WQ0019782_Monitoring - 09-2021_20211026 (2)

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DWR - NonDischarge Monitoring Report Submittal y. •4 ..
NORTH CAROLINA
Enrlranmenlel QHaflly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0019782
Name of Facility:* YMCA CAMP WEAVER
Month:* September Year:* 2021
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR 09-2021 Camp Weaver 1MB
(signed).pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2,NDMLR,GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter:* Madelyn Mills
Signature: 7 &V
Date of submittal: 10/26/2021
This will be filled in automatically
Initial Review
...................
Reviewer: Mokashi, Poorva

Is the project number correct?* WQ0019782
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Accepted Date: 11/8/2021

FORM:NDMR 10-13 NON-DISCHARGE MONITORING REPORT(NDMR) Page 1 of 2
Permit No.:WQ0019782 I Facility Name: YMCA-CAMP WEAVER I County: Guilford I Month: September I Year. 2021
PPI: 001 I Flow Measuring Point: a Influent o Effluent ❑No flow generated I Parameter Monitoring Point: ❑Influent a effluent n Groundwater Lowering 0 Surface Water
Parameter Code -* 50050 00400 50060 00310 00610 70300 31616 00916 00625 00665 00010 00620 00927 00600 00931 00929
c
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,� Q £ i=in ° a oyo: O E .. cyo m .-.: . o Y° .6 a. m.. - = . . o ° 35733 v
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24-hr hrs GPD su mg/L mg/L mg&L mg/L #/100smL mg/L mg/L mg/L °C` : mg/L mg/L mg/L Ratio mg/L
1 14:40 0.5 620
2 20:50 0.5 650
3 12:00 0.5 2,481 7.01 0.15
4 2,481
5 2,481
6 H H 2,481
7 07:20 0.5 867
8 08:25 0.5 190
9 15:30 0.5 140
10 13:35 0.5 787
11 13:00 0.5 1,815
12 18:20 0.5 550 6.86 0.16 ,
13 13:00 0.5 735
14 17:20 0.5 430
15 12:05 0.5 126
16 126
17 13:30 0.5 282
18 282
19 282
20 13:35 0.5 220 6.81 0.15
21 13:00 0.5 715
22 16:00 0.5 340
23 13:30 0.5 327
24 12:30 0.5 621
25 621
26 621
27 250
28 12:00 0.5 250 6.85 0.16
29 09:00 0.5 565 17.5 94 321 3000 29.7 106 7.86 _ 5 <0.10 6.77 106 1.87 43.3
30 16:00 0.5
31
Average: 776 0.16 17.50 94.00 321.00 3,000.00; 29.70 106.00 7.86 - 5.20 0.00 6.77 106.00 1.87 43.30
Daily Maximum: 2,481 7.01 0.16 17.50 _ 94.00 321.00 3,000.00 29.70 106.00 7.86 5.20 0.10 6.77 106.00 1.87 43.30
Daily Minimum: 126 6.81 0.15 17.50 94.00 321.00 3,000.00 29.70 106.00 7.86 520 0.10 6.77 106.00 1.87 43.30
Sampling Type: Recorder Grab Grab Grab Grab Grab Grab Grab Grab `
Monthly Avg.Limit: 3,670
Daily Limit: 3,670 _ _
Sample Frequency: 22 1/week 1/week 3x Year 3x Year 3x Year 3x Year 3x Year 3xYear 3x Year

FORM:NDMR 10-13 NON-DISCHARGE MONITORING REPORT(NDMR) Page 2 of 2
Sampling Person(s) Certified Laboratories
Name: Operators Name: Statesville Analytical
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? o 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: Todd Robinson Permittee: YMCA of Greensboro
Certification No.: 1006252 Signing Official: Rhonda Anderson
Grade: SI Phone Number: 252-235-8809 Signing Official's Title: President/CEO
Has the ORC changed since the previous NDMR? °Yes °No Phone Number: Permit Expiration: 12/31/2026
Signature Date Signature Date
By this signature,I certify that this report Is accurrate and complete to the best of my knowledge. I certify,under penally 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
1517 Mail Service Center
Raleigh,North Carolina 27699-1617

FORM:NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page 1 of 2
Permit No.: WQ0019782 l Facility Name: YMCA-CAMP WEAVER { County: Guilford I Month: September Year: 2021
Field Name: 1 Field Name: 2 Field Name: 3 Field Name: 4
Did irrigation occur Area(acres): 0.3719 Area(acres): 0.3719 Area(acres): 0.4477 Area(acres): 0.4477
at this facility? Cover Crop: Natural Forest Cover Crop: Natural Forest Cover Crop: Natural Forest Cover Crop: Natural Forest
o YES 0 NO Hourly Rate(in): 0.4 Hourly Rate(in): 0.4 Hourly Rate(in): 0.4 Hourly Rate(in): 0.4
Annual Rate(in): 38.3 Annual Rate(in): 38.3 Annual Rate(in):. 38.3 Annual Rate(in): 38.3
Weather Freeboard Field Irrigated? o.YES 0 NO Field Irrigated? a YES a NO Field Irrigated? °YES 0 NO Field Irrigated? °YES 0 NO
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� ,� R a m To a � m mf• J J > Q r_ J g_ J > Q 00- F- - De > Q GJ E
r. m E. v
°F in ft ft gal min in In gal min in in gal min in In gal min in in
1 CL 80 0 7
2 C 61 0 7
3 C 74 0 7
4
5
6 H H H
7 C 61 0 7
8 C 57 0 6.41
9 PC 75 0 7
10 C 57 0 7
11 C 80 0 6.41
12 C 78 0 6.33
13 C 64 0 7 5,439 164 0.54 0.20 1,281 49 0.13 0.13 9 0.2 0.00 0.00 5,325 147 0.44 0.18
14 C 80 0 6.91
15 PC 84 0 6.33
16
17 PC 81 0 6.33
18
19
20 PC 82 0 6.66
21 R 72 0.4 6.66 343 13 0.03 0.03 8 0.19 0.00 0.00 35 0.97 0.00 0.00
22 PC 76 1.3 5.61
23 C 72 0.7 7 665 25 0.07 0.07 16 0.38 0.00 0.00 4,858 134 0.40 0.18
24 C 69 0.89 5.41 6,313 191 0.63 0.20 4,858 134 0.40 0.18
25 6,313 191 0.63 0.20. 4,858 134 0.40 0.18
26 6,313 191 0.63 0.20 4,858 134 0.40 0.18
27 C 79 0 6.66 760 23 0.08 0.08 848 23 0.07 0.07
28 PC 80 0 6.61
29 C 66 0 6.25
30 PC 70 0 6.53
31
Monthly Loading 25138 2.49 2,289 'j u 0.23 ,� -, F 33 0.00 25,640 2.11 '
12 Month Floating Total(in) 39.38 vs y r 'A?f W 1.11 Si >wf F....,.., 0.01 a'6y! y „y F 24.31

FORM:NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page 2 of 2
Did the application rates exceed the limits in Attachment B of your permit? a Compliant ❑ Non-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? o Compliant ❑ Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? a Compliant 0 Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? a Compliant 0 Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? a 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: Todd Robinson Permittee:
YMCA of Greensboro
Certification No.: 1006252 Signing official: Rhonda Anderson
Grade: SI Phone Number: 252-235-8809 Signing Official's Title: President/CEO
Has the ORC changed since the previous NDAR-1? ❑yes a No Phone Number: Permit Exp.: 12/31/26
g I of
Signature Date Signature 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 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