WQ0020881_Monitoring - 03-2021_20210504

FORM.NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of2
Permit No.: WQ0020881 Facility Name: Div. Of Parks & Rec (Lake Norman SP) County: Iredell Month: March Year: 2021
Field Name:i 1 Field Name: 2 Field Name: Field Name:
Did irrigation occur Area(acres): 1.715 Area(acres): 1.715 Area(acres): Area(acres):
at this facility? - E —
Cover Crop: Woodland Cover Crop: Woodland it Cover Crop: Cover Crop:
o YES a NO Hourly Rate(in): 0,4 Hourly Rate(in): 0.4 II Hourly Rate(in): Hourly Rate(in):
1 II
Annual Rate in 30.15 Annual Rate(in): 30.16 ' Annual Rate(in): Annual Rate(in):
— Weather Freeboard Field Irrigated? 'Y ,o Field Irrigated? YES 0 NO 1
r " �� c
1 Field Irrigated? N , Field Irrigated? n YES a No
a w EtI o m V) .Q , -c ~o o I E m m a a as E a '1 c, ~�: r a rn 11 0. > rn' a) a a rn E >,, o)
T o m Y rn am H
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II
d a; H
a, .•-R cII
a) 2; H
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Ei E 7' .. E a 111
. a I m rn w 2 X o Ry; rn,a a 4 y i- s ❑ o a E❑ f0 f _ J J" _
m a
(
°F in ft ft gal min mi_ ;in in gal min in in gal miry in in gal min in in
1 PC 55 0.6 2.92
2 I _3 r 2,970 345 0 06 0 01
q .r. �__ 1,260 73 0.03 0.02
5
6 r _
IIIIIINI
7 _4__...._ _._ i T
8 C 60 0 3.33 L I
9
10 1 4,380 360 0.09 0.02 z
11' 3,120 378 0 07 0,01 I,.
{ �.._ _12. r y _R:: .
14 a j .� _
15 CL 55 0 4.16 1-- ---1i .�m. _
16 _ , ! _ _ :. P
18 1 ___-_, n ._�.�__ 0 6t'OL
21 ,rAFI�"4'
22 C 62 0.6 , 3.92 I_. ---1 wep\��
23 --- 4—__ - F — %4����`
24 _E
25 _ I _ w m. _�._
27 _26 t _�.w � - — -
28 I 1_ I i_._.._
29 C 51 2.75 3.25 _1__ . _ .I -1,----
30 4,--- ._p_
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31 ( 4 / 7 /
Monthly Loading: 6,090, ,ref / 0.1 /�/A 5,640 / 0.12 / ." _. .�::,�����/ �.`'0a s 7�����t ������
a 0.00
12 Month Floating Total(in):r������������ . :* _ V i 7 ������. ,V '•" .#7������������������������

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? e Compliant O Non-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? a Compliant 0 Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? o Compliant 0 Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? a Compliant 0 Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? a Compliant 0 Non-Compliant
If the facility is non-compliant, please explain in the space below the reason(s)the facility was not in compliance. Provide in your explanation the date(s)of the non-compliance and describe the corrective
action(s)taken.Attach additional sheets if necessary.
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: Chip White Permittee: Div. Of Parks& Rec(Lake Norman SP)
Certification No.: 1004687 Signing Official: Malcolm Scott Avis
Grade: S2 Phone Number: 336-549-8990 Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDAR-1? ❑Yes o No Phone Number: 704-528-6350 Permit Exp.: June 30,2026
• tom'
e3M 02=q Li/.28/2/
Signature Date Signature Date
By this signature,I certify that this report is accurrate and complete to the best of my knowledge. I certify,under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted.Based on my
inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the information,the
information submitted is,to the best of my knowledge and belief,true,accurate,and complete.I am aware that there are significant
penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

- f
FARM. NDMR 10-13 NON-DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No.: W00020881 Facility Name: Div. of Parks & Rec (Lake Norman SP) County: Iredell Month: March Year: 2021
PPI: Flow Measuring Point: a Influent 0 Effluent 0 No flow generated I Parameter Monitoring Point: o Influent 2 Effluent 0 Groundwater Lowering o Surface Water
Parameter Code --► 50050 50060 j 00400 i' C0310 31£1 o E 00610 00630" 00620 00625 , 00530 00665' ..� .,,.1!.
0 �_� m n 13 ti
Tts a) E w 73 a . i U rc 1 o y i 3 r; c«a 2 w a 't 1
0041
O O , m I-
I
rn
a-
24-hr hrs GPD mg/L 1 sit mg/L #1100 rnL mg/L rng1L mg/L mgtL mg/L mg1LII "
10:29 0.25 1,063 0 I. 6.72 1,063 I
©__ .'1,063 :
Itil 1,063 {M1 _
©-- w�_
1,063 '`
1__ 1,063 )�
B-_ 1,063 ` ._
O 14:50 0.25 - 1,063 0.05 6.68 1- ¢_�_� _
9 _ 1,063 .3_ **
�N
10 1,063 16.5 i yv3,1_:a_., 15.46f 1
113 1,063 1111111111
1,063 + iw: 1
Illel 1,063 _
®__
10:22 0.25 1,063 0.06 6,6 : �r _
t
Ea 1,063 1
1,063 - -
- -_
m T
�__ 1,063 I 1 #
19__ 1,063 __ _{t_
20�� 1,063 _ _ _w_�i._ -
Ell 1,063 ( .`
Eg 12:25 0.25 1,063 c 0.08 1 6.74 s` T ._ -: fA
®�� 1,063
t---- I- '
26_ 1,0631111
28__ 1,063
Ea 11:03 0.25 1,063 1 0.04 6.54 _ _
30 1,063 '''
31 1,063 :- rm
Average: 1,063 0.05 16.50 1,511a3.10 15.46 0 CO 0.00 MEMNI 28.00 3.60 _
Daily Maximum: . 1,063 0.08 6,,74 16.50 1,353,10 15.46 0 10 : 0.10 24.53 28.00 3.60
Daily Minimum: 1,063 : 0.00 54 16.50 3.10` 15.46 6"10 0.10 24.53 28.00 3.60
Sampling Type: Recorder Grab l - Grab Grab Grab Caab Crab Grab Grab '
Monthly Avg.Limit:
Daily Limit: 1 MINIS
Sample Frequency: ,Conflhuous' Monthly 17urr'-8 4x Year 4x Y'ar'1 4x Year Ax Year 4x Yed, 4x Year 4x Year",;' I

FORM:NDMR 10-13 NON-DISCHARGE MONITORING REPORT (NDMR) Page 2 of 2
Sampling Person(s) Certified Laboratories
Name: Chip White Name: Statesville Analytical, Inc.
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? o Compliant 0 Non-Compliant
If the facility is non-compliant,please explain in the space below the reason(s)the facility was not in compliance. Provide in your explanation the date(s)of the non-compliance and describe the corrective
action(s)taken.Attach additional sheets if necessary.
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: Chip White Permittee: Div. Of Parks & Rec (Lake Norman SP)
Certification No.: Signing Official: Malcolm Scott Avis
Grade: S2 Phone Number: 336-549-8990 Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDMR? 0 Yes o No Phone Number: 704-528-6350 Permit Expiration: 6/30/2026
9-2-n,zI `11, 1/12Y/2/
Signature Date Signature Date
By this signature,I certify that this report is accurrate and complete to the best of my knowledge I certify,under penalty of law,that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted.Based on my inquiry of the person or persons who manage the system,or those persons directly responsible for
gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete.I am
aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for
knowing violations
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617