WQ0018708_Monitoring Reports_20121231

SUBMIT FORM ON YELLOW -PAPER ONLY
na,
GROUNDWATER QUALITY MONITORING:
-
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES •
DIVISION OF WATER 61UALITY4NFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please PrntCleadyorType
PERMIT Number: WQ0018708 Expiration Date: 6/30/2013
Facility Name: Baytree Lakes
Non -Discharge x UIC -
Permit Name (if different): Lake Creek Corp-Baytree Lakes
NPDES Other
Facility Address: 33 West Bay Ridge Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Harrells cst can NC
28444 County Bladen
El Lagoon ❑Remediation: Infiltration Gallery
(City) (srate�
(z1P)
❑■ Spray Field ❑ Remediation:
Contact Person: Heather Adams
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: MW 1
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
(from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW 1
Date sample collected: 11/13/2012
FIELD ANALYSES:
WAS ,
Well Depth: 25 ft.
Well Diameter: 2 in.
pH 0040D: 4.5 units Temp. 000lo: 21 °C
DRY at
Depth to Water Level 82546: 8.99
p ft. below measuring point Screened Interval: ft. to
ft. Spec. Cond. 000sa: µMhos .
time of .
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085:
sampling,check
Volume of water pumped/bailed before sampling:
8.7
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:11/13-11/15/2012
Laboratory Name: Environment 1
Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
Coliform: MF Fecal 31616 <1
mg/L
/100mL
Nitrite (NO2) as N oo615
Nitrate (NO3) as N 00620 <0.04
mg/L Pb - Lead mo51 ug/L
mg/L Zn - Zinc 01092
Coliform: MF Total 31504
/100ml-
Phosphorus: 0.07
Total as P 00665
mg/L d
(Note: Use MPN method for highly turbid samples)
•
Orthophosphate 70507
\`� V
mg/L Other (Specify Compounds and Concentratio��nits): ess�n9
issolved Solids:Total 70300 22
mg/L
Al -Aluminum o11os
mg/L BOG
pH (Lab) 00403.
units
Ba - Barium'01007
ug/L
FqAo1,Pv
\�Eo
TOC 0068o 3.38
mg/L
Ca - Calcium oosl'6
mg/L
Chloride 00940 8
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
n'
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPO. , `�
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑■ Yes (1) ❑ No (0) J� N 1,4
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: , method # 6200C
Total Ammonia oomo OA4
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese 01 o55
ug/L
method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mq/L VOC Removal%
GW-59 Rev.212010
FRO
1013

v1
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
�1617
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER CIUALITY4NFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0018708 Expiration Date: 6/30/2013
Facility Name: Baytree Lakes
Non -Discharge X UIC
Permit Name (if different): Lake Creek Corp-Baytree Lakes
NPDES Other
Facility Address: 33 West Bay Ridge Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Harrells (Street) NO
28444 County Bladen
El Lagoon ❑ Remediation: Infiltration Gallery
❑■ Spray Field ❑ Remediation:
Contact Person: Heather Adams
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: MW 2
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
(from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW 2
Date sample collected: 11/13/2012
FIELD ANALYSES:
WAS
Well Depth: 27.9 ft.
Well Diameter: 2 in.
pH 004o0: 4.6 units Temp. 000lo: 19 °C
DRY at
Depth to Water Level 62546: 7.76 ft. below measuring point Screened Interval: ft. to
ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00065:•
check
Volume of water pumped/bailed before sampling:
9.6
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: El YES
El NO and field acidified: El YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/13-11/16/2012
Laboratory Name: Environment 1
Certification No. 10
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD'00335
mg/L . '
Nitrite (NOZ) as N,00615
mg/L Pb - Lead o11151 ug/L
Coliform: MF Fecal 31616 <1
/100mi-
Nitrate (NO3) as N 00620 <0.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P 00665 <0.04
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7030o 42
mg/L
AI -Aluminum 01105
mg/L -
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 0066o 2.11
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 9
mg/L
Cd - Cadmium 01027
ug/L
Arsenic o1002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe -'Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑■ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 76732: method # 62000
Total Ammonia 00610 0.14
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; N1­13as N; Ammonia Nitrogen, Total)
Mn - Manganese o1 o55
ug/L method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
• .
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • •
•
161.7 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
'Please PdntCleadyorType
PERMIT Number: WQ0018708 Expiration Date: 6/30/2013
Facility Name: 'Baytree Lakes
Non -Discharge X UIC
Permit Name (if different): Lake Creek Corp-Baytree Lakes
NPDES Other
Facility Address: 33 West Bay Ridge Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Harrells ts'reztl NC
-
28444 Count
y Bladen
❑Lagoon ❑Remediation: Infiltration Gallery
(City) (Statal
(zip)
-
M Spray Field ❑Remediation:
Contact Person: Heather Adams
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: MW 3
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
' (from Permit
SAMPLING INFORMATION
If WELL
WELL ID:NUMBER (from Permit): MW3
Date sample collected: 11/13/2012
FIELD ANALYSES:
WAS
Well Depth: 25 ft.
Well Diameter: 2 in.
pH 0040o: 4.9 units Temp. 000lo: 21 °C
DRY at
Depth to Water Level 82546: 6.81 ft. below measuring point Screened Interval: ft. to
ft. Spec. Cond. 00094: µMhos
time of
MeasuringPoint is 3.5 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000as:
sampling,
check
Volume of water pumped/bailed before sampling:
9.6
gallons
_Appearance
here:❑:
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:11/13-11/15/2012
Laboratory Name: Environment 1
Certification No. 10
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N o0615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as,N 00620 <0.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 '
/100mL
Phosphorus: Total as P 00665 0.08
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentratich Units):
issolved Solids:Total 7030o 44
mg/L
Al -Aluminum o1105
mg/L
pH (Lab) 00403
units
Ba - Bahum 01007
ug/L
TOC oomo 2.98
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 15
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium:.Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑■ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7s732: method # 6200C
Total Ammonia 00610 0.20
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; N1­13as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L method.#
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
M
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0018708 Expiration Date: 6/30/2013
Facility Name: Baytree Lakes
Non -Discharge X - UIC
Permit Name (if different): Lake Creek Corp-Baytree Lakes
NPDES Other
Facility Address: 33 West Bay Ridge Road
TYPE 'OF PERMITTED OPERATION BEING MONITORED
Harrells (street) NC
28444 County Bladen
El Lagoon ❑Remediation: Infiltration Gallery
(C"y) (Sta1e)
(`ip)
0 Spray Field ❑ Remediation:
Contact Person: Heather Adams
Telephone#` 2522354900
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: MW 5
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW5
Date sample collected: 11/13/2012
FIELD ANALYSES:
WAS
Well Depth: 25 ft.
Well Diameter: 2 in.
pH 00400: 5.9 units Temp. 000lo: 19 °C
DRY at
Depth to Water Level 62546: 8.55 ft. below measuring point Screened Interval: ft. to
ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 3.0 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000m5
sampling,
check
Volume of water pumped/bailed before sampling:-
9.3
gallons
Appearance
here:
Samples for metals were collected unfiltered: ❑ YES
❑ Nor and field acidified: ❑ YES ❑ No
LABORATORY INFORMATION
Date sample analyzed: 11/13-11/15/2012
Laboratory Name: Environment 1
Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NOZ) as N oo615
mg/L Pb - Lead,olo51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.65
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.04
mg/L .
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 64
mg/L
AI -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 1.73
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 27
mg/L
Cd - Cadmium 01027
ug/L "
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu -Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol "3z73o
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate o0945
mg/L
Hg - Mercury 71900
ug/L "Lab Report Attached? ❑■ Yes (1) ❑ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method # 6200C
Total Ammonia 00610 0.25
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.2/2010

EIMWOQOM(�li CAM Flo ommPumbd
P.O. BOX 7085, 114 OAKMONT DRIVE
GREENVILLE, N.C.'27835-7085'
.A
CLIENT: BAYTREE LAKES (ENVIROLINK)
C/O ENVIROLINK
P.O. BOX 670
BAILEY, NC 27807
REVIEWED BY:
VOLATILE ORGANICS
STb. METHODS 6200C (97)
PARAMETERS, ug/l
1:
Benzene
2.
Bromobenzene
3.
Bromochloromethane
4.
Bromodichloromethane
5.
Bromoform
6.
Bromomethane
7.
N-Butylbenzene
8.
Sec-Butylbenzene
9.
Tert-Butylbenzene
10.
Carbon Tetrachloride
11.
Chlorobenzene
12.
Chloroethane
13.
Chloroform
14.
Chloromethane
15.
2-Chlorotoluene
16.
4-Chlorotoluene
17.
Dibromochloromethane
18.
1,2-Dibromo-3-Chloropropane
19.
1,2-Dibromoethane
20.
Dibromomethane
21.
1,2-Dichlorobenzene
22.
1,3-Dichlorobenzene
23.
1,4-Dichlorobenzene
24.
Dichlorodifluoromethane
25.
1,1-Dichloroethane
26.
1,2-Dichloroethane
27.
1,1-Dichloroethene
28.
Cis-1,2-Dichloroethene
29.
trans-1,2-Dichloroethene
30.
1,2-Dichloropropane
31.
1,3-Dichloropropane
32.
2,2-Dichloropropane
33.
1,1-Dichloropropene
34.
Cis-1,3-Dichloropropene
35.
trans-1,3-Dichloropropene
36.
Ethylbenzene
37.
Hexachlorobutadiene
38.
Isopropylbenzene
39.
4-Isopropyltoluene
40.
Methylene Chloride
41.
Naphthalene
42.
Propylbenzene
43.
Styrene
44.
1,1,1,2-Tetrachloro ethane
45.
1,1,2,2-Tetrachloroethane
46.
Tetrachloroethene
47.
Toluene
48.
1,2,3-Trichlorobenzene
D'r
Wastewater ID: 10
PHONE [phone]
FAX, [phone]
CLIENT ID: 115
ANALYST: CHS
DATE COLLECTED: 11/13/12 Page: 1
DATE ANALYZED: 11/16/12
DATE REPORTED: 11/20/12
urk"AAM
< 0.50
< 0.50
<0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
<0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
-<0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
<0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50

J
Wastewater M 10
P.O., BOX 7085,-114 OAKMONTD,91YF'�' PHONE,(252 756-6208
,GR I FAX -'9633'
CLIENT: BAYTREE LAKES (ENVIROLINK) CLIENT ID: 115
C/O ENVIROLINK
P.O. BOX 67.0 ANALYST: CHS
BAILEY, NC 27807 DATE COLLECTED: 11/1.3/12 Page: 2
DATE ANALYZED:- 11/16/12
DATE REPORTED: 11/20/12.
REVIEWED BY. 5Z
v6LATILE-.ORGANICS
STD.. METHODS 6200C (97)
PARAMETERS, ug/l
49.
1,2,4-Trichlorobe.nzene
50.
1,1,1-Trichloroethane
51.
1, 1,2-Trichloroethane
52.
Trichloroethene
53.
Trichlorofluoromethane
54.
1,2,3-Trichloropropane
1,2,4-Triinethylbenzene
.55.
56.
1,3,5-Trhneihylbenzene
57.
Vinyl Chloride
58.
Total Xylenes
59.
Methyl Tert. Butyl Ether
ur I ffiff
< 0.50
<0.50
* 0.50
* 0.50
<0.50
* 0.50
* 0.50
* 0.50
< 0.50
* 1.00
* 1.00

GW-59A COMPLIANCE REPORT FORM Permit #VgQDOI S708
(Submit one each monitoring period with GW-59 forms.)
1
Enter date monitoring results were due. (I 3 2012) Will this monitoring report (GW-59 and GW-59A)
YES
NO
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
NO
IF the answer to question 1 or 2 is "YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
NO
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Officefor guidance.
4
Are any monitored constituents equal to or above the established standards?
YE
NO
If the answer to question 4 is NO", skip to section 8.
If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below.
Mw- I PP MW- 3 pN 4.9
MW- 2- P4 MW-3 }'H 5.9
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
YES
NO
same constituent(s) in the same well(s) in the last two years?
If the answer to question 5 is NO", skip to section 8.
If the answer to question 5 is "YES". list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
MUJ- I �DN 4.3 MLO- 3 rN � r,.o
Mv-)-2- pN 4.3 MLU-5 0 5,& Jldy2L-)1z
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
If the answer is "YES". a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO', monitoring wells may be improperly
located; contact the Regional Office.
7
Is the permittee implementing previously approved actions'required by the Division involving this ,
YES
NO
groundwater quality problem?
If the answer to question 7 is "YES", describe those actions in the space provided below.
If the answer to question 7 is "NO" contact the Regional Office within 90 days; an evaluation may be
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility. Failure to do so may subject the Dermittee to a Notice of Violation,
fines, and/or penalties.
g
The person completing this portion (GW-59A) of the monitoring report should sign below and submit this
form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form.
--- - ------------ ---------- - - -- - --- - — ----- - --- ---- - - - ----- - - —_—,-- ,
I hereby acknowledge that the above information was evaluated and the information submitted in this
report (Compliance Re rt GW-59A)_is true and complete to the best of my knowledge..___
Signature of Perm itte (o uthorized Agent) Date
GW-59A 12/8/2003

August 21, 2012
.t
Heather Adams
Director of Operations
Envirolink, Inc.
PO Box 670 I
Bailey, NC 27807
Dear Ms. Adams:
Please accept this letter!as notice that Lake Creek Corporation WQ0018708.has granted
you signing authority as the Permittee on the Non -Discharge Monitoring Reports and
Groundwater Reports that are submitted to the North Carolina Division of Water Quality.
All other responsibilities of the Permittee, shall reside with D. Stephen Jones.
-
Sincerely, E
Jdi
D."Stephen Jones
President
opcENE®
SEP , !r 2012
` {nfom-moon Processing Unit
DWQIBOG
i
I
two .

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of 2
Permit No.: W00018708
Facility Name: LakeCreek Corporation
County: Blades
Month: July
Year: 2012
Did irrigation occur
Field Name:
1
Field Name:
Field Name:
Field Name:
at this facility?
Area (acres):
5.08
Area (acres):
Area (acres):
Area (acres):
O YES ❑ NO
Cover Crop:
Bermuagrass
Cover Crop:
Cover Crop:
Cover Crop:
Hourly Rate (in):
0.25
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
105.8
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
O YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
El YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
o
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E
i= °�
t
z,'v
0 '°
o
E�,E
'X p
�2 0
E. 2
Q-
o a
and
E
i=
ac
•� N
❑ o
>>,E
K 30 m
m2 0
m
E.2
3 a
o a
m d
E aI
i-•�
rn
'm
p o
Earn
E •o
x o 0
OF
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
- - C
81
0.5
40"--
- 55,100 ---
495-
0:40
0.05
-
2
PC
81
40.5"
65,000
470
0.47
0.06
3
C
92
42"
56,500
510
0.41
0.05
4
PC
88
43"
50,600
450
0.37
0.05
5
6
PC
102
1 43"
33,800
305
0.25
0.05
7
8
9
C
81
41"
55,900
510
0.41
0.05
10
11
12
13
14
151
C
90
2.5
1 29"
1
34,400
300
0.25
0.05
16
171
C
80
1
27"
68,900
600
0.50
0.05
18
191
C
80
29"
80,600
810
0.58
0.04
20
21
22
23
PC
92
0.5
29"
1
38,000
360
0.28
0.05
24
C
96
28.5"
1
25,300
255
0.18
0.04
25
PC
82
1
27.5"
1
56,400
560 1
0.41
0.04
26
C
82
29"
1
64,600
640
0.47
0.04
27
28
29
30
31
Monthly
Loading:
685,100
4.97
0
0.00
0
0.00
017
0.00
12 Month Floating Total (In):111
16.54

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2 of 2
Did the application rates exceed the limits in Attachment B of your permit? ❑ Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding. in or runoff from the sites? El
Were ❑'Non -Compliant
p Compliant ❑ Nan -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
O Compliant ❑ Non -Compliant
Were all setbacks listed" in your permit maintained for every application to each permitted L`Compliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
,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:' Burnice T. Marcom ❑ Yes o No-
Permittee:
Lake Creek Corporation
Certification No.: 988247
Signing Official: D. Stephen Jones - 44-wnr ..
Grade: SI Phone Number: 252-235-4900 .
Signing Official's Title: President
Has the ORC changed since the previous NDAR-17
Phone Number: 704-576-8462 Permit Exp.: 6/30/13
SVak i D
Signature Date
SignatureDate
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• niy 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617 "

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Pagel of 2
Permit No.: WQ0018708
Facility Name: LakeCreek corporation
4nu
County: Bladen
Month: July
Year: 2012 ,
PPI:
n uen uen o ow genera
Flow Measuring Pint:
e uen roun wa r owenng u ace Water
Parameter h1 ntormg oint:
Parameter Code --►
50050
31613
00530
00610
00625
00615
00620
00940
00310
70295
C0600
00400
50060
P
O
c
O
00
c
a
E
LL V~
a
c NE
o. o
N
N
clfl
E
Q
t
C
Z
0
Z
47
.
U
O
>
Lycc
m y
p
7a .0d. o
E-
`U
Z
U
24-hr
hrs
GPD
#1100 mL
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
su
mg/L
1
42,770
21
15,679
31
31,389
4
25,300
5
25,-300
6
09:00
5.5
27,707
6.47
0.05
7
27,707
8
27,707
91
58,637
101
58,637
111
13:45
0.75
58,637
121
58,637
13
58,637
14
58,637
15
11,035
16
11,035
17
22,120
181
22,120
191
09:00
5
20,150
6.37
0.27
201
20,150
211
1
20,150
22
20,150
23
38,000
24
49,961
25
31,739
26
09:30
4
27,609
<6000
1 6.5
5.04
6.96
<0.04
<0.04
30
12
211
6.96
5.76
0.03
27
19,729
28
19,729
29
19,729
30
19,729
31
19,729
Average:
31,234
1.00
6.50
5.04
6.96
0.00
0.00
30.00
12.00
211.00
6.96
0.12
Daily Maximum:
58,637
6,000.00
6.50
5.04 1
6.96
0.04
0.04
30.00
12.00
211.00
6.96
6.47
0.27
Daily Minimum:
Sampling Type:
11,035
Recorder
6,000.00
Grab
6.50
Grab
5.04 1
Grab
6.96
Grab
0.04
Grab
0.04
Grab
30.00
Grab
12.00
Grab
211.00
Grab
6.96
Grab
5.76
Grab
0.03
Grab
Monthly Limit:
20,000 gpd
Daily Limit:
Sample Frequency:
Cont
4/Year
- 3/Year
4/Year
4/Year
4/Year
4/Year
Wear
4/Year
4/Year
4/Year
2/month
2/month

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page 2 of 2
Sampling Person(s)
Certified Laboratories
Name: Brandon Baldwin Name: Environment 1
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0 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 shoats if nacassary
Monthly Average Flow exceeded 20,000 gpd as a result of 1/1 during heavy rain events -Flow was estimated due to broken flow meter -New Flow meter was installed in August 2012
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Burnice T. Marcom Permittee: Lake Creek Corporation
Certification No.: 988247 Signing Official: D. Stephen Jones
Grade: Si Phone Number: 252-235-4900 Signing Official's Title: President
Has the ORC changed since the previous NDMR? ❑ Yes LI] No Phone Number: 704-576-8462 Permit Expiration: 6/30/2013
T, 1 ��/a
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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

`_A�ORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page'' 1_ of_2
Permit No.: WQ001 8708
Facility Name: Lake Creek Corporation
County: Bladen
Month: May
-. ■ o ■
-. ■ o ■ ■
®�©E=�����������EIO�
®
11
®�®���-®-®---®-®-
Daily
Daily
Sam�������o�—�����
Monthly

ORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT Page _2_ of_2_
Sampling Person(s) Certified Laboratories
Name:. Burnice Todd Marcom Name: Environment 1
1
Name:. Name: .. ,
s all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?o'Cbmplia_nt ❑Non Compliant
he 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 correctil
action(s) taken. Httacn aoaltional sneets it necessary.
ENVIROLINK, INC. STARTED OPERATING THE BAY TREE SYSTEM ON MAY 14, 2012 AS THE OPERATOR IN RESPONSIBLE CHARGE
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Burnice Todd-Marcom
Permittee: Lake Creek Corporation
Certification No.: 988247 •
Signing Official: D. Stephen.Jones
Grade:, SI Phone Number: 252-235-4900
Signing Official's Title: President
Has the ORC changed since the pfevious NDMR? p Yes ❑ No-. '
Phone Number: 704-576-8462 Permit Expiration: 6/30/2013
-
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 Quality
Information Processing' Unit
.1617 Mail Service Center
Raleigh; North Carolina 27699-1617.

tom, FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _1_ of _2_
Permit No.: W00018708
Facility Name: Lake Creek Corporation
County: Bladen
Month: May
Year: 2012
Did irrigati�in occur
Field Name:
1
Field Name:
Field Name:
Field Name:
this facility?
Area (acres):
5.08
Area (acres):
Area (acres):
Area (acres):
at
Cover Crop:
Bermudagrass
Cover Crop:
Cover Crop:
Cover Crop:
❑ YES ❑ NO
Hourly Rate_(in):
0.25 ,
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
105.8
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
oA
a)
a)
m
r
0
CL
L
a.
y d
v
rn
E a
=
o
:E'
I c
-
E2
�
•
0
E
`CE
Xo
m
m a
En
co�
L
�
> QJ
m
-
�
020Q
J
>�.
'vaU
E
o
J
°F
in
ft
ft
gal
min
in
in
gal
min
In
in
gal
min
in
in
gal
min
in
in
2
3
4
r,
5
-
I =
6
!`
7
8
9
10
11
12
13
14
PC
68
38,700
350
.--0:28_
0.05
15
PC
77
46"
16
CI
84
45"
33,400
300
0.24
0.05
171
CI
75
1.3"
42.5"
18
PC
78
39"
32,400
1 360
0.23
0.04
19
PC
75
39"
28,400
360
0.21
0.03
20
21
PC
81
36"
59,900
540
'•-0.43-'
0.05
22
CI
86
38"
21,200
200
0.15
0.05
231
PC
61
38.5"
51,100
450
- 0.37-'
0.05
24
PC
90
39.5"
63,000
475
`1-0.46 =
0.06
25
PC
66
40.5"
66,900
540
i-0.49
0.05
26
PC
68
42.5"
59,100
550
`0.43�
0.05
27
C
71
43"
42,300
480
0�31_1
0.04
28
291
PC
82
41.5"
16,800
150
0.12
0.05.
30
R
80
3.5
1 34"
311
C
82
1 31"
3,600
30
0.03
0.03
Monthly Loading:
516,800
3.75
0
0.00
0
0.00
0
0. 00
12 Month Floating Total (in):

NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)_ Page_2=.of_2_
Did the application rates exceed the limits in Attachment B of your permit? o compliant ❑ Non -compliant
Were adequate' measures taken -to prevent effluent ponding in or runoff from the sites?. o Compliant o Non -Compliant
Was a "suitable vegetative cover maintained on all sites -as'specified 'in your -permit? O Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to.each permitted site?0 Compliant ❑ Non -Compliant
'Were all freeboards maintained-iri,efccordance With the•specified freeboard heights in your permit?.' o Compliant El Non -Compliant
If the facility is non -compliant, please explain iri the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance arid.describe the corrective
action(s) taken. Attach additional sheets if necessary
ENVIROLINK, INC STARTED OPERATING THE. BAY TREE SYSTEM',ON'MAY 14, 2012 AS. THE OPERATOR IN RESPONSIBLE.CHARGE, .
Operator in Responsible Charge (ORC) Certification
.Perrriittee Certification
ORC: Burnice Todd Marconi
�Permittee:
Lake Creek Corporation
Certification No.: 988247
'Signing Official: D. Stephen Jones
Grade:. SI Phone Number: 252-235-4900
Signing Official's Title: President
Has the ORC changed,since the previous NDAR-1? _ p Yes ❑ No
Phone Number: 704-576-8462 Permit Exp.: 6/30/13
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,,accurale:and complete. I am aware that there are significant .
penalties for submitting false information, including the possibility offines and -imprisonment for knowing violations.
Mail Original and Two.Copies to;
Division of Water Quality
Information Processing Unit
1617 Mail Service Center "
Raleigh, North. Carolina.27699-1617

fi FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _1_ of_2
PermitNo.: WQ0018708
I Facility Name: Lake Creek Corporation
County: Bladen
Month: May
. •. ■ o ■
•. ■ slwa■ ■
c
Oil-
MENEII01
0
®�

Cr—►--i 1 L C.H./✓ r,
5 71A
�vwiyV"
24 (t00%) O G 17./J�
04/30/2012 24 (100%) 0 S
05/02/2012
24 (100%)
0
05/03/2012
24 (100%)
0
05/04/2012
24 (100%)
0
05/05/2012
24 (100%)
0.11
05/06/2012
24,(100%)
0
05/07/2012
24 (100%)
0
05/08/2012
24 (100%)
0
057-09Z2:012-1
24 (100%)
05/10/2012
24 (100%)
0.0'1
05/11/2012
24 (100%)
0 '
05/12/2012
24 (100%)
0
05/13/2012
24 (100%)
0.0!1
05/14/2012
24 (100%)
0.18
05/15/2012
24 (100%)
0.0`1
05/16/2012
24 (100%)
0.01
OS/1772'O1`2
24 (100%)
i1:6.6_1
05/18/2012
24 (100%)
0.01
05/19/2012
24 (100%)
0
05/20/2012
24 (100%)
0.03
05/21/2012
24 (100%)
0
05/22/2012
24 (100%)
0.02
05/23/2012
24 (100%)
0.01
05/24/2012
24 (100%)
0 ,
05/25/2012
24 (100%)
0
05/26/2012
24 (t00%)
0
05/27/2012
24 (100%)
0
0:5/2:872012K;
24 (100%)
0.261
05/2 2./2012]
24 (100%)
0:24 t
:05`/_3,0/20jM,,
24 (l00%)
224 }
,05/3:1/2012—"_24-(
24-= :.
0_ i
06/01/2012 24 (100%) 0.19
06/02/2012 24 (100%) 0
06/03/2012 24 (100%) 0 j
06/04/2012 24 (100%) 0
06/05/2012 24 (100%) 0.66
06/06/2012 23 (96%) 0
06/07/2012 13 (54%)
06/08/2012 24 (100%) 0
06/09/2012 24 (100%) 0
06/10/2012 24 (100%) 0
06/11/2012 24 (100%) 032

Station: NTUR - Turnbull Creek Date of first observation: May 22, 2002
Station type: RAWS -
City, State: Elizabethtown, NC County: Bladen County
Latitude: 34.68' Longitude:=78.58°
Elevation: 100 feet above sea level
Climate division: NC06 - Southern Coastal Plain
River basin: Cape Fear
Supported by: S&PF
This page is created dynamically and should not be bookmarked. Instead, bookmark the page preceeding this.
Retrieving monthly data from Turnbull Creek for past 24 months
25 records found for this time period
If you need more historical data from a larger period of record, please contact us for assistance
This data set will be compiled from hourly observations. Missing
and/or erroneous observations in the source data set will amplify
errors with time in this data set. Only minimall,quality control
methods have been applied. Use this data with caution!
H
Date/Time of ob
Number of
montSUM of
It
Daily Precipitation
Records Compiled
at 1.2-2.4m (in)
Aug 2010
743 (99.9%)
3.24 G
Sep 2010
720 (100%)
10
Oct 2010
744 (100%)
0.95
Nov 2010
720 (1000/6)
1.54
Dec 2010
743 (99.9%)
2.51
imucJ1:3
744 (100%)
J1111
Feb 2011
672 (100%)
4.54
Mar 2011
744 (100%)
4.06 i
Apr 2011
720 (100%)
2.19 �(
May 2011
744 (100%)
2.07 i a 0
Jun 2011
720 (100%)
3.65
Jul 2011
744 (100%)
3.5
Aug 2011
744 (100%)
5.75
Sep 2011
720 (100%)
3.95
Oct 2011
744 (100%)
1.76
Nov 2011
720 (1000A)
4.07
ec201"1-
744 (100%)
0�45 I
Jan 2012
744 (1000A)
2.15
Feb 2012
696 (100%)
2.9.1
Mar 2012
721 (96.9%)
6.8.5
Apr 2012
720 (100%)
1.24
May 2012
744 (100%)
6.42
Jun 2012
708 (98.3%)
2.
i
Jul 2012
744 (1000A)
4.68
Aug 2012
490 (65.9%)
4.02
NC CRONOS Database version 2.7.2
Query script last modified Jun 15, 2012 15:44:18
Page expelled in 0.231 secs.

CORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) �j'/ Page z Ofr)
No.: WQ001 8708
Facility Name: Lake Creek Corporation
County: Bladen
Month: June
MeasuringPermit
Flow '• ■ Influent e➢ Effluent ■ No flow generated•.
■ ■ ■
m�
®®
1 1
------------
--
owl�
1 1
---------C
DWQ/BOG

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page !A__ of
Sampling Person(s) Certified Laboratories
Name: Name:
Name: Name:
Does, all, monitoring data and sampling frequencies meet the requirements in Attachment A of.your:permit? o compliant ❑ Non -Compliant
If the facility is non-coinpliant,.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-com pliance°and describe the corrective
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Burnice Todd Marcom
Permittee: Lake Creek Corporation
CertificatiomNo.: 988247
Signing Official: Steven Jones
Grade: SI Phone Number: 252-2354900
Signing Official's Title: President
Has the ORC changed since the previous NDMR? ❑ Yes RI No
Phone Number: 704-576-8462 Permit Expiration: 6/30/2013
-
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 Quality
Information Processing Unit
1617 Mail Service Center . . .
Raleigh, North Carolina 27699-1617

'FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: W00018708
Facility Name: Lake Creek Corporation
County: Bladen
Month: June
Year: 2012
Did irrigation occur
Field Name:
1
Field Name:
Field Name:
Field Name:
Area (acres):
5.08
Area (acres):
Area (acres):
Area (acres):
at this facility?
E YES ❑ No
cover Crop:Bermuda
grass
9
Cover Crop:
p'
Cover Crop:
p'
Cover Crop:
p'
Hourly Rate (in):
0.25
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
105.8
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
E YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
❑
y
a
UL
2
E
a
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L
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OF
in
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_in
gal
min
in
in
1
PC 88
28.5"
__36,200 _
___415
0.26
0.04
2
PC 72
28.5"
63,200
540
0.46
0.05
-_------
---
3
PC 72
30"
44,600
510
0.32
0.04
4
C 76
30.5"
46,000
430
0.33
0.05
5
6
C 62
30.5"
64,800
1 540
0.47
1 0.05
7
PC 76
32.5"
38,500
435
0.28
0.04
8
C 64
33.5"
52,700
505
0.38
0.05
9
10
C 71
33.5"
69,500
815
0.50
0.04
11
1.4"
12
13
C 77
31.5"
42,500
365
0.31
0.05
14
C 80
33"
57,100
520
0.41
0.05
15
16
PC 69
33.25"
46,300
430
0.34
0.05
17
PC 74
34.5"
66,800
620
0.48
0.05
18
C 80
36.5"
41,800
480
0.30
0.04
19
20
21
C 95
36"
57,300
650
0.42
0.04
22
PC 78
37.5"
48,800
540
0.35
0.04
23
C
39"
46,900
410
0.34
0.05
24
2.5"
25
26
C 79
34"
61,700
555
0.45
0.05
27
C 72
36"
54,700
425
0.40
0.06
28
C 95
37.5"
70,700
630
0.51
0.05
29
30
C 100
38"1
100
605
0.50
0.05
31
Monthly Loading:
1,079,200
7o,
7.82
0
0.00
11
0
0.00
0
0.00
iii
12 Month Floating Total (in):

"FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page o1 of
Did the application rates exceed the limits in Attachment B of your permit?
o Compliant
❑ Non -Compliant
Were.adequate measures taken to prevent effluent ponding in or runoff from the sites?
o Compliant
❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
o Compliant
❑ Non -Compliant -
Were all setbacks listed in your permit maintained for every application to each permitted site?
o Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
p 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.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Burnice Todd Marcom
Permittee:
Lake Creek Corporation
Certification No.: 988247
Signing Official: 'Steven Jones
Grade: Si Phone Number: 252-235-4900
Signing Officials Title: President
Has the ORC changed since the previous NDAR-1? ❑ Yes p No
Phone Number: 704-576-8462 Permit Exp.: 6/30/13
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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617