WQ0020881_Monitoring - 09-2020_20201104

FORM NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of 2
Permit No.: WQ0020881
Facility Name: Div. Of Parks & Rec (Lake Norman SP)
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Did irrigatio
at this facility?
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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
0 Non -Compliant
0 Compliant
❑ Non -Compliant
e Compliant
0 Hon -Compliant
0 Compliant
0 Non -Compliant
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
tann". "twG" OnQ n
Operator in Responsible Charge (ORC) Certification
Permittee CeMficatton
ORC: Chip White
Permittee: Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 1004687
signing Official: Malcolm Scott Avis
Grade: S2 Phone Number: 336-549-8990
Signing offieiars Title: Park Superintendent
Has the ORC charted since the previous NDAR-1 ❑ yes 0 No
Phone Number. 704-528-6350 Permit Exp.: 9130/20
20
' rot
Signature Date
ignaturc ate
By this sWishre. I eerily arm the report s accurate and compMb to the best of my knowledge
I certay. under penaay of law, that atls document and as attachments were prepared under mirdlreclion or supervision in atcordanca
with ■ system designed to rive that air qualified personnel property gMMnd and a islualed ate wormalbn submitted. Based on my
inrrlry of We pawn or parsons who manage the system. or apse persone directly resporabla for gMrwna Via i don, l Mion, the
aaormalial auttlted is, to the Mat of my krwwMdge end bMf. toe. socurMe, and tempMa. I urn were tttel there an sWCanl
penekln la submadq fabe nlorrneltat imtkrdng the pmaibiay of lines and imprisonment for knowing violvii
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 276994617

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: September
Year: 2020
PPI:
Flow Measuring Point: `3 lonueot ❑ Fmuent 0 No'M:w ce ,aeon
Parameter Monitoring Point 0 Influent M Effluent ❑ Groundwater Lowerinq 0 Surfare Water
Parameter Code
50050
50060
00400
C0310
31616
00610
00630
00620
00625
00530
00665
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v
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to
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o
30 a
tOIr
a
24-hr
hrs
GPO
mg1L
su
I mglL
#/100mLj
mg/L
mg/L
I mg/L
mglL
mglL
mgfL
1
10:20
0.5
891
0
6.85
21
1
891
3
891
4
891
5
891
6
891
7
1200
0.5
891
0
7.39
8
891
9
891
10
891
11
891
12
891
13
891
14
891
15
891
16
1330
0.5
891
0
7.39
10
<1
13.22
<0.1
<0.1
1T25
8 308
0
17
891
18
891
19
891
20
891
21
891
221
1
891
23
15:10
0.25
891
0.01
6.8
24
891
25
891
26
891
27
891
28
891
291
13:30 1
0.25
891
0
7
30
891
31
Average:
891
0.00
10.00
1.00
1322
0.00
0.00
17.25
8.31
0.29
Daily Maximum:
891
0,01
7.39
1000
1.00
13.22
0.10
0.10
17.25
8.31
0.29
Daily Minimum:
891
0.00
6.80
10.00
1.00
13.22
0.10
0 10
17.25
8.31
0.29
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:
Continuous
Monthly
IAyeek
4x Year
4x Year
4x Year
4x Year
4x Year
4x Year
4x Year

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? ® `omp"M U non-corripl re
If the facility is non -compliant, please explain in the space below the resson(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 d Rec (Lake Norman SP)
Certification No.:
Signing Official: Malcolm Scoff Avis
Grade: S2 Phone Number: 336-549-8990
Signing Officiars Title: Park Superintendent
Has the ORC since the previous NDMR °Yes toNo
7nged
Phone Number: 704-528-6350 Permit Expiration:
� /0-2I-240
o a
Signature Date
Signature ate
By this slpnalure, i cartity, that this report s accurrate and complase to the best of my knowledge
I candy, infer penalty of law, that in* dodmere and all altadmMs were pre "rod ender my direction or c ioer i ion in
accordance with a system dNgrod to news that ad aLm~ personnel prOpery paNMr"d and evatuMed the nlerrrtalw
stArnated. Based on my h*iry of the person or persons who manepe the system, or those persons directly respond bte for
gwolmig Ian adonnaflon, the Informaflon submitted Is, to ate best of my IatI I in and bean. in e, acmraN, ate coi % Me. Ism
"ware NM there are sgrWcarx pensaies for submmirtp fob* information, exkx" it* Possibility of frees and imprisormoV for
krtowtnp violetions.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617