WQ0020881_Monitoring - 08-2024_20240927

Monitoring Report Submittal
..................................................
Permit Number#* WQ0020881
Name of Facility:* Lake Norman State Park
Month: * August Year: * 2024
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR 08-2024 LNSP NDMR-AR Signed.pdf 1.54MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * Heather Parker
Signature:
��thFet ��at.F�t
Date of submittal: 9/27/2024
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* W00020881
Is the monitoring report accepted?* Yes NO
Regional Office* Mooresville
Reviewer: _anonymous
Review Date: 10/15/2024

FORM. NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of 2
Permit No.: Q11 1::
•
-•-
August
z1
• irrigation occur
Area (acres):;
Area (acres):
YFS NO
Cover Crop:
Cover Crop:1
too 4
/
1•Hourly
Rate (I
Hourly Rate (i 4
Annual Rate (in):
1
1Annual
Rate
Field Irrigated?•Field
•
•
•

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2 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?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
la Compliant ❑ Non -Compliant
Compliant ❑ Non -Compliant
ro Compliant ❑ Non -Compliant
U Compliant ❑ Non -Compliant
la 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: Todd Robinson
Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 1006252
Signing Official: Colton Blake
Grade: S1 Phone Number: 252-235-8809
Signing Officials Title: Park Superrintendent
Has the ORC changed since the previous NDAR-1? ❑ yes [a No
Phone Number: Permit l p.: 6/30/26
Digitally signed by Todd Robinson
Todd UN: CN = Todd Robinson email =
trobinson@envim inkim, com C =
U92 Envirol20 Inc
Robinson Data : 2024.092015 07 35 04'00' 9/20/24
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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No.: Q11 1':
of •
-•-ll
Month: AugustSampling
11
TY-P.I..
Monthly Avg. Limit:
INICTIMI

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of 2
Sampling Person(s) Certified Laboratories
Name: Operators 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: Todd Robinson Permittee: Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 1006252 Signing Official: Colton Blake
Grade: S1 Phone Number: 252-235-8809 Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDMR? ° Yes o No Phone Number: Permit Expiration: 6/30/2026
Todd Digitally signed by: Todd Robinson
DN: CN = Todd Robinson email -
[e-mail] C =
Robinson USO= Envirolink, Inc.
Date: 2024.09.20 15:07 12-04'00' 9/20/2024 7
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 quairfed 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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617