�`
APR 2 2 2002
NON -DISCHARGE PERMITTING

3. What size generator is the designer requesting?
Response: We are not proposing a generator for this project, just a generator connection.
4. Is there three phase power to this site?
Response: We have assumed that three phase power is available. Please advise if it is not, as
we would need to add a phase converter.
Comments - ENR State Parks
A. Sheet D-103: Section 1/D-103
1. Cavities in reinforced masonry to be filled with ASTM C476 grout. Please revise note(s).
Response: The ASTM C476 grout note has been revised.
2. The 2 x 8 plate _supporting the trusses bears directly on masonry. Should it not be treated?
Response: Pressure treated (P.T.) note has been added .
3. Elevation 5/D-103; Is the Fin Fir Line Elev 855.5 a typo?
Response: Elevation 5/D-103; the Fin. Flr. Line was a typo and has been modified.
If any additional information is required, please feel free to call S&ME at 800.849.2985.
Sincerely,
S&NM, Inc.
Matthew H. O'Brien
Natural Resources Manager
cc: Mr. Jeff Smith, Bulla-Smith Design Engineers
RECEIVED
WATER QUALITY SECTION
i
� I
i E APR 2 2 7!2002
NON -DISCHARGE PERMITTING

l Y-W
To: Permits and Engineering Unit
Water Quality Section
Attention: Sue Homewood
SOC PRIORITY PROJECT: No
Date: March 12, 2002
NON -DISCHARGE STAFF REPORT AND RECOMMENDATION
County: Iredell
MRO No.: 02-04
Permit No. WQ0020881
PART I - GENERAL INFORMATION
1. Facility and Address: Lake Norman State Park
% DENR Division of Parks and Recreation
159 Inland Sea Lane
Troutman, N.C. 28166-7631
2. Date of Investigation: February 28, 2002
3. Report Prepared By: Michael L. Parker, Environmental Engineer II
4. Persons Contacted and Telephone Number: Mr. Jud Burns, Park Superintendent, (704)
528-6350.
5. Directions to Site: From the jet of SR. 1303 (Perth Rd.) and SR 1321 (State Park Rd.),
travel southwest on SR 1321 = 4.4 miles (past the Park Office and the boat landing). The
proposed WWT system is to be located on the right side of State Park Road.
6. Disposal Site(s), List for all disposal sites:
Latitude: 350 33' 03"
Longitude: 800 56' 43"
Attach a USGS Map Extract and indicate treatment plant site on map.
USGS Quad No.: E 15 NW
7. Size (land available for expansion and upgrading): Sufficient area exists for the
construction of a non -discharge WWT system and repair, if necessary.
8. Topography (location map or topographic indicating relationship to 100 year flood plain
included):. Sloping towards Lake Norman at a rate of 2-8%. The proposed WWTP site
and associated irrigation area does not appear to be located in a flood plain.

a _X
Page Two
9. Any buffer conflicts with location of nearest dwelling and water supply well? No.
10. Watershed Stream Basin Information
a. Watershed Classification: WS-IV, B
b. River Basin and Subbasin No.: Catawba 030832
c. Distance to surface water from disposal system: 200± feet. There appears to be a
sufficient vegetative buffer between the irrigated area of the spray field and
surface waters (Lake Norman).
PART II - DESCRIPTION OF WASTES AND TREATMENT WORKS
1. a. Volume: 0.015 MGD (Design Capacity)
b. Types and quantities of industrial wastewater: N/A
2. Treatment Facilities
a. Current permitted capacity of the facility: N/A
b. Actual treatment capacity of the facility (design volume): N/A
Description of existing or substantially constructed WWT facilities: The existing
discharge type WWT facilities consist of a package -type extended aeration
WWTP with disinfection.
d. Description of proposed WWT facilities: The applicant proposes to install a spray
irrigation WWT system utilizing a 15,000 gallon capacity septic tank for primary
settling followed by an aerobic lagoon with two (2) floating aerators. From there,
the wastewater will enter a disinfection/pump tank (30 minutes of detention time
is provided), and then be irrigated on = 3.43 acres of spray irrigation area.
3. Residuals handling and utilization/disposal scheme: Residuals are currently removed as
necessary from the existing WWT facilities by Sigmon Environmental Service, and taken
for disposal to either CMU's McAlpine Creek or Irwin Creek WWTPs.
4: Treatment Plant Classification: The proposed WWT system will require an operator
certified by the Division to operate spray irrigation WWT facilities.
5. SIC Code(s): 7999 Wastewater Code(s): 13. Main Treatment Unit, Code: 31057

Page Three
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant Funds (municipals only)?
Public monies will be used in the construction of the proposed WWT facility.
2. Special monitoring requests: None at this time.
3. Important SOC/JOC or Compliance Schedule Dates: N/A
PART IV - EVALUATION AND RECOMMENDATIONS
The N.C. Division of Parks and Recreation (NCDPR) has requested issuance of a non -
discharge spray irrigation Permit to serve a proposed public bathroom/bath house to be
constructed at NCDPR's Lake Norman State Park. The new bathroom/bath house will serve a
new swimming area that is to be constructed at the Park. The proposed WWT system will
replace an existing "package type" extended aeration WWTP that currently serves the Park's
existing swimming area bathroom/bath house (that will be abandoned). The existing system
discharges treated wastewater into Lake Norman.
Extensive examinations of the soils in the area proposed for the spray irrigation system
have been conducted by MRO staff as well as soils scientists with the DWQ and the DEH in
recent years. Observations made during these soils examinations indicated that existing soils
appear to be capable of supporting surface wastewater disposal at the proposed loading rates. The
proposed irrigation area is currently a mix of hardwoods and pine. Soils analyses in this area
indicated that soil pH is below the recommended levels of 6.5 to 7.0 S.U., and is also deficient in
nutrients. Liming and fertilization will be necessary so that maximum uptake of wastewater by
the trees can be achieved.
The applicant's projected wastewater flows for this faciltity (15,000 gpd - summer
months, 200 gpd winter months) should be sufficient for design purposes. It should be noted that
the 15,000 gpd flow estimate for the summer months is very conservative, with actual flows
typically averaging around 2000 gpd or less (based on a review of DMR data for 2001). Given
this information, the proposed irrigation area, could be reduced in overall size, provided
sufficient storage/equalization is available so that the anticipated higher weekend flows could be
metered through the treatment system during the week when flows would be expected to be
significantly lower.

Page Four
One other issue that park staff may face if this system is approved is the ability of the
proposed treatment system to maintain it's biological intergrity during periods of low flow. A
primary difficulty park staff have had in trying to operate the existing package WWTPs (at both
the camping and swimming areas) is maintaining an adequate organic loading necessary to
establish biological activity. Seasonal usage of the park results in significant fluctuations in
organic as well as hydraulic loading of the WWTPs. Such being the case, we suspect that
operational difficulties resulting from the "lack of organic loading during the off-season months
may be detrimental to wastewater treatment and overall plant operation of the proposed spray
system. Additional discussion, or at least an attempt to address this matter by the applicant is
suggested prior to permit issuance.
If the above concern can be adequately addressed, then this Office would not oppose
issuance of the permit.
Signature of Report Preparer Date
Water Quality Regional Supervisor Date
hAndsr\ndsr02\1knostpk.py

To: Permits and Engineering Unit
Water Quality Section
Attention: Sue Homewood
SOC PRIORITY PROJECT: No
Date: March 12, 2002
NON -DISCHARGE STAFF REPORT AND RECOMIVVIENDATION
County: Iredell
MRO No.: 02-04
Permit No. WQ0020881
PART I - GENERAL INFORMATION
1. Facility and Address: Lake Norman State Park
% DENR Division of Parks and Recreation
159 Inland Sea Lane
Troutman, N.C. 28166-7631
2. Date of Investigation: February 28, 2002
3. Report Prepared By: Michael L. Parker, Environmental Engineer II
4. Persons Contacted and Telephone Number: Mr. Jud Burns, Park Superintendent, (704)
528-6350.
5. Directions to Site: From the jet of SR. 1303 (Perth Rd.) and SR 1321 (State Park Rd.),
travel southwest on SR 1321 = 4.4 miles (past the Park Office and the boat landing). The
proposed WWT system is to be located on the right side of State Park Road.
6. Disposal Site(s), List for all disposal sites:
Latitude: 350 33' 03"
Longitude: 800 56' 43"
Attach a USGS Map Extract and indicate treatment plant site on map.
USGS Quad No.: E 15 NW
7. Size (land available for expansion and upgrading): Sufficient area exists for the
construction of a non -discharge WWT system and repair, if necessary.
8. Topography (location map or topographic indicating relationship to 100 year flood plain
included):. Sloping towards Lake Norman at a rate of 2-8%. The proposed WWTP site
and associated irrigation area does not appear to be located in a flood plain.

S
Page Two
9. Any buffer conflicts with location of nearest dwelling and water supply well? No.
10. Watershed Stream Basin Information
a. Watershed Classification: WS-IV, B
b. River Basin and Subbasin No.: Catawba 030832
C. Distance to surface water from disposal system: 200± feet. There appears to be a
sufficient vegetative buffer between the irrigated area of the spray field and
surface waters (Lake Norman).
PART II - DESCRIPTION OF WASTES AND TREATMENT WORKS
1. a. Volume: 0.015 MGD (Design Capacity)
b. Types and quantities of industrial wastewater: N/A
2. Treatment Facilities
a. Current permitted capacity of the facility: N/A
b. Actual treatment capacity of the facility (design volume): N/A
C. Description of existing or substantially constructed WWT facilities: The existing
discharge type WWT facilities consist of a package -type extended aeration
WWTP with disinfection.
d. Description of proposed WWT facilities: The applicant proposes to install a spray
irrigation WWT system utilizing a 15,000 gallon capacity septic tank for primary
settling followed by an aerobic lagoon with two (2) floating aerators. From there,
the wastewater will enter a disinfection/pump tank (30 minutes of detention time
is provided), and then be irrigated on z 3.43 acres of spray irrigation area.
3. Residuals handling and utilization/disposal scheme: Residuals are currently removed as
necessary from the existing WWT facilities by Sigmon Environmental Service, and taken
for disposal to either CMU's McAlpine Creek or Irwin Creek WWTPs.
4: Treatment Plant Classification: The proposed WWT system will require an operator
certified by the Division to operate spray irrigation WWT facilities.
5. SIC Code(s): 7999 Wastewater Code(s): 13 Main Treatment Unit Code: 31057

Page Three
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant Funds (municipals only)?
Public monies will be used in the construction of the proposed WWT facility.
2. Special monitoring requests: None at this time.
3. Important SOC/JOC or Compliance Schedule Dates: N/A
PART IV - EVALUATION AND RECOMMENDATIONS
The N.C. Division of Parks and Recreation (NCDPR) has requested issuance of a non -
discharge spray irrigation Permit to serve a proposed public bathroom/bath house to be
constructed at NCDPR's Lake Norman State Park. The new bathroom/bath house will serve a
new swimming area that is to be constructed at the Park. The proposed WWT system will
replace an existing "package type" extended aeration WWTP that currently serves the Park's
existing swimming area bathroom/bath house (that will be abandoned). The existing system
discharges treated wastewater into Lake Norman.
Extensive examinations of the soils in the area proposed for the spray irrigation system
have been conducted by MRO staff as well as soils scientists with the DWQ and the DEH in
recent years. Observations made during these soils examinations indicated that existing soils
appear to be capable of supporting surface wastewater disposal at the proposed loading rates. The
proposed irrigation area is currently a mix of hardwoods and pine. Soils analyses in this area
indicated that soil pH is below the recommended levels of 6.5 to 7.0 S.U., and is also deficient in
nutrients. Liming and fertilization will be necessary so that maximum uptake of wastewater by
the trees can be achieved.
The applicant's projected wastewater flows for this faciltity (15,000 gpd - summer
months, 200 gpd winter months) should be sufficient for design purposes. It should be noted that
the 15,000 gpd flow estimate for the summer months is very conservative, with actual flows
typically averaging around 2000 gpd or less (based on a review of DMR data for 2001). Given
this information, the proposed irrigation area, could be reduced in overall size, provided
sufficient storage/equalization is available so that the anticipated higher weekend flows could be
metered through the treatment system during the week when flows would be expected to be
significantly lower.

Page Four
One other issue that park staff may face if this system is approved is the ability of the
proposed treatment system to maintain it's biological intergrity during periods of low flow. A
primary difficulty park staff have had in trying to operate the existing package WWTPs (at both
the camping and swimming areas) is maintaining an adequate organic loading necessary to
establish biological activity. Seasonal usage of the park results in significant fluctuations in
organic as well as hydraulic loading of the WWTPs. Such being the case, we suspect that
operational difficulties resulting from the "lack of organic loading during the off-season months
may be detrimental to wastewater treatment and overall plant operation of the proposed spray
system. Additional discussion, or at least an attempt to address this matter by the applicant is
suggested prior to permit issuance.
If the above concern can be adequately addressed, then this Office would not oppose
issuance of the permit.
Signature of Report Preparer Date
—7
J.
Water Quality Regional Supervisor Date
hAndsr\ndsr02\1knostpk.py

Li
GROUNDWATEF, SECTION GW # E:,: ` 20
DIVISION OF ENVIRONMENTAL MANAGEMENT �yu�
RECORD OF WASTEE EE DISPOSAL PE'nUll i APPLICATION FEVIEN
REVIEW BY PE DATE _ �'�� S�n FIELDINVE- T 1GATiQN? (YIN)
FACILITY NAME �-�= ry'c -. SJ`6zfL ,�6•---% COUNTY
LOCATION
TYPE OF DISPOSAL SYSTEM (LAGOON, ETC.) DESIGN CAP. (GPD) /S` "�- z �• o
DESCRIPTION OF FACILITY
S L OF IMPOUNDMENT (FT SO.) &/OR SIZE OF APPLICATION AREA -3• Y'3 ,%-r t �i
WASTE SOURCE: E: MUN. SLUDGE- MUN. W. WATER: PRIMARY ECONDARY TERTIARY
IND. SLUDGE —1ND. WE I WATER —✓OT ERS:
DISTANCE FROM WASTE SOURCE TO NEAREST. STREAM 1-- FT., WELL F
FJR WE' I • TYPE OF USE
PUMP RATE (EST .}
WHAT DESIGN CONDITIONS WIL CZANC+REASE CHANCE OF GW CONTAMINATION: -L-
WHAT NATURAL SITE CONDI I IONS WI
L_ DUCErINCREASE CHANCE OF GW CONTAMINA 11ON: -�-�
J
L'EF H T0: EEDROCK > /S— FT., SEASONAL HIGH W.T. > 7-1
Fi., ANNUAL W.T. FLUX'
SUP,FiCIAL AQUIFER
GEN. LITHOLOGY
HYD. COND. y 7�Ga vMEASUP,EJ
r I ESTIMAT-t7
HICKNESS
F Ti.
A# :J
NO. OF M0NIittR WE'! S: P90P25-,21: UP 4
r=OM WORKSHE= ii : SITE NUMERICAL DESCRIPTION-
EEDROCKIARTESIAN AQUIFER
Fi JDAY . C MEASURED
EfhESTIMA i cD
DOWN EXISTING. UP � DOWN
T 1 2 3 4 6 6A fin
SITE GRADE (HYDROGIDDL) = � .S�A7ON GRADE=
. 1 . CSED SAMPLING SCHEDULE & PARAME CR(S): �-
HAVE THERE EEE.` ANY EXCEEDANCES OF T HE GROUNDWATER STANDARDS? YES NO ✓
HAS ANY ENFORCEMEINT ACTION BEEN TAKEN? YES NO ✓ DATE OF ACTION:
ERIEF SUMMARY OF ENFORCEMENT ACTION TAKEN:
.nE]"ARKS! RECOMMENDATIONS (Ccntinue an reverse, iT necessary): ✓`>.c op s, �,
r,V-45 REVisEd 0-'24
R�-D-REGIONAL SUPERVISOR

\O�OF W ATF9QG
]�IichYl F. Easley, Governor`
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
02 FE0 23 A, N 10: 3 9
February 21, 2002
Mr. William J. Burns, Park Superintendent
Lake Norman State Park
DENR-Div. Parks and Recreation
159 Inland Sea Lane
Troutman, NC 28166-7631
Dear Mr. Burns:
Gregory J. Thorpe, Ph.D., Acting Director
Division of Water Quality
RECEiVEp
FEB 2 8 2002
NC DEPT. OF ENVAONMENT
AND NATURAL RESOURCES
Subject: Application No. "35fIEOtONAL OFFICE
Additional Information Request
Lake Norman State Park New Swim
Beach
Wastewater Irrigation System
Iredell County
The Non -Discharge Permitting Unit has conducted a preliminary review of the subject permit
application package. Additional information is required before we may continue our review.
Please address the following items no later than March 22, 2002.
1. 15A NCAC 2H .0206(b) requires an authorized individual to sign the permit
application form. In the case of a municipal, state or other public entity, a signature is
required by either a principal executive officer (Division Director), ranking elected
official, or other duly authorized employee. Duly authorized employee's must
provide proof from the principal executive officer or ranking elected official that they
have been authorized to sign the application.
2. The engineering drawings may not indicate that they are preliminary. Drawings may
indicate they are "Not for Construction" however, they must still be final drawings.
Please submit new drawings without the "preliminary" indication.
3. Please explain how the summer and winter populations for the beach were
determined. Please provide any supporting documentation that may be available.
4. It appears that irrigation nozzles labeled B 1, B2, B3 may be located outside of the
areas designated as usable by the soil scientist report. Please carefully review and
address this issue.
5. The engineering calculations for the influent pump station note the length of
forcemaln as being 1360 feet. The engineering drawings show that length to be a
total of 1684.42 feet. Please review and clarify the discreDancv.
6. The table provided with the drawing of a typical pump station does not provide
elevations for the irrigation pump station. The chlorine contact tank drawings refers
to the pump station details for levels and elevation.
7. It appears that the alarm level in the chlorine contact chamber is below the invert
level from the lagoon. With a gravity flow from the lagoon to the chlorine contact
chamber this would cause an alarm condition whenever the pump was not actA'
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
DENR Customer Service Center
An Equal Opportunity Action Employer
Internet http://h2o.enr.nc.state.us/ndpu
Telephone [phone] Fax [phone]
Telephone [phone]
50% recycled/10% post -consumer paper

S. Since the irrigation system is automated by float levels it will be necessary to provide
a rain -sensor shutoff to ensure that there will be no instances of irrigation during rain
events. Please provide specifications and drawings showing this equipment.
9. The Irrigation Pump Station Design worksheet determines equivalent lengths of
forcemain, however the information provided in the table does not match the
engineering drawings. For example, it shows only 160 feet of 4 inch forcemain and
the drawings show 476.1 feet of 4 inch forcemain. There is another page of the
engineer's calculations that show headloss through each zone of the irrigation system
however that table does not appear incorporated into the Irrigation Pump Station
Design worksheet. Please re -review and submit clarification or revised calculations.
Please note that comments from the Regional Office and Groundwater Section are pending at this
time, and additional requests may be necessary to address these comments. Please be aware that
you are responsible for meeting all requirements set forth in North Carolina rules and
regulations. Any oversights that occurred in the review of the subject application package are
still the responsibility of the applicant. In addition, any omissions made in responding to the
above items may result in future requests for additional information.
Please reference the subject application number when providing the requested information.
Three copies of all revised and/or additional documentation should be signed, sealed, dated, and
submitted to my attention at the address above. Please note that failure to provide this additional
information on or before the above requested date may result in your application being returned
as incomplete.
If you have any questions regarding this request, please do not hesitate to contact me at (919)
733-5083, extension 502. Thank you for your cooperation.
Sincerely,
Sue Homewood
Non -Discharge Permitting Unit
Cc: Mooresville Regional Office, Water Quality Section
Tom Cadwallader, Groundwater Section, Central Office
S&ME Engineering, Inc., Greensboro location
Permit Application File WQ0020881

�F W ArF9 Michael F. Easley, Governor
� Q William G. Ross Jr., Secretary
O G North Carolina Department of Environment and Natural Resources
\ Gregory J. Thorpe, Ph.D., Acting Director
February 21, 2002
Mr. William J. Burns, Park Superintendent
Lake Norman State Park
DENR-Div. Parks and Recreation
159 Inland Sea Lane
Troutman, NC 28166-7631
Dear Mr. Burns:
F E B 2 5 2002
Subject: Application No. WQ0020881
Additional Information Request
Lake Norman State Park New Swim
Beach
Wastewater Irrigation System
Iredell County
The Non -Discharge Permitting Unit has conducted a preliminary review of the subject permit
application package. Additional information is required before we may continue our review.
Please address the following items no later than March 22, 2002.
1. 15A NCAC 2H .0206(b) requires an authorized individual to sign the permit
application form. In the case of a municipal, state or other public entity, a signature is
required by either a principal executive, officer (Division Director), ranking elected
official, or other duly authorized employee. Duly authorized employee's must
provide proof from the principal executive officer or ranking elected official that they
have been authorized to sign the application.
2. The engineering drawings may not indicate that they are preliminary. Drawings may
indicate they are "Not for Construction" however, they must still be final drawings.
Please submit new drawings without the "preliminary" indication.
3. Please explain how the summer and winter populations for the beach were
determined. Please provide any supporting documentation that may be available.
4. It appears that irrigation nozzles labeled B1, B2, B3 may be located outside of the
areas designated as usable by the soil scientist report. Please carefully review and
address this issue.
5. The engineering calculations for the influent pump station note the length of
forcemain as being 1360 feet. The engineering drawings show that length to be a
total of 1684.42 feet. Please review and clarifv the discrenancv.
6. The table provided with the drawing of a typical pump station does not provide
elevations for the irrigation pump station. The chlorine contact tank drawings refers
to the pump station details for levels and elevation.
7. It appears that the alarm level in the chlorine contact chamber is below the invert
level from the lagoon. With a gravity flow from the lagoon to the chlorine contact
chamber this would cause an alarm condition whenever the pump was not act=
Non -Discharge Permitting Unit Internet http://h2o.enr.nc.state.us/ndpu NCDEf�€t
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] Fax [phone]
DENR Customer Service Center Telephone [phone]
An Equal Opportunity Action Employer 50% recycled/10% post -consumer paper

8. Since the irrigation system is automated by float levels it will be necessary to provide
a rain -sensor shutoff to ensure that there will be no instances of irrigation during rain
events. Please provide specifications and drawings showing this equipment.
9. The Irrigation Pump Station Design worksheet determines equivalent lengths of
forcemain, however the information provided in the table does not match the
engineering drawings. For example, it shows only 160 feet of 4 inch forcemain and
the drawings show 476.1 feet of 4 inch forcemain. There is another "page of the
engineer's calculations that show headloss through each zone of the irrigation system
however that table does not appear incorporated into the Irrigation Pump Station
Design worksheet. Please re -review and submit clarification or revised calculations.
Please note that comments from the Regional Office and Groundwater Section are pending at this
time, and additional requests may be necessary to address these comments. Please be aware that
you are responsible for meeting all requirements set forth in North Carolina rules and
regulations. Any oversights that occurred in the review of the subject application package are
still the responsibility of the applicant. In addition, any omissions made in responding to the
above items may result in future requests for additional information.
Please reference the subject application number when providing the requested information.
Three copies of all revised and/or additional, documentation should be signed, sealed, dated, and
submitted to my attention at the address above. Please note that failure to provide this additional
information on or before the above requested date may result in your application being returned
as incomplete.
If you have any questions regarding this request, please do not hesitate to contact me at (919)
733-5083, extension 502. Thank you for your cooperation.
Sincerely,
1
Sue Homewood
Non -Discharge Permitting Unit
Cc: . _Mooresville Regional --Off ce,=Water=Qnalrty'Secti- n
Tom Cadwallader, Groundwater Section, Central Office
S&ME Engineering, Inc., Greensboro location
Permit Application File WQ0020881

State of North Carolina
Department of Environment D
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Gregory J. Thorpe, Ph D., Acting Director
LAKE NORMAN STATE PARK
(E&NR PARKS AND RECREATION)
WILLIAM J. BURNS
159 INLAND SEA LANE
TROUTMAN, NC 28166
Dear Mr. McAtee:
E41 PT. b _ r�ONPAE"3T
NORTH CAROLINA nD�gE-WA- -WAEc01J C r
ENVIRONMENT AND NAi'ORAL�RE50UREES"'~''
January 09, 2002
JAN 2 5 2002
U,Ly IT $t.'?9dirk;`;
Subject: Acknowledgement of Application No.
WQ0020881
Spray Irrigation Disposal Systems
Iredell County
The Non -Discharge Permitting Unit of the Division of Water Quality (Division) acknowledges receipt of
your permit application and supporting materials on December 10, 2001. This application package has
been assigned the number listed above.
Your application package has been assigned to Sue Homewood for a detailed review. The reviewer will
contact you with a request for additional information if there are any questions concerning your
submittal.
If you have any questions, please contact Sue Homewood at 919-733-5083 extension 502. If the
reviewer is unavailable, you may leave a message on their voice mail, and they will respond promptly.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON
THIS PROJECT.
Sincerely,
IH. Colson, P.E.
Supervisor, Non -Discharge Permitting Unit
cc: Mooresville Regional Office, Water Quality Section
Permit Application File WQ0020881
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled / 10% post -consumer paper

DIVISION OF WATER QUALITY
GROUNDWATER SECTION
I � 2Q 1 0
n1EMORAND UNIL I r I
tj OOy, eS U ( i. V C� Regional Office
FROM: D%Y1 CA GJa_ �r✓tn
SUBJECT: Application for Permit Renewal,
A New Permit
COibfilfENTS:
Permit Amendment
RECEIVE,
JAN 3 0 2002
INC DEFT. OF 04VIROMMENT
ANDIVATURk RESOURCES
fA00RESVILLE REGIONAL OFFICE
Repair/Alteration of Exist. Disposal System [DEH]
Facility Name: 1. CL ke /J irman S-- Pa.r "--
County: T— V' e CI Cil l
Type of Project:
APPLICABLE PERiN-IIT NO.s: WQ GW
DEH
EPA (CONST. GRANTS)
ANIMAL WASTE (DWQ)
AtoC
The Groundwater Section has received ONLY ONE, (1) copy of the referenced permit application. A copy of the
application should have been sent to your Regional Water Quality Supervisor, so please use that copy for
your review - IF A COPY HAS NOT BEEN RECEIVED IN THE REGIONAL OFFICE, PLEASE LET ME
KNOW.
The Groundwater Section has received ONLY ONE. (11 copy of the referenced permit application. A copy of the
application should have been sent to , DEH's Regional Soil Specialist, so please use
that copy for your review - IF A COPY HAS NOT BEEN RECEIVED IN THE REGIONAL OFFICE, PLEASE
LET ME KNOW.
X The Groundwater Section received two (2) copies of the referenced permit application. One copy of the
application documents Nr•e received is attached.
Please review the application materials r completeness. If you feel additional information is necessary, please
let me know no later than A copy of any formal request for additional information
will be forwarded to you.
If you do no need/any additional information to complete your review, please provide your final comments
by / q I 0 a— . If you request and/or receive additional information, ,your final comments
\9-98TRAN.SHL (rev. 9/29/98) ��

A� 7
Division of nvironmental Management
r, Date
MEMORANDUM
To: Bob Cheek, Supervisor
Permits & Compliance Unit
Groundwater Section o
�v
From: L � 1 %U Project Engineer -n J ti
Permits & Engineering Unit
Water Quality Section m
� n
CO
0
Z_
Subject: Groundwater Review
Non -Discharge Application No. (1
Facility Name:
County: )
(GW # 016 2� )
Attached you will find plans, specifications, and supporting information
for the above project.
Please let me know whether you will or will not be conducting an
extensive review of the subject project by
If I can provide additional information, please contact me at ext. L
will
(1) 1he Groundwater Section El will not* conduct an extensive
review of the subject.
* Groundwater Section will not review application for the reason
listed below:
(2) A request for additional information will be forwarded to you by the
reviewer listed below.
GW Reviewer: r Date: Dv
9/6/90

r . - -
Pat McCrory
Governor
North Carolina Department of Natural and Cultural Resources
December 12, 2016
3RECEIVEDACDENPUDWR Susan Kluttz
Secretary
LIi=�� 14 2016
s
WQRDS
�JIOCIRESVILLE R.EGIOI,IAI QFFICE
Andrew H. Pitner, P. G.
Assistant Regional Supervisor
Mooresville Regional Office, Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Dear Mr. Pitner;
I have received your correspondence dated September 14, 2016 in reference to NOV-2016-PC-0453. I
apologize for the tardiness of this reply, but ongoing personnel shortages and response to the wildfires in
the western counties of the state have taxed the park's resource. In the interim, the visual alarm at the
Swim Beach pump station has been repaired and with the guidance of the staff at Statesville Analytical,
we have instituted processes and procedures that are allowing us to fully conform with the monitoring and
reporting conditions of Permit Number WQ0020881. I am enclosing a copy of the invoice for the
purchase of the replacement bulb for the pump station. That bulb was subsequently replaced by a Lake
Norman State Park maintenance worker. Forms NDMR and NDAR-1 have been submitted in a timely
manner for the last several months, and timely submissions will continue into the future.
I am also attaching a copy of the Non -Permit Ownership/Name Change form NDPONC 11-13. The
original of this form has been submitted to Mr. Troy Doby via the U. S. Postal Service.
I appreciate the information and assistance provided by Mrs. Maria P. Schutte and Mr. Edward Watson on
the September 7, 2016 site visit. Should you need additional information, or if I may assist you in any
way, please feel free to call upon me at [phone].
Thank you;
�Y
Greg So nei-der, Park Superintendent
Lake Norman State Park
759 State Park Road
Statesville, NC 28166
cc: Dena Myers
Matthew Cartner
Enclosures: (2)
Michael A. Murphy, Director NORTH CAROLIINN�A�STATE DARKS
NC Division of Parks and Recreation IV ,,® U16 zz&0d
1615 Mail Service Center, Raleigh, NC 27699-1615
919-707-9300 / ncparks.gov

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
`Division of Water Resources
I. EXISTING PERMITTEE INFORMATION:
1. Permittee's name: Jarid A. Church.
NON -DISCHARGE PERMIT OWNERSHIT/NAME CHANGE
FORM: NDPONC 11-13
2. Signature authority's name: Jarid A. Church per 15A NCAC 02T .0106(b) Title: Park Ranger
3. Permittee's mailing address: 759 State Park Rd
City: Troutman State: NC Zip: 28166-
4. Permittee's contact information: Phone number: 104) 528-6350 Email Address: [e-mail]
5. Demonstration of historical consideration for permit approval — 15A NCAC 02T .0120:
Has the Permittee or any parent, subsidiary or other affiliate exhibited the following?
a. Has been convicted of environmental crimes under Federal law or G.S. 143-215.613? ❑ Yes or ® No
b. Has previously abandoned a wastewater treatment facility without properly closing that facility? ❑ Yes or ® No
c. Has unpaid civil penalty where all appeals have been abandoned or exhausted? ❑ Yes or ® No
d. Is non -compliant with an existing non -discharge permit, settlement agreement or order? ❑ Yes or ® No
e. Has unpaid annual fees in accordance with 15A NCAC 02T .0105(e)(2)? ❑ Yes or ® No
II. FACILITY INFORMATION:
1. Facility name: Lake Norman State Park Swim Beach and Family Campground
2. Facility's physical address: 135 Shortleaf Drive
City: Statesville State: NC Zip: 28677- County: Iredell
III. PERMIT INFORMATION:
1. Existing permit number: WQ0020881 and most recent issuance date: October 1.2015
2. Existing permit type: Other Non -Discharge Wastewater
3. Reason for the permit application: Name Change
4. Has the facility been constructed? ® Yes or ❑ No
IV. APPLICANT INFORMATION:
1. A
pplicant's name: Gregory A. Schneider
2. Signature authority's name: Gregory A. Schneider per 15A NCAC 02T .0106(b) Title: Park Superintendent
3. Applicant's mailing address: 759 State Park Rd
City: Troutman State: NC Zip: 28166-
4. Applicant's contact information: Phone number: 704 528-6350 Email Address: [e-mail]
5. Demonstration of historical consideration for permit approval — 15A NCAC 02T .0120:
Has the Applicant or any parent, subsidiary or other affiliate exhibited the following?
a. Has been convicted of environmental crimes under Federal law or G.S. 143-215.613? ❑ Yes or ® No
b. Has previously abandoned a wastewater treatment facility without properly closing that facility? ❑ Yes or ® No
c. Has unpaid civil penalty where all appeals have been abandoned or exhausted? ❑ Yes or ® No
d. Is non -compliant with an existing non -discharge permit, settlement agreement or order? ❑ Yes or ® No
e. Has unpaid annual fees in accordance with 15A NCAC 02T .0105(e)(2)? ❑ Yes or ® No
FORM: NDPONC 11-13 Page I of

• 4 ,a
Existing Permittee's Certification per 15A NCAC 02T .0106(b):
'�'��� (�S zV_ VyW (7 eY� attest that this application for
(Signature Authoriname & title from Application Item 1.2.)
(Facility name from Application Item I1.1.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that prior to reissuance of the
permit into the Applicant's name, any discharge of wastewater from this non -discharge system to surface waters or the land will result
in an enforcement action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against
the Division of Water Resources should a condition of the existing permit be violated. I also understand that if all required parts of
this application package are not completed and that if all required supporting information and attachments are not included, this
application package will be returned as incomplete. I further certify that the existing Permittee or any affiliate has not been convicted
of an environmental crime, has not abandoned a wastewater facility without proper closure, does not have an outstanding civil penalty
where all appeals have been exhausted or abandoned, are compliant with any active compliance schedule, and do not have any
overdue annual fees per 15A NCAC 02T .0105(e).
NOTE - In accordance with General Statutes 143-215.6A and 143-2I5.6B, any person who knowingly makes any false statement,
representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: Date: 19, 1 I�1 (�
Applicant's Certification per 15A NCAC 02T .0106(b):
attest that this application for
l(
(Signature Authority's name & title from Application Item IV.2.)
��SK,t /4%C�2M4J� Tf�j-�
— Y :�"cLaC... S `� �Y �� 1 c ).E/' J\IO J-���_y
(Facility name from Application Item 11.1.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that after reissuance of the permit
into the Applicant's name, any discharge of wastewater from this non -discharge system to surface waters or the land will result in an
enforcement action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the
Division of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this
application package are not completed and that if all required supporting information and attachments are not included, this
application package will be returned to me as incomplete. I further certify that the Applicant or any affiliate has not been convicted of
an environmental crime, has not abandoned a wastewater facility without proper closure, does not have an outstanding civil penalty
where all appeals have been exhausted or abandoned, are compliant with any active compliance schedule, and do not have any
overdue annual fees per 15A NCAC 02T .0105(e).
NOTE - In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement,
representation, or ce i cation in any application ackage shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 11 s civil penalties up o $2 , 00 per violation.
Signature: r Date:
FORM: NDPONC 11-13 Page 2 of 2

LOWE n�I�
LOWE'S HOME CENTERS, LLC , J
1041 CHARLOTTE HIGHWAY ( (�
TROUTMAN, NC 20166 [phone]
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- SALE -
SALES#: S275OMS1 1597773 TRANS#: 9963317 12-05-16 i
237952 40U A15 DL APPLIANCE CLEA 3.98 + cL
SUBTOTAL: 3.98 J
TOTAL TAX: 0.00
INVOICE 09919 TOTAL: 3.98 C�-
VISA: 3.98
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VISA:XXXXXXXXXXXX3240 AMOUNT:3.98 AUTHCO:073305 CHIP REFID:275009055146 12/05/16 13:41:31
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AID: AOOC0000031010 TSI: F800 N
STORE:2750 TERMINAL:09 12/05/1613:42:43 ro
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EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS ai
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SEE REVERSE SIDE FOR RETURN POLICY. o°Jc d° 1'
STORE MANAGER: BRIAN LEVY -a xo a •�J
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WE HAVE THE LOWEST PRICES, GUARANTEED! dam° u o G a
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* OFFICIAL RULES 8 WINNERS AT: www.towes.com/survey
STORE: 2150 TERMINAL: 09 12/05/15 13:42:43

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An'ditwER, Vitflo, P.-G,
.Assistant R6gional Supervisor
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o. er- eso.urc 7,
Divisionfwii NCDE -Q
6.1.0 EastCe'nterAvqnuej�-SuIW,3Qj
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Dear Mr-T-.fiter3,
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_Secretary::
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Matthew Cartrier
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Permit: W00020881 Owner - Facility: NC Department of Natural and Cultural Resources
Inspection Date: 09/67/2016 Inspection Type: Compliance Evaluation Reason for Visit: Routine
01 - Lake Norman State Park Swim Beach
Treatment Lagoons
Yes No NA NE
Has the water level gauge been surveyed w/ respect to lowest point on dike? wall? ❑ 11110
No Evidence of overflow
Acceptable color
Floating mats
Excessive solids buildup
Aerators/mixers
Effluent structure
Lagoon cover
❑ M ❑ ❑
0❑❑❑
❑■❑❑
❑ M ❑ ❑
■❑[In
❑ ❑ ❑
❑■❑❑
Page: 7

■ Complete items 1, 2, and 3.
A. Si tat e
■ Print your name and address on the reverse
X
❑ Agent
- so that we can return the card to you.
❑ Addressee
■ Attach this card to the back of the mailpiece,
B. ceived b (Printed Name}
C. Date
or on the front if space permits.
��ry
1.
_Article.Addressed_to: _
LAKE NORMAN STATE PARK SWIM
D. Is delivery address different from item 1?' ❑ es
i
If YES, enter delivery address
below: ❑ No
BEACH
159 INLAND SEA LANE
TROUTMAN NC 28166 -
ATTN: GREG SCHNEIDER
dwr/ew 9/14/16
II I IIII'I IIII I'I I I I I I'llll IIIIII III II III lIl III 3. Service Type
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❑ Priority Mail Expresso
❑ Adult Signature Restricted Delivery
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❑ Registered MaiITM
❑ Registered Mail Restricted
Delivery
❑ Certified Mail Restricted Deliverytetum
Receipt for
D Collect on Delivery,
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Merchandise
0 Signature ConfirmationTm
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r1' II Restricted De ive
iD Signature Confirmation
Restricted Delivery
0
PS Form 3811, July 2015
PSN 7530-02-000-9053
Domestic Return Receipt
11 U.S. Postal Service"
CERTIFIED MAILRECEIPT
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❑ Return Recelpt (hardcopy) $ n,. /
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❑ Return Receipt (electronic) $ Po
❑ Certified Mail Restricted Delivery $ ,-'� I -'-
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Postage \ \
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Total I LAKE NORMAN STATE. !1Z
BEACH
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sent? 159 INLAND SEA LANE
�
NC 28166
TROUTMAN S(ieet ----. -.
ATTN: GREG SCHNEIDER
°iry ` dwr/ew 9/14/16

r 'nE MCCRORY
3;+ Governor
DONALD R. VAN DER VAART
Secretary
Water Resources. S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY Director
September 14, 2016
CERTIFIED MAIL.
Tracking #70151520 0002 8530
RETURN RECEIPT REOUESTED
Lake Norman State Park.Svvim Beach
159 Inland Sea Lane
Troutman, North Carolina 28166
Attention: ..Greg Schneider, Acting Park Superintendent
Subject: Notice of Violation
NOV-2016-PC-0453
Surface Irrigation Permit. Inspection Report
Permit No. WQ0020881
Iredell County
Dear Mr. Schneider:
Enclosed you will find the report for the compliance inspection that was conducted on September 7,
20.16, for the referenced facility's treatment and disposal system. The inspection. included a review of:
records; two pump stations, the residuals processing and storage areas and the application sites.
I would like to thank Dena Myers and Matthew Cartner and Greg Schneider fortheir time during the
inspection.
Immediately prior to the inspection,the existing permit condition(s) were not being followed. The issue
was discussed during the September 7th site visit as well as telephone conversations regarding this
issue. . . . . .
NDMR and NDAR reports were submitted as much as seven months behind schedule. The MRO
received the. NDMR and NDAR reports for the months of July 2015 through January of 2016 on February
. 23, 2016.
The MRO understands that with,the loss of Mr. Church and personnel reductions that clerical work was
not processed on time. However, the persistent delay to the submission of these permit required
reports leaves no option but to issue this Notice of Violation (NOV). This NOV is being issued for failing
to meet the following specific permit conditions:
State of North Carolina I Environmental Quality. I Water Resources I Water Quality Regional Operations
Mooresville Regional Office 1 610 East Center Avenue; Suite 301 Mooresville, North Carolina 28115 .
704 663 1699

IV MONITORING AND REPORTING REQUIREMENTS 15A NCAC 02T 0108 (c)
3. The effluent from the subject facility shall be continuously.monitored and daily flow values shall be
reported on Form NDMR.
4. The permitee shall monitor the effluent from the subject facilities at the .frequencies and locations for.
the parameters specified -in Attachment A.
7. Three copies of all. monitoring data (as specified in Condition IV. 3 and IV.4) on Form NDMR for each
PPI and three copies of all -operation and disposal records (as specified in Condition IV.5 and IV.6) on
form NDAR-1:...............
.The facility storage and application fields appeared well maintained at the time of inspection. There are
a couple of points worth nothing for continued program compliance:
• A couple of data questions were discussed during our meeting or in subsequent email.'
Primarily with the, submission of the NDMR and NDAR reports.
A visual -alarm was out at the Swim Beach pump station and is to be repaired.
This permit has recently been renewed. We have included documentation for name changes to the
permit to provide for signatureauthority for the NDMR and NDAR documents and -other permit related .
issues. Please submit the completed form to Mr. Troy Dobyat our central office in Raleigh. Please
contact Mr. Doby'at [e-mail] with questions about this form.
It.is requested that.a written response be directed to this office by October 23, 2016, addressing the
issues noted above and the terms and conditions as set,forth in .the WQ0020881 permit:
Failure to comply with conditions in a permit mat result in a recommendation of enforcement action, to.
the Director of Water Resources who. may issue a civil penalty assessment of not.more than'twenty-five
thousand-($25,000) dollars against any `:person" who violates or fails to act in accordance with the
terms;. conditions, or requirement of a permit under authority of G.S. 143-215.6A.
The attached report should be self-explanatory; however, should you have questions, please contact
Edward. Watson .by phone (704=235-2198) or email f [e-mail]). We will be glad to
discuss this issue with Mr. Cartner as well.
Sin.+ rely
Andrew H. Pitner, P. G.
Assistant Regional Supervisor'
Mooresville'Regional Office
Water Quality Regional Operations Section
Division of.Water Resources, NCDEQ .
Attachment(s): WQ00020881 Inspection Report, Non Discharge Owner/Name Change Form.
CC: Dena Myers, Statesville Analytical (Email)
Matthew Cartner, LA-ORC (Email)

Compliance Inspection Report
Permit: WQ0020881 Effective: 10/01/15 Expiration: 09/30/20 Owner: NC Department of Natural and Cultural
Resources
SOC: Effective: Expiration: Facility: Lake Norman State Park Swim Beach
County: Iredeli 759 State Park Rd
Region: Mooresville
Statesville NC 28677
Contact Person: G Robert Graham Title: Phone: [phone]
Directions to Facility:
From the intersection of Perth Rd (1303) and State Park Rd., travel southwest 4.4 miles past the park entrance and the boat
landing. The WWT system and spray fileds are located on the right side of State Park Rd.'
System Classifications: SI,
Primary ORC: Matthew Bryan Cartner Certification: 995910 Phone: [phone]
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 09/07/2016 Entry Time: 10:OOAM
Primary Inspector: Edward Watson
Secondary Inspector(s):
Maria Schutte
Reason for Inspection: Routine
Permit Inspection Type: Wastewater Irrigation
Facility Status: ❑ Compliant Not Compliant
Question Areas:
Exit Time: 11:30AM
Phone:
Inspection Type: Compliance Evaluation
Treatment Flow Measurement -Effluent Treatment Flow Measurement -Influent Miscellaneous Questions
Treatment Flow Measurement -Water Treatment Record Keeping
Use Records
Treatment Lagoons End Use -Irrigation Treatment Influent Pump Station
Treatment Flow Measurement Storage Standby Power
(See attachment summary)
Page: 1

permit WQ0020881 Owner - Facility: NC Department of Natural and Cultural Resources
Inspection Date: 09/07/2016 Inspection Type: Compliance Evaluation Reason for visit: Routine
Inspection Summary:
On September 7, 2016,staff from the Mooresville Regional Office (MRO) of the Division of Water Resources (DWR)
inspected the Wastewater Irrigation Permit for the Lake Norman State Park Swim Beach under permit WQ0020881. This
Was an annual compliance inspection for the facility. Prior to the inspection, notification was provided to the facilty operator
that a Notice Of Violation (NOV) was going to be issued because permit requirements were not met regarding timely
submittals of NDAR and NDMR forms. There was confusion as to who had signature authority to be able to sign off on the
NDAR and NDMR permit required forms.
As the previuos ORC had passed -away, information had not been clearly conveyed to the new supervisor on what was
required to be submitted regarding permit requirements and the due dates. The MRO will issue an NOV without the issuing
enforcement with the understanding that in future,the required forms are be submitted in a timely manner. The MRO has
also sent a name change form to the permitee so the past ORC's name can be removed from the permit and new names be
adding having signature authority.
Overall, the site was in the operating condition. The treatment system was reviewed and the sprayer heads were tested
with regards to operational condition. At the time of the inspection, the treatment unit was operating properly and flow
meters were calibrated.
During the inspection, the pump stations were also reviewed and the alarm light at lift station 1 needs to have the bulb
replaced in the alarm light.
Page: 2

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Permit: WQ0020881 Owner - Facility: NC Department of Natural and Cultural Resources
Inspection Date: 09/07/2016 Inspection Type; Compliance Evaluation Reason for visit: Routine
Treatment Flow Measurement -Effluent Yes No NA NE
Is flowmeter calibrated annually? M ❑ ❑ ❑
Is flowmeter operating properly? 0 ❑ ❑ ❑ .
Does flowmeter monitor continuously?0 ❑ ❑ ❑
Does flowmeter record flow? M ❑ ❑ ❑
Does flowmeter appear to monitor accurately? 0 ❑ ❑ ❑
Comment: . Flow meter is calibrated and the calibration ticket was dated February 2016. The ticket was -
present on the flow meter.
Treatment Flow Measurement -Influent Yes No NA NE
Is flowmeter calibrated annually? M ❑ ❑ ❑
Is flowmeter operating properly? 0 ❑ ❑ ❑
Does flowmeter monitor continuously? _M ❑ ❑ ❑
Does flowmeter record flow? ❑ ❑ ❑
Does flowmeter appear to monitor accurately? ❑ ❑ ❑
Comment: The flow meters were calibrated and labeled with the calibration date. The meters are
conituously working and flow meter records were available to be reviewed.
Treatment Flow Measurement -Water Use Records Yes No NA NE
Is water use metered? ❑ ❑ ❑
Are the daily average values properly calculated? 0 ❑ ❑ ❑
Comment: The treatment system is a 40 gallon liquid chlorine dispenser tank that is feed through an
automatic feed system. Records were able to be reviewed of the dispensing rate for the
treatment system.
Treatment Influent Pump Station
Yes No NA NE
Is the pump station free of bypass lines or structures?
M 1111 ❑
Is the general housekeeping acceptable?
❑ ❑ ❑
Are all pumps present?
M❑ ❑ ❑
Are all pumps operable?
❑ .❑ ❑
Are floats/controls operable?
M ❑ ❑ ❑
Are audio and visual alarms available?
M ❑ ❑ ❑
Are audio and visual alarms operational?
❑ ❑ ❑
# Are SCADA/Telemetry alarms required?
❑ ❑ ,M ❑
1
Page: 5

Permit _ WO0020881 Owner - Facility: NC Department of Natural and Cultural Resources •
Inspection Date: 09/07/2016 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Treatment Influent Pump Station Yes No NA NE
Are SCADA/Telemetry available? ❑ ❑ 0.❑
Are SCADA/Telemetry operational? ❑ ❑ NO
Comment: Lift station alarms are working. During the inspection, the alarms were tested at both lift stations
The light at Lift Station 1 needs to have the bulb replaced
Type
Single Family Spray, LR
Infiltration. System
Reuse (Quality)
Activated Sludge Spray, HR
Activated Sludge Spray, LR
Recycle/Reuse
Activated Sludge Drip, LR
Single Family Drip
Lagoon Spray, LR
01 - Lake Norman State Park Swim Beach
Treatment Lagooris
Lagoon Type
Primary/Secondary
Influent structure
Banks/berms'(seepage and erosion)
Vegetation (excessive vegetation on banks/berms)
Liner
Liner Type
Baffles/curtains
Freeboard Marker
Required freeboard
Actual freeboard
Are increments clearly marked on gauge at adequate intervals?
Yes No NA NE
rl
n.
ri
Yes No NA NE
Aerated
Primary
❑ .❑ ❑
■ ❑.❑ ❑
■❑❑❑
Apron, synthetic
❑❑❑■
■❑❑❑
2
Feet
2.5
Feet
■❑❑❑
Page: 6

North Carolina Department of Environmental Quality
Division of Water .Resources
Water Quality Section
NON -DISCHARGE COMPLIANCE INSPECTION REPORT
WASTEWATER IRRIGATION
General Information
Facility Name: Lake Norman State Park Swim Beach
Permit No.: W00020881
Owner: NC DENR Parks and Recreati
County: Iredell
Issuance Date: May 28, 2015
Expiration. Date:09/30/2020
ORC Name: Telephone No.:
Backup ORC: Telephone No.:
Other Contact: Telephone No.:
Location (address, gps or directions):159 Inland Sae Lane, Troutman, NC 28166
Reason for Inspection
® ROUTINE ❑ FOLLOW-UP ❑ COMPLAINT ❑ PERMITTING ❑ Other:
Comments (attach additional pages as necessary)
Is a follow-up inspection necessary ❑ Yes ❑ No

Non -Discharge Compliance Inspection Report
Primary Inspector: Edward Watson Secondary Inspector: Maria Schulte
Date of Inspection: September 7, 2016 Entry Time: 10:00 AM_ Exit Time:
Record Keeping and Reporting Information
Y
N
NA
NE
Is current permit available upon request?
❑
❑
❑
❑
Has the facility been free of public complaints for the last 12 months?
®
❑
❑
❑
Are maintenance and inspection logs present (date & time of inspections, visual observations,
any maintenance (adjustments, cleanings, equip changes) or repairs taken)?
❑
❑
❑
❑
Are weekly freeboard records present?
❑
❑
❑
❑
Are irrigation tracking records present (date, weather, volume, length time, field #,
Hydraulic loading, nutrient loading, other)?
❑
❑
❑
❑
Has irrigation equipment been calibrated (once/permit cycle) & records present?
❑
❑
❑
❑
Are records present for residuals removal (date, volume, Residual Hauler Name,
Name/permit of the receiving party or letter from Municipality)?
❑
❑
®
❑
Is an Operation & Maintenance Plan, and Spill Plan present?
❑
❑
❑
❑
Effluent Monitoring:
Were effluent monitoring reports present? ❑ NDMR ❑ NDAR ❑ NDMLR
❑
❑
❑
❑
Are flow rates less than permitted flow? Permitted Flow:
❑
❑
❑
❑
Are application rates adhered to? Permitted Rate:
❑
❑
❑
❑
Are lab sheets available for review and support monitoring reports?
❑
❑
❑
❑
Are samples analyzed for the required parameters (See permit)?
❑
❑
❑
❑
Effluent concentrations do NOT exceed permit limits or 2L GW standards?
❑
❑
❑
❑
If required, are PAN records present and complete?
❑
❑
❑
❑
Groundwater Monitoring:
Is groundwater monitoring required?
❑
❑
Were GW-59's and lab results present?
❑
❑
❑
❑
Were samples analyzed for the required parameters (See permit)?
❑
❑
❑
❑
Observed records indicate no 2L GW quality violations?
❑
❑
❑
❑
Soil Analysis:
Were annual soil analyses results present for each irrigation field?
❑
❑
❑
❑
If lime was called for on the Agronomist report, was lime applied?
❑
❑
❑
❑
Copper and Zinc indices: ❑ < 2,000 ❑ 2,000 — 3,000 ❑ >3,000
Was Sodium less than 0.5 meq/100 cm3 ?
❑
❑
❑
❑
Was Exchangeable Sodium Percentage (ESP) less than 15% ?
❑
❑
❑
❑
Influent Pump Station(s) ® Check box if component is listed in permit description.
Y
N
NA
NE
All pumps present, operational
❑
❑
❑
❑
Floats/Controls operable
❑
❑
❑
❑
Audio & Visual Alarms Operational
❑
❑
❑
❑
Free of bypass lines or structures
❑
❑
❑
❑
General housekeeping good
❑
❑
❑
❑
Back-up power available, routinely tested & fueled?
❑
❑
❑
❑
Treatment Barscreen ❑ Check box if component is listed in permit description.
Y
N
NA
NE
Are bars spaced properly & free of excess debris?
❑
❑
❑
❑
Are screenings disposed of properly?
❑
❑
❑
❑
Is unit in good condition (excess corrosion)?
❑
❑
❑
❑
Equalization Basin ❑ Check box if component is listed in permit description.
Y
N
NA
NE
Is aeration present?
❑
❑
❑
❑
Page 2 of 4

Non -Discharge Compliance Inspection Report
Are pumps present and operational?
❑
❑
❑
❑
Is unit in good general condition?
❑
❑
❑
❑
Treatment Activated Sludge ® Check box if component is listed in permit description.
Y
N
NA
NE
Aeration mechanism operable & accessible?
❑
❑
❑
❑
Aeration basin thoroughly mixed?
❑
❑
❑
❑
Settleometer & dissolved oxygen results acceptable?
❑
❑
❑
❑
Is sludge an acceptable color?
❑
❑
❑
❑
Residual Storage/Treatment
Y
N
NA
NE
® Lagoon ❑ Basin ❑ Septic Tank Capacity (gallons): 78,000
If Septic Tank, is a sanitary T or filter present?
❑
❑
❑
❑
How often are residuals pumped?
Treatment Filter(s) ❑ Check box if component is listed in permit description.
Y
N
NA
NE
Is unit accessible for review (i.e. inspection port or not subsurface)?
❑
❑
Is the filter media present, correct size & type?
❑
❑
❑
❑
Is mud well free of excess solids and filter media?
❑
❑
❑
❑
Is media free of ponding, algae or excess vegetation?
❑
❑
❑
❑
Is clear well free of excess solids and filter media?
❑
❑
❑
❑
Does backwashing/air scour frequency appear adequate?
❑
❑
❑
❑
Treatment Clarifiers ❑ Check box if component is listed in permit description.
Y
N
NA
NE
Weirs level, free of excessive solids & algae?
❑
❑
❑
❑
Scum removal system operational and accessible?
❑
❑
❑
❑
Sludge blanket at acceptable level?
❑
❑
❑
❑
Clarifier effluent free of excessive solids?
❑
❑
❑
❑
Treatment Disinfection
Type: ® Tablets ❑ Gas ❑ Liquid ❑ UV
Y
N
NA
NE
Is the system properly maintained and working?
❑
❑
❑
❑
Fecal coliform results indicate proper disinfection?
❑
❑
❑
❑
Adequate detention time (> 30 minutes)?
❑
❑
❑
❑
If tablets, proper size & type?
❑
❑
❑
❑
Present in Cylinder(s)?
❑
❑
❑
❑
If UV bulbs, are replacement bulbs on hand?
❑
❑
❑
❑
Is contact chamber free of sludge, solids and growth?
❑
❑
❑
❑
Flow Measurement
Flowmeter location: ❑ Influent ❑ Effluent
Y
N
NA
NE
Is flowmeter calibrated annually (design flow >10,000 gpd)?
❑
❑
❑
❑
Is flowmeter operating properly?
❑
❑
❑
❑
Does flowmeter record flow?
❑
❑
❑
❑
If no flowmeter (<10,000 gpd), are water -use records available (water meter)?
❑
❑
❑
❑
Are the daily average values properly calculated?
❑
❑
❑
❑
Treatment
Y
N
NA
NE
Are treatment facilities consistent with those outlined in permit?
❑
❑
❑
❑
Do all treatment units appear to be operational? If no, note below.
❑
❑
❑
❑
List any items/units):
Page 3 of 4

Non -Discharge Compliance Inspection Report
Effluent Storage
®Lagoon(s) ❑ Above ground tank(s) ❑ Underground tank(s) ❑Other: —
Amount of Storage (days, months, gallons, etc.):780,000 gal./ (42 days of storage)
Effluent Storage Lagoon(s) ❑ Primary ❑ Secondary
Y
N
NA
NE
Influent structure(s) free of obstructions?
❑
❑
❑
❑
No signs of seepage, overtopping, down cutting or erosion on embankments?
❑
❑
❑
❑
Proper vegetation type w/ no excessive vegetation present on embankments?
❑
❑
❑
❑
Liner (if visible, is it intact)?
❑
❑
❑
❑
Baffles/curtains in good condition?
❑
❑
❑
❑
Freeboard is >2 feet from overtopping? Measurement at time of inspection:
❑
❑
❑
❑
Staff gauge is clearly marked?
❑
❑
❑
❑
No evidence of overflow (vegetation discolored or laying down/broken)?
❑
❑
❑
❑
No unusual color (very black, textile colors)? ,
❑
❑
❑
❑
No Foam present? Are antifoam agents used? ❑ Yes ❑ No
❑
❑
❑
❑
No floating mats (sludge, plants, inorganics)?
❑
❑
❑
❑
No signs of excessive solids buildup (from bottom)?
❑
❑
❑
❑
Aerators/mixers operational (if present)?
❑
❑
❑
❑
Effluent structure is free of obstructions and easily accessible?
❑
❑
❑
❑
Effluent Pump station
Y
N
NA
NE
All pumps present, operational
❑
❑
❑
❑
Floats/Controls operable
❑
❑
❑
❑
Audio & Visual Alarms Operational
❑
❑
❑
❑
Free of bypass lines or structures
❑
❑
❑
❑
If required, is a rain sensor present and operational
❑
❑
❑
❑
General housekeeping good
❑
❑
❑
❑
Back-up power
❑
❑
❑
❑
End Use -Irrigation Number of Fields:1 Y
N
NA
NE
Are buffers adequate?
❑
❑
❑
❑
Are cover crops the type specified in permit and/or in good condition?
❑
❑
❑
❑
No signs of runoff, ponding, or drift?
❑
❑
❑
❑
Is the acreage specified in the permit being utilized?
❑
❑
❑
❑
Is the application equipment present, operational, and in good condition?
❑
❑
❑
❑
No limiting slopes present in irrigation fields?
❑
❑
❑
❑
Is site access restricted and/or signs posted in accordance with permit?
❑
❑
❑
❑
No water supply wells within the CB?
❑
❑
❑
❑
No water supply wells within 250' of the CB?
❑
❑
❑
❑
Is permit being followed?
❑
❑
❑
❑
Groundwater Monitoring Wells
Y
N
NA
NE
Does the permit require monitoring wells? If so, answer the following.
❑
Are the monitoring wells properly installed according to the permit?
❑
❑
®
❑
Are. the monitoring wells located properly w/ respect to RB & CB?
❑
❑
®
❑
Are the wells properly identified & free of damage?
❑
❑
®
❑
Page 4 of 4

STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
LABORATORY CERTIFICATION BRANCH
In accordance with the provisions of N.C. G.S. 143-215.3 (a) (1), 143-215.3 (a)(10) and NCAC 2H.0800:
- y
0"",049
Envirolink Inc.
Is hereby certified to perform environmental analysis as listed on Attachment 1 and report monitoring data to DEQ for
compliance with NPDES effluent, surface water, groundwater, and pretreatment regulations.
By reference 15A NCAC 2H , 0800 is made a part of this certificate -
This certificate does not guarantee validity of data generated, but indicates the methodology, equipment quality control procedures,
records, and proficiency of the laboratory have been examined and found to be acceptable.
This certificate shall be valid until 12/31/2019
Certificate No. 5212 1
Dana B. Satterw site

Certificate No. 5212
STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
LABORATORY CERTIFICATiON BRANCH
In accordance with the provisions ofN.C.G.S. 143-215.3 (a) (1), 143-215.3 (a)(10) and NCAC 2H.0800:
Envirolink Inc.
Is hereby certified to perform environmental analysis as listed on Attachment I and report monitoring data to DEQ for
compliance with NPDES effluent, surface water, groundwater, and pretreatment regulations.
By reference 15A NCAC 2H .0800 is made a part of this certificate.
This certificate does not guarantee validity of data generated, but indicates the methodology, equipment, quality control procedures,
records, and proficiency of the laboratory have been examined and found to be acceptable.
This ce iftcete•sball be valid until 12/31/2020
�.c tom/ ri _
Dana S. Satterwhite

610 E Center Ave, Mooresville, NC 28115-2548 to Lake Norman State Park Directions -... Page 1 of 2
YOUR TRIP TO:�
Lake Norman State Park
26 MIN 1 13.0 MI
Est. fuel cost: $1.21
Trip time based on traffic conditions as of 1:06 PM on January 28, l_w/iJ Print a futt heaith report of your car with HUM
2020. Current Traffic: Heavy V vehicle diagnostics Woo) g06-2501
( 1. Start out going west on E Center Ave toward Cedar St.
Then 0.22 miles
1711 2. Take the 3rd right onto N Maple St.
N'Maple St is just past N Sycamore St.
If you reach Elm St you've ,gone a little too far.
Then 0.24 miles
3. Turn left onto E Iredell Ave/NC-3. Continue to follow E Iredell Ave.
Then 0.26 miles
r+ 4. Turn right onto N Broad St/NC-115. Continue to follow NC-115.
NC-115 is just past N Main St.
Brawley Furniture is on the corner.
If you reach N Academy St you've gone a little too far.
Then 2.12 miles
5. Turn left onto Connector Rd.
Connector Rd is just past Clark Branch Ln.
If you reach Barclay Ln you've gone about 0.3 miles too far.
Then 0.85 miles
T6. Connector Rd becomes Cornelius Rd.
Then 2.45 miles
7. Turn right onto Judas Rd.
Judas Rd is just past Sisters Cv.
If you reach Homer Ln you've ,gone about 0.2 miles too far.
Then 1.21 miles
I+ 8. Turn right onto Perth Rd.
Then 3.00 miles
0.22 total miles
0.46 total miles
0.72 total miles
2.84 total miles
3.69 total miles
6.14 total miles
7.35 total miles
10.34 total miles
https://www.mapquest.com/directions/list/ 1 /us/north-carolina/mooresville/28115-2548/61... 1 /28/2020

610 E Center Ave, Mooresville, NC 28115-2548 to Lake Norman State Park Directions-... Page 2 of 2
kyI 9. Turn sharp left onto State Park Rd.
State Park Rd is 0.3 miles past Menster Dr.
If you reach Spicewood Cir you've gone about 0.1 miles too far.
Then 2.63 miles 12.97 total miles
{� 10. Lake Norman State Park, 759 State Park Rd, Troutman, NC, 759 STATE
" , PARK RD is on the left.
Your destination is 0.5 miles past Duke Power State Park.
If you reach Inland Sea Dr you've gone about 1 mile too far.
Use of directions and maps is subject to our Terms of Use. We don't guarantee accuracy, route conditions or usability. You assume all risk of use
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Directions from 610 E Center Ave to Duke Power State Park
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o 610 E Center Ave
Mooresville, NC 28115
Take US-21 N, Cornelius Rd, Perth Rd and
State Park Rd to Inland Sea Ln in
Fallstown
14.4mi/25min
f 1. Head west on E Center Ave toward Cedar
St
0.5 mi
47 2. Turn left onto S Church St
397 ft
r 3. Turn right onto E McLelland Ave
1.1 mi
1 4. Turn left onto E Plaza Dr
0.5 mi
r 5. Turn right toward US-21 N (signs for US-
21 N)
0.1 mi
r 6. Turn right onto US-21 N
1.9 mi
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4/27/2015

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Page 2 of 3
41 7. Turn left onto Cornelius Rd
2.4 mi
r°
8. Turn right onto Judas Rd
1.2 mi
t♦
9. Turn right onto Perth Rd
3.0 mi
10. Turn left onto State Park Rd
3.6 mi
Turn left onto Inland Sea Ln
41
0.1 mi/44s
14.5mi/25min
o Inland. Sea Ln
Statesville, NC 28677
12. Head northwest on Inland Sea Ln
toward State Park Rd
C411FOI 1
13. Turn left onto State Park Rd
41
0.1 mi
14. Slight left to stay on State Park Rd
0.2 mi
15. Continue onto St Johns Rd
1.0 m i
16. Continue straight
0.2 mi
17. Turn left onto Shortleaf Dr
41
0.1 mi
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4/27/2015

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Page 3 of 3
18. Turn left
41 0.1 mi
p Duke Power State Park
Statesville, NC 28677
1.8mi/5min
These directions are for planning purposes only. You may find that construction
projects, traffic, weather, or other events may cause conditions to differ from the
map results, and you should plan your route accordingly. You must obey all signs or
notices regarding your route.
4/27/2015

North Carolina Department of Environmental Quality
Division of Water Resources
Water Quality Section
NON -DISCHARGE COMPLIANCE INSPECTION REPORT
WASTEWATER IRRIGATION
General Information
FacilityName:Lake Norman State Park Swim Beach County: Iredell
Permit No.: WQ0020881 Issuance Date: May 28, 2015
Owner: NC DENR Parks and Recreation Expiration Date:09/30/2020
ORC Name:��r� c,v 13,yr,�� fin, -%ems Telephone No.: (764) 880- f3-73
Backup ORC: Telephone No.:
Other Contact: wd%, C 7141,r Jr, Telephone No.y' f) .G— � V
Location (address, gps or directions):159 Inland Sea Lane, Troutman, NC 28166
Reason for Inspection
® ROUTINE ❑ FOLLOW-UP ❑ COMPLAINT ❑ PERMITTING ❑ Other:
Comments (attach additional pages as necessary)
This is an annual compliance inspection fgor permit WQ0020881. Reporting violation will be issued because
NDMR and NDAR records were not submitted within the time periods required for these documents to be
submitted. Site operator has already been notified that an NOV will be issued for reporting violation. 1.
Maintanence Logs to be reviewed. 2. Flow calibration to be reviewed. 3. NDMR lab values to be reviewed.
4. Application field to be reviewed. 5. System operations to be reviewed. 6. Irrigation equipment calibration
records to be reviewed. 7. Look at freeboard and freeboard records. 8. Chlorine Tablet disinfection system
to be reviewed. 9. Effluent filters to be viewed. 10. Irrigation tracking records. 11. Id a spill plan vailable for
review? 12. Look at on -site monitoring wells. Wells are labeled as AAL-515 thru AAL-529. 13. Review
site effluent limits. 14. Look at review and compliance boundaries for the site. 15. Review effluent quality to
confirm that the quality meets the permit required standards for effluent. 16. Review and confirm ORC and
back-up ORC. 17. Look for ponding or run of in the irrigation area. 18. Review vegetative cover of the
spray field. 19. Review cala oration records for flow meters, and irrigation equipment. 20. look at staff gauge
in the lagoon and look at increments of the staff gauge. 21. Review tracking record for the amount of effluence
apllied to the spray field. Including a. dates of irrigation. b. vohame of effluent irrigated. c. site irrigate. d.
Continuous, weekly, monthly and year to date hydraulic parameter. e. Weather conditiond during loading. £
maintenannce of cover crops. 22. Review of maintenance logs for the facility. 23. Have there been power
interuptions? If so, for how long was power down? 24. Date of calibration of flow devices. 25. Annual
representative soil. analysis avaiilble? 26.
_.:D, 6,/16
Is a follow-up inspection necessary 0 Yes ® No

Non -Discharge Compliance Inspection Report
Primary Inspector: Edward Watson Secondary Inspector: Maria Schutte
Date of Inspection: September 7, 2016 Entry Time: l 0 '•O OM I Exit Time:
Record Keeping and Reporting Information
Y
N
NA
NE
Is current permit available upon request?
❑
❑
El -
Has the facility been free of public complaints for the last 12 months?
❑
❑
❑
Are maintenance and inspection logs present (date & time of inspections, visual observations,
any maintenance (adjustments, cleanings, equip changes) or repairs taken)?
12
❑
❑
❑
Are weekly freeboard records present?
V1
❑
❑
❑
Are irrigation tracking records present (date, weather, volume, length time, field #,
Hydraulic loading, nutrient loading, other)?
n
❑
R
❑
Has irrigation equipment been calibrated (once/permit cycle) & records present?
❑
❑
Are records present for residuals removal (date, volume, Residual Hauler Name,
Name/permit of the receiving party or letter from Municipality)?
❑
❑
®
❑
Is an Operation & Maintenance Plan, and Spill Plan present?
N�
❑
❑
❑
Effluent Mon itorinz.
Were effluent monitoring reports present? X NDMR X NDAR ❑ NDMLR
❑
❑
❑
Are flow rates less than permitted flow? Permitted Flow:
N
❑
❑
❑
Are application rates adhered to? Permitted Rate:
❑
❑
❑
Are lab sheets available for review and support monitoring reports?
❑
❑
❑
Are samples analyzed for the required parameters (See permit)?
❑
❑
❑
❑
Effluent concentrations do NOT exceed permit limits or 2L GW standards?
❑
❑
❑
❑
If required, are PAN records present and complete?
❑
❑
❑
❑
Groundwater Monitoring:
Is groundwater monitoring required?
®
❑
Were GW-59's and lab results present?
®
❑
❑
❑
Were samples analyzed for the required parameters (See permit)?
❑
❑
❑
Observed records indicate no 2L GW quality violations?
❑
)
❑
❑
Soil Analysis:
Were annual soil analyses results present for each irrigation field?
❑
❑
❑
❑
If lime was called for on the Agronomist report, was lime applied?
❑
❑
❑
❑
Copper and Zinc indices: ❑ < 2,000 ❑ 2,000 — 3,000 ❑ >3,000
Was Sodium less than 0.5 meq/100 cm3 ?
❑
❑
❑
❑
Was Exchangeable Sodium Percentage (ESP) less than 15% ?
❑
❑
❑
❑
Influent Pump Station(s) ® Check box if component is listed in permit description.
Y
N
NA
NE
All pumps present, operational
❑�
❑
❑
❑
Floats/Controls operable
❑
❑
❑
Audio & Visual Alarms Operational
�L`�
Lys
❑
❑
❑
Free of bypass lines or structures
❑
❑
❑
General housekeeping good
/
❑
❑
❑
Back-up power available, routinely tested & fueled?
[�
❑
❑
❑
Treatment Barscreen ❑ Check box if component is listed in permit description.
Y
N
NA
NE
Are bars spaced properly & free of excess debris?
❑
❑
❑
Are screenings disposed of properly?
❑
❑
❑
Is unit in good condition (excess corrosion)?
❑
❑
❑
Equalization Basin ❑ Check box if component is listed in permit description. -
Y
N
NA
NE
Is aeration present?
❑
❑
❑
❑
Page 2 of 4

Non -Discharge Compliance Inspection Report
Are pumps present and operational?
❑
❑
❑
Is unit in good general condition?
❑
❑
❑
Treatment Activated Sludge E Check box if component is listed in pernut description.
Y
N
NA
NE
Aeration mechanism operable & accessible?
❑
❑
❑
Aeration basin thoroughly mixed?
❑
❑
❑
Settleometer & dissolved oxygen results acceptable?
❑
❑
❑
Is sludge an acceptable color?
❑
❑
❑
Residual Storage/Treatment
Y
N
NA
NE
® Lagoon ❑ Basin ❑ Septic Tank Capacity (gallons): 78,000
If Septic Tank, is a sanitary T or filter present?
❑
❑
❑
❑
How often are residuals pumped?
Treatment Filter(s) ❑ Check box if component is listed in permit description.
Y
N
NA
NE
Is unit accessible for review (i.e. inspection port or not subsurface)?
❑
Is the filter media present, correct size & type?
j
❑
❑
❑
Is mud well free of excess solids and filter media?
E
❑
❑
❑
Is media free of ponding, algae or excess vegetation?
U
❑
❑
❑
Is clear well free of excess solids and filter media?
U
❑
❑
❑
Does backwashing/air scour frequency appear adequate?
U
❑
❑
❑
Treatment Clarifiers ❑ Check box if component is listed in permit description.
Y
N
NA
NE
Weirs level, free of excessive solids & algae?
❑
❑
❑
❑
Scum removal system operational and accessible?
❑
❑
❑
❑
Sludge blanket at acceptable level?
❑
❑
❑
❑
Clarifier effluent free of excessive solids?
❑
❑
❑
❑
Treatment Disinfection
Type: ® Tablets ❑ Gas ❑ Liquid ❑ UV
Y
N
NA
NE
Is the system properly maintained and working?
❑
❑
❑
❑
Fecal coliform results indicate proper disinfection?
❑
❑
❑
❑
Adequate detention time (> 30 minutes)?
❑
❑
❑
❑
If tablets, proper size & type?
❑
❑
❑
❑
Present in Cylinder(s)?
❑
❑
❑
If UV bulbs, are replacement bulbs on hand?
❑
❑
❑�
❑
Is contact chamber free of sludge, solids and growth?
❑
❑
❑
Flow Measurement
Flowmeter location: ❑ Influent ® Effluent
Y
N
NA
NE
Is flowmeter calibrated annually (design flow >10,000 gpd)?
❑
❑
❑
❑
Is flowmeter operating properly?
❑
❑
❑
❑
Does flowmeter record flow?
❑
❑
❑
❑
If no flowmeter (<10,000 gpd), are water -use records available (water meter)?
❑
❑
❑
❑
Are the daily average values properly calculated?
❑
❑
❑
❑
Treatment
Y
N
NA
NE
Are treatment facilities consistent with those outlined in permit?
❑
❑
❑
❑
Do all treatment units appear to be operational? If no, note below.
❑
❑
❑
❑
List any items/units):
Page 3 of 4

Non -Discharge Compliance Inspection Report
Effluent Storage
®Lagoon(s) ❑ Above ground tank(s) ❑ Underground tank(s) ❑Other:
Amount of Storage (days, months, gallons, etc.):14 days.
Effluent Storage Lagoon(s) ❑ Primary ❑ Secondary
Y
N
NA
NE
Influent structure(s) free of obstructions?
❑
❑
❑
❑
No signs of seepage, overtopping, down cutting or erosion on embankments?
❑
❑
❑
❑
Proper vegetation type w/ no excessive vegetation present on embankments?
❑
❑
❑
❑
Liner (if visible, is it intact)?
❑
❑
❑
❑
Baffles/curtains in good condition?
❑
❑
❑
❑
Freeboard is >2 feet from overtopping? Measurement at time of inspection:
❑
❑
❑
❑
Staff gauge is clearly marked?
❑
❑
❑
❑
No evidence of overflow (vegetation discolored or laying down/broken)?
❑
❑
❑
❑
No unusual color (very black, textile colors)?
❑
❑
❑
❑
No Foam present? Are andfoam agents used? ❑ Yes ❑ No
❑
❑
❑
❑
No floating mats (sludge, plants, inorganics)?
❑
❑
❑
❑
No signs of excessive solids buildup (from bottom)?
❑ .
❑
❑
❑
Aerators/mixers operational (if present)?
❑
❑
❑
❑
Effluent structure is free of obstructions and easily accessible?
❑
❑
❑
❑
Effluent Pump station
Y
N
NA
NE
All pumps present, operational
❑
❑
❑
❑
Floats/Controls operable
❑
❑
❑
❑
Audio & Visual Alarms Operational
❑
❑
❑
❑
Free of bypass lines or structures
❑
❑
❑
❑
If required, is a rain sensor present and operational
❑
❑
❑
❑
General housekeeping good
❑
❑
❑
❑
Back-up power
❑
❑
❑
❑
End Use -Irrigation. Number of Fields-4 Y
N
NA
NE
Are buffers adequate?
❑
❑
❑
❑
Are cover crops the type specified in permit and/or in good condition?
❑
❑
❑
❑
No signs of runoff, ponding, or drift?
❑
❑
❑
❑
Is the acreage specified in the permit being utilized?
❑
❑
❑
❑
Is the application equipment present, operational, and in good condition?
❑
❑
❑
❑
No limiting slopes present in irrigation fields?
❑
❑
❑
❑
Is site access restricted and/or signs posted in accordance with permit?
❑
❑
❑
❑
No water supply wells within the CB?
❑
❑
❑
❑
No water supply wells within 250' of the CB?
❑
❑
❑
❑
Is permit being followed?
❑
❑
❑
❑
Groundwater Monitoring Wells
Y
N
NA
NE
Does the permit require monitoring wells? If so, answer the following.
®
❑
Are the monitoring wells properly installed according to the permit?
❑
❑
❑
❑
Are the monitoring wells located properly w/ respect to RB & CB?
❑
❑
❑
❑
Are the wells properly identified & free of damage?
❑
❑
❑
❑
Page 4 of 4

a
NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY19-SL021534
Predictive
Client:
Robert White
Advisor:
Davie CES - House
P��cu�rueetiYo
759 State Park Rd
180 S Main Street
Soil Report
Mehlich-3 Extraction
Troutman, NC
Mocksville, NC
°sti �S
Sampled County: Guilford
�.
FUNDED 16
Links to Helpful Information
Sampled: 12/26/2018
Received: 01 /02/2019
Farm: 0019782
Completed: 02/06/2019
Client ID: 480706
Advisor ID: 402403
Sample ID: ZONE1
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre) N P2O5
K2O
Mg S
Mn
Zn
Cu
B
Information
Lime History:
1 -Pine, E
0.0 0 60
20
0
0
0
0
Note: 11
2 -Pine, M
0.0 100-150 60
20
0
0
0
0
Note: 11
Test Results [units - WN in g/cry; CEC and Na in meq/100 cnr3; NO3-N in mg/dd]:
Soil Class:
Mineral
HM% WN
CEC BS% Ac pH
P-1 K-1 Ca% M9%
S-1 Mn-I
Mn-All Mn-AI2
Zn-I
Zn-AI
Cu-1
Na ESP
SS-1 NO3-N
0.27 1.19
3.6 62 1.4 5.2
9 29 39 18
37 597
27
27
26
0.2 6
Sample ID: 2
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre) N P2O5
- K2O
Mg S
Mn
Zn
Cu
B
Information
Lime History:
1 -Pine, E
0.0 0 30
20
0
$
0
0
Note: 11
2-Pine, M
0.0 100-150 30
20
0
$
0
0
Note: 11
Test Results [units - WN in g/cn$; CEC and Na in meq/100 cO; NO3-N in mg/drrP]:
Soil Class:
Mineral
HM% W/V
CEC BS% Ac pH
P-1 K-1 Ca% Mg%
S-1 Mn-I
Mn-All Mn-AI2
Zn-I
Zn-AI
Cu-I
Na ESP
SS-1 NO3-N
0.36 1.17
5.2 73 1.4 5.4
22 28 48 22
28 434
23
23
41
0.2 4
Sample ID: 3
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre) N P2O5
K2O
Mg S
Mn
Zn
Cu
B
Information
Lime History:
1 -Pine, E
0.0 0 30
40
0
0
0
0
Note: 11
2-Pine, M
0.0 100-150 30
40
0
0
0
0
Note: 11
Test Results [units - WN in g/cn$; CEC and Na in meq/100 cn73; NO3-N in mg/dO]:
Soil Class:
Mineral
HM% WN
CEC BS% Ac pH
P-1 K-1 Ca% Mg%
S-1 Mn-I
Mn-All Mn-AI2
Zn-I
Zn-AI
Cu-1
Na ESP
SS-1 NO3-N
0.18 1.20
2.6 48 1.4 5.1
24 20 31 13
35 496
31
31
29
0.1 4
North Carolina
Tobacco Trust Fund Commission
Reprogramming of the laboratory -information -management system that makes this report possible is
being funded through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner of Agriculture

NCDA&CS Agronomic Division Phone: [phone]
Website: www.ncagr.gov/agronomi/
Report No. FY19-SL021534
Robert White
Page 2 of 3
Sample ID: 4
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P2O5
K2O
Mg S Mn Zn
Cu B
Information
Lime History:
1 -Pine, E 0.0
0 50
40
0 0
$ 0
Note: 11
2-Pine, M 0.0
100-150 50
40
0 0
$ 0
Note: 11
Test Results [units - WN in g/carp; CEC and Na in meq/100 crrr3; NO3-N in mg/drrp]:
Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-1
Mn-All Mn-AI2 Zn-I Zn-AI
Cu-1 Na ESP SS-1 NO3-N
0.32 1.14 3.8 56 1.7 5.0 15 19
40 13 24
76
29 29
19 0.1 3

NCDA$CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY19-SL021534
Robert White
Page 3 of 3
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Report Abbreviations
Lime
Ac
exchangeable acidity
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
B
boron
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
BS%
% CEC occupied by basic cations
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at on
Ca%
% CEC occupied by calcium
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full rate
CEC
cation exchange capacity
is applied. If MG is recommended and lime is needed, use dolomitric lime.
Cu-I
copper index
ESP
exchangeable sodium percent
Fertilizer
HM%
percent humic matter
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
K-1
potassium index
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
K20
potash
for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they
Mg%
% CEC occupied by magnesium
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
MIN
mineral soil class
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
Mn
manganese
only on reports for greenhouse soil or problem samples.
Mn-All
Mn-availability index for crop 1
Mn-AI2
Mn-availability index for crop 2
Mn-n- I
manganese index
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
mineral -organic soil class
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients. In general, homeowners do not
N
nitrogen
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
Na
sodium
ncagr.gov/agronomi/pubs.htm.
NO3-N
nitrate nitrogen
ORG
organic soil class
Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot find
pH
current soil pH
the exact fertilizer grade recommended on the report, visit www.ncapr.crov/acrronomi/obpart4.htmfsfind information that
P-1
phosphorus index
may help you choose a comparable alternate. For more information, read A Homeowners Guide to Fertilizer.
P205
phosphate
S-1
sulfur index
Test Results
SS-1
soluble salt index
W/v
weight per volume
The first seven values [soil class, HM%, W/V, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
Zn-AI
zinc availability index
remaining 16 [P-1, K-1, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-I, Zn-AI, Cud, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routinel
Zn-I
zinc index
available)] indicate levels of plant nutrients or other fertility measurement. Visit www•ncaar.00v/aaronomi/umthtm