WQ0004122_Monitoring - 12-2016_20170117

�, FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
12,
Permit No.: W00004122
Facility Name:
Jordan Lake SRA - Poplar Point
County: Chatham
Month:
December
Year:
2016
Did irrigation occur
at this facility?
❑� YES ❑ No
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
Area (acres): 4.3
Area (acres): 4.3
Area (acres): 4.3
Area (acres): 4.3
Cover Crop: Trees
Cover Crop: Trees
Cover Crop: Trees
Cover Crop: Trees
Hourly Rate (in): 0.12
Hourly Rate (in): 0.12
Hourly Rate (in): 0.12
Hourly Rate (in): 0.12
Annual Rate (in): 26
Annual Rate (in): 26
Annual Rate (in): 26
Annual Rate (in): 26
Weather Freeboard
Field Irrigated?
0 YES
❑ NO
Field Irrigated?
2 YES
❑ NO
Field Irrigated?
❑Q YES
❑ NO
Field Irrigated?
Q YES
❑ NO
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page a of�
Permit No.: WQ0004122
Facility Name:
Jordan Lake SRA - Poplar Point
County: Chatham
Month:
December
Year:
2016
Did irrigation occur
at this facility?
❑� YES ❑ NO
Field Name:
5
Field Name:
6
Field Name:
7
Field Name:
Area (acres): 4.3
Area (acres): 5
Area (acres): 3.3
Area (acres):
Cover Crop: Trees
Cover Crop: Trees
Cover Crop: Trees
Cover Crop:
Hourly Rate (in): 0.12
Hourly Rate (in): 0.12
Hourly Rate (in): 0.12
Hourly Rate (in):
Annual Rate (in): 26
Annual Rate (in): 17
Annual Rate (in): 26
Annual Rate (in):
Weather Freeboard
Field Irrigated?
Q YES
❑ No
Field Irrigated?
0 YES
❑ No
Field Irrigated?
YES
❑ No
Field Irrigated?
❑ YES
❑ NO
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OF in ft ft
gal min
in
in
gal min
in
in
gal min
in
in
gal min
in
in
1
C 38 2'10"
2
C 44 2110"
3
CL 46 2'10"
4
CL 61 0.75 2'10"
5
CL 58 2'10"
6
R 48 0.5 2'10"
7
CL 55 0.2 2'10"
8
CL 55 2'10"
12,000 45
0.10
0.10
10,000 45
0.11
0.11
9
CL 51 2'10"
101
CL 1 58 2'10"
11
C 44 2'10"
12
CL 48 2'10"
13
CL 51 2'10"
14
C 53 2'10"
12,000 45
0.10
0.10
10,000 45
0.11
0.11
15
CL 51 3'
161
CL 1 34 3'
17
CL 36 3'
18
CL 57 0.5 3'
19
CL 34 3'
20
CL 44 3'
21
CL 64 3'
221
CL 1 54 3'
23
CL 53 3'
24
C 59 3'
25
CL 66 3'
26
C 57 3'
27
CL 48 0.1 3'
281
CL 1 55 0.4 3'
29
CL 50 3'
30
CL 49 3'
31
CL 47 3'
Monthly Loading:11
12 Month Floating Total (in):
24,000
0.21
10.61
0
0.00
6.97
20,000
0.22
9.99
0
0.00

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of3
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?
❑Z 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?
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.
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Craig AutryJr
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 0 No
ber:. 919-362-0586 Permit Exp.: 10/31/20
ronee
Signature Date
Signature Date
By this signature, I certify that this rport 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) Page I of _Z_
Permit No.:
WQ0004122
Facility Name:
Jordan Lake SRA - Poplar Point
County:
Chatham
Month:
December
Year: 2016
PPI:
001
Flow Measuring Point:
Q influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point:
❑ Influent
Ej Effluent
❑ Groundwater Lowering ❑ Surface Water
Parameter Code
'50050"` `
00310 ,,`00940
50060
31'6 "'
00610
110625
00620
;"00600
00400
006133 '"
70300
00530
W
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24 -hr
hrs
.GPD. ,
mg/L ;
,,,mg/L
mg/L
#f100 �nL,„
mg/L
�rn IL. �
mglL
mg/4
su
mgi�
mglL
mglL .
1
07:00
0.5
11,350'
2
7:00
0.5
6,650.
3"
7,740
,.
..
4
.8,290 ;;
5
07:00
0.5
7,240` '
6
07:00
0.5
9,260
7
07:00
0.5
',`5,89U` `
8
09:00
0.5
8,100 --
1
7.77
9
07:00
0.5
=7,920
10
5,890 .
11
6,690
12
07:30
1
7,420
13
7,010.,,
:.
14
07:30
1
7,100`:
2
1.02
J
tj
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<6,c,5-
-7, 3J
7.05
�
20,
15
07:00
1 2
5770{
-
In
1 1 ! 1

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 0 of
Sampling Person(s)
Name: Craig Autry Jr
Name: William Baker
Name: RNA Labs
Name:
Certified Laboratories
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
taken. Attacn aaaltlonal sneets It necessary.
pack up
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Craig Autry
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 No
Ph a Numb - 919-362-0586 Permit Expiration: 10/31/2020
Signat a Date
Signature Date
By this signature, I certify that th' 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

R $ S A a r s i x W I 4
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ORATORiES INC.
Report of Analysis
12/22/2016
Client Sample ID: Poplar Point
Site: Jordan Lake
Lab Sample ID:
Collection Date:
k��lliift���
For: Jordan lake SRA
Method
Result
---
Units
Rep Limit Analyst Analysis DatelTime
v
280 State Park Road;
-.........---...___.._
5.05
.......
mg/L
--................ _.....__...__._.....___..___.._._-_.__----.--....---_..-..-------
0.1
-............ _...
MZ 12115/2016
�'
SM 5210 B-2001
6.02
mg/L
2
BR 12/15/2016 1330
b _ '�IWO
Apex, NC 27523.
3
MPN/100ml
1
LP 12/14/2016 1511
r
®�' NC 434 d�U�
Attn: Craig Autry
<0.05
mg/L
0.05
DW 12/14/2016 1440
'
': NC 1437701
Client Sample ID: Parkers Creek
Lab Sample ID:
28450-01
Site: Jordan Lake
Collection Date:
12/14/2016 9:40
Parameter
Method
Result
Units
Rep Limit Analyst Analysis Date/Time
Ammonia Nitrogen
SM 4500 NH3 D-1997
1.28 _
mg/L
0.1 —�
MZ 12/15/2016
BOD -5
SM 5210 B-2001
5.90
mg/L
2
BR 12/15/2016 1330
Fecal Coliform OT
Colilert 18
4
MPN/100ml 1
LP 12/14/2016 1510
Nitrate + Nitrite
SM4500 NO3E
0.138
mg/L
0.05
DW 12/14/2016 1430
Nitrate Nitrogen
SM 4500 NO3 E-2000
0.138
mg/L
0.05
DW 12/14/2016 1430
Total Kjedjahl Nitrogen
Hach 10242
2,38
mg/L
1
MZ 12/19/2016
Total Nitrogen
Calc
2.52
mg/L
1
Total Phosphorous
SM 4500 P E-1999
2.16
mg/L
0.05
LP 12/15/2016
Total Suspended Solids (TSS)
SM 2540 D-1997
14.0
mg/L
5
JB 12/16/2016
Client Sample ID: Poplar Point
Site: Jordan Lake
Lab Sample ID:
Collection Date:
28450-02
12/14/2016 8:30
Parameter
Method
Result
---
Units
Rep Limit Analyst Analysis DatelTime
Ammonia Nitrogen
----__—_.-----.._..._..__
SM 4500 NH3 D-1997
-.........---...___.._
5.05
.......
mg/L
--................ _.....__...__._.....___..___.._._-_.__----.--....---_..-..-------
0.1
-............ _...
MZ 12115/2016
BOD -5
SM 5210 B-2001
6.02
mg/L
2
BR 12/15/2016 1330
Fecal Coliform QT
Colilert 18
3
MPN/100ml
1
LP 12/14/2016 1511
Nitrate + Nitrite
SM4500 NO3E
<0.05
mg/L
0.05
DW 12/14/2016 1440
Nitrate Nitrogen. SM 4500 NO3 E-2000 <0.05 mg/L 0.05 DW 12/14/2016 1440
Total Kjedjahl Nitrogen . Hach 10242 7.30 mg/L 1 M7_ 12/19/2016
P.O. Box 473 106 Short Street Kerners-ville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com Pae 1
= r=: ;�>:, sic •dit

RESEARCh&ANAIYIF*0CAI
Report of Analysis
LAORATORiES ONC,
12/2212016
Client Sample ID: Poplar Point Lab Sample ID: 28450-02
Site: Jordan Lake Collection Date: 12/14/2016 8:30
Parameter Method Result Units Rep Limit Analyst Analysis Date/Time
Total Nitrogen Cale 7.30 mg/L 1
Total Phosphorous SM 4500 P E-1999 2.24 mg/L 0.05 LP 12115/2016
Total Suspended Solids (TSS) SM 2540 D-1997 6.4 mg/L 5 is 12/1612016.
NA = not analyzed
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] wvAv.rand2l2bs.corn Page 2

i
RESEARCIi & ANALYTICAL
LAbORATORI ES, INC.
Analytical / Procbss Consultations
Phone [phone]
JQRDAN LAKE SRA
'AR#Z "ASD
AddressAPEXT NC 27 ;93.
Address:
Quote #:
Project ID: , Y SAA .
Contact:caiq J{ 4i',/
Phone: gig—afB-G4fe
Fax:
CHAIM OF CUSTODY RECORD 06203
Date: la i/1G
Turnaround:
Job Number:
P.O. fiber:
Report To:
Invoice To:
:_
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