WQ0007144_Monitoring - 12-2023_20240124

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * December
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 December 2023.pdf 196.12KB
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
1 /24/2024
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: 1/30/2024

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
County: Pamlico Month: December Ye 5
Parameter Monitoring Point: [I Influent f] Effluent ❑ Groundwater Lowering ❑ Surfa
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Average: 4,bb f
Daily Maximum: 16,840
Daily Minimum: 0
Sampling Type: Recorder Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab
Monthly Limit: 1,650,000
Daily Limit: 1 55,000
Sample Frequency: ConQnuous 4 x Year 3 x Year I 5 x Week I 4 x Year 4 x Year I 4 x Year I 4 x Year 5 x Week I 3 x Year I 4 x Year 4 x Year I 4 x Year

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
ST4�,r�L�i
Name:
Sampling Person(s)
D ✓
1'
Name: Environment 1
Certified Laboratories
Name: 11 Name:
)oes all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ElCompllant ❑Non-Complia t
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide n your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach add'tional sheets if necessary.
N°Vol roF lyla"'Tff C F
Operator in Responsible Charge (ORC) Certification
Permittee Certification
XRC: Stanley Eudy
Permittee: YMCA of the Triang'e Area, Inc
certification No.: S1 994723
Signing Official: Wke Askew
3rade: Phone Number: 252-249-1212
Signing Officials Title: Director of Facilities and Boating Operat'.ons
las the ORC changed since the previous NDMR? L-es N-
Phone Number: 252-249-1212 Permit Expiration: May 31 2027
Signature Date
Signature Date
By this signature, l certify that this report - accurrate and complete to the best of my knowledge
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 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 f r
gathering the information the Information submitted Is, to the best of my knowledge and belief, true, accurate, and complete am
aware that there are significant penalties for submitting false Information. Including the possiblllty of fines and mprisonment for
knovnng 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
Facility Name: Camp Seafarer
County: Pamlico
Month: December
• irrigation occur
at this facility'?
YES NO
Field Name:
Area (acres):
cc 0
12 Month Floating totao�
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FORM: NDAR-1 68-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
)id the application rates exceed the limits in Attachment B of your permit?
❑' Compliant []Non -Compliant
IVere adequate measures taken to prevent effluent ponding in or runoff from the sites?
ECompliant
❑Mon -Compliant
Vas a suitable vegetative cover maintained on all sites as specified in your permit?
❑Compliant
❑Non -Compliant
Here all setbacks listed in your permit maintained for every application to each permitted site?
Elcompliant
[I]Non-Compliant
Vere all freeboards maintained in accordance with the specified freeboard heights in your permit?
❑Compliant
❑NonCornpliant
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.
Var& /-G f 2R J (;6T/v/�-- r�,-_ pu�eC /A— R IF MvA-7/j of 3
Operator in Responsible Charge (ORC) Certification jl Perm ittee Certification
)RC: Stanley Eudy
:ertification No.: SI 994723
tirade: Phone Number: 252-249-1212
las the ORC changed since the previous NDAR-1? []Yes QNo
l ! •2da
Signature Date
By this signature. I certify that this report is accurrate and complete to the best of my knowledge.
Perm ittee:
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 Permit Exp.: May 31 2027
i
Signature Date
t 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