WQ0005134_Monitoring - 12-2022_20230214

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * December
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 _0007. pdf 2.93M 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 I of
Permit No.: WQ0005134
Facility Name: Wake County Wildlife Club
County: Durham
1 Month; December
11Flow
Measuring Point: 71influent
Parameter Monitori []Groundwater
{•
•
•
•

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page s2 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? QQ 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 N Carrara
Permittee: Wake County Wildlife Club
Certification No.: 1003149
signing Official: Jeffrey Oakley
Grade: Sl Phone Number: [phone]
Signing Official's Title: WCWC Secretary
Has the ORC changed since the previous NDMR? []Yes QNo
Phone Number: [phone] Permit Expiration: 8/31/2026
i
[l
Signature Date
e t Signat re Date
By this signature, I certify that this report is accwrate and complete to the best of my knowledge.
I certify, under penalty of taw, that this ument 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 (NDARA) Page *S of
Permit No.: W00005134
Facility Name: Wake County Wildlife Club
County: Durham
Month: December
Year: 2022
Did irrigation occur
at this facility?
-YES _;NO
Field Name:
1
Field Name:
Field Name:
Field Name:
Area (acres):
0.39
Area (acres):
Area (acres):
Area (acres):
Cover Crop;Pine
& Hardwood
Cover Crop:
p:
Cover Crop-
p:
Cover Crop:
p:
Hourly Rate (in):
0.25
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
39
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
[DYES rjNO
Field Irrigated?
❑YES []NO
Field Irrigated?
DYES ❑NO
Field Irrigated?
DYES ❑NO
7+
m
G
m
m
c
o
m
•-
4
qma
aA
4 W
m
an dw
E
!.0
Q
C
E
N
�
T
�Cm
E
�
2V
4)" m
91
A SC
C
E3 'vE
°F
in
ft
ft
gal
min
In
In
gal
min
I in
in
I gal
I min
In
in
gal
I min
in
in
1
R
0.48
2
3
4
R
0.22
5
PC
54
1,680
120
0.16
0.08
6
7
8
9
R
0.55
10
i1
12
C
38
1
630
45
0.06
0.06
13
14
15
R
1.6
16
17
18
19
PC
40
1,680
120
0.16
0.08
20
21
22
23
R
1.28
24
25
26
C
28
1,960
140
0.19
0.08
27
28
i
29
30
Lj3.90
31
Monthly Loading:
5,950
0.56
0
0.00
0
0.00
0
0.00
12 Month Floating Total (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?
Compliant []Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
FICompliant
❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
pcompfarit
❑Nan-:ompltant
Were all setbacks listed in your permit maintained for every application to each permitted site?
CCompliant
❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
OCompliant
❑Non-Comphant
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
aa.u�i ya) �anci i. nua�i i auunwi tai ai iccw u
Operator in Responsible Charge (ORC) Certification 11 Permittee Certification
ORC: Guido N. Carrara
Certification No.: 1003149
Grade: Sl Phone Number: [phone]
Has the ORC changed since the previous NDAR-1? ❑Yes ONo
Signature Date
BV this Si nature, I certify ttot this report is accurate and complete to the best of mV knowledge.
Permittee:
Wake County Wildlife Club
Signing Official: Jeffrey Oakley
Signing Official's Title: WCWC Secretary
Phone Number: [phone] Permit Exp.: 8/31/26
/ (,(/ / Signtui;6 Date
I certhY, 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