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Home My WebLink AboutWQ0020881_Monitoring - 08-2020_20201006FORM NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of Permit No.: I••• •:: Div, Of Parks & Rec (Lake Norman SP) • Did irrigation occur at this facility? Cover Crop:! •-� -EMME -M-EM Emm -_-M WMEMME -ME-- m WMIM-M -==E- MMUMEMME M==== MEMMM- OW, M-MM UMMIM MEMMEMEWME mmmm m ME� ®mmmm--_ME-_�-- mmmmm M MEMEME MM ME -��_ _EMME12 - Month Floating Total (in):" -0 FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) 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? Page 2 of 2 o Compliant O Non-Compiant to Compliant O Non -Compliant o Compliant ❑ Non -Compliant • Compliant ❑ Non -Compliant m 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 ew.,n star ,ww,e .„ . Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Chip White Pernittee: Div. Of Parks & Rec (Lake Norman SP) Certification No.: 1004687 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-1T o yes o No Phone Number: 704-528-6350 Permit Exp.: 9130/20 Signature Date Signature Date By this sigratue. I certfy that this newt ls aCCwrale and Complete to the best or my knowledge I tally, under penally of low. that this doaanenl and as altacnmords were prepared under my direction or supervision In accordance wilh a system desgned to assure that as Qualified personnel property gathered and evskafed as information sut meted. Based on my vqusy of the person or persons who manage the system. or time persons diecty respomg dte ale for gatherninformation, to eformation submitted is. to the best of my knowledge ale belief, true, secuele, and complete. 1 sm swan that Ihen NO signitcant parall" fw submetng false information, mkrdrg Ile possibility of fsas and mprisonment for knoxvirg 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 �� 11 ••• Div. . . -.-ML Mi.i .46 A. FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Sampling Person(s) Certified Laboratories Name: Chip White Name: Statesville Analytical, Inc. Name: Name: Page 2 of 2 Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? w `orn°Nen` "...... 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.: Signing Official: Malcolm Scott Avis Grade: S2 Phone Number: 336-549-8990 Signing Officlars Title: Park Superintendent Has the OR ged since the previous NDM o yes la No Phone Number 704-528-6350 Permit Expiration: --�?5- o //,;, IQ-- if - — Signature Date Signature Date By this signature. 1 certify that UK rvport is w.c—te and complete to the best Of my knowledge. 1 corley, under penalty of taw, Met that document and all attachments were prepared under my direction or supervam In accwdenca with a system designed to assure that aN "Wied parsOMW property gathered and evaluated the etfarmslion submilled Based on my ettltory of the person w persons who marinas the syslsm, of Mere Pwsons dkedlly responls if for galhentrtg Me information. the information submitted a. to rise beet d my knowledge abeW. true, aocltmie. end complete. I am ■were that there are sigtuieant pensaias for subm etng hale* Information, mckdaq the pOssbility of fines and mM�sorwnartt ter knowing noW.". Mail Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617