WQ0005134_Monitoring - 04-2020_20200603

FORM. NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page —L of4-t
Permit No.: W00005134
Facility Name: Wake County Wildlife Club
County: Durham
Month: April
Year: 2020
PPI: 001
Flow Measuring Point: n Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent ❑� Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code 11.
50050
00400
50060
00310
00610
00530
31616
00940
O
C
O
W
O
C
O0
U
to
m
,y
0
E
E
Q
0O
C fn
E
cc O
LL O
U
O
r
U
24-hr
hrs
GPD
su
mg/L
mg/L
mg/L
mg/L
#/100 mL
mg/L
1
56
2
56
3
56
4
56
5
56
6
12:40
0.4
56
7
71
8
71
9
71
10
71
11
71
121
71
13
12:06
0.25
71
14
49
15
49
16
49
17
49
181
49
19
49
20
49
21
49
1
22
11:00
0.25
49
23
48
t,
241
48
25
48
26
48
27
12:01
0.3
48
28
63
29
63
30
63
31
Average:
57
Daily Maximum:
71
Daily Minimum:
48
Sampling Type:
Recorder
Grab
Calculated
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
6 to 9
N/A
N/A
N/A
N/A
N/A
N/A
Daily Limit:
500
Sample Frequency:
Continuous
4 X Year
Monthly
4 X Year
4 X Year
4 X Year
4 X Year
4 X Year

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page X of L4 -'
Sampling Person(s) II Certified Laboratories
Name: Guido J Carrara 11 Name: Pace Analytical Services, Inc.
Name: (I Name: G.C. Environmental, Inc.
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0 Compliant IJ 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: Guido J Carrara
Permittee: Wake County Wildlife Club
Certification No.: 25013
Signing official: Mr. Jim Daughtridge
Grade: Si Phone Number: [phone]
Signing Officials Title: Past President
Has the ORC changed since the previous NDMR? ❑ Yes El No
Phone Number: [phone] Permit Expiration: 4/30/2020
ZY�
0;L L)
Signature Date
Signature Date
L-
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 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page , A —
Permit No.: Q 111 • i •
- County Wildlife Club
I County: �Durham
. • •
1 1
Did irrigation
occur
Area (acres):
Area (acres):
Area (acres):
Area (acres):_
at this facility?
F1 YES NO
Hourly Rate (in):
Hourly Rate (in
Hourly Rate (in):
Annual Rate (in):
Annual Rate (iny.
Annual Rate (in):
Annual Rate (in):

FORM. NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _4 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-Compilant
❑✓
Compliant
❑ Non -Compliant
❑✓
Compliant
❑ Non-Compilant
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.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Guido Carrara
Permittee:
Wake County Wildlife Club
Certification No.: 25013
Signing Official: Mr. Jim Daughtridge
Grade: SI Phone Number: 919-427-1786
Signing Officials Title: Past President
Has the ORC changed since the previous NDAR-1? ❑ Yes [] No
Phone mbar: 919 832-3927 Permit Exp.: 4/30/20
i't S 1 ;LJ2,:j
� "?d ;?01-0
Signature Date
gnature Date
By this signature, I certify that this report is accurrale 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 possibillty 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