WQ0020881_Monitoring - 03-2020_20200429

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of
Permit No.: •11 1::
Div. Of • •
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Area
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Field Irrigated?
oil
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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?
0 Compliant a Non -Compliant
® Compliant a Non -Compliant
to Compliant o Non -Compliant
® Compliant o Non -Compliant
6 Compliant o 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: Chip White
Permittee: Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 1004687
Signing Official: Malcolm Scott Avis
M
Grade: S2 Phone Number: 336-549-8990
Signing Official's Title: Park Superintendent)
Has the ORC changed since the previous NDAR-1? ❑ Yes a No
Phone Number: 704-528-6350 Permit Exp.: 9/30/20
Signature Date
Signature Date
By this signature, 1 certify that this report is accurrate and complete to (he best of my knowledge.
I certify, under penally of law, (hat 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: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Pagel of2
Permit No.: WQ0020881
Facility Name: Div. of Parks & Rec (Lake Norman SP)
County: Iredell
Month: March
Year: 2020
PPI:
Flow Measuring Point: m Influent ° Effluent ° No Flow generated
Parameter Monitoring Point: ° Influent m Effluent ° Groundwater Lowering ° Surface Water
Parameter Code - v
d V
H
0 0
66Uft
1
i�
50060
.0
�
L
;j� 00
G
C0310
V
0t
C
m
31'GT67"
U
(?
.
00610`00W,`
E
Q
00620
Z
00626
F-
00530
C �
rn
00665
- _
0
a
' X
R
24-hr
hrs
GPD
mg/L
su
mg/L
#1100 mL
mg/L
mg1L
mg/L
mg/L
mg/L
mg/L
1
638
2
09:45
0.75
638
0
6.23
3
638
4
638
5
638
6
638
7
638
8
638
9
10:15
0.75
638
0.03
6.53
10
638
11
- 638
121
11:15
1 0.75
638
0.02
13
63$
14
638
15
638
16
638
17
10:00
1
638
0
6,42 4
109
86
19.26
0.13 ': "`
0.13
29.34
60
5
181
638
191
1
638
20
- 638
21
638
22
638
23
638
24
638 ..
251
1
638, 1.
261
1
638
27
08:55
1
638
0.01
6.61
28
638
29
63$
30
638
31
14:15
0.75
638
0.02
6.72
Average:
638
0.01
109.00
86.00
19.26
0.13
0.13
29.34
60.00
4.80
----
Daily Maximum:
638
0.03
6172
109.00
86.00
19.26
0.13
0.13
29.34
60.00
4.80
Daily Minimum:
638
0.00
6.23 ''
109.00
" -' 86.00 :
19.26
0.13-
0.13
29.34
60.00
4.80
Sampling Type:
-Recorder..;
Grab
Grab
Graab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:1
Continuous;
Monthly
:_; 11week -
4x Year
- 4x Year.,
4x Year
dx Year
4x Year
4x Year
4x Year

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2of2
Sampling Person(s) Certified Laboratories
Name: Chip White Name: Statesville Analytical, Inc.
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ° Compliant 0 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 (CRC) Certification
Permittee Certification
ORC: Chip White
Permittee: Div. Of Parks & Rec (Lake Norman SP)
Certification No.:
Signing Official: Malcolm Scott Avis
M5A
Grade: S2 Phone Number: 336-549-8990
Signing Official's Title: Park Superintendent)
Has the ORC changed since the previous NDMR? o Yes 0 No
Phone Number: 704-528-6350 Permit Expiration:
y 2/ Z07.v
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