WQ0000488_Monitoring - 06-2022_20220711 (2)

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _L_ of
Permit No.: W00000488
Facility Name: Jordan Lake SRA - Vista Point
County: Chatham
Month: June
Year: 2022
PPI: 001
Flow Measuring Point: _' Influent Effluent ❑ No Flow generated
Parameter Monitoring Point: ] Influent [A Effluent ElGroundwater Lowering ] Surface Water
Parameter Code 10
50050
00310
50060
31616
00610
00625
00620
00600
00400
00665
00530
E
C
O
_
m
N
dNt
W U
N=
u-O
U
C
0
E
E
L
C
N
a)
o2
N
z
C
a)
0 2
Z
0.
(n
O
O
o
CO
aN
0)N
V)
Op
a
24-hr
hrs
GPD
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
1
13:35
3
1,453
0.82
6.57
2
13:15
3
1,453
0.98
6.54
3
1,453
4
1,453
5
1,453
6
10:20
1
1,453
0
6.67
7
09:50
3
1,453
5.85
0.56
<10
<0.050
5.56
1.94
5.56
7.06
3.45
8.4
8
09:30
3
1,453
0.99
6.93
9
09:45
1
1,453
10
09:15
3
1,453
0.61
6.84
11
1,453
12
1,453
131
11:40
1
1,453
0
6.89
14
1,453
15
1,453
16
1,453
17
10:10
1
1,453
A r
18
1,453
19
1,453
20
10:20
1
1,453
0
6.85
21
1,453
22
1,453
23
1,453
241
10:00
1
1,453
25
1,453
26
1,453
27
09:50
1
1,453
0
7.04
28
10:35
1
1,453
29
10:20
1
1,453
30
1,453
31
Average:
1,453
5.85
0.44
1.00
0.00
5.56
1.94
5.56
3.45
8.40
Daily Maximum:
1,453
5.85
0.99
10.00
0.05
5.56
1.94
5.56
7.06
3.45
8.40
Daily Minimum:
1,453
5.85
0.00
10.00
0.05
5.56
1.94
5.56
6.54
3.45
8.40
Sampling Type:
Estimate
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
2,350
Daily Limit:
Sample Frequency:
Monthly
3 x Year
See Permit
3 x Year
3 x Year
3 x Year
3 x Year
3 x Year
See Permit
3 x Year
3 x Year

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of _—
Sampling Person(s) Certified Laboratories
Name: Kegan Butler Name: Cameron Testing Services Inc.
Name: William Baker Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: William Baker III
Permittee: Jordan Lake SRA
Certification No.: 1003671
Signing Official: Shederick Mole
Grade: SI Phone Number: 919-362-0586
Signing Official's Title: Park Superintendent IV
Has the ORC changed since the previous NDMR? ,] Yes ` No
Phone Number: 919-362-0586 Permit Expiration: 1/31/2027
' 7/5/2022
7/5/2022
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 08 11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page a of �_
Permit No.: W00000488
Facility Name: Jordan Lake SRA - Vista Point
County: Chatham
irrigation
• occur
at this facilit
..
..
..0
v er Crop:
YES NO
Hourly -.
R.
-.
-.
Annual Rate (in):1:Annual
Rate (in).,
Annual Rate (in):

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page .=L of 2
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? ❑� 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? ❑ Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
ORC: William Baker III
Certification No.: 1003671
Grade: SI Phone Number: 919-362-0586
Yes No
7/5/22
Permittee Certification
Permittee:
Jordan Lake SRA
Signing Official: Shederick Mole
Signing Official's Title: Park Superintendent IV
Phone Number: 919-362-0586 Permit Exp.: 1 /31 /27
7/5/221
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