WQ0007144_Monitoring - 04-2022_20220524

tit
DWR - NonDischarge Monitoring Report Submittal •4 ..
NORTH CAROLINA
Enrlranmenlcl Qua(ily
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0007144
Name of Facility:* Camp Seafarer
Month:* April Year:* 2022
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR Non-Discharge Reports April 862.22KB
2022.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1,NDAR-2,NDMLR,GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter:* Stanley Eudy
Signature:
+ - j&Avg
Date of submittal: 5/24/2022
This will be filled in automatically
Initial Review
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Gerald,Wanda

Is the project number correct?* WQ0007144
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Accepted Date: 6/20/2022

FORM:NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page of
Permit No.: WQ0007144 Facility Name: Camp Seafarer County: Pamlico Month: April Year: 2022
PPI: 001 I Flow Measuring Point: Olnfluent ❑Effluent ❑No flow generated Parameter Monitoring Point: ❑Influent QEffluent ❑Groundwater Lowering ❑Surface Water
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Sample Frequency: Continuous 4 x Year :13'xYQ-ar,. 5 x Week 4 x'Yeár, 4 x Year '44 Yeir;: 4 x Year 5 x Week' 3 x Year 4'xYear:;

FORM: NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: 5TANL.E,vtz ei r 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
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? Oyes L INo Phone Number: 252-249-1212 Permit Expiration: May 31 2027
—tkifrve9y Stil/ Sf14Ia�
Signature Date Signature ate
By[his 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 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page of
Permit No.: WQ0007144 I Facility Name: Camp Seafarer I County: Pamlico Month: April Year: 2022
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Did irrigation occur
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Monthly Loading: :<- 0;:` .� 0 00 �lr���l�������% 0.54 j/////����������j�////� 4 61" " //l/����������i�l�i, 0.00
12 Month Floating Total(in):_;" � „ . � 14.64 21�,68�

FORM: NDAR-1 OB-11 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit? (]Compliant ❑Nan-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑✓Compliant ❑Nan-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ElCcmplEant ❑Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? []Compliant ❑Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Licompliant ❑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 NDAR-1? Oyes ONo Phone Number: 252-249-1212 Permit Exp.: May 31 2027
jr4.44
S../24 a,„4„ 5/2„,/gza
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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617