WQ0005134_Monitoring - 06-2023_20240205

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month:* June
WQ0005134
Wake County Wildlife Club
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*
I MG_20240202_0002. pdf 2.12 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]
Jeffrey V Oakley
0Y (Ylw*
Reviewer: Wanda.Gerald
2/2/2024
This will be filled in automatically

Is the project number correct?* W00005134
Is the monitoring report accepted?* Yes NO
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 2/21/2024

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1—If-4-
Permi
11 i 11 - County Wildlife Club Month: JuneDid irrigation occur Field Name:,��� Field Name:
at this facility?
,
1 •Area (acres). Area (acres):
�
Cover or -op. Cover Crop: Covar Crop:
• Hourly Rate(_in).-
•Annual Rate (iny
�„ . .. •.� mField Irrigated?:I•.
Joel a-mmlm-mmml, NM
m
Mon
... . Li' 1In
1 11 1 1 11 j 1 1 1

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 4 ofL_
Sampling Person(s) 11 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? QCompliant ❑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 Resoonsible Charae (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 QNo
Phone Number: [phone] Permit Expiration: 8/31/2026
ty 2�Iw
LK -11-�0�3
Signature ate
I ou. Signal re Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
1 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 for
gathering the information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
awara that thane are einnifi—t non 16— fnr cnhmlHinn fatcw inf—firm inch Ain. the n ihdity of firoc nnrl Irnnria nmant fnr
(I
knowing violations. J
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 3 of L
Permit No.: WQ0005134
Facility Name: Wake County Wildlife Club
County: Durham
Month: June
Year: 2023
PPI: 001
Flow Measuring Point: 2Influent j_'Effluent 'No flow generated
Parameter MonitoringPoint ❑Influent L Effluent [ ]Groundwater Lowering Dsurface Water
Parameter Code —►
50050
00400
50060
00310
00610
00530
1 31616
00940
00620
00615
00665
00625
00600
o
cc
td
UI—
R
O
c
O
d
N
0
LL
�c
I—mr
�U
u,
m
c
Q
v
�a
Fao
tnN
_E
m
LL O
U
a
L
U
®
Z
«
Z
w
2
oa
H
t
a
r
0�
Y0
«
oZ
r
00
f
2
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
77
2
77
3
77
4
77
5
10:10
0.25
77
6
77
71
77
8
77
9
77
10
77
11
77
12
09:35
0.2
77
13
77
14
77
15
77
16
77
17
77
18
77
19
14:13
0.25
77
20
77
21
77
22
77
23
77
24
77
25
77
26
15:32
0.2
77
27
77
28
77
29
77
30
77
31
Average:
77
Daily Maximum:
77
Daily Minimum:
77
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
6 to 9
N/A
N/A
N/A
N/A
N/A
N/A
NIA
N/A
N/A
NIA
N/A
Daily Limit:
500
Sample Frequency:
Continuous
Weekly
Weekly
Annually
Annually
Annually
Annually
Annually
Annual
Annually
Annually
Annually
Annually

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 01 of =1
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?
❑✓ Compliant ❑Non -Compliant
ElCompliant ❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? Compliant ❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? QCompliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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 (CRC) Certification
I ORC: Guido N. Carrara
Certification No.: 1003149
Grade: SI Phone Number: [phone]
Has the ORC changed since the previous NDAR-17 Ryes QNo
Y /2,-, & 4
Signature
By this signature, I 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.: 8/31/26
G " Signatlkb Date
1 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 bellef, 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