WQ0020881_Monitoring - 06-2020_20200729

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?
o compunt
o Non•Compaard
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
m compliant
o Non-comal.nt
Was a suitable vegetative cover maintained on all sites as specified in your permit?
m compliant
o Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
o compNart
o Non-comalant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
® compunt
❑ Nan -Compliant
If the facility is non -compliant, please explain in the space below the reason(&) the facility was not in compliance. Provide in your explanation the date(&) of
the non-compliance and describe the corrective
raneri. eutaui auumunat snacis n
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Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Chip White
Penn' Div. Of Parks & Rec (Lake Norman SP)
Certification No.: I D04687
Signing Official: Malcolm Scott Avis
Grade: S2 Phone Number: 336-549-8990
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDAR-17 o Yes O No
Phone Number. 704-528-6350 Permit Exp.: 9130/20
�— 7 -1-7 ` zD
7 17 2- 20
Signature Date
Signature Date
fly Inds signature, I certify that this report if accurrate and is mptste to the bast of my knoxrladgs.
I unify, under penalty of Ise'. that This document and as attachments vrra prepared under my dwedlion a supwv-scan in accordance
wth a system designed to "$in that ag qualified personnel property gathered ant evaluated Ind information submitted. Based on my
inquiry of the person a pereom who mrupe to system, or those pwsara directly feep*mkft for gsmering the I Oct aliom. Ind
nformehon submitted is, to the best of my knovnedge and belief. true. ecevwe, and nmrnplae. 1 am sere that there as spNfeaM
peraaw for submttrq fable information, nekaling the possibility of area and imprisonment for krrowng 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 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of 2
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Did irrigation occur
at this facility?
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FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of 2
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? 0 comwant 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
Pwmktee: Div. Of Parks & Rec (Lake Norman SP)
Certification No.:
Signing Official: Malcolm Scott Avis
Grade: S2 Phone Number: 336-549-8990
Signing Officiars Title: Park Superintendent
Has the ORC c d since the previous NOMR7 0 yes o No
Phone Number: 704-528-6350 Permit Expiration:
7,/7a o
Signature Date
Signature Date
By this signakre. I candy Mat this report n accurrste test compute to the !rest of my krowtedgt
I certify, viler penalty of taw, mat this document ants elt altachmenls were prepared under my direction or sllparvhio n in
accordance with a system designed to sasvt that of "Wild persorwl properly gettwed and evskatted the Information
submitted. Based m my equry of the parson or persons who manage IM system. or those pa sons tiredly mponsbN for
gslhedng the Mormstion, ltte Wornlalion submitted is, to the beat of my knowledge and belar. We. aearaxe, and complete. I am
swan that Mem are signale,nt penalties for,r8milling false inloemahon, inekxting the possibility of fnes and imprisavnem for
knowwgg violations.
Mail Original and Two Copies to:
Divislon 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.: W00020881
Facility Name: Div. of Parks & Rec (Lake Norman SP)
County: Iredell
Month: June
Year. 2020
PPI:
Flow Measuring Point: m Influent o ernuent ❑ No now generated
Parameter Monitoring Point: ° Influent 0 ERhreM 13 Groundwater Lowmng O surface wand
Parameter Code -►
50050-:'
50060
00400
C0310
31616
00610
- 00630
00620
Oi'!6
00530
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H
1L
1
24-hr
hrs
GPD
MgA-
su
mg1L
#1100 mL
m91L
mglL
mglL
mg/L
mglL
mglL
1 1
1,283
-.--
21
1,283
---
31
1,283
- --
41
10:15
0.5
1,283
0
6.68
51
1.283
6
1,283
7
7,283
-- 1
8
1.283
i
9
1,283
10
17:15
0.75
1,283
0
683
11
1,283
12
1.283
13
1,283
14
1,283
15
1,283
-
-rF
,
16
10-15
0.5
1,283
0
6.71
17
1,283
18
1,283
-----
-
19
1,283
20
21
22
11:45
0.5
0
6.8
3.1
<1
426
0
0
5.71
5,143
1.223
E283
25
2627
28
1,283
29
12:00
1 0.5
1,283 '
0
6.71
30
1,283
31
Average:
1.283
0.00
3.10
1.00
4.26
0.00
0.00
5.71
5.14
1.20
Daily Maximum:
1,283
0.00
6,83.
3.10
1.00
4.26
0,00
0.00
5.71
5.14
1,20
Daily Minimum:
1,283
0.00
6.68
3.10
1.00
4.26
0.00
0.00
5.71
5.14
1.20
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Umit,
Daily Limit:
Sample Frequency:
Continuous
mo"N,,
1lweek "'
4x Year
4x Year
4x Year
4x Year
ax Year
ax Year
ax Year