WQ0007144_Monitoring - 03-2020_20200428 (4)

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
1181 10:00 I 1 1 2:749 I 3.7 I" ""59 'I 0.96 I'' ' 18 `+I 0 58 I " z4722'" I <0.04 I 956" " I 318 ( 21 ! I 4.25 I 1.75 I I II
Average:
3.70
'1;59.00""
1.25
s. <18A0"='.
0.58
'""4t22
0.00
21.00 I
4.25
1:75Daily
Maximum:
15,630, `;
3.70
" 59.00"
1.72
I 18:00 '
0.58
;:.4:22
0.04
' 9.86:
21,004.25
1.75Daily
Minimum:
1;390` %
3.70
F. 59.00:
0.96
""16900'
0.58
Q4`22"'
004
".9:$2"
21,00 1
4.25
1.75
Sampling Type:
;Recorder
Grab
Grab;
Gmb
' Grab`
Grab
GTaS'
Grab
-Grab-Grab'
F318.00
�.Monthly
Limit:
1t650,000ailyLimit:5Sam
pie Frequency:
"ConGrtuous.:
4 x Year
.3xYeap.
5xWeek
, 4, Year
4 x Year
4xYear ^:
4xYear
5,xWeek;::
4 x Year

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ of
Sampling Person(s) Certified Laboratories
Name: Name: Environment 1
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? E 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
oRc: Stanley Eudy
Certification No.: SI 994723
Grade:
Phone
Number:
Has the
ORC changed since
the previous
NDMR?
Perm ittee Certification
Permittee: YMCA of the Triangle Area, Inc
signing Official: Mike Askew
252-249-1212 Signing Official's Title: Director of Facilities and Boating Operations
❑ Yes Ej No Phone Number: 252-249-1212 Permit Expiration: June 30 2021
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 qualfed 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. 1 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 27699A617

FORM: NOAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _ of
C I 66 11.63 14.75
180 I 0.41 I 0.14
1121' C I 56 I 0 1475 1 II ,. f+ - ". ,I `L" 11 21,508 I 60 I 0.14 ( 0.14 II 48.187 'I 120 I '0.28 I 0:14 II I I I
CL I 59 I 1 14.67
CL I 69 0 14.67
Monthly Loac
12 Month Floating Total
ICiGCCV W11114
��%%1� ��0100

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDARA) Page of
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
Q
Compliant
❑
Non -Compliant
[]
Compliant
❑
Non -Compliant
❑�
Compliant
❑
Non -Compliant
If the facility is non -compliant, please explain in the space below the reasons) the facility was not in compliance. Provide in your explanation the dates) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
oRc: Stanley Eudy
Certification No.: SI 994723
Grede: Phone Number: 252-249-1212
'I Has the ORC changed since the previous NDAR-1? ❑yes ❑+ No
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Perm ittee Certification
Perm ittee: YMCA of the Triangle Area, Inc
Signing Official: Mike Askew
Signing Official's Title: Director of Facilities and Boating Operations
Phone Number: 252-249-1212
Signature
Permit Exp.: June 30 2021
Date
I certify, under penalty of law, that this document and all attachments were preparetl under my tlirection or supervision in accordance
with a system tlesignetl to assure that all qual'fietl personnel properly gathered and evaluatetl the irttortnation submitted. Based on my
inquiry of the person or persons who manage the system, or those persons tlire 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