WQ0020881_Monitoring - 05-2023_20240426

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * May
WQ0020881
LAKE NORMAN STATE PARK
Report Information
Type *
Revised - NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2023
Upload Document*
1ano_ndmr_rpt_May2023.pdf 1.5MB
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: * ENVIROLINK, INC.
Signature:
Date of submittal: 4/26/2024
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* W00020881
Is the monitoring report accepted?* Yes NO
Regional Office* Mooresville
Reviewer: _anonymous
Review Date: 5/3/2024

FORM NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No.: Q1/ 1::
of •rman SP)
COUnty: IredellNam
•

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of 2
Sampling Person(s) Certified Laboratories
Name: Operators Name:
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? a Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
not
No reporting was conducted throughout the period when the facility was under the operation of Hayseed Environmental from May to October 2023.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Todd Robinson
Permittee: Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 1006252
Signing Official: Nathan Greene
Grade: SI Phone Number: [phone]
Signing Officials Title: Park Superintendent
Has the ORC changed since the previous NDMR? o yes ❑ No
Phone Number: [phone] Permit Expiration: 6/30/2026
Digitally signed by: Todd Robinson
Todd RobinsonDN: CN = Todd Robinson email =
[e-mail] C = US
O = ENVIROLINK, INC. OU = ORC 4/25/2024
q9 `
2 L
Signature Date
Signature Date
By this signature. 1 certify that this report is accurrate and complete to the best of my knowledge.
I certify. under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system. or those persons directly responsible for
gathering the information, the information submitted is. to the best of my knowledge and belief. true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of 2
Permit No.: Q11 1::
: •
-•-
1
/ • irrigation occur
Area lacres):
Area (acresy
at this facility'?
Cover Crop:
El YES NO
Hourly Rate (ilg�,1Hourly
Rat.11111111111111112171171
1Annual
1
Rate (in):�
Annual Rate (in):�
Field Irrigated?
Field Irrigated?
•
Monthly Loading:
12 Month Floating Total (in):

FORMNDAR-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?
m Compliant ❑ Non -Compliant
o Compliant ❑ Non -Compliant
to Compliant ❑ Non -Compliant
m Compliant ❑ Non -Compliant
❑ Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
o reporting was conducted throughout the period when the facility was under the operation of
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Todd Robinson
Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 1006252
Signing official: Nathan Greene
Grade: SI Phone Number: [phone]
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDAR-1? o Yes ❑ No
Phone Number: [phone] Permit Exp.: 6/30/26
Todd Digitally signed by Todd Robinson
DNS CN = Todd Robinson email =
[e-mail] C = US
0 = ENVIROLINK, INC. OU = ORC 4'25 202a
I'
Robinson Date: 2024.04.25 08,50 45-04'00'
J
Signature Date
Signature Date
By this signature.. I certify that this report is accurrate and complete to the best of my knowledge.
I certifyunder 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. trueaccurateand complete. I am aware that there are significant
penalties for submitting false informationincluding 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