WQ0007144_Monitoring - 04-2021_20210527

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0007144
Name of Facility:* Camp Seafarer
Month:* April
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
Non -Discharge Reports April 815.33KB
2021.pdf
FDF Cnly
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Stanley Eudy
Reviewer: Williams, Kendall N
5/27/2021
This will be filled in automatically

Is the project number correct?* WQ0007144
Is the monitoring report t: Yes r No
accepted?*
Regional Office* Washington
Accepted Date: 5/27/2021

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0007144
Facility Name:
Camp Seafarer
PPI:
001
Flow Measuring Point: Influent ❑Effluent ❑No flow generated
Parameter Code 0
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00310
50060
31676
00610
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County:
Pamlico
Month:
April
Year: 2021
Parameter Monitoring Point:
❑influent
ElErfluent
❑Groundwater Lowering ❑Surface water
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name:.-%/9J'fz-br tum, Dame: Environment 1
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0 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: Stanley Eudy
Permittee: YMCA of the Triangle Area, Inc
Certification No.: SI 994723
Signing Official: Mike Askew
Grade: Phone Number: 252-249-1212
Signing Official's Title: Director of Facilities and Boating Operations
Has the ORC changed since the previous NDMR? ❑ Yes 0 No
Phone Number: 252-249-1212 Permit Expiration: June 30 2021
Signature Date
Signature Date
By this signature, E terrify 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,quaiified 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 penalfies for submitting faEse information, inc€using 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 (NDAR-1) Page of
Permit No.: WQ0007144
Did irrigation occur
at this facility?
[EYES []NO
Weather Freeboard
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OF in ft ft
Facility Name: Camp Seafarer
Field Name:
2
Area (acres):
5.8
Cover Crop:
Grass/Trees
Hourly Rate (in):
Annual Rate (in):
83.2
Field Irrigated?
❑� YES
❑No
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County: Pamlico
Month:
April
Year:
............
2021
Freld Name
3 ;
Field Name:
/area (acres)
B 4;
Area (acres):
Cover Crop
, , Trees
Cover Crop:
Woiarly Rate (rn)
Hourly Rate (in):
Annual Rate°;(rn)
69
4
Annual Rate (in):
l=geld Irngafed?
.CjTs
❑�0
Field Irrigated?
DYES
❑No
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit? 0 Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? p Compliant ❑ Non compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?n✓ Compliant ❑ Nan -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 0 Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Z compliant ❑ Ncn-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: Stanley Eudy
Permittee:
YMCA of the Triangle Area, Inc
Certification No.: SI 994723
Official: Mike Askew
Grade: Phone Number: 252-249-1212
Official's Title: Director of Facilities and Boating Operations
Has the ORC changed since the previous NDAR-1? ❑ Yes ❑ No
umber: 252-249-1212 Permit Exp.: June 30 2021
LPhne
Signature Date
Signature Date
By this signature, I certify that this report is accurrete and complete to the best of my knowledge.
nder penalty of law, that this document and a€l attachments were prepared under my direction or supervision in accordance
em designed to assure that al€ qua€fled personnel properly gathered and evaluated the information submitted. Based on my
f the person or persons who manage the system, or those persons directly.responsible for gathering the information, the
n submitted is, to the best of my knowledge and be€ief, true, accurate, and oomplete, I am aware that there are signicant
enalties 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