WQ0020881_Monitoring - 09-2021_20211214

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * September
Report Information
WQ0020881
Lake Norman State Park
Year:* 2021
Type* Upload Document*
Revised - NDMR, NDAR-1, NDAR-2, LNSP 09-2021 NDMR-NDAR 2.18MB
NDMLR (amended) (signed).pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * Madelyn Mills
Signature:
Date of submittal: 12/14/2021
This will be filled in automatically
Initial Review
Reviewer: Zhong, Vivien

Is the project number correct?* WQ0020881
Is the monitoring report accepted?* Yes No
Regional Office* Mooresville
Accepted Date: 12/21/2021

r1LE!
FORM: NOAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page 1 of 2
Permit No.: WQ0020881
Facility Name. Div. Of Parks & Rec (Lake Norman SP)
County: Iredell
Month: September
Did irrigationoccur
at this facility?
0 YES No
/
1Hourly
Rate (in):,
Annual Rate1
1 .
_-
®
•
��
• •
e •

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2 of 2
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
o Compliant ❑ NcwCompkant
o Compliant ❑ Non -Compliant
U Compliant a Non -Compliant
o Compliant 4 Non -Compliant
91 Compliant n Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator In Responsible Charge (ORC) Certification
Permlttee Certification
ORC: Todd Robinson
Permittiaw
Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 1006252
Signing Official: Malcolm Scott Avis
Grade: S1 Phone Number 252-235-8809
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDAR-1? ❑ yes 3 No
Phone Number: 704-528-6350 Permit Exp.: 6130126
�v�� /v • � - 2 �
o �0 i?� 2l
Signature Date
Signature Date
By this signature, I certify Thal this report is accurrate and complete to the best of my knowledge.
I certify. under penalty of law, that this document and all attachments wore prepared under my direction or supervision In accordance
witIn a system designed to assure that all quartfied personnel properly gatherod and evaluated the information submitted, eased on my
Inquiry of the person or persons who manage dre system, or those persons directly responsible for gathering the Information, the
information submitted Is, to Ina best of my knowledge aria belief, true, accurate, and complete. I am aware =1 there are skgnificant
penattlos for submitting false information, includOg the possibility of Tinos and Imprisonrnent for knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No.: WQ0020881
Facility Name: Div. of Parks & Rec (Lake Norman SP)
County: Iredell
Month: September 7
Year: 2021
PPI:
Flow Measuring Point: o Influent 0 Effluent o No flow generated
Parameter Monitoring Point, ° Influent o Effluent C3 Groundwater Lowesing ❑ Surface Water
Parameter Code -�
50050
50060
00400
C0310
31616
00610
00630
00620
00625
00530
00665
U{< l m
0
C
Oltn
dr
O
u
iAy
a
CV
=
a
U
N0
0
m
�r
U 2
V
C
E
E
Q
« I
Z Z
,
Z
t
ti
N 0C
N
o2
F
16 NC L
o ao
h In
[n
i9
o a
F 0
t
a.
24-hr
hrs
GPD
mg1L
Su
mg1L
#1100 mL
mg1L
mg1L
mglL
mg/L
mg1L
mg/L
1
1,768
2
1,768
3
1,768
4
1,768
5
1,788
6
1,768
7
14:00
0.5
1,768
0
6.67
8
1,768
9
1,768
10
1,768
11
1,768
12
1
1,76s
131
1
1,768
141
10:45
1 0.5
1,768
0
6.78
15
1,768
16
1,768
17
1,768
18
1,768
19
1,768
20
1,768
21
11:15
0.5
1,768
0.06
6.84
22.7
>2419.6
47.6
<0.1
a0.1
56.78
16.25
2
22
1,768
23
1.768
24
1,768
25
1,768
26
1,768
271
1
1,768
28
11:00
0.5
1,768
D,32
6.68
29
1,768
30
1,768
31
Average:
1,768
0,10
22.70
1.00
47.60
0.00
0.00
56.78
16.25
2.45
Daily Maximum:
1,768
1 0.32
6.84
22.70
0.00
47.60
0.10
0.10
56.78
16.25
2.45
Daily Minimum:
1,768
1 0.00
6.67
22,70
0.00
47,60
0.10
0.10
56,78
16.25
2,45
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:
Conllnuous
Monthly
1tweek
4x Year
4x Year
4x Yaar
4x Year
4x Year
4x Year
4x Year

FORM: NDMR 10-13
NON -DISCHARGE MONITORING REPORT (NDMR)
Sampling Persort(s) Certified Laboratories
Name: Operators Name: Statesville Analytical, Inc.
Name: Name.
Page 2 of 2
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? o Compliant 0 Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in Compliance. Provide in your explanation the date(s) of the non -Compliance and describe the correcUve
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Todd Robinson Permlttee: Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 1006252 signing Official: Malcolm Scott Avis
Grade: 31 Phone Number: 252-235-8809 Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDMR? C Yes ° No Phone Number: 704-528-6350 Permit Expiration: 6/3012026
Signature Date
By this signature, i certify that this report is accurrate and complete to the best of my knowledge.
Signature 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 all gualffied personnel property gathered and evaluated the Information
submhted, Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
Wwring 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 ponahies for submitting false information, including the passibility of £sees and imprisonment for
krnvwing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No,: WQ0020881
Facility Name: Div. of Parks & Rec (Lake Norman SP)
county: Iredell
Month: September
Year: 2021
PPI:
Flow Measuring Point: n Influent C Effluent ❑ No Flow generated
parameter Monitoring Point: ° Influent C Muent ❑ Groundwater Lowering o Surface water
Parameter Code ---1-
50050
50060
00400
C0310
31616
00610
00630
00620
00625
00530
00665
00600
a
Q E
U H
0
c
F
A
LL
m
o
F L
G
u
o
u7
0
m°
_ E
W D
E
a
+ m
.. C
zz
.'
z`
t
a c
SC 6
z
m
� Cf. G
;v+
y
CL
YD N
a
c
rn
F 0
z
24•hr
hrs
GPp
mg1L
su
mg/L
#1100 mL
mg1L
mgtL
mg1L
mg1L
mglL
mg/L
mg1L
1
1,768
2
1,768
3
1,768
4
1,768
5
1.768
6
1.768
7
14:00
0.5
1,768
0
6.67
8
1,768
9
1,768
10
1.768
11
1,768
12
1,768
13
1,768
14
10:45
0.5
1,768
0
6.78
15
1,768
16
1,768
17
1,768
18
1.768
19
1.768
20
1,768
21
11:15
0.5
1,768
0.06
6.84
22.7
>2419.6
47.6
<0.1
<0.1
56.78
16.25
2
47.6
22
1,768
23
1,768
24
1,768
25
1,768
26
1,768
27
1,768
28
11:00
0.5
1,768
0.32
6.68
29
1,768
30
1.768
31
Average:
1,768
0.10
22.70
1.00
47.60
0.00
0.00
56.78
16.25
2.45
47.60
Daily Maximum;
1,768
0.32
6.84
22.70
0.00
47.60
0.10
0.10
56.78
16.25
2.45
47.60
Dally Minimum:
1.768
0.00
6.67
22.70
0.00
47.60
0.10
0.10
56.78
16.25
2.45
47.60
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
Dally Limit:
Sample Frequency:
Cani nuaus
Monthly
tlweek
4x Year
4x Year
4x Year
4x Year
4x Year
4x Year
4x Year

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of 2
Sampling Person(s) Certified Laboratories
Name- Operators Name: Statesville Analytical, Inc.
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ° Compliant o Non{'nmpiant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Todd Robinson
permittee: Div, Of Parks & Rec (Lake Norman SP)
Certification No.: 1006252
Signing Official: Malcolm Scott Avis
Grade: S1 Phone Number: 252-235-8809
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDMR? n Yes a No
Phone Number: 704-528-6350 Permit Expiration: 6/30/2026
lgnature Date
Signature Date
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge.
I cenffy, under penalty of law, that thfs document and all attachments were prepared under my direction or supervislon In
accordance wllh a system designed to assure that all qualified personnel property gathered and evaluated the informatlon
submlttad. Based on my Inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the Information, the informallon submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are sgni'lcanl penalties for submitting false inlormeWn, including the possibility of fines and imprisonment for
knowing violaltons.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing unit
1617 Mall Service Center
Raleigh, North Carolina 27699-1617