WQ0019782_Monitoring - 05-2023_20230630

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * May
WQ0019782
YMCA CAMP WEAVER
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*
05-2023 Camp Weaver NDMR-AR.pdf 505.26KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Envirolink Inc
Reviewer: Wanda.Gerald
6/30/2023
This will be filled in automatically

Is the project number correct?* W00019782
Is the monitoring report accepted?* Yes NO
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 7/24/2023

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of 2
PermitNo.:loll •
YMCA -CAMP '
• •2023
• irrigation occur
at this facility?
o YES■ NOHourly
Area (acres):
Area (acres):
Area (acres):
Area (acres):
Cover Crop:
Natural Forest
Natural Forest
Natural Forest
Natural Forest
-.te (in):
Hourly -.te (in):
Hourly -.te (in):
Hourly -.
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
.•. .Field
.. .
■ o •Field
Irrigated?
■ o •
. Irrigated?
■ o •
• Irrigated?■
o •
M
=
• 1
M
®_
----
---
----
----
M
=®M
=_
----
---
----
----
Monthly•.•
•
%/
;%

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?
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?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
© Compliant
❑ Non -Compliant
m Compliant
m Non -Compliant
© Compliant
d Non -Compliant
m Compliant
❑ Non -Compliant
o Compliant
o 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
Permlttee:
YMCA of Greensboro
Certification No.: 1006252
Signing Official: David Burton
Grade: SI Phone Number: 252-235-8809
Signing Official's Title: Maintenance Director
Has the ORC changed since the previous NDAR-1? ❑ Yes Q No
Phone Number: Permit Exp.: 12/31/26
z�g
V;�3, A
612912023 G
Signature
Date Signature Date
By this signature, I certify that this report is accurrate and complete to iho best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my directlon 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, Irue, 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: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No.: WQ0019782
Facility Name: YMCA -CAMP WEAVER
County: Guilford
Month: May
Year: 2023
PPI: 001
Flow Measuring Point: o Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent o Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code 0
50050
00400
50060
00310
00610
70300
31616
00916
00625
00665
00010
00620
00927
00600
00931
00929
QE
U -
O
=
U
O
7v
O
H y
O
`�
E
Q
a�i
O O
o
E
=N y
LO
U
t
-a =
Z
O
H
rn
L
O O_
N
O
a
Q
Z
cc
_
O
w
Z
_
c
p cc
O y 1
U)-0
Q
F
'O
O
N
24-hr
hrs
GPD
su
mg/L
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
°C
mg/L
mg/L
mg/L
Ratio
mg/L
1
12:30
0.5
900
6.87
<15
2
16:25
0.5
500
3
11:00
0.5
1,330
4
17:30
0.5
1,100
5
09:20
0.5
874
6
874
7
874
8
12:10
0.5
1,400
6.96
<15
9
19:45
0.5
300
10
11:55
0.5
1,100
11
09:50
0.5
1,307
12
09:15
0.5
707
13
707
14
707
15
11:20
0.5
1,130
7.07
<15
16
17:48
0.5
300
17
11:00
0.5
1,230
18
20:20
0.5
500
19
11:30
0.5
2,471
20
2,471
21
2,471
22
12:00
0.5
2,607
6.96
<15
23
16:30
0.5
1,600
24
11:35
0.5
1,922
25
18:00
0.5
607
26
08:55
0.5
1,453
27
1,453
28
1,453
29
1,453
30
17:00
0.5
1,100
311
10:30
0.5
6.82
<15
Average:
1,241
0.00
Daily Maximum:
2,607
7.07
15.00
Daily Minimum:
300
6.82
15.00
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
3x Year
3x Year

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of 2
Sampling Person(s)
Name: Operators
Naive:
Name: Statesville Analytical
Name:
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of 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 dates) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessarv.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Todd Robinson
Permittee: YMCA of Greensboro
Certification No.: 1006252
Signing Official: David Burton
Grade: SI Phone Number: 252-235-8809
Signing Official's Title: Maintenance Supervisor
Has the ORC changed since the previous Nli r, Yes o No
phone Number: Permit Expiration: 12/31 /2026
6129/2023
_
1 ��7 ()
Signature Date
Signature Date
By this signature, I certify that this report is accurrato and complete to the best of my knowlodge.
I certify, under penalty of law, that this document and all attachments were propared 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, tho 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 posslbllity, 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