WQ0011655_Monitoring - 12-2020_20210129

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page ` of/

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 7- of 6
Sampling Person(s) Certified Laboratories
Name: Benjamin H Davis Name:
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment of your permit? X Compliant ❑Non -Comp
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: Benjamin H Davis
Permittee: East Carolina Council/BSA/Camp Boddie
Certification No.: 18551
Signing Official: Doug Brown
Grade: SI Phone Number: [phone]
Signing Official's Title: CEO
Has the ORC than ed since the previous NO X yes ❑ No
Phone Number: [phone] Permit Expiration: 2/29/24
i
1 /20/21
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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM :NDAR-110-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page-3—of 6
W •

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of l�
Did the application rates exceed the limits in Attachment B of your permit? ® Complia Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? XComplia❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ® Complia❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ® Complia❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? X Complia❑ 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: Benjamin H. Davis
Permittee:
East Carolina Council/BSA, Inc./Camp Boddie
Certification No.: W00011655
Signing Official: Doug Brown
Grade: SI Phone Number:
[phone]
Signing Official's Title: CEO
Has the ORC hanged since the
❑ yes Z No
Phone Number: [phone] Permit Exp.: 2/29/24
ZsN&
1 /20/21
Signature
.1
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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page,,5 of 46
Permit No.: WQ0011655
Did irrigation occur
at
this facility?
YES
[><] NO
Weather
Freeboard
0
0
a
2
E
o
M CL
9 M
monthly Low
12 Month Floating Total
Facility Name: East Carolina Council/BSA Inc./Camp Boddie
County: Beaufort Month:
M
Field Name:
Area
(acres):
MINN * wiftwWw" W*
Cover Crop:
. . . . . . ..... .....
A-00 NO 6,1911*11-IM-1
Hourly Rate (in):
Annual Rate (in):
X Nfield Irrigated?
YES
E 2
E
0 M
0
gal
min
0 5zzzzzA 0.00
December
Year:
2020
Field Name:
Area (acres):
Cover Crop:
Hourly Rate (in):
Annual Rate (in)
N(Field Irrigated?
YES
0) V
E 2
3-
02 'a
E
V)
01
_j
E rn
3 S
E -a
X m
M 0
aal
min
1 in
in
0 VZZZZZA 0,00

` FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page (0 of
Did the application rates exceed the limits in Attachment B of your permit? X Complia❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ®Complia❑Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? X Complia❑ Non Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? X Complia❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? XComplian 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: Benjamin H. Davis
Permittee:
East Carolina Council/BSA, Inc./Camp Boddie
Certification No.: WQ0011655
Signing Official: Doug Brown
Grade: SI Phone Number:
[phone]
Signing Official's Title: CEO
Ci, yes ❑X No
Has the OR changed since the previo DAR-I?
Ph7Nu-ber- [phone] Permit Exp.: 2/29/24
1 /20/21
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 penallies for submitting false information.
including the possibility 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