WQ0020881_Monitoring - 11-2020_20210113

FORM: NDMR 10-13
NON -DISCHARGE MONITORING REPORT (NDMR)
Page 1 of 2
Permit No.: WQ0020881
Facility Name: Div. of Parks & Rec (Lake Norman SP)
County: Iredell
Month: November
Year: 2020
PPI:
FI.w Measuring Point: 17 Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: Influent o Effluent ❑ Groundwater Lowering ❑ Surface water
Parameter Code —i
: ` `50050 '<
50060
:00400
C0310
_l
00610
00630 :
00620
=00625 '
00530
00665
Via, Y
ri z ,y
m
Q
~
O
C
OE
�j
F— rA
U
O
o
W:
? C
o N o
~ (Y V{i'r
pg* '.
T
F�.
O
0
O
"r
QY
lL'��..'
w
C
E
Q
3' + m
s 6
:""
;3 �� "�,
y
2
1 T'
Y
j r: z
{ 4
'O tlf
o O O
~ to
cn
,
t'
24-hr
hrs
GPD.. ;`
m /L
g
':" su. -'`
m /L
9
,jl00'mL'
m /L
9
�� �
m5 `\
m !L
gk_
m !L
9
r ;:`i_
1
746.
�:...
4
11:20
0.25
0'%i
$
r,
j2-=
4
8
NOW
9
a•-,
10.
.,
-
11
10:00
0.5
NAM,
0
UAW $-
12
13
4momImam
14
15
80110
16
��
17
13:40
0.5
0�
18
19
Tx
z,
20
MOM
21
��1
.21 '
22
23
am,
24
08:45
0.5
0
25
OWNS,
.21
26
EL
27Now
28
29
30
10:30
0.5�:.
0.01
31..
. _'
^$
A ",
Average
w� 7
0.00
�w
, ONE
Daily Maximum
x .w
0 01
" & 84sf
; _
Daily Minimum,.
000
,67.0 r�
51.:.:
Sampling Type
Vie'
Grab
z
Grab��
;ice
Grab
_
.. l l
Grab
A'L r
Monthly Avg. Limit
""a
Daily Limit'.
Sample Frequency:
Tritiii
Monthly
F(
4x Year
4x Year
4x Year'43(h!!�a

A` 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? 2 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.
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 Official's Title: Park Superintendent
Has the ORC nged since the previous NDMR? Yes o No
Phone Number: 704-528-6350 Permit Expiration:
AZ-0 zto
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

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of
Permit No.: WQ0020881
Facility Name: Div. Of Parks & Rec (Lake Norman SP)
County: Iredell
Month: November
Year: 2020
Did irrigation occur
Field Name::
i
Field Name:
2
ISO
Field Name:
Area (acres).
4 1 715��
Area (acres):
( )
1.715
Area acres)
(
i''
Area acres
(acres):
this facility?
a.;
,:
at
-
`
Cov+s Crop:
Vvooalani z
Cover Crop:
Woodland
„ Cover Crap.
Cover Crop:
o YES ❑ No
ir-HourhpRate (iri)
��" 0 4'
Hourly Rate (in):
0.4ourty
Rate (in);
Hourly Rate (in):
y
'Annuai €date (in):
�0 $5
Annual Rate (in):
30.16
nnual Rate(iri)�
,
Annual Rate (in):
Weather
Freeboard
Field Irrigate
�� No ;
Field Irrigated?
° YES a No
Field irrirgated?�
ND
Field Irrigated?
° YEs o No
m
�
w .n
";
� �•.�t
a �
FFi�h�n"em
E
'��.�
kg 4.io
E3
0
MaE
2
mo
E�
E
rn
tm�w
E :a�
E N
. C
?' Crno
E
°
s
X o
ti
aa
E
R
E
� o
Q
`
o
oi
O
J
mz Oi
''
`}
_
_
J
3
°F
in
ft
ftµ`'`af`
min
in
gal
min
in
in
, t-9a„`ftt
„
it
i in
gal
min
in
in
2
AM"s
O?
ROE-
3
4
C
57
1.25
3.75
5
�a s%'
�
Ago
t
3
6OEMrS
10
• -
q6
11
R
71
0.75
3.75
8�.,.,^`
�,,.
w.
12
Y.
s z
k S§
x r
r s
ur
14
15
16
"
{
17
C
58
2.8
3.25
18am
now
19
20
101,00""1 '.
'
K�
21
•..a,
q
t
1 y
22
"Nom.
am
v Y
MOMS
V., '
01.
231
son
24
C
35
0
325
,,
24,300
205
0.52
0.15„Mom
el
25
26
27
VON
28
29y.
�x
30
R
52
1.25
3.3?`."%
_
_
,i
}
_�
31
Monthly Loading
0
0,00 '"
24,300
0.52
, x k
;0�
0
0.00
12 Month Floating Total (in):,
knt^`.

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?
O Compliant ❑ Non -Compliant
IJ Compliant ❑ Non -Compliant
o Compliant ❑ Non -Compliant
0 Compliant D Non -Compliant
o 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.
Operator in Responsible Charge (ORC) Certification
Perrnittee Certification
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 Officials Title: Park Superintendent
Has the ORC changed since the previous NDAR-1? ❑ yes o No
Phone Number: 704-528-6350 Permit Exp.: 9/30/20
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