WQ0020881_Regional Office Historical File Pre 2018 (5)

3-12 NON -DISCHARGE MONITORING REPORT (NDMR) f Page + ofA
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1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page i of 21
0020881
Facility Name: .Lake Norman State Park
County: Iredell
Month: December
Year: 2014
jartthifaSClllty?
Field Name:
_ ' A
Field Name:
B
Field Name.
Field Name:
n occur
Area: 4' res)
1 715
Area (acres):
1.715
Area (acres):
Area (acres):
Cover Crop:
: . Woodland."'
Cover Crop:
Woodland
Cover'.Crop:
',
Cover Crop:
❑� YES ONO
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0 4
Hourly Rate (in):
0.4
Hourly Rate (in);
Hourly Rate (in):
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"' 30 16'=`
Annual Rate (in):
30.16
:Annual;Rate (in):
Annual Rate (in):
Weather
Freeboard
= Field Irrigated?;
DYES:_ "ONO,
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20.7819

NON -DISCHARGE APPLICATION REPORT (NDAR-1) '?) Page _ of Z
Q0020881
Facility Name: .Lake Norman State Park
County: Iredell
Month: November
Year: 2014
r ;` Field Name
y •A
Field Name:
B:Fseld
Narne
Field Name:
ation occur
_
3l�rea5(acres)
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his facility?
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Woodland
Cover Crop
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4
7
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{ ,�0`16F `"
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x `� .r
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Weather
Freeboard
@IYEs ` ❑No `"
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F
8-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page a of 2
n rates exceed.the limits in Attachment B. of your permit? ElCompliant ❑Non -compliant
easures taken to prevent effluent ponding in or runoff from the sites? (]Compliant ❑Non -Compliant
a suitable vegetative cover maintained on all sites as specified in your permit? ❑p compliant ❑Non -Compliant
ere all setbacks listed in your permit maintained for every application to each permitted site? ❑� Compliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? []Compliant ❑Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Matthew B. Gartner
Permittee: Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 995910
Signing Official: William C. Rhinehardt, Jr.
Grade: S1 Phone Number: 704-880-4373
Signing Officials Title: Park Superintendent
Has the ORC changed since the previous NDAR-1? ❑Yes [2]No
Phone Number: 704-528-6350 Permit Exp.: 9/30/15
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the Information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

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NON -DISCHARGE MONITORING REPORT (NDMR) Page _4L of
Sampling Person(s) 11 Certified Laboratories
Matthew Bryan Cartner 11 Name: Statesville Analytical, Inc.
Name:
all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? [Compliant ❑Non -compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
acuonks) iaKen. HiLacn aaanionai sneeis IT necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Matthew Bryan Cartner
Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 995910
Signing Official: William C. Rhinehardt, Jr.
Grade: S1 Phone Number: 704-880-4373
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDMR? ❑Yes I]No
Phone Number: 704-528-6350 Permit Expiration: 9/=2*1+4'
Signature Date
Signature Date
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document an all attachments were prepared under my direction or supervision In
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, Including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
WQ0020881
Facility Name: lake Norman State Park
County: Iredell
Month:
October
Year: 2014
t" Field Name
Field Name:
B
Arfi6 ,.
field Name:
A,
rigation occur
rig�
Area 0 a
Area (acres):
1.715
t kArea -,(a
Area (acres):
t tfacility?
his th IS
Grop
cover crop:
Woodland
cover Crop:
,Cover
lourljr Rafe h
Hourly Rate (in):
0.4
Hourly nR.
Hourly
R (in):
ate
AYES []NO
2]
Annual Rate (m)',30
Annual Rate (in):
30.16
Annual
Rate (in):
j
Weather
Freeboard
Field Irrigated?
DYESEINO
ri
Field
Irrigated?
EIYES El
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72 Month Floating—To-ii-I _(in):
19.83j

1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page A of
ication rates exceed the limits in Attachment B of your permit? ❑� Compliant ❑Non -Compliant
Fequate measures taken to prevent effluent ponding in or runoff from the sites? ❑✓ Compliant []Non -Compliant
itable vegetative cover maintained on all sites as specified in your permit? Compliant ❑Non -Compliant
setbacks listed in your permit maintained for every application to each permitted site? ❑s Compliant ❑Non Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑� Compliant ❑Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
ORC: Matthew B. Cartner
Certification No.: 995910
Grade: S1 Phone Number: 704-880-4373
Has the ORC changed since the previous NDAR-17 ❑Yes MI No
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee: Div. Of Parks & Rec (Lake Norman SP)
Signing Official: William C. Rhinehardt, Jr.
Signing Official's Title: Park Superintendent
Phone Number: 704-528-6350 Permit Exp.: 9/30/15
�f/=�/
Signature Date
I certify, under penalty of law, that this document and all attachments were prepared under m direction o upervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the, information ubmitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly respo ible for gathering a information, the.
information submitted Is, to the best of my knowledge and belief, true, accurate, and comp) te. I am aware that t re are significant
penalties for submitting false Information, including the possibility of fines and imprionment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page I of A
Q0020881
Facility Name: Div. Of Parks & Rec (Lake Norman SP) I
County: Iredell
Month: October
Year: 2014
Flow Measuring Point: Rlinfluent F]Effluent E]No flow generated
Parameter Monitoring
Point: Elinfluent 2Effluent E]Groundwater Lowering 0surface Water
er Code 10
50060
C0310
00610
81639
00530
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Sampling Type:
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Z7 Q­
Monthly Limit:
Daily Limit
le Frequency:
Sam Pw"
Dtb Y""'j
Monthly
f

03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 9N of
Sampling Person(s) 11 Certified Laboratories
Matthew Bryan Cartner 11 Name: Statesville Analytical, Inc.
Name:
all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Epeompliant ❑Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC:
Matthew Bryan Cartner
Permittee, Div. Of Parks & rec (Lake Norman SP)
Certification
No.: 995910
Signing Official: William C. Rhinehardt, Jr.
Grade:
S1 Phone Number: 704-880-4373
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDMR? I]Yes ONO
Phone Number: 704-528-6350 Permit Expiration: 9/30/2AB14—
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, Including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

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NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page a of
Sampling Person(s) 11 Certified Laboratories
Matthew Bryan Cartner 11 Name: Statesville Analytical, Inc.
Name: II Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Zc'ompliant ❑Non -Compliant
If the facility is non -compliant, please explain in the space below the reasons) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken, Attach additional sheets if necessary.
Operator In Responsible Charge (ORC) Certification
Permittee Certification
ORC: Matthew Bryan Cartner
Permittee: Div. Of Parks & rec.(Lake Norman SP)
Certification No.: 995910
Signing Official: William C. Rhinehardt, Jr.
Grade: S1 Phone Number: 704-880-4373
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDMR? ❑Yes ❑No '
Phone Number: 704-528-6350 Permit Expiration: 9/30/2$44—
j&-jq_j
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel property gathered and evaluated the Information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the Information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false Information, including the possibility of fines and Imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page �_ of
it No.: W00020881
Facility Name: .Lake Norman State Park
County: Iredell
Month: September
Year: 2014
rid irrigationoccurArea.(acres):
t this facility?
2YES ❑w
Field Name:
A
Field Name:
B
Field Name:
Field Name:
1.715
Area (acres):
1.715
Area (acres):
Area (acres):
Covet, Crop:Woodland
.
Cover Crop:
P'
Woodland
Cover Crop:
P'
Cover Crop:
P'
Hourly Rate (in):
O-A
Hourly Rate (in):
0.4
Hourly Rate (in):
Hourly Rate (in):
Annual Rafe (in):
30.16
Annual Rate (in):
30.16
Annual Rate,on):
Annual Rate (in):
Weather
Freeboard
Field, Irrigated?
[DYES ❑NO
Field Irrigated?
DYES [-]NO
Field Irrigated?
❑YES:. ❑NO
Field Irrigated?
DYES ❑NO
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Monthly Loading:
12 Month Floating Total (in):
,_ 34,500
0.74 •
20.45
33,500
0.72
19.10
0
0.00
0
0.00

NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page �O of
application rates exceed the limits in Attachment B of your permit?
❑s Compliant ❑Non -Compliant
re adequate measures taken to prevent effluent ponding in or runoff from the sites?
Compliant
❑Non -Compliant
as a suitable vegetative cover maintained on all sites as specified in your permit?
E]Compliant
[]Non -compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
❑✓ compliant
❑Non -Compliant
Were all freeboards maintained in accordance with the specified.freeboard heights in your permit?
ElCompliant
❑Non -Compliant
If the facility is,non-compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and
describe the corrective
tauen. Attacn aoomonai sneets it necessary.,
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Matthew B. Gartner
Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 995910
Signing Official: William C. Rhinehardt, Jr.
Grade: S1 Phone Number: 704-880-4373
Signing Officials Title: Park Superintendent
Has the ORC changed since the previous NDAR-1? ❑yes 21No
Phone Number: 704-528-6350 Permit Exp.: 9/30/15
Sigil ture Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of taw, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

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08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) �-P� ! il'� / ���P 4gPage of
W00020881
Facility Name: .Lake Norman State Park
County: Iredell
Month: August
Year: 2014
ra Field+NameA
# . ¢ R -
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Field Name:
B
s ,Feld Name
Field Name:
igation
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,
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YNO
r .�-, �_ k _
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30.16
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Annual Rate (in):
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Weather
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Field Irrigated?
DYES ❑Noy
Field Irrigated?
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12 Month Floating Total (in):=19"72
;
18.38y

08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page A of A
ication rates exceed the limits in Attachment B of your permit?
uate measures taken to prevent effluent ponding in or runoff from the sites?
suitable vegetative cover maintained on all sites as specified in your permit?
re all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
Compliant ❑Non -Compliant
(]Compliant ❑Non -Compliant
(]Compliant ❑Non -Compliant
RICompliant ❑Non -Compliant
(]Compliant ❑Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Matthew B. Cartner
Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 995910
Signing Official: William C. Rhinehardt, Jr.
Grade: S1 Phone Number: 704-880-4373
Signing Officials Title: Park Superintendent
Has the ORC changed since the previous NDAR-1? ❑Yes ❑No
Phone Number: 704-528-6350 Permit Exp.: 9/30/15
Signature. ate
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel property gathered and evaluated the information submitted. Based on my
Inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

MR 03 12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of�
WQ0020881
Facility Name: Div. Of Parks & Rec (Lake Norman SP)
County: Iredell
Month: August
Year: 26-4
Flow Measuring Point: (]influent ❑Effluent []No Flow generated
Parameter Monitoring Point: ❑influent [ZEffluent []Groundwater Lowering ❑Surface Water
ter Code - ►
500501 `
50060
00400 '.
C0310
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00610
00630,;
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mg/L
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rriglL•2,
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2
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4
6
15:30
1
:: 1,1:9T`
0.06
7
16:30
1
1 197" "
8
1,197-
r:
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Daily Minimum
Sampling Type:
' .Recorder ::°
Grab
Grab
`
Monthly Limit
Daily Limit:
:
Sample Frequency:
Monthly'
Monthly
° ' Weekly.
_

03-12 NON -DISCHARGE MONITORING REPORT (NDMR)
Page _)_) of A
Sampling Person(s)
Matthew Bryan Cartner
Certified Laboratories
Name: Statesville Analytical, Inc.
r_e: II Name:
)es all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? l�ompliant ❑Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
cUL1ul lkbj LdM1CI I. MLLCHII UUUIL1Ul IC11 -bl MULJ II
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Matthew Bryan Cartner Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 995910 Signing Official: William C. Rhinehardt, Jr.
Grade: S1 Phone Number: 704-880-4373 Signing Official's Title: Park Superintendent
Z(V5�
Has the ORC changed since the previous NDMR? ❑Yes ENo Phone Number: 704-528-6350 Permit Expiration: 9/30/24H-*-
�i U�JTut__
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
LAd_1
l7 P
Signature �Ij Date
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel property gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

IFDMR03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
0 --A—
W Facility Name: Div. Of Parks & Rec (Lake Norman SP) Month: July
Q0 08
020881 T�77 Iredell Year: 2014
Flow Measuring Point: ElInfluent [jEffluent EjNo flow generated Parameter Monitoring Point: E]Influent EEffluent [:]Groundwater Lowering ElSurface Water
00610 81639 00 30 -t;,) IJ.- vxUl IFE �Weter Code b.F'60060 1". 5316 1,7,5RiF 5 _006651
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; '_'_ A
---

03-12 NON -DISCHARGE MONITORING REPORT (NDMR)
Page "l of )►
_Sampling Person(s)
Matthew Bryan Cartner
Certified Laboratories
Name: Statesville Analytical, Inc.
Name:
all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
[]Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Matthew Bryan Cartner
Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 995910
Signing Official: William C. Rhinehardt, Jr.
Grade: S1 Phone Number: 704-880-4373
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDMR? ❑Yes ONo
Phone Number: 704-528-6350 Permit Expiration: 91
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, Including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information. Processing Unit
1617 Mail Service Center

AR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I of
WQ0020881
Fttrh
Facility Name: Lake Norman State Park
County: Iredell
Month: July
Year: 2014
Field -Name
A
Field Name:
B
field Name
Field Name:
tion occur
rea (acres)
k1 715
Area (acres):
1.715
Area (acres)
Area (acres):
asfacility?
Cover.Crop
Woodland
Cover Crop:
Woodland
.Cover;C,rop;
Cover Crop:
DYES LINO
Hourly Rate (m)
; 0,4
Hourly Rate (in):
0.4
Hourly Rate:(in)
Hourly Rate (in):
Annual Rate (in)
3Q.16
Annual Rate (in):
30.16
Annual Rate(in)
Annual Rate (in):
Weather
Freeboard
Eield Irrigated?
; DYES "" ❑No =.
Field Irrigated?
DYES ONO
Field lr .6 ted?
OYES ❑N0 ,.
Field Irrigated?
DYES ONO
❑
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0 -
0r00, "
0
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12 Month Floating Total (in):
1.9:10 ;
17.80
- .,.

08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
plication rates exceed the limits in Attachment B of your permit?
measures taken to prevent effluent ponding in or runoff from the sites?
vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
Page Ul of A
OCompliant ❑Non -Compliant
OCompliant []Non -Compliant
OCompliant ❑Non -Compliant
RIComplian[ ❑Non -Compliant
❑� Compliant ❑Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Matthew B. Cartner
Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 995910
Signing Official: William C. Rhinehardt, Jr.
Grade: S1 Phone Number: 704-880-4373
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDARA? ❑Yes ❑✓ No
Phone Number: 704-528-6350 Permit Exp.: 9/30/15
f-
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

03-12 NON -DISCHARGE MONITORING REPORT (NDMR) S p •_`-Page I of
00020881
FacilityName: Div. Of Parks & Rec (Lake Norman SP)
County: Iredell
Month: June
Year: 2014
Flow Measuring Point: ElInfluent ❑Effluent ❑No flow generated
Parameter Monitoring Point: ❑influent (]Effluent ❑Groundwater Lowering ❑Surface Water
reterCod'c
50050 s
50060
�OQ400
C0310
31616 _
00610
00630
8163900530N
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14
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182,20.3
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17:00
1
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¢
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22
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16:30
1 5
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ix
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,
2,243
0.057
_'
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� �t
T F,
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trif� 2,203 ,�
0.05
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Sampling Type
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°
,,Monihly 4�
.,

03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page 91 of2
Sampling Person(s)
Matthew Bryan Cartner
Certified Laboratories
Name: Statesville Analytical, Inc.
r Name: II Name: ���/
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? I�Compliant ❑Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
artinnikI taken_ Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Matthew Bryan Cartner Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 995910 Signing Official: William C. Rhinehardt, Jr.
Grade: S1 Phone Number: 704-880-4373
Has the ORC changed since the previous NDMR? E]Yes MNo
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Signing Officials Title: Park Superintendent
Phone Number: 704-528-6350 Permit Expiration: 9/30/20-$*
—
d
Signature r uare
I certify, under penalty of law, that this document and all a hmenls were prepared under my direction or supervision In
accordance with a system designed to assure that all qualified personnel property gathered and evaluated the information
submitted. Based on my Inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the Information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false Information, Including the possibility of fines and Imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _L_ of
WQ0020881
Facility Name: .Lake Norman State Park
County: Iredell
Month: June
Year: 2014
rrigation occur
at this facility?
AYES ONO
Field,Name
A
Field Name:
B
FieldtiName
Field Name:
" Area (acres)
1 715
Area (acres):
1.715
Area (acres)
Area (acres):
Cover,:CropWoidla�jd=
Cover Crop:
Woodland
Cover Crop
ti
Cover Crop:
Hourly Rate (m)
_ 0,:4„,
Hourly Rate (in):
0.4
uHourly Rate�(in)
Hourly Rate (in):
Annual Rate (in)
30;16
Annual Rate (in):
30.16
Annual Rate{m)
Annual Rate (in):
Weather
Freeboard
Field Irridated?
`OYES ❑No, ..
Field Irrigated?
OYES ONO
Field Irrigated?
:❑YES (]No,'
Field Irrigated?
❑YES ONO
c
U
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min
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t in '
in
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min
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in
2.
3
fi'eo
4
CL
70
0
2.25
10,400
5
,<
6
CL
80
0
2.25
5,900
60
0.13
0.13
7
8
9
10
12
13
CL
82
0
2.25
6,,800
60,
,0.15
0.15
14
15
16
-
17
CL
88
0
2.25
8,600
90
0.18
0.12
18
19
20
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0
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6;;500"
'60
- "0.14,
21
21
22
23
24
C
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8,400
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0.18
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00
a 0,15 --
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28
29
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i.
Monthly Loading:
-30,700''-(-
0 85 , -;
32,300
0.69
~f 0 00 '0
0
0.00
12 Month Floating Total
16.46
F

08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
on rates exceed the limits in Attachment B of your permit?
neasures taken to prevent effluent ponding in or runoff from the sites?
Page of
❑✓ Compliant ❑Non -Compliant
ECompliant ❑Non -Compliant
egetative cover maintained on all sites as specified in your permit? [ZCompliant [INon-Compliant
..`.� �... �..�.......:s listed in your permit maintained for every application to each permitted site? ❑Compliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? (]Compliant ❑Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
taKen. Attacn aouttionai sneets IT neCe55ary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Matthew B. Gartner
Permittee: Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 995910
Signing Official: William C. Rhinehardt, Jr.
Grade: S1 Phone Number: 704-880-4373
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDAR-1? ❑Yes RINo
Phone Number: 704-528-6350 Permit Exp.: 9/30/15
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
Inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false Information, including the possibility of fines and Imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

.11711a3f0t '-JF" I ZOCT 94e/-/,W --
3- 12 NON -DISCHARGE MONITORING REPORT�CVR) c Page of
8
881
!QO702
jo 08 1
Facility Name: Div. Of Parks & Rec (Lake Norman SP) I
County: Iredell
Month: May
Year: 2014
Flo,
Flow Measuring Point: 21 Influent 0 Effluent L1 No flow generated
Parameter Monitoring Point: ❑ influent Effluent ❑ Groundwater Lowering ❑ Surface Water
meter I
meter Code 0
50060
0-
C031 0
3 61.6
00610
C�kq36'.
81639
00530
-,'00665':
2:
CD
0
0
0
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of
0
CD
7:
0
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0
0
ca
-d
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.2
Z'
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CL)
0
z
0
r
0 0_1
z
r
0 M 0
U)
0)
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0
0
0
24-hr
hrs
QP
mg/L
mg/L
4[1qQmL
mg/L
rng/L
lbs/ac
rng/L
mg/L
'..mg iL"
1
16:30
2
12:00
3
08:00
0.5
1,532
4
5
6
7
16:30
2,'
0.5
7A
'-T
8
9 2,114
9
11:30
_1,53Z
10
11:00
0.5
1,532
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12
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13
14
09:00
1,532
7,1
15
16
11:30
;632
17
09:00
0.5
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18
11532.
191
20
;582
21
11:40
1,63-2
7-
22
"1,632
Z'
23
163-2
24
09:00
0.5
251
11,532
26
-1,532
7
27
11:00
28
1532
29
13: 15
t,532
30
ZrEcini�
31
09:00
0.5
2�2,
Average:
1
0.50
D
Daily Maximum:
T
0.5 0
Daily Minimum:.
2,
1,53
0.50
760,
Sampling Type:
Recorder-.--,
r.,..b
Grab
Monthly Limit:
Z
Daily Limit:
Sample Frequency:
'," -,'M6nthly­'
Monthly
eekly

't
F'�.

R 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
ame: Matthew Bryan Cartner Name: Statesville Analytical, Inc.
Name. Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Compliant []Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
ao__J-% a..I . ea.,..k �ddi+i l chanta if narP.ssarV_
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Matthew Bryan Cartner
Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 995910
Signing Official: William C. Rhinehardt, Jr.
Grade: S1 Phone Number: 704-880-4373
Signing Officials Title: Park Superintendent
Has the ORC changed since the previous NDMR? Dyes I]No
Phone Number: 704-528-6350 Permit Expiration: 9/30/2014
P-I
Signature Date
Signature Date
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and Imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

AR-108-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page j of —2 - L
o.': WQ0020881
Facility Name: lake Norman State Park
County. Iredell
Month: May
Year: 2014
Fld
Field Name:
B
Field Name:
irrigation occur
irrigation
.......
Area (acres):
1.715
Area (acres):
this facility?
at this
4A&�Lz;
Cover Crop:
Woodland
Cover Crop:
Rate (16)
Hourly Rate (in):
0.4
A
Hourly Rate (in):,
YES ❑ NO
Annual Rate (in):
30.16
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
2 YES El NO
Field Irrigated?
El YES El NO
0
"iL
p��, tM
�E:�N,
S tM
0�
w
tM
im
0
4)
03
cL
78
ws
E
r=
E
'FL
CL
M
.0
g
E 0
M
Gf
rL
-2
CL'gy
6- CL
X;o
0 CL
101
0
0
Rip
CL
P
0
_j
X 0
_j
E
to
_J,
-F
in
ft
ft
gal
min
in
n
gal
min
in
In
I
C
73
2
5,500
,45
A
75
0.23
0.18
P 'Y'
2
C
71
2
1
0-
10,600
3
_2
.V
4,
4
C
77
2
db
5
61
F 'T
7
CL
65
2
8,600
60
0.18
0.18
A
8
-77
772
:777—
7—
9
C
83
2
10
12
ti
13
14
C
76
2.25
12,300
90
0.26
0.18
6��
Z��O 4��
�Mulvl
16
C
70
2.251
17
18
19
20
21
C
80
2.25
12,000
90
0.26
0.17
22
7
23
24
E
777­,�
26
10
26
A%aA
27
CL
82
2.25
28
7,800
60
0.17
0.17
29
C
86
2.251
bt
30
31
Monthly Loading
dp& 7;7
1.10
0
0.00
�3
12 Month Floating Total (in):
15.77

R-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 7— of
ication rates exceed the limits in Attachment B of your permit? Compliant ❑Non -Compliant
ipreadepqpulate measures taken to prevent effluent ponding in or runoff from the sites? (]Compliant ❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? (]Compliant ❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? (]Compliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? OCompliant ❑Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
nrtinnts) taken_ Attach additional sheets if necessary.
Operator In Responsible Charge (ORC) Certification
Permittee Certification
ORC: Matthew B. Cartner
Permittee: Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 995910
Signing Official: William C. Rhinehardt, Jr.
Grade: S1 Phone Number: 704-880-4373
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDAR-1? ❑Yes I]No
Phone Number: 704-528-6350 Permit Exp.: 9/30/15
4,m,--3---�
Signature Date
Signature Date
By this signature, 1 certify that this report Is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the Information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the Information, the
Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page �_ of
W00020881 Facility Name: Div. Of Parks & Rec (Lake Norman SP) County: Iredell Month: March Year: 2014
I: Flow Measuring Point: 2 influent ❑ Effluent ❑ No Flow generated Parameter Monitoring Point: ❑ influent 2 Effluent ❑ Groundwater Lowering ❑ Surface water
rameterCode --► 50050 50060 00400 C0310 31616,. 00610 _00630.;" 81639 '�L:00600;.. 00530 :00665_
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2 16:30 0.58 `' ;839, :;,a ;7.1 . :; 7�
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Monthly
Daily

03-12
NON -DISCHARGE MONITORING REPORT (NDNIR)
r
Page of
Sampling Person(s)
Matthew Bryan Cartner
Certified Laboratories
Name: Statesville Analytical, Inc.
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Matthew Bryan Cartner
Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 995910
Signing official: William C. Rhinehardt, Jr.
Grade: S1 Phone Number: 704-880-4373
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDMR? ❑ Yes 0 No
Phone Number: 704-528-6350 Permit Expiration: 9/30/2014 Y
_1L(
/
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service`Center

NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page I of
Pr
WQ0020881
Facility Name: Lake Norman State Park
county: Iredell
Month: March
Year: 2014
pa'ttrhis
Field Name:
A
Field Name:
B
Field Name:
Field Name:
irigation occur
Area (acres):
1.715
Area (acres):
1.715
Area (acres):
Area (acres):
facility?
Cover Crop:Woodland
Cover Crop:
P�
Woodland
Cover Crop:
P�
Cover Crop:
P:
❑� YES ❑ NO
Hourly Rate (in):
0.4
Hourly Rate (in):
0.4
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
30.16
Annual Rate (in):
30.16
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
E YES ❑ NO
Field Irrigated?
R] YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
o
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0.19
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7
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12
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14
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18
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21
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0.08
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26
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0.18
0.18
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Monthly Loading:
35,700
0.77
40,400
0.87
IWd=
0
0.00
0
0.00
12 Month Floating Total (in):
16.44
14.04

08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
lication rates exceed the limits in Attachment B of your permit?
121 Compliant ❑ Non -Compliant
adequate measures taken to prevent effluent ponding in or runoff from the sites? I] Compliant ❑ Non -Compliant
las a suitable vegetative cover maintained on all sites as specified in your permit? 0 Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? I] Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? I] Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Matthew B. Gartner
Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 995910
Signing Official: William C. Rhinehardt, Jr.
Grade: S1 Phone Number: 704-880-4373
Signing Officials Title: Park Superintendent
Has the ORC changed since the previous NDAR-1? ❑ Yes 0 No
Phone Number: 704-528-6350 Permit Exp.: 9/30/15
A
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachmen were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information,, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false Information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _L_ of -aL_
WQ0020881
rrigation occur
Paatthis facility?
0 YES El No
Weather Freeboard
Y
m c m�
c r o�
C) @ !4 z
L°
m a a.a
C o
w E •m N C A
3 ~ 06
°F in ft ft
Facility Name: .Lake Norman State Park
County: Iredell
Month: March
Year: 2014
Field Name:
A
Field Name:
B
Field Name:
Field Name:
Area (acres):
1.715
Area (acres):
1.715
Area (acres):
Cover Crop:
;'
Area (acres):
Cover Crop:
Woodland :_
Cover Crop:
Woodland
Cover Crop:
Hourly Rate (in):
0.4
Hourly Rate (in):
0.4
Hourly Rate (In):
Hourly Rate (in):
Annual Rate (in):
Field Irrigated?
30.16
YES ❑ No', '
Annual Rate (in):
Field Irrigated?
30.16
❑ YES ❑ No
Annual Rate (in):
Field Irrigated?
YES ENO ' ,,,
Annual Rate (In):
Field Irrigated?
❑YES El No
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0.37
16.81
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0.63
14.67
0
0.00
0
0.00
Monthly Loading:
12 Month Floating Total (in):

PV'i NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
plication rates exceed the limits in Attachment B of your permit? 2 Compliant ❑ Non -Compliant
i adequate measures taken to prevent effluent ponding in or runoff from the sites? p compliant ❑ Non -Compliant
a suitable vegetative cover maintained on all sites as specified in your permit? p compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? p compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 21 Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
artinntsl taken_ Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Matthew B. Cartner Permittee: Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 995910 Signing Official: William C. Rhinehardt, Jr.
Grade: S1 Phone Number: 704-880-4373 Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDAR-7? ❑ yes 9 No Phone Number: 704-528-6350 Permit Exp.: 9/30/15
Signature Date Signature 7 6ate
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the Information, the
Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false Information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

Page of
0 -1 2 NON -DISCHARGE MONITORING REPORT (NDMR) _J_
03-12
�0 81 _f Facility Name: Div. Of Parks & Rec (Lake Norman SP) I County: Iredell TMonth: April I Year: 2014
IFQ002 88
Flow Measuring Point: Influent [I Effluent ❑ No flow generated
Flow
Parameter Monitoring Point: El Influent 21 Effluent Ej Groundwater Lowering ❑ Surface water
jWrameter Code
M_
60060
00
C0310
31616�7.
00610
0063
81639
00qo
00630
00
0
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CL 0
W Cn
A:'
0
z
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lb�
0
0
#1100404
mg/L
lbs/ ac
mg/L
m
24-hr
E—hrs
z,�j 001
mg/L
SUQ
mg/L
2
3
4a.
A
MEN �,Ij­
-sampling
WIT R-M

NON -DISCHARGE MONITORING REPORT (NDMR) Page �� of l%1
Sampling Person(s) Certified Laboratories
e: Matthew Bryan Cartner Name: Statesville Analytical, Inc.
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment'A of your permit? Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Matthew Bryan Cartner
Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 995910
Signing Official: William C. Rhinehardt, Jr.
Grade: S1 Phone Number: 704-880-4373
Signing Officials Title: Park Superintendent
Has the ORC changed since the previous NDMR? ❑ Yes [21 No
Phone Number: 704-528-6350 Permit Expiration: 9/30/201/5
Signature Date
SignatureQ� to
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my Inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false Information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Z�WQ0020881
Facility Name: Div. Of Parks & Rec (Lake Norman SP)
County: Iredell
Month: February
.-. ■ ■
.-. ■ ■ MRWIFTNTRIM

03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page -2-- of
Sampling Person(s) 1 11 Certified Laboratories
Name: Matthew Bryan Cartner Name: Statesville Analytical, Inc.
IName: II Name: / I
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 21Compliant El Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Matthew Bryan Cartner
Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 995910
Signing Official: William C. Rhinehardt, Jr.
Grade: S1 Phone Number: 704-880-4373
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDMR? I I Yes ❑ No
Phone Number: 704-528-6350 Permit Expiration: 9/30/201y4s
Signature Date
Signature Date
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In
accordance with a system designed to assure that all qualified personnel property gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, Including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I of
Q0020881 Facility Name: Lake Norman State Park County: Iredell Month: February Year: 2014
rNo.:
Did irrigation occur
Field Name:
A
Field Name:
B
- Field Name:
Field Name:
Area (acres):
1.715
Area (acres):
1.715
`•- Area (acres):
Area (acres):
at this facility?
Cover Crop:
Woodland.
Cover Crop:
Woodland
. , Cover Crop:
Cover Crop:
❑� YES ❑ No
Hourly Rate (in):
0.4
Hourly Rate (in):
0.4
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
30.16
Annual Rate (in):
30.16
;,Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
❑J YES El NO
Field Irrigated?
0 YES El NO
"". Field Irrigated?
❑ YES ❑ No
Field Irrigated?
❑ YES ❑ No
p
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7
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21
22
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24
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C
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9,000
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0.19
0.19
26
27
28
29
30
31
Monthly Loading:
12 Month Floating Total (in):
12,200
JP.26
15.67
12,100
0.26
12.91
0
0.00
0
0.00

1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page 9 of
rapplication rates exceed the limits in Attachment B of your permit? 0 Compliant ElNon-Compliant
ere adequate measures taken to prevent effluent ponding in or runoff from the sites? p compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? p Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 11 Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? El Compliant ❑ Non -compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary. -
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Matthew Bryan Cartner
Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 995910
i
Signing Official: William C. Rhinehardt, Jr.
Grade: S1 Phone Number: 704-880-4373
Signing Officials Title: Park Superintendent
Has the ORC changed since the previous NDAR-1? l] Yes ❑ No
Phone Number: 704-528-6350 Permit Exp.: 9/30/15
Signature Date
Signatur Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

NON-DISCHARGE-AP.PLICATIONREPORT- (NDAR-1)- �l 's Pagej_of1--'j
W00020881
Name: .Lake Norman State Park
County: Iredell
Month: January
Year: . 2014
rrigation occur
at this facility?Cover
0 Yes ❑ No
rFa(ility
f�eld,fVame
A
Field Name:
B
Field Name
-
Field Name:
Area -(acres).
1.715
Area (acres):
1.715
Area (acres)
Area (acres):
Cro p
._ ; Woodland .
Cover Crop:
Woodland
Cover Crop
_
Cover Crop:
Hourly Rate. (in):
0;4 _
Hourly Rate (in):
0.4
;• Hourly Rafe'(in)
_ r'
Hourly Mate (in):
Annual Rate (m)
:..
30c1G ;r ,,
;: Annual Rate (in):
30;1ti , .
;',Annual Rate,(in)
c
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
'l] Yes '` ❑ No '
Field Irrigated?
(] YEs ❑ No
Field Irrigated i
❑s ❑-No `;:
Field Irrigated?
❑ Yes ❑ No
p
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2
C
42
2
3
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7
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9
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2014.
0 '14
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11
12
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14
15
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10,600
85
0.23
0.16
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0 16
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18
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9,500
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0.20
0.20
4
19
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5;000
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0 11
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60
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8,300
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Monthly Loading
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12 Month Floating Total (in):
' 5 41'
12:91 '
`'

FORM'. NDAR-1-08-11 NOWOSCHARGE APPLICATION- REPORT- (NDAR=4) Page
..:..........
Did -the. application rates.exceed the.limits in.Attachment:l3 of your..pgrm.it?.:..... ... ' fl.i ompllant . i] Non compli
Were adequate measures taken to prevent effluent pond' in or runoff from the sites?, - .p Compliant ❑ rvo�-Compl;ant
Was a suitable vegetative cover maintained on all sites as specified in your permit?ID Compliant ❑Non -Compliant
Were all setbacks listed in'your permit maintained for every application to each per -miffed site? p.comp,;a�c . ❑Non,comP,;ant
Were all freeboards maintained in accordance with the specified freeboard heights, in,your permit? El Compliant IVoh Compliant
If the facility is non-comp►iant, please explairi'in the space below the reasoh(s) the. facility was not, incompliance. Provide in yourexplanafion the .date(s) of the non-compliance and "describe the corrective.
;action(s) taken -Attach additional sheets if necessary.
Operator in Responsible Charge (ORC),Certification
Permittee Certification
ORC: Harry Myers III
Permittee:
Div: Of Parks & Red (Lake Norman SP)
Certification No.: 986154,.987023
Signing Official: William..C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Officials Title:..... Park Superintendent
Has the ORC changed since the previous NDAR-1? Yes No
Phone Number: : 704-528-6350 Permit Exp:: 9/30/.15 .
r
S' nature D to
Signatu Date -
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penally of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
.. ..
rrrY
Information submitted Is, to the best of knowledge and belief, true, accurate, and complete. 1, am; aware that there are signTWt,
penalties for submitting false lnioimation, including the possibility of fines and Imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
-Information Processing Unit
1617 Mail Service Center .

3-12 NON=DISCHARGE MONITORING REPORT (NDMR) Page of
Q0020881
Facility Name: Div. Of Parks & Rec (Lake Norman SP)
County: Iredell
Month: January
Year: 2014
Flow Measuring Point: RI tnfluent ❑ Effluent ❑ No Flow generated
Parameter Monitoring
Point: ❑ influent ❑Q Effluent ❑ Groundwater Lowering ❑ surface Water
meter Code 0,1
56050 --
50060
00400
C0310
31616 ;'
00610
~ 00630:
81639
06660` -
00530
60666
>,
>
•` of
¢E
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O
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p
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=
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.
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-
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mglL
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mglL
#1100 fL`
mg/L
__mglL -
Ibslac
mg7L r-:
mglL
mglL_
2
15:00
0.33
: • . .
3
99a,
4
: 99
5
99
6
-199
`.
7
99'
8
99:
9
13:15
1
99.
0.25
7.1.
10
99
V.
11
99:
12
99
13
14
: 99-
15-
_ _
,.
.•�
16
13:45
1.25
99
:`.
18
12:00
1
. 99
-
19
13:30
0.75
99
20
13:45
1
99
21
15:00
3
•-99
23
_99::`
24
99
-
25
99
26
10:50
1
99
27
99
99,
29
99 7
30
31
Average:
99"
0.25
-
Daily Maximum:
99
0.25
7.20
Daily Minimum:
. , 99
0.25
7.00.
"r
Sampling Type:
Recorder.-
Grab
Grab. -
Monthly Limit:
Daily Limit:
-
r
Sample Frequency:1
Monthly.
Monthly
Weekly
-

FORM:.:NDMR 03c.12 NON-PISCHARP;E.MONITORIN6.Rgt?QRT.(NDMR) Page
„ . Sampling-Person(s) _ ..
Certified Laboratories
Name:. Harry Myers III Name: Statesville. Anal Ytical, Inc.
Name: Name:
Does all monitoring data and sampling frequencies meet -the requirements in Attachment•A of your permit? compliant D Ivor, -Compliant
If the facility is non -compliant, please explain in the space below the reasons) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and decrrita tnP enrrartfiva
Operator in Responsible Charge (ORC) Certification
Perrriittee Certification
oRc: Harry Myers fll -
Permittee: Div. Of Parks & rec (Lake Norman-SP)
Certification No.: 986154,.987023 .
signing Official: ; William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Officials Title: Park Superintendent
Has the.ORC changed since the previous NDMR? ❑ Yes I] No
Phone Number: 704-528-6350 Permit Expiration: 9/30/2014
on
ignature ate
Signature Date
By this signature, I certify. -that this report is accurate and complete;to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for "
gathering the information, the information submitted is; to the best of my knowledge and belief; true,
accurate, and complete. I am
aware that there are significant penalties for submitting false, information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and -Two Copies. to:
Division of Water Quality.
Information Processing Unit .
1617 Mail Service' Center

F1 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page LL of,3
Total (in): 4 47 12.11 �T

NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page �5 of
on rates exceed the limits in Attachment B of your permit?
measures taken to prevent effluent ponding in or runoff from the sites?
a suitable vegetative cover maintained on all sites as specified in your permit?
all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance With the specified freeboard heights in your permit?
❑� Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
21 Compliant ❑ Non -Compliant
2 Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 986154, 987023
Signing Official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDARA? ❑ yes 2 No
Phone Number: 704-528-6350 Permit Exp.: 9/30/15
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
Inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

NON -DISCHARGE MONITORING REPORT (NDMR) Page / of 2-
Facility Name: DiV. Of Parks & Rec (Lake Norman SP)
---------------
County: Iredell
Month: December
Flow Measuring Point: Influent [I Effluent El No flow generated
Parameter Monitoring Point: El Influent [D Effluent 0 Groundwater Lowering Surface Water
..
..
Sampling type:
Monthly Limit:

NON -DISCHARGE MONITORING REPORT (NDMR) Page � of/)
Sampling Person(s) H Certified Laboratories
Harry Myers III N Name: Statesville Analytical, Inc.
Name:
all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? i'Compllant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
CIGUUrrtb) WNW[. PULOU11 4WILIVlydl brICCLS If
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 986154, 987023
Signing official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDMR? ❑ Yes 0 No
Phone Number: 704-528-6350 Permit Expiration: 9/30/20105
_jz 6 Z/1
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all atta ments were prepared under my direction or supervision In
accordance with a system designed to assure that all qualified personnel property gathered and evaluated the information
submitted. Based on my Inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

Date Zone A Reported 12-mo,.
Feb-12
10.84
Mar-12
0.24
0.82
Apr-12
0.24
1.06
May-12
0.37
1.43
Jun-12
0.43
-.1-8,6- R
Jul-12
0.342'a2.
7
Aug-12
0.69
7.56
Sep-12
0.38
7.94
Oct-12
0.73
8.67
Nov-12
0.43
9.1
Dec-12
0.32
9.42
Jan-13
0.27
9.69
Feb-13
0.35
10.04
Mar-13
0.44
10.13
Zone B
0.27
0.27
0.45
0.63
0.44
0.81
0.61
0.85
0.42
0.32
0.34
0.31
0.47
Reported 12-mo.
10.79
0.9
1.17
1.62
2 25,
2�6;9
BIMS Calculated 12-n
7.78
no notation/violation
8.39
Zone B 34.45
8.63
Zone B 34.84
9.05
Zone B 34.71.
9.37
Zone A 36.43, Zone B 34.57
9.71
Zone A 36.29,Zone B34.46
10.02
Zone A 36.47, Zone B 34.59
10.18

10 I's
NON -DISCHARGE MONITORING REPORT (NDMR) IVS Page of
0881 Facility Name: Div. Of Parks & Rec (Lake Norman SP) I County: Iredell Month: November Year: 2013
Flow Measuring Point: 21 influent El Effluent Ej No flow generated Parameter Monitoring Point: El influent El Effluent [:1 Groundwater Lowering ❑ surface water
Code 0 50
00600 00530
00610 'g 81639
5 " "W 0 060 C0310 31618
M
LrP, I
in
0
r
A 0 0 tM —:1
E 2 0 W Y.3 15, 0
"z., CL 0
E
U) U)
M
U.) E
0
0 U) DEC
0 ;�,%_ I, I ',i " 3 1

NON -DISCHARGE MONITORING REPORT (NDMR) Page A of
Sampling Person(s) 11 Certified Laboratories
Harry Myers III 11 Name: Statesville Analytical, Inc.
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? WCompiiant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 986154, 987023
Signing Official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Officials Title: Park Superintendent
Has the ORC changed since the previous NDMR? ❑ Yes ❑ No
Phone Number: 704-528-6350 Permit Expiration: 9/30/201if 5�
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this doormen all attachments were prepared under my direction or supervision In
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the Information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false Information, including the possibility of fines and Imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page _L of �5
020881
Facility Name: lake Norman State Park
County: Iredell
Month: November
Year: 2013
Field Name:
B
F�etd Name
Field Name:
at! 0 n
ation occur
Area (acres):
1.715
Area (acres)
Area (ac sy re
Cover C
Woodland;
Cover Crop:
Woodland
Wood[
Cover Crop:
S fa Ci
thiS facility?
th 1
Hourly Rate (in):
0.4
Hourly
Hourly Rate In
ys NO
R] YES El NO
E
Annual Rate tin)
'30 16
Annual Rate (in):
30.16
Annual Rate (in):
Weather
Weather
ther
Freeboard
Field Irrigated?
R1 YEs El NO
Field Irrigated?
El YEs El NO
... .... ...
E
M
0Ss
0
E Im
r
E
0
L M
E 2
E
E R
-1.1
_61�"CL_":'_�"
E -
-�._'Atu
0 co
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CL
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-op
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0 0
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0
9 0
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>
-.7
>
_j
-
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OF
-0*
in
in
min
in
in
in
ft
ft
ft
gal
gal
min
gal
2
3
4
_29
Y,
41
5
8,300
60
0.18
0.18
6
6
C
67
2.25
7
8
9
4�
101
1
1
_0
12
13
C
50
2.25
77
U
15
r
161
AE,
17 ­1
17
18
19
t
20
C
53
2.25
3,800
30
0.08
0.08
21
22
rs.xT,
.2,
23
'A-% C­
24
26
26
27
PC
48
2.2
281
1
29
30
'J
31
Monthly
Loading :
12,100
0.26
0,
0 00
0
0.00

Page 91 of 3

NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page 3 of
rates exceed the limits in Attachment B of your permit?
uate measures taken to prevent effluent ponding in or runoff from the sites?
a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
21 Compliant ❑ Non -Compliant
El Compliant ❑ Non -Compliant
El Compliant ❑ Non -Compliant
ID Compliant ❑ Non -Compliant
I] Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 986154, 987023
Signing Official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Officials Title: Park Superintendent
Has the ORC changed since the previous NDAR-1? ❑ Yes 2 No
Phone Number: 704-528-6350 Permit Exp.: 9/30/15
l
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel property gathered and evaluated the Information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
Information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false Information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

pp-
12
IF, M rit N, Faci
NON -DISCHARGE MONITORING REPORT (NDMR)
00 C_Page
lity Name: Div. • Parks & Rec (Lake • SP)
County: Iredell
Month: October
• Measuring Point: 21 influent El Effluent [:1 No flow generated
•
man
•
mn�m�m
Ell
MEN
Monthly Limit:
Daily Limit:

NON -DISCHARGE MONITORING REPORT (NDMR)
Page of O'
Sampling Person(s)
Name: Harry Myers III
Certified Laboratories
Name: Statesville Analytical, Inc.
IName: II Name: z
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? LJ Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
nntinnfcl takan_ Attach additional sheets if necessarv.
Operator in Responsible Charge (ORC) Certification
ORC: Harry Myers III
Certification No.: 986154, 987023
Grade: S1, WW2 Phone Number: 704-880-1084
Has the ORC changed since the previous NDMR? ❑ Yes (] No
Signature Date
By this signature, t certify that this report Is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee: Div..Of Parks & rec (Lake Norman SP)
Signing Official: William C. Rhinehardt, Jr.
Signing Officials Title: Park Superintendent
Phone Number: 704-628-6350 Permit Expiration: 91301201$S
/i/-5/Z/_3
Signature UdL !
I certify, under penalty of law, that this document and all a4ents were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the Information
submitted. Based on my Inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the Information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

8-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
FrinitNo.-
WQ0020881
Facility Name: .Lake Norman State Park
County: Iredell
Month: October
Year: 2013
Did Iiilgatl011 OCCUI'
at this facility?
❑ YES El NO
Field Name:
A
Field Name:
B
",'
;;_ . Field Name:
Field Name:
Area (acres):
1.715
Area (acres):
1.715
Area (acres):
Area (acres):
_
"r Cover Crop:Woodland
Cover Crop:
p:
Woodland
t,- p:
` . Cover Crop:
Cover Crop:
P:
-,,,,Hourly Rate (in):
0.4
Hourly Rate (In):
0.4
whHourly Rate (in):
Hourly Rate (In):
-Annual Rate (in):
30.16
Annual Rate (in):
30.16
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
:` Field Irrigated?
❑✓ YES ❑ NO
Field Irrigated?
0 YES ❑ No
>:Field Irrigated?
❑ YES ❑ No
Field Irrigated?
❑ YES ❑ No
R
p
'a
O
V
°
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min
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in
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min
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1
-
21
C
73
2.1'-
3
4;
8
{ I.iS
8
9
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60
2.7
' ; '.700
15
0.02
0.02
10
11
C
70
2.7
4,500
60
0.10
0.10
12
13
-
14
15
16
=y':
17
PC
75
2.7
= 3;000
30
0.06
0.06
18
19
20
21
22
PC
65
2.5
r''I.
4,100
60
0.09
0.09
23
24
25
26
-'
27
a^
28
F.
29
30
C
75
2
=`:'''5,700
60
0.12
0.12
31
41
Monthly
Loading:
':''9,400
0.20
8,600
0.18
0
0.00
3
0.00

8-F-211 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of J
the application rates exceed the limits in Attachment B of your permit? 0 Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑� Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 121 Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? p compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑� Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
­finn(a� +mean Affnnh aArlitinnal sheets if necessarv.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
Permittee: Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 986154, 987023
Signing Official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Officials Title: Park Superintendent
Has the ORC changed since the previous NDARA? ❑ Yes 0 No
Phone Number: 704-528-6350 Permit Exp.: 9/30/15
Signature Date
Signature Date
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In accordance
that all properly gathered and evaluated the information submitted. Based on my
with a system designed to assure qualified personnel
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
Information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false Information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

NEEPPFF-r-12
NON -DISCHARGE MONITORING.REPORT (NDMR) �G��` Page of
Of Parks & Rep (Lake Norman SP) county: Iredell Month: September Year:
Permit No.: WO0020881
Facility Name: Div.
PPI:
Flow Measuring Point: . DInfluent ❑Effluent ❑No flow generated
Parameter Monitoring Point: ❑Influent, 'OEffluent ❑Groundwater Lowering ❑Surfao
Parameter Code --►
50050
50060
00400
C0310
31616
00610
00630
6639
00600
00530
00665
a
M
>
Q E
UH
0
£ d
F"
U'c
Q:p'
0
o
LL
R d
�° a
F dt
Q!U
_
a
C c
OU
m
ccoi €
l0:=
U
16
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t c
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F- w
YZ
c
� rn
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F- N(A
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2
t
W
Z
a
24-hr
hrs
GPD
mg/L
su
mg/L
#/100 mL
mg/L
mg/L
ibs/ac
mg/L
mg/L
mg/L"
1
1,413
2
1,413
3
1,413
4.
1,413
5
09:00
0.33
1,413
7.1
6
1,413
7
1,413
8
1,413
9
1,413
10
1,413
11
16:04 .
0.35
1,413
T1
12
1,413
13
1,413
14
1,413
15
1,413
16
13:20
0.75
1,413
0.75
7.5
10.7
19
4.9
<0.1
6.38
6.38
9.5
5.9
17
1,413
18
1,413
19
1,413
20
1,413
21
1,413
22
1,413
23
1,413
24
09:30
0.5
1,413
7.2
25
1,413
26
1,413
27
1,413
28
1,413
29
1,413
:`
3p
1,413
�
31
Average:
1,413
0.75
10.70
19.00
'4.90
0.00
6.38
6.38
9.50
5.90
j
Daily Maximum:
1,413
0.75
7.50
10.70
19.00
4.90
0.10
6.38
6.38
9.50
5.90
ily Minimum:
g Type:
Sa 4.`imit:
mPle Fre 9uer�;
1,413
0.75
7.10
10.70
19.00
4.90
0.10
6.38
6.38
9.50
5.90
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
onthly
Monthly
Weekly

W�JL "i/ �'
Page
NON -DISCHARGE MONITORING REPORT (NDMR) of
Q0020881
Facility Name: Div. Of Parks & Rec (Lake Norman SP)
County: Iredell
Month: September
Year: 2013
PPI:
Flow Measuring Point: 21 influent ❑ Effluent ❑ No now generated
Parameter Monitoring
Point: ❑ influent E Effluent ❑ Groundwater Lowering ❑ Surface water
Parameter Code —►
:50650-_:
50060
'.00400 _
C0310
31616_ ;
00610
00630' :
81639
-00600-
00530
00665"
C
10
t� r
Gf
�'
°'
m�
O
:+� N r.
p
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V
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m
a.
24-hr
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=:GPD,"
mg/L
su. ..
mg/L
#l100`6
mg/L
x,mglL,`;
Ibs/ac
irig/L,;
mglL::-

NON -DISCHARGE MONITORING REPORT (NDMR) Page 5 of
Sampling Person(s) 11 Certified Laboratories
Name: Harry Myers III 11 Name: Statesville Analytical, Inc.
IName: II Name. I
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? N<mpliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 986154, 987023
Signing Official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDMR? ❑ Yes ❑ No
Phone Number: 704-528-6350 Permit Expiration: 9/30/201, 05'
l� C�
ZJ /o
Signature Date
Signature Date
By this signature, 1 certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel property gathered and evaluated the information
submitted. Based on my Inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page —Lof L
W00020881
Facility Name: .Lake Norman State Park
County: Iredell
Month: September
Year: 2013
Did irrigation occur
at this facility?
❑✓ YES ❑ No
Field Name
A
Field Name:
B
Field Name
Field Name:
Area (acres)
1:.715
Area (acres):
1.715
Area (acres)
Area (acres):
Cover Cro P•
.. Woodland = _'
Cover Crop:
P:
Woodland
Cover`Cro P
":
Cover Crop:
P•
Hourly Rate (m)
=0 4
Hourly Rate (in):
0.4
Hourly Rate (m)
Hourly Rate (in):
,7A nnuaF;l2ate (gin).
"_ 3q 16
Annual Rate (in):
30.16
AnnuaF Rate (in)'.
`'
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
: (] YES< .. ' `❑ No
Field Irrigated?
❑✓ YES ❑ No
Field Irrigated?:.
❑:YES . ❑'No -
Field Irrigated?
❑YES ❑ No
>
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m
m
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2
3-
4
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5
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92
2.5
6
?
7
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=
8_
9
10
11
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88
2.5
-
12
13
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14
?
A
15
16
C
85
2.5
3.;600 ' `
30
17
18
_
19
20
21
22
23
24
C
65
2.5
3,900
30
0.08
0.08
25
26
27
28
29
30
31
-
Monthly
Loading:
3,600: -
= 0:08 _"
3,900
0.08
_0 -
0:00` `
0
0.00

pppp
NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page e I of
PpPlication rates exceed the limits in Attachment B of your permit? 2 Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑✓ Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? Z Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 0 compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? El Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
ORC: Harry Myers III
Certification No.: 986154, 987023
I Grade: S1, WW2 Phone Number: 704-880-1084
Has the ORC changed since the previous NDAR-1? ❑ Yes 123 No
d©1 J )h2s
Signature Date
By this signature, 1 certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee: Div. Of Parks & Rec (Lake Norman SP)
Signing Official: William C. Rhinehardt, Jr.
Signing Officials Title: Park Superintendent
Phone Number: 704-528-6350 Permit Exp.:
9/30/15
Signature `dJ Date
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

NON -DISCHARGE MONITORING REPORT (NDMR)
VP a
WQ0020881
Facility Name: Div. Of Parks & Rec (Lake Norman SP)
County: Iredell
Month: August
Year: 2013
rp_p_,.
Flow Measuring Point: 0 influent ❑ Effluent ❑ No Flow generated
Parameter Monitoring Point: ❑ influent ❑/ Effluent ❑ Groundwater Lowering ❑ Surface Watel
Paraer Code —►
, 0
005
50060
= 00400
C0310
31616
00610 ;_;::
00630
81639
' 00600
00630
>
0
l�
€
29
w
C
y
C
y
d1
'O R1
a�
0
¢`E
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m=
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00
0CL00
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>.
V
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Z Z
'z
t' ~ z
~ 0 N
~ t
O
O
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V
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.'9
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N
a
24-hr
hrs
GPD
mg/L
su
mg/L
4/100 mL
mglL
mg/L
Ibslac
;:` _mg/L
mglL
" mg/L
1
1,097
'
2
y
' `1
0 I 1
V
4
r 097
��
� .
5
�• 1 097
I P
`
6
09:50
0.83s
1 09,T
7.1
7
1,09:7
u v
!
8
1,097"
3
9
1 09;7
`! R M R
10
097
l c D
r'ti1
c A c,
- aer- Prot,ctien
-
11
12
13
s 1,097,
` _
14
12:02
1.25
' 1, 097,..
0 5
7.2
16
;A1 q97
171
1'
t 1 097
18
19,
1,097..
,
20
09:50
2.17
Gr='1097
7
21
22
1 097
231
7-
2425
d;;n,1 097
26
27
< ,
28
1
1, TI
a
29
09:50
1
`3109Z.
7.1
-
Average:
y:`1097•
0.50
Daily Maximum:
sG a1;Q97
0.50
7.20
Daily Minimum:
ry 10,97
0.50
7.00
Sampling Type:
`t Recorder
Grab
Grab
Monthly Limit:
Daily Limit:

i
12 NON -DISCHARGE MONITORING REPORT (NDMR) Page --i- of
Sampling Person(s) 11 Certified Laboratories
Name: Harry Myers III 11 Name: Statesville Analytical, Inc.
Name: II Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? C Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 986154, 987023
Signing Official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDMR? ❑ Yes PINo
Phone Number: 704-528-6350 Permit Expiration: 9/30/2014
ature Date
Signature ate
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the Information
submitted. Based on my Inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and Imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

Page of
78-117NON-DISCHARGE APPLICATION REPORT (NDAR-1) _L
Facility Name: .Lake Norman State Park County: Iredell Month: August Year: 2013
Field Name:
A
Field Name:
B
F.ield Name
Field Name:
Did irrigation OCCUr
g
Area`(cres);
1 715 ,
Area (acres):
1.715
' Area ($cres),
,
Area (acres):
8t this faClllt�/!
Dover Cro `
p
Woodland•: <
Cover Cro p
Woodland
Cover Gro x
Cover Crop:
Hourly Rate (m).
<0 4 a
Hourly Rate (in):
0.4
.Hourly. Rate (�n)
Hourly Rate (in):
0 YES No
�Annual'Rate (m):.
30 16
Annual Rate (in):
30.16
Annual Rafe (m)
'. �.'
Annual Rate (in):
Weather
Freeboard
Fie(d Irrigated?
(] xEs, �.No .
Field Irrigated?
0 YES ❑ No
Field Irrigated?
: ❑YEs ❑ (�0 °:.
Field Irrigated?
❑ YES ❑ No
V
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_ ,':'
2
-77777-7
3,
4
V%
5
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72
2.5
fir'
2,400
30
0.05
0.05
7
1
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is
.;.
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11
12
13
14
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60
0,12 n
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15
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17
18
19
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20
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79
2.5
21
22
23
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24
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26
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88
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6,500
60
0.14
0.14
,
27
28
29
30
31
Monthly Loading ,' 10,500 0.23 8,900 0.19 10 0. '. 0 0.00
..du..

NON-DISCHARGE•N REPOR
• • • Ai e,�.sr b3 i ��ez��':69'Z.s 'c;'i�^.> 3 .a.. wa

NON -DISCHARGE APPLICATION REPORT (NDAR-1)
exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
Page
[21 Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
I21 Compliant ❑ Non -Compliant
[21 Compliant ❑ Non -Compliant
I] Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
auauntb/ taKen. nuecn auuwunai bncCw u
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
_
Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 986154, 987023
Signing Official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Officials Title: Park Superintendent
Has the ORC changed since the previous NDAR-1? ❑ Yes 0 No
Phone Number: 704-528-6350 Permit Exp.: 9/30/15
9 0
Signature Date
Signature Date
By this signature. I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel property gathered and evaluated the Information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the Information, the
information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false Information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

W
0 RC ON SITE PLe
MONTH --�.;f�. YEAR
Day
ay
Arrival
Arrival
'v
Ti
Time
Departure
Time
Operator
Time on Site
—Effluent
Sampled
Signature
L
2
3
4
5
6E
6
1
0,qn
E87
8
9
10
11
12
13
14 DZ
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Reviewed by C Mgr.
Date Reviewed

Irk)

NON -DISCHARGE APPLICATION REPORT (NDAR-1)
_3_�6eo_
Page -I— of
o.: WQ0020881
Facility Name: Div. Of Parks & Rec (Lake Norman SP)
county: Ire ell
Month: June
Year: 2013
Field Name
A
Field Name:
B
Field Name
'
Field Name:
Did irrigation occur
at this facility?
(] YES ❑ No
Area (acres)
1` 715 =:
Area (acres):
1.715
s ea acres
Ar (
Area acres
(acres):
Cover Crop
' Woodland-
Cover Crop:
Woodland
: Covec Crop
Cover Crop:
Hourly )late (m) 0 4� ; _
Hourly Rate (in):
0.4
Hourly Rate (m)
Hourly Rate (in):
Annual Rate{u):., 30 16
Annual Rate (In):
30.16
° AnnuaRate (In)
Annual Rate (In):
Weather
Freeboard
>Field Irrigated?' 0 Ye§' ❑ N0
Field Irrigated?
0 YES ❑ No
_Field Itrigated�
;;❑Yes , k❑ No:.'
Field Irrigated?
❑YES ❑ N0
o
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in
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ft
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,, mm . •, in,
m
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in
in
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in"
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min
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2
5
C
73
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6,000
45
0.13
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8
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19
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72
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83
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_- •120 p' 0 33-
0;1 6_
31
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Loading
51 800; `:
1 9.9 ..-_
23,700
0.51

-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
P
application rates exceed the limits in Attachment B of your permit? o compliant ❑ Non -compliant
ere adequate measures taken to prevent effluent ponding in or runoff from the sites? � Compliant ❑ Non-Complfant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 21 Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? i] Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? R1 Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 986154, 987023
Signing Official: William C. Rhinehardt, Jr.
Grade: -S1, WW2 Phone Number: 704-880-1084
Signing Officials Title: Park Superintendent
Has the ORC changed since the previous NDAR-1? yes 0 No
Phone Number: 704-528-6350 Permit Exp.: 9/30/15
Signatur Date
ignature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
ents were prepared under my direction or supervision in accordance
I certify, under penalty of law, that this document aQo.ne
with a system designed to assure that all qualified perty gathered andevaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
Information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

po._ R 03-12 NON -DISCHARGE MONITORING REPORT (NDIVIR) Page I of
o.: WQ0020981
2 88 1
WQOO 07
Facility Name: Div. Of Parks & Rec (Lake Norman SP) I
County: Iredell—T
Month: June-7
Year: 2013
ppl.
Ppl:
Flow
Flow Measuring Point: influent El Effluent El No flow generated
Parameter Monitoring Point: El influent 2 Effluent [:1 Groundwater Lowering El surface water
Parameter Code 10
50060
0_04'0-V.'
C0310
00610
81639
00530
j3
E
0
0
U)
0
0 0
a)
0
U
0
0
E
E
z
Q 0
0) (n
U,
0
ca
C
24-hr
hrs
(jP
mg/L
?u.-'.,­
mg/L
mg/L
lbsiac
mg/L
2
3
1,513.-
4
5
18:00
1.5
j.-
6
1;51t
7
8
"51
91
5,13
101
.4,513.
j; 613
121
13
14:00
0.5
0.18
6-9
11.3
�A.
1.79
3.81
.93�
4.67
14
15
1,513
7
16
17
1.15,13-
181
19
1,513
20
13:00
2
_5
21
51
22
-JL 5'1:�'
rY
23.
241
25
09:00
2
%
26
27
14:00
3
6.1 S
28
29
14:30
1.6
5'13
301
16:00
1 2
311
1
Average:
513 �m
0.18
11.30
-160460'��
- . .
1.79
;0;12
-
3.81
4.67
-4.10�­.
Daily Maximum:
_,161
0.18
_4%3Q,
11.30
1.79
3.81
3,93L;
4.67
Daily Minimum.
-145]3
0.18
11.30
P.1
1-79
3.81
4.67
".k�j
Sampling Type:
_Recp(qeje
G rab
Monthly Limit:
Daily Limit:

03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) 11 Certified Laboratories
Name: Harry Myers III Name: Statesville Analytical, Inc.
Name:. Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? mpliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 986154, 987023
Signing Official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Officials Title: Park Superintendent
Has the ORC changed since the previous NDMR? ❑ Yes ❑ No
Phone Number: 704-528-6350 Permit Expiration: 9/30/284
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and al hments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible;for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, Including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

OtR`C.ON SITE
PLANT 1.. ( MONTH C 'u n
YEAR A D 1'D
Day
Arrival
Time
Departure
Time
Operator
Time on Site
Effluent
Sampled
Signature
1
2
3
4
6
7
8
9
10
11
12
14
15
16
17
18
19
20
�Atovs
21
22
23
24
25
i
�'t .
C� 5
26
27
z b
28
29
30
Fi7i-
Reviewed by QC Mgr. Date Reviewed

Effluent Field Analysis
Month Z tLAO e.. Year �RD1-,:5
Plant Name 1._.Yv 5F�=i-2�'O��'�
WHER,
ww��,
Rate of
IMWI
ON.
!1!�
RONM,
Kn? J
WVIA 11
�M
IWIIIIIII
Reviewed By QC
Date Reviewed

pH Calibration Log
Field Analysis
Month lam' I1"1 � Year 2
4.0 buffer
Std. Units
10 buffer
Std. Units
Check 7.0
buffer
Std. Units
Time
Calibrated
Analyst
Name
Comments
Date
s
Reviewed By QC
Date Reviewed

08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page 5 of 5
application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
❑✓ Compliant ❑ Non -Compliant
Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
12 Compliant ❑ Non -Compliant
❑✓ Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 986154, 987023
signing Official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Officials Title: Park Superintendent
Has the ORC changed since the previous NDAR-1? ❑ Yes 2 No
Phone Number: 704-528-6350 Permit Exp.: 9/30/15
Signatu Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and al' iachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel property gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the Information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, Including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
.1617 Mail Service Center

ORC ON SITE
PLANT PC h MONTH 1nOLYEAR
Day
Arrival
Time
Departure
Time
Operator
Time on Site
Effluent
Sampled
Signature
1
2
3
"0c)
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
1:
25
26
27
28
29
30
31
a I a
Reviewed by QC Mgr. Date Reviewed

Effluent Field Analysis
Month (YI C Year
Plant Name L Aj �)-Je, Pouf K
®
. .
i - •
®®
•Rate
• •
Reviewed By QC
Date Reviewed

pH Calibration Log
Field Analysis
Month ►Year
Date
4.0 buffer
Std. Units
10 buffer
Std. Units
Check 7.0
buffer
Std. Units
Time
Calibrated
Analyst
Name
Comments
Ct(%
Reviewed By QC
Date Reviewed

Maintenance Log
Plant A-/ 5 P,
Month fy-ICAi A Year.-
"�

NON -DISCHARGE MONITORING REPORT (NDMR)
� Page t! of 2L
1 • •FacilityNormanIredell
Month: May
,
Flow Measuring Point* 21 Influent [:1 Effluent 0 No flow generated
P rameter Monitoring Point: El influent 2 Effluent 0 Groundwater Lowering 0 Surface Water
•
i
1

03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page ­� of�
Sampling Person(s) 11 Certified Laboratories
Name: Harry Myers III 11 Name: Statesville Analytical, Inc.
Name: II Name.: � I
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? MlC mpliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 986154, 987023
Signing Official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDMR? ❑ Yes I] No
Phone Number: 704-528-6350 Permit Expiration: 9/30/201X5
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my Inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, Including the possibility of fines and Imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

NEEPRP-10871 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 0 of
.%'No.: WQ0020881
Facility Name: Div. Of Parks & Rec (Lake Norman SP)
County: Iredell
Month: May
1irrigationoccur
at this facility?
Area (acres):
Cover Crop:,
1
1
••... .
>•
•
.Irrigated?0
•
- . �. -.
•
.
•
Monthly LoadinT
�ay_.•*,-
1 11
.I�.
1 11
l0�
�
1 11
--:;�
1 11
'.�;.

l/tV I 1 6 � " -11 V
NON -DISCHARGE APPLICATION REPORT (NDAR-1) 1, Page of
81
Facility Name: Div. Of Parks & Rec (Lake Norman SP)
County: Iredell
Month: April
Year: 2013
gation occur
Pat this facility?
❑✓ YES ❑ NO
Field Name:
A
Field Name:
B
Field Name:
Field Name:
Area (acres):
1.715
Area (acres):
1.715
Area (acres):
Area (acres):
Cover Crop:Woodland
Cover Crop:
P'
Woodland
Cover Crop:
P'
Cover Crop:
P'
Hourly Rate (in):
0.4
Hourly Rate (in):
0.4
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
30.16
Annual Rate (in):
30.16
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
E YES ❑ NO
Field Irrigated?
R] YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES ❑ No
0>
o
Q
a
C
L°
°
Ha
am
CL
oa
Q
N
c'
°
A C
•ia
o o
E
'C
E v
= co
m•o
EN
a
Q
Z
��
rn
�.
o
E
CE"
x 2 c
•o
dY
m
E•
co
T
�
c
rn
C�0
�
°
E
=
rn
C
.o
$
E rn0
7E `°ao Ccd
x x!
J
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in -
in
gal
min
in
in
1
2
3
5
R
43
3.2
6
I
A ii
E77
7
8
R
77
3.2
PC3'
9
cum
10
E
11
12
13
14
PC
73
2.9
3,300
30
0.07
0.07
4,000
1 30
0.09
0.09
15
16
17
19
' 7
F-7
!in I
71 vi
Z (�i
21
i
fi'1i
22
2
8
23
24
C
70.1
3.2
3,400
30
0.07
0.07
3,600
30
0.08
0.08
__
25
t`nC U�
`� ivirsv
F' a
26
27
28
29
30
A01
;()0.00
31
Monthly
Loading:
6,700
0.14
7,600
0
0
0.00

NON -DISCHARGE APPLICATION REPORT (NDAR-1)
limits in Attachment B of your permit?
irevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
Page of
I] Compliant ❑ Non -Compliant
i] Compliant ❑ Non -Compliant
i] Compliant ❑ Non -Compliant
21 Compliant ❑ Non -Compliant
I] Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: , Harry Myers III
Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 986154, 987023
Signing Official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number:
704-880-1084
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDAR-1?
❑ Yes 2 No
Pho a Number: 704-528-6350 Permit Exp.: 9/30/15
,lam
`
Signatu a Date
Signature Date
By this signature, I certify that this report is accurrate and
complete to the best of my knowledge.
I certify, under penalty of law, that this document and a a tachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
Inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false Information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

NON -DISCHARGE MONITORING REPORT (NDMR)
Page I_ of 9)
Facility Name: Div. Of -
-.
April

NON -DISCHARGE MONITORING REPORT (NDMR) Paged of,P
Sampling Person(s) 11 Certified Laboratories
Harry Myers III 11 Name: Statesville Analytical, Inc.
Name: 11 Name:
Does all monitoring data and'sampling frequencies meet the requirements in Attachment A of your permit? �rCompliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 986154, 987023
Signing official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Officials Title: Park Superintendent
Has the ORC changed since the previous NDMR? ❑ yes 2 No
Phone Number: 704-528-6350 Permit Expiration: 9/30/2014
Sig ature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel property gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

ORC ON SITE
PLANT ��� MONTH - r
YEAR a 1 3
Day
Arrival
Time
Departure
Time
Operator
Time on Site
Effluent
Sampled
Signature
1
2
3
4
6
7
9
10
11
12
13
142444,9
15
16
17
18
19
20
21
22
23
"
24
i
25
26
27
28
29
30
31
ed by QC Mgr
Date Reviewed

blorine Meter
Calibration Log
HACH Colorimeter
Field .Analysis
Year
,
�r��s

am 4i A t
A� ca
19
19�56(0
Way — fWA
SAIA-
o e: to CW6,r:,ne:U.'�S
DO
O C�

NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
di�` � Facility Name: Div. Of Parks & Rec (Lake Norman SP)
R-CM�� Field Na
Cou nty: Iredell
Month: March
Field Name:,

NON -DISCHARGE APPLICATION REPORT (NDAR-1)
I limits in Attachment B of your permit?
Irevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
Page of
I] Compliant ❑ Non -Compliant
i] Compliant ❑ Non -Compliant
I] Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
11 Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 986154, 987023
signing Official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDAR-1? ❑ Yes 21 No
Phone Number: 704-528-6350 Permit Exp.: 9/30/14
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the Information, the
information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of
­01�
Facility Name: Div. Of Parks & Rec (Lake Norman SP)
County: Iredell
Month: March
Flow Measuring Point: influent [I Effluent F-1 No flow generated
=73jill. "I
!Parameter Code 10
mM0
-®-®----®-

NON -DISCHARGE MONITORING REPORT (NDMR)
Page 3- of
Sampling Person(s)
Harry Myers III
Certified Laboratories
Name: Statesville Analytical, Inc.
Name: II Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑Compliant ❑ Nan -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
actlon(s) taKen. Httacn aaanionai sneers it
Operator in Responsible Charge (ORC) Certification
ORC: Harry Myers III
Certification No.: 986154, 987023
Grade: S1, WW2 Phone Number: 704-880-1084
Has the ORC changed since the previous NDMR? ❑ Yes 121 No
Signatu a Date
By this signature, 1 certify that this report is accurrate and complete to the best of my knowledge,
Permittee Certification
Permittee: Div. Of Parks & rec (Lake Norman SP)
Signing official: William C. Rhinehardt, Jr.
Signing Official's Title: Park Superintendent
Phone Number: 704-528-6350 Permit Expiration: 9/30/2014
Signature Date
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the Information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, Including the possibility of fines and Imprisonment for
knowing violatlons.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

ORC ON SITE
r f\ IAA -7 rl r "7
PLANY- r k MONTH Y tAK
Day
Arrival
Time
Departure
Time
Operator
Time on Site
Effluent
Sampled
Signature
2
3
4
5
6
7
8
9
10
11
12
14
15
16
17
18
19
21
22
23
24
25
26
27
28
30
31
Reviewed by QC Mgr. Date Reviewed

pH Calibration Log
Field Analysis
Month Mftpcy� Year
Date
4.0 buffer
Std. Units
10buffer
Std. Units
Check7.0
buffer
Std. Units
Time --Analyst
Calibrated
Name
Comments
/.7 h
/0.6
3 en
4.1, r
A "c
7,0
7
Reviewed By QC
Date Reviewed

1
�
i
y
Chlorine Meter
Calibration Log
HACH Colorimeter
Field Analysis
Month 4KC P- Year o � i
Reviewed UY QU
Date Reviewed

Effluent Field Analysis
Month )M f4 R a i�, Year ac 13
Plant Name o � KGM,4"') Sd-JJ, pa, k
..Rate
Analyzed:ww�'
W-�
of
Flow
Reviewed By QC
Date Reviewed

Plant
Maintenance Log
Month Year
If
ac) �-3
3z/
0
12
/40
17
0
v
8
-s -'el
A�.6
sgy
5' 3
y2
)0/1
3 A& 13
/9. 3.
5-
401 5
Ti7-t 144 ph--7.5
tiq
-j 2:7
Fr.67 549 F
ZL
LIZ) 6.3
L9
JL
-)70
A) 390
00
C)OI)
)(3

•' of
_ING _EWR03-12
• - - •
•
_•_
• -•
1
1"
•
i
IIIIIIIIIIIIIIIff
-
o-
®

08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
on rates exceed the limits in Attachment B of your permit?
neasures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
Page J of
0 Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
I] Compliant ❑ Non -Compliant
2 Compliant ❑ Non -Compliant
Il Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
'ORC: . Harry Myers III
Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 986154, 987023
signing Official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Officials Title: Park Superintendent
Has the ORC changed since the previous NDAR-1? ❑ Yes 2 No
Phone Number: 704-528-6350 Permit Exp.: 9/30/14
Signature Date
Signat re Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false Information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

ORC ON SITE
PLANT MONTH Flery YEAR
Day
Arrival
Time
Departure
Time
Operator
Time on Site
Effluent
Signature
1
—Sampled
2
3
J:3; 1 S'
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
'030
111,12411 f
ILL14
23
_N,
24
25
26
27
h;AR 2 9 2 1
28
29
30
31
Reviewed by QC Mgr. Date Reviewed

Chlorine Mete;
Calibration Log
HAC�i,Colo�timefer
Field Analysis
7.
ChickStd
Time
An*st
Comments. .
D*y '
Analyzed
; Naffie
:
3
4
'
6
-
;
7=
©.' -S =
/ay`
i
&.
10
12,
14
.1'7"t
20
30
31
`
Reviewed By QC'�
Date Reviewed

pH Calibration Log
Field Analysis
Month Year ti
Date
4.0 buffer
Std. Units
10' buffer
Std. Units
Check 7.0
buffer
Std. Units
Time
Calibrated
Analyst
Name
Comments
7
a
/y.'0.5
Reviewed By QC
Date Reviewed

Effluent Field Analysis
Month e)o va y Year AD 13
Plant Name s /Vo►,oy4,J - S�a �e 60. v K-
®
sampled,
Ti
..
.
®
ME=&M
�®
�mROME
UNINVIIIIIIIII�i�����
Reviewed By QC
Date Reviewed

Maintenance Log
Plant/)!�- ,-
Month �e�:r��Years �, r
20l5
so
It7,6- 3.
vas
/9 �?s
' � / 01
-12572 s
- 1 g17s
-72-
Tt14 91
o
s—
v��
a76 v
/1
TT
r,
ro

Of Parks & Rec-
- . -

NON -DISCHARGE MONITORING REPORT (NDMR) Page A of
Sampling Person(s) 11 Certified Laboratories
Harry Myers III 11 Name: Statesville Analytical, Inc.
Name: II Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ®1 ompliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: . 986154, 987023
Signing Official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Officials Title: Park Superintendent
Has the ORC changed since the previous NDMR? ❑ Yes 0 No
Phone Number: 704-528-6350 Permit Expiration: 9/30/2014
Signat a Date
Signature ate
:Its
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

Page of

NON -DISCHARGE APPLICATION REPORT (NDAR-1)
limits in Attachment B of your permit?
Irevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
Page '3 of---:5
21 Compliant ❑ Non -Compliant
21 Compliant ❑ Non -Compliant
Il Compliant ❑ Non -Compliant
i] Compliant ❑ Non -Compliant
❑✓ Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
oRC: Harry Myers III
Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 986154, 987023
Signing Official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDAR-1? ❑ Yes 2 No
Phon Number: 704-528-6350 Permit Exp.: 9/30/14
Signature Date
SignatureC� Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

ORC
PLANT , 6K ®Vtab,1&0 Je
ON SITE
MONTH/1 J a vv
YEAR �O
Day
Arrival
Time
Departure
Time
Operator
Time on Site
Effluent
Sampled
Signature
1
2
3
5
6
7
.8
10
11
12
13
14
15
16
17
18
19
20
—
21
22
23
24
25
26
27
28
29
30
31
Reviewed by QC Mgr. Date Reviewed

Maintenance Log
Plant < I
Month liLW u Year �-D
A-O/ -3---
SI7
3,
A,
-C
-FLq
D.35
7
-5'
6) -5
17
S. G
Cf )
(A) --
'7 vi,"L /t

,y
pH Calibration Log
Field Analysis
Month11K cz V •.-, Year
Date
4.0 buffer
Std. Units
10 buffer
Std. Units
Check 7.0
buffer
Std. Units
Time
Calibrated
Analyst
Name
Comments
a
Reviewed By QC
Date Reviewed

Chlorine Meter
Calibration Log
HACH Colorimeter
Field Analysis
Month Year �ZQ 1
Day
Check Std
mg/L
Time
Analyzed
Analyst
Name
Comments
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Reviewed By QC
Date Reviewed

IF
)1 NON -DISCHARGE APPLICATION REPORT (NDAR-1)���j i Page of�
20881 Facility Name: Div. Of Parks & Rec (Lake Norman SP) county: Month: December Year: 2012
Field Name• A - Field Name: B Field Name: ` . Field Name:
irrigation occur
at tills facility.
(] YES ❑ No
Area,(acres)
11.715
Area (acres):
1.715
Area. acres)
Area (acres):
_Cover Gro :
P
-'Woodland'-- :
Cover Crop:
Woodland
:;Cover'Crop
Cover Crop:
' Hourly Rate (m):
0:4
Hourly Rate (in):
0.4
Hourly Rate,(in)`
' :
Hourly Rate (in):
jt Annual Rate (in):
-, '-°30.16
Annual Rate (in):
30.16
Annual Rate (in):'
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
. _21 YES," _ ❑,No' '
Field Irrigated?
2 YES ❑ No
Field Irrigated?
-❑ YEs-;•-❑.No,• .
Field Irrigated?
❑ YES
oa
'o
o
m
w
3
a
E
9
°
O
a
La
o
m m
c
a
� �
ID
°'m
�'a
o,'a
i .Q
v
mm
E
i=
I_
co
g,c
=:,��
p
-, j
E oi'
3�c
E.�
°-
_� _' J
m y
Ear
° a
o a
9 Q
a
dm
E
F- -
rn
a,c
E
p
J=
E rn
�Tc
E ��
;t ° '°
J
m'
E
og
o .a
� ;Q
-
E:A
�
-: a
E�Im
G o
J
E 6�
° tp
S j"f
m y
o a
� Q
o
i=
E
rn
G o
J
OF
in
ft
ft
_gal _
min
-' ,in,
in_ _
gal
min
in
in
gal
min
in '":
in
gal
min
in
2
-
3
►-
4
C
66
3.2
•5 800
_ , 40
; 0.12 `,
0.12:
4,500
40
0.10
0.10
5
;
6
C
50
3.2
_
c* v
n
8
.�-.
9
10
12
0
13
_
b
14
C
53
3.4
7;500
,,`60:.,'
"0.16
016
8,800
60
0.19
0.19
15
16
17
R
49
3.4
18
19
20
y.
C
21
22
23
24
-
- -
- - -
25
26
27
C
46
3.2
1,500,
= ` 15 .
' .O:U3 .'
0.03
1,800
15
0.04
0.04
28
29
30
31
Monthly
Loading:
14,,800 -
OM'
:
15,100
0.32
0 . -
AM-
M
0.00
In

LaJS1al1L�.eaax�ea x,r;efl����6 M, '`: Y is

5-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
ication rates exceed the limits in Attachment B of your permit? Compliant ❑ Non -Compliant
Fas
dequate measures taken to prevent effluent ponding in or runoff from the sites? (] Compliant ❑ Non -Compliant
suitable vegetative cover maintained on all sites as specified in your permit? p Compliant ❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? p compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? p compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 986154, 987023
Signing Official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Officials Title: Park Superintendent
Has the ORC changed since the previous NDAR-1? ❑ Yes 21%
Phone Number: 704-528-6350 Permit Exp.: 9/30/14
//-Z 412=01 3
Sj/ -3
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all�aghments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the Information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

NON -DISCHARGE MONITORING REPORT (NDMR) Page 11 Of
-12 002j887 Facility Name: Div. Of Parks & Rec (Lake Norman SP) I County, Iredell Month: December Year: 2012
Flow Measuring Point: R] influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent ❑� Effluent ❑ Groundwater Lowering ❑ surface Water
eter Code 0►If
e646b
600 60
_004
C0310
00610
-b
81639
00530
°,00665'
❑
(D
P
0
24-hr
0
E -S
r
❑
0
his
, - 0.
_QPP�
7 7
0 0
0: L)
mg/L
Q
0
0
0
mg/L
Ij . I
I-%- ­
U. 6_
L'
00'rn
M
0
E
E
mg IL
zz
(D tM
Z
lbs/ac
0
,m
V
a V
& =
0
U) U)
mg/L
0
:
'o
2
3
t77
41
13:20
1.5
_47
0.6
7
61
7,
Y
61
09:15
0.25
7.8
0.56
2.46
.�4.4 8
7
71
1
91
1
-T
101
77 -
12
7
13
-77:e.
14
14:50
2.1
7%,
16
'77,
17
08:10
0.1
77"
7�
�vl
18
7T,
19
77
20
R
21
77
22
;,77
23
17
24
25.
-7
:­,, _7,1
261
1
77
.7
27
16:30
0.5
28
7-7,"
29
77
30
p- ,
—777777
31
7
:7
Average:
0.60
7.80
0.56
lb-7;r--'-
2.4 6
O-OC
0.00
04
Dail y Maximum:
.7-7.
0.60
7.80
J.,
0.56
2.46
2.70
Daily Minimum:
7
0.60
T,20
7.80
0.56
2.46
2. 70
3.9Q_
Sampling
a piing Type:
'-,Ae6�Mer
Grab
-
Grab
n
Monthly Limit:
7­.
Daily Limit:,

1 NON -DISCHARGE MONITORING REPORT (NDMR) Page — of
Sampling Person(s) 11 Certified Laboratories
Harry Myers III Name: Statesville Analytical, Inc.
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 92compliant ❑ Non -compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 986154, 987023
Signing Official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDMR? ❑ Yes 2 No
Phone Number: 704-528-6350 Permit Expiration: 9/30/2014
&C �k %//9/,
ignature Date
Signature Date
Lentswere
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document .5d:a:2 prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

OQRC ON SITE
PLANT �ViM P4 MONTH C ;v -e- 41- YEAR ;Z D �Z
Day
Arrival -
Time
Departure
Time
Operator
Time on Site
Effluent
Sampled
Signature
1
2
3
4���
5
6
7
8
9
10
11
12
13
14
/1-/,6` 0
/ , a
/ /�� s
15
16
17
18
19
20
21
22
23
24
25
26
27
! �e,°� U
©
1191SJ
28
29
30
31
/QC Mgr
Date Reviewed

-�.
. C.Mtter
DOWLF
4p,
x . kA `' C011l�tdla
16.
19
20.
`

pH Calibration Log
Field Analysis
Month( "� .;4, )ei.,Year r CJ / Z-
Date'
4.0 buffer
Std. Units
10 buffer
Std. Units
Check 7.0
buffer
Std. Units
Time
Calibrated
Analyst
Name
Comments
4,1
Reviewed By QC
Reviewed

Effluent Field Analysis
Month Year; .Z
Plant Name All,�-
..Time
Time..
AnalyzedE.
®®®Sampled
3y QC
wed

Maintenance Log
Plant �14Ve. �JOI'(VVLV"D syli-e- Oad C
Month Year �zo 1 •z
' ao/ z
,L
713
C kram;
0,670
ice% jag / Z -
S.a .�� l
�' .1 .� , �O—,-z lo-0c � We
pp- l- 7.3
7
Q AI
SD
/ 2 O /
F8 3:
L-1 U�
G- pq
- a 53 2 'z _
-7rs'Oos
fiZ
�z 7// -. L
7e
7-3
yid q
A(L-00- - ��, qocy rr+h
ton
�2,d0

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of ✓
U Month Floating Total (in): 91Q ;, 9.05

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
i1 Compliant ❑ Non -Compliant
21 Compliant ❑ Non-compnant
i] Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
21 Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 986154, 987023
Signing Official: William C. Rhinehardt, Jr. `
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDAR-1? ❑ Yes 0 No
Phone Number: 704-528-6350 Permit Exp.: 9/30/14
Ova, A�q— V7C o
% / >
61 ignature Date
Sign ure Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document an all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the Information, the
Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant
penalties for submitting false Information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

FORM: NCI.MR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page I of ;"
Permit No.: WQ0020881
Facility Name:
Div. Of Parks & Rec (Lake Norman SP)
County: Iredell
Isig6al
VAN
�®
..:
-®-
-®-.

FORM: NnMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page � of
Sampling Person(s) Certified Laboratories
Name: Harry Myers 111 11 Name: Statesville Analytical, Inc.
Name: p Name:
nnna all mi%nifnrinn Anfn and samnlinn frpniiPnehmn. mpot tha rp_nilirp-n7P-ntS in Attachment A of vour nermit?
❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 986154, 987023
Signing Official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDMR? ❑ Yes R1 No
Phone Number: 704-528-6350 Permit Expiration: 9/30/2014
Sig ature
Date
Sign ure Date
By this signature, I certify that this report is accurrate and complete to the best of my
knowledge.
t certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing. Unit
1617 Mail Service Center

OR"C; 0 SITE
PLANT,_A' S _P MONTH _ A40 -e Y9 e X YEAR
--Day
Arrival
Time
Departure
Time
Operator
Time on Site
-Effluent
Sampled
Signature
2
3
4
5
6
7
8
9
10
11
12
13
14
16
17
la
20
21
22
23
24
15",00
25
26
27
28
29
30
31
Reviewed by QC Mgr. Date Reviewed

pH Calibration Log
Field Analysis
Month 0
--Date
4.0 buffer
Std. Units
ffer Units er
0 bu
10 b
Std. its
Std
".0
Check 7.0
Check
buffer
buffer
Std. Units
Std. Units
e
Time
Time Calibrated
Calibrated
Calibra
Analyst
Analyst
Name
Name
N
Comments
A)
6eck
wL
161q1-,JI'L
0
Lj
Reviewed By QC
Date Reviewed

Effluent Field Analysis
Month Ue m bYear
Plant. Name s 44A �J�- iK
Time
e®
W""
t.
rime
a
�W-Z-h-lorine
Reviewed By QC
Date Reviewed

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Maintenance Log
Plant
Month ty,,,Year
// .- / � - ma 0- 1 -;__
R
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33
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-;2.

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page -I— of
Permit No.: W00020881
Facility Name: Div. Of Parks & Rec (Lake Norman SP)
County: Iredell
Month: October
Year: 2012
PPI:
Flow Measuring Point: 0 Influent ❑ Effluent [I No Flow generated
Parameter Monitoring Point: ❑ influent Q Effluent ❑ Groundwater Lowering ❑ Surface water
Parameter Code -♦
56050 .
50060
00400- .
00010
00310
00530
31616
00610
00630:..`
00625
- 00606 -
00665
°'c
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p
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O
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24-hr
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GPD,
mg/L
su
°C
mg/L. I
- mg/L
#1100 mL
mg/L
mg/L r
mg/L
mg/L
mg/L
1
632---
2
6.92
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3
632
-
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4
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d;
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1.8
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632
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11
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12
13
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14
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151
632.
16
632
17
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632 = ; .
7:2: ..
54
{,
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18
632 -
19
632
20
632
21
-632"--
221
632:
23
24
632-
t
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26
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7:3 -" ,,
55
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r
281
GIJVC.
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29
10:50
2.1
632:
7.2.
44
30
IBM'
31
: `632.
Average:
632 _
0.17
.. -
,
61.00
Daily Maximum:.
632
0.17
x1.30 . ;:
83.00
-`
Daily Minimum.
;. `,632 ,:
0.17
:. 720,;
44.00
Sampling Type:
-Recorder
Grab
Grab -- '.
-
Monthly Limit:
Daily Limit:
{;
.-

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page ) of o
Sampling Person(s) ! Certified Laboratories
Name: Harry Myers III Name: Statesville Analytical, Inc.
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attacnment A oT your permit-r LI Compliant LJ Non -compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
oltc: Harry Myers III
Permittee: Div. Of Parks & rec Lake Norman SP
( )
Certification No.: 986154, 987023
Signing Official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDMR? ❑ Yes (] No
Pho a Number: 704-528-6350 Permit Expiration: 9/30/2014
Sig ture Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
nts were prepared under my direction or supervision in
I certify, under penalty of law, that this document a alYd
accordance with a system designed to assure that allsonnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false Information, including the possibility of fines and imprisonment for
knowing violations.
jMail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) ,, Page I of'12)
Permit No.: WQ0020881
Facility Name: Div. Of Parks &
Rec (Lake Norman SP)
nty: ftwdn
Month: October
Year: 2012
Did irrigation occur
at this facility?
Field Name:
-A
Field Name:
B
Field Name:
rco,v6r
Field Name:
Area (acres):
1.715
Area (acres):
1.715Area
(acres):
Area (acres):
❑r YES El No
Cover Crop:
Woodland
I Cover Crop:
Woodland
Crop:
Cover Crop:
Hourly Rate (in):
0.4
` Hourly Rate (in):
0.4
Hourly Rate.(in):
Hourly Rate (in):
Annual Rate (in):
- - 30.16
Annual Rate (in):
30.16
Annual Rate (in):
"
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
0 YES_ ❑ N0
Field Irrigated?
0 YES ❑ NO
Field Irrigated?
❑ YES .[].No.' .
Field Irrigated?
El YES ❑ No
p
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2
3
4
5
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83
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. 45
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O.i2
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45
0.14
0.14
6
7
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8
9
10
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69
1 2.6
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- 6,400
:60
0.14..'
a 14 . ,1
8,000
60
0.17
1 0.17
11
12
_
13
14
- =
15
16
-
17
C
54
2.6
6,600
160
0.14,
0.14 f
8,500
60
0.18
0.18
18
19
20
21
22
23
24
25
26
C
55
3
8,300
70,
0:18
0.15 8,100
60
0.17
0.17
27
_
28
29
PC
44
3
7,100 -
.66.
0.15,
Q15.. 8,200
60
0.18
0.18
30
31
Monthly Loading: 33,900 0.73
0.85
39.400
0
0.00
0
0.00

ORC ON SITE
PLANT WSP MONTH 0/0- trek YEAR
Day
Arrival
Time
Departure
Time
Operator
Time on Site
Effluent
Sampled
SIGNATURE
1
2
3
4
6
7
8
10
, 'b
t91v
jar
G
11
12
13
.14
15
16
1 77
j{�fgf
J V, -I S
/a YJ� yy
/ 4i g g � V
/� // y%
.J . j J gs,
Y
/
V
18
19
20
21
22
23
24
25
27
n
28
29
30
31
Keviewea oy QU Mgr. Date Reviewed

Effluent Field Analysis
Month Yea r,9_0l -a—
Plant NameXiwf��
Time
Chlorine
®•
-,
- . •
Reviewed By QC
Date Reviewed

pH Calibration Log
Field Analysis
Month Year
Date
4.0 buffer
Std. Units
10 buffer
Std. Units
Check 7.0
buffer
Std. Units
Time
Calibrated
Analyst
Name
Comments
5i, ff
Hxq
EL
zv/
Reviewed By QC
Date Reviewed

Chlorine Meter
Calibration Log
HACH Colorimeter
Field Analysis
Month O C A` cC,L*l'—Year a) [ 2_._
Day
Check Std.
mg/L
Time
Analyzed
Analyst
Name
Comments
1
2
3
4
5IG
gym_✓
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Reviewed By QC
Date Reviewed

Maintenance Log
Plant A& v'<,i
Month nC- Year

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1) rz M tlJ Page i &2L
Permit No.: W00020881
Facility Name: Div. Of Parks & Rec (Lake Norman SP)
County: Rewsm
Month: September
Year: 2012
Did irrigation occur
at this facility?
El YES El NO
Field Name:
A
Field Name:
B
Field Name:
Field Name:
Area (acres):
1.715
Area (acres):
1.715
Area (acres):
Area (acres):
Cover Crop:
Woodland
Cover Crop:
Woodland
Cover Crop:
Cover Crop:
ourly Rate (in):
0.4
Hourly Rate (in):
0.4
"Hourly Rate (in):
Hourly Rate (in):
;;Annual Rate (in):
30.16
Annual Rate (in):
30.16
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
0 YES ❑ NO
Field Irrigated?
21 YES El NO
Field Irrigated?
[]YES ❑ NO
Field Irrigated?
El YEs El NO
0
U
120
E
0
1
a)
CL
M CL
th
E m
1= .0
E
co
C
_j
E im
C
0 w
i
x 0
E 2
Q.
'a a
>
g w
'E
z..s
-ii '0
M
a
3
E Im
r E S
= -0
0 0
_j
E, A
, ,
0 CL
E
a)
0 0
_j
E co
x 0 a
J
E
-6 5.
>
V
w
0
j
Ez b ta
r Es
V
0
_j
OF
in
ft
ft
gal
min
in
in
gal
min
In
in
gal
min
In
In
gal
min
in
In
2
7
1
3
4
6
6
C
88
2.5
,��O
45
0.10
0;10
7,800
60
0.17
0.17
nrT 1
9
_j i
7
8
9
10
12
C
84
2.4
64;'700
45
0.10
0.10
7,800
60
0.17
0.17
13
14
15
__rE
16
17
18
IN
20
21
22
C
68
2.5
-j-1.00
45
0.09
0.09
6,200
45
0.13
0.13
23
24
251
26
27
28
C
79
2.6
j200
45
0.09
0.09
6,600
45
0.14
0.14
29
30
31
Monthly Loading
0.38
—78,40-0
0.61
0
0.00
0
0.00 10M

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page A
of
12 Month Floating Total (in):Jrdr
8.39

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of v
Did the application rates exceed the limits in Attachment B of your permit?
0 Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Compliant
❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Compliant
❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
(]Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
23 Compliant
❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of
the non-compliance and
describe the corrective
actinnfs) taken. Attach additional sheets if necessarv. ,
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Certification.No.: 986154, 987023
Signing Official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDAR-1? ❑ Yes 21 No
Phon umber: 704-528-6350 Permit Exp.: 9/30/14
- ,b ib
/ Signatu Date
r
Signature ate
By this signal e, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attach is were pre d under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly d an evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons irectly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false Information, Including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0020881 _F
Facility Name: Div. Of Parks & Rec (Lake Norman SP)
—7—
County: Iredell
month: September
Year: 2012
ppl:
Flow Measuring Point: [D Influent El Effluent El No flow generated
Parameter Monitoring Point: ❑ Influent 2 Effluent ❑ Groundwater Lowering El Surface water
Parameter Code
666 0
60060
60400
00010
- 0310
00530
1616
00610
30
00626
0600
00665
0
V W
C
4,
U)
J.
a
C "a
0
0
o.,
1­1-1.
LL.
0 0
-
� 81
CL
CL
0
0 k=
0
0
E
E
-z
-b
"o
S' J.
CL
E
d)
z
0
0
0
0
(L
24-hr
hrs
mg/L
S U
0C
mg/L
,,.'01100 mL
mg/L
mglL
mg/L
g/ L
mg/L
2
3
4
823
5
5
1:30
1.3
_1
U
T
88
7
823
8
9
10
12
13:10
2
84
_0.7
13.4
71
<0.5
65
2.58
Z%07
5.1
13
14
161
16
17
823.
18
19
Ea
E3--
MEN
MEN=

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Sampling Person(s) Certified Laboratories
Name: Harry Myers III Name: Statesville Analytical, Inc.
Name: Name:
Page of
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 21 Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 986154, 987023
signing Official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDMR? ❑ Yes RI No
Pho a umber: 704-528-6350 Permit Expiration: 9/30/2014
f b l) L
Si nature Date
Signature Da
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachme epared under my direction or supervision In
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the Information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false Information, including the possibility of fines and Imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

` ORC ON SITE
PLANT d� 1Qv,,,��a� 1�61 MONTH YEAR :,Q-0t�
I
Day
Arrival
Time
Departure
Time
Operator
` Time on Site
Effluent
Sampled
Signature
1
i
2
3
4
5
6
1/.30
. 3
a, /0ja5
1C
7
1 ell
8
9
10
11
12
13
14
15
16
17
1s
19
20
21
22�
" 23
24
25
26
27
28
29
30
31
Reviewed by QC Mgr.
Date Reviewed

I I
Maintenance Log
Month�Year-,9�-e--
A —s
41
Cl ? 5
00
"7 'ir
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) V _A_ Page —___ of
Permit No.: •11 0"
Of - Norman SP)
County:-d-
.nth: August1
INN
�------�--�—���—
Daily
Daily Minim-U—M.
Monthly Limit:

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Harry Myers III Name: Statesville Analytical, Inc.
Name: Name:
Does all monitoring data and sampling frequencies. meet the requirements in Attachment A of your permit? 0 Compliant ❑ Non-Compiiant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 986154, 987023
Signing Official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Officials Title: Park Superintendent
Has the ORC changed since the previous NDMR? ❑ Yes 0 No
Phone umber: 704-528-6350 Permit Expiration: 9/30/2014
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge,
I certify, under penalty of law, that this document and all aftInts were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my Inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the Information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) 7revll Page , of
Permit No.: WQ0020881
Facility Name: Div. Of Parks & Rec (Lake Norman SP)
County: 148WO
Month: August
Year: 2012
Field Name:
A
Field Name:
B
Field Name:
Field Name:
Did II'flgatl011 OCCUi
at this facility?
Area (acres):
1.715
Area (acres):
1.715
Area (acres):
Area (acres):
Cover Crop:
Woodland
Cover Crop:
Woodland
Cover Crop:
Cover Crop:
YES ❑ No
Hourly Rate (in):
0.4
Hourly Rate (in):
0.4
Hourly Rate (in):
Hourly Rate (in):
;Annual Rate (in):
30.16
Annual Rate (in):
30.16
'Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
YES ❑ No
Field Irrigated?
I] YES El NO
Field Irrigated?
[I YES El NO
Field Irrigated?
El YES El NO
pR
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0.16
29
30
31
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Monthly
Loading:
;= 32,200
0.69
37,600
0.81
0
0.00
0
0.00

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page � of
12 Month Floating Total (in):21 7 60 7•78 #-

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _vL of ✓
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
I] Compliant ❑ Non -Compliant
I] Compliant ❑ Non-Compllant
i] Compliant ❑ Non -Compliant
I] Compliant ❑ Non-Compllant
Compliant ❑ Non-Compllant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
artion(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 986154, 987023
Signing Official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Officials Title: Park Superintendent
Has the ORC changed since the previous NDAR-1? ❑ Yes [21 No
Phone umber: 704-528-6350 Permit Exp.: 9/30/14
Siglature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments red under my direction or supervision in accordance
with a system designed to assure that all qualified personnel property gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the Information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false Information, Including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

c
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PLANT +°� {��. ov,�.w.)�te,�eV-'dvY MONTH q YEAR o9,()
Day
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Time
Operator
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Effluent
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Signature
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7
9
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Reviewed by QC Mgr. Date Reviewed

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Month ;us+ Year c /z
Plant Name , , A-ke J\)Ol M ^d
..Time
TimeSampled
Analyzed
..
,
Reviewed By QC
Date Reviewed

pH Calibration Log
Field Analysis
Month �t . &- Year-, 0 t
Date
4.0 buffer
Std. Units
.10 buffer
Std. Units
Check 7.0
buffer
Std. Units
Time
Calibrated
Analyst
Name
Comments
L
Reviewed By QC
Date Reviewed

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDIVIR) Page 1; of _�A_
_F
Facility Name: Div. Of Parks & Rec (Lake Norman SP)
County: Iredell
Month: July
Parameter Monitoring
Point: ■Influent Effluent■Groundwater Lowering ■surface water
OEM
• Limit:,

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page A of On
Sampling Person(s) Certified Laboratories
Name: Harry Myers III Name: Statesville Analytical, Inc.
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? L'd Compliant LJ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. -Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 986154, 987023
Signing Official: William C. Rhineharlt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDMR? ❑ Yes El No
Ph a Number: 704-528-6350 Permit Expiration: 9/30/2014
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false Information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) � �) Page Of
.JcXtJ�I
Permit No.:
WQ0020881
Facility Name:
Div. Of Parks & Rec (Lake Norman SP)
County:
Month:
July
Year:
2012
Field Name:
A
Field Name:
B
Field Name:
Field Name:
Did
irrigation occur
Area (acres):
1.715
Area (acres):
1.715
Area (acres):
Area (acres):
at this
facility?
Cover Crop:
Woodland.,
Cover Crop:
Woodland
Cover Crop:
Cover Crop:
Hourly Rate (in).
0.4
Hourly Rate (in):
0.4
Hourly Rate (in):
Hourly Rate (in):
Q/ YES
El NO
Annual Rate (in):
30.16
Annual Rate (in):
30.16
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
0 YES
0 NO,•
Field Irrigated?
2 YES
El NO
Field Irrigated?
D YES
Fi NO
Field Irrigated?
F-1 YES
El NO
0
.2
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E 21
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0.12
1
28
29
TO
31
L
Monthly
Loading: l
7
7
0.700
0.44
0
0.00
0
0.00

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page o\ of .
a s k,ms H a s tea,
• • �� i�, s.

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ✓ of
Did the application rates.exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
2 Compliant ❑ Non -Compliant
I] Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 2 Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? I] Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? p Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
ORC: Harry Myers III
Certification No.: 986154, 987023
Grade: S1, WW2 Phone Number: 704-880-1084
Has the ORC changed since the previous NDAR-1? ❑ Yes I] No
n4#, , sh);,/2
Signa ure Date
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee: Div. Of Parks & Rec (Lake Norman SP)
Signing Official: William C. Rhinehardt, Jr.
Signing Official's Title: Park Superintendent
Phone Number: 704-528-6350 Permit Exp.:
9/30/14
I certify, under penalty of law, that this document and alr2tta6ments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the Information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false Information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
16117 Mail Service Center

, ORC ON SITE
PLANT��-E.b4w_--`/�Pv k/IONTH � f� YEAR r�
Day
Arrival
Time
Departure
Time
Operator
Time on Site
Effluent
Sampled
Signature
1
2
3
4
5
6
7
8
9
10
11
12
13
15
J,, I r7
16
17
18
19
20
. A 44
21
22
23
24
25
26
27
28
29
30
31
Reviewed by QC Mgr. Date Reviewed

+ 6 is _ -
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Effluent Field Analysis
Month :�� 17 Year �2 c / -z
Plant Name k' AVM,4s) ,e".
Sampled
Wi-
1111WIIIIII
OWIM
1111111111111111101
®
Reviewed By QC
Date Reviewed

pH Calibration Log
Field Analysis
Month u Year , VC)
Date
4.0 buffer
Std. Units
10 buffer
Std. Units
Check 7.0
buffer
Std. Units
Time
Calibrated
Analyst
Name
Comments
Reviewed By QC
Date Reviewed

Maintenance Log
Month-n'aq -Years
71,5X2 0 / -7
_ .,-7 -z-
r& qO'7
3,
a
3 z-0 O�j
ZD
V.
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7,2-
J
--z 0
7—le
,, J 2-
13

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page L of 1z,
_T Permit No.: W00020881 I _T7aallity'Name: Div. Of Parks & Rec(Lake Norman SP) County: Iredell Month: June Year: 2012
PPI: Flow Measuring Point: El Influent 0 Effluent [] No flow generated Parameter Monitoring Point: ❑ Influent Effluent ❑ Groundwater Lowering El surface water
Parameter Code
00310
16
00625
4�01 0
00400
00630
§30
00600
60080
0
E
USu.=0.-
0
V
0
", �:S.
tm
0 0
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E
1
F_
z
A JUL
2
24-hr
hre
mg/L
mg/L
Su
mg/L
L
mg/L
.3�
2
3
4
4
61
1.2
1,408
72
.
7-
6
7
9
10
2
7
4,
_777
121
NA,
13
14
16
13:25
—2.1
6.6
8.3
6.91
4.6
4.6
D�135
8.44
16
NA `4
-1 APA
18
:15
S1.
.
73
20
21
22
-7
77
3
2A
N
,
24
26
09.15
2.6
71:7774—06
7.2
26
27
J" 4-
Q
28
29
_0
30
31
"U_
Average:
0
J00
8.30
71' 83 01
-4.60
4.60
0.14
8.44
-0,39
Daily Maximum :-
8.30
�:`7-39
7.30
-,,,�--4.60
4.60
8.44
Daily Minimum
8.30
6.91
4.60
8.44
-0.39
SamplingType
Monthly Limit
.,
:,:.
Dilly Limit
Id
0--

r PORK NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page Z of �—
Sampling Person(s)
Name: Harry Myers III
Certified Laboratories
Name: Statesville Analytical, Inc.
Name:
Name:
Does all monitoring data and sampling frequencies most the requirements in Attachment A of your permit? i] Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(®) the facility was not in compliance. Provide in your explanation the date(s) of the non-cornpllance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator In Responsible Charge (ORC) Certification
ORC: Harry Myers III
Certification No.: 986154, 987023
Grade: S1, WW2 Phone Number: 704-880-1084
Has the ORC changed since the previous NDMR? ❑ Yes 1Z No
r-C
4 nature
By this signature, I certify that this report is accurrate and complete to the best of my knowledge,
Permittee Certification
Permittee: Div. Of Parks & Rec, (Lake Norman SP)
Signing Official: William C. Rhinehart, Jr,
Signing Officials Title: Park Superintendent
Phone Number: 704-528-6350 Permit Expiration: 9/30/2014
Date Signature Date
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all quallfled personnel properly gathered and evaluated the Information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false Information, including the possibility of fines and Imprisonment for
knowing Violations.
Mall Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Ralelah. North Carolina 27AM1617

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-11) Page � of ✓L)
Permit No.: W00020881
Facility Name: Div, Of Parks & Rec(Lake Norman SP)
County: Iredell
Month: June
Year: 201-2
Did irrigation occur
at this facility?r
2 YES El NO
Field Name-
71--_(acres):
A
Field Name:
2
Field Name:
B
Field Name:
Aria
.....................
1.715
Area (acres):
1.715
Area (acres):
Area (acres):
foCovar crop:
Woodland
Cover Crop:
Woodland
zover Crop:
Cover Crop:
Rate (1 n):
0.4
Hourly Rate (in):
0.4
Rate (in):
Hourly Rate (in):
Rate (I
Annual n):
.
3016
Annual Rate (in):
30.16
,6-.-AWhuaI Rate (in):
Annual Rate In):
Weather
Freeboard
11jo Irrigated?
YES El NO
Field Irrigated?
YES El NO
--Field Irrigated?.
❑YES NO
Field Irrigated?
El YES El NO
M
LD
tM
E
C
E
.1 0 Z
0
4) M
E 2
5 -&
0 CL
>
V
a) a
g 10
Im
'E
CD
M '0
w
0
E cz
S
E
o
E
T
1 :8
0
E
!
CL
'E
tM
co
zc
.9 0.0
x 0
M X
OF
In
ft
ft
min
In
In
gal
min
In
In
gal
min
In
In
gal
m In
in I
In
2-
a­
4
pV
5
C
80
0
2.7
30
0.07
0.07
4,300
30
0.09
0.09
6
7,
8
9
10
11
Y =h'
12
131
141
18
C
so
0
2.1
_60
0.13
0.13
8,300
1 60
0.18
0.18
17
is
C
84
0
2.25
Q0,
30
0.08
0.08
8,300
60
0.18
0.18
19
201
211
22
23
24
25
C
74
0
1 2.3
30
0.15
0.15
8,600
60
0.18
0.18
26
271
281
29
30
31
MUMMY L_UdU1F1q;lL.rAW_tz U.00 00101003 1 U U.UU
UU 0.41 29.500 0.63 U
1. if_!s (.La -

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page �\ of 2—
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
El Compliant
❑ Non-Compllant
iZ Compliant
❑ Non-Compllant
0 Compliant
❑ Non -Compliant
21 Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? p Compliant ❑ Non-Compllant
If the facility Is non -compliant, please explain In the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
taken. Attach additional sheets if
Operator in Responsible Charge (ORC) Certification
ORC: Harry Myers III
Certification No.: 986154, 987023
Grade: 81, WW2 Phone Number: 704-880-1084
Has the ORC changed since the previous NDAR-1? ❑ yes [j No
4,aAt.t.— 11tL4AAA,_ jlk>
Signature
By this signature, I certify that this report is accurrate and complete to the beat of my knowledge.
Permittee Certification
Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Signing Official: William C. Rhinehart, Jr.
Signing Officials Title: Park Superintendent
Phone Number: 704-528-6350 Permit Exp.: 9/30/14
Date Signature Date
I certify, under penalty of law, that this document and ail attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
Inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the Information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false Information, including the possibility of fines and Imprisonment for knowing violetlons.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Mateinh Mn Fh fT­H.. 17ROO_4047

ORCnON SITE YEAR
PLANT / /�f dy vwg)- - kv �C MONTH \�V l�I
Operator
Time on Site
Effluent
Sampled SIGNATURE
Day Arrival
Departure
Time
Time

0
Effluent Field Analysis
Month Year
Plant Name
Time
Sampled
Time
AnadyzecriZ
©
®
arm
Reviewed By QC
Date Reviewed

L- N 7 P
Maintenance Log
Month ju , zYear
10
3<Z
6 .5Z.7
/7 q0
-6 - l 3 96
SO_
U 9010
7s,(
1 17 q 6
00
7, 3
Lln
AJOL7 2-
20 (,-)U
k,
RIA

Chlorine Meter
Calibration Log
HACH• Colorimeter
Field Analysis
Month Year a O /Z--
Day
Check Std
mg/L
Time
Analyzed
Analyst
Name
Comments
2
3.
4
5
% 2
Z 2,`
7
w.
8
9
-10
11
12
13
14
15
16
17
18
19
20
21
22
23
Z4
25
26
27
28
29
30
31

pH Calibration Log
Field Analysis
Month ) • � � Year �•
10 buffer
Std. Units
Check 7.0
buffer
Std. Units
Time
Calibrated
Analyst
Name
Comments
Date
4.0 buffer
Std. Units
'
Reviewed By QC
Date Reviewed

4 FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) I^ A C 6 Page _L_ of Oi
e" h6lt No.; W60020881
Facility Name: Div. Of Parks & Rec (Lake Norman SP)
County: Iredell
Month: May
Year: 2012
PPI: y
Flow Measuring Point: 0 Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent Q Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code50050
50080
U0400
r
4.
f0
.E
�
LLO y L
HO,41
1
p
O
Zr
!jId
O
jw
_�.
a%y
24-hr
hrs
GP,D.K,
'y
1
mg/L
su "�
r.,�.
a..
1
1,4
2
10:50
1.2
s 0, `"
'
0.45
3
,`,
41
400
a = "�
F,.f `:
?' 'r
Yw k r'
K
t
k is ` z r
�« isc
A
..tit
5
r c
8
_s
7
13:05
1.3
9
1400 �.y
�
r'7
^�4``
:
j'
i✓iF` i
SC` '��-�
�z
r,
10
a'1 4d0
tG_x
spa
r
k
12
1 400
A�
13
3
Ya Ci
tl
E?f'S`.:
14
15
:g1 400
17
17:25
13
72
18
�1 400;
e'
�{ice `�t�
-., ,� �
��s. � �':
_ �}-'a
� jk.`
19
21
S.'t
Y �
ti Z � �
d'.
{ .x'
F
22
r^
e �
J A
23
245I
400F
{ a
7's F t
4ZM1 2
'T
i i STr�y i,
fia
K�4
251
14:45
1
4
h Yr
gyt'
75
.mod
�n
JG,
S
K
i
1
1 0
7 3,
�� hl
C-.^. :^5] •�..
J R1Fy '
:Y»C M1 lt:
:A
26
.✓.f'f
t
28
1400
r
29
30
13:30
1.3
Average
i 1 400st
0.45
K �`Mrky4
I�iFgCfiletti
n Proc6
5 Uni1
Daily Maximum
1 400 ;'.:
0.45
,
? :7 30 =:
;'s
= s
'
WQ/B0
TF
Daily Minimum.1„400
"
.
wf
0.45
Sampling Type3Recorder
'
Grab
aGrab
MonthlyLlmlt
t>,;
g''r�s`,�r
.�
a`Ys
Daily Limit
r.
Sample Frequency
Monthly
Monthly

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Harry Myers III 11 Name: Statesville Analytical, Inc.
Name: II Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? L'Compllant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
aUUU[)k5) [dKtlrl. HUHGrr dUUILIOIIdI SrlCtllb rl
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 986154, 987023
Signing official: William C. Rhinehardt, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Officials Title: Park Superintendent
Has the ORC changed since the previous NDMR? ❑ Yes 21No
Phon Number: 704-528-6350 Permit Expiration: 9/30/2014
�p�lilZ
� z 0
ignature Date
/Ignature,
Signature Date
By this I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attaL were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

-IV: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page -i— of ai
Permit ko.:` WQ0020881
Facility Name: Div. Of Parks & Rec(Lake Norman SP)
County: Iredell
Month: May
Year: 2012
Did irrigation occur
at this facility?
YES ❑ NO
Field Name
a M
z 0, -
Field Name:
2
i&Na'm6:1
'l-,
Field Name:
a
Area (acres):
1.715
Area (ages)+
Area (acres):
bdvi
Cover Crop: rop:
Woodland
_,;t, over Crop
Cover Crop:
Hourly Rate (in):
0.4
ou ti�: 0.41.
J _
Hourly Rate (in):
hnuall.�Rate:rflfi
Annual Rate (in):
30.16
AUaUAieWj( -16
Annual Rate (in):
Weather
Freeboard
Field ,
-Irdgqt
Field Irrigated?
[Z YES El NO
Field; I 00te0_
,-.El YE
Field Irrigated?
El YES ❑ No
FL
E
CD
0
49
a.
o
a)
CL
CL
0
6)-": J,
E tM
0
E 2
-6
>
CD
E
p
tM
z,.E
0
E tm
0
M 0
I
.,CL
"2
V
�iw
01
0.
E .9
0 CL
>
t
0
E tg
0
_j
OF
In
ft
ft
_g@1
,,:rR.n
_jn,�,,�,,, �j
I
gal
min
in
In
.n
gal
min
in
In
21
C
80
3.4
L3,71.9 Qki"
_06;.�,
4,200
30
0.09
0.09
3
41
V.
6
7
C
76
3.5
6b
0
4,200
30
0.09
0.09
v
8
7
w
101
12
13
y;
14
X.t A
16
17
PC
77
2.7
4,2 00
30
0.09
0.09
18
19
20
-w;
211
221
j­1
231
1
1Vr
xi
v
24
25
C
90
2.75
4,300
30
0.09
0.09
26
27
T
111-i D1111
28,
"On
29
30
C
88
2.75
4,200
30
0.09
0.09
31
ta,
7�
Monthly Loading:
12 Month Floating Total (in):
JK
0.45
1.62
�iT
T
0 0.00

ORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page X of ,A
Did the'application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
2 Compliant ❑ Non -Compliant
Il Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 0 Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? p Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? p Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
CRAM lk*) lance. r'NlGldl GUUMU1101 Al I00W II
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Harry Myers III
Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 986154, 987023
Signing Official: William C. Rhinehart, Jr.
Grade: S1, WW2 Phone Number: 704-880-1084
Signing Officials Title: Park Superintendent
Has the ORC changed since the previous NDARA? ❑ Yes 121 No
Pho a Number: 704-528-6350 Permit Exp.: 9/30/14
I AzlAw�� . ' _
CD+ Z� /
Signature Date
7thisignature,
Signature Date
By I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction o� supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

ORC ON SITE
MONTH YEAR
Day
Arrival
Time
Departure
Time
Operator
Time on Site
Effluent
Sampled
SIGNATURE
1
3
4
5
6
7
13 0S'"
8
9
10
11
12
13
14
15
16
17
1'7 6-
18
19
20
21
22
23
24
26
27
28
29
30
I 3,-3 D
Al,- 4S
31
Reviewed by CSC Mgr. Date Reviewed

A L) V-
• Maintenance Log
Month M UYear AO
I
P141-
--/7/3-6
�06
Jz-
:7- -3
-3 C,
0 C9
C', t-ro 1 119
53 733
�7,2 4/
370
-72
C
� 776
1,72 -5-
a9 �O
�1300
;2-3 71/f
OK
C e
[Ouj Fo--vyi, IIADO
L
� a,//q e- f—
/9'S
ys

Effluent Field Analysis
Month Year�-L
Plant Name 2)44 Nov VRAIU ST61,40- 4�LY
Mnme
�i
..
Reviewed By QC
-Date Reviewed

pH Calibration Log
Field Analysis
Month j1 � Year �'kO` I2
Date
4.0 butler
Std. Units
10 buffer
Std. Units
Check 7.0
buffer
Std. Units
Time
Calibrated
Analyst
Name
Comments
Sa
7
2
fi C.)
Reviewed By QC
Date Reviewed

Chlorine Meter
Calibration Log
HACH Colorimeter
Field Analysis
.Month - %}1taq Year
.Day
Check Std
mgfL
Time
Analyzed
Analyst .
Name
.Comments
1
2
3
4,
,/17
i r
5
6
7
8
9
10
11
-
12
13
14
15
16
17
18
19
20
21
-22
23
24
25
26
27
28
29
30
31
Reviewed By QC
Date Reviewed

PERMIT NUMBER:
NON DISCHARGE WASTEWATER MONITORING REPORT
W00020881 ONTH: April Dec
- M4
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP)
Page / of 61
2012
Iredell
Flow MonitoringPoint: Effluent: Influent: !�,?
,, gk„
+ ,urt
Parameter Monitoring Point: Effluent: Influent: ❑ Surface Water (SW):
SW Cod
Was There Effluent Flow For This Month Generated At This Facility: Yes: No:
D
T
E
E u
ro> o
p t N
V
@ y
0.
in
v
p
50050
00400
50060
1 00310
00610
1 00530
31616
.00630
00625
1 OD600
00665
Daily Rate Flow) intom
(Treatment
System
c
o . 21p
� v
w
m
z
ul
F
€_
o m
LL 0 S
w
Z Z
Z
~
m
F Z
o
'e
0 d
HRS
YIN
GALLONS
UNITS •
mWL
I mglL
mg1L:
mglL
1100ML
mg"L
mg/L
mg/L
mg/L
1
1203
2
1203
3
1203
4
1203
5
1203
s
13:35
0.4
Y
1203
7.3
7
1203
8
1203%
,
1
9
1203
lu
1 o
12:30
1.1
1 Y
1203
7.2
0.24
11
1203121
t.
-
1203
t:
"1,.., -:
131
1203
.
......-
14
1203
151
1203
161
1203
17
16:10
0.83
Y
1 1203
7.2
181
1203
191
1203
20
1203
211
1203
22
1203
23
1203
24
1203
25
1203
26
1203
27
1281
14:00
1.3
Y
1203
7.4
4-4
1203
29
1203
t�
30
1203
atio
31
°essi
Average
Daily Maximum
Daily Minimum
Monthly Limit(s)
�,
1 �
7.4
7.2
0.24
0.24
0.24
####
0
0
IG
####
0
0
#D 0!
0
0
/0!
0
0
#DIV/0!
0
0
Composite (C) / Grab (G)
G
G IG
G
G
TG
G IG
Operator in Responsible Charge (ORC): Harry W Myers III Grade: Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986154
Certified Laboratories (1): Statesville Analytical, Inc. (2):
Person(s) Collecting Samples: Harry W MVerS III
a
Mail ORIGINAL and TWO COPIES to: `
DENR (SIGNA O PI
Division of Water Quality BY THIS SIG URI
ATTN: Information Processing Unit AND COMPLETE TO
1617 Mail Service Center
RALEIGH, NC 27699-1617
PR IN RESPONSIBLE CHARGE)
°RTIFY THAT THIS REPORT IS ACC
BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (11/2005)

Page k-- of
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirement
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in complia
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective actic
taken. Attach additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that all qualified personnel properly gathered and
evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, (
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitti
fake information, includAng the possibility of.fines and imprisonment for knowing violations."
(Permittee-Please print or type)
William C. Rhinehart, Jr.
(Name of Signing Official -Please print or type
Park Superintendent
(Position or Title)
Div. Of Parks 8r Rec Iredell Co. 704-528-6350 9/30/2014
(Phone Number) (Permit Exp. Date)
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
Parameter Codes:
01002 Arsenic
31504 Conform, Total
00600 NUMen, Total
00929
01022 Boron
00094 ConducxhrO
00630 NO2&NO3
00931
00310 BOD5
01042 Copper
00620 NO3
00745
01027 Cadmium
00300 Dissolved Oxygen
00556 Oa -Grease
70295
00916 Calcium
31616 Fecal Coliform
WQ09 PAN (Plant Avalable
00010
00940 Chloride
01051 Lead
00400 pH
00625
50060 Chlorine, Total
Residual
00927 Magnesium
32730 Phenols
00680
71900 Mercury
00665 Phosphonts, Total
00530
01034 Chromium
00610 NH3asN
00937 Potassium
00076
00340 COD
01067 Nickel
00545 Settleable Matter
01092
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in
the reporting facility's permit for reporting data.
" If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506
DENR FORM NDMR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT Page _/__of 4L/
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00020881
MONTH: April YEAR: 2012
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP) COUNTY:
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
M L I
Iredell
axm imuHourly oad ng (nches) = Daily Loadng (inches) / [Time Imgated (minutes) / 60 (mmuteslhour)] MonthlyLoading
g (inches) =sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = fMonthty Loadina finches/monthl / Numhernf love in tho mnnfh f.r=ve/.nnnthn„Irfd---A..
Did Irrigation Occur At This Facility:
Did Irrigation Occur On This Field:
Did Irrigation Occur On This Field:
Yes 0 No ❑
Yes: O No: ❑
Yes: 0 No: ❑
FIELD NUMBER: A
FIELD NUMBER: B
S jz #, n
AREA SPRAYED (acres): 1.715
AREA SPRAYED (acres): 1.715
£
COVER CROP:
Woodland
COVER CROP:
Woodland
PERMITTED HOURLY RATE (inches):
0.4
PERMITTED HOURLY RATE (inches):
0.4
D
WEATHER
CONDITIONS
PERMITTED YEARLY RATE inches :
30.16
PERMITTED YEARLY RATE (inches):
30.16
Weather
Temper-
Maximum
Maximum
A
Storage
Lagoon
T
Code•
ature at
Precipita-
Free-
Volume
Time
Daily
Hourly
Volume
Time
Daily
Hourly
E
application
tion
board
Applied
Irriated
LoadingLoadingApplied
irrigated
.
Loadin
Loading
VF)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
C
69.8
0
2
R
78.8
0.29
3
R
75.2
0.02
4
R
80.6
0.33
5
R
64.4
0.14
6
C
65
0
3.4
7
C
68
0
8
C
75.2
0
9
C
71.6
0
10
C
65
0
3.4
3700
30
0.08
0.16
4200
30
0.09
0.18
11
C
59
0
12
C
60.8
0
13
C
64.4
0
14
C
71.6
0
15
C
77
0
16
C
80.6
0
17
C
74
0
3.5
3700
30
0.08
0.16
4200
30
0.09
0.18
18
R
53.6
0.39
19
C
64.4
0
20
C
69.8
0
21
C
75.2
0
22
C
59
0
23
C
53.6
0
24
C
62.6
0
25
C
64.4
0
26
R
71.6
0.14
27
C
79
0
3.4
3700
30
0.08
0.16
4200
30
0.09
0.18
zs
C
60.8
0.
0
29
C
80.6
0
301
C
80.6
0
31
Total Gallons/Monthly Loading (inches)
11100
0•24
12600
l °
4,'��
12 Month Floating Total (inches)
�kk }x
£ s >> gr
x,.=..,
1.06
0.0555822rr
i r rt
a..
Fis,Z�.x
'�'��e'�elh.ir
sty�xar3
i ,
I
l� {t 2
ss�
0.27
1.17
0.0630933�
7,,
''2
Average Weekly Loading (inches)
r� �:.
• Weather Codes: C-clear, PC -partly cloudy. CI
-cloudy- R_raio
c.,_�.,,,•., ct_Qle.,.
4:
:. , .'
r ;;
Spray Irrigation Operator in Responsible Charge (ORC): Harry W. Myers III Phone: [phone]
ORC Certification Number: 986154 Check Box if ORC Has Changed: R)
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit (SI A RE OF TO N RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGN E,1 C TIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE THE BE T OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
Page '�_ of %_�
acility Status:
Please indicate ('by inserting Y(es) or N(o) in the appropriate box) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
1. The application rate(s) did not exceed the limit(s) specified in the permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit
4. All buffer zones as specified in the permit were maintained during each application.
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
specified in the permit
Wm Ifant N)
If the facility is non -compliant please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
com ete. lam aware that there are significant penalties for submitting false information, including the possibility of fines
and in1prisonment for knowing violations."
LJVWilliam C RhinehaR, Jr.
(S ature of Permittee)* ate (Name of Signing Official -Please print or type)
William C Rhineh Park Superintendent
(Permittee-Please print or type) (Position or Title)
704-528-6350 6/30/2014
Div. Of Parks & Rec Iredell Co. (Phone Number) (Permit Exp. Date)
159 Inland Sea, Troutman, NC 28166
(Perrnittee Address)
3ned by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(13).
DENR FORM NDARA (11/2005)

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pH Calibration Log
Field ,analysis
Month��� � � Year
Hate ,0 bta9%r 10 buffer ! Chec6t 7.0 rime i Analyst Commentsi � ,
Std. units Std. Units ! buffer
i Calibrated � Name i
S
-
- 7, c7
I
7
x JD
--fin---------- - - ,--------------• - ----- -- ------ �---------
rkZA
-- -- ---
—
-----
'Reviewed By
Date Reviewed

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Effluent Field Analysis
Month 42rd Year ,�?D/Z
Plant Name
ime
Sampled
Time
Analyzed,
�I�rl�l
�Ii■1�®ON
Reviewed By QC
Date Reviewed

Maintenance Log
Month.Abrd YearAOI?-
14
1 D
— C/
S
K36
� � � o y
/
::::�—
-.--(�D
-
f J4 - 7 z/
! orUS ct3 \' 1 V�� aQ
- �
1. G

NON DISCHARGE WASTEWATER MONITORING REPORT
Page I of(---
PERMIT NUMBER: WQ0020881 MONTH: March Dec
r FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP)
2012
Iredell
Flow Monitoring Point: Effluent: 0 Influent:
Parameter Monitoring Point: Effluent: 2 Influent: ❑ I Surface Water (SW):
SW Cod
Was There Effluent Flow
For This Month Generated At This
Facility:
Yes: Ld No: I
D
A
T
E
E
«° 0
m> o
c.t.y.
O Q w
F
`o M
dui
ae
o o
o-
-y
c
a
K
O
50050.
00400
50060
00310
00610
00530
31616
00630
00625
00600
00665
Daily Rate
(Flow) into
Treatment
System
=
o•
9
,� o
mr
w U
c
,q
0
O
m
z
,:,
S
z
y
N
F
z
v E;
o W
mm m
a �? mo
oil
m +�
w .�,
z z
z
X
I-
m
o
+0 ,�,
O-
1- z
a
L
uai
o
O.c
I-- a
HRS
YIN
GALLONS
UNITS
mg/L
mg/L
mglL
mg/L
/100ML
mg//L,
mg/L
mg/L
mglL
1
620
2
13:45
0.4
Y
620
7.2
3
620
4
620
5
17:30
0.4
Y
620
7.3
6
620An
7
620
APC1
8
620
9
620
10
620
11
620
12
620
13
620
14
620
15
10:50
1.5
Y
620
7.2
0.35
2.7
<0.5
15.5
<1
0.65
2.46
3.11
4.3
16
620
171
1
620
18
620
19
620 .
20
13:15
1.2
Y
620
7.1
21
620
22
620
231
1
620
24
620
25
620
26
620
27
620
28
620
29
15:10
1 1.2
Y
620
7.1
301
1
620
311
1
620
Average
620
0.35
2.7
<0.5
15.5
1
0.65
2.46
3.11
4.3
Daily Maximum
620
7.3
0.35
2.7
<0.51
15.5
1
0.65
2.46
3.11
4.3
Daily Minimum
620
7.1
0.35
2.7
<0.5
15.5
1
0.65
2.46
3.11
4.3
Monthly Limit(s)
Composite (C) / Grab (G)
G
G
G
G
G
G
G
G
G
Operator in Responsible Charge (ORC): Har ry W Myers III Grade: Phone: [phone]
Check Box if ORC Has Changed: ORC Certification Number: 986154
Certified Laboratories (1):
Person(s) Collecting Samples:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Statesville Anal rtilral(2):"
arr ers"IIf �%/
h�fi�rrri tion P1(R(9NA, ' @OPERA PR IN RESPONSIBLE CHARGE)
( VVOffaA'S SIGN URE, j4ERTIFY THAT THIS REPORT IS ACCURAI
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page L of C_
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requiremen�Y
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in complia
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective actic
taken. Attach additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my'direction or
supervision in accordance with a system designed to assure that all qualified personnel properly gathered and
evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, (
those persons directly responsible for gathering the information, the information submitted is, to the best of m}
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitti
fals information, includin the possibility of fines and imprisonment for knowing violations."
William C. Rhinehart, Jr.
( nature of Permittee)* bate (Name of Signing Official -Please print or type
William C Rhinehart, Jr. Park Superintendent
(Permittee-Please print or type) (Position or Title)
Div. Of Parks & Rec Iredell Co.
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
Parameter Codes:
704-528-6350 9/30/2014
(Phone Number) (Permit Exp. Date)
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
00929
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931
00310 BOD5
01042 Copper
00620 NO3
00745
01027 Cadmium
00300 Dissolved Oxygen
00556 Oil -Grease
70295
00916 Calcium
31616 Fecal Col'dorrn
WQ09 PAN (Plant Available)
00010
00940 Chloride
01051 Lead
00400 pH -
00625
50060 Chlorine, Total
Residual
00927 Magnesium
32730 Phenols
00680
71900 Mercury
00665 Phosphorus, Total
00530
01034 Chromium
00610 NH3asN
00937 Potassium
00076
00340 COD
01067 Nickel
00545 Settleable Matter
01092
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in
the reporting facility's permit for reporting data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506
DENR FORM NDMR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
z THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00020881 MONTH: March
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP) COUNTY:
Formulas;
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feetlgallon) x 12 (inchestfoot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)] OR.
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / [Time Irrigated (minutes) / 60 (minutes/hour)] Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading (inches/month) / Number of days in the month (days/month)] x 7 (days/week)
Page 1_ of -
YEAR: 2012
Iredell
Did Irrigation Occur At This Facility:
Yes: 0 No: ❑
Did Irrigation Occur On This Field:
Yes: 21 No: ❑
Did irrigation Occur On This Field:
Yes: El No: ❑
FIELD NUMBER:
A
FIELD NUMBER:
B
AREA SPRAYED (acres):
1.715
AREA SPRAYED acres :
1.715
COVER CROP:
Woodland
COVER CROP:
Woodland
PERMITTED HOURLY RATE (inches):
0.4
PERMITTED HOURLY RATE (inches):
0.4
D
A
T
E
WEATHER CONDITIONS
Storage
Lagoon
Free-
board
PERMITTED YEARLY RATE inches :
30.16
PERMITTED YEARLY RATE (inches):
30.16
Weather
code•
Temper-
afore at
application
Precipita-
tion
Volume
Applied
Time
Irrigated
'
Dail Y
Loading
Maximum
Hourly
Y
Loading
Volume
Applied
Time
Irrigated
Dail Y
Loadin
Maximum
Hourly
Y
Loading
(°F)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
C
63.4
0
2
PC
43
0
3.5
3
C
50
0
4
C
43.3
0
5
C
40
0
3.5
6
C
45.4
0
7
C
39
0
8
C
59.2
0
9
R
53.9
0.11
10
C
45.3
0
11
C
51.4
0
12
C
55.6
0
13
C
61.3
0
14
C
83
0
15
C
76
0
3.5
3700
30
0.08
0.16
4200
30
0.09
0.18
16
C
58.9
0
17
C
63.1
0
18
C
64.9
.0
19
C
66
0
20
R
80
0.14
3.5
3800
30
0.08
0.16
4200
30
0.09
0.18
21
C
64.6
0
22
R
66.8
0.26
23
R.
64.4
0.38
24
R
66.1
0.46
25
C
63.5
0
26
C
63.8
0
27
C
53.5
0
28
C
56.5
0
29
C
80
0
3.5
3800
30
0.08
0.16
4200
30
0.09
0.18
30
C
52
0
31
R
61.3
0.18
Total Gallons/Monthly Loading (inches)
11300
0.24
12600
; . ;,
0.27
12 Month Floating Total ( inches ),.�
.Fk.
Est
0.82.�,
, rwaa4.«
0.90
Average Weekly Loading (inches),
3?r
F ,
0.0547584
0.061058
* Weather Codes: C-clear, PC -partly cloudy, Cl-cloudy, R-ra]n, Sn-snow, SI-sleet
Spray Irrigation Operator in Responsible Charge (ORC): Harry W. Myers III Phone:
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
986154 Check Box if ORC Has Changed:
704-880-1084
*L-
(SIG TU OF O TO RESPONSIBLE CHARGE)
BY THIS SIGNAT , I CE IFY THAT THIS REPORT IS ACCURATE AND
COMPLETE TO HE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (1112005)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
Page Hof C__
s
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box ) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
1. The application rate(s) did not exceed the limit(s) specified in the permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit
4. All buffer zones as specified in the permit were maintained during each application.
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
specified in the permit
compliant ,N)
Y
0
0
0
If the facility is non -compliant please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
a imprisonment for knowi violations."
William C Rhinehart, Jr.
(Signature of Permittee)" fDate (Name of Signing Official -Please print or type)
William C Rhine Park Superintendent
(Permittee-Please print or type) (Position or Title)
704-528-6350 9/30/2014
Of Parks & Rec Iredell Co. (Phone Number) (Permit Exp. Date)
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(1)).
DENR FORM NDAR-1 (11/2005)

3
R
NON DISCHARGE WASTEWATER MONITORING
REPORT
•J. F
PERMIT NUMBER:
_ W00020881
MONTH: ebruar
FACILITY NAME:
Div. Of Parks & Rec (Lake Norman SP)
Flow Monitoring Point: Effluent: 0 Influent: ❑ ::: ::>::
Parameter Monitoring Point: Effluent: 21 Influent: ❑
Surface Water (SW): ❑ SW Co
Was There Effluent Flow
For This Month Generated At This Facility:
Yes:
0
No: ❑ ::::::
50050
00400
50060
00310
00610
00530
31616
00630
00625
Daily Rate
(Flow) into
c
$
`�
°_
o a
06
d
D
A
E_
° ~
F
`o
c
T
�j
,�` > o
„
I? N
0
Treatment
a `o
0
z
0;
�
� o
E
a�a
O Q w
o c
00
a:
O
System
2
a
mt
K U
O
m
=
z
En
a��j
a
Z Z
♦—
HRS
Y/N
GALLONS t
UNITS
mg/L
mg/L
mg/L
mg/L
1100ML
mg//L.
mg/L
14:00 1:.5
10:30 1:05
7.4 1 0.45
Page _ I of
2012
00600 00665
2
C Q
N
_ c.
O
I11112:461 0:15 1 N h 112Y. `I 7.4 1 1 1 1 1 1 1 1 1 1
1141 12:51 1 0:15 1 N[ ". 112 'I 7.4 1 1 1 1 1 1 1 1 1 1
Average 7.3 0.451 1 #### 01 #DIV/0! #DIV/0! #DIV/0!
Daily Maximum 7.4 � 0.45 0 0 0 0 0 0
Daily Minimum 7.2 0.45 0 0 0 0 0 0
Monthly Limit(s)
Composite (C) / Grab (G) G G G G G G G G
Operator in Responsible Charge (ORC): Clifford W. Crenshaw Grade: Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number 991559
Certified Laboratories (1): Statesville Analytical, Inc. (2):
Person(s) Collecting Samples: Harry W Myers III
Mail ORIGINAL and TWO COPIES to:
DENR (SIGNATUR PERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACC
ATTN: Information Processing Unit AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
DENR FORM NDMR-1 (11/2005)

Page A of -.a
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirement
If the facility is non -compliant, please explain in the space below the reason(s),the facility was not in complia
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective actic
taken. Attach additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that all qualified personnel properly gathered anc
evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, (
those persons directly responsible for gathering the information, the information submitted is, to the best of m)
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitti
fa a information, incllu�diig the possibility of fines and imprisonment for knowing violations."
� ' . A —r- /f // ft
nature
,�YIX112_
William C Rhinefiart, Jr.
ease print or type)
Div. Of Parks & Rec Iredell Co.
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
Parameter Codes:
William C. Rhinehart, Jr.
(Name of Signing Official -Please print or typt
Park Superintendent
(Position or Title)
704-528-6350 9/30/2014
(Phone Number) (Permit Exp. Date)
01002 Arsenic
31504
Coliform, Total
00600
Nitrogen, Total
00929
01022
Boron
00094
Conductivity
00630
NO2&NO3
00931
00310
BOD5
01042
Copper
00620
NO3
00745
01027
Cadmium
00300
Dissolved Oxygen
00556
Oil -Grease
70295
00916
Calcium
31616
Fecal Coliform
WQ09
PAN (Plant Available)
00010
00940
Chloride
01051
Lead
00400
pH
00625
50060
Chlorine, Total
Residual
00927
Magnesium
32730
Phenols
00660
71900 Mercury
00665 Phosphorus, Total
00530
01034 Chromium
00610
NH3asN
00937
Potassium
00076
00340
COD
01067
Nickel
00545
Settleable Matter
01092
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in
the reporting facility's permit for reporting data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 26.0506
DENR FORM NDMR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0020881 MONTH: February
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP) COUNTY:
Formulas:
Daily Loading (inches) = (Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)]
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
OR
Page -4- of
YEAR: 2012
Iredell
Maximum Hourly Loading (inches) = Daily Loading (inches) / [Time Irrigated (minutes) / 60 (minuteslhour)] Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loadinq (inches/month) / Number of days in the month (days/month)] x 7 (days/week)
Did Irrigation Occur At This Facility:
Yes: No: ❑
Did Irrigation Occur On This Field:
Yes: ID No: ❑
Did Irrigation Occur On This Field:
Yes: ❑Q No: ❑
_
FIELD NUMBER:
A
FIELD NUMBER:
B
AREA SPRAYED (acres):
1.715
AREA SPRAYED acres :
1.715
COVER CROP:
Woodland
COVER CROP:
1 Woodland
PERMITTED HOURLY RATE (inches):
0.4
PERMITTED HOURLY RATE (inches):
0.4
D
A
T
E
WEATHER CONDITIONS
Lagoon
Free-
board
PERMITTED YEARLY RATE (inches):
30.16
PERMITTED YEARLY RATE (inches):
30.16
Weather
code•
Temper-
atureat
application
Precipita-
tion
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
(°F)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
C
51
0
z
1 C
49
0
3.35
3800
30
0.08
0.16
4200
30
0.09
0.18
3
C
61
0
3.5
3900
30
0.08
0.17
4200
30
0.09
0.18
a
C
55
0
5
R
51
0.05
6
R
51
0.07
7
C
55
0
6
C
49
0
9
C
45
0
10
C
44
0
11
C
61
0
12
C
66
0
13
C
61
0
14
C
62
0
15
C
55
0
16
R
54
0.03
17
C
57
0
18
C
61
0
19
R
65
0.02
20
C
61
0
21
C
48
0
22
R
45
0.21
23
R
48
0.02
24
R
47
0.34
25
C
44
0
26
C
55
0
27
C
51
0
28
C
53
0
29
C
52
0
30
31
Total Gallons/Monthly
Loading (inches)
7700
0.17
8400
0.18
12 Month Floating Total (inches)
10.84
10.79
Average Weekly Loading (inches)
10.03731321
10.0407053
veauier Codes: C-clear, PC; -parry cloudy, u-cloudy, x-ram, sn-snow, sl-sleet
Spray Irrigation Operator in Responsible Charge (ORC): Clifford W. Crenshaw Phone: [phone]
ORC Certification Number: 991559 Check Box if ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIG`N­A_T_0Rt OF OPERATOR INNRRESPO LE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

A
A NON -DISCHARGE APPLICATION REPORT Page —,-2-Of
SPRAY IRRIGATION SITE(S)
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box ) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
1. The did the limit(s) in the
C�om lia—n�t Y,N)
application rate(s) not exceed specified permit.
I�
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
0
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
0
4. All buffer zones as specified in the permit we're maintained during each application.
0
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
0
specified in the permit.
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
ar(q imprisonment for knowing violations."
✓ 1— William C Rhinehart, Jr.
nature of Permittee)* Date I (Name of Signing Official -Please print or type)
William C Rhineha , J. Park Superintendent
mittee-Please print or type) (Position or Title)
704-528-6350
Div. Of Parks & Rec Iredell Co. (Phone Number)
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
9/30/2014
(Permit Exp. Date)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)

r NON DISCHARGE WASTEWATER MONITORING REPOJ� Page / of o2-
PERMIT NUMBER: WQ0020881
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP
MONTH: )anuan
2012
:
Flow Monitoring Point: Effluent: 21 Influent:❑::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
Parameter Monitoring Point: Effluent: ❑� Influent: ❑ ISurface Water (SW):
SW Cod
Was There
Effluent Flow
For This Month Generated At This
Facility:
Yes: No:
D
A
T
E
E
m m V
d? 0
at.oy.
O¢ w
F
`o Y
6 in
a�
o o
o
O
O
50050
00400
50060
00310
00610
00530
31616
00630
00625
00600
00665
Daily Rate
(Flow) Into
Treatment
System
2
0.
c
N o`
v t
R O
o
`�
o
O
m
z
M
=
z
�
F
°"
U E -
- o �,
d d v
LL c 2
06
N +�
�_
z z
z
Y
1-
�
�p 0
O =
1- z
U)
o
z
- m
o z
F- a
HRS
Y/N
GALLONS
UNITS
mg/L
mg/L
mg/L
mg/L
/100ML
mg//L
mg/L
mg/L
mg/L
1
- 04
3
I04
`1
4
104
-
5
14:45
1:15
Y
104 '
6
13:00
1:50
Y
104..:,
7.3
0.45
F917119
7
104
a
104.
s
104 .^
101
10:58 1
0:15
N
�104 -
7.3
11
104
12
1.04
13
..j04
14
104
15
104
16
14:10
0:15
N
_ 104
_... .... _ . _. .
7.3
17.104-
1 s_
191
104
VATER Q1
ALI
20
10.4
RWION
PROCE
SING UN
21
1`04
22
1.04 -
23
- 104
24
13:00
1;50
Y
251
1
26
27
8:33
0:15
N
104
7.3
2s
104
2s
104
30
13:30
2:00
Y
104
31
104
Average
104
:::::::::T-.3
0.45
#####
01
#DIV/0!
#DIV/0!
#DIV/0!
Daily Maximum
104
7.3
0.45
0
0
0
0
0
0
Daily Minimum
104
7.3
0.45
0
0
0
0
0
0
Monthly Limit(s)
Composite (C) / Grab (G)
G
G
G
G
G
G
G
G
Operator in Responsible Charge (ORC): _
Check Box if ORC Has Changed: ❑
Clifford W. Crenshaw Grade: Phone: [phone]
ORC Certification Number: 991559
Certified Laboratories (1): Statesville Analytical, Inc. (2):
Person(s) Collecting Samples: Harry W Myers III
Mail ORIGINAL and TWO COPIES to:
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACC
ATTN: Information Processing Unit AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
/-/r,�� DENR FORM NDMR-1 (11/2005)

. -t
Page a of a
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Please answer the following question:
Compliant (Y,N)
1'. Does all monitoring data and sampling frequencies meet permit requiremen�Y
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in complia
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective actic
taken. Attach additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that all qualified personnel properly gathered and
evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, c
those persons directly responsible for gathering the information, the information submitted is, to the best of m}
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitti
false information, including the possibility of fines and imprisonment for knowing violations."
William C. Rhinehart, Jr.
('nature of Permitte Date (Name of Signing_ Official -Please print or typt
William C Inehart, Jr. Park Superintendent
(Permittee-Please print or type) (Position or Title)
Div. Of Parks & Rec Iredell Co.
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
Parameter Codes:
704-528-6350 9/30/2014
(Phone Number) (Permit Exp. Date)
01002
Arsenic
31504
Coliform, Total
00600
Nitrogen, Total
00929
01022
Boron
00094
Conductivity
00630
NO2&NO3
00931
00310
BOD5
01042
Copper
00620
NO3
00745
01027
Cadmium
00300
Dissolved Oxygen
00556
Oil -Grease
70295
00916
Calcium
31616
Fecal Coliform
WQ09
PAN (Plant Available)
00010
00940
Chloride
01051
Lead
00400
pl-1
00625
50060
Chlorine, Total
Residual
00927
Magnesium
32730
Phenols
00680
71900 Mercury
00665 Phosphorus, Total
00530
01034
Chromium
00610
NH3asN
00937
Potassium
00076
00340
COD
01067
Nickel
00545
Settleable Matter
01092
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in
the reporting facility's permit for reporting data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506
DENR FORM NDMR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0020881 MONTH: January
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP) COUNTY:
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feettgallon) x 12 (Inches/foot)]/ [Area Sprayed (acres) x 43,560 (square feet/acre)]
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
OR
Page ) of
YEAR: 2012
Iredell
Maximum Hourly Loading (inches) = Daily Loading (inches) / [Time Irrigated (minutes) 160 (minutes/hour)] Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly I_nadina finches) = [Monthly Loading (inches/month) / Number of days In the month (days/month)] x 7 (days/week)
Did Irrigation Occur At This Facility:
Yes: 0 No: ❑
Did Irrigation Occur On This Field:
Yes: 2 No: ❑
Did Irrigation Occur On This Field:
Yes: 0 No: ❑
FIELD NUMBER:
A
FIELD NUMBER:
B
AREA SPRAYED (acres):
1.715
AREA SPRAYED (acres):
1.715
COVER CROP:
Woodland
COVER CROP:
Woodland
PERMITTED HOURLY RATE (inches):
0.4
PERMITTED HOURLY RATE (inches):
0.4
D
A
T
E
WEATHER CONDITIONS
Storage
Lagoon
Free-
board
PERMITTED YEARLY RATE (inches):
30.16
PERMITTED YEARLY RATE (inches):
30.16
Weather
Code'
Temper-
ature at
application
Precipita-
tlon
Volume
Applied
Time
Irrigated
Dail Y
Loading
Maximum
Hourly
Y
Loadin
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
(7)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
C
55
0
2
C
56
0
3
C
56
0
4
C
56
0
5
C
60
0
3.2
3800
30
0.08
0.16
4300
30
0.09
0.18
6
C
70
0
3.25
3800
30
0.08
0.16
4200
30
0.09
0.18
7
C
49
0
8
C
51
0
9
R
50
0.11
10
C
56
0
11
R
49
0.55
12
R
50
0.02
131
C
1 43
0
141
C
1 44
0
15
C
48
0
16
C
44
0
17
R
42
0.17
18
C
41
0
19
C
44
0
20
R
40
0.16
21
C
44
0
22
C
50
0
23
R
41
0.08
24
C
58
0
3.1
3800
30
0.08
0.16
4200
30
0.09
0.18
25
C
51
0
26
C
56
0
27
C
0
28
C
0
29
C
t59
0
30
C
0
3.25
7700
60
0.17
0.17
8500
60
0.18
0.18
31
C
Total Gallons/Monthly Loading (inches)
19100
::::::::::::
0.41
::::::::::::::::::
21200
:; :::;:: ::; ::::
0.45
...........
12 Month Floating Total (inches)
:::::::::::::::::::::::::::::::::::::::::::::::::::
10.67
10.73
Average Weekly Loading (inches)!!:!:!:!:!:!:!:!:!:!:!:!
0.0925562
......::::::::::::::......
.... .::::::
0.1027325
* Weather Codes: C-clear, PC -partly cloudy, CI -cloudy, R-rain, sn-snow,
Spray Irrigation Operator in Responsible Charge (ORC)
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Clifford W. Crenshaw
991559 Check Box if ORC Has Changed: ❑
Phone: [phone]
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, 1 CERTIFY THAT THIS REPORT IS ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT Page aof-a
SPRAY IRRIGATION SITE(S)
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box ) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
the limit(s) in the
Compliant Y,N)
Y
1. The application rate(s) did not exceed specified permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
YO
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
4. All buffer zones as specified in the permit were maintained during each application.
YO
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
0
specified in the permit.
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
and ' prisonment for knowing violations."
IU 1
— William C Rhinehart, Jr.
(Signature of Permittee)* Date . (Name of Signing Official -Please print or type)
William C Rhinehart, J. Park Superintendent
(Permittee-Please print or type) (Position or Title)
Div. Of Parks & Rec Iredell Co.
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
704-528-6350 9/30/2014
(Phone Number) (Permit Exp. Date)
` If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 28.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT age o
PERMIT NUMBER: WQ0020881 MONTH: 2011
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP)
Flow Monitoring Point: Effluent: 0 Influent: ❑::::::::::::::::::........................... :::::....... .
Parameter Monitoring Point: Effluent: 21 Influent: ❑ Surface Water (SW): EjSWCodd
Was There Effluent Flow For This Month Generated At This Facility: Yes: No:
50050
00400
50060
00310
1 00610
00530
31616
00630
00625
00600
00665
Uaily Rate
Em
oi
D
a
A
V`
oCD
o
9
z
p O
s.P
a
vi
Ta
Treatment
o
$
o&
0
o
N
o o
0
System
M
U)
Z
dE
HRS
Y/N
GALLONS
UNITS
mg/L
mg/L
mg/L
mg/L
/t001VIL
mg//L
mg/L
mg/L
mg/L
13:30
1:50
Y
- ; 993...:..
2
°913
3
16:40
0:15
N
9<1,.3
7.3
e
�. ... Q'1.:4
-
2�:151 1:45 1 Y 91-.3 . `,] 7:3 1 0.63 1 4.9 1 <0.5 1 37.6 1 <1 1 2.14 1- 2.24 1 4.38 1 3.6
261
1
1.
27
91.1. 1'
28
14:30
1:10
Y
91.3. `.
29
13:56
0:15
N
913 "
7.2
30
91 3 ..
31
Average
91.3
::::7:2
0.63
37.6
0
2.14
2.24
4.38
3.6
Daily Maximum
91.3
7.3
0.63
37.6
0
2.14
2.24
4:38
3.6
Daily Minimum
91.3
7.2
0.63
37.6
0
2.14
2.24
4.38
3.6
Monthly Limit(s)
Composite (C) ! Grab (G)
IG
G
G
G
IG
IG
IG
G
Operator in Responsible Charge (ORC): Clifford W. Crenshaw Grade: Phone: 704-528, 6350
Check Box if ORC Has Changed: ❑ ORC Certification Number: ;; 50b,
�Q�
V
Certified Laboratories (1): Statesville Analytical, Inc. (2):
2012
Person(s) Collecting Samples: Harry W Myers III
orrnation Processing Unit
Mail ORIGINAL and TWO COPIES to: BOG
DENR (SIGNATUR OPERATO IN RESPONSIBLE CHAR E)
Division of Water Quality BY THIS SIGN TURF, I CERTIFY THAT THIS REPORT IS ACC
ATTN: Information Processing Unit AND COMOLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page A of _2
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirement
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in complia
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective actic
taken. Attach additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that all qualified personnel properly gathered and
evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, (
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitti
fals. informatiorl, including the possibility of fines and imprisonment for knowing violations."
zI-)Iz William C. Rhinehart, Jr.
(S nature of Permittee)* Date (Name of Signing Official -Please print or typt
William C Rhinehart, Jr. Park Superintendent
(Permittee-Please print or type) (Position or Title)
Div. Of Parks & Rec Iredell Co.
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
Parameter Codes:
704-528-6350 9/30/2014
(Phone Number) (Permit Exp. Date)
01002
Arsenic
31504
Coliform, Total
00600
Nitrogen, Total
00929
01022
Boron
00094
Conductivity
00630
NO2&NO3
00931
00310
BOD5
01042
Copper
00620
NO3
00745
01027
Cadmium
00300
Dissolved Oxygen
00556
oil -Grease
70295
00916
Calcium
31616
Fecal Coliform.
WQ09
PAN (Plant Available)
00010
00940
Chloride
01051
Lead
00400
pH
00625
50060
Chlorine, Total
Residual
00927
Magnesium
132730
Phenols
00680
71900 Mercury
00665 Phosphorus, Total
00530
01034
Chromium
00610
NH3asN
00937
Potassium
00076
00340
COD
01067
Nickel
00545
Settleable Matter
01092
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in
the reporting facility's permit for reporting data
" If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506
DENR FORM NDMR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0020881 MONTH: December
Page L of
YEAR: 2011
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP) COUNTY: Iredell
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/fool)] / [Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches)] [rime Irrigated (minutes) / 60 (minutes/hour)] Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Did Irrigation Occur At This Facility:
Yes: ❑ No: ❑
Did Irrigation Occur On This Field:
Yes: I] No: ❑
Did Irrigation Occur On This Field:
Yes: 0 No: ❑
FIELD NUMBER:
A
FIELD NUMBER:
B
AREA SPRAYED acres :
1.715
AREA SPRAYED (acres):
1.715
COVER CROP:
Woodland
COVER CROP:
Woodland
PERMITTED HOURLY RATE (inches):
0.4
PERMITTED HOURLY RATE (inches):
0.4
D
A
T
E
WEATHER CONDITIONS
storage
Lagoon
Free-
board
feet
PERMITTED
YEARLY RATE
(inches):
30.16
PERMITTED
YEARLY RATE
(inches):
30.16
Weather
Code*
Temper-
ature at
application
(°F)
Precipita-
tion
inches
Volume
Applied
gallons
Time
Irrigated
minutes
Dail y
Loading
inches
Maximum
Hourly
y
Loading
inches
Volume
Applied
gallons
Time
Irrigated
minutes
Daily
Loading
inches
Maximum
Hourly
Loading
inches
1
C
65
0
3.1
3800
30
0.08
0.16
4300
30
0.09
0.18
2
C
63
0
3
C
62
0
4
C
62
0
5
R
61
0.05
6
R
62
0.14
7
R
62
0.44
8
C
61
0
9
C
54
0
3.1
3700
30
0.08
0.16
4200
30
0.09
0.18
10
C
61
0
11
C
58
0
12
C
59
0
13
C
59
0
14
C
58
0
3.2
3800
30
0.08
0.16
4300
30
0.09
0.18
15
C
58
0
16
R
57
0.49
17
C
58
0
18
C
58
0
191
C
1 59
0
20
C
58
0
211
R 1
57
0.38
22
C 1
56
0
3.2
3800
30
0.08
0.16
4300
30
0.09
0.18
231
C 1
58
0
24
C
57
0
25
C
58
0
261
C
58
0
27
R
57
0.62
28
C
56
0
3.1
3700
30
0.08
0.16
4200
30
0.09
0.18
29
C
55
0
30
C
58
0
31
C
55
0
Total Gallons/Monthly Loading (inches)
18800
0.40
21300
0.46
12 Month Floating Total (inches)
::::::::::::::::::::::::::::::::::::::::::::::::::
10.26
10.27
Average Weekly Loading (inches)
:;:;:;:::::::: :::::::::::::::::::
0.0911024
` weatner Goaes: u-clear, rt-parLly rauuuy, �rcwuuy, m-1 aw, o 1 , !-.1-
Spray Irrigation Operator in Responsible Charge (ORC)
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Clifford W. Crenshaw Phone: [phone]
991559 Check Box if ORC Has Changed: ❑
( IGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

-� NON -DISCHARGE APPLICATION REPORT Page —.2,of o�
SPRAY IRRIGATION SITE(S)
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box ) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
in the
Compliant Y,N)
1. The application rate(s) did not exceed the limit(s) specified permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
L� J
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
4. All buffer zones as specified in the permit were maintained during each application.
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
0
specified in the permit.
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance
with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
and imprisonment for knowing violations."
-fin j 7
William C Rhinehart, Jr.
Y
(Signature of Permittee)* Dfate (Name of Signing Official -Please print or type)
William C Rhinehart, Park Superintendent
(Permittee-Please print or type) (Position or Title)
704-528-6350 9/30/2014
Div. Of Parks & Rec Iredell Co. (Phone Number) (Permit Exp. Date)
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
*if signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)

.' NON DISCHARGE WASTEWATER MONITORING REPORT Page �_ of�
HERMIT NUMBER: WQ0020881 MONTH: OVemb� � 2011
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP) hloye.n6� r
Flow Monitoring Point: Effluent: Influent:
Parameter Monitoring Point: Effluent: 0 Influent: ❑ ISurface Water (SW):
❑ SW Cod
Was There Effluent Flow For This Month Generated At This Facility: Yes: No:
D
T
m
E_ ',
°A
O
01
F
„
c
o
m (
o(Flow)
O
50050
00400
50060
00310
00610
00530
31616
00630
00625
00600
00665
Daily Rate
into
Treatment
System
d t
c
N
O
m
z
z
F--
iiCa
c
U
a
c
LL?i
2w
Z z
Y
F-
c
rn
0
I- z
o
I-ao=a
0aE
HRS
YIN
GALLONS
UNITS
mg/L
mg/L
mg/L
mg/L
/100ML
mg//L
mg/L
mg/L
mg/L
2
13:00
2:50
Y
968 r
7.2
0.15
3
91j8.
s
rf
7
s
968
968
i
9
13:30
1:50
Y
10
11
14:15
1:00
Y
968
12
14:32
0:15
N
:968
7.2
13
968 ,
14
15
14:00
1:00
Y
." 968
16
968
17
13:14
00:15
N
•9:68.,.....,..:
7.3
�-
1s
968, ;'
19
968
20
14:00
1:15
Y
VVU
TER C2JIA�LiTYSECTION
21
::968
In
r=boi
i Processij
ig Unit
22
968
231
11:10
0:15
N
968'
7.2
24
�68.
25
968
26
27
968
28
29
"968.._...
301
1968
311
1 1968
Average
968
::::7:2
0.15
####
0
####
#DIV/0!
#DIV/0!
#DIV/0!
Daily Maximum
968
7.3
0.15
0
0
0 0
0
0
Daily Minimum
968
7.2
0.15
0
0
0 0
0
0
Monthly Limit(s)
Composite (C) / Grab (G)
G
G
G
G
G
G
G
G
Operator in Responsible Charge (ORC): Clifford W. Crenshaw Grade: Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number:' 991559.
Certified Laboratories (1): Statesville Analytical, Inc. (2):
Person(s) Collecting Samples: Harry W Myers III
Mail ORIGINAL and TWO COPIES to:
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACC
ATTN: Information Processing Unit AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
DENR FORM NDMR-1 (11/2005)

SA

71
f 1
NON DISCHARGE WASTEWATER MONITORING REPORT
Page _A Of Q
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirement
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in complia
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective actic
taken. Attach additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that all qualified personnel properly gathered and
evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, (
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitti
f e information, including the possibility of fines and imprisonment for knowing violations."
r
William C. Rhinehart, Jr.
(Signature of Permittee)* Date (Name of Signing Official -Please print or typl
William C Rhinehart, Jr. Park Superintendent
(Permittee-Please print or type) (Position or Title)
Div. Of Parks & Rec Iredell Co. 704-528-6350 9/30/2014
(Phone Number) (Permit Exp. Date)
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
Parameter Codes:
01002
Arsenic
31504
Coliform, Total
00600
Nitrogen, Total
00929
01022
Boron
00094
Conductivity
00630
NO2&NO3
00931
00310
BOD5
01042
Copper
00620
NO3
00745
01027
Cadmium
00300
Dissolved Oxygen
00556
Oil -Grease
70295
00916
Calcium
31616
Fecal Coliform
WQ09
PAN (Plant Available)
00010
00940
Chloride
01051
Lead
00400
pH
00625
50060
Chlorine, Total
Residual
00927
Magnesium
32730
Phenols
00680
71900 Mercury
00665 Phosphorus, Total
00530
01034
Chromium
00610
NH3asN
00937
Potassium
00076
00340
COD
01067
Nickel
00545
Settleable Matter
01092
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in
the reporting facility's permit for reporting data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506
DENR FORM NDMR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT Page 1 of oZ
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0020881 MONTH: November YEAR: 2011
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP) COUNTY: Iredell
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / [rime Irrigated (minutes) /60 (minutes/hour)] Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading (inches/month) / Number of days in the month (days/month)] x 7 (days/week)
Did Irrigation Occur At This Facility:
Yes: (] No: ❑
Did Irrigation Occur On This Field:
Yes: 0 No: ❑
Did Irrigation Occur On This Field:
Yes: ID No: ❑
.......................................
FIELD NUMBER:
A
FIELD NUMBER:
B
AREA SPRAYED (acres):
1.715
AREA SPRAYED (acres):
1.715
COVER CROP:
Woodland
COVER CROP:
Woodland
PERMITTED HOURLY RATE (inches):
0.4
PERMITTED HOURLY RATE (inches):
0.4
D
A
T
E
. WEATHER CONDITIONS
Storage
Lagoon
Free-
board
PERMITTED YEARLY RATE (inches):
30.16
PERMITTED YEARLY RATE (inches):
30.16
Weather
Code
Temper-
ature at
application
Precipita-
tion
Volume
Applied
Time
Irrigated
Dail Y
Loading
Maximum
Hourly
Y
Loading
Volume
Applied
Time
Irrigated
Dail Y
Loading
Maximum
Hourly
Y
Loading
ff)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
C
67
0
2
C
72
0
3.1
7600
60
0.16
0.16
8700
60
0.19
0.19
3
R
71
0.97
4
R
72
0.18
5
C
66
0
6
C
70
0
7
C
68
0
6
C
64
0
9
C
70
0
3.05
3700
30
0.08
0.16
4200
30
0.09
0.18
10
R
69
0.1
11
C
68
0
3800
30
0.08
0.16
4300
30
0.09
0.18
12
C
69
0
13
C
65
0
14
C
65
0
15
C
68
0
3.3
3800
30
0.08
0.16
4200
30
0.09
0.18
16
R
61
0.15
17
C
60
0
18
C
61
0
19
C
60
0
20
C
60
0
3.2
3700
30
0.08
0.16
4300
30
0.09
0.18
21
R
61
0.12
22
R
66
0.18
23
R
59
0.03
24
C
58
0
25
C
59
0
26
C
58
0
27
C
55
0
_
28
R
59
0.7
29
R
55
0.14
30
C
57
0
31
C
57
0
Total Gallons/Monthly Loading (inches)
22600
0.49
25700
0.55
12 Month Floating Total (inches)
:::::::::::::::::::::::....::::::::::::::::::::::
9.86
9.81
Average Weekly Loading(inches)
:::::::::::::::::::::::::::
0.1131673
::::::::::::::::::::::::::
::::::::::::
0.1286902
' Weather Codes: C-clear, PC -partly cloudy, CI -cloudy, R-rain, Sn-snow, SI-sleet
Spray Irrigation Operator in Responsible Charge (ORC)
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, INC 27699-1617
Clifford W. Crenshaw
991559 Check Box if ORC Has Changed: ❑
Phone: [phone]
(SIGNATUR�OF ERATOR �RESPO`NSIBCHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (1112005)

NON -DISCHARGE APPLICATION REPORT Page g of v2
SPRAY IRRIGATION SITE(S)
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box ) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
Compliant ,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit.
ly
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
Y�
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
Y�
4. All buffer zones as specified in the permit were maintained during each application.
YO
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
YO
specified in the permit.
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
<d imprisonment for knowing violations."
C `
/Z�1_
nature of Permittee)* Date
William C Rhinehart, J.
(Perm ittee-Please print or type)
Div. Of Parks & Rec Iredell Co.
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
William C Rhinehart, Jr.
(Name of Signing Official -Please print or type)
Park Superintendent
(Position or Title)
704-528-6350 9/30/2014
(Phone Number) (Permit Exp. Date)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b)(2)(D). .
DENR FORM NDAR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT Page _ L of
f PERMIT NUMBER: WQ0020881 MONTH:Dctobe Dec 2011
D•IOf Parks & Rec (Lake Norman SP) Iredell
FACILITY NAME. V.
................
Flow Monitoring Point: Effluent: El Influent:
Parameter Monitoring Point: Effluent: El Influent: El
Was There
Effluent
Flow For This Month Generated At This
Facility:
50050
00400
50060
E
PD
Dail RateY
jj
70M
A
�j
0
o
(Flow) into
T
m ,` o
a
gin
ao
v
IR
Treatment
w `o
m.0
E
-Ea
0 w
0
System
o,
e:0
m
z
HRS
Y/N
GALLONS
UNITS
m IL
mg
mg/L
Water (SW): LlSW
Code
--
21 No:
31616
00630
00625
00600
00665
N
0
06
o
Izw=
E c
z
O
O
LL O g
z
F-
I— z
F- IL
1100ML
mq//L
mq/L
mg/L
mg/L
13:001 2 1 Y
31
Average 2155 72 .0.41 #### 0 #### #DIV/0! #DIV/0! #DIV/0!
Daily Maximum 2155 7.3 0.41 0 0. 0 0 0 0
Daily Minimum 2155 7.1 0.41 0 0 0 0 0 0
Monthly Limit(s)
Composite (C) / Grab (G) IG G G G G G G G G
Operator. in Responsible Charge (ORC): Clifford W. Crenshaw Grade: Phone: [phone]
Check Box if ORC Has Changed: 0 ORC Certification Number ;991559
Certified Laboratories (1): Statesville Analytical, Inc. (2):
Person(s) Collecting Samples: Harry.W Myers III
Mail ORIGINAL and TWO COPIES to:�--��
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACC
ATTN: Information Processing Unit AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT Page
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requiremen�Y
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in complia
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective actic
taken. Attach additional sheets if necessary.
"I certify, under'pehalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that all qualified personnel properly gathered and
evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, (
those persons directly responsible for gathering the information, the information submitted is, to the best of ml
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitti
fa1�e information, including the possibility of fines and imprisonment for knowing violations."
1 —A n A n
%J
nature ofPeiirmittee)*
William C Rhinehart, Jr.
(Permittee-Please print or type)
Div. Of Parks & Rec Iredell Co.
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
Parameter Codes:
William C. Rhinehart, Jr.
(Name of Signing Official -Please print or type
Park Superintendent
(Position or Title)
704-528-6350 9/30/2014
(Phone Number) (Permit Exp. Date)
5100 7 :arsegior --
-- 11504-Xo!'onmjotaI
00600-.Nitiogen. Total.
- ,•G09%Sr
01022 Boron
00094 Conductivity
00530 NO2&NO3
00931
00310 BOD5
01042 Copper
00620 NO3
00745
01027 Cadmium
00300 Dissolved Oxygen
00556 Oil -Grease
70295
00916 Calcium
31616 Fecal Coliform
WQ09 PAN (Plant Available)
00010
00940 Chloride
01051 Lead
00400 pH
00625
50060 Chlorine, Total
Residual
00927 Magnesium
32730 Phenols
00680
71900 Mercury
00665 Phosphorus, Total
00530
01034 Chromium
00610 NH3asN
00937 Potassium
00076
00340 COD
01067 Nickel
00545 Settleable Matter
01092
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in
the reporting facility's Dermit for reporting data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506
DENR FORM NDMR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT Page __L of
SPRAY IRRIGATION SITE(S)
(� THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00020881 MONTH: October YEAR: 2011
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP) COUNTY: Iredell
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feettgallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-Inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / [Time Irrigated (minutes) / 60 (minuteslhour)] Monthly Loading (inches) = Sum of Daily Loadings (Inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading
Did Irrigation Occur At This Facility:
Yes: IYI No: ❑
(Inches/month) / Number of says In me monm toaysimonut)I x r tuaysiweeK/
Did Irrigation Occur On This Field:
Yes: 0 No: ❑
Did Irrigation Occur On This Field:
Yes: 121 No: ❑
FIELD NUMBER:
A
FIELD NUMBER:
B
AREA SPRAYED (acres):
1.715
AREA SPRAYED(acres
1.715
COVER CROP:
Woodland
COVER C ROP:
Woodland
HOURLY RATE inches
PERMITTED HOUR T RM (
0.4
(inches):
PERMITTED HOURLY RATE inches
0.4
D
A
T
E
WEATHER CONDITIONS
Storage
Lagoon
Free-
board
PERMITTED YEARLY RATE (inches):
30.16
PERMITTED YEARLY RATE (inches):
30.16
Weather
Code'
Temper-
ature at
application
Precipita-
Con
Volume
A lied
Time
Irri ated
Dail Y
Loadin
Maximum
Hourly
Y
Loadin
Volume
Applied
Time
Irri ated
Dail Y
Loading
Maximum
Hourly
Y
Loading
('F)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
C
82
0
2
C
81
0
3
C
80
0
4
C
80
0
5
C
80
0
6
C
79
0
7
C
80
0
8
C
79
0
3.3
3700
30
0.08
0.16
4200
30
0.09
0.18
9
C
79
0
101
C
78
0
11
R
79
0.6
12
C
77
0
3.3
3700
30
0.08
0.16
4300
30
0.09
0.18
13
R
78
0.04
14
R
77
0.05
15
C
77
0
16
C
76
0
171
C
1 75
0
18
R
76
0.32
19
R
71
0.17
20
C
77
0
21
C
77
0
22
C
76
0
_
24
C
74
0
3.25
7500
60
0.16
0.16
8700
60
0.19
0.19
25
C
74
0
26
C
73
0
27
C
73
0
3.05
3800
30
0.08
0.16
4200
30
0.09
0.18
28
R
74
0.12
29
R
73
0.12
30
C
70
0
31
C
73
0
T o Loadin inches)
otal Gallons/M nt hl Y 9(
18700
0.40
21400
0.46
12 Month Floating Total (inches),.:...:.:.:*:::::,::;:
• .
9.37
". _.<
_
9.26
Average Weekly Loading (inches)
....
i
0.1037017>::>>;
Weather Codes: C-clear, PC -partly cloudy, CI -cloudy, R-rain, Sn-snow, SI-sleet
Spray Irrigation Operator in Responsible Charge (ORC): Clifford W. Crenshaw Phone: [phone]
ORC Certification Number: 991559 Check Box if ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT Page
SPRAY IRRIGATION SITE(S)
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box ) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
Com IlantMN)
1. The application rate(s) did not exceed the limit(s) specified in the permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s). L�
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
4. All buffer zones as specified in the permit were maintained during each application. Ly
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
specified in the permit.
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
an&knprisonment for knowing violations."
r'
(Permittee-Please print or type)
William C Rhinehart, Jr.
(Name of Signing Official -Please print or type)
Park Superintendent
(Position or Title)
704-528-6350 9/30/2014
Div. Of Parks & Rec Iredell Co. (Phone Number) (Permit Exp. Date)
-
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
f signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)

c c l
� NON DISCHARGE WASTEWATER MONITORING REPORT Page tl of�
PERMIT NUMBER: WQ0020881 MONTH:e-2011
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP)
Flow Monitoring Point: Effluent: Influent:
.......................................
Parameter Monitoring Point: Effluent: 0 Influent: ❑ ISurface Water (SW):
SW Cod
Was There Effluent Flow For This Month Generated At This Facility:. Yes: No:
...........................
50050
00400
50060
00310
00610
00530
31616
00630
00625
00600
00665
D
y
E u
0�j
E
Daily Rate
°Uo
E
`o E
00
y
A
T
o d
o
(Flow) into
Treatment
c
'
z
o v
UE^
a)
+.
O1
z
a
a
ac
0
Z
o`
E
U
-
p t
0. U m I Z I I- IL 2 Z Z I . I- Z F- d
HRS Y/N GALLONS UNITS mg/L mg/L mg/L mg/L /100ML mg//L mg/L mg/L mg/L
1 13:00 2:00 Y 632
2 12:30 1:50 Y 632; 7.4 0.25
10:25 N
13:30 1:00 Y
13:30 1:00 Y
_E
MENE
MENEM
MEEM
NEMEN
gas 111IMMIN
632 7.5
632
632
632
632,:T�Lft
I
632 I,
n
632
632
632 7.4
632
632 7.5
Average
632:::::::.:7:
0.25
4.251
0
1.51
0.9
2.4
3.8
Daily Maximum
632
7.5
0.25
4.25
2300
1.5
0.9
2.4
3.8
Daily Minimum
632
7.4
0.25
4.25
2300
1.5
0.9
2.4
3.8
Monthly Limit(s)
0.25
Composite (C) / Grab (G)
G
G
G
G
G
G
G
G
Operator in Responsible Charge (ORC): Clifford W. Crenshaw Grade: Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: _ 991650
Certified Laboratories (1):
Statesville Analytical, Inc. (2):
Person(s) Collecting Samples:
Harry W Myers III
Mail ORIGINAL and TWO COPIES to:
DENR
_
RE OF
�� OPERATOR^�RESPONSIBLE CHARGE)
( I �5
Division of Water Quality
NATURE, II CERTIFY THATTHIS REPORT S ACC
ATTN: Information Processing Unit
Q L T 2 0 28gP COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
Information Processing Lll it
DWQ/BOG DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page c;� of t
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requiremen�Y
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in complia
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective actic
taken. Attach additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that all qualified personnel properly gathered and
evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, (
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitti
&nature
ation, inclu ing the possibility of fines and imprisonment for knowing violations."
William C. Rhinehart, Jr.
of Permittee)* Date (Name of Signing Official -Please print or typl
William C Rhinehart, Jr. Park Superintendent
(Permittee-Please print or type) (Position or Title)
Div. Of Parks & Rec Iredell Co. 704-528-6350 9/30/2014
(Phone Number) (Permit Exp. Date)
159 Inland Sea. Troutman. NC 28166
(Permittee Address)
01002
Arsenic
31504
Coliform, Total
00600
Nitrogen, Total
00929
01022
Boron
00094
Conductivity
00630
NO2&NO3
00931
00310
BOD5
01042
Copper
00620
NO3
00745
01027
Cadmium
00300
Dissolved Oxygen
00556
Oil -Grease
70295
00916
Calcium
31616
Fecal Coliform
WQ09
PAN (Plant Available)
00010
00940
Chloride
01051
Lead
00400
pH
00625
50060
Chlorine, Total
Residual
00927
Magnesium
32730
Phenols
00680
71900 Mercury
00665 Phosphorus, Total
00530
01034
Chromium
00610
NH3asN
00937
Potassium
00076
00340
COD
01067
Nickel
00545
Settleable Matter
01092
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in
the reporting facility's permit for reporting data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506
DENR FORM NDMR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0020881 MONTH: September
Page J__ of :P-.
YEAR:
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP) COUNTY: Iredell
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)) OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / [Time Irrigated (minutes) / 60 (minutes/hour)] Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
2011
Did Irrigation Occur At This Facility:
Yes: E No: ❑
Did Irrigation Occur On This Field:
Yes: No: ❑
Did Irrigation Occur On This Field:
Yes: 171 No: ❑
FIELD NUMBER:
A
FIELD NUMBER:
B
AREA SPRAYED (acres):
1.715
AREA SPRAYED (acres):
1.715
COVER CROP:
Woodland
COVER CROP:
Woodland
PERMITTED HOURLY RATE (inches):
0.4
PERMITTED HOURLY RATE (inches):
0.4
D
A
T
E
WEATHER CONDITIONS
Storage
Lagoon
Free-
board
PERMITTED YEARLY RATE (inches):
30.16
PERMITTED YEARLY RATE (inches):
30.16
Weather
Code*
Temper-
ature at
application
Preciplta-
tion
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
(°F)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
R
85
0.01
3.5
6500
60
0.14
0.14
3800
30
0.08
0.16
2
C
85
0
3.6
3600
30
0.08
0.15
4300
30
0.09
0.18
3
C
84
0
4
R
84
0.06
5
R
84
0.75
6
R
87
0.35
7
C
84
0
8
C
83
0
3.3
3800
30
0.08
0.16
4300
30
0.09
0.18
9
C
83
0
10
C
83
0
11
C
83
0
12
C
82
0
13
C
82
0
3.4
3600
30
0.08
0.15
4400
30
0.09
0.19
14
C
82
0
3.6
3700
30
0.08
0.16
4300
30
0.09
0.18
15
C
82
0
16
C
81
0
17
C
81
0
18
C
81
0
19
C
81
0
20
C
80
0
3.7
3700
30
0.08
0.16
21
R
80
1.65
22
C
R
84
84
0
- -•• -
-----
23
1.18
24
R
84
0.26
25
R
84
0.06
26
R
83
0.05
27
R
81
0.08
28
C
82
0
29
C
81
0
30
C
81
0
3.2
4000
30
0.09
0.17
4700
30
0.10
0.20
31
...........
Total Gallons/Monthly Loading (inches)
28900
::::::::::::
0.62
:::::::::: :::::
25800
:: :::::::
0.55
:; ::::::
12 Month Floating Total (inches)
::::::::::::::::::::::::::::::::::.....:::::::;:;:
8.97
8.80
Average Weekly Loading (inches)
:::::::::: :::::::::::::::::::::::
0.1447139
::::::::::::::::::::.::...:.::.:.:::::::::::
0.129191
- weatner UOaeS: i.-clear, ra.-Nar uy uuuuy, .•w ..y, .-. �+. , .. , �.�-.
Spray Irrigation Operator in Responsible Charge (ORC):
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Clifford W. Crenshaw Phone: [phone]
991559 Check Box if ORC Has Changed: ❑
C�Ilat
(SIGNATURE OF OPERATOR IN RESP LE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

a e )
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
Page -_�Z of
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box ) whether the facility has been compliant.
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
Compliant Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit. l
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit. 0
4. All buffer zones as specified in the permit were maintained during each application.
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
specified in the permit.
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
and imprisonment for knowing violations."
/V/S h William C Rhinehart, Jr.
4ignature of Permittee)* date (Name of Signing Official -Please print or type)
William C Rhin Park Superintendent
(Permittee-Please print or type) (Position or Title)
704-528-6350 9/30/2014
--- Parks & Reclredell-Cs:_.-..-...- — IM-cne M,.mber)_ .. _ -. .(Permit Exp.. nasfe)
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b)(2)(D).
DENR FORM NDAR-1 (1112005)

NON DISCHARGE WASTEWATER MONITORING REPORT
PERMIT NUMBER: W00020881 MONTH: August
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP) ,
Page —/— of
2011
Flow Monitoring Point: Effluent:
Influent:
❑ ::::::::::::::::::::::::::::::::::::::
::::::::::::::::::::::::::::::
Parameter Monitoring Point:
Effluent:
I]
Influent: ❑
Surface Water (SW): ❑ SW Cod
Was There Effluent Flow For This Month Generated At This Facility:
Yes: ]
No: ❑::::::::::::::::::::::::::::
50050
00400
50060
00310
00610
00530
31616
00630
00625
00600
00665
D
E u
,..
rn
Daily Rate
°Uo
€
06
a)
N
`o
A
m U
`o „
o
(Flow) into
c
N
z
0 E—
�;
— O
a
— w
T
v c c
a n
0
Treatment
=a
N o
o
r,
'R o b
a
,� =
Z
Y
+a =
o
° o
o c
E
O Q cai
o' o`
O
System
� U
M
z
F
LL 0 2
Z Z
F-
I- Z
F- d
HRS
Y/N
GALLONS
UNITS
mg/L
mg/L
mg/L
mg/L
/100ML
mg//L
mg/L
mg/L
mg/L
1
983
2
9:30
2:00
Y °.
]983 .=-
7.3
9:00 2.15
14:26 0:15
13:30 1:00
7.2 1 0.15
_ i
�I
-A
Average 983 ::::7:3 0.34 #l# 0 ####1 #DIV/01 #DIV/0! #DIV/0l
Daily Maximum 983 7.3 0.34 0 0 0 0 0 0
Daily Minimum 983 7.2 0.34 0 0 0 0 0 0
Monthly Limit(s) 0.34
Composite (C) / Grab (G) G G G G G G G G
Operator in Responsible Charge (ORC): Clifford W. Crenshaw Grade: Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 991559
Certified Laboratories (1): Statesville Analytical, Inc. (2):
Person(s) Collecting Samples: Harry W Myers III
Mail ORIGINAL and TWO COPIES to:=--
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACC
ATTN: Information Processing Unit AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mall Service Center ��� � " V
RALEIGH, NC 27699-1617
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page 2__ of Z,
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirement
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in complia
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective actic
taken. Attach additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that all qualified personnel properly gathered and
evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, c
those persons directly responsible for gathering the information, the information submitted is, to the best of m}
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitti
fa' a information, in u 'ng the possibility of fines and imprisonment for knowing violations."
William C. Rhinehart, Jr.
(Signature of Permittee)Date (Name of Signing Official -Please print or typl
William C Rhl ehart, Jr. Park Superintendent
(Perm ittee-Please print or type) (Position or Title)
Div. Of Parks & Rec Iredell Co.
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
-. - Parameter Codes: -
704-528-6350 9/30/2014
(Phone Number) (Permit Exp. Date)
01002
Arsenic
31504
Coliform, Total
00600
Nitrogen, Total
00929
01022
Boron
00094
Conductivity
00630
NO2&NO3
00931
00310
BOD5
01042
Copper
00620
NO3
00745
01027
Cadmium
00300
Dissolved Oxygen
00556
Oil -Grease
70295
00916
Calcium
31616
Fecal Coliform
WQ09
PAN (Plant Available)
00010
00940
Chloride
01051
Lead
00400
pH
00625
50060
Chlorine, Total
Residual
00927
Magnesium
32730
Phenols
00680
71900 Mercury
00665 Phosphorus, Total
1 00530
01034
Chromium
00610
NH3asN
00937
Potassium
1 00076
00340
COD
01067
Nickel
00545
Settleable Matter
1 01092
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in
the reporting facility's permit for reporting data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT
8
Page ! of
°` F'ER vI T NUMBER: W00020881
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP
MONTHiebruar/ wee
2011
Iredell
Flow Monitoring Point: Effluent: Influent:
Parameter Monitoring Point: Effluent: 0 Influent: ❑ Surface Water (SW):
SW Cod
Was There
Effluent Flow For This Month Generated At This
Facility:
Yes: Ld No: Lj
D
A
T
E
E u
.j
d` e
CL
oaN
o
in
a c
00
o
U
o
50050
00400
50060
00310
00610
00530 1
31616
00630
00625
00600
00665
Daily Rate
(Flow) into
Treatment
System
Y
x
a
:2 `o
u r
M0
°Uo
N
o
O
m
z
M
2
z
y
°
E^
w o
a w a
u �E
ail
m ;'
'= w
z Z-
z
Y
I—
y
O
+a .�
o
I—z
0
r
w
- 0
O e
1,- EL
HRS
YIN
GALLONS
UNITS
mglL
mg/L
mglL
mglL
I100ML
mg//L
mg/L.
mg/L
mg/L
1
9:00
0.5
Y
128It
_
3
13:30
1.5
Y
1•28
7.3
0.2
it ..
__? Li
4
128
5
128
6
128 � .-
�
tI
28
7
128'
$
96
g
96
10
11:00
0.5
Y
, .- :96
7.4
11
96
12
- � :96
131
1
96 -
14
96 .'
15
96
16
16:33
0.5
N
96,
7.4
17
96
1s
96
20
96
21
96
22
96"'
23
10:00
0.5
Y
:'96
24
96
N
251
11:40
0.5
N
96 . <
7.3
26
-96
27
-
96'
---M7=M22
,
28
29
_.�.nirc;cassl
c U
30
31
Average
104
:':>:'
0.76
####
0
####
#DIV/0!
#DIV/01
#DIV/0!
Daily Maximum
128
7.7
0.76
0
0
0
0
0
0
Daily Minimum
96
7.3
0.76
0
0
0
0
0
0
Monthly Limit(s)
Composite (C) / Grab (G)
G
G
G
G
IG
G
IG
G
G
Operator in Responsible Charge (ORC): Clifford W. Crenshaw Grade: Phone: [phone]
Check Box if ORC Has Changed: 0 ORC Certification Number: 991559
Certified Laboratories (1): Statesville Analytical, Inc. (2):
Person(s) Collecting Samples: Harry W Myers III
Mail ORIGINAL and TWO COPIES to: <f - --V—�-�-��
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACC
ATTN: Information Processing Unit AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
E
c`-GVon
1617 Mail Service Center
RALEIGH, NC 27699-1617
('11�/ DENR FORM NDMR-1 (11/2005)

Page •0 of 1
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requiremen�Y
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in complia
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective actic
taken. Attach additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that all qualified personnel properly gathered and
evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, c
those persons directly responsible for gathering the information, the information submitted is, to the best of m)
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitti
false information, including the possibility of fines and imprisonment for knowing violations."
�/// William C. Rhinehart, Jr.
(S111,9nature of Permittee) D to (Name of Signing Official -Please print or typt
William C Rh art, Jr. Park Superintendent
(Perm ittee-Please print or type) (Position or Title)
Div. Of Parks & Rec Iredell Co. 704-528-6350 9/30/2014
(Phone Number) (Permit Exp. Date)
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
Parameter Codes:
01002
Arsenic
31504
Coliform, Total
00600
Nitrogen, Total
00929
01022
Boron
00094
Conductivity
00630
NO2&NO3
00931
00310
BOD5
01042
Copper
00620
NO3
00745
01027
Cadmium
00300
Dissolved Oxygen
00556
Oil -Grease
70295
00916
Calcium
31616
Fecal Coliform
WQ09
PAN (Plant Available)
00010
00940
Chloride
01051
Lead
00400
pH
00625
50060
Chlorine, Total
Residual
00927
Magnesium
32730
Phenols
00680
71900 Mercury
00665 Phosphorus, Total
00530
01034
Chromium
00610
NH3asN
00937
Potassium
00076
00340
COD
01067
Nickel
00545
Settleable Matter
01092
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in
the reporting facility's permit for reporting data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 26.0506
DENR FORM NDMR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT Page of
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMri'NUMBBtk: WQ0020881 MONTH: February YEAR: 2011
FACILITY.NAME: Div. Of Parks & Rec (Lake Norman SP) COUNTY:' Iredell
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (Inches) / [rime Irrigated (minutes) / 60 (minutes/hour)] Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (Inches) and previous 11 month's Monthly Loadings (inches) '
Average Weekly Loading (inches) = [Monthly Loading (Inches/month) / Number of days in the month (days/month)] x 7 (days/week)
Did Irrigation Occur At This Facility:
Yes: I] No: ❑
Did Irrigation Occur On This Field:
Yes: 12 No: ❑
Did Irrigation Occur On This Field:
Yes: 2 No: ❑
FIELD NUMBER:
A
FIELD NUMBER:
B
AREA SPRAYED (acres):
1.715
AREA SPRAYED (acres):
1.715
COVER CROP:
Woodland
COVER CROP:
Woodland
PERMITTED HOURLY RATE (inches):
0.4
PERMITTED HOURLY RATE (inches):
0.4
D
A
TCode`ature
WE CONDITIONS
Storage
Lagoon
Free-
board
PERMITTED YEARLY RATE (inches):
30.16
PERMITTED YEARLY RATE (inches):
30.16
Weather
Temper.
at
application
Precipita-
tion
Volume
Applied
Time
Irri ated
Dail y
Loadin
-Maximum
Hourly
y
Loadin
Volume
A _plied
Time
Irri ated
Dail
yE
Loadin
aximum
oadin
[!Hourly
(°F)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
R
52
0.14
-
2
R
47
0.16
3
C
49
0
3.3
3800
30
0.08
0.16
4200
30
0.09
0.18
4
C
50
0
5
R
53
0.15
6
C
51
0
7
C
57
0
8
C
55
0
9
C
56
0
10
C
61
0
11
C
61
0
12
C
60
0
13
C
60
0
14
C
61
0
15
C
60
0
16
C
60
0
17
C
62
0
18
C
60
0
19
C
60
0
20
C
62
0
21
C
62
.0
22
C
57
0
23
C
60
0
24
R
63
0.1
25
R
65
0.12
26
C
66
0
27
C
64
0
28
R
61
0.15
29
30
31
Total Gallons/Monthly Loading (inches)
3800
0. 8
4200
0.09
12 Month Floating Total (inches)
5.11
..
4.88
Average Weekly Loading (inches)
0.0184143
0.0203527
* Weather Codes: C-clear, PC -partly cloudy, CI -cloudy, R-rain, Sn-snow, Si -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Clifford W. Crenshaw Phone: [phone]
ORC Certification Number: 991559 Check Box if ORC Has Changed: 0
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit.
(SIGNATURE O RATOR IN RESPONSIBL HARGE)
1617 Mail Service Center
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617
COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
Page C. of
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box ) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
1. The application rate(s) did not exceed the limit(s) specified in the permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
4. All buffer zones as specified in,the permit were maintained during each application.
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
specified in the permit.
Compliant Y,N)
Y
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance: with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information -submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
a imprisonment for knowing violations."
William C Rhinehart, Jr.
( gnature of Permittee)* D to f (Name of Signing Official -Please print or type)
William C Rhinehart, J.
(Permittee-Please print or type)
Div. Of Parks & Rec Iredell Co.
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
Park Superintendent
(Position or Title)
704-528-6350 9/30/2014
(Phone Number) (Permit Exp. Date)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED. 3
PERMIT NUMBER: WQ0020881 MONTH: August
Page _L of Q
YEAR: 2011
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP) COUNTY: Iredell
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feettgallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / [Time Irrigated (minutes)160 (minutes/hour)] Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weeklv Loadlno (Inches) = rMonthly Loadino finches/monthl / Number of revs in the month (days/month)l x 7 (days/weekl
Did Irrigation Occur At This Facility:
Yes: 0 No: ❑
Did Irrigation Occur On This Field:
Yes: 0 No: ❑
Did Irrigation Occur On This Field:
Yes: RI No: ❑
FIELD NUMBER:
A
FIELD NUMBER:
B
AREA SPRAYED acres :
1.715
AREA SPRAYED (acres):
1.715
COVER CROP:
Woodland
COVER CROP:
Woodland
PERMITTED HOURLY RATE (inches):
0.4
PERMITTED HOURLY RATE (inches):
0.4
D
A
T
E
WEATHER CONDITIONS
Storage
Lagoon
Free-
board
PERMITTED YEARLY RATE (inches):
30.16
PERMITTED YEARLY RATE (inches):
30.16
Weather
Code•
Temper-
ature at
application
Precipita-
tion
Volume
Applied
Time
Irrigated
Dail y
Loading
Maximum
Hourly
y
Loading
Volume
Applied
Time
Irrigated
Dail y
Loading
Maximum
Hourly
y
Loading
(°F)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
C
92
0
2
C
92
0
3.1
7500
60
0.16
0.16
8700
60
0.19
0.19
3
C
89
0
4
C ,
89
0
5
R
89
0.25
6
R
88
0.22
7
C
88
0
8
C
89
0
3.25
7400
60
0.16
0.16
8600
60
0.18
0.18
9
C
91
0
3.3
3400
30
0.07
0.15
4300
30
0.09
0.18
10
C
91
0
11
R
91
0.29
12
C
92
0
13
R
92
0.05
14
R
90
0.93
15
C
91
0
16
C
87
0
3.25
3800
30
0.08
0.16
4400
30
0.09
0.19
17
C
87
0
16
C
90
0.11
19
C
91
0
3.4
3700
30
0.08
0.16
4400
30
0.09
0.19
20
R
91
0.18
21
C
87
0
23
C
86
0
24
C
88
0
25
R
85
0.12
26
C
88
0
27
C
88
0
20
28
C
85
0
29
R
88
0.06
n pmcpssingUnil
301
C 1
85
0
G
31
C 1
89
0
Total Gallons/Monthly Loading (inches)
25800
0.55
..........
30400
0.65
12 Month Floating Total (inches)
:::::::. ...............::::::::::
8.35
8.25
Average Weekly Loading (inches)!!:!:!:!:!:!:!:!:!:!:::::::::::::::::
0.12502351::::::..........
.:
0.1473145
' Weather Codes: C-clear, PC -partly cloudy, ul-cloudy, K-ram, Sn-snow, 51-sleet
Spray Irrigation Operator in Responsible Charge (ORC)
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Clifford W. Crenshaw ' Phone: [phone]
991559 Check Box if ORC Has Changed: ❑
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHAF
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT
COMPLETE TO THE BEST OF MY KNOWLEDGE.
'
tt�
Ij
t�
-
i ACCURATE AND
DENR FORM NDAR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
Page � of
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box ) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
1. The application rate(s) did the limit(s) in the
Com liant Y,N)
YU
not exceed specified permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
4. All buffer zones as specified in the permit were maintained during each application.
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
specified in the permit.
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
areNimprisonment for knowing violations."
r-
(vermittee-viease print or type)
William C Rhinehart, Jr.
(Name of Signing Official -Please print or type)
Park Su
(Position or Title)
704-528-6350 9/30/2014
..... - _.._.._.:__... Div-. Of -Parks & Rec IredeA.Co...- . -- .. : (Phone-Number)t-- :-_,..- . (Permit-Exp.-Date)-
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
` If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b)(2)(D).
DENR FORM NDAR-1 (1V2005)

-/ � , � � ��
' � v ' ~.== r~,�,`o*�r~�mux��1a m�M� xx,xm�nD/w� ,o�Dr�Dr p�e of ��
IN IN Lj/^�`~o^�r�J� vnx%� / �*o»�/ -`'
8:30 | 3:50 | Y
Monthly Limit(s) 0.34
Operator inResponsible Charge (JRC): Clifford VV.Crenshaw Grade: Phone: [phone]
Check Box nOecHas Changed: [] ORcCertification mumboc
Certified Laboratories (1): Statesville Analytical, I(u):
porson(s)Collecting Samples: Harry VV Myers III
Mail ORIGINAL and TWO COPIES to:
DENR (SIGNATURE v,OPERATOR /wRESPONSIBLE CHARGE)
Division ofWater Quality svTHIS SIGNATURE, | CERTIFY THAT THIS REPORT |aACC
ATTN:Information Processing Unit AND COMPLETE ToTHE BEST orMYKNOWLEDGE.
1817Mail Service Center
RALBGH.NC37H884G17 ^,

t.
Page A of
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirement
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in complia
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective actic
taken. Attach additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that all qualified personnel properly gathered and
evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, (
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitti
fals information, includi the possibility of fines and imprisonment for knowing violations."
William C. Rhinehart, Jr.
(Signature of Permittee)* 0 Vate (Name of Signing Official -Please print or typt
William C Rhinehart, Jr. Park Superintendent
(Permittee-Please print or type) (Position or Title)
Div. Of Parks & Rec Iredell Co. 704-528-6350 9/30/2014
(Phone Number) (Permit Exp. Date)
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
Parameter Codes:
01002
Arsenic
31504
Coliform, Total
00600
Nitrogen, Total
00929
01022
Boron
00094
Conductivity
00630
NO2&NO3
00931
00310
BOD5
01042
Copper
00620
NO3
00745
01027
Cadmium
00300
Dissolved Oxygen
00556
Oil -Grease
70295
00916
Calcium
31616
Fecal Coliform
WQ09
PAN (Plant Available)
00010
00940
Chloride
01051
Lead
00400
pH
00625
50060
Chlorine, Total
Residual
00927
Magnesium
32730
Phenols
00680
71900 Mercury
00665 Phosphorus, Total
00530
01034
Chromium
00610
NH3asN
00937
Potassium
00076
00340
COD
01067
Nickel
00545
Settleable Matter
01092
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in
the reporting facility's permit for reporting data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 28.0506
DENR FORM NDMR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT Page e _L of p2
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0020881 MONTH: ,July YEAR: 2011
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP) COUNTY: Iredell
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)) OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / [Time Irrigated (minutes) / e0 (minutes/hour)] Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Averaae Weekly Loadina (inches) = rMnnthly I nadinn finchncrmnnth) / Numhnr of rlays in tha month rdovcrmnnthn v 7 rdmreA...k)
Did Irrigation Occur At This Facility:
Yes: 0 No: ❑
Did Irrigation Occur On This Field:
Yes: [] No: ❑
Did Irrigation Occur On This Field:
Yes: 0 No: ❑
FIELD NUMBER:
A
FIELD NUMBER:
B
AREA SPRAYED (acres):
1.715
AREA SPRAYED (acres):
1.715
COVER CROP:
Woodland
COVER CROP:
Woodland
PERMITTED HOURLY RATE (inches):
0.4
PERMITTED HOURLY RATE (inches):
0.4
D
A
T
E
WEATHER CONDITIONS
Storage
Lagoon
Free-
board
PERMITTED YEARLY RATE (inches):
30.16,
PERMITTED YEARLY RATE (inches):
30.16
Weather
Code*
Temper-
ature at
application
Precipita-
tion
Volume
A plied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
(T)
Inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
C
85
0
3.2
3700
30
0.08
0.16
4200
30
0.09
0.18
2
C
91
0
3
C
1 91
0
4
C
95
0
5
C
89
0
6
C
81
0
3.1
3600
30
0.08
0.15
4200
30
0.09
0.18
7
C
93
0
8
R
92
0.46
9
C
92
0
10
C
92
0
11
C
85
0
2.7
11200
90
0.24
0.16
12700
90
0.27
0.18
12
C
93
0
13
R
93
0.09
14
C
91
0
2.9
7500
60
0.16
0.16
8700
60
0.19
0.19
15
C
92
0
16
R
89
0.37
17
C
93
0
18
C
81
0
3.05
3800
30
0.08
0.16
4300
30
0.09
0.18
19
C
91
0
20
C
93
0
3.1
6400
60
0.14
0.14
8100
60
0.17
0.17
21
C
93
0
22
, C
92
0
23
C
92
0
24
R
92
0.41
25
R
93
0.19
26
. C
83
0
3.2
3700
30
0.08
0.16
4300
30
0.09
0.18
27
C
91
0
28
C
92
0
29
C
93
0
3.25
2700
30
0.06
0.12
3000
30
0.06
0.13
30
C
92
0
311
C 1
92
0
Total Gallons/Monthly Loading (inches)
42600
0.91
49500
1.06
12 Month Floating Total (inches)
:::::::::::::::::::::::::::::::::::
7.80
7.87
Average Weekly Loading (inches) :::::::::::::::::::::::::::
0.2064342
::::::::::::::::::::::::::::::'.::.*:::::::::
::::::::::::::::
0.2398707
- vveatner GOaes: l.-clear, rL. paruy CIOUay, ul-cloudy, m-ram, on -snow, JI-sleet
Spray Irrigation Operator in Responsible Charge (ORC):
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Clifford W. Crenshaw Phone: [phone]
991559 Check Box if ORC Has Changed: ❑
(SIGNATURE 0 OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (1112005)

NON -DISCHARGE APPLICATION REPORT Page _1�2_of_C5_11
SPRAY IRRIGATION SITE(S)
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box ) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to yourfacility put (NA) in the
compliant box. )
1. The application rate(s) did not exceed the limit(s) specified in the permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
4. All buffer zones as specified in the permit were maintained during each application.
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
specified in the permit.
Compliant Y,N)
Y
0
0
0
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
a d imprisonment for knowin violations."
d /f 4 William C Rhinehart, Jr.
gnature of Permittee)* Date (Name of Signing Official -Please print or type)
William C Rhinehart, J. Park Superintendent
(Permittee-Please print or type) (Position or Title)
_ 704-528-6350 9/30/2014
Diva Of Parks & Rec Iredell Co. (Phone Number) (Permit Exp. Date) '
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b)(2)(D).
DENR FORM NDAR-1 (1112005)

NON DISCHARGE WASTEWATER MONITORING REPORT Pag of
PERMIT NUMBER: WQ0020881 MONTH: June 2011
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP
Flow Monitoring Point: Effluent: Influent: ❑ >: »>::;:::::::: >::: >......::: :.. `............: >;>::::::: »: >:
Parameter Monitoring Point: Effluent: 0 Influent:
❑ Surface Water (SW): DI
SWI Cod
Was There
Effluent Flow For This. Month Generated At This Facility:
Yes: L] N - o: ❑
::::::::::::: >::::::::::::: >:
50056
00406
50060
00310
00610
00530
31616.
00630
00625
00600
00665
T
° U
C
a.
OaN
ED
`
i
i.c
oo
m
O
Daily Rate
(Flow) into
Treatment
System
a
c
W U
U
O
M
Z
z
rTo
€y
a
6`
Z Z
Z
O
..,
Ha Z
aA
N
o
.-, 0
0aE
HRS
Y/N
GALLONS
UNITS
mg/L
mg/L
mg/L
mg/L
/1001VIL
mg//L
mg/L
mg/L
mg/L
1
9:00
2:00
Y
_:1,5 .`
7.5
0.2
5.9
<0.5
4:64
265
1.68
2.58
4.26
4.2
21
1
31
1`,.214a
421`4a
s
2145
7
145
8
91
13:30
1 1:00
Y
10
10:00
0:15
N
7.5
12
:.
2 SE,,, ,,,:
nformati
)n P
sing Unit
13
214a;'E
IWQ/13
14
15:07
0:15815
7.5
1;s
1815
17
12:45
1:15
Y
18
15,
19
($ (5
s
21
10:00
1:30.
Y
22
1315
1:15
Y
ti81Y5
8
23'8
24
25
27
. 8:30
2:30
Y
5` tl fSr. ;
28
10:20
1:35
Y
4 w>
29
x 1:815 .
30
11:35
0:15
N
`I`$1.5.,
7.8
31
Average
1958
: ; `i:i::
0.2
4.64
0
1.68
2..58
4.26
4.2
Daily Maximum
2145
8.0
0.2
4.64
265
1.68
2.58
4.26
4.2
Daily Minimum
18151
7.5
0.2
1
14.641265
1.68
2.58
4.26
4.2
.
Monthly Limit(s)
Composite (C) / Grab (G)
IG
G
I G
I G
IG
IG
G
G
G
Operator in Responsible Charge (ORC): Clifford W. Crenshaw Grade: Phone [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number:
Certified Laboratories (1): Statesville Analytical, Inc. (2):
Person(s) Collecting Samples: Harry W Myers Ill
Mail ORIGINAL and TWO COPIES to:
DENR (SIGNATURE OF OPERATOR IN kESIONSIBLE CHARGE)
Division of Water Quality BY THIS SIGNATURE, I CERTIFY.THAT THIS REPORT IS ACC
ATTN: Information Processing Unit AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
DENR FORM NDMR-1 (11/2005)

Page _'Z of
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Please answer the. following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirement
If the facility is non -compliant, please explain in the space below the.reason(s) the facility was not in complia
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective actic
taken. Attach additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that all qualified personnel properly gathered and
evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, (
those.persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitti
se information, includinglthe possibility of fines and imprisonment for knowing violations."
)Pp,�4 A�Y� -712-6111 William.C. Rhinehart,,Jr.
ignature of Perm-ittee)* ate (Name of Signing Official -Please print or typt
William C Rhine rt, Park Superintendent
(Permittee-Please print or type) (Position or Title)
Div. Of Parks & Rec Iredell Co. 704-528-6350 9/30/2014
(Phone Number) (Permit Exp. Date)
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
Parameter Conies:
01002
Arsenic
31504
Coliform, Total
00600
Nitrogen, Total
00929
01022
Boron
00094
Conductivity
00630
NO2&NO3
00931
00310
BOD5
01042
Copper
00620
NO3 .
00745
01027
Cadmium
00300.
Dissolved Oxygen
00556
Oil -Grease
70295
00916
Calcium
31616
Fecal Coliform
WQ09
PAN (Plant Available)
00010
00940
Chloride
01051
Lead
00400
pH
00625
50060
Chlorine, Total
Residual
00927
.Magnesium
32730
Phenols
00680
71900 Mercury
00665 Phosphorus, Total
00530
01034
Chromium
00610
NH3asN
00937
Potassium
00076
00340
COD
01067
Nickel
00545
Settleable Matter
01092
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average.for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in
the reporting facility's permit for reporting data
" If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506
DENR FORM NDMR-1 (11/2005)

t. ! NON -DISCHARGE APPLICATION REPORT Page of ZLL
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0020881 MONTH: June YEAR: 2011
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP) COUNTY: Iredell
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feet(acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / [Time Irrigated (minutes) / 60 (minutes/hour)] Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Averane Weekly I nadinn finrheal = rMnnfhly I -.!inn finchac/mnnfhl / M,,mher of Aoyc in fhc mnnfh ldeve/mnn/h11 v ] bl eaehu 1
Did Irrigation Occur At This Facility:
Yes: 2 No: ❑
Did Irrigation Occur On .This Field:
Yes: 21 No: ❑
Did Irrigation Occur On This Field:
Yes: 0 No: ❑
FIELD NUMBER:
A
FIELD NUMBER:
B
AREA SPRAYED (acres):
1.715
AREA SPRAYED. (acres):
1.715.
COVERCROP:1
Woodrand
COVER CROP.:
Woodland
PERMITTED HOURLY RATE (inches):
0.4
PERMITTED HOURLY RATE (inches):
0.4
D
A
T
E
WEATHER CONDITIONS
Storage
Lagoon
Free-
- board
PERMITTED YEARLY RATE (inches):
30.16
PERMITTED YEARLY RATE (inches):
30.16
Weather
Code'
Temper-
afore at
application
Freclplta-
tion
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loadi rig
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
ff)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
C
83
0
3.2
3700 '
30
0.08
0.16
4300
30
0.09
0.18
2
C
80
0
3
C
87
0
4
C
88
0
5
R
88
0.55
6
C
91
0
7
C
89
0
8
R
90
0.06
9
C
92
0
3.2.
3000
30
0.06
0.13
4000
30
0.09
0.17
10
C
92
0
11
C
91
0
12
R
91
0.28
13
R
90
0.23
14
C
85
0
15
C
81
0
.16
R
83
0.02
17
C
.84.
0
3.05
3600
30
0.08
0.15
4100
30
0.09
0.18
18
C
86
0
19
R
88
0.24
20
C
89
0
21
C
89
0
3
3700
30
0.08
0.16
4200
30
0.09
0.18
22
C
93
0
3.1
3700
30
0.08
0.16
4300
30
0.09
0.18
23
C
88
0.01
24
R
88
0.04
25
C
90
0
26
C
8.7
0
27
C
86
0
3.1
7500
60
0.16
0.16
.8400
60
0.18
0.18
28
C
93
0
3.2
3700
30
0.08
0.16
4200
30
0.09
0.18
29
R
94
0.88
30
C
88
0
31
Total Gallons/Monthly Loading (inches)
28900
0.62
33500
0.72
12 Month Floating Total (inches)
:::::::::::::::::::::::::::::::::::::::::
6.89
6.81
Average Weekly Loading (inches)
::::::::::::::::::::::::::
0.1447139
::::::::::::::::::::::::::
::::::::::::
0.167748
- vveainer uoaes: G-dear, vu-partly Clotlay, cl-clouay, m-ram, An -snow, si-sieet
Spray Irrigation Operator in Responsible Charge (ORC): Clifford W. Crenshaw Phone: [phone]
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
991559 Check Box if ORC Has Changed: ❑
(SIGNATURE OF OP ' R IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT Pageof_�
SPRAY IRRIGATION SITE(S)
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box ) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
Compliant ,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit.
ly
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
4. All buffer zones as specified in the permit were maintained during each application.
0
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
specified in the permit.
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
and imprisonment for knowiAo violations."
William C Rhinehart, Jr.
(Name of Signing Official -Please print or type)
Park Superintendent
(Position or Title)
704-528-6350 9/30/2014
Div. Of -Parks & Rec-Iredell r,'o..- .-- .. . —.- (Phone Number)....... .(Permit Emp, zte)
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 28.0506 (b)(2)(D).
DENR FORM NDAR-1 (1112005)

NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: WQ0020881 MONTH: May Mly—li
2011
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP)
Flow MonitoringPoint: Effluent: � Influent: ❑ :::::::::::::::: ::::::::::::::::::::::... .
Parameter Monitoring Point: Effluent: E Influent: ❑ ISurface Water (SW): ❑ SW Cod
Was -There:::::::::
Effluent Flow For This Month Generated At This
Facility:
Yes: 0 No: ❑::::::::::::::
D
A
T
E_
$~ v
>
a
3 d
oo
CI'
in
ii
e:
O
50050
00400
50060
00310
00610 1
00530 1
31616
00630 1
00625
00600
00665
Daily RateUo
(Flow) into
Treatment
System
a
`
mt
X L)
C;
O
co
z
2
z
�
I.-
E
w e
a E �"Z
o
ya
_
Y
aci
O
O
ZE
t
o
tw
O
H a
HRS
Y/N
GALLONS
UNITS
mg/L
mg/L
mg/L
mg/L
1100ML
mg//L
mg/L
mg/L
mg/L
1
r:1051';
z
1051 '
3
105:1
4
:1051.
5
13:00
2
Y
..........._...:....._.....
1051
7.4
0.67
6
1051
7
1051
$
1051
g
1051:'''
10
10:00
Y
_ ..;1;051
11
16:59
•25'
N
_. _1:051_ ..:
7.4
1z
1051
13
.05
14
1051 ;
15
1 Q51
16
11:00
F
Y
17
1.051
16
1051
19
20
21
13:00
Y
1051
7.5-�
22
23
10'
1;051
UN
�x
"
24
1051
/
25
26
14:00
9:38
0-25
Y
N
..
1051
7.4
r�;atiUn
T-'tac,�...��
UVVQ
,.
3OG
, lit
27
2s, 1'051
-
28
1051 "
29
30
1051
31
9:00
)
Y
1051
Average
1051
0.28
0
###i#
#DIV/01
#DIV/01
#DIV/01
Daily Maximum
1051
7.4
0.28
01
0
0
0
0
0
Daily Minimum
1051
7.2
0.28
0
0
0
0
0
0
Monthly Limit(s)
-.G
Composite (C) / Grab (G)
G
-----[G
G
G
G
IG
G
jG
Operator in Responsible Charge (ORC): Clifford W. Crenshaw Grade: Phone: 704-52$�0_„ „7ry
Check Box if ORC Has Changed: ❑ ORC Certification Number: OUALITY
Certified Laboratories (1): Statesville Analytical, Inc. (2): II inPf Z011
Person(s) Collecting Samples: Harry W Myers III
_ SWP SECTION
Mail ORIGINAL and TWO COPIES to:
vIOORESVILLE REGIONAL OFFICE
�.� �z� a� ,z^�
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACC
ATTN: Information Processing Unit AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
DENR FORM NDMR-1 (11/2005)

a
NON DISCHARGE WASTEWATER MONITORING REPORT
Page A of A
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirement
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in complia
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective actic
taken. Attach additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that all qualified personnel properly gathered and
evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, (
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitti
fa Information, including the possibility of fines and imprisonment for knowing violations."
jj
/ ( // William C. Rhinehart, Jr.
(Signature of Permi ee)* Date (Name of Signing Official -Please print or typt
William C Rhineh rt, r. Park Superintendent
(Permittee-Please print or type) (Position or Title)
Div. Of Parks & Rec Iredell Co.
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
- Parameter Codes:
704-528-6350 9/30/2014
(Phone Number) (Permit Exp. Date)
01002
Arsenic
31504
Coliform, Total
00600
Nitrogen, Total
00929
01022
Boron
00094
Conductivity
00630
NO2&NO3
00931
00310
BOD5
01042
Copper
00620
NO3
00745
01027
Cadmium
00300
Dissolved Oxygen
00556
Oil -Grease
70295
00916
Calcium
31616
Fecal Coliform
WQ09
PAN (Plant Available)
00010
00940
Chloride
01051
Lead
00625
50060
Chlorine, Total
Residual
00927
Magnesium
00680
71900 Mercury
L3273OPhenois
rus, Total
00530
01034
Chromium
00610
NH3asN
m
00076
00340
COD
01067
Nickel
e Matter
01092
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in
the reporting facility's permit for reporting data
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506
DENR FORM NDMR-1 (11/20D5)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0020881 MONTH: May
Page I of �
YEAR: 2011
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP) COUNTY: Iredell
Formulas:
Daily Loading (inches) = [VolumeApplied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / [rime Irrigated (minutes) 160 (minutes/hour)] Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average weeKry�oaumgpncnesl=pviumn1y
Did Irrigation Occur At This Facility:
Yes: No: ❑
uaull 1ypl I I I��,' I .„„.. I,.,.,.,..,,.o,..,,,-..............--•-...._.....,,....--•-
Did Irrigation Occur On This Field:
Yes: I] No: ❑
Did Irrigation Occur On This Field:
Yes: 21 No: ❑
FIELD NUMBER:
A
FIELD NUMBER:
B
AREA SPRAYED acres :
1.715
AREA SPRAYED (acres):
1.715
COVER CROP:
Woodland
COVER CROP:
Woodland
PERMITTED HOURLY RATE (inches):
0.4
PERMITTED HOURLY RATE (inches):
0.4
D
A,.
T
E
..WEATHER CONDITIONS
Storage
Lagoon
Free-
board
feet
PERMITTED
YEARLY RATE
(inches):
30.16
PERMITTED
YEARLY RATE
(inches):
30.16
Weather
Temper-
ature at
application
VF)
Precipita-
tion
inches
Volume
A lied
gallons
Time
Irri ated
minutes
Daily
Loadin
inches
Maximum
Hourly
Loadin
inches
Volume
A lied
gallons
Time
Irri ated
minutes
Daily
Loadin
inches
Maximum
Hourly
Loading
inches
1
C
80
0
2
C
80
0
3
R
80
0.2
4
5
R
R
81
81
0.39
0.47
3.2
3600
30
0.08
0.15
4200
30
0.09
0.18
6
C
80
0
7
C
83
0
8
C
82
0
9
C
82
0
10
C
82
0
11
C
82
0
12
C
78
0
13
R
83
0.48
14
R
84
0.42
15
R
83
0.17
16
R
83
0.4
17
R
84
0.13
18
C
80
0
19
20
R
C
80
81
0.02
0
3.05
7400
60
0.1.6
0.16
8400
60
0.18
0.18
21
C
81
0
..22
.. _ .G __
.. 84,
0.16---
23
C
85
0
24
25
C
C
85
85
0
0
3.2
6000
60
0.13
0.13
6100
60
0.13
0.13
26
R
86
0.32
27
R
86
0.2
28
C
85
0
29
C
88
0
30
31
C
C
87
83
0
0
3.1
7300
60
0.16
0.16
4200
30
0.09
0.18
............
Total Gallons/Monthly
Loading (inches)
24300
:>:; : : <:::
0.52
....: >::
22900 . .
;:;.. ;:.....
0.49
12 Month Floating Total (inches)
::::::::::::::::::::::::::::::::::::::::::
6.27
6.09
Average Weekly Loading (inches)
:::::: :::::::::::::::::::::::
0.1177547
:::::::::::::.:::::::
......::::::
0.1109705
:::
vveatner L oues. - -uear, r..-pm uy -... y, ..,-.....- Y, ......, .... _.._.., -
Spray Irrigation Operator in Responsible Charge (ORC): Clifford W. Crenshaw Phone: [phone]
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
991559 Check Box if ORC Has Changed: ❑
(SIGNATURE OF OPERATOR IN RESP IBLE C ARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

•~' NON -DISCHARGE APPLICATION REPORT
• SPRAY IRRIGATION SITE(S)
Page a of 52,
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
1. The application rate(s) did not exceed the limit(s) specified in the permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
4. All buffer zones as specified in the permit were maintained during each application.
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
specified in the permit.
Compliant Y,N)
Y
0
�0
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
cKplete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
and 'morisonment for knowing violations."
Ii
William C Rhinehart, Jr.
(Signature of Permi ee)* Date (Name of Signing Official -Please print or type)
William C Rhine rt, J. Park Superintendent
(Permittee-Please print or type) (Position or Title)
704-528-6350 9/30/2014
PhoneNumber)- Perrnit.Ex Date
Div. Of Parks & 1Tec IFe�eII Co:� -" -` ( P�-' •
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)

~ NON -DISCHARGE APPLICATION REPORTl%
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NE DED.
Page -L of a
PERMIT NUMBER: WQ0020881
MONTH:
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP) COUNTY:
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feet/,
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / [Time Irrigated (minutes)160 (minutes/hour)] Monthly Loading (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading (inches/month) / Number of days in the month (days/month)] x 7 (days/week)
YEAR: 2011
a r---
f1
Ron
Ld'a AX incfies�`� 2011
( N �
Did Irrigation Occur At This Facility:
Yes: 0 No: ElYes:
Did Irrigation Occur On This Field:
FYI No: ElYes:
Did Irrigation Occur On This Field:
El rF:°:No: ".1.❑ ,-..- ..;:-.,];.
FIELD NUMBER:
A
FIELD NUM Eft:
AREA SPRAYED (acres):
1.715
AREA SPRAYED (acres):
1.715
COVER CROP:
Woodland
COVER CROP:
Woodland
PERMITTED HOURLY RATE (inches):
0.4
PERMITTED HOURLY RATE (inches):
0.4
D
A
T
E
WEATHER CONDITIONS
Storage
Lagoon
Free -board
PERMITTED YEARLY RATE (inches):
30.16
PERMITTED YEARLY RATE (inches):
30.16
Weather
Cod
Temperature
at
application
Precipita-
tion
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
Applied'
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
(T)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
C
74
0
2
C
74
0
3
C
70
0 .
4
C
75
0
3.2
7200
60
0.15
0.15
8400
60
0.18
0.18
5
R
75
0.47
6
C
71
0
7
C
77
0
8
C
75
0
9
C
78
0
10
C
77
0
11
C
77
0
3.2
3700
30
0.08
0.16
4200
30
0.09
0.18
12
R
76
0.04
13
C
78
0
14
C
73
0
15
C
73
0
16
R
74
0.88
17
C
79
0
18
C
78
0
19
C
80
0
3.2
3700
30
0.08
0.16
4200
30
0.09
, Q. (13
20
C
79
0
21
R
79
0.02
y
22
R
81
0.49
23
C
80
0
�-
24
C
80
0
Gee
25
C
75
0
3.2
3700
30
0.08
0.16
4200
30
0.09
c0N
26
R
82
0.1
27
R
81
0.02
28
C
81
0
29
C
82
0
30
C
80
0
31
Total Gallons/Monthly
Loading (inches)
18300
0.39
21000
0.45
12 Month Floating Total (inches)l
5.75
5.60
Average Weekly Loading (inches)l
0.09163551
1
0.1051555
Weather Codes: C-clear, PC -partly cloudy, CI -cloudy, R-rain, Sn-snow, SI-sleet
Spray Irrigation Operator in Responsible Charge (ORC):
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Clifford W. Crenshaw
991559 Check Box if ORC Has Changed
■❑
Phone: [phone]
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
v0-
Oq
DENR FORM NDAR-1 (11/2005)

Y NON -DISCHARGE APPLICATION REPORT Page ©Z of�
SPRAY IRRIGATION SITE(S)
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box ) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
Com liant ,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit.
ly
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
YO
4. All buffer zones as specified in the permit were maintained during each application.
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
specified in the permit.
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
d imprisonment for knowing violations."
Z: Z4� 5, /� //1 William C Rhinehart, Jr.
(Signature of Permittee)* ate I (Name of Signing Official -Please print or type)
William C Rhinehart, J.
(Permittee-Please print or type)
Div. Of Parks & Rec Iredell Co.
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
Park Superintendent
(Position or Title)
704-528-6350 9/30/2014
(Phone Number) (Permit Exp. Date)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).
DENR FORM NDAR-1 (1112005)

NON DISCHARGE WASTEWATER MONITORING REPORT Page —J— Of
PERMIT NUMBER: W00020881 MONTH: April 2011
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP)
Flow Monitoring Point: Effluent: 2 Influent: ❑
Parameter Monitoring Point: Effluent: I] Influent: ❑ ISurface Water (SW): ❑ SW Cod
Was There
Effluent Flow For This Month Generated At This Facility:
Yes: L No: ❑
D
A
E
a
0 4
d
OO
y
o(Flow)
U
O
50050
00400
50060
00310
00610
00530
31616
00630 1
00625
00600
00665
Daily Rate
into
Treatment
System
a
@
`
N
e: U
o
O
m
A
Z
y
qE
p-6oT
ovS2.2
�„
Z Z
Z
F-
�
Y
O_:
F- Z
V)
_Oa
r0
oo
F- n.
HRS
YIN
GALLONS
UNITS
mg/L
mg/L
mg/L
mg/L
/1001VIL
mg//L
mg/L
mg/L
mg/L
1
tx.,..,W4 ,
2
:647
3
647
4
12:30
15:00
Y
�- .647
7.4
0.38
5
647 x
7
s
9
:647, ,
10
647
11
14:30
15:30
Y
6;47
12
647
13
647
14
11:10
11.12
N
647.;'
7.4
15
;647+
16
4;647 :3
17
16
6,47
19
13:30
15:00
Y
647 r
20
647
21
11:40
11:42
N
: `;647
7.4
22
23
647
24
25
15:00
16:00
Y$47
26
27
647
28
16:56
16:58
N
647, ,
7.5
29
30"G47
.p
31
N
647
Average
647
0.28
####
0
####
#DIV/0!
#DIV/0!
#DIV/0!
Daily Maximum
647
7.4
0.281
0
0
0
0
0
0
Daily Minimum
647
7.2
0.28
0
0
0
0
0
0
Monthly Limit(s)
Composite (C) / Grab (G)
G
G
G
G
G
IG
IG
jG
G
Operator in Responsible Charge (ORC): Clifford W. Crenshaw Grade: Phone: [phone]
1
Check Box if ORC Has Changed: ❑ ORC Certification Number.
Certified Laboratories (1): Statesville Analytical, Inc. (2):
Person(s) Collecting Samples: Harry W Myers III
Mail ORIGINAL and TWO COPIES to:�"�
DENR (SIGNATUR OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCI
ATTN: Information Processing Unit AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page _,�L of C9.-
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requiremen�Y
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in complia
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective actio
taken. Attach additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that all qualified personnel properly gathered and
evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, c
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitti
false information, including the possibility of fines and imprisonment for knowing violations."
09.2026M�
of Permittee)*
William C Rhin --hart, Jr.
(Permittee-Please print or type)
William C. Rhinehart, Jr.
(Name of Signing Official -Please print or typ(
Park Superintendent
(Position or Title)
Div. Of Parks & Rec Iredell Co. 704-528-6350 9/30/2014
(Phone Number) (Permit Exp. Date)
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
- ---Parameter Codes: — -
01002 Arsenic
31504
Coliform, Total
00600
Nitrogen, Total
00929
01022
Boron
00094
Conductivity
00630
NO2&NO3
00931
00310
BOD5
01042
Copper
00620
NO3
00745
01027
Cadmium
00300
Dissolved Oxygen
00556
Oil -Grease
70295
00916
Calcium
31616
Fecal Coliform
WQ09
PAN (Plant Available)
00010
00940
Chloride
01051
Lead
00400
pH
00625
50060
Chlorine, Total
Residual
00927
Magnesium
32730
Phenols
00660
71900 Mercury
00665 Phosphorus, Total
00530
01034
Chromium
00610
NH3asN
00937
Potassium
00076
00340
COD
01067
Nickel
00545
Settleable Matter
01092
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in
the reporting facility's permit for reporting data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 28.0506 .
DENR FORM NDMR-1 01/2005)

. I
NON DISCHARGE WASTEWATER MONITORING REPORT Page 0 of
PERMIT NUMBER: WQ0020881
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP)
MONTH: March 2011
Flow Monitoring Point: Effluent: 21 Influent: ❑
Parameter Monitoring Point: Effluent: 0 Influent: ❑ ISurface Water (SW): ❑ SW Cod
Was There Effluent Flow For This Month Generated At This Facility: Yes: 0 No: ❑
D
A
T
E
v
E u
f o
Q` o
O a N
m
o
o c
00
e
O
50050
00400
50060
00310
00610
00530
31616
00630
00625
00600
00665
Daily Rate
(Flow) into
Treatment
System
a
y o
CK cLi
U
o
0
m
z
m
°
, d A
1 2'
otf
d
y=
Z Z
Y
H
d
_ m
O O
F- Z
R
t
Q
o 0
H n.
HRS
Y/N
GALLONS
UNITS
mg/L
mg/L
mg/L
mg/L
/1001VIL
mg//L
mg/L
mg/L
mg/L
1
11:40
0.5^
N
268,
7.3
2
13:00,a
Y
268,;
3
268-
4
268
268. '
6
268 '
7
268 ::
s
9:00
3 ;
Y ,
: 268 ` `
7.3
0.11
9.6
4.53
54.7
<1
4.91
7.16
12.07
3.6
9
268'
10
268
11
''268"'
12
268`:, .
13
14
� 268'
15
248, ',-
16
248
17
11:47
0.5
N
,248
7.3
18
248.
i ; ° ; f
19
13:00
1,5
Y
' 248
20
1
248
21
'248'
22
248
23
248
'
o
24
11:55
L'�>g
N
248:.,:. ;
7.3
25
26
248,
27
248`
28
248
2s_
248::.
30
248
31
14:39
0.5
N
248
7.3
Average
257.0323
0.28
54.7
0
4.91
7.16
12.07
3.6
Daily Maximum
268
7.4
0.28
1 54.71
0
4.91
7.16
12.07
3.6
Daily Minimum
248
7.2
0.28
54.7
0
4.91
7.16
12.07
3.6
Monthly Limit(s)
IG
Composite (C) / Grab (G)
IG
G
G
G
G
G
G
G
Operator in Responsible Charge (ORC)
Check Box if ORC Has Changed: ❑
Clifford W. Crenshaw Grade: Phone: [phone]
ORC Certification Number::
Certified Laboratories (1): Statesville Analytical, Inc. (2):
Person(s) Collecting Samples: Harry VV AAypr-s
g� ' '%V
Mail ORIGINAL and TWO COPIES to: y I+ "• ��
DENR l\�R 1 2O IGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality BY T�IS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCI
ATTN: Information Processing Unit �ss�AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
<; `'• , .
1617 Mail Service Center d4r'3`G
RALEIGH, NC 27699-1617
DENR FORM NDMR-1 (11/2005)

t­I
Page to of
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirement
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in complia
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective actio
taken. Attach additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that all qualified personnel properly gathered and
evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, c
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitti
fa e information, incli.Aing1the possibility of fines and imprisonment for knowing violations."
ignature of Permittee)*
William C Rhinbha
(Permittee-Please print or type)
Div. Of Parks & Rec Iredell Co.
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
Parameter Codes:
William C. Rhinehart, Jr.
(Name of Signing Official -Please print or typ(
Park Superintendent
(Position or Title)
704-528-6350 0/30/2014
(Phone Number) (Permit Exp. Date)
01002
Arsenic
31504
Coliform, Total
00600
Nitrogen, Total
00929
01022
Boron
00094
Conductivity
00630
NO2&NO3
00931
00310
BOD5
01042
Copper
00620
NO3
00745
01027
Cadmium
00300
Dissolved Oxygen
00556
Oil -Grease
70295
00916
Calcium
31616
Fecal Coliform
WQ09
PAN (Plant Available)
00010
00940
Chloride
01051
Lead
00400
pH
00625
50060
Chlorine, Total
Residual
00927
Magnesium
32730
Phenols
00680
71900 Mercury
00665 Phosphorus, Total
00530
01034
Chromium
00610
NH3asN
00937
Potassium
00076
00340
COD
01067
Nickel
00545
Settleable Matter
01092
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in
the reporting facility's permit for reporting data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506
DENR FORM NDMR-1 (11/2005)

.✓ : _ 1
NON -DISCHARGE APPLICATION REPORT Page_of
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00020881
MONTH: March YEAR: 2011
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP) COUNTY: Iredell
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feetigallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feeVacre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / [Time Irrigated (minutes) 160 (minuleslhour)] Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
A.re­­ IA-W I no Ul !;.,heel .... 1- I ..­.... /in,heelmnnlh\ / 11i 1.r , ri . in {he mn Mh lrlov I-thll v 7 rHaVC1-0
Did Irrigation Occur At This Facility:
Yes: No: ❑
Did Irrigation Occur On This Field:
Yes: 0 No: ❑
Did Irrigation Occur On This Field:
Yes: 121 No: ❑
FIELD NUMBER:
A
FIELD NUMBER:
B
AREA SPRAYED (acres):
1.715
AREA SPRAYED (acres):
1.715
COVER CROP:
Woodland
COVER CROP:
Woodland
PERMITTED HOURLY RATE (inches):
0.4
PERMITTED HOURLY RATE (inches):
0.4
D
A
T
E
WEATHER CONDITIONS
Storage
Lagoon
Free -board
PERMITTED YEARLY RATE (inches):
30.16
PERMITTED YEARLY RATE (inches):
30.16
Weather
Code`
Temper-ature
at
application
Precipita-
tlon
Volume
Applied
Time
Irrigated
Dail Y
Loading
Maximum
Hourl Y
Loading
Volume
Applied
Time
Irri ated
DailyHourl
Loading_Loading
Maximum
y
(°F)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
C
59
0
2
C
58
0
3.3
3800
30
0.08
0.16
4300
30
0.09
0.18
3
C
59
0
4
C
67
0
5
R
66
0.09
6
R
64
0.92
7
C
67
0
8
C
67
0
3.1
7700
60
0.17
0.17
8400
60
0.18
0.18
9
R
68
0.17
10
R
69
0.12
11
C
68
0
12
C
69
0
13
C
70
0
14
C
70
0
15
R
70
0.05
16
C
68
0
17
C
70
0
18
C
70
0
1s
C
64
0
3.1
3700
30
0.08
0.16
4200
30
0.09
0.18
20
C
70
0
21
C
70
0
22
C
71
0
23
R
70
0.25
_
24
R
71
0.01
25
C
71
0
26
R
73
0.18
27
R
67
0.02
28
R
72
0.07
29
C
73
0
30
R
73
0.66
31
C
74
0
Total Gallons/Monthly Loading (inches)
15200
0.33
16900
0.36
12 Month Floating Total (inches)
5.36
1 5.15
Average Weekly Loading (inches)
0.0736573
10.0818953
- weamer Lodes; U-clear, rl.-parry cloudy, w-ciouay, m-ram, bn-snow, bl-sleet
Spray Irrigation Operator in Responsible Charge (ORC)
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Clifford W. Crenshaw Phone: [phone]
991559 Check Box if ORC Has Changed: ❑
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
Page o9 , of e249
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
1. The application rate(s) did not exceed the limit(s) specified in the permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
4. All buffer zones as specified in the permit were maintained during each application.
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
specified in the permit.
Compliant Y,N)
Y
0
0
0
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is; to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
a\nd imprisonment for knovying violations."
nature of Permittee)*
William C Rhinehe
(Permittee-Please print or type)
Div. Of Parks & Rec Iredell Co.
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
William C Rhinehart, Jr.
(Name of Signing Official -Please print or type)
Park Superintendent
(Position or Title)
704-528-6350 913012014
(Phone Number) (PermitExp. Date)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)

UV
NON DISCHARGE WASTEWATER MONITORING REPORT Page a of .
PERMIT NUMBER: WQ0020881
FACILITY NAME: Div. Of Parks & Rec (Lake Norman S
MONTH: Januan
2011
Flow Monitoring Point: Effluent: R1 Influent: ❑
Parameter Monitoring Point: Effluent: 0 Influent: ❑ Isurface Water (SW): ❑ SW Cod
Was There Effluent Flow For This Month Generated At This
Facility:
Yes: Ld
No: ❑
D
A
T
E
E
L)
` o
O-4
Q w
m
��
`o „
�,
a c
o o
C'•
o
c�
W
O
50050
00400
50060
00310 1
00610
00530
3161
000630
00625
00600
00665
Daily Rate
(Flow) into
Treatment
System
2
a
cj
o
y `o
m t
K O
c
n
p
O
m
z
;
2
z
cn
y
i--
E
°
E-
n o �,
v 01 a
LL t?
Ca
m +�
Z Z
Y
F-
y
O
o �'
F- Z
r
w
o 0
F- O-
HRS
Y/N
GALLONS
UNITS
mg/L
mg/L
mg/L
mg/L
1100ML
mg//L
mg/L
mg/L
mg/L
1
71
2
71'
3
71">".<
4
71
5
71
6
14:00
15:00
Y
71
7.2
0.23
7
71
8.
V. 71
Y
9
71
t r.
)
10
71
11
71
F;,n
_
s!
121
171
L-n r
ri I r
13'
_ 7`1_
14
15
10:55
10:59
N
71 .
7.3
16
17.
71
i8l
10:15
10:55
Y
71
7.4
19
71
20
71
21
22
71
23H"
71
m
�.
241
1
71
25
26
.71
27
9:00
9:30
Y
7..1_
28
14:26
14:28
N
71
7.2
In orm
t
29
71
30
"..71 "
311
1
71
Average
71
0.28
###-#i#
0
####
#DIV/O!
#DIV/0!
#DIV/O!
Daily Maximum
71
-7.4
0.28
0
0
0
0
0
0
Daily Minimum
71
7.2
0.28
0
0
0
0
0
0
Monthly Limit(s)
Composite (C) / Grab (G)
G
G
G
G
G
G
G
G
G
Operator in Responsible Charge (ORC): Clifford W. Crenshaw Grade: Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number:: 991559
Certified Laboratories (1): Statesville Analytical, Inc. (2):
Person(s) Collecting Samples: Harry W Myers III
Mail ORIGINAL and TWO COPIES to:��_—�-
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCI
ATTN: Information Processing Unit AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
N
DENR FORM NDMR-1 (11/2005)

r>�
Page I]l of `'LQ,
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requiremen�Y
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in complia
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective actio
taken. Attach additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that all qualified personnel properly gathered and
evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, c
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitti
f se information, including the possibility of fines and imprisonment for knowing violations."
William C. Rhinehart, Jr.
(Signature of Permittee)* ate (Name of Signing Official -Please print or typ(
William C Rhinehart, Jr. Park Superintendent
(Perm ittee-P lease print or type) (Position or Title)
Div. Of Parks & Rec Iredell Co.
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
Parameter Codes:
704-528-6350 9/30/2014
(Phone Number) (Permit Exp. Date)
01002
Arsenic
31504
Coliform, Total
00600
Nitrogen, Total
00929
01022
Boron
00094
Conductivity
00630
NO2&NO3
00931
00310
BOD5
01042
Copper
00620
NO3
00745
01027
Cadmium
00300
Dissolved Oxygen
00556
Oil -Grease
70295
00916
Calcium
31616
Fecal Coliform
W009
PAN (Plant Available)
00010
00940
Chloride
01051
Lead
00400
pH
00625
50060
Chlorine, Total
Residual
00927
Magnesium
32730
Phenols
00680
71900 Mercury
00665 Phosphorus, Total
00530
01034
Chromium
00610
NH3asN
00937
Potassium
00076
00340
COD
01067
Nickel
00545
Settleable Matter
01092
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in
the reporting facility's permit for reporting data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506
DENR FORM NDMR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT Page I of 21
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0020881
MONTH: January YEAR: 2011
FACILITY NAME: Div. Of Parks & Rec (Lake Norman SP) COUNTY: Iredell
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / [Time Irrigated (minutes) / 60 (minutes/hour)] Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading (inches/month) / Number of days in the month (days/month)] x 7 (daystweek)
Did Irrigation Occur At This Facility:
Yes: No: ❑
Did Irrigation Occur On This Field:
Yes: [] No: ❑
Did Irrigation Occur On This Field:
Yes: [Z No: ❑
FIELD NUMBER:
A
FIELD NUMBER:
B
AREA SPRAYED (acres):
1.715
AREA SPRAYED (acres):
1.715
COVER CROP:
Woodland
COVER CROP:
Woodland
PERMITTED HOURLY RATE (inches):
0.4
PERMITTED HOURLY RATE (inches):
0.4
D
A
T
E
WEATHER CONDITIONS
storage
Lagoon
Free -board
PERMITTED YEARLY RATE (inches):
30.16
PERMITTED YEARLY RATE (inches):
30.16
Weather
Code*
Temper-ature
at
application
Precipita-
tion
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
Applied
Time
Irri ated
Daily
Loading
Maximum
Hourly
Loading
ff)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
R
55
0.14
2
R
57
0.06
3
C
42
0
4
C
52
0
5
C
42
0
6
C
44
0
3.3
3800
30
0.08
0.16
4300
30
0.09
0.18
7
C
44
0
8
C
36
0
9
C
34
0
10
R
28
0.03
11
C
30
0'
12
R
32
0.18
13
C
37
0
14
C
37
0
15
C
45
0
16
C
50
0
17
C
37
0
18
C
43
0
19
C
55
0
20
C
45
0
21
C
40
0
22
C
35
0
23
C
42
0
24
C
39
0
25
R
39
0.02
26
R
40
0.17
27
C
47
0
28
C
52
0
29
C
60
0
30
C
68
0
31
C
45
Total Gallons/Monthly Loading (inches)
3800
0.08
4300
0.09
12 Month Floating Total (inches)i
5.03
4.79
Average Weekly Loading (inches)l
0.0184143
10.0208373
Weather Codes: C-clear, PC -partly cloudy, CI -cloudy, R-rain, Sn-snow, SI-sleet
Spray Irrigation Operator in Responsible Charge (ORC): Clifford W. Crenshaw Phone: [phone]
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
991559 Check Box if ORC Has Changed: ❑
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT Page r-:q of
SPRAY IRRIGATION SITE(S)
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box ) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
Compliant Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit. ly
2. Adequate measures were taken to prevent wastewater runoff from the site(s). L� J
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit. L —�
4. All buffer zones as specified in the permit were maintained during each application.
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
specified in the permit.
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to'the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
and imprisonment for knowing violations."
(Signature of Permittee)" �Da e
William C Rhinehart, J.
(Perm ittee-Please print or type)
Div. Of Parks & Rec Iredell Co.
159 Inland Sea, Troutman, NC 28166
(Permittee Address)
William C Rhinehart, Jr.
(Name of Signing Official -Please print or type)
Park Superintendent
(Position or Title)
704-528-6350 9/30/2014
(Phone Number) (Permit Exp. Date)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 26.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)

{1�
0, 4--&1 1 ✓v r/V- / L
Schutte, Maria
From: Dena Myers <[e-mail]>
Sent: Wednesday, April 29, 2015 3:15 PM
To: Schutte, Maria
Subject: Amended report LNSP
Attachments: NDMR Mar 2015.xlsx
Maria,
Attached please find the amended report for the March sampling at Lake Norman State Park. Sorry for the oversight. If
you have any questions please let me know.
Have a great afternoon.
Dena
Statesville Analytical, Inc.
PO Box 228
Statesville, NC 28625
denamvers@.bellsouth.net
704-872-4697
Fax [phone]
www,sa-nc.com

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Permit • •11 1::
Div. Of Parks & Rec- Norman SP)
County: Iredell0
M
Flow Measuring Point: 2 Influent El Effluent No flow generated
Influent Effluent Groundwater Lowering surface Water
Parameter Monitoring Point: F
e

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) 11 Certified Laboratories
Name: Matthew Bryan Cartner II Name: Statesville Analytical, Inc.
Name: II Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑ Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain inthe,space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Matthew Bryan Cartner
Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 995910
Signing Official: William C. Rhinehardt, Jr.
Grade: S1 Phone Number: 704-880-4373
Signing Officials Title: Park Superintendent
Has the ORC changed since the previous NDMR? ❑ Yes No
Phone Number: 704-528-6350 Permit Expiration: 9/30/2014
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

7 I -
User Friendly Name
Official Parameter Name
DWQ Accepted Units
00010
Temperature
Temperature, Water Deg. Centigrade
°C
00076
Turbidity
Turbidity, HCH Turbidimeter
NTU
00092
Flow - Maximum
Flow, Maximum Flow Range
GPD
00094
Conductivity
Conductivity
NO
00125
Dichlorobenzene
Dichlorobenzene (Isomers) M/P In Water ug/l
Ng/L
00300
Dissolved Oxygen
DO, Oxygen, Dissolved
mg/L
00310
BOD5
BOD, 5-Day (20 Deg. C)
mg/L
00340
COD
COD, Oxygen Demand, Chem. (High Level)
mg/L
00400
pH
pH
su
00480
Salinity
Salinity
mg/L
00515
Total Filterable Residue
Residue, Tot Fltrble (dried at 105C)
mg/L
00530
Total Suspended Solids
Solids, Total Suspended
mg/L
00545
Settleable Solids
Solids, Settleable
mL/L
00556
Oil Et Grease
OiL Et Grease
mg/L
00600
Total Nitrogen
Nitrogen, Total (as N)
mg/L
00610
Ammonia
Nitrogen, Ammonia Total (as N)
mg/L
00615
Nitrite
Nitrogen, Nitrite Total (as N)
mg/L
00620
Nitrate
Nitrogen, Nitrate Total (as N)
mg/L
00625
Total Kjeldahl Nitrogen
Nitrogen, Kjeldahl, Total (as N)
mg/L
00630
Nitrite + Nitrate
Nitrite plus Nitrate Total 1 DIET. (as N)
mg/L
00660
Ortho Phosphate
Phosphate, Ortho (as PO4)
mg/L
00665
Total Phosphorus
Phosphorus, Total (as P)
mg/L
00670
Organic Phosphorus
Phosphorous, Total Organic (as P)
mg/L
00680
Total Organic Carbon
Carbon, Tot Organic (TOC)
mg/L
00681
Dissolved Organic Carbon
Carbon, Dissolved Organic (As C)
mg/L
00916
Calcium
Calcium, Total (as Ca)
mg/L
00927
Magnesium
Magnesium, Total (as Mg)
mg/L
00929
Sodium
Sodium, Total (as Na)
mg/L
00931
Sodium Adsorption Ratio
Sodium Adsorption Ratio
Ratio
00937
Potassium
Potassium, Total (as K)
mg/L
00940
Chloride
Chloride (as Cl)
mg/L
00945
Sulfate
Sulfate, Total (as SO4)
mg/L
01002
Arsenic
Arsenic, Total (as As)
mg/L
01007
Barium
Barium, Total (as Ba)
mg/L
01022
Boron
Boron, Total (as B)
mg/L
01027
Cadmium
Cadmium, Total (as Cd)
mg/L
01034
Chromium
Chromium, Total (as Cr)
mg/L
01042
Copper
Copper, Total (as Cu)
mg/L
01045
Iron
Iron, Total (as Fe)
mg/L
01051
Lead
Lead, Total (as Pb)
mg/L
01055
Manganese
Manganese, Total (as Mn)
mg/L
01067
Nickel
Nickel, Total (as Ni)
mg/L
01077
Silver
Silver, Total (as Ag)
mg/L
01092
Zinc
Zinc, Total (as Zn)
mg/L
01147
Selenium
Selenium, Total (as Se)
mg/L
01284
ND Application Rate
Non -Discharge Application Rate
in/yr
31504
Total Coliform
Coliform, Total MF, Immed,LES Endo Agar
#/100 mL
31505
Total Coliform
Coliform, Tot, MPN, Completed, (100 mL)
MPN/100 mL
31613
Fecal Coliform
Coliform, Fecal MF, M-FC Agar,44.5C,24hr
#/100 mL
31616
Fecal Coliform
Coliform, Fecal MF, M-FC Broth,44.5C
#/100 mL
32106
Chloroform
Chloroform
mg/L

32730
Phenolics - Recoverable
Phenolics, Total Recoverable
mg/L
32730
Phenols
mg/L
34469
Pyrene
Pyrene
pg/L
34694
Phenol - Single
Phenol, Single Compound
mg/L
38260
Surfactants
Surfactants (MBAS)
mg/L
50050
Flow
Flow, in conduit or thru treatment plant
GPD
50060
Total Residual Chlorine
Chlorine, Total Residual
mg/L
70295
Total Dissolved Solids
Solids, Total Dissolved
mg/L
70300
Total Dissolved Solids
Solids, Total Dissolved- 180 Deg.0
mg/L
70318
% Solids
Solids, Total, Percent
%
71880
Formaldehyde
Formaldehyde
mg/L
71900
Mercury
Mercury, Total (as Hg)
mg/L
78732
Volatile Compounds
Volatile Compounds, (GUMS)
Yes/No
80082
Carbonaceous BOD
BOD, Carbonaceous 05 Day, 20C
mg/L
81639
Total Kjeldahl Nitrogen
Nitrogen Kjeldalh, Total (TKN)
lbs/ac
81688
Ethylene Glycol
Ethylene glycol
pg/L
82385
Nitrogen Oxides
Nitrogen Oxides (as N)
mg/L
82546
Water Level
Water level, distance from measuring point
ft
C0310
BOD5 - Conc.
BOD, 5-Day (20 Deg. C) - Concentration
mg/L
C0530
TSS - Conc.
Solids, Total Suspended - Concentration
mg/L
C0600
Total Nitrogen - Conc.
Nitrogen, Total (as N) - Concentration
mg/L
C0610
Ammonia - Conc.
Nitrogen, Ammonia Total (as N) - Concentration
mg/L
C0665
Total Phosphorus - Conc.
Phosphorus, Total (as P) - Concentration
mg/L
WQ09
Plant Available Nitrogen
Plant Available Nitrogen - Loading
mg/L

t FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
f� «ram
No.: WQ0020881
Facility Name: Div Of Parks & Rec (Lake Norman SP)
County: Iredell
Month: - March'
MeasuringPermit
Flow -. o []Effluent ■ o flow generated
Parameter Monitoring -. ■ o [:]Groundwater Lowering []Surface Water
Daily Maximum:
• e e
e e-®-®---�---
D
• e e
e e-®------�---

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page L of
Sampling Person(s) 11 Certified Laboratories
Name: Matthew Bryan Cartner 11 Name: Statesville Analytical, Inc.
Name: I Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑Compliant []Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Matthew Bryan Cartner Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 995910 Signing Official: William C. Rhinehardt, Jr. Zaw el A. Mu,vf
Grade: S1 Phone Number: 704-880-4373 Signing Officials Title: Park Superintendent ?(a-VV-
Has the ORC changed since the previous NDMR? ❑Yes ONO Phone Number: 704-528=6350 Permit Expiration: 9/30/2014
M� �o,�r 4-1) -1�
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
1_1
Signature Date
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In
accordance with a system designed to assure that all qualified personnel property gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page i of 9
Permit No.: WQ0020881
Facility Name: lake Norman State Park
County: Iredell
Month: March
• irrigation
at this facility?
[21YES ONO
•
•.
�-wjmgj
TAY ..• Fur-iiiiiiiiiiiiiii
Cover Crop:.
..
tin
Hourly Rate (Iny
Annual Rate (in):1
.
1Annual
Rate (ln):1
Monthly ading-
..' tin
t �:,
��

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page oft
Did the application rates exceed the limits in Attachment B of your permit? ❑p compliant ❑Non -compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? (]compliant ❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? (]Compliant ❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ECompliant ❑Non -compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑� Compliant ❑Non-Compllant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Matthew Bryan Cartner
Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 999590
signing Official: William C. Rhinehardt, Jr. 'TJG1 rtC� C�iu Vi
Grade: S1 Phone Number: 704-8804373
Signing Officials Title: Park Superintendent A4;Wvt q-Rz4v--
Has the ORC changed since the previous NDAR-1? ❑Yes 2No
Phone Number: 704-528-6350 Permit Exp.: 9/30/15
Q Z Zb�S
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

Page of
108-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) �WP a
,414��il -& e) 46�
Permit No.: WQ0020881
Facility Name: lake Norman State Park
County: Iredell
Month: '-Februa
Year: .2015,
Did irrigationoccur
at this facility?
MYES DNO
_:PiOl Amqq-,._
Field Name:
B
Field Name:
Ai 4�s
Area (acres):
1.715
Area (acres):
C­
d1a6d;
__1 ­_
Cover Crop:
Woodland
�01 er,
� 1'� pww
Cover Crop:
H o_ur!y,,K2!
4;
Hourly Rate (in):
0.4
url in
Hourly Rate (in):
Um katdMllo
30:1
Annual Rate (in):
30.16
tAn Nq
Annual Rate (in):
Weather
Freeboard
Field#�iga�qd?,
ES.'� No
Field Irrigated?
[21YES F
-]NO
ie lrl�i
" .. ;,
A d!
i1pp,
Field Irrigated?
EIYES EINO
0
U
CL
E
0
A
IL
0
Z'
U) .0
CL
Lh !L
_.0_7m,
j
M.
E RD
Z CL
>
M
C1 0
E
5
0 M
X 0
E
E
E 0)
P
0
E
g 0 M
X 0
r OF
in
ft
ft
&
ga
jn-�­
gal
min
in
in
-gar
in
n
gal
min
in
in
2
3
C
45
0
4
wo�
G.'! -T,
-7
Ric
wwwCDENRUAR
4
OR 3
11 tuio
6
7
WQRQS
8
V1UUK1=.5Y
ILLE RE(
HONAL 0
FICE
9
10
12
C
52
0
4
8,500
60
0.18
0.18
13
14
4
15
TCU
16
17
6' U
[i
18
n,
A/0 Q C
19
NFORARA JAI
Doringnnik,
20
0 UIN)
I
21
A
22
23
24
-L:2
25
, 7
26
271
C
46
0
4
28
29
30
77�
31
Monthly Loading:11;
8
8,500
00
0.00
12 Month Floatina Tntql (in%-
�11101111111111111
0.55

v- FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
I
Page l of
Did the application rates exceed the.limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance With the specified freeboard heights in your permit?
DCompliant ❑Non -Compliant
❑� Compliant ❑Nan -Compliant
PICompliant ❑Non -Compliant
❑✓ Compliant ❑Non -Compliant
❑� Compliant ❑Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Matthew B. Caitner
Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 995910
Signing Official: William C. Rhinehardt, Jr. � .0 � A , 64!- 4r,, 44
Grade: S1 Phone Number: 704-880-4373
Signing Official's Title: Park Superintendent / /K-tr+,�Crl 5,_,pC-VArvT,(2VaVJr
Has the ORC changed since the previous NDARA? ❑Yes FZINo
Phone Number: 704-528-6350 Permit Exp.: 9/30/15
03 1-7 2dis
Signature Date
_ Ignature Date
e" Cjti " wrn , h 1h�5 svt�t to o � KV •
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all -attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

r FGRM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _L of
Permit No.: W00020881
Facility Name: Div. Of Parks & Rec (Lake Norman SP)
County: Iredell
Month: February
Year: 2015
PPI:
Flow Measuring Point: ❑� influent ❑Effluent ❑No flow generated
Parameter Monitoring
Point: ❑influent DEffluent ❑Groundwaber Lowering ❑Surface Water
Parameter Code
50060z-VOQ400
`,'
C0310
3161E #'=
00610
*f10630 r'`
81639
Ob600
00530
00665 ';i
a
c
u
v
rn Z:
d
'
N
3 a
C
7 .`
' < \ rC
()
10 p '�r
O
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0) CDt
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Q
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N
r
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t
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0
V
V
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U ,1
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r Z
r
7
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Q
24-hr
his
Zs' OPD - ;
mglL
ii , •.`-;
mglL
#1100 eL-
mglL
";;mg/L r
Ibslac
;mglL:.,;
mg/L
:;' mg1L
2
x..
3
16:15
1
60
0.04
,k -7
_
4
5
6
7
r a
10
y
12
16:25
1
13
14
15
16
60
a
s
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a
;
17
60 wit
1
18
r
19
20
ark Closei
ue to sno
r,
21
22
60
r
r:
s.
23
24
25
261777
60
i
k.
•h 3
'h
27
16:20
1
60
t
,,
'
28
29
30
x
i;
31
r
.:
Average
6Qv
0.04
X
F`
Daily Maximum
,= t60r
0.04Jt
Daily Minimum
60
0.04
Sampling Type
Recorder.
Grab
Monthly Limit
M,
Daily Limit
Sample Frequency
:Monthly;-
Monthly
1tVeekly
''

r . :FGRM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page A of?)
Sampling Person(s) 11 Certified Laboratories
Name: Matthew Bryan Cartner 11 Name: Statesville Analytical, Inc.
Name: II Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑Compliant ❑Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Matthew Bryan Cartner Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 995910 Signing Official: William C. Rhinehardt, Jr. /75A-,-Z D A. c u2�rP
Grade: S1 Phone Number: 704-880-4373 Signing Official's Title: Park Superintendent IA-G-tr rJc�, S t:i P E-ilu Ttl" 1M'i'37
Has the ORC changed since the previous NDMR? []Yes [ZNo Phone Number: 704-528-6350 Permit Expiration: 9/30/2014
Signature Date Signature / Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

J-,P r
DMR 03-12 Page of
�-i9 -1(5- a4l A0"- !�PARGE MONITORING REPORT (NDMR)
Permit No.: WQ0020881
Facility Name: Div. Of Parks & Rec (Lake Norman SP)
County: Iredell
Month: JaInuar�,,•
RV n-TWI TI-IFUM. Oml Mlllllllllllll I ;J111
INTMORN-1,
MIF
NOT - 1=1 - MU,
•
Men=

.� Rh7,�NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Y
Page of Q,
Sampling Person(s) Certified Laboratories
Name: Matthew Bryan Cartner Name: Statesville Analytical, Inc. .
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑Compliant ❑Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets -if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Matthew Bryan Cartner
Permittee: Div. Of Parks & rec (Lake Norman SP)
Certification No.: 995910
Signing Official: William C. Rhinehardt, Jr.
Grade: S1 Phone Number: 704-880-4373
Signing Official's Title: Park Superintendent At�-ih �S cUV kti
Has the ORC changed since the previous NDMR? ❑Yes 2No
Phone Number: 704-528-6350 Permit Expiration: 9/30/2015
�-- —�
16542 t^
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
ubmitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gat h ring the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
awa hat there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
t
Mail Original and Two Copies to7,_� Q wl S�c�1�Lv � `` ctS CL4ivt PG>`a'(C Sty � 'tvtite�ld
Division of Water Quality
Information Processing Unit G�A�Q iti "(»�`'�� o� ti'tct..J,
1617 Mail Service Center

ORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: WQ0020881
Facility Name: .Lake Norman State Park
County: Iredell
Month: January
Year: 2015
Field Name:
A
Field Name:
B
Field Name:
Field Name:
Did irrigationoccur
Area (acres):
1.715
Area (acres):
1.715
_ ' Area (acres):
Area (acres):
at this facility?
EYES ]NO
Cover Crop:
Woodland
Cover Crop:
Woodland
Cover Crop:
Cover Crop:
; HHourly Rate (in):
0.4
Hourly Rate (in):
0.4
'.,;;Hourly Rate (in):
Hourly Rate (In):
'�'i nnual Rate (in):
30.16
Annual Rate (in):
30.16
;Annual Rate (in):
Rate Annual in :
( )
Weather
Freeboard
,-k' Field Irrigated?
DYES [:]NO
Field Irrigated?
EYES ❑NO
'" Field Irrigated?
❑YEs ❑NO
Field Irrigated?
❑YES ❑NO
v
r
a
Co
a M
r
m a
!C
Q
v
E
Eo
c
Xo°
oxo
m
e
a
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o
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o
m
t
c
ga
Ed
m
c
=
�+ c
mm
oJ
a_cv
oco
oo
Ec=, J
OF
in
ft
ft
_ :gal
min
in
in
gal
min
in
in
;,"_gal
min
In
in
gal
min
in
In
2
3
4
5
61
C
50
4
r,.-y7;000
60
0.15
0.15
1
8
9
,
10
11
-
12"-
13
14
15
16
C
48
4
8,000
60
0.17
0.17
17
18
19
3='
20
21
221
C
1 52
4
-_''`8,200
70
0.18
0.15
—2-31
1-
24
25
26
27
28
29
CL
45
4
9,000
1 60
1 0.19
0.19
30
31
Monthly
Loading:
; 15,200
0
0.33'
17,000
d.37
0
0.00
0
0.00
12 Month Floating Total (in):

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
Did the application rates exceed the limits in Attachment B of your permit?
❑� Compliant [--]Non-compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Elcompliant ❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑� Compliant ❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? RICompliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 21Compliant ❑Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
ORC: Matthew B. Cartner
Certification No.: 995910
Grade: S1 Phone Number:-- 704-880-4373
Has the ORC changed since the previous NDAR-1? • ❑Yes ENO
Permittee Certification
Perm ittee:
Div. Of Parks & Rec (Lake Norman SP)
Signing Official: William C. Rhinehardt, Jr. A. 66,Yf�_
Signing Official's Title: Park Superintendent
Phone Number: 704-528-6350
Permit Exp.: 9/30/15
Signature Date Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I cerf , under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inq iry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
info ation submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significantA
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copi to:
Division of Water Quality l C44A Si c�v7`
Information Processing Unit
fit
1617 Mail Service Center `` �i �� '�ctSSi r^��, tit �t� �y
Raleigh, North Carolina 27699-1617 /

i
SUMMARY
EFFLUENT FLOW AT SWIM BEACH WWTF
LAKE NORMAN STATE PARK
2006-2007
Month
Average Per Day (gpd)
Peak Day Use (gal)
January 2006
420
670
February 2006
661
1133
March 2006
318
365
April 2006
May 2006
932
3050
June 2006
1236
1716
July 2006
1860
3080
August 2006
1002
1100
Sept. 2006
747
1100
Oct. 2006
348
757
Nov. 2006
189
250
Dec. 2006
60
113
Jan. 2007
21
113
Feb. 2007
42
133
March 2007
111
228
April 2007
368
700
May 2007
730
1886
June 2007
1376
1880
July 2007
1586
2283
August 2007
902
1400
Sept. 2007
396
700
Oct. 2007
180
414
Nov. 2007
97
128
Dec. 2007
187
333

NON DISCHARGE WASTEWATER MONITORING REPORT Page _of�
PERMIT NUMBER: WQ0020881
FACILITY NAME: Div. Of Parks & Rec. (Lake Norman SP)
MONTH: January YEAR: 2006
COUNTY: Iredell
o ■
..._(Flow)
D ally Rate
into
Treatment
System
1
. .
:..
'
MEN
MEMO
I Daily Maximum
laily Minimum
Operator in Responsible Charge (ORC): Harry Myers III Grade: WWII, SI Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986154
Certified. Laboratories (1): Statesville Analytical Inc. (2):
Person(s) Collecting Samples: Harry Myers III
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
(SIGNATURE OF OyElkATOXIN RESPONSIBLE CHARGE)
BY THIS SIGNAT E, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT Page i of -1
IN
//ERJJIT NUMBER: W00020881 MONTH: February YEAR: 2006
LITY NAME: Div. Of Parks & Rec. (Lake Norman SP) COUNTY: Iredell
- ■ ■
■ ■
,,(Flow)
..:..
l,_System
Daily
into
-e
Chlorine
NON
Coliform
Composite (C) Grab (G)
Operator in Responsible Charge (ORC): Harry Myers III Grade: WWII, SI Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986154
Certified Laboratories (1): Statesville Analytical, Inc. (2):
Person(s) Collecting Samples:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
(SIGNA'TUAIf OF OPERA OR IN ESPO SIBLE CHARGE)
BY THIS SIGNATURE; I CERTIF THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (5/2003)

t NON DISCHARGE WASTEWATER MONITORING REPORT Page — of �.
x
PE IT UMBER: W00020881
Cl TY NAME: Div. Of Parks & Rec. (Lake Norman SP)
MONTH: March YEAR:
COUNTY:
gnns
Iredell
—,• -. o ■
.....
.-(Flow)
Daily
into
Treatrrfent
System
Coliform
HER
1.
M59
Me
Composite (C) Grab (G)
Operator in Responsible Charge (ORC): Harry Myers III Grade: WWII, SI Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986154
Certified Laboratories (1): Statesville Analytical, Inc. (2):
Person(s) Collecting Samples: Harry Myers III
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit (SIGNATURE OF OPERATOR IWRESPONSIBLE CHARGE)
DENR BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
Division of Water Quality AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
DENR FORM NDMR-1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT Page I of �1
PE/R/lI MBER: W00020881 MONTH: May YEAR: 2006
FNAME: Div. Of Parks & Rec. (Lake Norman SP) COUNTY: Iredell
■-----------------
0 ■ ■
■
'
.,.
win M.
Daily
(Flow) Into
treatment
system
:..
Emm my
m
���
■gym
���■�■��
�����
•
0000m��s���
Daily Maximum
MEN mg m vjjj�
Operator in Responsible Charge (ORC): Harry Myers III Grade: WWII, SI Phone: M4-872-4697
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986154
Certified Laboratories (1): _ Statesville Analytical, Inc. (2):
Person(s) Collecting Samples:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
(SIGNATURE OF OPI
BY THIS SIGNATURE
AND COMPLETE TO
'OR INKSPONSIBLE CHARGE)
°RTI THAT THIS REPORT IS ACCURATE
BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (5/2003)

t
NON DISCHARGE WASTEWATER MONITORING REPORT
RM NUMBER: W00020881
FA LITY NAME: Div. Of Parks & Rec (Lake Norman State Park)
MONTH: June
Page I_ of
YEAR: 2006
COUNTY: Iredell
• El
7F.R.- . ■ ■ ■
.. -
..
Daily
intt
�.
System
NONNI
Collform
Operator in Responsible Charge (ORC): Harry W Myers III Grade: WWII, S1 Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986154
Certified Laboratories (1): Statesville Analytical, Inc. (2):
Person(s) Collecting Samples:' Harry W Myers III
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
(SIGNATURE 05MPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT
PER IT MBER: WQ0020881
FACILITY NAME: Div. Of Parks & Rec (Lake Norman State Park)
Page _L of
MONTH: July YEAR: 2006
COUNTY: Iredell
.....
Daily
(Flow) into
Treatment
System
_..
Fecal
Coliform
itiaRy maximum
Daily Minimum
Operator in Responsible Charge (ORC): Harry W Myers III Grade: WWII, S1 Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986154
Certified Laboratories (1): Statesville Analytical Inc. (2):
Person(s) Collecting Samples
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Harry W Mvers III
(SIGNATURE OF OPE�qATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (11/2005)

Ar
1
UPERMIT NUMBER:
FACILITY NAME:
NON DISCHARGE WASTEWATER MONITORING REPORT
W00020881
Div. Of Parks & Rec. (Lake Norman S
Page I of I•
MONTH: August YEAR: 2006
COUNTY: Iredell
p - ■
.. ..
Daily
(Flow) into
Treatment
System
:..
Coliform
Operator in Responsible Charge (ORC): Harry Myers III Grade: WWII, SI Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986154
Certified Laboratories (1): Statesville Analytical, Inc. (2):
Person(s) Collecting Samples:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
Mvers III
(SIGNATURE OF �PERATORM4 RESPONSIBLE CHARGE)
BY THIS SIGNA RE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT Page 1 of
RUT NUMBER: WQ0020881 MONTH: September YEAR: 2006
TY NAME: Div. Of Parks & Rec. (Lake Norman SP) COUNTY: Iredell
,Flow Monitoring P• ■
Parameter Monitoring Point: Effluent: 0 ■ ■SW
Code/Name:
Was There Effluent Flow For This Month Generated At This Facility: Yes:
■
•
.. ..
Daily
(Flow) into
Treatment
System
:..
Operator in Responsible Charge (ORC): Harry Myers III Grade: WWII, SI Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986154
Certified Laboratories (1):_ Statesville Analytical, Inc. (2):
Person(s) Collecting Samples:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail.Service Center
RALEIGH, NC 27699-1617
Harry Mvers III
(SIGNATURE OFPPERATOO IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT
/MIT/
IMBER: W00020881 MONTH: October
CNAME: Div.Of Parks & Rec. (Lake Norman SP) COUNTY:
Page __L of aT1
YEAR: 2006
Iredell
,'i o ■
•
..Treatment..
..-
Daily
(Flow) i
System
:..
,.
Fecal
Daily Maximum
liaily Minimum
Operator in Responsible Charge (ORC): Harry Myers III Grade: WWII, SI Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986154
Certified Laboratories (1): Statesville Analytical Inc. (2):
Person(s) Collecting Samples:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
arry Mvers III
(SIGNArURE OFk*EI(Afd" IfSPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (5/2003)

�mtf
PERJMB R:
FACILITY A
NON DISCHARGE WASTEWATER MONITORING REPORT Page of '1
W00020881 MONTH: November YEAR: 2006
Div. Of Parks & Rec. (Lake Norman SP) COUNTY: Iredell
p ■ ■
Time.(Flow)
2400
Clock
...
DailyArrival
into
Treatment
System
:..
Total
m
�■��
��`lir
�����n�
�����
Daily Maximum
Daily Minimum
Monthly Limit(s)
NEE
operator in Responsible Charge (ORC): Harty Mvers III Grade: WWII, SI Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986154
Certified Laboratories (1): Statesville Analytical,*Inc (2):
Person(s) Collecting Samples: Harr
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617-
r,i
(SIGNATURE OF 0 E TOR RESPONSIBLE CHARGE)
BY THIS SIGNAT E. I CER IFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT
PERMIT YMB W00020881 MONTH:
FACILI: Div. Of Parks & Rec. (Lake Norman SP)
Page � of
December YEAR: 2006
COUNTY: Iredell
. -. 0 ■
••
0 ■ ■
..-
..- .
�Treatment
(Flow) into
System
Residual_..
Chlorine
Collform
..
®®
-' M.��---
o000
Operator in Responsible Charge (ORC): Harry Myers III Grade: _WWII, SI Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986154
Certified Laboratories (1):_ Statesville Analytical Inc. (2):.
Person(s) Collecting Samples:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non=Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
Myers III
(SIGNATURE OF OPERATOR IN.ffESPONSIBLE CHARGE)
BY THIS SIGNA RE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLeTE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT
PERMIT NUMBER:— WQ0020881 MONTH: January
FACILITY NAME: Div. Of Parks & Rec. (Lake Norman SP) COUNTY
Page of I'1
YEAR: 2007
Iredell
Flow Monitoring Point: Effluent: R] Influent: ❑
Parameter Monitoring Point: Effluent: El Influent: ❑ Surface Water (SW): ❑
SW Code/Narrte:
Was There Effluent Flow For This Month Generated At This Facility: Yes:
E No: ❑
50050
00400
50060
00310
00610
00530
31816
00655
00600
D
A
T
E
Operator
Arrival
Time
2400
Clock
operator
Time On
Site
ORC
on
Site?
Daily Rate
(Flow) into
Treatment
System
pH
Residual
Chlorine
BOD-5
20°C
NH3-N
TSS
Coliiform
(Geo•metric
Mean')
Total
Phopho
rus
T.
Nitrogen
HRS
YIN
GALLONS
UNITS
UG/L
MG/L
MG/L
MG/L
1100ML
mg/L
mg/L
1
112.5
2
112.5
;
3
112.51
4
1 11:00
1.2
Y
38
5
38
6
38
7
38
s
38
I
9
12:40
1
Y
5
10
5
f'
12
5
13
5
14
5
15
5
16
5
17
5
1s
5
19
10:50
0.5
Y
8
20
8
21
8
i`
22
8
23
8
24
13:30
1.4
Y
6
25
6
26
6
27
6
28
6
29
6
30
6.
;1
31
6
r
Average
21.46774
#####r
#####
######
#####
#NUM!
#rV#####
#DIV/0!
Daily.Maximum
112.5
0
0
0
0
0
0
0
0
Daily Minimum
5
0
0
0
0
0
0
0
0
Monthly Limit(s)
Composite (C) 1 Grab (G)
Operator in Responsible Charge (ORC):
Check Box if ORC Has Changed: ❑
Harry Myers III Grade: VVWIi, SI Phone: [phone]
ORC Certification Number: 986154
Certified Laboratories (1): _ Statesville Analytical, Inc. (2):
Person(s) Collecting Samples: Harry Myers III
Mail ORIGINAL and TWO COPIES to: - •�: 1 ovt4�llz
ATTN: Non -Discharge Compliance Unit (SIGNATURE Of (JPERAT Ill RES NSIBLE CHARGE)
DENR BY THIS SIGNATURE, I CE TIFY THAT THIS REPORT IS ACCURATE
Division of Water Quality AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617 DENR FORM NDMR-1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT Page of,;-)
PERMIT NUMBER: WQ0020881 MONTH: February YEAR: 2007
FACILITY NAME: Div. Of Parks & Rec. (Lake Norman SP) COUNTY: Iredell
..
•-
Daily
ystem
100110MMINTreatment
mom
Operator in Responsible Charge (ORC): Harry Myers III Grade: WWII, SI Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986154
Certified Laboratories (1):
Person(s) Collecting Samples:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
Statesville Analytical, Inc. (2):
Harry Mvers III
in,
(SIGNATURE OFgPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGN RE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT Page t of
PERMIT NUMBER: WQ0020881 MONTH: March YEAR: 2007
FACILITY NAME: Div. Of Parks & Rec. (Lake Norman SP) COUNTY: Irede
Point:
ll
Parameter Monitoring
..-
Daily
(Flow) into Fecal Total
T.
.,Treatment C.1iform
System
Nitrogen
Emu
MM
,.
m®ram©����������■��
uperator in Responsible Charge (ORC): Harry Myers III Grade: WWII, SI Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986154
Certified Laboratories (1): _ Statesville Analytical Inc (2):
Person(s) Collecting Samples: Harry Myers III
Mail ORIGINAL and TWO COPIES to: 1.
ATTN: Non -Discharge Compliance Unit (SIGN UI
DENR BY THIS SI
Division of Water Quality AND COMF
1617 Mail Service Center
RALEIGH, NC 27699-1617
OF OP TOR INPfSPONSIBLE CHARGE)
AT , I CERTIFY THAT THIS REPORT IS ACCURATE
:T TO THE BEST OF MY KNOWLEDGE.
n r:top CnohA AIrIAAO i !G lnnnn.
uperator in Responsible Charge (ORC): Harry Myers III Grade: WWII, SI Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986154
Certified Laboratories (1): _ Statesville Analytical Inc (2):
Person(s) Collecting Samples: Harry Myers III
Mail ORIGINAL and TWO COPIES to: 1.
ATTN: Non -Discharge Compliance Unit (SIGN UI
DENR BY THIS SI
Division of Water Quality AND COMF
1617 Mail Service Center
RALEIGH, NC 27699-1617
OF OP TOR INPfSPONSIBLE CHARGE)
AT , I CERTIFY THAT THIS REPORT IS ACCURATE
:T TO THE BEST OF MY KNOWLEDGE.
n r:top CnohA AIrIAAO i !G lnnnn.

PERMIT NUMBER:
FACILITY NAME:
NON DISCHARGE WASTEWATER MONITORING REPORT
WQ0020881 MONTH: April
Div. Of Parks & Rec. (Lake Norman S
COUNTY:
Page 1 of 1
YEAR: 2007
Iredell
Flow Monitoring •. ■
- Parameter Monitoring -. ■ ■
®Code/Name: SEEN
Was There Effluent Flow For
0 ■
•
Daily
(Flow) into
Treat ent
System
Residual I
Chlorin•
zoo
1'Nitrogen
..
T.
1jaily Minimum
M*nthly Limit(s)
Operator in Responsible Charge (ORC): Harry Myers III Grade: WWII, SI Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986154
Certified Laboratories (1): Statesville Analytical, Inc. (2):
Person(s) Collecting Samples: Harry Myers III
Mail ORIGINAL and TWO COPIES to: ��`
ATTN: Non -Discharge Compliance Unit (SIGN TU9E o O E;"TO RESPONSIBLE CHARGE)
DENR BY THIS SIG A RE, I CE4T1'FY THAT THIS REPORT IS ACCURATE
Division of Water Quality AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
DENR FORM NDMR-1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT Pagel, of_4
PERMIT NUMBER: WQ0020881 MONTH: May YEAR: 2007
FACILITY NAME: Div. Of Parks & Rec. (Lake Norman SP) COUNTY: Iredell
• oWitoring•. p ■
Parameter Monitoring •. p ■ ■
VVas There Effluent Flow or Thks Month Generated AfThis F ��es: p ■
I Them
"�
Cloc
•_
..
System
:..
NON
T.
m_®
" •
®®®®®
"
--
Operator in Responsible Charge (ORC): Harry Myers III Grade: WWII, SI Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986154
Certified Laboratories (1): Statesville Analytical Inc. (2):
Person(s) Collecting Samples:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
Harry Myers III
r
(SIGNATURE OF E TVST
PONSI CHARGE)
BY THIS SIGNATURE, I CHAT THIS REPORT IS ACCURATE
AND COMPLETE TO THEF MY KNOWLEDGE.
DENR FORM NDMR-1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT Page ! of '
PERMIT NUMBER: W00020881 MONTH: June YEAR: 2007
FACILITY NAME: _ Div. Of Parks & Rec. (Lake Norman SP) COUNTY: Iredell
I Amv�—
Time—...
0
•
..
0, My.
Coliform
E
m�■������■��������
Operator in Responsible Charge (ORC): Harry Myers III Grade: WWII, SI Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986154
Certified Laboratories (1): Statesville Analytical Inc. (2):
Person(s) Collecting Samples:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
it
(SIGNATUIYE OF OP fOR IIRESPONSIBLE CHARGE)
BY THIS SIGNATURE, ICE FY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (512nni)

NON DISCHARGE WASTEWATER MONITORING REPORT Page ' of
PERMIT NUMBER: W00020881 MONTH: July YEAR: 2007
FACILITY NAME: Div. Of Parks & Rec. (Lake Norman SP) COUNTY: Iredell
Flow MonitoringPoint: Effluent: 1Z Influent: ❑ _... .7777
Parameter Monitoring Point: Effluent: EZI Influent: ❑ Surface Water (SW): ❑
SW CodelName:
Was There Effluent Flow For This Month Generated At This Facility: Yes: [ZI
No: ❑
50050
00400
50060
00310
00610 ,
00530
31616
00655
00600
D
A
T
E
Operator
Arrival
Time
24DO
Clock
Operator
Time On
site
ORC
on
Site?
Daily Rate
(Flow) Into
Treatment
System
pH
Residual
Chlorine
BOD-5
20°C
NH3-N
TSS
Fecal
Coliform
(Geo-metric
Mean') I
Total
Phopho
rus
T.
Nitrogen
N031NO2
HRS
YIN
GALLONS
UNITS
UG/L
MG/L
MG/L
MG/L
1100ML
mg/L
mg1L
mg/L
1
2283
2
2283
3
2283
4
2283 1
5
2283
6
12:10
1.5
Y
2175
7
2175
8
2175
9
2175
10
14:05
1.5
Y
5 2175
6.9
21.2
<0.5
32
<1
4.9
2.13
0.23
11
1320
121
1320
13
1320
14
1320
Is
1320
16
1320
17
1320
18
1320
19
,, 1320
20
I 1320/
21
13:30
0.4
Y
1356
22
1356
231
1356
241
1356
251
1356
261
1356
271
1356
281
11:15
0.25
Y
135
29
943
C
30
943
, q
31
---) 943
Average
1586.032
:I:I:I::I::::::::
# ##
21.2
######
32
0
4.9
2.13
0.23
Daily Maximum
2283
6.9
0
21.2
0
32
0
4.9
2.13
0.23
Daily Minimum
943
6.9
0
21.2
0
32
0
4.9
2.13
0.23
Monthly Limit(s)
Composite (C) / Grab (G)
Operator in Responsible Charge (ORC): Harry Myers III Grade: WWII, SI Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986154
Certified Laboratories (1):
Person(s) Collecting Samples:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
Statesville Anal)
I, Inc. (2):
rs III
(SIGNATURE OF OPEI TOR'IN RESd6NSIBLE CHARGE)
BY THIS SIGNATURE,/I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT Page � of �i
PERMIT NUMBER: WQ0020881 MONTH:_ August YEAR: 2007
FACILITY NAME:_ Div. Of Parks & Rec. (Lake Norman SP) COUNTY: Iredell
MonitoringFlow -. ■
Parameter Monitoring •. ■
■
SW CodefName:
Was There Effluent Flow For This Month
Generated At This Facility: Yes: PJ ■
•
Time
. �
Clock
DailyArrival Rate
(Flow) into
System
NONNI
Coliform
.. .
..
Operator in Responsible Charge (ORC): Harry Myers III Grade: WWII, SI Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986154
Certified Laboratories (1): Statesville Analytical Inc. (2):
Person(s) Collecting Samples:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
(SIGNATURE �OPERATOVIN RESPONSIBLE CHARGE)
BY THIS SIGN URE, I CE. IFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: WQ0020881 MONTH: September YEAR: 2007
FACILITY NAME: Div. Of Parks & Rec. (Lake Norman S
COUNTY:
Iredell
-. ■OEM
Ly
■
.. ..
DailyRate
(Flow) into
Treatment
System
NONNI
Fecal
Collform
T.
NitrogenDaily
• -
.. -
• •
0000�0
� 1
___
Maximum
Daily Minimum
Monthly Limit(
Composite (C) Grab (G)
Operator in Responsible Charge (ORC): Harry Myers III Grade: WWII, SI Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986154
Certified Laboratories (1): Statesville Analytical, Inc. (2):
Person(s) Collecting Samples: Harry Myers III 1
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit (SIGNATURE OF OP, TOR IN R PONSIBLE CHARGE)
DENR BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
Division of Water Quality AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617 DENR FORM NDMR-1 (5/2003)

i
NON DISCHARGE WASTEWATER MONITORING REPORT
PERMIT NUMBER: WQ0020881 MONTH: October
FACILITY NAME: Div. Of Parks & Rec. (Lake Norman SP) COUNTY
Page I of
YEAR: 2007
Iredell
Time
24001
Clock
Daily
(Flow) into
Treatment
System
..-
®®
,Mom
Operator in Responsible Charge (ORC): Harry Myers III Grade: WWII, SI Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986154
Certified Laboratories (1)
Person(s) Collecting Samples:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
Statesville Analytical, Inc. (2):
Harry Myers III
(SIG -NATURE OVPF-RATOYN RESPONSIBLE CHARGE)
BY THIS SIG URE, I CEOPTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT Page
PERMIT NUMBER: W00020881 MONTH: November YEAR: _ 2007
FACILITY NAME: Div. Of Parks & Rec. (Lake Norman SP) COUNTY: Iredell
Flow Monitoring -. 121 ■ -
MParameter onitoring Point: -. ■ ■
..-
:Was There Effluent Flow For This Month Generated At This Facility:
No: ■
Ar
Time..-
..
Clo.k
..
..
.
..ate
(Flow) into
..NO
System
:••
.
I
Coliform 'I
T
..
..•Daily
Maximum
Operator in Responsible Charge (ORC): Harry Myers III Grade: WWII, SI Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986154
Certified Laboratories (1): Statesville Analytical, Inc. (2):
Person(s) Collecting Samples: Han Mvers III i
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
(SIGNATURE OF OPEWOR-IN REWONSIBLE CHARGE)
BY THIS SIGNATUR , CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (5/2003)

/„
•
r
PERMIT NUMBER:
FACILITY NAME:
NON DISCHARGE WASTEWATER MONITORING .REPORT
WQ0020881 MONTH: December
Div. Of Parks & Rec. (Lake Norman SP) COUNTY
Page / of
YEAR: 2007
Iredell
Flow M •. ■
Parameter Monitoring •. o ■
■
..
Was
..There....Effluent
Flow For This -Month
GeneratedFacility:
o ■
..re
.....
Daily
System
-
Nit ..•
Operator in Responsible Charge (ORC): Harry Myers III Grade: WWII, SI Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986154
Certified Laboratories (1): Statesville Analytical, Inc. (2):
Person(s) Collecting Samples; Harry Myers III
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit (SIGNATURE OF OPERATOR IN)RESPO"IBLE CHARGE)
DENR BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
Division of Water Quality AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617 DENR FORM NDMR-1 (5/2003)

Month
March 2005
April 2005
May 2005
June 2005
July 2005
August 2005
Sept. 2005
Oct. 2005
March 2006
April 2006
May 2006
June 2006
July 2006
August 2006
Sept. 2006
Oct. 2006
Nov. 2006
March 2007
April 2007
May 2007
June 2007
July 2007
August 2007
Sept. 2007
Oct. 2007
Nov. 2007
SUMMARY
WATER USE AT FAMILY CAMPGROUND
LAKE NORMAN STATE PARK
2005-2007
Total Water Use (eal.)
6,500
12,600
17,800
26,500
22,100
16,300
18,000
9,700
3,500
17,400
17,800
19,100
24,700
16,400
18,200
10,500
7,200
6,300
12,700
19,800
27,000
25,600
21,300
14,800
11,700
4,300
Averase Per Dav (ind)
295
420
574
883
713
526
600
404
146
580
574
637
797
529
607
339
232
315
423
639
900
826
687
493
377
143
Peak One-Dav Use (aal)
700
3000
2300
2600
2300
1600
1700
2100
400
2500
1900
1900
2000
1800
2500
1600
1000
1800
1500
2800
2500
2000
2400
1600
1400
900

lk
Water Meter
Log
Lake Norman
State Park
Month/Year
Location
Maw vt
1
17
70, ao
Ioo
2
18-��
g 00
too
3
19
3 oa
4
20
00
500
5
21
5z�-71t :5 00
t o o
6
22
7
23
��� °O
500.
8
24
,.
9
25
73 z-P7 Z Y i40o
d 00
10
7. ��� �oo
��
26
vo
��
700
11
0005oo
27
ate. �c°
9-0�
12
28�.�O°
300
13
29
00
200
14
30
500
15"��
(000
31
S4 -7.5r 6> 0°
Soo
16
'0 d
` 3'F (015500
(0,500 gIX;o
70019J. 3�Z1,
(cSoo : ZZ 8AAjs = Ka5 �Fa

Water Meter Log
Lake Norman State Park
l
MonthNear
Location `
1 ill c kff Qca " 1•hC
1 *5 <�75t 2,°°
Zoo
2 00 Soo
3 T� 7
..�
4 _3,q71Ff q 00
5
q Tq
300
7
Ioo
9
.� o0
600
10
, 3 cl(E/' j p0
oo n
11 � Fz1 q,- -), , —� ? oo Sao
Oo
12 1 �,q�
1/- 100.
13 oo 100
14
15, , �300
16 fitoo
1'V1"%Iy Use : ';+67 800
34 T5 ZpO
12.1
YVI 4w q&l Itl Us<,
17
3
oo
18�.,
°o
400
19
:S�Sy�
00
300
20
i
��f
DD
Zoo
21
�- moo
loo
22
23
t
',�� o0
200
24
a 10D
+00
25
✓ q'
%6 7 —°O
400
26
S zl—,76
1 (7 00
300
27
Ti"
9 71 0 "
20o
28
�34—F7, -3O0
300
29��'
!�"'°
/00
31
pi, k 'DSono nd- 4 /3
F�l

Water Meter Log
Lake Norman State Park
MonthNear -Z D
Location,
1 °v Too
2 �� TO
300
3 _5kggy 000 200
4
3��
�°O
to°p
5
� ,
�00
Z00
6
t
100
300
7
C3
a,
900
700
8
vo
Z 3oo
9
�.. Z0
300
10
5�.f��
200
11
��
� 00
) 00
12
9
0 °
Zoo
13
. 00
2�
14
0°
1000
15
ao
�
900
16
Mam4lnl506300
— 34 bl3So'o
171 Soo : 31 = 57��.•
7 oD ?V0
00 9-vo
20
21 -700 3oo
22�,30
v
x
23 a° 1300
24 00 200
25 `��1; � � �� 100
r
26 '�j � °a 200
21 .���� l �o° 1500
28�� e / d ° 0 Soo
29�
30 yt� 00 22OO
�3 00 700
51a NJ 5 jz1

Water Meter Log
Lake Norman ' State Park
i�
MonthNear
2
q
- � i 00
300
3
S® %� �o0
3 °o
4
5
rg 00
6
TO
7�O/
�,°O
300
8
oa
400
9
f o oo
�00
10
-3-5� / < c-:2.00
&00
Of r ®O°
800
12
'o
�/, �� �
2l000
13
j z G
& 00
14 0 -�rl 00 4.00
15 �� /�J o0 1100
16� _Cl
�oo Sod
rvl"i-t)Iy Vc3533100
241Soo �a,P.
21;,500 ; 3o
17
Us
00
1000
18
�7 SZ /210 ®o
Zoo
19
3 6Z 3,5 - °
25oa
20
a ,c�°O
700
21
(coo
221`'
°o
23-�
O°
700.
24
5 .-% '3no
900
25
`�� � � CO
1500
26
X0
1100
27
�` ��� , °O
500
28
3 3 aZ. ld O0
+00
29
' 35.5
od
30
'�� � too
900
31
i
Pcak 1�11 " 2(000g ,P L/i z

I
ter Log
Lake Norman State Park
Month/Year
Location
1 I-qw 17-. 800
00
2 1800 18 co Soo
00 oa
3 �ED 19 300
00
4 6 1500 -600
20
70
..5 1300 21 50
Boo
ti 00
1000 22 co 00 ZDO
7 1000, 23- 00 1000
8 300
00 24 5 00 1500
00
— )zoo 25 (voo
r L/ 00 10 rJ 1600 26 l�sq00- 3 700
27 -.1600
C/ 00 0-0
12 )000 28 1100
13 -9 oo 0 00
29 30,0
14 q' (00 30 00 600
oo 15 100 31 7oo
00
16 4 (000
M VY101 14 Ust
?-SOO 7/3
z, I D o

ry ,f
- Water Meter Log
Lake Norman State Park.
MonthNear i
V
Location �m(�
s T.--)
00
6100
77
2 00
S oo 4�Iy�
I
t
19, ,
3oo
4 �.�`� °°
0po 20 o0 800
5 ���� e �oo Ono 21 ` oo go If� 000
6 qoo 22 � � o0 3oo
7 V a57DO 1300 23 , 1!� oo Zoo
8 lvoo 24-/0 °O
200
9 _ �� vO 3oo 25 3'5� 70 -,
00
�0
10 300 26 �. 7/, °O Soo
11 �� o° 3oo 27 ,� 7 vo 800
12 50"0 Soo 28 oo I q-oo
13 go 29 3 5 � S � O° 3•o
14 �5 �,� , O° - oo .
I boo 30 100
15 � `� Soo 31 ��73. ao —
j — Zoo
6 l� O0 2oD
may1fHl� U� 35738ob
— 35S75oo
I LeI-w Regk DMII*Wo , e114-
I

i
K
3
Water Meter Log
Lake Norman State Park
MonthNear
Location t—( IIA l ;
A DO� �V
?00
Zoo
35 c -7 Ira
4
5 -7-2e
) 700
5
/ a '71 1,500
7
S 7
Zoo
8
-7
300
9
S" s . C7
) 00
10
100
11
S7 45
)) 00
12 3 S r>? '3 S 400
13 -,3593. 5 o
14 Y-5 Zoo
15 `J`300
16 200
IMa,,4,h ly tAsc . 35RZZo0o
3 5-740 00
16,000 3d .
ArY{rroA�Se. I a,00(7 : 30 = Io 0 0
�kl _-"� ,
�1 �e
17 43 �t
1800
19 "� Soo
20 S 300
21 13 5 T 7, 300
22 T %. 4100
23 l ss ' 306
4 24 o d q00
525 ,� 1500
26 0 300
27Zoo
28 �Jr9 / , Zoo
29 % �. 100
30
31
RAIc ` MI : 1700 34J 9/1+

%. Water Meter Log
Lake Norman. State Park
Month/Year
Location ffVY
0
2
3
400
4
zoo
5
.400
6
57
000
7
too
8
UO
9
0
10
600
11
100
12
2
100
13
$00
14
UO
15
boo
16
375 a Q
12oo
3Cpo 1100
30 000
-1.00
1.700
ma
Rea 4� D
--ntI
17 7,00
r.�r t
18
19 7oo
20 UN,,. ,.h I e, :to
21
22 Rl gig
23 1 1-,, p\\q( p R4Z
24. 1800
25
26
27
28
29
30
31
RAk Dol I 210031 -0 /z- .
. N-

2
3
4
5
6
7
8
9
10
11
12
13
14
15'
16 NJV
17
18
19
20
21
22
23-
24
25
26
27
28
29
30
31
Park

Vr
❑j l{
-
\� ��� wr�C)
/V V Y/
V
�Water Meter Log
Location
Family Campground
,z
Bathhouse
Lake Norman State Park
Month/Year NR,�C\Y
17
100
2
S 18
, c °°
Z490
3
519
00
+00
-S4
20,
oa
too
S5
21
loa
6
22
`q—o oo
a
7
23
�a
°
8
a a
24
-j (,1 Lf .2Z
?-ov
9
100
525
S�, ly -3 o0
100
10
0 �,
Ioo
S 26,
ILj to O°
Soo
S 11
27
1 �k7 p°
-fvO
S 12
28
/ goo-
1vo
13
29la
z— 00
490
14
30
f vo
400
15
31
16,
j �5,00
500
M"4,A)7 ws,' 3&15900
a
3b I2-To
3500 3J.
A-vAeac NraG
0 3500 24 dcujs
19(ogpd
Use green paper 24 j
?<ak aal : 4d_ o Mod 3/2& a 2q

iter Meter Log Location Family Campground
Bathhouse
Lake Norman State Park
MonthNear
ea�n�
/ 00 �✓�
17
oo
500
2
:56 1-7 q,,
I C�oO
18
2--7,°O
70°
3
_ 00
4-00
19
:5'6 -,'?7 O°
(eve
4
I '' °O
—,� r _
Zoo
20
00
-
Soo
5
00
- 14 Co
100
21
00
4-00
6
f 6> j 6 00
400
S22
Y6
7
6
20o
523
.S 2 qq oo
r
.. 400
,S8
_ ';56 9 Koo
looa
24
' �� C) �l 0'0
zoo
S 9
3 -2,0 00
700
25
.0102f
10 0
10
oo
Zoo
26
ae
- L3 0
300
11E6°O
300
27
0 LoO
200,
12
3(=, 213 00
300
28
— S f� O°
Zoo
13
3 cL l 700
I-oo
529
-3/ o�
Soo
14
o0
120o
530
,' 15
�, do
��' r L.il
Poo
31
%
.516
(� °0
1400
vlcd, 3(s338 ov Use green paper
- 3l0 I l09' OD
1-7400 9a.P. Pea iC elau� . 2soo 9�1, 4 J3o
wA� UC .
l
1.71*00 . SoCIO, S � 58o90

Campground
Water Meter Log' Location Fa���ygathhouse
Lake Norman State Park
Month/Year
1 17
2 18
3 1 oo 19
4 .� (� 1 3 ao 400 S20
5 (000 Soo ,S21
S6 .7j t6- .5000 40o 22
S7 4 ' - 00 1300 23
8 -7000 Too 24
9 00
( A 3 :7 i 100 25
10 0p 300 26.
11 (p�r' ° I oo S27
12 � ��� )oo S28
00
513 313 1900 29
00
,S14 .3 i 7o0 30
15 o oo Soo 31
16 00 200
MoN►�ly U�. = 3t?sl�oo
Vo 33800
r4vwo►� U�
1-711600 21
300
d oo Soo
00
1 ?� Zoo
o0
(� 000
°p
Iboo
�� q•oo
on
300
00
4-oO
o0
�1 Soo
00
C goo
00
I Zoo
100
►qoo
0
q
ao
I1)oo
vo
400
o0
300
green paper
US Pk d
� 01
Iqn�_• 5128

Water Meter Log
Lake Norman State Park
MonthNear t
Location Family Campground
Bathhouse
1� l 5.00 517
2 �5 �„ 5 +00 S18
S3
.36,5 - �— 700
54.
C 1300
5
500
6
400
7
S +0 0
8
(0 2eo
9
s3 1 � C�
lid.
51 o
r' 7 3 J o o o
511
V ) boo
12 ?° v
13 Soo
14 3ov
19
20
21
22
23
524
S25
26
27
28
29
30
15 (0 (o b 9 S00 31
16 3 (a ts- Gov
Mo��►N U�c. � 3 �7 � Zoo
6w5? 1 00
100
A-✓.�ra� U �
Igloo 30 - �37
Read D���qre-
r 1900
Gov
S 3n o
Soo
?jov
G'�3
1200
1�0
3p0
24o
(o
Zo 0
S o o
lr is l Z-
700
Use green paper
peak -Do,: 1 °Ion 9,P• &As

Water Meter Log Location Family Campground
Bathhouse
Lake Norman State Park
Month/Year (_ �1� , A (-� r) �
S 1 `� � 73 11300 17 oo
52 7(f -7 1700 18 Sao
3 � �-�—`��2� l S 0 d 19 4o n
4 �. 7. 0061 10100 20 ter' cl Soo
._? to,c
5 100621 2-- $oo
6 30.0 S22 I zo 0
7 S +00 523 �1 'boo
58 0 Soo 24 30 0
S 9 36 9 Z�� �O0 25 400
10 'goo 26 300
11 _� % (000 27 �`� �o�, -w0
12 , '� C{ 300 28 900
13 , S �� Soo s29 � ►So0
14 , f' •� .�i' f o o 530 40 o
15 � �� .� ►300 31 � ?00
S � �`�
S16 � ((o, 1100
M04.04)k/ US.(: 30-7700
30 ob Use green paper
ANx.,m U� : �cak 'Doi, 20_ no, Q . 7 /9
� 241700 - 3 I - Lq�fj
B

1 1 /, 9 �? 2_ SQo 17
2
3
4
S5
36
s
9
10
11
512
S'13
14
jq 0° 300
oo
3 (0 Zo 0
(000
7 100.0
"-�6
Goo
7 61
3
57
'2 0 0
�3-7 D
Soo
15 'E%0 ,6.2, too
3`I l4bvo
— 31v�8200
l �r,q'no 9aQ.
18 _0 3 �010 Zoo
519 0 370 ;� 1Zo0
6 ct):3 7 t 6 6Soo
21
7/0
&00
22
10
IZo v
23
6�3'�
2°v
25
100
S26
7/ ��
700
527
3
7 l J 7--
Goo
28
n3
:7/ q 1
qoo
29
s 3
U
SO o
30
0
31
Av,Y&i%c Use,
1 e, 4-00
Use green paper
8/20

ater Meter Log Location Family Campground
Bathhouse
L-uke Norman State Park
MonthNear
700
2 , 3 9 OD 1¢ov
3 . 3 711
4 d.) �3'72 6 170 0
5 3 500
6
7
8
9
10
11
12
13
14
15
16
0 37 ), A `7u'D 13,00
c� 3q�.3cD 300
t� g q 3 300
17
18
19
20
21
22
23
24
25
'U 2 "12 U '�( () 1 I S° 0 26
20 v 27
°O 28
29
SOO 30
100 31
Daily
4o0
SOO
o
,
3 r7,A F-0
Zoo
- � 0 0
'00
/
200
7 %'. C).
700
�✓ aL 1 (),0
700
ZoO
100
CS ! 3 +-- 0 C)
"0
0
03 33,7L (—) ®
300
1J 3 7. 3 � � 00
240
03733E
?Vo
M AI I U�c. 3135500
- 3715300
l e t 20 0v.
Use green paper A f"A8c U�st i
Is 200 . 30 =
C Gk Dal, Zsoolmj. 1/5

Water Meter Log Location Family Campground
Bathhouse
.Lake Norman State Park
MonthNear
17 -Ij- C)o Ibo
20 3 ?-41
vc�v
3 19
4 20 0 3r791,C)c) 400
5 o �521 C C) 400
___)22 Lf o (-) (-)
67 0 A 0 1Ioo 23 . 3vo
58 0 , -1 11 f)D t000 24 -
9 --it .7 C, to zoo 25 6.160 +00
10 3 1111 :3C�O?to 26
11 0 373�/ ()0 30o 27 3 r7 4 o f 700
12 :� C-CZ2zo628 ?all GI °
13 (� 3 7
�%
.� +0 529 '3 7 L4'I �, C) Zoo
S14 0 -3`-7 rl C�2cn 30 C) 3 � SL( 0 C evo
515 31
16 o ,3 4-Q
50
�� 14nv M�,n�i�l Ukc.:. 37�S(voo
� -- 373S1oo
l k '0
90�.
\ \ � Use green paper
I ors o : 31 = 33q pd
9
k
� Pia Dg� 1boa9j.
�( ,� 10/1

Water Meter Log Location Family Campground
Bathhouse
Lake Norman State Park
MonthNear
1 c) 0' .4-99 o o 300 17
2 () k3g a (, O ()y 1yo 518 f<j 6 0 Zoo
3 t000+ S 19 ) no
4 -. -, t 1000 20 0 0 t v a
65 1000 * 21 o
6 74 �% 3500 22? (3 goo
7 23 C: b z3 C) zoo
8 24 Oo 100
9 25
10 0 Soo 26 2�c�,r� 300
11 Soo 27 6 0 �. �� ,2.a60 160
12 �.� I �� Zoo 28 ioo
13 60 29 /` -3 0 C) o ioo
14 r`13 0 6 too, 30 93GI 0 0 100
15 I oo 31 p�s YOE
16 { S f U(D 100 Moan+hly us 7 5 3 I oo
'74 59 0 cl
zoo gal .
Use green paper AVt ; 7200 : 3I 232 Q�
�c L(
l Peck I. - 3300
S _

Lake Norman State Park
MonthNear � - -
Q
1 s17
2 S18
S3
19
I'4
20
5
21
6
22
7
23
Aot94M
S24
9
S25
S10
26
,S11
27
12
T �lv� O
28
1 3
n
29
14
5
30
15
(D "375UQ 0C) ZOO
S31
ouse
F7 4(06 (2
(D r7 5 o c) 3&6,
w�3-r? 5- S71 06 100
3 7 50 0
0
L'Cd, r--
3:78as
3-7 5i- �O1))(0°0
Cc` 300
2,00
rl 5 47,5760
j��e 300
16 40b Mo�,�hl,� 3- (0n 300
_-3 754coo
Use green paper
�ra�C l 3oo. - Zn
3 15 &1 ed
��a k 17� : 180��•
3(

2
�pr7 cer
3 o o zoo
18
3
(0- 3
i
6ov
19
4
.3 ( 2
3 0 0 +o°
20
5
`3 7 �p 'Lao
S21
6
`D l C'3
R O C) 700
S22
57
0 376
3S 00100
23
58 3 1o0 24
9 (o 6) 000 25
10 0 3 r76 Io0 26
11 `] 6 0100 27
12 ��` (0 4 6 D I°0528
13 � _3 L S Q YOO S29
514 J 1& 0 �) goo 30
S15 Z L 100
-�A
16 03 Ll oIgdo
Y, L4 ��
0
- C9 0 l00
wo
r7 100
d- 1000
0 3% 76 1 0 0 Soo
(.100
'�? 7 0 C0 +00
j` 2 ?70 5� 0(-) 300
c) 3 17173( Cho
C)aII-M
M"Vnll VRI 3113800
3710 I 100
1 2700 9a1.
Use green paper
A�v-c rol8c. Usc, 12,7o0 ; 30 = 423 d
Pca k -Dal 15od 01 411 I�

2
3
4
S5
S6
a
s
10
11
512
Water Meter Log Location Family Campground
Bathhouse
Lake Norman State Park
MonthNear
T�ead'� � �,•J y
`•J 2 00
-,00
Zoo
3 i -7 0 0 '00
3 --7
too
4 Zoo
3 7 1 uo
3 7 7 71 00300
3 17 '7 T-1 o 000
17 3-7?-?Oq a i-) 300
18 `7 �C) 7 O 1 300
Sig.
-�30
21
22
23
24
25
S26
S 3 �✓ ( 1 1] 00 '100 29
14 1>
� 300 30
15 n, -7 Soo 31
Zti0
YV O VAly Ue'.131 941 00
3774300
l 9, Qjpd 9aJQ:
Use green paper
pcv,k 1'C)A, - 2 Boovj 5/29

Water Meter Log Location Family Campground
Pathhouse
Lake Norman State Park
MonthNear
500
2 7 5 ,S o p qoo
,53
4
5
6
7
8
S9
S10
11
12
13
14
15
516
0 19 1 /0C)- 1200 19
3 j 9L �'6 °0 ? 03Y 1 / 7 0 (D 3a®
% -A2i '" 3 g r� soo
400 22 �� � j �� U G �
:3 '7 q 7 o23 C),3 q p 0 1900
'� Ztno
7oo
S17 � ►
ire*
1�+�1v Ws�J
T
'72"7 9 '� Z-D0 Soo S24
q00 25
26
27
O C-� Soo 28
6 d �� (no 500 29
® ,O l '500 S 30
7-7 ad GD Ki
2-SOO
� I 6 0 C) Soo
r� JOG) 600
-n37 11-3Gb Soo
3 400
110.0
0 -7vo
gz, L-76 /too
Yvlq,n*►Y 38Zlivoo
— 3 "l °I4boo
27,000
Use green paper
A v- oL86 . Z7, oco = 30 o0
peoj�z Da� : , 2=��. &/1s
t(loU;�G

1
2
3
4
5
6
57
58
9
10
11
12
13
S14
S15
Water Meter Log
Lake Norman State Park
Month/Year
Location Family Campground
Bathhouse
Pea"A ( ' L�*'I„ t,�s�
Q Z 3 0'0
goo
0 1:� $ 0(2. 1?00
C) `70 00 1200
17
18
19
Cl
c) rjo
140'S 21
s .O-1 S 22
-0 3231 3C) 6 1$00 23
3 ( Ieoo 24
�GOo . 25
33 n,300 26
3°0 27
C� (o 3°a S 28
j 29
:J 9 c-) o 30
31
16d� Soo
36 23300
2 1 000
Av"aK Usc= as,(ao0 ;31 = S2(P
Rea ' � 1n
oado
C) Soo
wo
L� a 300
(fib y.N ZoCp goo
(jy,g i f o'7 0 Soo.
Soo
13
o (� 00
C) O 1 700
/t
Use green paper
2,0007 /15

LANO Water Meter Log Location Family CG Shwrhouse
(Two fixed.zeros)
Record ALL numbers - even fixed zeros - do not use decimals!
Month/Year
ReamJ ' ` W
�; sa p ,l.�� 'Lai Iy=
1 C-)3 Z (4 3 V 400 17 *00
2 r"t 4
soO s18 ;. 0 .C) goc7
3 3 35,c) co ,t 6-1"� 19 1300
c
54, Ito° 20 t (e3 C)C) Soo
S5 �`} 3 2 ?�¢0O �21 000
6 -7 n Roo 22 .' 2� oo 300
7 _� �' `�°O 23L,7�L�6 2d0
d
8 243- c)
9 S S Soo S 2 5 _ Q Zoo
10 2 S d 200 326 C-) S11 jgOD 27 3 $!L94/ 39—C22960
Goo
512 28 .r 100
13 �'C900 29 �j�� loo
14 2 5()'(-) 300 30 0
15.' 30 F31 o
16 3 .0
McAN fly qsc : 38701voo
3 044 2500 Use Green Paper
z 1,300 30 .
Ptak �
Ar~cLg- I� st - 21,300= 31 = (o �Pd.

�31
52
�3
4
5
6
7
88
59
10
11
12
13
14
515
316
LANO Water Meter Log Location Family CG Shwrhouse
(Two fixed zeros)
Record ALL numbers - even fixed zeros - do not use decimals!
Month/Year
—O,Zo- 17
� 17 3,? l soo 18
i
.I boo 19
�o0 20
�x o S7)U 100 21
2>'522
j0 S23
O-Z 100 24
? S (� 25
26
l?lam lS 300 27
q7/ 30v 28
00
n n o., S29
7 60��S30
0 �3 S' �'Zn o
lvo 1
3� osoo
M"%)y U 3'68(,600
2 -11 q)00
140WO 54.
Ili,$00. $0 % 495�Qd.
—7- l a2 Too
goo
/. 001,00
�i UJ�V°
0 FYVY16 Soo
6 V 7 C) 0 1 °°o
0 3 "' 0
$00
34 0
boo
-7 _6 (-) 1100
Fs6 U $oo
1100
Use Green Paper

1
2
3
4
5
56
j7
8
9
10
11
12
S13
S14
15
16
4NO Water Meter Log
fp
i -
Location Family CG Shwrhouse
(Two fixed zeros)
ecord ALL numbers - even fixed zeros - do not use decimals!
Month/Year I
`tb® 17
Zoo
97c� 18
7 3 dc� too 19
-7 I oo,520
_f 56 6'°O 321
- o
soo 23
U �j 1400 24
(b200 25
too 26
zoo 527
328
4ou
30
goo
3 W T 3vo
Me4,41y Uv 35&15700
- 3 b87000
I t Roo 50.
Use Green Paper
pta �e D&I - "0 - 9/8

r-
LANO Water Meter Log Location Family CG Shwrhouse
(Two fixed zeros) I,
Record ALL numbers - even fixed zeros - do not use decimals!
Month/Year
a
1CIO 517 m )
o
o S18
Ezoo �0
S3 f �� �� � � C� 19
100
S4 oe- Or 20
o o-
I00 21 6 400
23
coo
8 r ° S24
, f
9 ; -°0525 100
510 `� �100 26 o
00
S11 ,5o `' 271��0
too
0 0' 112
too
13 9 0 C) (0 .0' 29 12)
d -NO CSC
'14 0 62 6A)3 0
15 o07 0 0 1 V O
16 0
h/l"14 LC 3903 no
6600 Use Green Paper
4 $0 0 ��