WQ0007144_Monitoring - 04-2020_20200519

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ of
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09:30 I 1
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Daily Limit:
;-56;OC(0 '
Sample Frequency:
ConSndpus!
4xYear
3xYear�
Sx Week
1�4%wYean'
4xYear
`ax YeaP"
4xYear
5xkUeek ,
3xYear
4xYear '.

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?
❑ 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
Operator in Responsible Charge (ORC) Certification
oRc: Stanley Eudy
Certification No.: SI 994723
Grade:
Phone
Number:
252-249-1212
Has the
ORC changed
since the previous
NDMR?
❑ Yes
21 No
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee: 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 Permit Expiration: June 30 2021
Signature Date
certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
suomitted. 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 (NDARA)
Page _ of
Permit No.:
WQ0007144
Did
irrigation
occur
at this
facility?
DYES
❑NO
Weather
Freeboard
oT
fIft
C I 49 I 0.6 14.5
C 50 1 0 1 4.5
PC I 48 I 0.7 14.58
Facility Name: Camp Seafarer
Field Name: 2
Area (acres): 5.8
Cover Crop: GrassrTrees
Hourly Rate (in):
Annual Rate (in): 83.2
Field Irrigated? 21YES ❑NO
d B a rn E a rn
E -'v E0 32 3o
= J
gaI min in in
iE3�)•tri9�triiC!
county: Pamlico I Month:
April
Year:
2020
Field Name:
Area (acres):
Cover Crop:
Hourly Rate (in):
Annual Rate (in):
Field Irrigated?
❑YES
[]NO
oa
i=°'
oo
xoo
aal
min
in
in
Monthly Loading:
,0=
0.00.
225,829
1.43
'373,451 '
2.15 !
0
0.00
12 Month Floating Total (in):
: ` "'
18.55
`?;&89 ,':

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?
❑� Compliant ❑ Non -Compliant
❑✓ Compliant ❑ Non -Compliant
❑�
Compliant
El
Non-Compliant
❑�
Compliant
El
Non-Compliant
Were all freeboards maintained in
accordance with the specified
freeboard heights in your permit?
❑� 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 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: 252-249-1212
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.
Permittee Certification
Permittee: YMCA of the Triangle Area, Inc
signing official: Mike Askew
sigmimg officials
ride:
Director
of Facilities and Boating
Operations
Phone Number:
252-249-1212
Permit Exp.:
June 30 2021
Signature
Date
I certify, antler penalty of law, that this tlocument and all attachments were preparetl antler my direction or supervision in accortlance
with a system designetl to assure that all qualifetl personnel properly gathered and evaluatetl the information submittetl. Basetl on my
inquiryof 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