WQ0020881_Monitoring - 11-2016_20161222 (2)

' FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _L_ of —9—A
Permit No.: W00020881
Facility Name:
.Lake Norman State Park
County: Iredell
Month:
November
Year:
2016
Did irrigation
Field Name:
A
Field Name:
B
Field Name:
Field Name:
occur
Area (acres):
1.715
Area (acres):
1.715
Area (acres):
Area (acres):
at this facility?
Cover Crop:Woodland
Cover Crop:
p�
Woodland
Cover Crop:
P�
Cover Crop:
P:
❑✓ YES ONO
Hourly Rate (in):
0.4
Hourly Rate (in):
0.4
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
30.16
Annual Rate (in):
30.16
Annual Rate (in):
Annual Rate (in):
Weather Freeboard
Field Irrigated?
DYES ONO
Field Irrigated?
RIYES
ONO
Field Irrigated?
DYES
ONO
Field Irrigated?
DYES
[]NO
o m
3 ;_ d wa
o a m
a o ae
d G td d
E ` fA ❑ w
m o a
y of
ca Eos
o O. i- •�
� Q
0 E a rn
c c c
�m Eco
❑ O = O
J 2L J
my o
d d
cc
�a E�
o CL •`
9 Q
o)
c
o
Em
❑ p
J
E a0
c
E -a
= p
J
m a a
d
3 E m
a
O d 1- •`
� Q
rn
`o
m�
❑ p
J
E TCM
c
E c •v
= p
J
a)V v
d
= E
a
O °' H
> Q
o�
E
❑ p
J
E aam
c
= p
J
°F in ft ft
gal min
in in
gal min
in
in
gal min
in
in
gal min
in
in
1
2
3
4
C 65 0 3
9,600 75
0.21 0.16
5
C.
d
6
.
a A
7
Cr °
8
9
C 63 0 3.25
10,300 75
0.22
0.18
1
0 -t-j�;rw
10
nerr NP
11
B
�...
12
13
14
15
16
C 67 0 3.25
7,000 60
0.15 0.15
17
18
19
20
21
22
23
24
25
26
C 50 0 3.5
8,000 60
0.17 0.17
27
28
29
30
31
Monthly Loading:
24,600
0.53 jllllllllllllllllll
10,300 KIM,
0.22
0
0.00
0
0.00
12 Month Floating Total (in),
5.00
5.30
WON

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page -2-1 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?
Compliant ❑Non -Compliant
Compliant ❑Non -Compliant
(]Compliant ❑Non -Compliant
[Acompliant ❑Non -Compliant
[2]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: Matthew B. Cartner
Permittee:
Div. Of Parks & Rec (Lake Norman SP)
Certification No.: 995910
Signing Official: Jarid Church
Grade: S1 Phone Number: 704-880-4373
Signing Official's Title: Park Superintendent
Has the ORC changed since the previous NDAR-1? Dyes ❑� No
Phone Number: 704-528-6350 Permit Exp.: 9/30/20
l6
20�
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 property 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