WQ0005134_Monitoring - 10-2022_20230214

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * October
Report Information
WQ0005134
Wake County Wildlife Club
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
SCAN _0005. pdf 2.51 M B
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Jeff Oakley
C oaA�v
Reviewer: Wanda.Gerald
2/14/2023
This will be filled in automatically

Is the project number correct?* WQ0005134
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 2/14/2023

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page ! of 4
Permit No.: WQ0005134
Facility Name: Wake County Wildlife Club
County: Durham
Month: October
Year: 2022
PPI: 001
Flow Measuring Point: 7111influent ,_: ]Effluent ❑No flow generated
Parameter Monitoring Point: Influent L Effluent []Groundwater Lowering ❑Surface Jvater
Parameter Code 0
50050
00400
50060
00310
00610
00530
1 31616
00940
00620
00615
00665
00625
00600
Q
m
v
0
or
�N
0
3
x
a
= c
ro
aa2
f— m r
�0
o
0
co
c
o
E
Q
$»
c a
oc.a
F
iz
R
m�
U
0
?
U
z
z
oa
t-0
j�p
oz
o�
a
~z
24-hr
hrs
GPD
su
mg/L
mg/L
mg/L
mg/L
#1100 mL
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
1
47
2
47
3
09:30
0.5
47
6.15
0.2
4
47
S.
47
6
47
7
47
8
47
9
47
10
14:30
0.5
47 1
6.33
0.26
11
47
12
47
13
47
14
47
15
47
16
47
17
14:57
0.5
47
6.21
0.17
18
47
19
47
20
47
21.
47
22
47
23
47
24
10:00
0.88
47
6.15
0.4
25
47
26
47
27
47
28
47
29
47
30
4T
31
10:25
0.4
47
6.19
0.49
Average:
47
0.30
Daily Maximum:
47
6.33
0.49
Daily Minimum:
47
6.15
0.17
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
6 to 9
WA
N/A
NIA
N/A
N/A
NJA
NIA
N/A
N/A
N/A
N/A
Daily Limit:
5W
Sample Frequency:
Continuous
Weekly
Weekly
Annually
_Annually
Annually
Annually
Annually
Annual
Annually
Annually
Annually
Annually

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page :L of
Sampling Person(s) Certified laboratories
Name: Guido N Carrara Name: Pace Analytical Service, Inc.
Name: Name: G.C. Environmental, Inc.
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ICompliant ❑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 nor. -compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Guido N Carrara
Permittee: Wake County Wildlife Club
Certification No.: 1003149
Signing Official: Jeffrey Oakley
Grade: SI Phone Number: [phone]
Signing Official's Title: WCWC Secretary
Has the ORC changed since the previous NDMR? ❑Yes L ,No
Phone Number: [phone] Permit Expiration: 8/31/2026
11 (4 oZ i-
Signature Date
Signat4 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-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I of
Permit No.: WQ0005134 jil
FacilityName: Wake County Wildlife Club
County: Durham
Month: October
Did irrigation occur
at this facility?
i • •
Cover. •
Annual Rate (in).,
HIM
©mom
■mm����i���������w
����
m
��o
mm
mom■__
����,�
����
�rG��������
�■���
m
mom
mm
����
����,�■m+��
����
mm��m�
���ri���t�■
rm�r�
���iii
12 Month Flo

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 4 of Li
Did the application rates exceed the limits in Attachment B of your permit?
(Compliant (]Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? '`]Compliant ❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 01Compliant oNon-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? (_]COmpitan. L-jNon-compiiant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? El 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
ORC: Guido N. Carrara
Certification No.: 1003149
Grade: SI Phone Number: [phone]
Has the ORC changed since the previous NDAR-1? L,yes 2No
Signature Date
By this signature, 1 certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee:
Wake County Wildlife Club
Signing Official: Jeffrey Oakley
Signing Official's Title: WCWC Secretary
Phone Number: [phone] Permit Exp.: 8131/26
bzp Signature Date
I certify, under penalty of law, that this document and all attachments were prepared under my direction ur 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