WQ0007144_Monitoring - 09-2023_20231019

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * September
WQ0007144
Camp Seafarer
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2023
Upload Document*
Non Discharge Reports September 2023.pdf 199.65KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Stanley Eudy
Reviewer: Wanda.Gerald
10/19/2023
This will be filled in automatically

Is the project number correct?* WQ0007144
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 10/19/2023

FORM: NDR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ of
Name:
Sampling Person(s)
C—LIDI ___1
71117 "ItTO
E A z7for, rNE M,
Lb�lv
)oes all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? L��jcompliant DINIon-Como-flant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compsiance. Provide in your explanation the datels) of the non-compliance and describe the correct-2ve
action(s,) taken. Attach additjona�s sheets if necessary.
:)RC.- Stanley Eudy
3rade., Phone Number: 252-249-1212
ias the ORC changed since the previous NIDIVIR? ElYes [DNO
Signature Date
By this signature, I certify that this report is accurrale and Complete to the best of my knowledge,
Permittee: YMCA of the Triangle Area, I'nr,
Signing Official: Mike Askew
Signing Official's Title: Director of Facilities and Boating Operations
Signature Date
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
ga2ja�apn the information the information submitted
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment
knowing Violabons. I
Mail Original and Two Copies to
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
N,

FORM. NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of

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?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
ElCompliant
ONon-Compliant
l7Compliant
EINon-Compliant
21compliant
[]Non -Compliant
ElCompliant
EINon-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Dcompiiant EINort-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: Stanley Eudy
Certification No.: S1994723
Grade: Phone Number- 252-249-1212
Has the ORC changed since the previous NDARA? ENS [ZNO
J"Y &5.14
Signature 7
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee:
Permittee Certification
YMCA of the Triangle Area, Inc
Signing Official: Mike Askew
Signing Official's Title: Director of Facilities and Boating Operations
Phone Number: 252-249-1212
Date 11 - Signature
Permit Exp.: May 31 2027
Date
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
RaleipY,