WQ0000488_Monitoring - 12-2016_20170117

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page —L of Z,
Permit No.: WQ0000488
Facility Name:
Jordan Lake SRA - Vista Point
County: Chatham
Month:
December
Year:
2016
Did irrigation occur
at this facility?
❑ YES Q NO
Field Name:
1
Field Name:
Field Name:
Field Name:
Area (acres): 1.6
Area (acres):
Area (acres):
Area (acres):
Cover Crop: Trees
Cover Crop:
Cover Crop:
Cover Crop:
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in): 20.8
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather Freeboard
Field Irrigated?
❑� YES
❑ No
Field Irrigated?
❑ YES
❑ NO
Field Irrigated?
❑ YES
❑ NO
Field Irrigated?
❑ YES
❑ No
Q
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=F1 ft ft
gal min
in
in
gal min
in
in
gal min
in
in
gal min
in
in
1
C 38 3'2"
2
C 44 3'2"
3
CL 46 3'2"
4
CL 61 0.75 37"
5
CL 58 3'2"
6
R 48 0.5 3'2"
7
CL 55 0.2 3'2"
8
CL 55 37"
9
CL 51 3'2"
101
CL 1 58 3'2"
11
C 44 3'2"
12
CL 48 0.2 37"
13
CL 51 3'2"
14
C 53 37"
15
CL 51 3'2"
161
CL 1 34 3'2"
17
CL 36 3'2"
18
CL 57 0.5 3'2"
19
CL 34 0.5 37"
20
CL 44 3'2"
21
CL 64 3'2"
221
CL 54 3'2"
23
CL 53 3'2"
24
C 59 3'2"
25
CL 66 3'2"
26
C 57 37"
27
CL 48 0.1 3'2"
281
CL 155 0.4 37"
29
CL 50 3'2"
30
CL 49 3'2"
31
CL 1 47 1 1 37"
Monthly Loadinwl
12 Month Floating Total (in):
lb4n"iw

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? R1 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? 21 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: Craig Autry Jr
Permittee:
Jordan Lake SRA
Certification No.: 991564
Signing Official: Shederick Mole
Grade: SI Phone Number: 919-218-6410
Signing Officials Title: Park Superintendent IV
Has the ORC changed since the previous NDAR-1? ❑ Yes Q No
Phone Number: 919-362-0586 Permit Exp.: 10/31/20
1I31�1?Y
,�-*,trw
rlt�- hA,-, ! q>
Signature Date
ture Date
Siglet
By this signature, I certify 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: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Permit No.: WQ0000488 —FFacility
Name:
Jordan Lake SRA - Vista Point
PPI:
001
Flow Measuring Point: El influent E] Effluent E] No flow generated
Parameter Code —Po50050,vq00310
R] Effluent Ej Groundwater Lowering
❑ Surface Water
50060
31616
06
00625
0
0
E
C
E
.02
CL
U)
02
ro
0
P
=
U. 0
Ef"
j,
[L
Z
0
0
C)
24 -hr
hrs
mg/L
#1100 mL
mg/L-'
1 21 09:00
0.5
40
08:30 1 0.5
10:30 1 0.5
Page [ of
Daily Maximum: ,�1,,7,0p"�-„�,-,',',I 11111111,��
Daily M1nimum:
Sampling Type: li'--,-' mate
Grab Grab,Gula Grab 1_Gti t_ I Grab Grab Gratia_ F
Daily Llmit:j,',��
Sample Frequency: 1 Moldy- Year [0*P r,,,” Yd
3 x Ye 40fl 3xYear 3 x Year 3 x Year
1 3 x Year
ICounty:
Chatham
Month: December
Year: 2016
Parameter Monitoring Point:
E] Influent
R] Effluent Ej Groundwater Lowering
❑ Surface Water
00600
00665
0
C
CL
U)
Ems. OZ
0
[L
Daily Maximum: ,�1,,7,0p"�-„�,-,',',I 11111111,��
Daily M1nimum:
Sampling Type: li'--,-' mate
Grab Grab,Gula Grab 1_Gti t_ I Grab Grab Gratia_ F
Daily Llmit:j,',��
Sample Frequency: 1 Moldy- Year [0*P r,,,” Yd
3 x Ye 40fl 3xYear 3 x Year 3 x Year
1 3 x Year

FORM: NDMR 03-12
Name: Craig Autry Jr
Name: William Baker
Sampling Person(s)
NON -DISCHARGE MONITORING REPORT (NDMR)
Name: RNA Labs
Name:
Certified Laboratories
Page of
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑Q 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.
NOTE: back up ORC William Baker visited the site during 12/29-30/2016
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Craig Autry Jr
Permittee: Jordan Lake SRA
Certification No.: 991564
Signing Official: Shederick Mole
Grade: SI Phone Number: 919-218-6410
Signing Official's Title: Park Superintendent IV
Has the ORC changed since the previous NDMR? ❑ Yes 0 No
Ph ber: 919-362-0586 Permit Expiration: 10/31/2020
i
Sign re Date
Signature Date
By this signature, I cert 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