NC0071528_Regional Office Historical File Pre 2018

• PERMIT NO.: NC0071528
CILITI` NAME: Lake Norman Woods WWTP
OWNER NAME: Lake Norman Woods Homeowners
.Asr•ociation
GRADE: WW-3.
aLIMR PERIOD: 01 2019 (August 2019,j
PERMIT VERSION 4,0
CLASS: W1 -2
ORC: Dennis W hock
OR C HAS CHANGED: No:-.t.:
SION: 1,0
SAMPLING LOCATION: UENT DISC
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7'1.'r4
fiCCENEDINCOENPIIIWR
STATUS: Processed
NO.: 001 NO
004310
58969
laMMINII
IMIIIIMIMIIMI
IMI=MIIt111111111111110111111111111
®-10®®
0.001,1
IIIIIMEMMINMENNEMESIMINEM
14.46 1911111111211111
®® 4.0)7 �®
*»-** No Repo
g Reason: ENFRLSI?. — No. Flow-Rcuse`Rccyck ENVWTHR _ N
Stisitation Adverse Weaher9 NOFLOW = No Flow, EI(.
n •- Holiday

NPDES P RMIT NO.: NC0071528 PERMIT VERSION: 4,0
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2
OWNER NAME: Lake Norman Woods Homeowners ORC: D entris W Murdock
Association
GRADE: W W-3.
eDMR PERIOD: 08-2019 (August 20(9)
ORC HAS CHANGED: No
VERSION; 1,0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER. 7144
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
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1145
1115
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0845
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D 05 MrtikiA11 1%,
""" No Reporting Reason: ENFRt,,15E No Flow-Reuse/Recycle; FNVWTHR No Visitation—Adver4 Weather; NORM No Flow; HOLIDAY No VisitHday

PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
ACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock ORC CERT NUMBER: 7144
Association
GRADE: WW-3. ORC HAS CHANCED: No
eDMR PERIOD: 08-2019 (August 2019) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE 4: 8282384659 SUBMISSION DATE: 09/27/2019
09/27/2019
ORC/Certifier Signature: Chris Bitterman E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
ta,-,
09/27/2019
Permittee/Submitter Signature:*** Chris Bitterman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
LAB NAME: Statesville Analytical
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.orglweb/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
ORC on Site?: ORC must visit facility and document visitation of facility as required per I5A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 1SA NCAC 2B
.0506(b)(2)(D).

VERSION: 1.0
PERMIT STATUS: Active
R COUNTY: Catawba
ORC CERT NUMBER: 7144
c EN IRA L., RIES
r)1AIR SECTI C)N STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
S :PERMIT NO N(0071528 PERMIT VERSI
ACILITY NAME: Lake Nornaan Woods WW1 P CLASS: WW-2
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis AV Murdock
Association
GRADE: WW-3, ORC HAS CH„ANGE
eDMR PERIOD: 07-2019 (July 20).91
: 2404 ;auk.
111111111111111111•11111111111111111111111111
1 I 1.X)
R 100
M Avvrool,intm ,
Monthly Merno,
fhily Minimum
0000, 25 t. 7 02 00 4 235 0
9 (5006!
0 000 2,R4 7
RiR I .R.R;
.00122
COM
5 2 !
! 15 5.455
.Rt
11.9
I) 5
!HI
0555
MMIS 46300
Grub
I RR
5 !I
0.5
**** No Repottins Reason: ENFRUSE No Flow.RcuseiRecycle; ENVWITIR RRR, No Visitation - Adverse Wernhcr: NOROW No Flow: HOLIDAY -No VisRRation - Holiday
7,3

NPUES PERMIT NO.: NC0071528 PERMIT VERSION:4,0
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Vtwrd
Association
GRADE: WW-:i.
eDMR PERIOD: 07-2019 {.luly 20I4}
ORC FIAS CHANGE No
VERSION: I.0
PERMIT STATUS: Activ
COUNTY: Catawba
ORC CERT NUMBER: 7i44
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
'°" No Reporting Reason.: i NFRUSE x Nn Flow-RcusefRecyele: ENVWTITR No Visitation - AdvcNie Weather,. N©FLOW No Flow; HOLIDAY No Visit

S PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
ACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock ORC CERT NUMBER: 7144
Association
GRADE: WW-3. ORC HAS CHANGED: No
eDMR PERIOD: 07-2019 (July 2019) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 08/29/2019
l y;
08/29/2019
ORC/Certifier Signature: Chris Bitterman .E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part 1I.E.6 of
the NPDES permit.
08/29/2019
Permittee/Submitter Signature:*** Chris Bitterman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
LAB NAME: Statesville Analytical
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*" Signature of Permittee: [f signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPRES PERMIT NO.; NC0071525 PERMIT 'VEll„c+ION: 4.0
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2
OWNER NAME: Lake Norman Woods Hon:eownei ORC: Dennis W :brdv k
AssC�c ation
GRADE; W"W:3,
eDMR PERIOD: 01=2019 (June .2019)
ORC HAS CHANCED: No
VERSION: 1,0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7143
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
***" No Reporting Rea8on: ENI USE No F'low,Reuse°Recycle: ENVY UIR No Visitatioou't--. Adverse l4°caGher: NOF'LOW = No Flo v; HOLIDAY Nei 1'1siiaxiun .m Holiday

NPDES PERMIT Na: NCOPERMIT VERSION: 4,0
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock
Association
GRADE: WW-3,
eDMR PERIOD: 06-2019 (June 2019)
ORC.HAS CHANGED: No
VERSION: 1,0
PERMIT STATUS: Active
CO(NTY: Catawba
ORC CERT NUMBER: 7144
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE MOO.: 001 NO DISCHARGE*: NO
".. No Reporting Reason: ENFRUSE _ No Flow•ReuseiRecvcle: ENV'WTII1t.--No Visitat'¢urt-- Adverse Weat
No Flow; HOLIDAY • No Visitation —.Holiday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock ORC CERT NUMBER: 7144
Association
GRADE: WW-3. ORC HAS CHANGED: No
eDMR PERIOD: 06-2019 (June 2019) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 07/25/2019
07/25/2019
ORC/Certifier Signature: Chris Bitterman E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
a; 13;1(i
07/25/2019
Permittee/Submitter Signature:*** Chris Bitterman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
LAB NAME: Statesville Analytical
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit (9l9) 807-6300 or by visiting http://portal.ncdenr.org/web/wg/swp/pslnpdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2) (D).

PERMIT NO.: NCO
PERMIT VERSION.4.0
CI ITY NAME: Lake Norman Woods WWTP CLASS: WW-2
OWNER NA%1E: Lak
Association
GRADE; WW 3.
eDVIR .PERIOD: 05-2019 (Islay 2019)
Woods Homeowners
ORC: Dennis
nrd
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUM BETA
STATUS: Processed,
wows
,.y
SAMPLING LOCATION: EFFLUENT DISC AR NO.: 001 NO DISCHARGE*: NO
ORC II LS CHANGED:
VERSION: 1 0
11.110.11111111111111.0.
111111111111111111111111111111
1111111.11111
11111111111111111111
Y
Y
Y
0.; Y
'"•" No Reporting Reason:ENFRUS1- No L'1 w-Rcus ikocycic,, ENV WINK No Visita'not1 Advent Wcat
0 7.6
1101_IDAY- No Visitatir a - Ho

NPDES PERMIT NO.: NC0071528
FACILITY NAME: Lake Norman Woods WWTP
OWNER NAME; Lake Norman Woods Homeowners
GRADE: WW-1,
eDMR PERIOD: 05-2019 (May 2019,)
PERMIT VERSION: 4,0
CLASS: WW-2
ORC; Dennis W Murdock
ORC HAS CHANGED; No
VERSION:1,0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7144
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
11111111111111111111111111111111111111111111
1111111111111111111111111111111
111111111111111111111111111111111111111
1111111111111111111111111111111
11111111111111111111111111
EMI
Daily ailialintrisi
"'"" No Reporting Reason: EN
Reu ea cycle; FNVWTHR No Visitation - Adverse Weather: NOFLOW .. No Flow; HOLIDAY No Visitation •-holiday

PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
ACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock ORC CERT NUMBER: 7144
Association
GRADE: WW-3. ORC HAS CHANGED: No
eDMR PERIOD: 05-2019 (May 2019) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 06/19/2019
l 3/
06/19/2019
ORC/Certifier Signature: Chris Bitterman E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II_E.6 of
the NPDES permit.
06/19/2019
Permittee/Submitter Signature:*** Chris Bitterman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
LAB NAME: Statesville Analytical
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/weblwq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES pernut for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

'RMIT NO.. iv( 007I52k
LAC NAME:Lak
OWNER NAME: Lake
Ass oclartu41l
GRADE: WW-3,
eDMR PERIOD:
4-2019 (April 20
PERMIT VERSION:4 0
CLASS: WV. 2-2
awntrs ORC.: Dennis W urdo k
ORC HAS C'H.ANGED: Yes
VERSION: 10
PERMIT STATUS: Active
COUNTY.Catawba
EL ORC CER I` NUMBER: 7144
9
r(i{L. FILES
SECTION STATUS:
'IATI'S PrLLes
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
No Reporting Reason: EN R
ReuseiRt vcle, E.NVWI"HR = No b isiration A k+ rs 4Yearircr: AOFLOW No Flo'
J U N 97 11;
WQRO
MOORESVILLE REC4 )MAt FFIC '

NPDES PERMIT NO.: NC0071521
FACILITY NAME: Lake Norman Woods WWII'
OWNER NAME,: Lake Norman Woods Homeowners
Association
GRADE: WW-3.
PER.MIT VERSION: 4..0
CLASS: WW-2
ORC: Dennis. W Murdock
ORC HAS CHANGED: Yes
eDMR PERIOD: 092019( pril 2019) VERSION:1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7144
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
NiontlOy Avtragt1 II
"" No Reporting Reason: lit:NFRUSE =N Flow-Reuso(Rizeyclo; ENVWTHR No Visitation - Adverse Weather NOFLOW No 1ow; HOLIDAY - Holiday

RDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock ORC CERT NUMBER: 7144
Association
GRADE: WW-3. ORC HAS CHANGED: Yes
eDMR PERIOD: 04-2019 (April 2019) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 05/29/2019
05/29/2019
ORC/Certifier Signature: Chris Bitterman E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
05/29/2019
Permittee/Submitter Signature:*** Chris Bitterman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
LAB NAME: Statesville Analytical
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

MIT NO.': NC0071528 PERMIT VERSIO 4,0
I_,ITY` NAME: Lake Norman Woods YV TP CLASS; WV-2
OWNER NAME: Lake Norma Y`oetU 3%rttaoc: tiamo ORC: Dennis 1V iurdock
Association
GRADE: WW-3, ORC HAS CHANGED: No r�
eDMR PERIOD: RIOD: 03-2019 .hlarch 2019) VERSION: 1,))
+rrs No Rcporti
PERMIT STA1"FUS: Active
COUNTY: Catam.rba
ORC CERT NUMBER: 7144
t .:1 isr DiNICIII,11NWOWF1:;:
STATUS: Processed
SAMPLING LOCA` ON: EFFLUENT DISCHARGE NO.: 001 NO L*4enA N
RiNFRIZSE = No Flow-Rcuse Recycle; EN
.R. a No Visitation -
d:xy

NPDES PERMIT NO.: NC0071528 'PERMIT VERSION; 4.0
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW2
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock
Association
GRADE;
eDM.R PERIOD: 03-20 9(March 2019)
ORC HAS CHANGED: No
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7144
VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
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**** No Reporting Reason: ENFRUSE -Ni, Elow-RensetRceyekt; ENYWTHR No Visitation- Adverse Weather; NOELOW No Flow; HOLIDAY - No Visitation -- Holiday

HT NO.: NC0071528
IL1TY NAME: Lake Norman Woods WWTP
OWNER NAME: Lake Norman Woods Homeowners
Association
GRADE: WW-3.
eDMR PERIOD: 03-2019 (March 2019)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Dennis W Murdock
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7144
STATUS: Processed
SUBMISSION DATE: 04/19/2019
04/19/2019
ORC/Certifier Signature: Chris Bitterman E-Mail:[e-mail] Phone #:[phone]
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
Date
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
fk 14-
04/19/2019
Permittee/Submitter Signature:*** Chris Bitterman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
LAB NAME: Statesville Analytical
CERTIFIED LAB ##: 440
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit (9 1 9) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

PERMIT NO.: NC007I52,8
FACILITY L Y NAME: Lake. N'urtrtan J'tuwas W
OWNER NAME: Lake Norman Wood horn
Asociaftot
GRADE: WW-2
el)MR PERIOD: 02-2019 (February 2019)
PERMIT VERSION: 4,0
CLASS: WV-2
ORC: Robert Charles 4 "bite
OR( HAS CHANGED: No
VERSION: 1
PERMIT S'I"ATLS. Active
OUNTY: Catawba
ORC CERT NUMBER: 99
STATUS: Processed
2 7 2019
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
'"°'• No Reportiu RUSE _ No flaw-Ftc aw'Rec k, bNV W' I'lIR -= No Visitation —Adverse Weather NOHLOOW —Na How; t1OLIDAV = No Visitation — I

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods fib'"WT"F CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods,Homeowners ORC: Robert Charles White ORC C'ERT NUMBER: 99t976
Association
GRAVE: WW-2 ORC HAS CHANGED: No
eLIP4+IR PERIOD: 02-2019 (February 2019) VERSION: 1.C?
ttecssed.
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
Avcr
**** No Reporting Rvas w LNFRI. SE _ No Flow-Reuse/Recycle; ENVWTHR =a- No Visits
adverse. 'Are asires; i`NOFLOW e No How; HOLIDAY eo Visitation - Hotiday

ES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Robert Charles White ORC CERT NUMBER: 991976
Association
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 02-2019 (February 2019) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 03/21/2019
03/21/2019
ORC/Certifier Signature: Chris Bitterman E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
03/21/2019
Permittee/Submitter Signature:*** Chris Bitterman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
LAB NAME: Statesville Analytical
CERI'IN'ILD LAB #: 440
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per I5A NCAC 2B
.0506(b)(2)(D).

RMIT NO.:
NAME: Lake Norman Woods WWI?
OWNER NAME: Lake Norman Vouds Homeowners
GRADE: W W-3.
PERMIT VERSION: 4.0
CLASS: WV-2
ORC: Dennis W Murdock
ORC HAS CHANGED: Yes
et)MR PERIOD: 01-2019 (January .2O1V1 VERSION: 1
PERMIT STAT Acme
COUNTY: Catawba
ERI°NUMBER '7144
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
"*". No Reporting Reason: ENFRIJ.SE = No
Recycle: I.NA/W I"HR n° No is Canon - Adverse 'Weather NOl LOV..0 No Flow: HOLIDAY = ivr: V"isitittine ... Holt' ay

NPDES PERMIT NO.: N('007152
FACILITY NAME: Lake Norman
OWNER NAME: Lake Norman Woods Homeowners
Association
GRADE: 'WW-3.
eDMR. PERIOD: 01-2019 (January2019)
PERMIT VERSION: 4 0
CLASS: WW-2
ORC: Dennis W Murdock
ORC HAS CHANGED: Yes
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7144
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO,: 001 NO DISCHARGE*: NO (Continue)
Mookbly ALerne L
'otsith4= (vnq.
Daily Minimum:
'`." No Rportipg keen : LNI7U SE — Ni Flow-iReaaefRacycle 1N VWTHR No Visilmion — Adverse Vs'imailec NOFLOW No Pow; HOLIDAY N Vkitation Holiday

RifES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock ORC CERT NUMBER: 7144
Association
GRADE: WW-3. ORC HAS CHANGED: Yes
eDMR PERIOD: 01-2019 {January 2019) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 02/20/2019
02/20/2019
ORC/Certifier Signature: Chris Bitterman E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
02/20/2019
Permittee/Submitter Signature:*** Chris Bitterman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
LAB NAME: Statesville Analytical
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.orglweb/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

�
TNO.:N m7
NAME; Lake Norman Woods y P
OWNER NAMEtEake Noma Woo
Association
GRADE:WW 4
mwa mmOP,:c-\ki�» n 2018)
m,NRe,
PERMIT VEU,ON :4±
CLASS; WW-2
ORC: Donald O am!
OR( HASCHANGED: Yes
VERSION; G
STATUS: ActG
T>:
ORC CERT NUMBER !02600
STATUS! r d
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: NO DI:CHARGE*:NO
k Reason:: ENFRsF N FIo R « ; ENYWTHR,w Visitation Adverse Westher mF +=9 m+ OL1DAY=Nov a=- Holiday

NPDES PERMIT NO,: NC'OF)71528
FACILITY NAME: lake Noonan Woods WWTP
OWNER NAME: Lake Norman Woods Ilonteotra
sst}ca>aUun
(TRADE: WW-4
eDMR PERIOD. 12-2018 (December 2.018)
PERMIT VERSION: 4,0
CLASS: WW-2
ORC: Dc:naId C, ukw 11
OR( HAS CHANGED: Yes
VERSION; 1,0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER F002600
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
'. * No Repc
Reason.: ENERI,SE- ='No Flow-,ReusoiRe ycle; ENS VTIIR o Vint aiocr - Adeeric Heather; NOEL( :_ No How; 110:,UDAY = Nu Visitan`aan Holiday

PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Donald G Zufall ORC CERT NUMBER: 1002600
Association
GRADE: WW-4 ORC HAS CHANGED: Yes
eDMR PERIOD: 12-2018 (December 2018) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 01/14/2019
01/14/2019
ORC/Certifier Signature: Chris Bitterman E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
01/14/2019
Permittee/Submitter Signature:*** Chris Bitterman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
LAB NAME: Statesville Analytical
CER TlFllt D LAB #: 440
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

O.: NCH ?i 22s PERMIT VERSION:4J:
TY NAME: Lakc Norman Wounds WWTP CLASS: WW72
OWNER NAME: Lake Norman oods I;acssc caner, ORC: Dennis W t 9urtiarck
Associa
CRA.DE: W W-3.
eDMR PERIOD: 1 1-2018 (November 2018)
O',RC. HAS CHANCE
Nu, OEN.tkALiU
VERSION: 1,0 DWR SECTION ION STATUS: Processed.
PERMIT STATUS: ,Active
COUNTY: C'ataxtiba
ORC C"ERT NUMB31°KR: 7144
(<t
SAMI'LING LOCATION: EFFLUENT DISCHA GE NO.: 001 NO I)ISC(IA'
4 Reason: E,N)-°RLSI = In 1°"I ,w-I mso Ruryele: I"VW 1IR No Visitation -,fttSs rse e tPu 8 [. t44`= F`8asw°, FIC LVDAY N ii \ ' :iil mn--t1oliday

T NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
ILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock ORC CERT NUMBER: 7144
Association
GRADE: WW-3. ORC HAS CHANGED: No
eDMR PERIOD: 11-2018 (November 2018) VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
c
i!
en
22
I.
u
E
a
:2
.1
g
vi
o
06
o
e
a
2400 dock
Mrs
2400 clock
Iln
YIR/N
1
1245
1.0
Y
2
1400
0.75
Y
3
N
4
N
5
1430
1.0
Y
6
0830
1.0
Y
7
1345
0.5
Y
1030
0.75
Y
9
1300
1.5
Y
10
N
11
N
12
1445
1.0
Y
13
0830
0.75
Y
14
1230
1.5
Y
15
1330
1.0
Y
16
1330
125
Y
17
N
IS
N
19
1500
1.25
Y
20
1000
0.5
Y
21
1300
0.75
Y
22
HOLIDAY
23
1415
1.75
Y
24
N
25
N
26
1400
0.75
Y
27
0900
1.0
Y
SA
1445
0.5
Y
29
1430
0.75
Y
30
1150
2.25
Y
Sion Ily Average L1o0:
Moaally Avenge:
Daly Maximum:.
Duly 3nalmum:
•••• No Reporting Reason: ENFRUSE = No Flow-RcusefRecycic; ENVWTHR 4 No Visitation —Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation —Holiday

RMIT NO.: NC0071528
ILITY NAME: Lake Norman Woods WWTP
OWNER NAME: Lake Norman Woods Homeowners
Association
GRADE: WW-3.
eDMR PERIOD: 11-2018 (November 2018)
COMPLIANCE STATUS: Compliant
7.fry
PERMIT VERSION: 4.0
CLASS: W W-2
ORC: Dennis W Murdock
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7144
STATUS: Processed
SUBMISSION DATE: 12/20/2018
12/20/2018
ORC/Certifier Signature: Chris Bitterman E-Mail:[e-mail] envirolinkinc.com Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a timc-tablc for improvements to be made as required by part II.E.6 of
the NPDES permit.
12/20/2018
Permittee/Submitter Signature:*** Chris Bitterman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
LAB NAME: Statesville Analytical
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdcs/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Pemiittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

IIT Ne0071528
ITY NAME; Lake NormanWoods WWTP
OWNER NAME: Lake Norman Woods Homeowners
Association
GRADE: WW-3,
eDMR PERIOD: 102018 (October 2018)
PERMIT VERSION: 4
CLASS: WW2
ORC: Dennis W Murdock
OR(. HAS CHANGED: No
VERSION: 1 0
0 6 ? 0 16
PERMIT STATUS: Active
COUNTY; Catawba
ORC CERT NUMBER: 7144
R Vra IN C01NHDW-
STATUS:: Processed
WOROS
MOORESOVILLE OFFIC5
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
oc. WoceklY
InstantarK334s
LOW
WO clock I Hoc
100
1215
0 0053
coo012
0700 55
1230
1230 I 0
,C1
5,
0745 2,0
Moth Mentge
Munibly Arer.v: 0021
L)44oloclmocce 0,0053
0.11014
now
"et kly
Cool,
TEMP-C
, 7
GO310
1C(140
CI:k$,N)
2 X wtek Wo50c151 leek lo Wk55 Wcok15 eekly
Grab Grab Grab
ClI1l1RIr45 • ROD-Owe!CHM -Cour Too
Groh Oral"
PCOLI 1110 DO
450 1• j cogil 100 cowil 0,1100cnli roe;
A0y5115.0.101; : 0,0012
12_6 .C.03 1 0
co 0_5
cl 0,5
9133
34.545
4.437
50
13
0,5
s I
:3,545 0
,457 0
**** No Reporting Reason: liNFRUSEt No Flow-ReuseiRecyclei liNVWTHR it No Visitation — Adverse Weather: NOFLOW No Hoist; HOLIDAY No Visitation Ioliday
7,31
)1,5
55
7.31

T NO.: NC0071528 PERMIT VERSION: 4.0
ITY NAME: Lake Norman Woods WWTP CLASS: WW-2
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock
Association
GRADE: WW-3.
eDMR PERIOD: 10-2018 (October 2018) VERSION: 1.0
ORC HAS CHANGED: No
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7144
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
c
i. e
?
13'
ti
=
E
03
_
32
t
<
"
C
a'
fi
I:H
_1.
a
o
p
a
gC
t
a`
r
2400 clock
1rn
2400 clock
We
Yl12m'
i
1545
0.5
Y
2
07400
1.0
Y
3
1330
0.75
Y
4
1100
1.5
Y
5
1215
2.0
Y
6
N
7
N
1345
2.75
Y
9
1200
1.25
Y
10
1400
1.75
Y
it
1130
1.0
Y
12
1430
0.75
Y
13
N
14
N
15
1400
0.5
Y
16
1430
0.75
Y
17
0700
1.0
Y
18
1115
1.5
Y
19
1345
1.25
Y
2a
N
21
N
32
1430
1.0
Y
r3
1030
0.5
Y
24
1315
2.0
Y
2s
0700
2.5
Y
36
1210
0.75
Y
27
N
26
N
29
1230
1.0
Y
30
0930
0.75
Y
31
0745
2.0
Y
Moo hly Average Llmit:
hinathly Avereee:
Daily Maalmom:
Daily Malmom:
""*No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation --Adverse Weather; NOFLOW = No Flow: HOLIDAY No Visitation —Holiday

IIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
LITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock ORC CERT NUMBER: 7144
Association
GRADE: WW-3. ORC HAS CHANGED: No
eDMR PERIOD: 10-2018 (October 2018) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 11/28/2018
11/28/2018
ORC/Certifier Signature: Chris Bitterman E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part 11.E.6 of
the NPDES permit.
11/28/2018
Permittee/Submitter Signature:*** Chris Bitterman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
LAB NAME: Stateville Analytical
CER I WILD LAB #: 440
PERSON(s) COLLECTING SAMPLES: Dennis Murdock
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
• No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 213
.0506(b) (2)(D).

NC0071528
Y NAME': Lake Norman 'Woods WWTP
OWNER NAME: Lake Norman Woods Homeowners
Association
GRADL WW-3.
e0MR PERIOD: 09-2018 (Sep ember 20 S)
PERMTT VERSION: 4,0
CLASS? Vw1V-2 C„
°RC; Dennis W Murdock
t„J V 0
ORC HAS CHAN GrE4V'tsiti <130 t33 3 t,„1:31'3',33
VERSION; 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7144
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*.i:NO
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'cok I
91

NO.: NC0071528 PERMIT VERSION: 4.0
TY NAME: Lake Norman Woods WWTP CLASS: WW-2
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock
Association
GRADE: WW-3. ORC HAS CHANGED: No
eDMR PERIOD: 09-2018 (September 2018) VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7144
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
a
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0
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e
~
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Q
u
a
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t
2400 clock
Mrs
2400 lack
lin
5'MN
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N
2
N
3
1200
0.25
Y
4
1315
1.0
Y
6
0830
0.75
Y
6
0815
0.5
Y
7
0845
0.75
Y
8
N
9
N
ID
1245
1.0
Y
16
1030
0.75
Y
12
1330
1.25
Y
i3
]230
1.25
Y
i4
1300
1.0
Y
is
N
16
N
17
1430
1.0
Y
Is
1315
0.5
Y
19
I400
0.5
Y
20
1045
125
Y
31
1330
1.0
Y
22
N
23
N
24
1330
1.0
Y
�5
0845
0.75
Y
26
1530
0.5
Y
27
1330
1.0
Y
28
1500
0.5
Y
29
N
38
IN
51.. 01y Average [.Imil:
Monthly Average:
Daly Maximum:
Daffy Minimum:
""" No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTIIR = No Visitation —Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation —Holiday

NO.: NC0071528 PERVIIT VERSION: 4.0 PERMIT STATUS: Active
TY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock ORC CERT NUMBER: 7144
Association
GRADE: WW-3. ORC HAS CHANGED: No
eDMR PERIOD: 09-2018 (September 2018) VERSION: 1.0
COMPLIANCE STATUS: Nan -Compliant CONTACT PHONE #: [phone]
STATUS: Processed
SUBMISSION DATE: 10/26/2018
10/26/2018
ORC/Certifier Signature: Chris Bitterman E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The perrnittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittce becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part 11.E.6 of
the NPDES permit.
10/26/2018
Permittee/Submitter Signature:*** Chris Bitterman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
CERTIFIED LABORATORIES
LAB NAME: Statesville Analytical
CERTIFIED LAB li: 440
PERSON(s) COLLECTING SAMPLES: Dennis Murdock
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there arc no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC SG .0204.
*** Signature of Permittee: If signed by other than the permittce, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

T NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
ITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock ORC CERT NUMBER: 7144
Association
GRADE: WW-3. ORC HAS CHANGED: No
eDMR PERIOD: 09-2018 (September 2018) VERSION: 1.0 STATUS: Processed
Report Comments:
The BOD on the 5th exceeded the daily maximum due to a leaking airline. A coupling was replaced in hopes of resolving the problem.

MIT NO.: NC007125 PERMIT VERSION:4 0
CILITY NAME: Lake Norrnas Woods WWTP CLASS: WW-2
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock
Association
GRADE: WVV-3. ORC HAS CI ANGEI7:
el)MR PERIOD: 08-2018 (August 2018) VERSION: 2,0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7144
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
00010
00400 50060 COitM C0610
11616
ay
FLOW
2 X week
X weekly weekly weekly
8
d
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23
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4
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27 c 0.5 3.875
2 Il5 9 7.S 8:167
24.4
25
22.8 6.2
14
25 1'27
4
25
26
0
rsw• No Reporting Reason: ENFRUSE No Flow-ReatseJRecycle; ENVWTHR = No Visitation - Adverse Weather; NOEL( t — No Flow; HOLIDAY — No Vi itatieat,.._ Holiday
7.6

NPDES PERMIT NO.: NC0071528
FACILITY NAME: Lake Norman Woods WWTP
OWNER NAME: Lake Norman Woods Homeowners
Association
GRADE: WW-3,
eDMR PERIOD: 08-2018 (August 2018)
PERMIT VERSION: 4 0
CLASS: WW-2
ORC: Dennis W Murdock
ORC HAS CHANGE
VERSION: 2,0
: N
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7144
STATUS: Pr
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
1030
1445 075
Maethty Average Limit
Monthly Average,
Daily Markaaat:
Deily 1541mirman.
•"* No Reporting Reason: ENFRUSE = No Flow,Reuse/Reeyele; ENVWTHR No Visitation --Adverse Weather; NOFLOW No Flow; HOLIDAY No Visitation — Holiday

RMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
CILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock ORC CERT NUMBER: 7144
Association
GRADE: WW-3. ORC HAS CHANGED: No
eDMR PERIOD: 08-2018 (August 2018) VERSION: 2.0 STATUS: Processed
COMPLIANCE STATUS: Non -Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 01/18/2019
01/18/2019
ORC/Certifier Signature: Chris Bitterman E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a List of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of
the NPDES permit.
01/18/2019
Permittee/Submitter Signature:*** Chris Bitterman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
LAB NAME: Statesville Analytical
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: ‘tC) PERMIT STATUS: Actve
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock ORC CERT NUMBER: 7144
Association
GRADE: WW-3, ORC HAS CHANGED: No
eDMR PERIOD: 08-2018 (August 2018) VERSION: 2,0 STATUS: Processed
Report Comments:
On the 21st HOD exceeded daily maximum due to a rubber coupling corning off of the ticader which had dry rotted. Action was taken and thouptin was replaced
REVISED TO UPDATE CHLORINE VALUES TO <15 FOR VALUES LESS THAN 15 ON THE 6TH, 13TH, 15TR, 22ND, 27TH AND 29TH.

N bIRMz%e mm22i
r NAM
E
OWNER YAyE4
DNIK7@RK 01,X±ni 293
NC LOCH" UN:t
RIG' NO.:00 NO MS AR : NO

NPDES PER1411' : NO.: NC:0071528 P1' RN1IT VERSION: 4.0
FACILITY NAME: l.oke:Nommn Woods.WW"1P- CLASS: WW-2
OWNCRNANIG: Lake Norman Woods I-lorncowners ORC: Dennis-W-Murdock
Association
GRADE: y'}W 3„ O12C HAS CHANGED: No
cDMR PERIOD: O8-201 1 (August 2018) VERSION: 1.0
PERMIT Acliye
COUNTY: Catawba
ORC CERT NUMBEsR: 7144
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
e'
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Li
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0,5
Y
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3
1336 - -
1.0 _
,Y _..__
.1
a
1.US
0-75
S'
7
1045
1J)
Y
•.
1345
I0i
Y
9
1030
1.0
Y
L0
1445
_....
0.75
Y
,
12
13
0845
1,0
13-
1215
11,75
Y
IS
=
1215
0.5
Y
ID
1 115
11.5 .
"=Y
-
17
1230
1.6=
Y
a
111
—
L9
-
29
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Y
21
0315
0.5
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22
1345
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Y
2J
0015
0.5
V
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14
0315
0,75.
V
t
]6
27
0515
1.0
Y
111
1500
0.75'
Y
19
1300
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Y
In
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0.75
Y
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.
-1500
0.5
Y
Mroah . Mrraut
07117 MasImRzti
T7cas Mrnllnend
w*•.No1iepoitirlgReaSun:ENFRI}SE=NaFlow-Reelsc/Recyole:ENVWTHR NoVisilntian—AdverseWeather; NOFI.OW=NoFlow, EIOU DAY =NoVisitation --Holiday

NPDES PER\11TNO.: NC0071528 PERMIT VERSION: 4.0
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock
Association
GRADE: W W-3.
cDNIR PERIOD: 08-20I8 (Aupst 2018)
COMPLIANCE STATUS: Nun -Compliant
ORC HAS CHANCED: No
V ERsI oN: l A
CONTACT PRONE 4: 8282384659
PERM rl' STATEis: Active
COUNTY: Catawba
ORC CERT NUMBER: 7144
STATUS: Processed
SUBMISSION DATE: 09/26/2018
09/26/2018
ORC/Certifier Signature: Thomas David Johnson E-Mail:[e-mail] Phone Jt:252-41.9-2199 Date
13y this signature, ) certify that this report is accurate and complete to the best of my knowledge.
The permittce shall report to the Director or the appropriate Regional Mice any noncompliance. that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware attic circumstances. A written submission shall also he
provided within 5 days oldie time the ilermittee becomes aware of the circumstances.
tribe facility is noncompliant, please attach a list ol'corrective actions being taken and a titne-table for improvcrnents to be made as required by part 11.E.0 of
the NPDES permit.
09/26/2018
Pcrmitlee/Submliter Signature:*'* Heather Thotntts Adams H-Mail:hadamsrrenvirolinkinc.com Phone FJ:252-235-4900 Date
Permittce Address: Marina Ln Shcrrills Ford NC 28673 Permit Expiration Date: 04/30/2020
l 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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
CERTIFIED I,ABOItATORIES
LAB NAME: Statesville Analytical
CERTIFIED LAB #:440
PERSON(s) COLLECTING SAMPLES: Operators
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES I.Jnit [phone] or by visiting http://portal.nedenr.org/web/wq/swp/psinpdes/forms.
FOOTNOTES
Use only units ofineasuienicnt designated in the reporting facility's NPDES permit for repotting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there. are no data to he entered for all of the parameters on the DMR
for entire monitoring period.
*'+ ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permitter: Jfsigncd by other than the pertnittec, then delegation of the signatory authority must be on the with the slate per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERM1'T NO.: NC0071528 PERNIIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
a
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock ORC CERT NUMBER: 7144
Association
GRADE: W W-3. ORCIIAS CHANGED: No
cl)N1R PERIOD: 08-2018 (August2018) VERSION: 1.0 STATUS: Processed
Report Comments:
On the 2Ist BOO exceeded daily maximum due to a rubber coupling coming oil'ofthe header which had dry ratted. Action was taken and the coupling was replaced.

T NO.: NC0071528 PERMIT VERSION: 4A)
-ILITY NAME: Lake Norman Woods Wt?«""l`I' CLASS: WW-2
OWNER. NAME: Lake Norman Woods Homeowners ORC: Dennis W Mtn'dcsek
Association
GRADE: WW-3.
eDMR PERIOD: 07-2018 (July 2018)
ORC IIAS CHANGED:
VERSION: 2_
PERMIT STATUS: Active
COUNTY: Catawba
ORC' CERT NUMBER: 7144
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
Daily Maaimamm:
Dmay Mimfmimm: 0 001 1.03 0 3.d
"4* No Reporting Reason; ENFRUSE — No Flow-Reuse/Recycle; ENVWTHR m No Visitation —Adverse Weather; NOFLOW No Flow; HOLIDAY No Visitation Holiday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4,0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock ORC CERT NUMBER: 7144
Association
GRADE: WW-3. ORC HAS CHANGED: No
eDMR PERIOD: 07-2018 (July 2018) VERSION: .2A1
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
O.
4
14
15
It
1345 0.5
15
Y
Y
Y
la
:11
3
5
Wily Minimum,
•*** NO Report* Reason: ENFRUSE = No Flow-Reuse/Reycle; ENVWTI-IR - No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY= No Visitation - Holiday

NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
CILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock ORC CERT NUMBER: 7I44
Association
GRADE: WW-3. ORC HAS CHANGED: No
eDMR PERIOD: 07-20I8 (July 2018) VERSION: 2.0 STATUS: Processed
COMPLIANCE STATUS: Non -Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 01/18/20I9
01/18/2019
ORC/Certifier Signature: Chris Bitterman E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
01/18/20I9
Permittee/Submitter Signature:*** Chris Bitterman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the
systetn, 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.
LAB NAME: Statesville Analytical
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per I5A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT r4O NC0071528 PERMIT VEILSION: 40 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock ORC CERT NUMBER: 7144
Association
GRADE: WW-3, ORC HAS CHANGED: No
eDMR PERIOD: 07-2018 (July 2018) VERSION: 2 0
Report Comments:
Heavy Algae growth around the effluent weir.
REVISED TO ADD OPERATOR TIME ON SITE FOR DULY 27TH AND TO CORRECT CHLORINE VALUES T
STATUS: Processed
ESS TUAN ISUGIL,

' NO.: NC0071528
TV NAME: Lake Norman Woods WW1P
SLR NAME: [ ake Norman Woods liomeoymers
Associatinii
GRADE: WW-3
eDMR PERIOD: 07-2018 (July 2018)
PERMIT 'V 1 RS1ON: 4.0
CLASS: WW-2
OR( : Dennis W
PERMIT STATUS: Actwe
CO1 S'I'11-: Catawba
ENE OR( CERT NUAlBER: 7144
r 0
STATI1S: Processed
RFCilevrzaiN C 0 EN i'VDWR
WC) R S
MOOR ES V REG °NAL F E
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: ON NO DISCHARGV: NO
ORC HAS CHANGED: No.
CENT FiLES
VERSION: 1.0 OWR SECTION
Motegsly 444,4g4
M444ity 44.1404
114221, N1444.44
Dmily Mininunn:
ckft
ah
011011 16.3
2.6 s3
25 771 2
0 001 23 "7 01 • 3.4 $ .6327
"*. No Reporting Reason: ENFRI;SE: — No 1 low3ReuselRecycle3 ENVWTHIZ 3, No Visitation Adverse Weathel3 NOFLOW 33 No1 I uor.DAY 3, No Visitation — Holiday

NPD1 PERMIT NO.: NC0071528 'PERMIT V ERSR)N; 4.0
FACILITY NAME: Lake Norman Woods WWI P CLASS; WW-2
OWNER NAME; Lake, .Norman Woods Homeowners ORC: Dennis W MurdoJ,
Assoc tation
GRADE: WW-3,
eDMR PERIOD. 07-2018 (July 2018) VERSION: 1.0
ORC HAS CHANGED No
PERMIT STA"FUS; Acrive
COUNTY: Catawba
ORC CERT N1.7.MBEtit '7144
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: OM NO DISCHARGE'': NO (Continue)
*',* Nu Reporting, Reason: ENFR USE No How-ReusetReeyele; EN V' WiHR - No Visitation Adverse Weather Nt0FLOW No Flow.k HOUDA No Vigitation - Holiday

HT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
LITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock ORC CERT NUMBER: 7144
Association
GRADE: WW-3. ORC HAS CHANGED: No
eDMR PERIOD: 07-2018 (July 2018) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Non -Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 08/16/2018
0—
Q�yt/lZc� 08/16/2018
ORC/Certifier Signature: Thomas David Johnson E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
08/16/2018
Permittee/Submitter nature:*** Thomas David Johnson E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
LAB NAME: Statesville Analytical
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 28
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock ORC CERT NUMBER: 7144 •
Association
GRADE: WW-3. ORC HAS CHANGED: No
eDMR PERIOD: 07-2018 (July 2018) VERSION: 1.0 STATUS: Processed
Report Comments:
Heavy Algae growth around the effluent weir.

2IINR:INC.071
A<! SIN ME Lake N mwood;»W!f
OWNER NAME LakeNo V s Homeowners
Association
GRADE: W -3
@ R!R! PERIOD: y 9 (J y!f
PEK ,� R VERSION:40
CEASE > :
°RGDennis» Murdock
PERMIT STAS: Active
COUNTY': Cata a
)ORCCER N » 7144
7 E¥Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE \0-: I NO DISCHA G * (J
*•wReporting saar(SI'o1+« wuav m=ww+ - iw � . , mrm>-�
. , ©wFlow; nRImv=»w=-Holiday

NPHES PERMIT NO): NC0071528
FAIlLITY NAME: Lake Norman Woods WWIT
OWNER NAME: Lake Norman. Woods Homeowners
Assoc i at ion
GRA Et W W -3,
PERMIT V ERSION't 4.0
CLASS: WW-2
OR( : Dennis W 'Murdock
ORC HAS CHANGED: No
el/MD PERIOD: 06-2018 (June 2018) VERSION: 1 0
PERMIT STATLISt Active
COUNTY: Catawba
CRC CERT NUMBER: :7144.
STATUS: ProescJ
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
**** No Repotting Reason: EiNFRUSE= No Flow-ReoseiRecyelet,i ENV WHIR No Visitation Adverie Weitther, NOFLOW it, No Flow; HOLIDAY itt No Visitation Holiday

S PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock ORC CERT NUMBER: 7144
Association
GRADE: WW-3. ORC HAS CHANGED: No
cDMR PERIOD: 06-2018 (June 2018) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 07/15/2018
07/15/2018
ORC/Certifier Signature: Thomas David Johnson E-Mail:tjohnson(aenvirolinkinc.com Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any infonnation shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II:E.6 of
the NPDES permit.
Permittee/Subm itter
07/15/2018
nature:*** Thomas David Johnson E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marin Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
CERTIFIED LABORATORIES
LAB NAME: Statesville Analytical
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: operators
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http:/lportal.ncdenr.org/web/wq/swp/pslnpdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

:RMIT :NGe a5
Hum ME &«Norman
OWNER NELake 7\
wa
As.sociaCion
GRA aE W 1
+HkPERwm
PERMIT \Ebm»43
CLASS: Dew:
ORe Dennis aL
°RC 11AS CH,\GEU x
\ERw :w
pERNI R stAT E%aca
bN1 : Catow,bii
6C CERT NEwBEm a
STAT
SAMPLING LOCATION :EFFLUENT DISC g*RGE\Q=0I NO DISC'
® NoRo Reo-niv ENERUSE- No Elow-ItousciRecyclir, ENVWITIR=N\
»m
- rioi,no quLA' 'Visiiinion q«v

ES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock ORC CERT NUMBER: 7144
Association
GRADE: WW-3. ORC HAS CHANGED: No
eDMR PERIOD: 05-2018 (May 2018) VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
r
a
P.
E
s
u
E
8
E
U
e
F
!
`e1
o`
—
G`
t3
F
.2
o
—
C
V
c
e
m
x
2460 slosh
11n
2466 slosh
!In
Y1Dl:v'
1
1130
I
Y
2
1145
1.5
Y
3
1300
.75
Y
4
1145
.75
Y
5
6
7
1030
.75
Y
a
1215
1.0
Y
9
1100
2.0
Y
16
1100
1.25
Y
11
1200
.5
Y
12
1
13
14
1030
1.0
Y
is
1145
1.0
Y
16
1315
1.0
Y
17
1100
1.25
Y
16
1430
.5
Y
19
26
21
1145
.75
Y
22
1245
1.0
Y
23
0800
.75
Y
34
1200
.75
Y
23
1330
.5
Y
26
27
26
39
1145
L0
Y
36
073D
.5
Y
31
1345
.75
Y
Monthly ,average I6mir•.
Monthly Ares/age
Daily Maximum:
Daily Minimum:
**** No Reporting Reason; ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation —Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

ERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
ACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Dennis W Murdock ORC CERT NUMBER: 7144
Association
GRADE: WW-3. ORC HAS CHANGED: No
eDMR PERIOD: 05-2018 (May 2018) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 06/25/2018
06/25/2018
ORC/Certifier Signature: Thomas David Johnson E-Mail:tjohnson@envirolinkinc.00m Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
06/25/2018
Permittee/Submittergnature:*** Thomas David Johnson E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
1 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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
LAB NAME: Statesville Analytical
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portaLncdenr.orglweb/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2) (D).

NPDES PERMIT NO,: NC4071528
FACILITY NAME: Lake Norman
OWNER NAME: Lake Norman Woods H
Association
GRADE:, WW-3.
iDMR PERIOD: 04-2018 (April 2018)
T VERSION: 4.0
2
ORC: D
oxdock
i:EN
ORC HAS CHANGED! No 44`u
VERSION: 1..0
ECTK
IT STATUS: Active
COUNTY: Catawba
ORC CERT SIIMBER: 7144
STATUS: Prooeased
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
^,"* Na Reporting Reason; PRUSE ?4 I Sans S�1a RNid�IFi1i No 4$sit 2a - Advereo :MAY ' Nooo IEn9ss y

NPDES PERMIT NO.: NCO 71528 PERMIT VERSION: 4.0 PERMITSTA
FACILITY NAME: Lake,Norman Woods WWTP CLASS: W W-2 COUNTY: Cataaa
OWNER NAME: take Norman Woods Homeowners ORC: etttt:a W S Oc1t
Assooiftkicxn
GRADE: WW-3, ORC HAS CHAPVGED: No
eDMR PERIOD: 04-2019 (April 2018) VERSION: 1.0
ORC C➢'sRT NUMBER; 71.44
STATUS: ,Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001. NO DISCHARGE: NO (Continue)
Adv e W G e:; i OFLt3�V 21a£Jarav, 1 O AY No Visitation_Holiday

NPDES PERMIT NO-: NC0071528 i PERMIT VERSION: 4.0 I PERMIT STATUS: Active
FACILITY NAMEt;LakeNorman Woods WIMP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners 1 ORC: Dennis W Murdock ORC CERT. NUMBER: 7144
Association
GRADE: WW-3.
eDMRPERIOD: 04-2018 (April 2018).
COMPLIANCE STATUS:YCoaipl'
ORC HAS CHANGED: No
VERSION:-1.0
CONTACT PRONE #: R282384659
STATUS:,Processed
SUBMISSION DATE: 05125/2618.
. 05/24 0.18.
LW __. n
ORO/Cextifier S1gn f i re: Thomas David Johnson E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
{
provided within 5 days of the time the permittee becomes aware of' the circumstances.
If the facility is noncompliant, pleas —dli a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
. _ ._ :._: .__ .05/25/2018
Perniittee/Submitter Signature.*** Thomas David JohnsB-IVia7411Tplina, !t nvirolinkinc-com Phone #:[phone] Date
Permittee Address: Marina Lti Sherxills Ford NC 28673 Permit Expiration Date: 04130/2020
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 qualified personnel properly -gather and evaluate the information submitted. Based on my'i nquiry of the person or persons who managed 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,
CERTIFIED LABORATORIES
LAB NAME: Statesville Analytical Holdings,
CERTIFIED LAB #: 440,
PERSON(s) COLLECTING SAMPLES:. D. Murdock`'
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal-ncdenr,org/web/wq/swp/ps/npdes/foxms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site: Check this box ifino discharge occurs and, as a result; there are no data to be entered for all of the parameters on the DMR
** ORC on Site?: ORC must visit facility and do Cl}ment visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than:the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 213
.0506(b)(2)(D)•
for entire monitoring period.

NPDES PERMEI NO.: NC0071528 PERMIT VERSION:1 0
FACILTIY NAME: Lake Norman Woods WWTP CI ASS: WW12
OWNER NAND:A ,alse Norman Woods Homeowners ORC: Casey Nicole Robinson F
AssocriatAkr:
GRADE: WW-2
eDVIR PERIOD: 03-2018 (March 20 1)VERSION: I 0
t
13 I
I IS I
10
16 I
17
LS
00
It2
20
211 ,
22
St2
24
24
25
1
2406 06615
PERMIT STARS: Actrve
COUN'TY: Cata+kba
(ER I: NEM BE 112: 1004753
A P 018
CENTRAt„„ FILEirATIS: Processed
DWR SECTION
REICEP/ED/NCDENR/DWR
SAMPLING LOCAT ON: EFFLUENT DISCHARGE NO.: 001 NO DISCHA v4t: NORRRRA sR1KR
; 5,
1 i g
Ca
1
,
g
04, 1 266062666. Ho V€22"
14
1,
'4
04 € 5
1.1 30 3 75
V1 45
0 30
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14 45 7,
t 2 17
1 3 30
1R-
11.t. or, 75 I 5L
. 27 I 315 1 ...7 5 Y
a l Oa ! 0 Y
l
Z9 13 00 75
I 75
.20 I I 45
°RC I IAS CI IANGED: Yes
'4040 080115
,''
84 Weekly I Weekly
lt,
5
Instantaneous Grab
re
; FLOW TEMP-6V
74
334
100,17
LNVW 018
4-
5 8
k8[8:1885
Weakly week
Grab Grab
411 ClittORINE
54127631
7
COM
C062 1 cmie
leekly4,34414!Weekly
Grab Grab tif8h
ISOD „ 6066v „ Coss
5,0 rbeil
6
0 002 1[5:[ 5
t [ [
t 1 5
1,0002
Alostbly Average Limit
44o04105 8.5era.
Fhtity Maxim'
0.002
444.43 7t188inrima:
0 L
314444
0018 8 45 4 775
I. 5 7 '7 20
5 8 7 I 0
smo
00300
Weekly v iaackiv
Grab ' Chet
00)
1 t 5 ;22 v t 7
t
4-
44
IMO
I I52,555
15.806
€ 0 I '778
**** No Reporting, Reason. ir.N.FRliNti, • No HOW^ Re•useiRecyck% 1N VWTFIR No Visitation .Ailserse Wctariter„ NOITOW No How. 1-101„,HJAY No Visitation f litaiday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAMF;Lake Norman Woods Homeowners ORC: Casey Nicole Robinson ORC CERT NUMBER: 1004753
Association
GRADE: WW-2
ORC HAS CHANGED: Yes
eDMR PERIOD: 03-2018 (March 2018) VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
G
Composite Sample Time
..2
a
u
ET.D
Operator Arrival Time
12
o
a
e
ORC On. BIIeT•*
s
ci
ea
'2
a
I'
2400 dock
11n
2400 eloe4
Hes
YIBIN
1
10:15
2,25
Y
2
10:30
1
Y
3
4
5
10:00
1
Y
6
12:00
1.25
Y
7
12:30
1
Y
8
13:00
1
Y
9
11:00
1.75
Y
10
11
17
ENVWTHR
13
8:45
1.5
Y
14
11:30
3.75
Y
16
13:45
1
Y
16
14:30
.75
Y
17
18
19
10:30
1
Y
20
13:30
.75
Y
21
14:45
.75
Y
23
12:45
.75
Y
23
13:30
.75
Y
21
23
26
11:00
.75
Y
27
11;45
1.25
Y
28
11:00
.75
Y
29
13:00
.75
Y
30
11:45
.75
Y
31
r
Monthly Avenge Limit
Mo80D1y Arenet
Daily Maximum;
Oa1y Minimum:
No Reporting Reason: ENFRIJSE No Flow-RcusefRecycic; ENVWTHR=NoVisitation— AdverseWeather; NOFLOW=No Flow; HOLIDAY = No Visitation — Holiday

NTDES PERMIT NO.: NC0071528
FAIAfiLITV NAME: Lake Norman Woods W WTP
OWNER NAME: Lake Norman Woods I Iorneowners
ti‘ssociation
GRADE: W(2
eDMR PERIOD: 02-2018 (February 2018)
IMIO
dot14
6
7
14
211
22)
114
21
22
PERMIT VERSION: 4.0
CLASS: W W-2
OR( : Casey...Nicole R
F-1
MAR 9 2018
OR( HA CDANGED: No
k Lt 1„
v si ast; 0
C,VVR 5, E. T 0"R
PERMIT ItFrAtEGS: Active
COUNTY: Catavv .a
ORC CERT NUMBER: I 004753.
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
400 duct,
• 13:00
1 15'
11 30 11 25
—5,5, I--
& 30
1 I:00 .5
.11031
I3
355 I 3 5
75
930
12-30 .2 2 B
30 7 ,
I I VC, 3
10-00 tlki
14. 15
1
30 I 25
15.30
13.30
01(350 .,*111.10 ;WOW
,
[
1
Wec,kly Yr' t,,lk,ly 1 wenoy
--T "
Instant:vet:mil Grab -
I Gbab
yi3OW021102121
I
rod
0 00:
1)00
o
-1-
(i0 I
9,1011i) C0.110 C1eii4,1 CA-O.%) JIb
2 X w5503; W2107.3.1y Weekly
I ,
(05¢0 . Grab I Grab
CH LORENE ROO , Conc Nfl,i.,,N - Cow
251
5.3
10 0 I 5
_ .
0 2
1
1,3
517—"
Monthly AlTraw 2 0 21
00,3
11 51
HOly Moirrom,
15 2.
Way %Ilia...ME
7 8
6 15
5 15
I 7 7I5
126
15
4
Week I.y : W oc),..1,q, . Wcekly
I Grab !Grab !Grab
t I
tiss-tonC ECOLI UR 0
511
__„_......—__ •
•••* No Reporting .Reasory ItiNFRUSE - HOW-Reuse/Recycle, ENVW11-1 R No Visitation Adverse Weathoi_ N.4;
22 333
4 43
FLOW No How: OLI DA Y" No Visitation Holiday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Casey Nicole Robinson ORC CERT NUMBER: 1004753
Association
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 02-2018 (February 2018) VERSION: I.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue).
Pt
t
6
e
u
t..
&
V
r
Operator Arrival lime
7
t7
E
9
E
o
C
a
o
e
a
z
2100 clock
Fin
2400 clock
tin
YIOIN
1
13:00
1
B
2
14:15
.75
B
3
1
5
11:30
1,25
B
6
8:30
1
B
7
11:00
.5
B
e
11:00
1
B
9
13:00
1
B
t0
n
12
12:30
3.5
B
13
6:30
2.5
B
11
9:00
.75
B
1S
9:30
,5
B
16
12:30
2.25
B
17
18
19
1110
.75
B
20
11:00
.5
B
21
10:00
1
B
22
14:15
1
B
22
8:15
1.25
B
21
25
26
8:30
1.25
B
27
15:30
.75
B
38
13:30
1
B
• Mau [My Avenge Limit
Monthly Avenge:
Daly Maaimom:
Daily Minimum:
•••• No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation —Holiday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2
OWNER NAME: Lake Norman Woods Homeowners ORC: Casey Nicole Robinson
Association
GRADE: WW-2
cDMR PERIOD: 02-2018 (February 2018)
COMPLIANCE STATUS: Compliant
ORC/Certifier
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 1004753
STATUS: Processed
SUBMISSION DATE: 03/192018
03/19/2018
g ature: Casey Robinson E-Mail:[e-mail] Phone #:[phone]I28 Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part 11.E.6 of
the NPDES permit.
03/19/2018
Permittee/Submitter Signature:*** Dale Norman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
LAB NAME: Statesville Analytical Holdings
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: D. Murdock
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 213
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0071528
FACILITY NA N4E: Lake Norman Woods WWII'
OWNER NAME: Lake Norman Woods llomeowners
Association
GRADE: WAV-2
eDNIR PERIOD: 016)18 (Iarmary 2018)
1,
10
42
43
141
15
17
la
19
'00
21
23
174
2.5
7
27
7.8
29
441
41
14
2 1441i clad,
PERNIFI VERSION; 4.0
CLASS:
ORC: Casey Nicole Robinson
OR( DAS ( HANGED: NO
VERSION: 1 0
PERMIT SEAT( Actrve
COUNTY: Catatsba
ORC CERT NUNIBER: 1004753
STA'IUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
E
0
1 0
412 01
1117
:10
4(7
13 30
9 111
,79
11715 1 25
12 15
1914.5 95
3 66
4,91 45
1197
10 1
8 56
25
11
11
E1
i 01
ENVW141 :
19'8993.1111R
0 000394
9 09109713
90 69
ee960 1419990
Weekly eekly
411-.31)
VMPiiC
deg c
1 7)
9 5
7 6
7 3
4019441
COMO I 490330
i 1
2 X wee,k Weekly ,
1Week/y ii ilWeek1y
146319 (Rah 6939 '679.9
C05..a1
•0114131
Weekly • W 99413
Grab I Grab
19.114..011.)4f HOD conic <oo 142 w FC0131
.3,91 [01411
-4
21
04
7 I 5 I 63
10
4
7
I 6 1 9 6 0 17
7
9 97
raga 391999811
6 286
26 9 31 1
41
10 I
12 5
Mw9991:4 Aventat Limit
Monthly Micmac
319.9193.9999
Dail) hilininstilni.
111124
000889 291
9 1101
n.0006
34
. 38 9111 .12 29712 1 565999
21 (49.
4
2.6 5 nsri
6 286 19
•"' No Reporting Reason: LOT RUSE 9-, No How-Rnas.e:Recycle;. 1'..NVW11-1R No Vlsoaton Adverse Weathel% NOFLOW No FI;on,,, HOLIDAY No Visnaldon - Holiday
11 383
1 3
1 0

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Casey Nicole Robinson ORC CERT NUMBER: 1004753
Association
GRADE: WW-2
eDMR PERIOD: 01d018 (January 2018)
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
a
Compafile Sample Time
E
r
u
r.
g
1
C
5
0C
m
E
1-
s
Si
n
c
S
11
oc
ix
2
'
2400 clock
Hn
2400 clack
An
YB/N
1
10.00
.75
B
2
1010
1.25
B
3
11.00
2
B
4
10:15
.75
B
s
11:15
1.5
n
6
12:30
4
B
7
12:00
.5
B
8
9:45
2,75
B
NOFLOW
9
R:30
6.25
B
i0
10:30
5,5
B
i1
13:15
3.75
B
12
6:30
3.5
B
13
14
15
11:15
1.25
B
16
R:30
1.5
B
17
ENVWTHR
15
ENVWTHR
19
11:00
.5
B
20
9.00
125
B
21
22
10:15
1,25
B
23
12:15
2
B
24
10:45
.75
B
25
13:00
1,5
B
26
14:45
1
B
27
28
29
10.00
1
B
30
13:50
.75
B
31
11:30
1.25
B
Monthly Average Lima:
Monthly Average
Daly Mnimum:
Daily Minimum:
•••• No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NC0071528
FACILITY NAME: Lake Norman Woods WWTP
OWNER NAME: Lake Norman Woods Homeowners
Association
GRADE: WW-2 -
eDMR PERIOD: 0 12018.(January 2018)
COMPLIANCE STATUS: Non-Complian(
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Casey Nicole Robinson
ORC HAS CHANGED: No
VERSION: 1.0
ONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 1004753
STATUS: Processed
SUBMISSION DATE: 02/13/2018
02/13/2018
ORI/ ter Signature: Robert Charles White E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please ttach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
ittee/Submitter Signature:***
02/13/2018
Dale Norman E- .il:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
CERTIFIED LABORATORIES
LAB NAME: Statesville Analytical Holdings
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: Dennis Murdock
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per I5A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per I5A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Casey Nicole Robinson ORC CERT NUMBER: 1004753
Association
GRADE: WW-2
I
eDMR PERIOD: 01-2018 (January 2018)
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
Report Comments:
The fecal was above limit due to the plant had been frozen for a week. The ice in the chlorine box did not allow the water to be in contact with chlorine tablets.

NEVES PERMIT NO.: NC 007,1528
FACILrry. NAME: Lak.e Norman Woods WWII'
OWNER NAME: Lake Nom-tan Woods I lomeowners
Assoc:anon
GRADE: WW -2
PE RAI FE VERSION: ti 0
CLASS: WW-2 FRF-Cc:" fr: MC: Robert Chrirles White
OR( HAS CHANGED: \oCEN
eDAIR PERIOD: 12-2017 (December 20 12) VERSION': 20 R STATUS: Processed
mt,t„trct, tct!EtttL(NAL Or'
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
PERMIT SIAII
C011. I NI V: Cathwba
OR( CERT NUAIRER: 991976
24*14 alai HT, 2499 il4 4
:
42
.F-
1
i 12
22
23
Ca/
4 4:5 23
2 GO
10 AO
$:30
,f6t tit)
2:7 I t CO
AA 3
In
1430
(43
31
Workly
ittbistantageous
stAlw
A-1244'1
I 5 coo 7
thiy Aserstne Limb,
4*4*24
sot..
Stinstann Attn.*. tot, s
Daily intosinontn: 002
1144.1y Ofttninnonst 0007
99499
r9e5d1, Weekly
Grab Grab
ad MBA' 101
deg c su
.2
9,6
6 .4
'7 8
7 tttt,
'2 X week Wat;ttitty Mit.':d•Jy
t Weakly
,-.._______........_
. Grab
411110/ZINE BM t Cams Ititinttn t Cons *44* t Cam
4 t4,0,:ti(0):,:r/. 7 ', .6:,,,ab
-1
Grab Grab Grab • Grab
it
me 123trq snarl
'
tlo
4 AO 2021
t, t ___ , —
43
.2ttn! 2/04 t t
—1 9 97.5 Ot5
7I 34133
I 52
• • No Reporting Re,aston, ENFR USE t How-Reuse/Recycle, 1.N No Vosmiiion /My ere Weather, NOFLOW ttt 1101,1DA*4 o Vimalumit - Holiday
9 2

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2
OWNER NAME: Lake Norman Woods Homeowners ORC: Robert Charles White
Association
GRADE: WW-2
eDMR PERIOD: 12-2017 (December 2017) VERSION: 1.0
ORC HAS CHANGED: No
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 991976
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
q
F
"
u°
Totgi Compo.ite Time
a
2
o
M
F
2
O
a
6
1.4
O
•
c
2
I
eL
x
C0600
C0665
Calculated
Calculated
TOTAL N-Cone
TOTAL P-Cane
2400 clock
Hes
2400 slack
Hre
YlDIN
mg11
mgll
1
11:00
3
B
2
3
4
9:30
1.5
a
5
10:00
3.5
B
6
9:45
1.25
B
7
12:00
2
B
9
10:30
2
B
9
10
11
9:30
l.5
B
12
10:30
1.5
B
13
10:30
1.5
B
14
10:00
3
B
15
10:30
1.5
B
16
17
t9
9:45
1,75
B
37.73
5
19
9:30
2.5
B
20
7:00
7
B
21
7:30
4
B
32
10:00
2.25
B
23
24
25
0:30
.75
B
26
10:30
1
B
27
10:30
1
B
29
10:00
3
B
29
10:30
1,5
B
30
31
Monthly Average Limif:
,
Monthly Avenge:
37.73
5
Daly MaBmam:
37.73
5
Daily Mlmi n.
37,73
5
"" No Reporting Reason: ENFRUSE = No Flaw-Reuse/Recycle; ENV WTHR=No Visitation — Adverse Weather; NOFLOW = No F ow; HOLIDAY — No Visitation —Holiday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Robert Charles White ORC CERT NUMBER: 991976
Association
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 12-2017 (December 2017) VERSION: 1.0 STATUS: Processed
Report Comments:
Non compliant due to low bugs adjustments, reseeded plant adjust air to plant as well as low solids.

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Robert Charles White ORC CERT NUMBER: 991976
Association
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 12-2017 (December 2017) VERSION: 1.0 STATUS: Processed
COMPLIANCE S £ • Non -Compliant CONTACJHONE #: 7048724697 SUBMISSION DATE: 01/16/2018
01/16/20I8
ORCICe4t er Signature: Robert Charles White E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission -shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part 11.E.6 of
the NPDES permit.
01/16/2018
Permittt e%Submitter Signature:*** Dale Norman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
1 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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
LAB NAME: Statesville Analytical Holdings
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: R. White
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NC0071528
FACELIFT...NAME: Lake Norman Woods WWII'
OWNER NAME: Lake Norman Woods Homeowners
Association
GRADE: WW-2
PERMIII" VERSION: 4.0
CISS:: WW-2
ORC: Casey Nicole Robinson
OR( T HAS CHANGED: No
DMR PERIOD: H-201.7 (Noyember 2017) VERSION: -1:0 rAILS: Processed
PRC.CESS'41,1(3 1„1?..0
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCJAIC
PERMIT STA`IRS: Active
COUNTY: Catawba
ORET4CERT NUMBER; 1004753
JAN 0 9 AN
-V
.
2,
3.t 1
24191 clock
t 0900
0
P
2....
c7
I 75
52061
90111
0041111
51961
00119
CC HI
001311
31116 1/0111
eekly
instantaneous
WbBklyWeekly
Grab Grab
'X week
Bab
Weekly Wkt9 leekly
— ,
Grab BabGrabCita
: Weekly 'Weekly__
Grab
now
'rEMPW, pfI
491/1 9 $1.1
(1000909
Pe
00319 - Clam
on,
2/11341 - Ow
2411, Conc
2a b67
FC01.1 Mt 00
9520094 oq,0I
WO 94/21
r0g:21
14
7 11
32
3 0 5
7 9
3
ri
25
7
70
9900
3 25
99
, 0
0 0 5
7.167
:33. I
4
9
14
:0 5
2
I 3 2
6
936 .
0930
.0t
.3 15
I 0 I
9 15
„ 45
. /0
.4:
=ill
0 0003
B
MN
IIIIIII.IIIIIII
B
2......2.__-
IIII
6 97
t 9 t
28
53 Il
25
1 11
, 2/
31
9,45
rillMMIIIIIII
IIIII
0 00024
IIIM11=1111.11111
16
H 41, , '
MI
0 I 09
0 15
8 74
25
2,
I 5
1310
'5
11
14
B
Ntuothly Alert:pp
Mon thly 51/229//16 0. 00 , 02,
019112
MPH Minimum:
0.003
0 00024
6 0,516667
I 3 2
7 74
'2
15
4 2
1
.7 774
27 9648
201
9 102
9 74
31
6 8
6 76
0
e
7 167
\o Reporting Reason, ENIRLSE No flow-Reuse/Recycle: ENVW-1HR No Visitation Adverse Weather; NOFLOW No 1low HOLIDAY - No Visitation Holiday
9 75
7 9

NPDES PERMIT,WO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITIbiNAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Casey Nicole Robinson ORC CERT NUMBER: 1004753
Association
GRADE: WW-2
eDMR PERIOD: 11-2017 (November 2017) VERSION: 1.0
ORC HAS CHANGED: No
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
O
Campanile Sample Time
1
p.
U
-
x
0
Operator Time On Site
O
cc
O
i
L
a
z.
2400 cluck
Hr.
2400 clock
Hr.
YWBIN
1
11:00
1.5
Y
2
10:00
1,75
B
3
9:30
2.5
B
4
5
6
11:30
1.5
B
7
10:30
3.25
Y
8
10:15
2
B
9
10:30
3
B
10
10:00
2
B
11
12
13
10:15
2
B
14
9:15
2.25
Y
15
9:45
2.25
B
16
10:00
2.5
B
17
14:00
1
B
18
19
20
10:45
1.5
B
21
5:00
2.5
B
22
13:00
2,5
B
24
8:30
3.75
B
24
9:45
3,25.
B
HOLIDAY
25
26
27
9:45
1.5
B
28
9:30
2.25
B
29
10:45
1.25
B
30
10:30
1.5
_B
Monthly Aceragc Llmit:
Monthly Average:
Dolly Maalmum:
D lly Mivlmom:
«.:« No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation - Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

NPDES PERMIT,NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILI' NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Casey Nicole Robinson ORC CERT NUMBER: 1004753
Association
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 11-2017 (November 2017) VERSION: 1.0 STATUS: Processed
Report Comments:
The TSS is non -compliant due to the returns kept clogging up and back rolling in clarifier.

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Casey Nicole Robinson ORC CERT NUMBER: 1004753
Association
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIO I 1-2017 (November2017) VERSION: 1.0 STATUS: Processed
COMPL STATUS: Non- mpliCONTACT PHONE #: [phone] SUBMISSION DATE: 12/11/2017
2
12/08/2017
rtifier Signature: Robert Charles White E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the pe ittee becomes aware of the circumstances.
If the facility is noncompliant, please �tt' ach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
12/11/2017
Permittee/Submitter Signature:*** Dale Norman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
CERTIFIED LABORATORIES
LAB NAME: Statesville Analytical Holdings
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: C. Robinson
PARAMETER CODES
Parameter Code assistancemay be obtained by calling the NPDES Unit (9I9) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

SPDES PERMI111 NC0071528 PE.RMIT VER,SION; 4 0;
4tt
FACILIW SANIE: Lake Norman Woods WWII' CLASS: W W -2
OWNER NAME:LikNorrnar V Homeowners ORC: Dena C Myers
Associat non
GRADE; VW-3
DAM PERIOD; 10-21117 Jober 20 7) VERSION: 1 0
:
`zz
OR( RAS C,I1ANGED: Nett§
l'i1101111 SIA1 I S; Active
COUNTY: Catem, ha
OR( CFR r VIBER: 993.109
ST.ATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
2400 clock tirts
2 40
t 35:
13 00
12'25
[-22
7 t
4
11
11
16
7
11
101
32
20
201
'21
22J
29
000
45
55t
^t2 00
5-5
2 011
i 72 40
33
33
...
1 :
r
7E i
tf, ite t instantaneous
dte
°4
C
-VI?"
te 008
tines
+
-A
r !
11 30 ,). : Y I i
7.45 i .t 83 1; V
75 V
2.3
"---:-
tat022541 tit001!) ' 04133 'W01 ("0301 Com tum0 i mitt ' Dow
: 1
Wet;kly Wockly 2 X weds Weeek le Weekly !Weekly
I
Grab I Grab 1 (kat, Grab (tirth
Grab 1 8127a.kt 8782ab
Weekly_ eteidy
LILMILZt pH CIZIORCRE ROD t Com 34133-10 - Cow TSS t row 133703J RR DO
deg c •
au. 1024 ,
• meg int Went „tingiltt.
—157
X 7 7 I 7 2.4 22
y
2 2
(30 5
tentift555522.5R5 0„tus
23 t 6 'V
—1-
1 72
22
tti 5, 9
mt82-8047 10757000 itt 00412 118 35
---1-
04040 31333fr01.rnt. 0 00
23.1
2103223 Minimum 0 atot,
tit 7F 1
ke 87
27
0 5
10 1
Ito. 5 1
7.77
7 0 5
7 1 4111
t 6.95
—37
t1-
2 2420 7.62
" No Reporting Reason. 14NFRIJ0E Flow-ittonsettRettyclet F,NVWTHR - No Visitation. tAdAter se Weathut NOFLOW No Flow.; 1101, Nd Visitation Holiday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
.r'
OWNER NAME: Lake Norman Woods Homeowners ORC: Dena C Myers ORC CERT NUMBER: 993409
Association
GRADE: WW-3 ORC HAS CHANGED: Yes
eDMR PERIOD: 10-2017 (October 2017) VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
4
Composite Sample Time
a
u
F
<
O
1
O
_
a
1.
Z
2400 cI. k
Hn
2400 de k
Hn
Y!&N
1
2
12:40
.33
Y
7
11:35
.83
Y
1
13;00
.33
Y
3
12:25
.5
Y
6
14:50
.33
Y
7
8
9
15:50
.5
Y
to
11:40
.5
Y
it
13;35
,33
Y
12
16.00
.5
Y
13
16;00
,5
Y
14
15
16
11:15
,33
Y
17
10:45
.5
Y
18
11:30
.42
Y
19
12:30
.33
Y
20
12:40
.33
Y
21
22
s7
11:30
3 '
Y
24
7:45
1.83
Y
s
16:45
.75
Y
26
11:50
,33
Y
27
9:50
.42
Y
2n
29
30
11:00
2.25
Y
31
12:30
1,5
B
Monthly Avenge Limit:
Monthy Arn.ge:
Daily M..tmnn.
Duly M.lmeec:
"" No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR —No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILI TY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Dena C Myers ORC CERT NUMBER: 993409
Association
GRADE: WW-3 ORC HAS CHANGED: Yes
eDMR PERIOD: 10-2017 (October 2017) VERSION: 1.0 STATUS: Processed
Report Comments:
Not enough chlorine contact. Tablets were stuck in tube.

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Dena C Myers ORC CERT NUMBER: 993409
Association
GRADE: WW-3 ORC HAS CHANGED: Yes
eDMR PERIOD: 10-2017 (October 2017) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Non -Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 11/09/2017
1 60 ileYVY\
ORC/Certifier gnature: Casey Robinson E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
11/09/2017
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, pleaseattach a list of corrective actions being taken and a time -table for improvements to be made as required by part 11.E.6 of
the NPDES permit.
11/09/2017
Permittee/Submitter Signature:*** Dale Norman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
LAB NAME: Statesville Analytical Holdings
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: C. Robinson
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per I5A NCAC 2B
.0506(b)(2)(D).

NI'D ES PERNITU NC007152
FACI NA,NIE: Lake Norman V W.AVIP
OWNER N,A.ME: Lake Normr‘m Woods Homeowners
Association
GRADE,: W W -2
eDMR. PERIOD: 09-2017 (Septembcv 20
2,461k
PERNIIF EiliZSION: 4 0
CI. 'OS: WW-`2.
OR(: lirI RoFers
OR( ILAS CHANGED;
VERSION; 1.„0
PERMIT STATUS: Active
COUNTY:
7"
ORC:+k1,thRT NUMBER: 7752
OE:NT F 5:5
S Preckisited
it) tl
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: (OL NO DISCHARGE*: NO
4 70
5,1WM6
iJDAV
004
004
9
004
Monthly Aserdo, S.
4411th6 1st11pin .0,0.045
Dad, 1,44..16ddr6
WU, N166mann6
ek,
Grab
4E444-41:11
des c
6
140
6466
2.12.N 6 95
21 6
4 25
V156,6k4
ett
54000; 990044,
10404
d , Conk VUMI99
LaA Ofdn1
4475 146.d.
X,6076
2420
949949
4 557a 4191
No Reporting Reason; 1t NFRUSI\ , No Flaw-Rotse/Recycle; ENV 99THR. - Visitalion Adverse \Weather. No Flow; HOLIDAY :No V istedion - Holdidy

NPDES PEL 1 IT NO.: NC0071528 PERMIT VERSION:4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers ORC CERT NUMBER: 7752
Association
GRADE: WW-2 ORC HAS CHANGED: Yes
eDMR PERIOD: 09-2017 (September 2017) VERSION: 1,0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
o"
1.
1
u
0
1-
Li
1:
OpentnrArrival re
OpentarTine OnSite
F.
w
gE.
u
a
o
q
a
z'
2400 dock
lln
2400 dock
11n
Y/B/1N
1
II:10
.5
Y
a
3
4
HOLIDAY
5
11:15
.75
Y
6
14:55
.42
Y
7
12:00
.33
Y
6
12:35
.25
Y
9
10
11
15:25
.42
Y
13
15:00
.5
Y
13
13:15
.25
Y
14
14:45
.33
Y
15
15:35
.67
Y
16
17
18
12:00
.67
Y
f9
II:00
1
Y
20
13:10
.33
Y
21
11:40
.58
Y
22
1 L:40
.5
Y
23
24
25
9:00
.33
Y
26
15:25
.25
Y
27
10:25
.5
Y
28
I L:40
.67
Y
29
10:50
.33
Y
36
Monthly Average Una:
Monthly Average:
Dolly Idaho mos
Daily \D¢Imnm:
**" No Reporting Reason: ENFRUSE= No Flow-Reuse/Recycle; ENVWTHR= No Visitation —Adverse Weather; NOFLOW = No Flow; HOLIDAY=No Visitation — Holiday

NPDES PERMIT NO.: NC007]528 PERMIT VERSION:4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers ORC CERT NUMBER: 7752
Association
GRADE: WW-2 ORC HAS CHANGED: Yes
eDMR PERIOD: 09-2017 (September 2017) VERSION: 1.0 STATUS: Processed
Report Comments:
Dead leaves and debris along with sand was found in the chlorine and dechlor boxes. All was disassembled and thoroughly cleaned. Replaced old tablets with new and we are
now cleaning on a regular basis.

NPOES PERMTF NO.: \( 1107 52i PERMIT VE,RSION: 4 0 PER MII Si ALL'S: :letIve
10 ..
Fik,CiLITY NAME: Lake Norman Woods '61'14' rp CLASS: WV -2 COUN'ry: ( atawha
OWNER NAME: Lake Nom= Woods Homeownei ORC: icrry L Ro;4,.4-s RE-( ri v 1.„..D (J.:CERT NUMBER: 7752
Association
GRADE: W W-2 OR( HAS CHANGED: Yes
eDNIR PERIOD: 0X-2017 I AULLS 20171
1,4ao
0
VERSION: Lo CENTRAL FLES
LAIR SECTR9N
sTAT Prmessed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
9'.20
0:4t
1..13
I k;5(1
Niouthly Aversge LtysA
Mmthi, Aurrago,
V4ity Matimum
thail, %mum:
Inktarltacukulti
0 OA
008
0.015
008
0 004
2uuk
21
24.4275
41).110 C0610 C(}51.0 .114105. 410,3411
Wot
21.6
.11
"+6
RUOU1344
/.414:214
..** No Report:mg RC4',.son: ENFRUSE No Flow,R0-e,'Recycl,,,.,, ENVAVIFIR NQ Vkitarion - AdversQ Weather, NOFLOW No Flow: HOLIDAY No Vlsivation - Holiday
6t,

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers
Association
GRADE: WW-2
eDMR PERIOD: 08-2017 (August 2017) VERSION: 1.0
ORC HAS CHANGED: Yes
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7752
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
s1.5
c
9
a
I
u
u
i
S
4
aw}y W'I Y+oiwadp
y
A'
s`
t'
v,
o
o
2
a
Z.
1400 clock
n..
M00 clock
rl:s
WAN
1
10-30
33
Y
2
9:10
.5
Y
3
11:10
.33
y
4
11:10
.33
y
5
6
7
9 &5
.42
8
11:00
.33
Y
9
11:30
.42
Y
10
11:15
.33
Y
11
1330
.33
Y
12
13
14
9:20
.42
Y
15
10 40
33
Y
16
7:45
.42
Y
17
11:20
.33
Y
18
10:10
.33
Y
19
10
21
10:00
.33
Y
22
17:00
33
Y
33
10:30
.58
Y
01
10:00
33
Y
25
10:35
.67
Y
36
27
29
12:55
.25
Y
29
12:45
.A2
Y
30
11:15
.5
Y
31
11:50
.33
Y
Mon hly Avenge Woltz
MaoehlyAr once:
Deny Maximo:
19 1b Micionm:
No Reporting Reason: ENFRUSE = No Flow-Rcusa/Recycle; ENVWTHR=NoVisitation — Adverse Weather, NOFLOW No Flow; HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers ORC CERT NUMBER: 7752
Association
GRADE: WW-2 ORC HAS CHANGED: Yes
eDMR PERIOD: 08-2017 (August 2017) VERSION: 1.0 STATUS: Processed
Report Comments:
Mr. Rogers retired as of August 18th, in process of getting the Operator Designation Forms changed. On August 14th the HOD sample exceeded daily max. With the ORC
retiring, there was no statement to the exceedance and therefore the cause is unknown.

NPDES PERMIT NU.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY'NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers ORC CERT NUMBER: 7752
Association
GRADE: WW-2 ORC HAS CHANGED: Yes
eDMR PERIOD: 08-2017 (August 2017) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Non -Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 09/26/2017
bayrk
09/22/2017
ORC/Certi Signature: Jerry Rogers E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part Ii.E.6 of
the NPDES permit.
09/26/2017
Permittee/Submitter Signature:*** Dale Norman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
LAB NAME: Statesville Analytical Holdings
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: J. Rogers & C. Robinson
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 80 .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PTRMET NC00717i28
Y NAME: Lakc Norman Woods WWII'
OWNER NAME: Lake Ni Wu..)cds Homeowaers
Associa[ion
GRADE: WW-2
eDMR PERIOD: .07-2017 (..1u(y 2017)
1400 deck
PERMIT VERSION: 4.0
CL WW-2
OR( : ern, L Rouers
OR( 11,1S CHANGED: .No
PERNITI STATUS: Aclive
COUNT Y: Catawba
A I
i,thtwcERT NUMBER: 7752.
j 2 0
S49 VI P MT 091Cd
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
1,00.010
VERSION: 1..0
504150
91.0000M0900.9.000
019.4049
o,00,4
99 9009.4
99 OA
0 (015
90 9094
'19 99994
99 99194
' 0,9090kiv
Grab
Grab
goo, CDF1C
row
COMO C00.00
weekly
19.400
0910-099 00,009
0,9
4 .900
47 ,
0,9
00,100
Veeki
0000
(9'011 BR 044
09 I 099901
**** No Rqlorfi'l)g goason: FNF: RUSE No Flkov-ii.‘zose,'Rccyck ENV 99ill R k V Advorso V.O2,mhor: 74,,IFLOW No 0940.D' I 0 I„ I DA Y No Vvsaation - Flobday

NPDES PeRM1T NO.: NC0071528 PERMIT VERSION: 4.0
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers
Association
GRADE: WW-2
eDMR PERIOD: 07-2017 (July 2017) VERSION: 1.0
ORC HAS CHANGED: No
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7752
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
CIo
A
b
a'
u
A
V g.!
p
o-
1-
H 0
i.
V7
n
o
I
a
z
2400 lack
Ifn
2400 eloek
Me
YfBIN
1
2
3
12:15
.25
Y
4
HOLIDAY
5
7:15
.33
Y
0
10:00
.33
Y
7
11:05
.42
Y
s
9
10
9:00
.42
Y
11
10:30
.33
Y
12
11:05
.42
Y
13
10:00
.33
Y
14
11:00
.33
Y
15
16
17
0:45
.33
Y
16
10:45
.25
Y
L9
13:10
.33
Y
20
13:00
.33
Y
21
11:00
.33
Y
22
23
24
9:00
,42
Y
25
10:40
.33
Y
24
11:00
.42
Y
27
13:15
.33
Y
24
11:00
.33
Y
29
30
31
9:05
.42
Y
3104t61y Areetge LIm1t:
Monthly Average:
Daily\1aximam:
Day Mlo[mum:
•••• No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR= No Visitation —Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers ORC CERT NUMBER: 7752
Association
GRADE: WW-2
eDMR PERIOD: 07-2017 (July 2017)
COMPLIANCE STATUS: Compliant
ORC/Certifier Signa
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
STATUS: Processed
SUBMISSION DATE: 08/10/2017
08/10/2017
rry Roger E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
08/10/2017
Permittee/Submitter Signature:*** Dale Norman E- a . [e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
CERTIFIED LABORATORIES
LAB NAME: Statesville Analytical, Inc.
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: J. Rogers
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org!web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMI FNO.: .NC0071:528
FACI111v.NAME:1 ke Norman WINKS WWII'
OWNER NAM F. Normin Woods Homeowilers
Association
GRADE: WW:2
eDAIR PERIOD: 06-2017 c:rie: 201
100 ,I.xk
PERMIT.' VERSION: 4.0
Cl.,ASSt l;1/4: W-2
ORC: Jerry I. Ro,:ors,
ORC RAS CHANGED; No
VERSION: 1M
PERMUt STATtiS: Active
Catawba
Oft,"e'ERT INLIA1BER:-. 7
(,$1,"?‘ TU S Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO D S TIARGE*:NO
2444) dack
H;41
9 c
47)
250
t I 45 42
Moll,CMy Av,ragc 4 066
Momitly 6,er1g446.
0(444)
0 664
CI.T1(61
6,004
WOO
22 6 ft
.5400
C1611.0
X 6k • NV.:64U6
Gra):
Cill itZINE,
31610
:mat,
4)444144444
)6:Wm
44110(4
Y6g
1,1,56 7 0.1
0,5
M
4)44
Keportm,f,!. Reason: .ENFR USE .No Elow-Rcusc.-Rayrk: ENVW1'1W Vlsita:ion 41 verse Weather: NOFLOW - No 1ow; HOLIDAY Visitation I1o:RI1y
4144444
Wcek-1,
4)4444
6 975

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: LA Norman Woods Homeowners ORC: Jerry L Rogers ORC CERT NUMBER: 7752
Association 'I , GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 06-2017 (June 2017) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 07/13/2017
ORC/Certifier Signatu
07/11/2017
Rogers [e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of
the NPDES permit.
07/13/2017
Permittee/Submitter Signature:*** Dale Norman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
LAB NAME: Statesville Analytical, Inc.
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: J. Rogers
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per I5A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per I5A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: 'NC0071528
FACILITY .NAME: Lake Norman Woods WWTP
OWNER NAME: Lake Norman Woods Homeowners
Association
GRADE: WW-2
eDMR PERIOD: 05-2017 (May 2017)
PERMIT VERSION: 40 PERMIT STATUS: Active
CLASS: WW-2 COLN rt.' Catawba
ORC: Jerry L Rogers ' rt: tth aU c CERT NMBER: 7752
-
ORC HAS CHANGED: N'
VERSION: I 0
,„1 2 3
CENTF66,i. FILIETATus: processed
roNN4
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
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30
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Daily Maximum:
0.004
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,
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-
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77
Daily Minim um:
0.004
16.8
6 ,31
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0
6.3
**" No Reporting Reason: ENFRUSE =No Flow-Rense,Recyrie: ENVWTHR -No Visitation -- Advene Weather, NOFLOW = No Flow; HOLIDAY - No Visiunion - Holiday
EgerlIVEDIN C DEN RIDWR
WO, S
nORESVI F K)NIA ,C)FFICE

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0
c
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers
Association
GRADE: WW-2
eDMR PERIOD: 05-2017 (May 2017)
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7752
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
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4
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Y
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14:10
33
Y
6
7
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10:10
.25
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9
9:14
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B
10
9:55
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11
1130
33
Y
12
12:15
.42
Y
13
14
IS
7:50
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Y
16
10:40
33
Y
17
12:00
A2
Y
13
14:20
.42
Y
19
1135
.33
Y
20
21
22
14:00
.42
Y
27
11:45
33
Y
24
9:00
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Y
28
11:50
.42
Y
26
11:40
33
Y
27
28
29
HOLIDAY
30
15.30
.33
Y
31
8:00
3
Y
Monthly Awns Limit:
Monthly Arxraaet
Day Maximum i
Daily Mlahuom:
"„NoReportiegAmon: ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR=NoVisitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY=NoVisitationn- Holiday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FA(" ,,P1;Y 1tiAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OVRER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers ORC CERT NUMBER: 7752
Association
GRADE: WW-2 ORC JL&S CHANGED: No
eDMR PERIOD: 05-2017 (May 2017) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 06/12/2017
ORC/Certifier Signatu
06/09/2017
ogers/1/-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of.the.circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
06/12/2017
Permittee/Submitter Signature:*** Dale Norman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, tole,
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.
CERTIFIED LABORATORIES
LAB NAME: Statesville Analytical
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: J. Rogers
PARAMETER. CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http:/lportal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC01?7 152S PER MEI VERSION: 4.0
VACUITY NAME:. LA kc, Norman 'AI 0(K/S W WTP CLASS: WW-2
OWNER NAME: Lalw Nornim W 006t lrneorr, ORC: Jrr\ 1Rovrs
Association
GRA.DE.: W W-2
eD MR .PERIOIY: 04-2.0 I 7 ri\pril 2o17) VERSION: 1,0
ORC HAS CHANGE!
42'24r
AAA.
im Ay 3 1 Z Li 7
PERMIT STATUS: Active
COUNTY: Catawba
CER1 NUMBER: -7.72
ST ATI.S: 1rocess:0;i
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: DOI NO DISCHARGE*: NO
24990. dock
A 24(
9 149
NTLFIFIL wcrow ;Lath
INIFottaly Avenge,
,44054
• AnstatliArAto
! FLOW
0.004
0.004
(A 0.04
0,1994
WOW
594(190
LOOM.
.441414 14.relA6
Grab
COL
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Ant) • Con
COILW
1.24
AA
• A , ;VS
4
(135
I19-9
"*” No Ropori rAkA, ReaSOIL 4 04494U 51 = No 99,9 Ri RIo 9 405'N'T R NO V1.44Aation - A•144ersc. WoltOwr NIA:AFALOW •• No 999 HOLIF/AY No. VIS
W4r424
19)114444
• tF1 001111
MOO

NPDES PERMIT NO.: NC0071526 PERMIT VERSION: 4.0
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers
Association
GRADE: WW-2
eDMR PERIOD: 04-2017 (April 2017) VERSION: 1.0
ORC HAS CHANGED: No
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7752
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
2
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.42
Y
4
11:30
.33
Y
5
10:25
.42
Y
6
12:15
.33
Y
7
12:00
.33
Y
s
9
19
10:25
.5
Y
11
11:25
.33
Y
12
9:00
1
Y
13
8:00
.33
Y
14
HOLIDAY
16
16
17
11:50
.42
Y
16
11:15
,33
Y
19
7:45
.42
Y
10
11:00
.33
Y
71
11:40
.33
Y
22
1J
34
9:55
.42
Y
16
11:45
.33
Y
16
12:05
.42
Y
27
12:10
33
Y
29
12:00
33
Y
29
3a
Monthly Avenge Llmlte
Monthly Avenges
Daily Maximum:
r
Daily Mlnlmnm:
No Reportrng Reason: ENFRUSE No Flow-Reuse/Reeycle; ENVWTHR=NoVisitation — Adverse Weather; NOFLOW=No Flow; HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAMEN n Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers ORC CERT NUMBER: 7752
Association
GRADE: WW-2 ORC HAS CHANGED: No
eDMIR PERIOD: 04-2017 (April 2017) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 05/05/2017
05/04/2017
ORC/Certifier Siptfture/ Jerry Ro_; s E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of
the NPDES permit.
05/05/20I7
Permittee/Submitter Signature:*** Dale Norman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
CERTIFIED LABORATORIES
LAB NAME: Statesville Analytical, Inc.
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: J. Rogers
PARAMETER CODES
Parameter Code assistance maybe obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

\PUPS .PERMIT NU.: INC) s;rl ?S PERMIT VI RSIO\: 4.0
I+ACLU I°'1" NAME: Lake Na>t°a rt D W'' t>e'ks W W'CP (`L„ASS,. WW-2
O VNER NAME: Like ^Qtnr to l'cac3rls I¢rtr: .r ea> OAR(:':
•
Associr« ta�ar
(:RAAEWW,2
cOMR PERIOD 0.3-2017 4:\lar
OR(' HAS (:FIA\GLJ) No
VERSION: I.r!
I7 ', I"A'I US: Acid
SAMPLING LOCATION: EFFLUENT DIS(.'HAR GL NO.: 001 NO DISC
No ReponinR Rca2urz: ENFRGSE
R
1lwTHR Vr, L`EV7ta tIUf1 " AdVCrSe WCA111 -: N FLOV NO' How; H01.,
R. "'.
1 &c'wltday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
JP -
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers ORC CERT NUMBER: 7752
Association
GRADE: WW-2
eDMR PERIOD: 03-2017 (March 2017)
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
s
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1
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3
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12
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9
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..
z`
Z
2400 slack
lln
2409 clock
iin
Yf3/{N
1
11:10
.42
Y
2
10:30
.33
Y
3
12:00
.33
Y
4
$
6
9:35
.33
Y
7
12:00
.5
Y
a
10:30
.5
Y
9
12:00
.33
Y
10
11:45
.5
Y
11
12
13
10:10
.42
Y
14
t0:30
.33
Y
15
12:30
.5
Y
16
12:30
.33
Y
17
12:00
.33
Y
10
19
20
9:55
.42
Y
21
8:10
.33
Y
22
12:30
.5
Y
it
8:30
.33
Y
24
12:10
.33
Y
25
16
27
10:15
.42
Y
38
12:00
.33
Y
29
12:05
.42
Y
30
12:10
.33
Y
31
10:40
.33
Y
MmthlyAvenge r1m1t:
Moat2ly Avenge:
Daily Mecimum;
Deity Minimum:
"•' No Reporting Reason: ENFRUSE = No Flow-Rcuse/Recycle; ENVWTHR = No Visitation —Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers ORC CERT NUMBER: 7752
Association
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 03-2017 (March 2017) VERSION: 1.0, STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 04/10/2017
ORC/Certifier
04/07/2017
rry ' oger -Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
04/10/2017
Permittee/Submitter Signature:*** Dale Norman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
CERTIFIED LABORATORIES
LAB NAME: Statesville Analytical, Inc.
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: J. Rogers
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NP DES PERM IT NO.; 2.CD0715.28
FACILITY NAME; Lak&orivuan Woods WWTP
OWNER NAIVarLake Nonyuan Woods Hormapamer-s
Assoc atacarl
GRADE:: W W-2
eD MR PERIOD: 02.2017 (Ft:bruary,2017)
2410 c16.4
PERNITE VERS YN:
CLASS: IA/W.2
ORO Jerry 1, 11.9gcas
OR( IIAS (UM} D: No
E RS ION: f 0
PERMIT STATUS: Activ,:
COUNTY: 1::atawbe
FMCERT NUMBER: 7 75: 2
NI R2 1
tiqr'N F EsT A TUS: Processed
IMAM SE CritaiS'i
SAMPLING LOCATION: 'EFFLUENT DISCHARGE NO.: DOI NO D1SC1{ARGi* NO
3.10
• 123,
2:30
I Lin
L 33
VAIN
Makotilt, craw -
Average,
Weekly
s.312maneokts
n,1104
a 404 I 4 7
ox,4
ON
2 X tx,re.k
C H ORIN F
to
0
F,SS Cong
Wm.! FIR
"`"' No Repoti kn 1 RUS E 1ln 1N V W 1 KR :No rs IUY.1031 e-rsc V•ii...trher.. NO FLU W HOW, HOE,: i — No V i s utn 11ki.ay

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0
FACILITY NAME: LakE'Norman Woods WWTP CLASS: WW-2
OWNER NAMI Lake Norman Woods Homeowners ORC: Jerry L Rogers
Association
GRADE: WW-2
eDMR PERIOD: 02-2017 (February 2017) VERSION: 1.0
ORC HAS CHANGED: No
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7752
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
G
e
N
V
a
a
o
C
u
O
F
F
Q
F,
V
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it
-
2400Hnek
nn
2400 do&
ltn
Y03Ri
1
9:15
,42
Y
2
12:00
,33
Y
3
14:00
.33
Y
4
5
6
10:30
.5
Y
7
10:50
.42
Y
6
12:10
.5
Y
9
12:00
.33
Y
10
12:00
.33
Y
11
12
13
9:05
.42
Y
14
13:10
.33
Y
10
12:30
.5
Y
16
10:40
.33
Y
17
12:30
.33
Y
18
19
20
10:00
,42
Y
21
12:00
.33
Y
22
12:00
.42
I
Y
?3
12:10
.33
Y
24
10:50
.33
Y
25
26
27
9:45
,42
Y
28
11:45
33
Y _
Monthly Avenge Limit:
Monthly Avenge:
Daily M*almum:
Daily Mlnimurot
••**NoReporting Reason: ENFRUSE=NoFlow-Rease/Recyele: ENVWTHR=NoVisitation— AdverseWeather; NOFLOW = No Flow; HOLIDAY= No Visitation —Holiday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: LakkNorman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NADte Lake Dorman Woods Homeowners ORC: Jerry L Rogers ORC CERT NUMBER: 7752
Association
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 02-2017 (February 2017) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: . mpliant CONTACT PHONE #: [phone] SUBMISSION DATE: 03/08/2017
ORC/Certifi
03/08/2017
re. Jerry ;S'gers E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee ecomes aware of the circumstances.
If the facility is noncompliant, please attach ` of corrective actions being taken and•a time -table for improvements to be made as required by part II.E.6 of
the NpnFc nPrrnit.
03/08/2017
Permittee/Submitter Signature:*** Dale Norman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Shenills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
CERTIFIED LABORATORIES
LAB NAME: Statesville Analytical, Inc.
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: J. Rogers
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http:llportal.ncdenr.org/web/wgfswp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b) (2)(D).

NPDES PERMIT NO.: NC0071„528
FACILITY NAINC,.!efLake Norman Woods WWTP
OWNER NAME: Lake Norman 'Woods -Homeowners
Association
GRADE: WW-2
c.DMR PERIOD: 01-2017 (January 2017)
PERMIT' VERSION: 4,0
CLASS: WW-2
ORC: Jerry L Rogers
ORC HAS CHANGED: No
VERSION: 1.0
SAMPLING LOCATION: EFFLUENT
PERMIT STATUS: Active
t
UNTY: Catawba
RC CERT NUMBER: 772
Frb )(0,
CENTI-eAL FILETS
MAIR SEC FICA\TATUS: Processed
DISCHARGE NO.: 001 NO DISCHARGE*: NO
r Arrive Tim,
Operator Time Or SW-
UN clock Hrs ZON clock Hrs
31
8
5
Rrperring Freasorlw..
0000
36060
CUM
• C06.30
316H5
ono
Weakly
kit,taritan,:Ons, Grah !1!:44-1h
FLOW
ITMP4' pH
Ingd dep.
M1rn1Hy Avtrtge
MOTAdaly AW,VM om28
Day Maximum. (044
88!
2 X week VVe.-ckly
' ' Cirab
Veckly 40ozkly
Grab (.77!10b
CHLOHINT ! HOD - Cllac = Cane !ThS
.39
rngl 1195
2.2
8.51
nagil
15_5
Wkxidy Weo4Ly
(1-rab ! Grab
FCOL'i BR DO
tonna asi
Daily Mi010.1430-1, 0,00i
6.9
31
0
"*" No Reporting Reason! EN ERUSE No Flow-Rense,Thx-,yele; EN'VWThiR No Visitation -- Adverse Weather; NOFLOW — No 01004;
a, No Visitation Holiday

NPDES PERMEr NO: NC0071528 PERMIT VERSION: 4,0
FACILITY NAMErLake Norman Woods WWTP CLASS: VW-2
OWNER MAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers
As.sociation
GRADE: WW-2
eDMR PERIOD: 0 l -20 7 (January 2017)
COMPLIANCE STATUS: Coni.pliant
ORC/Certifier
ORC/ HAS CHANGED: No
VERSION: LO
CONTACT PHONE 0: 7048724697
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT .NUMBER: 7752
STATUS: Processed
SUBMISSION DATE: 02/09/201.7
02/07/2017
it),statesyilleanalytical,com Phone #:[phone] Date
By this signature, I certify that this report s accurate and complete to the best of my knowledge,
The pennittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public healthor the environment
Any information shall be provided orally within 24 hours from the time the pennittee became aware of the circumstances, A written submission shall also be
provided within 5 days of the time the pennittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table thr improvements to be rnade as required by part I1E,6 of
the NPDES permit.
02/09/2017
Perrnittee/Submitter Signature:*** Dale Norman E-Mail:dnormang.ha.rdybros,com Phone #:[phone]I„2 Date
.Pennittee Address: Marina Ln Sherrilis Ford NC 28673 Permit Expiration Date: 04130/2020
I certify, under penalty of lavv, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted, Based on my inquiry of the person or persons who managed 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.
LAB NAME: StatesStatessiltc Analytical, Inc.
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: J. Rogers
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit (91.9) 807-6300 or by visiting http://portatiactlenr.org/weblwq/svv-p/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
ORC on Site?: ORC must visit facility and document visitation of facility as required per I.5A NCAC 8G .0204.
*** Signature of Permittee: Ifsigned by other than the permittee, then delegation ofthe signatory authority must be on file with the state per 15A'NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO,: 'NC0071528
FACI LH'V NAME: Lake Ni,trman Woods ww-rp
OWNER NAME: ti,i,;ke Norman Woods Homeowners
Association
GRADE: \V W-2
eDMR PERIOD: 12-2016 (December 201.6)
PERM t r VERSION: 4 0 PERM r1 STATUS: Active
CLASSWW-2 COUN TV: Catawba
: ' ,pr%
OR(: Jerry L Rogers 'ORC CERT NUMBER,
J,L\ N 2 6 20i
ORC DAS CHANGE! .N°
VERSION: 0 1.)V ioN STATUS: Processed
MOORESV , r 6 ti-)
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
4
0 1.1 41
ilk: : il
e lig
.24 122,
e4
f! 4
I.
& t
:4- li'l Oka
2400 Oink Ito 2400 dock ! ' 1811,i8 ea 0 del
1111111111111111111/111111
111
10 '
12:01
4
emminsimmitimmim
immune=
1111111111111
DODO 130400
0900.0.v 'Weekly
nsiantane9ay Grab
CO819 G0539
1 Weekly 1.2 X 9-9,0k W0 t 0 Week W00k1 ''
6199 arab Arab Gra Grab
TEMP-47 811 17.111.011iN Ili HOD i. Cana 18113-8 8 cone ISS - Cleat
11.8/1i: 1 M. *11 tI*1 MO
9.094 8.225
Daily Maximum
Daily
5
3106
ME11111111111•111
M=M11111•11111111111111111111111111111111111
11111111MMMM
111,0
1111111111=11111111111111111111
7.1
40
29
ta
97
0
010
98.8225 I 1 9.825
4 : 0 1 la
' til 9 2
"71. No Reporting R000n: ErN.FR USE -No IRic k 1 N Will R No 0isa tral9m1 -- Adverse Weather; NOFLOW .No Flow, HOLIDAY - No Visitation -- Holiday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0
FACILITY NAME: Lake Nnan Woods WWTP CLASS: WW-2
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers
Association
GRADE: WW-2
eDMR PERIOD: 12-2016 (December 2016) VERSION: 1.0
ORC HAS CHANGED: No
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7752
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
0
d
4
:1-.
I
s
S
§
....
I
B
1
;
!
M
a
>
e
O
0
el
o
.9 p
G
ORC Oo Slier.
o
,gwg
C
a
1490 clock
I1n
2401 clock
11n
YlalN
1
12:30
.42
Y
2
11:40
.33
Y
3
4
5
9:45
.42
Y
6
11:45
.42
Y
7
8:45
.42
Y
8
12:00
.33
Y
9
10:20
.42
Y
In
11
11
9:30
.5
Y
13
12:00
.33
Y
14
11:45
3
Y
15
1030
,42
Y
16
11:50
.33
Y
17
l3
19
8:00
.42
Y
20
11:30
.33
Y
21
11:45
.42
Y
22
1 i:30
.25
Y
13
HOLIDAY
24
25
26
HOLIDAY
27
HOLIDAY
28
8:00
.42
Y
29
10:20
.33
Y
30
8:50
.42
Y
31
Monthly Average Llmlt:
Monthly Average:
Daily Maximum:
Daily31ho:mam:
"I* No Reporting Reason: ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR=NoVisitation— AdverseWeather; NOFLOW = No Flow; HOLIDAY=No Visitation — Holiday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers ORC CERT NUMBER: 7752
Association
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 12-2016 (December 2016) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 01/17/2017
ORC/Certifier
rgn
01/17/2017
ture: Jerry/lj/ogers E-Mail:[e-mail] Phone #:[phone] Date
)3y this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
01/17/2017
Permittee/Submitter Signature:*** Dale Norman E-Mail:[e-mail] Phone #:[phone]I2 Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
CERTIFIED LABORATORIES
LAB NAME: Statesville Analytical, Inc.
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: J. Rogers
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

:'7752
NALOFr;
N m b PERMIT NO N OU7 2K
HUly\wwE, \ ,+ x rS e
3RRN E GRNomw (kis Ikomeowners
ASSOC41
GRADE:
eDNI PERIOD:n 1 M. er & m!
7R R\R1O\ 4 (1
CLASS: V� w
OR :J ERoeers
OR( HAS CHANGED: N
VERSION: w
Pro -
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: NI NO D
inscinlitaccus

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
.51
OWNER N: Lake Norman Woods Homeowners ORC: Jerry L Rogers ORC CERT NUMBER: 7752
Association
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: I 1-20i6 (November 2016) VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
A
s`
31 31
&
8
1
E
d
a
11
1
2
Operator Time On sue
ORC On S[te7••
s
a
Y
&
2400 dock
Hy..
2400 dock
lir.
Y/BOY
1
12:00
.33
Y
2
11:10
.42
Y
3
11:50
.33
Y
4
10:20
33
Y
5
6
7
9:55
.33
Y
5
11:45
.33
Y
9
12:05
.42
Y
1D
10:20
.33
Y
t1
HOLIDAY
11
13
14
8:40
.42
Y
15
11:45
.25
Y
16
11:35
.42
Y
17
10:25
.33
Y
18
11:35
.42
Y
19
2D
21
9:45
.33
Y
22
11:45
.5
Y
23
L
10:25
.42
Y
24
HOLIDAY
25
HOLIDAY
26
n
25
10:00
.5
Y
29
11:15
.33
Y
3D
11:45
.42
Y
Monthly Avenge Unlit:
Monthly Avenge:
Daily Mulmm.0
Daily Mlnlnmmt
•••• No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR= No Visitation —Adverse Weather, NOFLOW = No Flow; HOLIDAY — No Visitation — Holiday

NPDES PERMIT NO.: NC0071528
FACILITY NAME: Lake Norman Woods WWTP
OWNER NAME: Lake Norman Woods Homeowners
PERMIT VERSION: 4,0
CLASS: WW-2
ORC: Jerry L Rogers
Association
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 11-2016 (November 2016) VERSION: 1.0
COMPLIANCE STATUS: Compliant * NTACT PHONE 4: 7048724697
ORC/Certifier
. Jerry Rog
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7752
STATUS: Processed
SUBMISSION DATE: 12/09/2016
E-Mail:[e-mail]
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncomplian
Any information shall be provided orally within 24 hours from the time the permittee became
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attagh a list of corrective actions being taken and a time -
the NPDES permit.
!I//
a,e,y(,/
12/07/2016
Phone #:[phone] Date
ce that potentially threatens public health or the environment.
aware of the circumstances. A written submission shall also be
table for improvements to be made as required by part II.E.6 of
12/09/2016
Permittee/Submitter Signature:*** Dale Norman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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 alines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME: Statesville Analytical, Inc.
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: J. Rogers
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per ISA NCAC 2B
.0506(b)(2)(D).

'IDES PER.MTI NO.: NC007152L1 PERMIT VERSION: 4
FAC 1111-4' NMI ke Norman Woods W WEP CLASS:. WW%2
OWNER NAME: lake Norman VvWoods Homeowners ORC: Jerry L Rogrs
AssocirMon
GRADE.: WW-.2.
cl)\IR PERIOD: 10-2016 (October 2016) VERSION:1
ORC DAS CHANGE 1): No
PERMIT STATUS: (5.0.6,-•e.
COT NIA': Catawba
ORC CERT NUMBER; 77,52
SENT' Proce stied.
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 901 NO DISCHARGE*: NO
Et
002
(P p
Nionthly Avorago
MonthlyAye:rage(
Daily Maximum
Doily Minimum(
5011Yll
Wo,(kly
Install moon us
FLPIYYV
mod
004
0,02,N
00(klv
' 004.00
rimh
50 060
(lot
ClILORINE
COhlh
,0(0y Yockly Vooith
YOnb
-N Cone 'INS- Cam
-0530 00300
10
11,CD LI MR
5
**** No Reporting Reason, ENE -It I.'S ,,, -No Flow,,r(clise.(140:(y-e[ie: IENIVWF s, No Vis3uAior.t - Adverse Weather( NOH, 0000'isitation , I oliday
NOV 2 1 2016
CENTRAL FILES
PWR SECTION

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4,0
FACILITY NAME: Lake Norman Woods WWTP CLASS: W1N-2
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers
Association
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 10-2016 (October2016) VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7752
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
0
Composite Sample
Time
Total Composite Time
Operator Arrival Tune
h
e
0
6
e
0 •
•1x
ORCOnSite?"
.,
e?
1
z
•
2400 clock
Hrs
2400 dork
Hrs
Y/B/N
1
2
3
9:25
.33
Y
4
11:30
.33
Y
5
8:30
.5
Y
6
12:00
.33
Y
7
10:00
.33
Y
8
9
10
10:00
.42
Y
11
11:45
.33
Y
12
11:15
.25
B
13
11:30
.5
Y
14
11:40
,33
Y
15
16
17
9:20
.42
Y
18
10:20
.42
Y
19
16:20
.33
B
20
11:24_
.27
B
21
11:45
.25
B
22
23
24
10:40
.33
Y
25
8:40
.33
Y
26
13:20
.42
Y
27
11:30
.52
Y
28
11:45
.25
Y
29
30
31
10:00
.42
Y
Monthly Average Limit:
Monthly Average:
Daily Maximum:
Daily Minimum:
*0•* No Reporting Reason: ENFRUSE=No Flaw-Reuse/Recycle; ENVWTHR= No Visitation — Adverse Weather, NOFLOW=No Flow; HOLIDAY=No Visitation Holiday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers
Association
GRADE: WW-2
cDMR PERIOD: 10-2016 (October 2016)
COMPLIANCE: Compliant
ORC/Certifier
ORC HAS CHANGED: No
VERSION: 1,0
CONTACT PHONE #t: 7048724697
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7752
STATUS: Processed
SUBMISSION DATE: 11/08/2016
11/08/2016
e: Jerry ',Sgers E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of
the NPDES permit.
11/08/2016
PermitteelSubmitter Signature:*** Dale Norman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
CERTIFIED LABORATORIES
LAB NAME: Statesville Analytical, Inc,
CERTIFIED LAB tt: 440
PERSON(s) COLLECTING SAMPLES: J. Rogers
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http:/lportal.ncdenr.org/web/wglswp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPD NO.; NC10„0152.8.
FACILIIEV NAME: :Lake Norman Woods Wwrp
OLV.ISE.R NAME: Lake Norman ."oods Homeowners
Association
GRADE: WIW.2
eDMR 11 09-20.16 (ISIctrember 20162
2400 010s, -
PERM IT VERSION: 4,0
CLASS: W
ORC: Jerry L
OK( HAS CHANCED: No
VERSION: LO
PERMIT STATUS: Active
COUNTV: c„"afawba
OR( CERT NUMBER; 7752
STATUSI. Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: N()
12:40
2 40
12030
12. 0 33
M.001-111, 5 ,erago 11,0‘00
M0nth14. Aver •01262
Oak MHNi.1111.111“
1112010 11,1inimun0
50050
11000 111141111
030,000,36,326;111
4313132
(100
01104
0,425
004
0 1010
0 004
TENT1'4,1
111110 No Roponing Reason: ENERL SE No leaRReuse/Recydea ENYW rim - No VlaRallon
50060
2 X 33,,,,e2.
(0205
02112
HOD -0 ono
0 0
C0610
lk00^k
Cj606
N /13,N C000 TSS Copt
C0530
W,10,1:1v
Grab
2.002
0 .3.012
2.941
Adver50 W,2222her1 2\0112EL2)112 0, No 2. -' 1-1211,1 TIAN' 0 No 2 )s0.111001
REC
0)
sa,
4'110-
J1616
02)1,1 RI4
f11
I11111144
0030
ecld'
CENTRAL FILES
OVVR SECTION'

NPDES PERMIT' NO.: NC0071528 PERMIT VERSION: 4.0
FACILfTY NAME: Lake Norman Woods WWTP CLASS: WW-2
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers
Association
GRADE: WW-2
eDMR PERIOD: 09-2016 (September 2016) VERSION: 1.0
ORC HAS CHANGED: No
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7752
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
v.
G
d
a
g
o s
U F
Total Composite Time
Operator Arrival Time
Operator Tim On Site
k
in
0
a
0
No Reporting
Reason****
2400 Cock
Hrs
2460 clack
Hrs
Y!BIN
I
13:30
.33
Y
2
11:30
.33
Y
3
4
5
HOLIDAY
6
12:40
.33
Y
7
8:00
.5
Y
8
7:50
.33
Y
9
11:40
.42
Y
10
11
12
9:35
.42
Y
13
10:30
.33
Y
14
12:00
.42
Y
15
11:00
.33
Y
16
9:50
.33
Y
17
18
19
9:30
.42
Y
`0
12:00
.33
Y
21
11:30
.42
Y
22
11:30
.33
Y
23
10:30 _
.33
Y
24
25
26
9:55
.42
Y
27
11:00
.33
Y
28
12:30
.42
Y
29
9:50
.42
Y
30
11:10
.33
Y
Monthly Average Limit:
Monthly Average:
Daily Maximum.:
Daily Minimum:
****NoReporting Reason: ENFRUSE=NoF]ow-Reuse/Recycle; ENVWTHR=NoVisitation— AdverseWeather; NOFLOW No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods homeowners ORC: Jerry L Rogers ORC CERT NUMBER: 7752
Association
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 09-2016 (September 2016) VERSION: 1.0 STATUS: Processed
COMPLIANCE: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 10/07/2016
ORC/Certifier Si
10/05/2016
erry Roge E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the'NPDES permit.
10/07/2016
Permittee/Submitter• Signature:*** Dale Norman E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
LAB NAME: Statesville Analytical, Inc,
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: J. Rogers
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0071528
FACILITY NAME: Lake Norman Woods WWTP
OWNEA. NAME: Lake Norman Wooth Homeowners
A8sociation
GRADE: ‘VW-2
eDMR PERIOD: 08-2
,,Au2ust 2016)
PERMIT 'VERSION: 4.0
CLASS: WW-2
ORC; Jerry L Rogers
ORC RAS CHANGED: No
VERSION: 1.0
PERM IT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7752
STATUS: Procose.t1
orTict
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
4 clock firs
4
5
6
8
18
13
4
15
2400 clock
4'1
735
11.•.2
(4, I()
4 10
9725
00
15
9:95
34.26
8730
18
22
23
14
.28
28
29
31
3
0=4 0
11) 01
9110
:20
8:20
9:40
3:110
9:40
31
.30
rg
cs
33
.42
42
33
.83
.58
'2B/78
42
4'2
42
2
.33
33
.42
• Y
81unlhIc Accruke Limn:
5 20
1enkly
000i 0
42ckly
14,88,144,0820-0. (14
'
Lien 6
O1304 '54
1404
1004
0,0114
0.025
125,1
00400
enk
50060
2 X w7ek
Grit, 61731.7
(.111-1120 17CP:
.4'
35
'2
14
C0310
Clockly
Gran
BOF Conc
ing.•1
kienlity
N1'13=A(0113
nuc.3
7 845
03
11.56
4
(20530
278
3 34157
M616
#7118871.1 n '
1.1
0,8
81081hly Acccugc:
.0114
:4 88
flail) Maximum:
Dail, WHIM Urtr
14004
0404
2.6.2
3.3 4
36
3
1356
2
ye.derument or
Environmental Quality
No Rpm -nog Roason: E NFRU SE 3, No FlOW-ReuseR coycle: ENVWTHR - 48.4t anon - 3 sitivilsitlihiirt 4610111.0W )10 Flow; HplitidAY 6 No Visitation 2 Holiday
Received
,
OCT 0 4 2016
=
P 2 6 2016
cENTRA ti LES
DAIR SECTION
7 18
6

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2
OWNESR NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers
Association
GRADE: WW-2
eDMR PERIOD: 08-2016 (August 20161 VERSION: 1.0
ORC HAS CHANGED: No
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7752
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
0
Composite Semple
Time
F
N
0
0
U
1=
Operator Arrival Time
Operator TImc Oo Site
4
y
O
O
No Reporting
Reason••'•
2400 clock
firs
2400 clock
lira
YIBIS
1
9:50
.5
Y
2
10:35
.33
Y
3
11:20
.42
Y
4
10:00
.33
Y
5
14:10
.33
Y
6
7
8
9:25
.42
Y
9
11:00
.33
Y
10
11:15
.25
B
11
9:55
.58
B
12
9:26
.53
B
13
14
15
830
.5
Y
16
10;40
.33
Y
17
10:00
.42
Y
18
12:50
.42
Y
19
10:00
.33
Y
20
21
22
9:00
.42
Y
23
11:20
.33
Y
24
8:20
.42
Y
25
9:40
.33
Y
26
13:00
.33
Y
27
28
29
—
9:40
.42
Y
30
11:30
.33
Y
31
11:30
.42
Y
Monthly Areragc Limit:
' Monthly Average:
Daily Maximum:
Daily Minimum:
No Reporting Reason: ENFRIJSE No Fow-ReusetRcyc1e; ENVWTHR=NoVisitation —Adverse Weather; NOFLOW=No Flaw; HOLIDAY —No Visitation —Holiday -

NVOES PERNITI NC007 I 528
FACILITY NAM'E: Lake Norman kVoods WIT
OWNER NiAME: Lake NorMa Woods. Homeowners
Assoc 11 t 1011
GRADE: WW-2
eDMR. PERIOD: 08-2016 {Augusk 2(111)
COMPLIANCE: Compliant
PERMIT VERSION: 4.0
CLASS:1V W-2
Jerry,l, 1.2.(vrs
ORC DAS CHANGED,: No
VERSION: 1.0
CON'T,Ncr ettoNE #: 704S724697
PERMILSIAITS:Acuve
COEN IN: Catawba
ORC CER 1 NI:1113ER: 7752
STATILLS: Procosed
SUBMISSION DATE: 09d 2
/08/20 I 6
El-Mail:tmooregstatesvilleanaiy e .eom Phone #;704 872 4697 Date
By this signature, 1 certify .that this repo is az-. 'ate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment,
Any infOrmation shall be provided orally within 24 hours from he time the permittee be/cattle aware oldie eircuinstances. A writteiro submission shall also he
provided within 6 days of the time the permitter becomes aware of the circumstances.
lithe facility is noncom.pliant, please attach at list of corrective actions being taken and as time -table for improvements to he made as required by part 11.E,6 of
the NPDCS permit.
09/12/2 01 6
PermitteetSubmitter Signature:*** Dale Norman E-Mail:dnorinan,hardybros.com Phone #:[phone] Date
Permittee .Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
I certify, under 'penalty of law, that this document and all attachmenis were prepared under my direction or ,supervision 0 iccordanee with a system, designed
to fitssure that qualified personnel properly gather and evaluate the information submitted, Based on in inquiry of the person or persons who numaged the
system. or those persons directly responsible for gathering the information, the information si.ibmitted is, 1 the best of nay knoWledge and belief, true.,
accurate, and com.plete. 'aware that there arc signifIcant penalties for submitting false infOrmation, including the possibilit7,/ of lines iAlld imprisonment for
km.Twing violations.
LAB '..ME Stottesvile hic
CERTIFIED #: 44i)
PERSOIS(s) coLLEcruNG SAMPLES: J, Rogers
CERTIFIED LAE30RATOR IFS
PARAMETER CODES
Parameter Code assistance tray be obtained by calling the N P DES Unit. [phone] or by visiting lutp://portal.neclenr.orglwebiwq/s),vplpsinpdes/forms..
FOOTNOTES
Use only units of .measuretnent designated in the reporting facility's 'NPDES permit for reporting data,
* No Flow,Discharge From Site: Check this box it'll° discharge occurs and, as a result there tire no data to be entered lor all ol the .)" - eters 00 the .DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per I 5A NCAC SO 0204.
*** Signature of Perini ttec: If/ signed by other than the perrnittge. then delegation of the signatory authority must he on File With th.e state per 1 _A 'CAC 2B
.05060,1(214D).

SC.I-IARG
\PDE` PE RM1IT`I` \(1.: NC
F°A(:I[ 1 Y NAN P_dke
(,PN\ER NAME:
GRADE: W'W72
eDNIR PERIOD: O7-2016 (July 2016)
PI RMI"IVERSION: 4.0
!£marl• -P C I,ASS:
OR(`- ILI'£y P_ lZOL4f"a
PERMIT S P'A"I'F S: Active.
COUNTY: ("ariswebu
OR(` CER"I NUMBER: 7'
SAMPLING LOCATION: EI" `I. I..ENT DISCHARGE- NO.: 001
MunIIih Average 1,tlaaler
L ReSSOTI: EN7`rRUSE o ?ow-R:u;:;„. RL.c ''. f V`^."1b`THR No Vis.kamAn --Ad LAAe AAL,Allwr; AC»LOW - No P.ku•: !1(:,YI.1171\Y -. No ViAIlzt,ern - Holirkati

•
NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0
I
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers
Association
GRADE: WW-2
eDMR PERIOD: 07-2016 (July 2016)
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7752
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
Date
0.
2
2
h2
Total Composite Time
Operator Arrival Time
Operator Time On Site
ORC On Site?••
iy *
W
2400 clock
Hrs
2400 dock
Hrs
Y/BfN
1
9:30
.25
Y
2
3
4
HOLIDAY
5
12:10
.42
Y
6
8:00
.33
Y
7
10:10
.42
Y
8
11:45
.25
9
10
1I
9:30
.33
Y
12
10:50
.25
Y
13
10:15
.42
Y
14
12:45
.25
Y
15
10:30
.25
Y
16
17
18
9:55
.33
Y
19
11:10
.33
Y
20
11:30
.33
Y
21
10:30
,25
Y
22
10:40
.33
Y
23
24
25
9:35
.42
Y
26
9:45
.25
Y
27
12:30
.42
Y
28
12:45
.25
Y
29
10:25
.33
Y
30
31
Monthly Average Limit:
Monthly Average:
Doily Maximum:
Daily Minimum:
****NoReporting Reason: ENFRUSE=NoF1ow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather; NOFLOW=No Flow; HOLIDAY No Visitation — Ho1iday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
r
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers ORC CERT NUMBER: 7752
Association •
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 07-2016 (July 2016) VERSION: 1.0
COMPLIANCE: Compli g CONTACT PHONE #: [phone]
ORC/Certifier/.ig. ature: Jeri
STATUS: Processed
SUBMISSION DATE: 08/04/2016
08/04/2016
Rogers E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attarth a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
Permittee/Submitter Signature:*** Dale Norman E-Mail:[e-mail] Phone #:[phone]
08/04/2016
Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
CERTIFIED LABORATORIES
LAB NAME: Statesville Analytical, Inc.
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: J. Rogers
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 80 .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC007 Y528
FACILITY NAW: Lake Norman Woods w %Aro
OWNERifAME: Lake Norman 'Woods Homeowners
Association
GR.ADE: W W -2
.PERMIT VERSION: 4,0
CLASS: WW-2
0 RC: Jelly L Roers
ORC RAS C.H ANGED: No
eDMR PERIOD: 06-20 If) (June 2 . VERSION: 1,0
PERMIT STATUS: Active.
COUNTY: Catawba
ORC CERT NUMBER; 7752
IEDINCDENRIDWR
ST:kTUS: Processed
WQ A OS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: °v . G
,...,*:;4E(03K),NAL OFFICE
[4:20
0:00
i 4:05
9:4(
3(1
24
I '10
0:25
.Monthly Averagn Limit;
Monthly Average:
Daily Maximum
Doily Minimum:
50050
Wee.kly
astaraaneaus
FLOW
0 004
0.004
14004
0,025
0 14/4
1)004
010 00400
`FE M
,k.*0
111
X 0tiockly
07 14 LAIR I N
1101 /-Conc
100
33433333 11
9
'nekiv
)4 56
530 1161.6
TSS 4 Cone
20 I a
4,049
Ykok
FEC COLI
0;100 00
No Raporling Reason: ENTRUST 4, No FIow-Reuse/Recycle:. ENVWTHR No Visitation - Adverw Weather NOF LOW No Flow HOU No Visitation I loliday
AUG a.$ 2U16
,00kly
131 0
DO
1044

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2
OWNERVAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers
Association
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 06-2016 (June 2016) VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7752
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
ei
M
0.
rn
.al
&
&
$I=
Total Composite Tune r
Operator Arrival Time
Operator Time Oa Site
y
fl
u
o
.3 a
`
P. o
a
za
2400 stock
Hrt
2400 clock
lira
YAM
I
1420
.17
Y
2
11:00
.5
Y
3
11:00
.42
Y
4
5
6
12:30
.33
Y
7
13:00
.42
Y
8
9:35
.33
Y
9
14:05
.42
Y
10
9:40
.33
Y
11
I2
13
9:20
.42
Y
14
11:30
33
Y
15
12:05
.42
Y
16
11:30
.33
Y
17
11:10
.33
Y
I9
19
20
11:25
33
Y
21
I1:15
.25
Y
22
10:30
33
Y
23
11:30
.33
Y
24
12:00
33
Y
25
26
27
10:00
.33
Y
29
1420
33
Y
29
10:25
.42
Y
30
11:10
.33
Y
Monthly Average Limit:
Monthly Average:
Pally 11Ia[ImOm:
Daily Minimum:
•"• No Reporting Reason: ENFRUSE= No Flow-Reuse/Recycle; ENVWTHR = No Visitation —Adverse Weather; NOFLOW = No Flow; HOLIDAY =No Visitation — Holiday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0
PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2
COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers
ORC CERT NUMBER: 7752
Association
GRADE: WW.2 ORC HAS CHANGED: No
eDMR PERIOD: 06-2016 (June 2016)
VERSION: 1.0 STATUS: Processed
COMPLIANCE: Compliant CONTACT PHONE #: [phone]
SUBMISSION DATE: 07/06/20I6
v �
ORC/Certifier Si ure: erry Roge/E-Mail:[e-mail] Phone #:[phone]
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part Ii.E.6 of
the NPDES permit. 4
07/08/2016
Date
Perini e - 07/08/2016
�tsiStubmitter Signature:*** Dale Norman E-Mail:dnorman hard bros.com Phone #:[phone]
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020 y Date
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
LAB NAME: Statesville Analytical, lac.
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: J. Rogers
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/fonns.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Cheek this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b) (2)(D).

NPDES PERMIT MI: NC0071528
FACIET TY N„A..ME: Lake Norman Woods W'
OWNER NAME: Take Norman Woods llooloown.ers
Asstxlaiion
CRAOU: WW-2
elEAIR PERIOD: 05-2016 (May .2016)
3
2400 clock
PERMIT VERSI N: 4
CLASS: WW-2
ORC: Jerry 1. Roers
ORC I IAS CHANGED: No
VE.RSITIN: 1,0
PERMIT STATUS: Active
COUNTY:. Catawbo
OR( CERT NE MI(R: 775.2
STA ITS: Processed
SAMPLING', LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*:
In 24 doe
8 .3o
5 30
3 50
0 31)
2n0
Nit -paddy AN er4ge1 mil;
IXImathly
Doily Maximum'
Daily Minimum
No Reponing Reason, ENFR LSE MOW- Reuse,Recycie,
Ooolo
astern rateendS
FLOW_
tomi
.00o-
00.400
• Grab
7 sx.x.x*k
Grab.. 0
CHLORINE
4310
S
Grab
USN,. (Mac
rgO'15
.9 667
332,
31616
.200
ENRodenHR - !Co V`isoamm dx0c.x0 Weather; - No Flow: 1101,10AV o- No VisiHtion Holiday
F C \ P
WJN
Weekly
Ron
rs
CENT'RAL FILES
DWR SF1T1ON

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers
Association
GRADE: WW-2
eDMR PERIOD: 05-2016 (May 2016)
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7752
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
w
q
d
8
a
g
U I-
P
e
u°
-
F
2.
O
Operator Time On Site
d,
=
co
ee
C.)a
D
w
1 :
$ a
$
4 CC
'
2400 dock
Hrs
2400 clock
Hrs
YIBIN
1
2
9:45
.42
Y
3
10:10
.33
Y
4
12:35
.42
Y
5
9:30
.42
Y
6
[2:10
.33
Y
7
8
9
8:30
.5
Y
10
15:30
.5
Y
NOFLOW
11
12:10
.33
Y
NOFLOW
12
8:45
.25
Y
NOFLOW
13
13:50
.25
Y
NOFLOW
14
15
16
7:50
.17
Y
NOFLOW
17
t
12:00 _
.33
Y
18
10;40
.5
Y
19
13:30
.5
Y
20
14:00
1
Y
21
22
23
10:30
.5
Y
24
12:00
.33
Y
25
8:45
.42
Y
26
8:10
.33
Y
27
I1:30
.33
Y
28
29
30
HOLIDAY
31
12:20
.42
Y
Monthly Average Limit::
Monthly Average:
Daily Maximum:
Daily Minimum:
s" No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR No Visitation —Adverse Weather; NOFLOW =No Flow; HOLIDAY No Visitation —Holiday

NPDES PERMIT NO.: NC007152g PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers ORC CERT NUMBER: 7752
Association
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 05-2016 (May 2016) VERSION: 1.0 STATUS: Processed
Report Comments:
The lant was down for painting and repairs. It has taken several days to get all the components to start working properly.

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers ORC CERT NUMBER: 7752
Association
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 05-2016 (May 2016) VERSION: 1.0 STATUS: Processed
COMPLIANCE: CONTACT PHONE #: [phone] SUBMISSION DATE: 06/03/2016
ORC/Certifier
Q� I
Jerry Rogers ail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
06/03/2016
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
06/03/2016
Permittee/Submitter Signature:*** Dale Norman E-Mail:[e-mail] Phone #:[phone]I2 Date
Permittee Address: Marina Ln Sherrills Ford. NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
LAB NAME: Statesville Analytical, Inc.
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: J. Rogers
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdeslforms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*.** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authoriti must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT ,NO.: NC0V71528
l'ACIEFFY NAMEILake Norman Woods WWTP
OWNER NAME: Lake -NOrmanWoods Homeowners
AssociatIon
(;RDE: WW-2
el)MR PERIOD: 04-2016 (April 2fl(ij
PERMIT 'VERSION; 4 ,0
CLASS: WW-2
ORC: „terry I—Koge0;
OR( RAS CHANGED; No
VERSION: I I)
PERMIT STA'TUS: Active
COUNTY: Catawba
OR( CERT NUMBER; 7752
STATUS: Pied
SAMPLING LOCATION: EFFLUENT DIS( I1ARCI NO.: 001 NO DISCHARGE*: NO
el `It fll
• 0
Monthly Average Emil':
Montht, Avrravr,
Daily MAXintikM:
FLOW
u04
004
o.o25
1112MII-C
0041.)(1
'
18
H00 ronc
Week?), W0,211y
Ora t leek
rkS2Cone
mi4
2 We
7 kik
Weekly
(11
Ff.:C(201A
181
Rportiug Ittasoo NTR No Flow-Reusc/Ruycic EN VW14,T,. , No Vkluoion Woatlw0. NUFLOW No 1108 HOLIDAY No5 iu• Holiday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers ORC CERT NUMBER: 7752
Association
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 04-2016 (April 2016) VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
Date
Composite Sample
Time
Total Composite Time
Operator Arrival Time
_d
in
e
O
p
P.c
o
b
ORC On Site?••
is
2 a
2400 clock
Hrs
2400 clock
lirs
YJBIN
1
10:30
.33
Y
2
3
4
9:40
.33
Y
5
12:00
.33
Y
6
12:30
.5
Y
7
10;15
,33
Y
8
11:30
.33
Y
9
10
11
8:15
.42
Y
12
11:50
.33
Y
13
11:00
.5
Y
14
12:00
.33
Y
15
8:15
.33
Y
16
17
18
8:55
.42
Y
19
11:30
.33
Y
20
11:05
.42
Y
21
11:10
.33
Y•
22
12:20
.33
Y
23
24
25
11:00
.33
Y
26
12:00
.42
Y
27
8:50
.42
Y
28
8:45
.33
Y
29
11:40
.33
Y
30
Monthly Average Limil:
Monthly Avernge:
Daily Maximum:
Daily Minimum:
••'•NoReporting Reason: ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR=NoVisitation— AdverseWeather; NOFLOW = No Flow; HOLIDAY No Visitation —Holiday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0
PERMIT STATUS: Active
FACILITY NAME: Lake Dorman Woods WWTP CLASS: WW-2
COUNTY: Catawba
OWNER NAME(Lake Norman Woods Homeowners ORC: Jerry L Rogers
ORC CERT NUMBER: 7752
Association
GRADE. WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 04-2016 (April 2016) VERSION: 1.0
STATUS: Processed
COMPLIANCE: Compliant CONTACT PHONE #: [phone]
SUBMISSION DATE: 05/09/2016
ti
ORC/Certifier Sipr ature� 2016
Jerry Rog E-Mail:[e-mail] Phone #:[phone]/Date
By this signature, I certify that this report is accurate and complete to the best ofmy knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
the NPDES permit.
If the facility is noncompliant, please attach a 1. of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
Permittee/Submitter Signature:*** Dale Norman com Phone #:336972
E-Mail:dnorman hard bros.--32Z205/09/20t
Permiftee6
Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date:04/30/2020 y Date
[ 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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best ofmy 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.
LAB NAME: Statesville Analytical, Inc.
CERTIFIED LAB #: 440
PERSON(s)'COLLECTING SAMPLES: J. Rogers
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portaLncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Useonly units of measurement designated in the reporting facility's NPDES permit for reporting. data.
*No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature ofPermittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D),

NPDES PERMIT NO.: NC007 ( 528 PERABT VERSION: 4.0
FACILITY NA ME!'itake Norman Wool:: WWTP CLASS: WW-2
OWNER N4AME: Lake Norman WochistHomeowners ORC: Jerry L
As,sociation
GRADE: WW-2
eDAIR PERIOD: 03-2016 ( arch 2016
.460 ckI
ORC II ‘S CHANGED: No
VERSION: 1 0
prjoint sTATus, \cu
COUNTY: Cl'a,t,awbto
OR( CERT MATHER: '7752
S F 11 IS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARG'
clock
tel. 40
13 20
t
•0'2)
tit 10
, ittt.tett
103
500511
Weekly
nstantitnettuts
Ft. v
nnid
OA
0 004
0,4
30 .
Nianthlv Average I etail;
Mond* Average;
r t3023 t 33 3
Doity NiaIth".””' 9 tte;.4 t t
() Onnt 7 7 it 0
11110 Miniennaitt
500tH
X week
Grab
Grab
HOD - Cutti:
In 9t
Gob
N 3-N .t Com(
tt 0 5
TION PR
ESS'1GU
**** No Reporting R'0n 1 NTRIJSE No Flow-HooctRatcyck. ENV WTI IR = No Vi lain Aii3 ose Wcnithet0 N411 I„.44D44 0 No Flow , 4401 ADA = No Visitation - Holiday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0
FACILITY NAME:•LakeNorman Woods WWTP CLASS: WW-2
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers
Association
GRADE: W W-2
eDMR PERIOD: 03-2016 (March 2016) VERSION: 1.0
ORC HAS CHANGED: No
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7752
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
a
Composite Sample
Time
0
l~
u
o
V
a
t�
Operator Arrival Time
Operator Time On Sile
ORC On Site?•"
ot
8.o
i
z a
2400 dock
Hrs
2400 clock
firs
YIB/N
1
10:40
.33
Y
2
12:00
.5
Y
3
9:00
.42
Y
4
11:30
.33
Y
5
6
7
9:50
.5
Y
8
11:45
.33
Y
9
11:15
.5
Y
10
9.00
.5
Y
11
13120
2
Y
12
13
14
14:30
.25
B
15
13:25
.5
B
16
10:30
.5
Y
17
11:10
.33
Y
18
11:40
.5
Y
19
20
21
10:20
.A2
Y
22
]1:10
33
Y
23
10:30
.5
Y
24
11:10
.33
Y
25
HOLIDAY
26
27
28
11:20
.17
Y
29
13:10
,33
Y
30
13:20
.42
Y
31
11:30
.5
Y
Monthly Avernge Limit:
Monthly Average:
Doily Maximum:
Daily Minimum:
•••'NoReporting Reason: ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR=NoVisitation— AdverseWeather; NOFLOW=No Flow; HOLIDAY No Visitation— Holiday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0
FACILITY NAJ 1E: Lake Norman Woods WWTP CLASS: WW-2
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers
Association
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD 03-2016 (March 2016) VERSION: 1.0
COMPLIANCE: Compliant £ONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7752
STATUS: Processed
SUBMISSION DATE: 04/15/2016
ORC/Certified/Siena�ure Ro: 04/08/2016
Jerry E-Mail:[e-mail] statesvilleanalytical.com Phone #:[phone] Date '
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The pennittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the pennittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
Permittee/Submitter Signature:*** Dale Norman E-Mail:dnormcom Phone #:336
an hard bros._972_32I204/I5/2
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
Y Datet6
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
to assure that qualified personnel properly psystem designed
P P y gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
LAB NAME: Statesville Analytical, lnc
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: J. Rogers
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.orgfweb/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMA
for entire monitoring period.
* * ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per I5A NCAC 2B
.0506(b)(2)(D).

N PDES PE RM.11 N(1)(17 15.28
FACILITY NA.M.E:.1.a14E3 Norman. Woods WW7TP
OWNER NAN1E: Lake Norman Woods Homeowners
i,o3sociation
eD MR PERIOD: 02-20 In tTebruars, 20 I ro
24
124
25
9
PERMIT VERSION: 4 0
CLASS: WW-2
°RC:Jerry I, Rogers
°RC HAS IIANOED; No
ERSION: I 0
PERMIT STATES; i\etive
(1015N-TY; Cannxba
cERT NI1AME.R7 7732
STA I I S: Proeessed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO D1SCHARGE*:
143
ft 30 11
653 42
„ —
14 274
I I I 90,
7,1.043
ID 40 :
7 447
20
42
.93
004(9.1,
W4t.7.04 W0407',7 27": "77'77t 7)''7`7774t7
til7q7w4
t gsaL._
1* MI' i 14 4"11E,4107•4 I,: m:i. - (.70444 ::::: ' (47.'" fir:7", "" „:".:at,17' 91; !"1
1.,3414
34ab.
J47:474;4.933477374,343 Grab 9,34ta4:kir 4144b
i 5 3.;371 [431E1 .o1,331
713, 7 1 93 7 31, 7 ' 9 777
$44346o40319
(1441)
010 31t6Itei
34,7 4 9 094
Moo rnly 449tent 4,i39144,' 11,1129
M0n4,1144
n9619 741,911493414494,
Daily MillifaUttE ,x34
7 74
7 4,
4773777667
7 37
171
, 7
134ot:414 Weekly
(irk (14417
310
2 341374,
n 8 72T
2.01
No Rcpoitung Reason' I3N r iu:su - No Flow-Reose..7K7,4y41,0', 13N: VAV-flik -, No V 47,14a140F4 4‘41,44',43',4 Weather. NOFLOW No Flow 11111111AY ,,,, No Vi444.11103 Holiday
APR 1 231:6
Of 4, et iv
-113443„ ir:1f 55513
DAR

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0
4
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers
Association
GRADE: WW-2
eDMR PERIOD: 02-2016 (February 2016) VERSION: 1.0
ORC HAS CHANGED: No
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7752
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
w
0.
i
.5
9
P
Y
E
is
n
E
d
1-
51
P
r-
.e
.4
-
0
Operator Time Oa Site
ill5
0
C.)ad
0
W
:
Z.
z A
2400 clock
Ilrs
2400 cloak
Hrs
Y/B1N
1
9:50
.33
Y
2
12:00
.33
Y
3
11:00
:5
Y
4
12:20
.42
Y
5
11:30
.33
Y
6
7
8
10:35
.42
Y
9
13:20
.33
Y
10
11:00
.5
Y
1l
8:15
.33
Y
12
11:10
.33
Y
13
14
15
17:00
.17
Y
16
10:40
.33
Y
17
7:45
.42
Y
18
10:20
.33
Y
19
8;45
.42
Y
20
21
22
10:05
.42
Y
23
12:00
.33
Y
24
8:45
.5
Y
25
11:15
.33
Y
26
10:40
.33
Y
27
28
29
10:30
.42
Y
Monthly Average Limit:
Monthly Average:
Daily Minimum:
Daily Minimum:
' No Reporting Reason: ENFRUSE No Flow-Reuse/Recycle; ENVWTHR—No Visitation — Adverse Weather, NOFLOW =No Flow; HOLIDAY=No Visitation —Holiday

NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers ORC CERT NUMBER: 7752
Association
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 02-2016 (February 2016) VERSION: 1.0 STATUS: Processed
COMPLIANCE: Compliant CONTACT PHONE q: 7048724697 SUBMISSION DATE: 03/09/2016
ORC/Certifier Sign
03/09/2016
rry Rogers,yIVlail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
03/09/2016
Permittee/Submitter Signature:*** Dale Norman E-Mail:[e-mail] Phone 4:336-972-3212 Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
CERTIFIED LABORATORIES
LAB NAME: Statesville Analytical, Inc.
CERTIFIED LAB fi: 440
PERSON(s) COLLECTING SAMPLES: J. Rogers
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPD ES PERMIT \( NCO(
528
FACI LarNA ME: Lake Norman Wockfs
OWNER NAME: Lake:NM-Man WOO& Homeowners
Assoctat ion
GRADE WW-2
PERMIT vERsioN,
cLASS: WW-2
ORO Jan R.ovrs
ORC IRAS CHANGED: No
PERMIT Active
C01..NTY: Ctita3313a
OFUT CERT NUMBER: 7752
eDAIR PERIOD: 0 I-2,016 (January 2(16) VERSION: I STA'!" S: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO 1)JSCHARGE*: NO
„
01
1
400 Itr9 244
59; NNI046I9
15-5415405805.7503
Z FIOW'
N .110N
114.10111
94.14(6) .9.4960 4703 /II 441619 4:435343 31916 094400
4
39444:10
PI I
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NPDES PERMIT NO.: NC0071528 PERMIT VERSION: 4.0
FACILITY NAME: Lake Norman Woods WWTP CLASS: WW-2
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers
Association
GRADE: WW-2
eDMR PERIOD: 01-2016 (January 2016)
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7752
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
Total Composite Time
P
ORC On Site.'"
No Reporting Reason
e
0
m
a
F
.s
d
O
e
V
&a
� 6
i
04
2400
tlra
2400
11n
Y1131N
1
2
3
4
9:45
.42
Y
5
11:40
,33
Y
6
8:00
.42
Y
7
10:20
.42
Y
8
11:30
.33
Y
9
10
11
10D0
.42
Y
12
10:40
.33
Y
13
11:30
.5
Y
14
8:50
.42
Y
15
11:00
.33
Y
16
17
18
No Visitation -
Holiday
19
8:10
.33
Y
20
11:00
.42
Y
21
10:35
.42
Y
22
9:50
.17
Y
23
24
25
13:35
.25
Y
26
12:40
.33
Y
27
14:40
.33
Y
28
8:05
.42
Y
29
11:10
.33
Y
30
31
Monthly Average Limit:
Monthly Average:
Daily Marimum:
Daily Minimum:
Monthly Avg % Removal (85%):

NPDES PERMIT N9.: NC0071528 PERMIT VERSION: 4.0
FACILITV-NAME: Lake Norman Woods WWI? CLASS: WW-2
OWNER NAME: Lake Norman Woods Homeowners ORC: Jerry L Rogers
Association
GRADE: WW-2
cDMR PERIOD: 01-2016 (January 2016)
COMPLIANCE: Compliant
ORC/Certifier Si:, ature. Jerry R
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 7752
STATUS: Processed
SUBMISSION DATE: 02/08/2016
02/08/2016
E-Mail:[e-mail] Phone #:[phone] Date
By this signature,) certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
if the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of
the NPDES permit.
COMMENTS:
02/08/2016
Permittee/Submitter Signature:"`** Dale Norman E-Maid:[e-mail] Phone 4:336-972-3212 Date
Permittee Address: Marina Ln Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
LAB NAME: Statesville Analytical, Inc.
CERTIFIED LAB #: 440
PERSON(s) COLLECTING SAMPLES: J. Rogers
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by otherthan the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).