WQ0020881_Monitoring - 12-2020_20210209

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: December
Year: 2020
PPI:
Flow Measuring Point: o Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: 13 Influent 13 Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code — ►
p0
50060040C1°
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00610
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00625
00530
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mg/L"
mg/L
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mg/L
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mg/L,';~
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rx
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5
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Daily Minimum:
;: 447
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ry
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53.33
Sampling Type
r Rec:7rcfer-
Grab
} ,:
Grab
Drab;
Grab
Grb
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Monthly Avg. Limit:
Daily Limit<�13
Sample Frequency
o t sj
Monthly
EiC
4x Year
4x,.Year,,,
4x Year
4x Year
9x Year„
E ;

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? o 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 (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 changed since the previous NDMR? O Yes o No
Phone Number: 704-528-6350 Permit Expiration:
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 penally of law, that this document and all attachments were prepared under my direction of 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. 1 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.: VVQ0020881
Facility Name: Div. Of Parks & Rec (Lake Norman SP)
County: Iredell
Month: December
Year: 2020
e
1
Field Name:
2aYlie
Field Name:
Eaw
Did irrigation occur
_4
1
Area (acres):L715„
Are; Kes
Area acres
at this facility?
ptnp:i
GP,��ao#snrf
Cover Crop:
Woodland
��
�, e , top.Cover
Crop:
HQs
0.4
Hourly Rate (in):
0A
olurfi fate (in):Hourly
Rate (in):
o YES o NO
W(,n)'
;E Ar%nua�afe (in).
3 :1 v
Annual Rate (in):
30.16
nnual Rate (1t
I
Annual Rate (in):
Weather
Freeboard
Fie�fd•irrigated?
== "N0
Field Irrigated?
° YES o No
� efii trrigaked?
� �`_
�
Field Irrigated?
°YEs a No
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Month) Loading:
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0
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12 Month Floating Total (in):
VE0101206
' ,, :°
°

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 Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 17 Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? o Compliant 0 Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 17 Compliant O Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? o 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 11 Permittee Certification I
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
r
1
Signature Date 1--' Signature Date
By this signature, I certify that this report is accurrale 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 signftant
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