WQ0019782_Regional Office Historical File Pre 2016

AF
NCI R
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor Secretary
February 2, 2015
Mr. Greg Jones, President/CEO
YMCA of Greensboro, Inc.
620 Green Valley Rd.
Greensboro,NC 27408
Subject: January 13,2015 Site Visit
YMCA Camp Weaver, Wastewater Irrigation System
Permit No. WQ0019782
Guilford County
I
Dear Mr. Jones,
On January 13, 2015 staff of the North Carolina Division of Water Resources Winston-Salem
Regional Office (DWR) conducted a site visit to the subject wastewater irrigation system. The
purpose of this site visit was for review of the subject system as part of the permit renewal
process. The review was conducted by DWR staff person Patrick Mitchell.
As mentioned above, the primary purpose of this site visit was for a review of the subject
facility for permitting purposes. However, during this site visit the following deficiencies were
noted by staff which warrants your attention and action:
1. The designated primary ORC serving the facility had vacated from the position and the
designated Backup-ORC was not available. If you have not already done so, please
complete an ORC/Backup-ORC designation form and return to the address on the
form in a timely manner. A copy of the form has been enclosed for your convenience or
you may obtain an electronic copy at the following website:
http://portal.ncdenr.org/web/wq/tacu-downloads.
2. There are many downed trees in the irrigation zones. The uprooted trees have displaced
the drip tubing in many areas potentially damaging the drip lines. Please remove
downed trees, taking care not to damage drip irrigation lines in the process, and .
repair drip lines where damaged from downed trees.
3. There is an effluent pump at the pump station adjacent to the storage lagoon which needs
repair or replacing. Please note that "Pump B" was inoperable at the time of the last
compliance inspection conducted on August 29, 2013. Please repair or replace the
subject pump.
Winston-Salem Regional Office
450 West Hanes Mill Road,Suite 300, Winston-Salem,North Carolina 27105
Phone:[phone] FAX:[phone] Customer Service 1-877-623-6748
Internet www.ncdenr.gov
An Equal Opportunity\Affirmative Action Employer—Made in part by recycled paper

Our office appreciates your prompt attention to the above listed compliance deficiencies. To
prevent future non-compliance, please ensure that the above listed items are addressed in a
timely manner. A follow-up compliance evaluation inspection will be conducted later this year.
If you or your staff have any questions concerning this letter, please contact me or Patrick
Mitchell at(336) 776-9800.
Sincerely,
Au; )2f.,v-;aej
Sherri V. Knight, P.E.
Assistant Regional Supervisor, Water Quality Regional Operations
Division of Water Resources, NC DENR
cc: Mr.Randy Russell,Envirolink—2203 Red Mountain Rd., Rougemont, NC 27572
Guilford County Environmental Health
DWR-CO,WQS—Permit File WQ0019782

North Carolina Department of Environment and Natural Resources
Division of Water Resources
rir
Water Quality Section
NON—DISCHARGE COMPLIANCE INSPECTION REPORT
WASTEWATER IRRIGATION
General Information
Facility Name: \/MLA £ M) t4eAvesr County: 6,4%/4rd
Permit No.: WQ00 19'18 — 734-'s f,01 a Issuance Date: O Lk-, zh, 2006
Owner: 6`"9 . , — YotLA a 6ree^.r 6,ta1 TAC ��piration Date:
ORC Name: t (L vir•L.,k) ?a^ gurs"1-elephone No.: 9/9- 80/—26 9 I ar 33�-s92-a1/'
Backup ORC: Oa�/i,, t4 v .fir W ) Telephone No.: 234-417 -c52-5
Other Contact: Tannic 60.050A, CA^'y D1nclor Telephone No.:(270 (0 7-oS 5
Location(address,gps or directions): *V/ -rya win)n-r-.y, 66, : 2-10 E, I- T-73/4/2/s,,4) r-yrd, -)„ 6--I27
k .le YoK J" M:I/ Re)., L a,L MN/re-iN 1- Fc.7 K s14-. II A ra 1,4;10 l r,:Ii, 44 Cnd,
Reason for Inspection Roo >S"`1t'0 L;n k
❑ROUTINE ❑ FOLLOW-UP ❑ COMPLAINT PERMITTING ❑ Other:
Comments (attach additional pages as necessa )
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Is a follow-up inspection necessary ❑ Yes ❑ No
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Primary Inspector: I. W' )--„ +-(1 Secondary Inspector: M. --cli1erl
Date of Inspection: VI 3 /zD I S Entry Time: /0:CC 4M Exit Time: II! NM

Non-Discharge Compliance Inspection Report
Record Keeping and Reporting Information Y N NA NE
Is current permit available upon request? ❑ ❑ ❑ ❑
Has the facility been free of public complaints for the last 12 months? ❑ ❑ ❑ ❑
Are maintenance and inspection logs present(date&time of inspections, visual observations,
any maintenance(adjustments, cleanings, equip changes) or repairs taken)? ❑ ❑ ❑ ❑
Are weekly freeboard records present? ❑ ❑ ❑ ❑
Are irrigation tracking records present(date, weather, volume, length time,field#,
Hydraulic loading, nutrient loading, other)? ❑ ❑ ❑ ❑
Has irrigation equipment been calibrated(once/permit cycle)&records present? ❑ ❑ ❑ ❑
Are records present for residuals removal(date, volume, Residual Hauler Name,
Name/permit of the receiving party or letter from Municipality)? ❑ ❑ ❑ ❑
Is an Operation&Maintenance Plan,and Spill Plan present? ❑ ❑ ❑
Effluent Monitoring:
�,ti,,AJ _4 LP ,e4,:df o„-, *-f rev r L Q.411 �-.
Were effluent monitoring reports present? ❑NDMR ❑NDAR ❑NDMLR ❑ ❑ ❑ ❑
Are flow rates less than permitted flow? Permitted Flow: 3/( 7C yel ❑ ❑ ❑ ❑
Are application rates adhered to? Permitted Rate: 0.vA, , 3$,3?r ❑ ❑ ❑ ❑
Are lab sheets available for review and support monitoring reports? ❑ ❑ ❑ ❑
Are samples analyzed for the required parameters(See permit)? EvL7 f;i, w pec. ❑ ❑ ❑ ❑
Effluent concentrations do NOT exceed 2L GW standards? ,ftc� ❑ ❑ ❑ ❑
If required, are PAN records present and complete? _t3ob s ❑ ❑ ❑ ❑
Groundwater Monitoring: - rtk
Is groundwater monitoring required? ❑ ❑
Were GW-59's and lab results present? ,0e' ,11L, ❑ ❑ ❑ ❑
Were samples analyzed for the required parameters(See permit)? ' (,t.o"� El III El
Observed records indicate no 2L GW quality violations? ❑ ❑ ❑ ❑
Soil Analysis:
Were annual soil analyses results present for each irrigation field? ❑ ❑ ❑ ❑
If lime was called for on the Agronomist report,was lime applied? ❑ ❑ ❑ ❑
Copper and Zinc indices: ❑ <2,000 ❑ 2,000—3,000 ❑ >3,000
Was Sodium less than 0.5 meq/100 cm3 ? ❑ ❑ ❑ ❑
Was Exchangeable Sodium Percentage(ESP) less than 15%? ❑ ❑ ❑ ❑
Influent Pump Station(s) 0 Check box if component is listed in permit description. Y N NA NE
All pumps present,operational ❑ ❑ ❑ ❑
Floats/Controls operable ❑ ❑ ❑ ❑
Audio&Visual Alarms Operational ❑ ❑ ❑ ❑
Free of bypass lines or structures ❑ ❑ ❑ ❑
General housekeeping good ❑ ❑ ❑ ❑
Back-up power available,routinely tested&fueled? ❑ ❑ ❑ ❑
Treatment Barscreen ❑Check box if component is listed in permit description. Y N NA NE
Are bars spaced properly&free of excess debris? ❑ ❑ ❑ ❑
Are screenings disposed of properly? ❑ ❑ ❑ ❑
Is unit in good condition(excess corrosion)? ❑ ❑ ❑ ❑
Equalization Basin 0 Check box if component is listed in permit description. Y N NA NE
Is aeration present? ❑ ❑ ❑ ❑
Are pumps present and operational? ❑ ❑ ❑ ❑
Is unit in good general condition? ❑ ❑ ❑ ❑
Page 2 of 4

Non-Discharge Compliance Inspection Report
reatment Activated Slud e ❑Check box if component is listed in permit description. Y N NA NE
Aeration mechanism operable&accessible? ❑ ❑ ❑ ❑
Aeration basin thoroughly mixed? ❑ ❑ ❑ ❑
Settleometer& dissolved oxygen results acceptable? ❑ ❑ ❑ ❑
Is sludge an acceptable color? ❑ ❑ ❑ ❑
Residual Storage/Treatment x Y N NA NE
❑ Lagoon ❑ Basin Septic Tank Capacity(gallons): 1Q/0°0)ai
If Septic Tank, is a sanitary T or filter present? ❑ ❑ ❑ ❑
How often are residuals pumped?
Treatment Filter(s) 0 Check box if component is listed in permit description. n �0 c pd Y N NA NE
Is unit accessible for review(i.e. inspection port or not subsurface)? I/ 1I, 1.0 ❑ ❑
Is the filter media present,correct size&type? 14\s,,0142. ❑ ❑ ❑ ❑
Is mud well free of excess solids and filter media? J
Is media free of ponding, algae or excess vegetation? _P� 3 I K��� zc's ❑ ❑ ❑ ❑
Is clear well free of excess solids and filter media? ��%b Fnl.�,�
Does backwashing/air scour frequency appear adequate? n Vai jr ❑ ❑ ❑ ❑
� y38 i,v,
i � w1 u
Treatment Clarifiers ❑Check box if component is listed in permit description. Y N NA NE
Weirs level,free of excessive solids&algae? ❑ ❑ ❑ ❑
Scum removal system operational and accessible? W,, (row ❑ ❑ ❑ ❑
Sludge blanket at acceptable level? �� i Si El ❑ ❑
Clarifier effluent free of excessive solids? tv 'Tr`"' rr1 „�
❑ ❑ ❑ ❑
Treatm t isinfection
Type: Tablets ❑ Gas ❑ Liquid ❑ UV Y N NA NE
Is the sy to properly maintained and working? ❑ ❑ ❑ ❑
Fecal coliform results indicate proper disinfection? ❑ ❑ ❑ ❑
Adequate detention time(>30 minutes)? ❑ ❑ ❑ ❑
If tablets,proper size&type? ❑ ❑ ❑ ❑
Present in Cylinder(s)? ❑ ❑ ❑ ❑
If UV bulbs,are replacement bulbs on hand? ❑ ❑ ❑ ❑
Is contact chamber free of sludge, solids and growth? ❑ ❑ ❑ ❑
Flow Measurement Wad t' CA- aNnk �"tiI "
Flowmeter location: p Influent ❑ Effluent Y N NA NE
Is flowmeter calibrated annually(design flow>10,000 gpd)? ❑ ❑ ❑ ❑
Is flowmeter operating properly? ❑ ❑ ❑ ❑
Does flowmeter record flow? ❑ ❑ ❑ ❑
If no flowmeter(<10,000 gpd), are water-use records available(water meter)? ❑ ❑ ❑ ❑
Are the daily average values properly calculated? ❑ ❑ ❑ ❑
Treatment Y N NA NE
Are treatment facilities consistent with those outlined in permit? ❑ ❑ ❑ ❑
Do all treatment units appear to be operational?If no,note below. ❑ ❑ ❑ ❑
List any items/units):
Page 3 of 4

Non-Discharge Compliance Inspection Report
uent Storage
Lagoon(s) ❑Above ground tank(s) ❑ Underground tank(s) Other:
Amount of Storage(days,months, gallons,etc.): 2 Sr',CQo o� L 4
Effluent Storage Lagoon(s) ❑ Primary ❑ Secondary Y N NA NE
Influent structure(s)free of obstructions? ❑ ❑ ❑ ❑
No signs of seepage, overtopping, down cutting or erosion on embankments? ❑ ❑ ❑ ❑
Proper vegetation type w/no excessive vegetation present on embankments? ❑ ❑ ❑ ❑
Liner(if visible, is it intact)? ❑ ❑ ❑ 0
Baffles/curtains in good condition? ❑ ❑ ❑ ❑
Freeboard is>2 feet from overtopping? Measurement at time of inspection: ❑ ❑ ❑ ❑
Staff gauge is clearly marked? ❑ ❑ ❑ ❑
No evidence of overflow(vegetation discolored or laying down/broken)? ❑ ❑ ❑ ❑
No unusual color(very black,textile colors)? ❑ ❑ ❑ ❑
No Foam present? Are antifoam agents used? 0 Yes 0 No ❑ ❑ ❑ ❑
No floating mats(sludge, plants, inorganics)? ❑ ❑ ❑ ❑
No signs of excessive solids buildup(from bottom)? ❑ ❑ ❑ ❑
Aerators/mixers operational(if present)? ❑ ❑ ❑ ❑
Effluent structure is free of obstructions and easily accessible? ❑ ❑ ❑ ❑
Effluent Pump station 1X uM �,,}r�‘ ,I\ 40 y N NA NE
All pumps present, operational �� P �L ❑ ❑ ❑ ❑
Floats/Controls operable *11,,, ''Pµ�,f B"( rtr;11 a1 f O��'' ❑ ❑ ❑ ❑
Audio&Visual Alarms Operational * µme, (etkK5 r1 i t •
rft l ? unun � ❑ ❑ ❑ ❑
Free of bypass lines or structures ❑ ❑ El
•
If required, is a rain sensor present and operational rQ'n BPr.1 4P"'r 1-es ❑ ❑ ❑ ❑
General housekeeping good ❑ ❑ ❑ ❑
Back-up power 1 t \ El ❑ ❑
End Use-Irrigation Number of Fields: 70iooe �;2 dr1P /7 zone$ )J Y N NA NE
Are buffers adequate? ❑ ❑ ❑ ❑
Are cover crops the type specified in permit and/or in good condition? ❑ ❑ ❑ ❑
No signs of runoff,ponding, or drift? ❑ ❑ ❑ ❑
Is the acreage specified in the permit being utilized? ❑ ❑ ❑ ❑
Is the application equipment present, operational, and in good condition? ❑ ❑ ❑ ❑
No limiting slopes present in irrigation fields? ❑ ❑ ❑ ❑
Is site access restricted and/or signs posted in accordance with permit? ❑ ❑ ❑ ❑
No water supply wells within the CB? ❑ ❑ ❑ ❑
No water supply wells within 250' of the CB? r 2?. cn,e, ❑ ❑ ❑ ❑
Is permit being followed? .�(F-D,y„'),,., 1;�., , � "'� --�' ❑ ❑ ❑ ❑
Groundwater Monitoring Wells Y N NA NE
Does the permit require monitoring wells?If so, answer the following. ❑ ❑
Are the monitoring wells properly installed according to the permit? ❑ ❑ ❑
Are the monitoring wells located properly w/respect to RB &CB? El El
Are the wells properly identified& free of damage? ❑ ❑ ❑
Page 4 of 4

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
SURFACE IRRIGATION SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
The Young Men's Christian Association of Greensboro, Inc.
Guilford County 2-P/k 11 ,s.e ,-., -;1"4-''v z "k`i.' '
PAal-cr_z IN
FOR THE ;* 1 - 6/6/-t-) PtAri ... ,kc s,,l'
continued opmti n of a 3670 gallon per day (GPD) surf ation treatment and disposal facility 54-5
consisting of'a'10,000 gallon baffled Stay-Right septic to ,000 GPD MicroFast 9.0 consisting of a
2 813 gallon ni.g zone with a Zabel efflue filter and b ,438 gallon biological treatment zone with
blower, opErC Model 100 tablet chlori tor, Vtiuplex transfer pump station from the chlorinator to the V
lago 50,000 gallon lined lagoon, uplex transfer pump station from the lagoon to the application h►/ Otkri' .
are 7 0 0!, ft2 drip irrigation area using 28,800 feet of Netafim bioline with approximately 11,900
emitters a rf".'ain Bird rain sensor to serve Camp Weaver, with no discharge of wastes to the surface
waters,pursuant to the application received July 7, 2006,by the Division of Water Quality(Division), and
in conformity with the project plan, specifications, and other supporting data subsequently filed and
approved by the Department of Environment and Natural Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until September 30, 2011, shall void Permit
No. WQ0019782 issued August 13, 2001, and shall be subject to the following specified conditions and
limitations:
I. PERFORMANCE STANDARDS
1. The drip irrigation facilities shall be effectively maintained and operated at all times so that there is
no discharge to the surface waters, nor any contravention of groundwater or surface water standards.
In the event that the facilities fail to perform satisfactorily, including the creation of nuisance
conditions or failure of the irrigation area to adequately assimilate the wastewater, the Permittee shall
take immediate corrective actions including those actions that may be required by the Division, such
as the construction of additional or replacement wastewater treatment and disposal facilities.
2. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to ground
or surface waters resulting from the operation of this facility.
3. The Residuals generated from these treatment facilities must be disposed in accordance with General
Statute 143-215.1 and in a manner approved by the Division.
4. Diversion or bypassing of the untreated wastewater from the treatment facilities is prohibited.

�pF W ArFgQ Michael F.Easley,
0 . William G.Ross Jr.,Secrt
North Carolina Department of Environment and Natural Resourc,
Alan W.Klimek,P.E.Director
Division of Water Quality
October 26, 2006
RECBVEDIE
t�,.E�6't''���'tf`t�►
MR.GREG JONES-PRESIDENT/CEO
YMCA OF GREENSBORO,INC. DEC - 2 2014
620 GREEN VALLEY RD
WaterE�It�«��r
GREENSBORO,NORTH CAROLINA 27408-7725 ,t;�-fatrel, Cr,
Subject: Permit No. WQ0019782
YMCA of Greensboro, Inc.
YMCA Camp Weaver
Surface Irrigation
Guilford County
Dear Mr.Jones:
In accordance with your permit renewal request received July 7, 2006, we are forwarding
herewith Permit No. WQ0019782, dated October 26, 2006, to the Young Men's Christian Association of
Greensboro, Inc. (YMCA) for the continued operation of the subject wastewater treatment and drip
irrigation facilities.
This permit shall be effective from the date of issuance until September 30, 2011, shall void
Permit No. WQ0019782 issued August 13, 2001, and shall be subject to the conditions and limitations as
specified therein. Please pay particular attention to the monitoring requirements in this permit. Failure to
establish an adequate system for collecting and maintaining the required operational information will
result in future compliance problems. Also note Condition VI.10, which requires the submittal of the
Engineer's Certification Form. The Division's records show that the form has not been submitted as
required by the previous permit.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within thirty (30) days following receipt of
this permit. This request must be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service
Center, Raleigh,NC 27699-6714. Unless such demands are made this permit shall be final and binding.
If you need additional information concerning this matter, please contact Jon Risgaard at (919)
715-6167 or jon.risgaard(&,,ncmail.net.
Sincerely,
Alan W. Klimek, P.E.
cc: Guilford County Health Department
Sherri Knight,Winston-Salem Regional Office-Aquifer Protection Section
Technical Assistance and Certification Unit
APS Central Files
LAU Files None Carolina
,Naturally
Aquifer Protection Section 1636 Mail Service Center Raleigh,NC 27699-1636 Phone[phone] Customer Service
www.ncwaterqualitv.org 2728 Capital Boulevard Raleigh,NC 27604 FAX [phone] 1-877-623-6748
An Equal Opportunity'Affirmative Action Employer—50%Recycled/10%Post Consumer Paper

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' . FIGURE 2
YMCA - GUILFORD COUNTY OUTDOOR CENTER
nax>< DRIP IRRIGATION SYSTEM
,_c..haA1L:s-. ..Ps. PLANNED . GUILFORD COUNTY
•
GUILFC WQ0019782/GW01067
�+ .rr. r SITE DETAIL MAP

Niariciwk
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R.van der Vaart
Governor Secretary
January 28,2015
JAMIE COSSON—EXECUTIVE DIRECTOR
THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREENSBORO,INC.
4924 TAPAWINGO TRAIL
GREENSBORO,NORTH CAROLINA 27406-9072
Subject: Permit No.WQ0019782
YMCA Camp Weaver
Wastewater Irrigation System
Guilford County
Dear Mr.Casson:
In accordance with your permit renewal request received December 2, 2014, we are forwarding
herewith Permit No. WQ0019782 dated January 28, 2015,to The Young Men's Christian Association of
Greensboro, Inc. for the continued operation of the subject wastewater treatment and irrigation facilities.
Please note that this renewed permit shall become effective on October 1, 2015 (i.e. the day after the
expiration date of the existing permit),which differs from the date of this letter.
This permit shall be effective from October 1, 2015 until September 30, 2020, shall void Permit
No. WQ0019782 issued October 26, 2006, and shall be subject to the conditions and limitations as
specified therein. Please pay particular attention to the monitoring requirements listed in Attachments A
and B for they may differ from the previous permit issuance. Failure to establish an adequate system for
collecting and maintaining the required operational information shall result in future compliance
problems.
For your convenience, customized electronic copies of your facility's NDMR and NDAR 1
reporting forms are available for download at: http://portal.ncdenr.org/web/wq/aps/lau/reporting.
Please note the following permit conditions have been removed since the last permit
issuance dated October 26,2006:
Old Condition II.13.—This condition has been removed.
Old Condition IV.3.—This condition has been removed.
A Old Condition IV.4. — This condition has been removed because the 250,000 gallon
synthetically lined storage lagoon has been constructed and is operational.
> Old Condition W.5. — This condition has been removed because the 250,000 gallon
synthetically lined storage lagoon has been constructed and is operational.
A Old Condition VI.10.—This condition has been removed.
{
Non-Discharge Permitting Unit
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
Phone:[phone]\Internet hitaggallagektei
1� An'-Equal Operatively%A5Hmative Action En over-Made In pad W1th meted paper
{

Mr.Jamie Casson
January 28,2015
Page 2 of 3
Please note the following permit conditions and attachments are new since the last permit
issuance dated October 26,2006:
> Condition I.1. —This condition requires that the Permittee install a gauge to monitor waste
levels in the 250,000 gallon synthetically lined storage lagoon within 60 days of the effective
date of this permit.
➢ Condition 11.5. — This condition requires that the irrigation system be connected to a rain
sensor.
> Condition 118. —This condition requires the Permittee to apply for a permit modification to
establish a new compliance boundary prior to any sale or transfer of property affecting a
compliance boundary.
> Condition 11.9.—This condition states that no wells,excluding Division approved monitoring
wells,shall be constructed within the compliance boundary.
> Condition 11.10. — This condition requires any landowner who owns land within the
compliance boundary, but who is not the Permittee, to execute and file with the County
Register of Deeds an easement with the requirements listed in the said Condition. Please note
the previous permit was subject to this requirement under 15A NCAC 02L .0107(f),
therefore,this condition is intended to voice this rule.
A Condition III.13. — This condition requires that a gauge to monitor waste levels in the
555,000 gallon anaerobic treatment and storage lagoon shall be provided.
> Condition 111.14. — This condition requires that a protective vegetative cover be established
and maintained on all earthen embankments.
> Condition IV.2. — This condition requires that a Division certified laboratory conduct all
laboratory analyses for the required effluent,groundwater or surface water parameters.
> Condition 1V.8.—This condition requires that the Permittee maintain a record of all residuals
removed from the facility.
➢ Condition IV.9. — This condition requires that the Permittee keep a log of all maintenance
conducted at the subject facility.
> Condition VI.7. — This condition requires the Permittee to maintain this permit until all
permitted facilities are properly closed or permitted under another permit.
> Condition VI.8.—This condition notes that this permit is subject to revocation or unilateral
modification within 60 days notice from the Division if the terms in I5A NCAC 02T .0110
are violated.
> Condition V1.9. —This condition notes that this facilities in this permit may not be expanded
if the Permittee exemplifies any of the criteria in 15A NCAC 02T.0120(b).
{

Mr.Jamie Cosson
January 28,2015
Page 3 of 3
➢ Attachment A — This attachment includes information that was previously included in Old
Condition III.5. Please note that per the Division of Water Resources' Non-Discharge
Permitting Unit Wastewater Monitoring Policy, all non-discharge systems are having their
effluent monitoring schedules reevaluated. Accordingly, the sampling frequency for pH
(00400) is now Weekly. In addition, BODS (00310), Fecal Coliform (31616), Ammonia
(00610), Nitrate (00610), Total Kjeldahl Nitrogen (00625), Phosphorus (00665) and Total
Suspended Solids(00530)have had their sampling frequency increased from 3 x Year to 4 x .
Year. Finally,Total Residual Chlorine(50060)and Total Nitrogen(00600)have been added
to the sampling regimen.
> Attachment B — This attachment includes information that was previously included in Old
Condition II.7.
If any parts, requirements or limitations contained in this permit are unacceptable, the Permitee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail
Service Center, Raleigh,NC 27699-6714. Unless such demands are made,this permit shall be final and
binding.
If you need additional information concerning this permit, please contact Nathaniel Thornburg at
[phone] or nathaniel.thornburg®ncdenr.gov.
Sincerely,
jZn, Director
rActing
Division of Water Resources
cc: Guilford County Health Department(Electronic Copy)
Winston-Salem Regional Office,Water Quality Regional Operations Section(Electronic Copy)
Central Files
Digital Permit Archive(Electronic Copy)

THIS PAGE BLANK
•
Et

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER IRRIGATION SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143,General Statutes of North Carolina as
amended,and other applicable Laws,Rules and Regulations
PERMISSION IS HEREBY GRANTED TO
The Young Men's Christian Association of
Greensboro, Inc.
Guilford County
FOR THE
continued operation of a 3,670 gallon per day (GPD) wastewater treatment and irrigation facility
consisting of:
a 10,000 gallon baffled septic tank; a 9,000 GPD rated MicroFast 9.0 with a 2,813 gallon settling zone
and effluent filter, as well as a 8,438 gallon biological treatment zone with blower; an EIC Model 100
tablet chlorinator; a duplex transfer pump station with an audible/visual high-water alarm; a 250,000
gallon 20-millimeter (mm) synthetically lined storage lagoon; a duplex irrigation pump station with an
audible/visual high-water alarm; an effluent flow meter; a 1.64 acre drip irrigation area with
approximately 28,800 linear feet (LF) of irrigation tubing with approximately 11,900 emitters; a rain
sensor,and all associated piping,valves,controls and appurtenances
to serve YMCA Camp Weaver,with no discharge of wastes to surface waters,pursuant to the application
received December 2,2014,and in conformity with the project plans,specifications,and other supporting
data subsequently filed and approved by the Department of Environment and Natural Resources and
considered a part of this permit.
This permit shall be effective from October 1, 2015 until September 30, 2020, shall void Permit No.
WQ0019782 issued October 26, 2006, and shall be subject to the following specified conditions and
limitations:
WQO019782 Version 3.0 Shell Version 150101 Page 1 of 8

L SCHEDULES
1. A gauge to monitor waste levels in the 250,000 gallon synthetically lined storage lagoon shall be
installed within 60 days of the effective date of this permit. Caution shall be taken not to damage the
integrity of the liner when installing the gauge. [15A NCAC 02T.0108(bX2),02T.0505(d)]
2. No later than six months prior to the expiration of this permit,the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein,and if warranted,will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal
application. [15A NCAC 02T .0105(d), 15A NCAC 02T .0106, 15A NCAC 02T .0109, and 15A
NCAC 02T.0115(c)]
II. PERFORMANCE STANDARDS
1. The subject non-discharge facilities shall be effectively maintained and operated at all times so there
is no discharge to surface waters, nor any contravention of groundwater or surface water standards.
In the event the facilities fail to perform satisfactorily, including the creation of nuisance conditions
due to improper operation and maintenance,or failure of the irrigation areas to adequately assimilate
the effluent,the Permittee shall take immediate corrective actions including Division required actions,
such as the construction of additional or replacement wastewater treatment or irrigation facilities.
[G.S. 143-215.1, 143-213.3(a)]
2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or
surface water resulting from the operation of this facility. [15A NCAC 02B.0200,02L .0100]
3. Effluent quality shall not exceed the limitations specified in Attachment A. [15A NCAC 02T
.0108(bX 1)]
4. Application rates, whether hydraulic, nutrient or other pollutant, shall not exceed those specified in
Attachment B. [15A NCAC 02T.0505(c),02T.0505(n)]
5. The irrigation system shall be connected to a rain or moisture sensor, which shall indicate when
effluent application is not appropriate in accordance with Conditions III.4. and II1.5. of this permit.
[15A NCAC 02T.0108(bXl)]
6. This disposal system was individually permitted on or after December 30, 1983; therefore, the
compliance boundary is established at either 250 feet from the effluent disposal area,or 50 feet within
the property boundary, whichever is closest to the effluent disposal area. An exceedance of
groundwater standards at or beyond the compliance boundary is subject to remediation action
according to 15A NCAC 02L .0106(dX2) as well as enforcement actions in accordance with North
Carolina General Statute 143-215.6A through 143-215.6C. [15A NCAC 02L .0106(dX2), 02L
.0107(b)]
7. In accordance with 15A NCAC 02L .0108, the review boundary is established midway between the
compliance boundary and the effluent disposal area. Any exceedance of groundwater standards at the
review boundary shall require action in accordance with 15A NCAC 02L .0106. [15A NCAC 02L
.0106,02L.0108]
8. The Permittee shall apply for a permit modification to establish a new compliance boundary prior to
any sale or transfer of property affecting a compliance boundary. [15A NCAC 02L.0107(c)]
9. In accordance with I 5A NCAC 02L .0107(d), no wells, excluding Division approved monitoring
wells, shall be constructed within the compliance boundary except as provided for in 15A NCAC 02L
.0107(g). [15A NCAC 02L .0107]
WQ0019782 Version 3.0 Shell Version 150101 Page 2 of 8

10. Except as provided for in ISA NCAC 02L.0107(g),the Permittee shall ensure any landowner who is
not the Permittee and owns land within the compliance boundary shall execute and file with the
Guilford County Register of Deeds an easement running with the land containing the following items:
[15A NCAC 02L.0107(f)]
a. A notice of the permit and number or other description as allowed in 15A NCAC 02L.0107(f)(1);
b. Prohibits construction and operation of water supply wells within the compliance boundary;and
c. Reserves the right of the Permittee or the State to enter the property within the compliance
boundary for purposes related to the permit.
The Director may terminate the easement when its purpose has been fulfilled or is no longer needed.
11. The facilities permitted herein shall be constructed according to the following setbacks:
a. The setbacks for irrigation sites permitted under 15A NCAC 02H .0200 shall be as follows (all
distances in feet):
i. Any habitable residence or place of public assembly under separate ownership: 100
ii. Surface waters: 50
iii. Any well with exception of monitoring wells: 100
iv. Any property line: 50
v. Public right of way: 50
b. The setbacks for storage and treatment units permitted under 15A NCAC 02H .0200 shall be as
follows(all distances in feet):
i. Any well with exception of monitoring wells: 100
ii. Any property line: 50
III. OPERATION AND MAINTENANCE REQUIREMENTS
1. The facilities shall be properly maintained and operated at all times. The facilities shall be effectively
maintained and operated as a non-discharge system to prevent the discharge of any wastewater
resulting from the operation of this facility. The Permittee shall maintain an Operation and
Maintenance Plan pursuant to 15A NCAC 02T .0507, which at a minimum shall include operational
functions,maintenance schedules,safety measures and a spill response plan. [ISA NCAC 02T.0507]
2. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the subject non-discharge facilities, in accordance with ISA NCAC 08G .0200 the •
Permittee shall designate and employ a certified operator in responsible charge (ORC) and one or
more certified operator(s) as back-up ORC(s). The ORC or their back-up shall visit the facilities in
accordance with 15A NCAC 08G .0200, and shall comply with all other conditions specified in the
previously cited rules. [15A NCAC 02T.0117]
3. A suitable year round vegetative cover shall be maintained at all times, such that crop health is
optimized, allows for even distribution of effluent and allows inspection of the irrigation system.
[15A NCAC 02T.0108(b)(1)]
4. Adequate measures shall be taken to prevent effluent ponding in or runoff from the irrigation sites
listed in Attachment B. [I SA NCAC 02T.0108(b)(1)]
5. Irrigation shall not be performed during inclement weather or when the ground is in a condition that
will cause ponding or runoff. [15A NCAC 02T.0108(b)(1)]
WQ0019782 Version 3.0 Shell Version 150101 Page 3 of 8

6. All irrigation equipment shall be tested and calibrated at least once per permit cycle. Calibration
records shall be maintained at the facility for a period of no less than five years, and shall be made
available to the Division upon request. [15A NCAC 02T.0108(b)(1)]
7. Only effluent from YMCA Camp Weaver shall be irrigated on the sites listed in Attachment B. [G.S.
143-215.1]
8. No automobiles or machinery shall be allowed on the irrigation sites except during equipment
installation or while maintenance is being performed. [15A NCAC 02T.0108(bxl)]
9. Public access to the irrigation sites and wastewater treatment facilities shall be prohibited. [15A
NCAC 02T.0505(q)]
10. The residuals generated from the wastewater treatment facilities shall be disposed or utilized in
accordance with 15A NCAC 02T .1100. The Permittee shall maintain a residual management plan
pursuant to 15A NCAC 02T.0508. [15A NCAC 02T.1100& 15A NCAC 02T.0508]
11. Diversion or bypassing of untreated or partially treated wastewater from the treatment facilities is
prohibited. [15A NCAC 02T.0505(j)]
12. Freeboard in the 250,000 gallon synthetically lined storage lagoon shall not be less than two feet at
any time. [15A NCAC 02T.0505(d)]
13. A gauge to monitor waste levels in the 250,000 gallon synthetically lined storage lagoon shall be
provided. This gauge shall have readily visible permanent markings, at inch or tenth of a foot
increments, indicating the following elevations: maximum liquid level at the top of the temporary
liquid storage volume; minimum liquid level at the bottom of the temporary liquid storage volume;
and the lowest point on top of the dam. [15A NCAC 02T.0108(b)(1)J
14. A protective vegetative cover shall be established and maintained on all earthen embankments (i.e.,
outside toe of embankment to maximum allowable temporary storage elevation on the inside of the
embankment), berms, pipe runs, erosion control areas, and surface water diversions. Trees, shrubs,
and other woody vegetation shall not be allowed to grow on the earthen dikes or embankments.
Earthen embankment areas shall be kept mowed or otherwise controlled and accessible. [15A NCAC
02T.0108(b)(l)]
IV. MONITORING AND REPORTING REQUIREMENTS
1. Any Division required monitoring (including groundwater, plant tissue, soil and surface water
analyses) necessary to ensure groundwater and surface water protection shall be established, and an
acceptable sampling reporting schedule shall be followed. [15A NCAC 02T.0108(c)]
2. A Division certified laboratory shall conduct all laboratory analyses for the required effluent,
groundwater or surface water parameters. [15A NCAC 02H.0800]
3. Flow through the treatment facility shall be continuously monitored, and daily average flow values
shall be reported on Form NDMR. Flow may be estimated from water use records, provided the
Permittee's water use is metered. Daily average flow values shall be calculated by dividing the
monthly metered water usage by the number of days in the month. [15A NCAC 02T .0105(k), 02T
.0108(c)]
4. The Permittee shall monitor the effluent from the subject facilities at the frequencies and locations for
the parameters specified in Attachment A. [15A NCAC 02T.0108(c)]
WQ0019782 Version 3.0 Shell Version 150101 Page 4 of 8

5. The Permittee shall maintain adequate records tracking the amount of effluent irrigated. At a
minimum, these records shall include the following information for each irrigation site listed in
Attachment B:
a. Date of irrigation;
b. Volume of effluent irrigated;
c. Site irrigated;
d. Length of time site is irrigated;
e. Continuous weekly,monthly,and year-to-date hydraulic(inches/acre)loadings;
f. Continuous monthly and year-to-date loadings for any non-hydraulic parameter specifically
limited in Attachment B;
g. Weather conditions;and
h. Maintenance of cover crops.
[15A NCAC 02T.0108(c)]
6. Freeboard (i.e., waste level to the lowest embankment elevation) in the 250,000 gallon synthetically
lined storage lagoon shall be measured to the nearest inch or tenth of a foot, and recorded weekly.
Weekly freeboard records shall be maintained at the facility for a period of no less than five years,
and shall be made available to the Division upon request.[15A NCAC 02T.0108(c)]
7. Three copies of all monitoring data(as specified in Conditions 1V.3. and IV.4.) on Form NDMR for
each PPI and three copies of all operation and disposal records(as specified in Conditions IV.5. and
IV.6.)on Form NDAR-1 for every site in Attachment B shall be submitted on or before the last day of
the following month. If no activities occurred during the monitoring month, monitoring reports are
still required documenting the absence of the activity. All information shall be submitted to the
following address:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
[15A NCAC 02T.0105(l)]
8. A record shall be maintained of all residuals removed from this facility. This record shall be
maintained at the facility for a period of no less than five years, and shall be made available to the
Division upon request. At a minimum,this record shall include:
a. Name of the residuals hauler;
b. Non-Discharge permit number authorizing the residuals disposal,or a letter from a municipality
agreeing to accept the residuals;
c. Date the residuals were hauled;and
d. Volume of residuals removed.
[15A NCAC 02T.0108(bX 1)]
9. A maintenance log shall be maintained at this facility. This log shall be maintained at the facility for
a period of no less than five years, and shall be made available to the Division upon request. At a
minimum,this log shall include:
a. Visual observations of the plant and plant site; and
b. Record of preventative maintenance (e.g., changing of equipment, adjustments, testing,
inspections and cleanings,etc.).
[15A NCAC 02T.0108(bX l)]
WQO119782 Version 3.0 Shell Version 150101 Page 5 of 8

10. An annual representative soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on
each irrigation site listed in Attachment B. These results shall be maintained at the facility for a
period of no less than five years, and shall be made available to the Division upon request. At a
minimum,the Standard Soil Fertility Analysis shall include the following parameters:
Acidity Exchangeable Sodium Percentage Phosphorus
Base Saturation(by calculation) Magnesium Potassium
Calcium Manganese Sodium
Cation Exchange Capacity Percent Humic Matter Zinc
Copper pH
[15A NCAC 02T.0108(c)]
11. Noncompliance Notification:
The Permittee shall report by telephone to the Winston-Salem Regional Office, telephone number
[phone], as soon as possible,but in no case more than 24 hours, or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence at the facility resulting in the treatment of significant amounts of wastes that is
abnormal in quantity or characteristic, including the known passage of a hazardous substance.
b. Any process unit failure (e.g., mechanical, electrical, etc.), due to known or unknown reasons,
rendering the facility incapable of adequate wastewater treatment.
c. Any facility failure resulting in a by-pass directly to receiving surface waters.
d. Any time self-monitoring indicates the facility has gone out of compliance with its permit
limitations.
e. Ponding in or runoff from the irrigation sites.
Any emergency requiring immediate reporting(e.g.,discharges to surface waters,imminent failure of
a storage structure, etc)outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone].
Persons reporting such occurrences by telephone shall also file a written report in letter form within
five days following first knowledge of the occurrence. This report shall outline the actions taken or
proposed to be taken to ensure the problem does not recur. [15A NCAC 02T .0105(1), 02T
.0108(bX l)1
WQ0019782 Version 3.0 Shell Version 150101 Page 6 of 8

V. INSPECTIONS
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
wastewater treatment and irrigation facilities. [15A NCAC 02T.0108(b)]
2. The Permittee or their designee shall inspect the wastewater treatment and irrigation facilities to
prevent malfunctions, facility deterioration and operator errors resulting in discharges, which may
cause the release of wastes to the environment, a threat to human health or a public nuisance. The
Permittee shall maintain an inspection log that includes, at a minimum, the date and time of
inspection, observations made, and any maintenance, repairs, or corrective actions taken. The
Permittee shall maintain this inspection log for a period of five years from the date of the inspection,
and this log shall be made available to the Division upon request. [15A NCAC 02T.0108(b)]
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the wastewater treatment and irrigation facilities
permitted herein at any reasonable time for the purpose of determining compliance with this permit;
may inspect or copy any records required to be maintained under the terms and conditions of this
permit,and may collect groundwater,surface water or leachate samples. [G.S. 143-21.5.3(ax2)]
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to
an enforcement action by the Division in accordance with North Carolina General Statutes 143-
215.6A to 143-215.6C.
2. This permit shall become voidable if the permitted facilities are not constructed in accordance with
the conditions of this permit, the Division approved plans and specifications, and other supporting
documentation. [15A NCAC 02T.0110]
3. This permit is effective only with respect to the nature and volume of wastes described in the permit
application, Division approved plans and specifications, and other supporting documentation. No
variances to applicable rules governing the construction or operation of the permitted facilities are
granted, unless specifically requested and approved in this permit pursuant to 15A NCAC 02T
.0105(n). [G.S. 143-21.5.1]
4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies
(e.g., local, state,and federal). Of particular concern to the Division are applicable river buffer rules
in 15A NCAC 02B .0200; erosion and sedimentation control requirements in I5A NCAC Chapter 4
and under General Permit NCG010000; any requirements pertaining to wetlands under 15A NCAC
02B .0200 and 02H .0500;and documentation of compliance with Article 21 Part 6 of Chapter 143 of
the General Statutes.
5. In the event the permitted facilities change ownership or the Permittee changes their name, a formal
permit modification request shall be submitted to the Division. This request shall be made on official
Division forms,and shall include appropriate property ownership documentation and other supporting
documentation as necessary. The Permittee of record shall remain fully responsible for maintaining
and operating the facilities permitted herein until a permit is issued to the new owner. [15A NCAC
02T.0104]
6. The Permittee shall retain a set of Division approved plans and specifications for the life of the
facilities permitted herein. [15A NCAC 02T.0108(b)(1)]
7. The Permittee shall maintain this permit until all permitted facilities herein are properly closed or
permitted under another permit issued by the appropriate permitting authority. [15A NCAC 02T
.0105(j)]
WQ0019782 Version 3.0 Shell Version 150101 Page 7 of 8

8. This permit is subject to revocation or unilateral modification upon 60 days notice from the Division
Director,in whole or part for the requirements listed in 15A NCAC 02T.0110.
9. Unless the Division Director grants a variance,expansion of the permitted facilities contained herein
shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC 02T.0120(b).
10. The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to
pay the annual fee accordingly shall be cause for the Division to revoke this permit [15A NCAC 02T
.0105(eX3)]
Permit issued this the 28th day of January 2015
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
,Jay enman,Acting Director
Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number WQ►0019782
WQ0019782 Version 3.0 Shell Version 150101 Page 8 of 8

ATTACHMENT A—LIMITATIONS AND MONITORING REQUIREMENTS Permit Number: WQ0019782 Version:3.0
PPI 001—WWTP Effluent
EFFLUENT CHARACTERISTICS EFFLUENT LIMITS MONITORING REQUIREMENTS
PCS Parameter Description Units of Monthly Monthly Daily Minimum Daily Maximum Measurement Sample
Code Measure Average Geometric Mean Frequency Type
00310 BOD.5-Day(20°C) mg1L --3 r �r �� • , 4 x Year I Grab
50060 Chlorine,Total Residual mg1L x y F �, x Weekly Grab
31616 Coiiform,Fecal MF,M-FC Broth,44.5°C #/100 mL r ,4 q• ,� 4 a Year' Grab
*- V ,
50050 Flow,in Conduit or thru Treatment Plant GPI) 3,670 e, iv, Monthly Estimate
z .
00610 Nitrogen,Ammonia Total(as N) mill x ` ,�' 4 x Year' Grab
00625 Nitrogen,Kjeldahl,Total(as N) mg/L C :,- t : `• y)_ 4 x Year` Grab
00620 Nitrogen,Nitrate Total(as N) mg/L , • ,;;Iin -', 4 x Year' Grab
rv. n
00600 Nitrogen,Total(as N) mg/L sI ;r 4 x Year' Grab
00400 pit su s,,,4 kw" P ; k Weekly Grab
00665 Phosphorus,Total(as P) mg/L !� 1 ", A r „ 4 x Year' Grab
00530 Solids,Total Suspended mg/L 4°'� i . T i4 11*i 4 x Year' Grab
I. 4 a Year sampling shall be conducted every March,June,September and December.
WQ0019782 Version 3.0 Attachment A Page 1 of I

THIS PAGE BLANK

ATTACHMENT B-APPROVED LAND APPLICATION SITES AND LIMITATIONS Permit Number. WQ0019782 Version:3.0
The Young Men's Christian Association of Greensboro,Inc.—YMCA Camp Weaver
IRRIGATION AREA INFORMATION APPLICATION LIMITATIONS
Net Dominant Hourly Yearly units
Field Owner County Latitude Longitude Acreage Soil Series Parameter Rate Max
1 The Young Men's Christian. Guilford j 36.027773° -79.681710° 0.37 01284—Non-Discharge Application Rate 0.4 38.3 inches
Association of Greensboro.Inc.
2 The Young Men's Christian Guilford 36.027508° -79.681820° 0.37 01284—Non-Discharge Application Rate 0.4 38.3 inches
Association of Greensboro,Inc.
The Young Men's Christian Guilford 36.026903° -79.681013° 0.45 01284—Non-Discharge Application Rate 0.4 38.3 inches
3 Association of Greensboro,Inc.
4 The Young Men's Christian Guilford 36.027155" -79.681051° 0.45 01284—Non-Discharge Application Rate 0.4 38.3 inches
Association of Greensboro.Inc.
Totals , 1.64
WQ0019782 Version 3.0 Attachment B Page I of 1

Figure 1 —Aerial Map
WQ0019782 4924 Tapawingo Trl., Greensboro,NC 27406
The Young Men's Christian Association of Greensboro,Inc. Latitude:36.027513°
YMCA Camp Weaver WWTP Longitude: -79.681109°

Figure 2—Directional Map
WQ0019782 4924 Tapawingo Trl.,Greensboro,NC 27406
The Young Men's Christian Association of Greensboro,Inc. Latitude: 36.027513°
_
YMCA Camp Weaver WWTP Longitude: -79.681109°
1
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— Association Clubhouse i
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P*&
• State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources
Water Quality Programs
Regional Staff Report
January 15,2015
To: Central Office—Non-Discharge Permitting Unit Application No.: W00019782
Attn: Nathaniel Thornburg,Water Quality Permitting Section Permittee: YMCA of Greensboro,Inc.
From: Patrick Mitchell Winston-Salem Regional Office Guilford County
I. GENERAL SITE VISIT INFORMATION
1. Was a site visit conducted?® Yes or❑No
a. Date of site visit: January 13,2015
b. Site visit conducted by: P.Mitchell
c. Inspection report attached? ® Yes or❑No
d. Person contacted: David Burton and their contact information: [phone] ext.
e. Driving directions: See file.
H. FACILITY AND APPLICATION INFORMATION
1. Are there appropriately certified Operators in Charge(ORCs)for the facility?®Yes❑No❑N/A
ORC: Randy Russell Certificate#:SI-1000101 Backup ORC: David Burton Certificate#:SI-986938
2. Are the design,maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? ®Yes ❑No ❑N/A-If no,please explain below in Section IV.Review Items
3. Are the site conditions(e.g., soils,topography,depth to water table,etc)maintained appropriately and adequately
assimilating the waste? ®Yes or❑No-If no,please explain below in Section IV.Review Items
4. Has the site changed in any way that may affect the permit(e.g., drainage added,new wells inside the compliance
boundary,new development, etc.)? ❑Yes or®No-If yes, please explain below in Section IV.Review Items
5. Is the residuals management plan adequate? ®Yes or❑No-If no,please explain below in Section IV.Review
Items
6. Are the existing application rates(e.g.,hydraulic,nutrient)still acceptable?®Yes or❑No-If no,please
explain below in Section IV. Review Items
7. Is the existing groundwater monitoring program adequate? ❑Yes❑No ®N/A
If no,explain and recommend any changes to the groundwater monitoring program below in Section IV.Review
Items
8. Are there any setback conflicts for existing treatment, storage and disposal sites? ❑Yes or®No
If yes,provide comments below attach a map showing conflict areas.
9. Is the description of the facilities as written in the existing permit correct? ❑Yes or®No-If no,please
explain below in Section IV.Review Items
10. Were monitoring wells properly constructed and located? ❑Yes ❑No ®N/A If no,please explain below in
Section N.Review Items.
11. Are the monitoring well coordinates correct in BIMS? ❑ Yes ❑No®N/A
12. Has a review of all self-monitoring data been conducted(e.g.,NDMR,NDAR,GW)? ❑ Yes or®No
Please summarize any findings resulting from this review below in Section IV.Review Items.
FORM:APSRSR 04-10 girssinerwi Page 1 of 2

13. Are there any permit changes needed in order to address ongoing BIMS violations? ❑ Yes or®No
If yes,please explain below in Section IV.Review Items.
14. Check all that apply:
No compliance issues ❑Current enforcement action(s) ❑ Currently under JOC
❑Notice(s)of violation ❑ Currently under SOC ❑ Currently under moratorium
Please explain and attach any documents that may help clarify answer/comments(i.e.,NOV,NOD,etc.)
15. Have all compliance dates/conditions in the existing permit been satisfied? ®Yes❑No ❑N/A
If no,please explain below in Section IV.Review Items.
16. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
❑Yes®No❑N/A
If yes,please explain below in Section IV.Review Items.
III.REGIONAL OFFICE RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? ❑Yes or®No
If yes,please explain:
2. List any items that you would like APS Central Office to obtain through an additional information request:
•
3. List specific permit conditions recommended to be removed from the permit when issued:
•
4. List specific special conditions or compliance schedules recommended to be included in the permit when issued:
• Install a freeboard staff gauge within timeline(180 days?).
• Clear all downed trees and repair damaged drip lines within 180 days.
• Repair or replace effluent"Pump B"within 180 days.
5. Recommendation: ❑Hold,pending receipt and review of additional information by regional office
® Hold,pending review of draft permit by regional office
❑ Issue upon receipt of needed additional information
❑ Issue
❑Deny(Please state reasons: )
6. Signature of report preparer:
Signature of regional supervisor: ' -e /S J. —we.s
Date: January 15,2015
IV. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
• Item 9: There is an audible/visual alarm on the transfer pump station.
• Item 9: There is an audible/visual alarm on the effluent pump station adjacent to lagoon.
• Item 9: There are two influent water meters(one on each water supply well),and two deduction flow meters
to account for flow that goes to subsurface septic systems.
• Item 9: Drip system has an effluent flow meter for dosing(not sure if this needs to be added in description).
• New primary ORC for the system, designation form forwarded.
FORM:APSRSR 04-10 Page 2 of 2

WATER QUALITY REGIONAL OPERATIONS SECTION
APPLICATION REVIEW REQUEST FORM RECEIVED
N.C. Dept. of ENR
Date: December 8,2014 DEC 1 0 2014
+ �,$ ,. i �ar r ° .,' WINSTON-SAL
To: REGIONAL OF i,:
From: Nathaniel Thornburg, Water Quality Permitting Section-Non-Discharge Permitting Unit
Telephone: [phone] Fax: [phone] E-Mail: [e-mail]
A. Permit Number: WQ0019782
B. Applicant: YMCA of Greater Charlotte
C. Facility Name: YMCA Camp Weaver
D. Application:
Permit Type: Wastewater Irrigation
Project Type:Renewal
E. Comments/Other Information:
❑ I would like to accompany you on a site visit.
Attached, you will find all information submitted in support of the above-referenced application for your
review, comment, and/or action. Within 45 calendar days, please take the following actions:
® Return a completed WQROSARR Form. ® Return a completed WQROSSR Staff Report
❑ Attach a classification rating sheet. • ❑ Attach Well Construction Data Sheet.
❑ Attach Attachment B for Certification. ❑ Issue an Attachment B Certification.
When you receive this request form, please write your name and dates in the spaces below, make a copy
of this sheet, and return it to the appropriate Central Office Water Quality Permitting Section contact
person listed above. ff
RO-WQROS Reviewer: �R-�t C k M;*- ( Date:
v!" Iz/z9'11 6.4t:VOrp, 4 au
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FORM: WQROSARR 02-14 Page 1 of 1

State of North Carolina
DWR Department of Environment and Natural Resources
Division of Water Resources
NON-DISCHARGE SYSTEM RENEWAL
Division of Water Resources FORM: NDSR 11-13
I. PERMITTEE INFORMATION:
1. Permittee's name: Greg Jones
2. Signature authority's name:Jamie Cosson per 15A NCAC 02T.0106(b) Title:Executive Director
3. Permittee's mailing address: 620 Green Valley Rd, Suite 210
City: Greensboro State:NC Zip: 27408-7725
4. Permittee's contact information: Phone number: [phone] Email Address:gre2.jones(2i ymcagreensboro.orc
II. FACILITY LNFORiMATION:
1. Facility name: YMCA of Greensboro Inc.YMCA Camp Weaver
2. Facility's physical address:4924 Tapawinco Trail
City: Greensboro State:NC Zip: 27406-9072 County: Guilford �--j: i c!'
ij y t
1 @7as �lr'Jifi.1t Y ;} D
III. PERiMIT INFORMATION:
1. Existing permit number:WQ0019782 and most recent issuance date:October 26t,2006 D E C - +} U i 4
2. Existing permit type: Select 9uo•!iff,,,34
3. Has the facility been constructed? ®Yes or❑No V ^P`-
4. Demonstration of historical consideration for permit approval— 15A NCAC 02T.0120:
Has the Applicant or any parent, subsidiary or other affiliate exhibited the following?
a. Has been convicted of environmental crimes under Federal law or G.S. 143-215.6B?❑ Yes or®No
b. Has previously abandoned a wastewater treatment facility without properly closing that facility? ❑ Yes or®No
c. Has unpaid civil penalty where all appeals have been abandoned or exhausted? ❑Yes or®No
d. Is non-compliant with an existing non-discharge permit,settlement agreement or order?❑Yes or®No
e. Has unpaid annual fees in accordance with 15A NCAC 02T .0105(e)(2)? ❑Yes or®No
Applicant's Certification per 15A NCAC 02T.0106(b):
I, J aw\\2 SSG V\ t-Ke r-\-t/c `l Z \xv-e c-Iv per' attest that this application for
(Signature Authority's name&title from Application Item I.2.)
vtALAA t;
(Facility name from Application Item II.1.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that any discharge of wastewater
from this non-discharge system to surface waters or the land will result in an immediate enforcement action that may include civil
penalties. injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a
condition of this permit be violated. I also understand that if all required parts of this application package are not completed and that
if all required supporting information and attachments are not included,this application package will be returned to me as incomplete.
I further certify that the Applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater
facility without proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are
ompliant with any active compliance schedule,and do not have any overdue annual fees per 15A NCAC 02T .0105(e).
TE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement,
resentation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
ed$10.000 as well as civil penalties up to$25,000 per violation.
re: Date: I Lt. 1
•NDSR 11-13 Page 1 of 1

State of North Caro
DWR Department of Environment and Natural Resources
Division of Water Resources
f„ r. NON-DISCHARGE SYSTEM RENEWAL
Division of Water Resources INSTRUCTIONS FOR FORM:NDSR 11-13&SUPPORTING DOCUMENTATION
This form is for renewal without modification for all non-discharge system permits,except Residuals Management permits.
For more information, visit the Water Quality Permitting Section's Non-Discharge Permitting Unit website at:
http://portal.ncdenr.org/web/wq/aps/latt
A. Non-Discharge System Renewal(FORM: NDSR 11-13)Application (All Application Packages):
® Submit one original and one copy of the completed and appropriately executed Non-Discharge System Renewal (FORM:
NDSR 11-13)application.
Ei The Applicant's Certification shall be signed in accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T.0106(c),an
alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the
criteria in 15A NCAC 02T.0106(b).
B. Existing Permit(All Application Packages):
® Submit two copies of the most recently issued permit.
C. Certificate of Public Convenience and Necessity(All Application Packages for Privately-Owned Public Utilities):
❑ Per 15A NCAC 02T .0115(a)(1),provide two copies of the Certificate of Public Convenience and Necessity from the North
Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served
by the non-discharge system.
D. Operation and Maintenance Agreement(All Application Packages for Single-Family Residences):
❑ Submit one original and one copy of the signed Operation and Maintenance Agreement(FORM: SFRWWIS O&M).
E. Operational Agreements(All Application Packages for Home/Property Owners'Associations and Developers of lots to be sold):
➢ Home/Property Owners' Associations
❑ Per 15A NCAC 02T.0115(c),submit an original and one copy of the properly executed Operational Agreement(FORM:
HOA).
❑ Per 15A NCAC 02T .0115(c), submit an original and one copy of the proposed or approved Articles of Incorporation,
Declarations and By-laws.
➢ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b),submit an original and one copy of the properly executed Operational Agreement(FORM:
DEV).
F. Site Map(All Application Packages for permits originally issued or modified after September 1,2006):
❑ Submit two copies of an updated site map in accordance with 15A NCAC 02T .0105(d).
THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED TO:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON-DISCHARGE PERMITTING UNIT
By U.S.Postal Service: By Courier/Special Delivery:
1617 MAIL SERVICE CENTER 512 N.SALISBURY ST.
RALEIGH,NORTH CAROLINA 27699-1617 RALEIGH,NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone] FAX NUMBER: [phone]
re
@p
r
INSTRUCTIONS FOR FORM:NDSR 11-13 & SUPPORTING DOCUMENTATION )

AVA
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John SSkval la. ill
_governor Secretary
December 4, 2014
Jamie Cosson
620 Green Valley Rd, Suite 210
Greensboro,NC 27408
Subject: Acknowledgement of
Application No. WQ0019782
YMCA Camp Weaver
Wastewater Irrigation System
Guilford County
Dear Jamie Cosson:
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on December 2, 2014. Your application package has been assigned
the number listed above,and the primary reviewer is Nathaniel Thornburg.
Central and Winston-Salem Regional Office staff will perform a detailed review of the provided
application, and may contact you with a request for additional information. To ensure maximum
efficiency in processing permit applications, the Division of Water Resources requests your assistance in
providing a timely and complete response to any additional information requests.
Please note that processing standard review permit applications may take as long as 60 to 90 days
after receipt of a complete application. If you have any questions, please contact
Nathaniel Thornburg at(919) 807-6453 or [e-mail].
Sincerely,
(9a
r,° Jon Risgaard, Supervisor
Division of Water Resources
cc: n
Permit File WQ0019782

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Aviis
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder John E. Skvarla, Ill
Governor Director Secretary
September 13, 2013
Mr. Greg Jones, President/CEO
YMCA of Greater Charlotte
620 Green Valley Road, Suite 210
Greensboro, North Carolina 27408-7725
Subject: Compliance Inspection
YMCA of Greater Charlotte- Camp Weaver
Wastewater Surface Irrigation
Permit No. WQ0019782
Guilford County
Dear Mr. Jones:
On August 29, 2013, Stephen Berry of the North Carolina Division of Water
Resource's Winston-Salem Regional Office (DWR) performed a compliance
evaluation inspection of the subject wastewater spray irrigation system.
Accompanying DWR on the inspection of the irrigation system was David Hicks and
David Burton. Prior to the facility inspection, Mr. Berry reviewed the 2012 and 2013
Non-Discharge Monitoring and Application Reports submitted by David Hicks on
behalf of Camp Weaver.
Camp Weaver was found to be in compliance with permit WQ0019782.
However, the following items of concern require your attention:
1) Permit Condition II. 1. The facilities shall be properly maintained and operated at
all times.
Action Required: At the time of inspection, Pump 'B' at the waste storage pond
was inoperable. Please ensure both pumps are functioning properly by
November 1, 2013.
WATER QUALITY SECTION
585 Waughtown Street,Winston-Salem,North Carolina 27107 One
Phone:[phone] FAX:[phone]\Customer Service 1-877-623-6748 NorthCarolina
Internet: pporunwatAffirm Naturally
An Equal Opportunity\Affirmative Action Employer

YMCA-Camp Weaver
September 13,2013
Page 2 of 2
Additionally, plumbing in the pump house is leaking. Mr. Hicks explained efforts
to repair the filter in question and continued efforts are required to eliminate
wastewater from draining from the pump house.
2) Permit Condition II. 5. Adequate measures shall be taken to prevent
wastewater ponding on or runoff from the irrigation field.
The inspector documented ponding and runoff in one area of Zone 2. Irrigation
lines damaged by wildlife were flagged for repair but not yet repaired.
Action Required: Please increase the frequency of repairs to a minimum of
once every two weeks.
3) Permit Condition II. 8. Waste application equipment must be tested and
calibrated at least once per year.
No Further Action Required: In an email dated September 9, 2013, Mr. Hicks
-provided information that demonstrates future compliance with this requirement.
4) Permit Condition III. 7. Annual soil analyses were not reviewed at the time of
inspection.
Action Required: Please submit a copy of the most recent soil analysis
performed.
Thank you in advance for your attention to these matters. If you or your staff have
any questions concerning this letter, you may contact Stephen Berry at (336) 771-
5288 or by email at [e-mail].
Sincerely,
>At.* • 41,0
Sherri V. Knight, P.E.
Asst. Regional Supervisor, Water Quality Section
cc: Guilford County Health Department
David Hicks, ORC 202 Newberry Street,Jamestown,NC 27282
APS Central Office

Compliance Inspection Report
Permit: WQ0019782 Effective: 10/26/06 Expiration: 09/30/15 Owner: YMCA of Greater Charlotte
SOC: Effective: Expiration: Facility: YMCA Camp Weaver
County: Guilford 4924 Tapawingo Trl
Region: Winston-Salem
Greensboro NC 27407
Contact Person: Greg Jones Title: President/CEO Phone: [phone]
Directions to Facility:
From 1-40 East/I-85 North take the Lee Street Exit#128. Turn Right(south)on Lee Street and follow until it ends. Right onto Young's
Mill Road nd f Ilow until it ends. Left onto Mill Point Road and follow for 3/4 mile. right on Tapawi
System Classifications:
Primary ORC: Robert David Hicks Aft Wr' Certification: 27687 Phone: [phone]
Secondary ORC(s): < j .
("qiiflek)
J
On-Site Representative(s):
Related Permits:
Inspection Date: Entry Time: (DA Exit Time: I qo f
Primary Inspector: Stephen Berry Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Wastewater Irrigation
Facility Status: 0 Compliant 0 Not Compliant
Question Areas:
Treatment Flow ■Treatment Flow ■Miscellaneous Questions ■Treatment Flow
Measurement-Effluent Measurement-Influent Measurement-Water Use
Records
Treatment Treatment Filters Record Keeping 111 Treatment Lagoons
■Treatment Sludge ■End Use-Irrigation ■Treatment Influent Pump ■Treatment Disinfection
Storage/Treatment Station
■Treatment Flow ■Standby Power
Measurement
(See attachment summary)
*U, ri veil 1103 - \-g, (NIA
Siv 6v
-r ate-
'h� ccSib.-e✓ L,(M�.'G11t,o} (NttIG1ll -Mvr-4,., dow rw. I U
- inCc+s (cc Page: 1

Permit: WQ0019782 Owner-Facility: YMCA of Greater Charlotte
Inspection Date: Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Page: 2

Permit: WQ0019782 Owner-Facility: YMCA of Greater Charlotte
Inspection Date: Inspection Type: Compliance Evaluation Reason for Visit: Routine
Type Yes No NA NE
Infiltration System 0
Reuse(Quality) 0
Single Family Spray, LR 0
Lagoon Spray, LR 0
Activated Sludge Drip,LR IJ
Activated Sludge Spray, HR ❑
Activated Sludge Spray, LR ❑
Recycle/Reuse 0
Single Family Drip 0
Treatment Yes N NA NE
Are Treatment facilities consistent with those outlined in the current permit? 0 0 0
Do all treatment units appear to be operational?(if no, note below.) 0000
Comment:
Treatment Influent Pump Station Yes No NA NE
Is the pump station free of bypass lines or structures? 0 0 0
Is the general housekeeping acceptable? CJ 0 0 0
Are all pumps present? �Q�❑ ❑ ❑
Are all pumps operable? Ef/❑ 0 0
Are floats/controls operable? g/❑ 0 0
Are audio and visual alarms available? gl,/❑ ❑ ❑
Are audio and visual alarms operational? per ❑ 0 0
EI
#Are SCADA/Telemetry alarms required? 0 0 ❑
Are SCADA/Telemetry available? 0 0 • 0
Are SCADA/Telemetry operational? 0 0 • ❑
Comment:
Treatment Flow Measurement-Influent 2 liS — 2 `„(II WI_ , Yes,(No NA NE
�Is flowmeter calibrated annually? 1 or Sys � 0.1, r-ti CJ ❑ ❑ ❑
(4iOlo) ❑ ❑
Is flowmeter operating properly?
Does flowmeter monitor continuously? gf 0 0 0
Page: 3

„-f,,.I`w ),; ;i - L.S. Eft- 54- 1 (scyci.vn of extAi
e-44,--
co�o )
5
Permit: WQ0019782 Owner-Facility: YMCA of Greater Charlotte leis V E� 1r
.,/4,.. -
.a. -' 4. ,
Inspection Date: Inspection Type: Compliance Evaluation Reason for Visit: Routin
Does flowmeter record flow? ,.�/ ❑ 0 0
Does flowmeter appear to monitor accurately? j►L _f� I S _; I� NJ ❑ ❑ ❑
►``r,C Z ►0 a
Comment:
Treatment Flow Measurement-Water Use Records Yes No NA NE
Is water use metered? NJ ❑ 0 0
Are the daily average values properly calculated? L2/0 0 0
Comment:
Treatment Flow Measurement-Effluent Yes No NA NE
Is flowmeter calibrated annually? ?j—5 v►Is ❑ ❑ ❑ ❑
Is flowmeter operating properly? I ❑ ❑ ❑ ❑
Does flowmeter monitor continuously? ❑ ❑ ❑ ❑
Does flowmeter record flow? ❑ ❑ ❑ ❑
Does flowmeter appear to monitor accurately? ❑ ❑ ❑ ❑
Comment:
Standby Power Yes No NA NE
Is automatically activated standby power available? 0010
Is generator tested weekly by interrupting primary power source? 0 0 0
Is generator operable? 0 0 0
Does generator have adequate fuel? 0 0 0
Comment:
Treatment Filters Yes No NA NE
Is the filter media present? g ❑ ❑ ❑
Is the filter media the correct size and type? a 0 0 0
Is the air scour operational? d ❑ ❑ ❑
Is the scouring acceptable? a 0 0 0
Is the clear well free of excessive solids? E(❑ 0 0
Is the mud well free of excessive solids and filter media? 0 0 0
Does backwashing frequency appear adequate? 10 0 0
Comment:
Treatment Sludge Storage/Treatment Yes No NA NE
Is the aeration operational? ii❑ 0 0
Page: 4

Permit: WQ0019782 Owner-Facility: YMCA of Greater Charlotte
Inspection Date: Inspection Type: Compliance Evaluation Reason for Visi : Routine
Is the aeration pattern even? 0 0 0
If required,are Sanitary"Ts"present in tankage? ❑ ❑ ❑ M
Comment:
Treatment Disinfection Yes NA NE
Is the system working? _ 0 ❑ ❑^
Do the fecal coliform results indicate proper disinfection? l,-�Y0 0 0
Is there adequate detention time(>=30 minutes)? 0 ❑ 0 0
Is the system properly maintained? ❑ ❑ irl
If gas,does the cylinder storage appear safe? 0 0 0/0
Is the fan in the chlorine feed room and storage area operable? 0 0 Er❑
Is the chlorinator accessible? 0 0 0/0
If tablets, are tablets present? 0/0 0 0
Are the tablets the proper size and type? a 0 0 0
Is contact chamber free of sludge,solids,and growth? d ❑ ❑ ❑
If UV,are extra UV bulbs available? ❑ ❑ @''O
E
If UV, is the UV intensity adequate? 0 0 ❑
#Is it a dual feed system? il❑ 0 0
Does the Stationary Source have more than 2500 lbs of Chlorine(CAS No. 7782-50-5)? Dodo
If yes,then is there a Risk Management Plan on site? 0 0 h/ ❑
If yes,then what is the EPA twelve digit ID Number?(1000- )
If yes,then when was the RMP last updated?
Comment:
Record Keeping Yes No NA NE
Is a copy of current permit available? M ❑ 0 0
Are monitoring reports present: NDMR? B/❑ 0 0
NDAR? ❑ 0 0
Are flow rates less than of permitted flow? Pi ❑ 0 0
Are flow rates less than of permitted flow? ❑ 0 0
Are application rates adhered to? g/❑ 0 0
Is GW monitoring being conducted,if required(GW-59s submitted)? 0 0 0/0
Page: 5

vdi. t,.v fwt►^ ge—$ ` Co r r {?ss ryes / mkt {o (14,1 5 e vl
$607:110h
Permit: WQ0019782 Owner-Facility: YMCA of Greater Charlotte P tar" 214 c..s3i..
Inspection Date: Inspection Type: Compliance Evaluation Reason for Visit: Routine
Are all samples analyzed for all required parameters? ,S5000
Are there any 2L GW quality violations? 0 0 1210
Is GW-59A certification form completed for facility? 0 0.Er 0
Is effluent sampled for same parameters as GW? 0 0 0
Do effluent concentrations exceed GW standards? d ❑ ❑ ❑
..)Are annual soil reports available? 0 n ❑ gi
#Are PAN records required?
E❑ Re❑
#Did last soil report indicate a need for lime? ✓4 ❑ ❑ ❑ d
If so, has it been applied? % A4)k.„\Liff> n ❑ ❑ V
Are operational logs present? ` v/` ,
Are lab sheets available for review? 4 t v/ ❑ n n
Do lab sheets support data reported on NDMR? `lit YvT* &(n 0 0
Do lab sheets support data reported on GW-59s? 0 0 5(0
Are Operational and Maintenance records present? d ❑ ❑ ❑
Were Operational and Maintenance records complete? '❑ ❑ ❑
Has permittee been free of public complaints in last 12 months? Q' ❑ 0 0
Is a copy of the SOC readily available? 0 0 10
No treatment units bypassed since last inspection? 10 0 0
Comment: l I-
End Use-Irrigation L� if t►i x~o C lA k I �`rftld� Yes o NA NE
ced
Are buffers adequate? - ix/nA LU filly!,;141..,
Is the cover crop type specified in permit? Pad _" ►' ❑- ❑ ❑
Is the crop cover acceptable? _ 3 [14-. ry 11"- f/-44,1 S +/ ❑ 0 0
vwvioIs the site condition adequate? _0).. � 115 0000
II
I
Is the site free of runoff/ponding? ‘Sy+,4 WI ¶Jt (v.- :� ❑ ❑ ❑ n
Is the acreage specified in the perm*Ybbing utilized? 1 I PrArt vA1,4J UU ❑ n ❑ ❑
Is the application equipment present? ❑ ❑ ❑ n
Is the application equipment operational? Donn
Is the disposal field free of limiting slopes? ❑ ❑ ❑ ❑
Is access restricted and/or signs posted during active site use? ❑ ❑ ❑ ❑
• " 1a614' hi [!I() qAlv✓w, - 1411C 1"'`-�Ia 'VC0 NV.. `,acme% I NOWA Q A - f ew„Page: 6
/ . 'dr [

Permit: WQ0019782 Owner-Facility: YMCA of Greater Charlotte
Inspection Date: Inspection Type: Compliance Evaluation Reason for Visit: Routine
Are any supply wells within the CB? 0 0 I ❑
Are any supply wells within 250' of the CB? 0 0 0
How close is the closest water supply well? ❑ 0 1 0
Is municipal water available in the area? ❑ ❑ 1 ❑
#Info only: Does the permit call for monitoring wells? ❑ 0 11 n
Are GW monitoring wells located properly w/respect to RB and CB? 0 0 II 0
Are GW monitoring wells properly constructed,including screened interval? 0 ❑ it 0
Are monitoring wells damaged? 0 0 111 0
Comment:
lotk Q g ( —vvvk Nkr
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Page: 7

Berry, Stephen
From: Dave Hicks<[e-mail]>
Sent: Monday, September 09, 2013 9:39 AM
To: Berry, Stephen
Cc: [e-mail]
Subject: YMCA Camp Weaver Data Request
Attachments: Attachment#1.pdf; Attachment#2.pdf; Attachment#3.pdf
Dear Mr. Berry,
I am contacting you to provide the supplemental information you requested during your inspection of YMCA
Camp Weaver, on 8/29/2013. During that inspection you requested information on the calibration check of
potable water meters (supply& deduct) used at the facility to report daily flow.
Potable water meter calibration checks begin at Camp Weaver in 2006. A Griswold 3808HB K one inch
constant flow valve was purchased with three calibrated cartridges (2.00 gpm, 5.00 gpm, and 10.00 gpm)
which allowed meters to be calibrated in place. Information on the purchase, technical specifications, and
calibration charts for each flow cartridge are available Attachment#1. Pictures of the constant flow valve,
calibrated flow cartridges, and attachment accessories are shown in Attachment#2.
Potable water supply meter calibration checks have been performed with the 5.00 gpm calibration cartridge
over at least a 30 minute timed period. Supply meters are checked for delivery of water between the same
supply well start/stop cycle for+/- 10% accuracy. Potable water deduct meter calibration checks have been
performed with the 5.00 gpm calibration cartridge over a 2.0 minute period, and meters are checked for
delivery of water between 9-11 gallons.
Potable water meters were first checked on 1/20/2006 as evidenced by the attached invoice shown in
Attachment#3. At that time, the two deduct meters were found to be out of calibration. New deduct meters
were installed 1/25/2006, and checked for calibration at installation. Log entries of meter observations are
recorded for 1/25/06, 4/11/08, and 10/20/09. In each case, meters were checked with the constant flow
valve, but calibration data was not specifically documented in the site logbook.
Meters have not been checked this year for calibration. Before doing this, I will have the constant flow valve
re-certified to traceable NIST standards. Subsequent calibration data and records will be documented in the
onsite log.
Thank you for bring this matter to my attention during the inspection. I will be diligent in future compliance
with this regulation.
Sincerely,
R. David Hicks
1

WDEATI
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H.Sullins Dee Freeman
Governor Director Secretary
November 14, 2011
Greg Jones
YMCA of Greater Charlotte
620 Green Vly Rd
Ste 210
Greensboro,NC 27408-7725
SUBJECT: September 15,2011 Compliance Evaluation Inspectiion
YMCA of Greater Charlotte
YMCA Camp Weaver
Permit No: WQ0019782
Guilford County
Dear Mr. Jones:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted on September
15,2011. The Compliance Evaluation Inspection was conducted by Derek Denard of the Winston-Salem Regional
Office. The facility was found to be in compliance with permit WQ0019782.
Pine trees were noted bordering two sides of the lagoon. These trees were present when the lagoon was constructed.
Some trees are close enough to add leaf litter and dead fall into the lagoon.
Review of self-monitoring from April 2008 to July 2011 found that the following reports were missing from both our files
and database: NDMRs and NDARs from May 2011 and June 2011. Please submit these forms.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff have any
questions, please call Derek Denard at 336-771-5286.
Sincerely,
Sherri V. Knight,P.E.
Regional Aquifer Protection Supervisor
cc: Robert David Hicks, ORC
Jamie Cosson, Director,Weaver Center,4924 Tapawingo Trail, Greensboro,NC 27406
Guilford County Health Department
APS Central Office-Permit File WQ0019782
Winston-Salem Regional Office
585 Waughtown Street,Winston-Salem,North Carolina 27107 One
Phone:[phone] FAX:[phone] Customer Service:1-877-623-6748 NorthCarolina
Internet:http://portal.nedenr.org/web/wq Naturally
An Equal Opportunity 1 Affirmative Action Employer

State of North Carolina OF W ATFR
Department of Environment and Natural Resources Q
Division of Water Quality 0y
Beverly Eaves Purdue, Governor p -
Dee Freeman, Secretary
Coleen H. Sullins, Director
NON-DISCHARGE COMPLIANCE INSPECTION REPORT
SURFACE IRRIGATION
GENERAL INFORMATION
Owner: YMCA of Greensboro County: Guilford
Permit No.: WQ0019782 Issuance Date: October 26, 2006
Facility Name: YMCA Camp Weaver Expiration Date: September 30, 2015
Facility Address: 4924 Tapawingo Trl, Greensboro, NC 27407
Mailing Address: 620 Green Valley Rd., Greensboro, NC 27408
Coordinates: 36.027513N 79.681109W
Driving Directions:
Permitte Owner: Greg Jones Telephone No.: 336-854-8410
Permittee Contact: Jamie Cosson Telephone No.: 336-854-8410
ORC Name: R. David Hicks Cert#: 7024 Telephone No.: 336-340-5514
Backup ORC: No Back-up Cert#: Telephone No.:
Reason for Ins action
® ROUTINE al COMPLAINT ❑ FOLLOW-UP ❑ Other:
Inspection Summary:(additional comments may be included on attached pages)
Pine trees were noted bordering two sides of the lagoon. These trees were present when the lagoon was
constructed. Some trees are close enough to add leaf litter and dead fall into the lagoon.
Review of self-monitoring from April 2008 to July 2011 found that the following reports were missing from
both our files and database: NDMRs and NDARs from May 2011 and June 2011.

YMCA Camp Weaver Permit No WQ0019782
Compliance Inspection Report 09/15/2011
Facility Status: Compliant ® Not Compliant ❑
Is a follow-up inspection necessary?Yes ❑ No
Primary Inspector: Derek Denard
Secondary Inspector:
Telephone: [phone] Fax: [phone]
Date of Inspection: 09/15/11 Entry Time: 10:30 am Exit Time: 12:45 pm
Type
❑ Reuse(i.e., golf courses)
❑ Activated Sludge Spray, low rate
❑ Recycle-Reuse
❑ Activated Sludge Spray, high rate
Z Lagoon Drip, Low Rate
❑Activated Sludge Drip, low rate
El Infiltration System
❑ Other
Influent Pump Station Y N NA NE
All pumps present, operational ❑ ❑ ® ❑
Floats/Controls operable ❑ ❑ ® ❑
Audio &Visual Alarms Operational ❑ ❑ ® ❑
Free of bypass lines or structures ❑ ❑ ® ❑
General housekeeping good ❑ ❑ ® ❑
Back-up power available, routinely tested &fueled? ❑ ❑ ® ❑
Comments:
Residual Storage/Treatment Y N NA NE
❑ Lagoon El Basin
Is aeration pattern even? ❑ ❑ ❑ El
❑ Septic Tank(s) Capacity(gallons): 10,000
Is sanitary T or filter present? ® ❑ ❑ ❑
How often are residuals pumped?2 years
Are pumping receipts available? ❑ ❑ ❑ El
What is the receiving WWTP?Osborn Greensboro
Comment:
Page 2 of 5

YMCA Camp Weaver Permit No WQ0019782
Compliance Inspection Report 09/15/2011
Treatment Filter(s) Y N NA NE
Is the filter media present, correct size &type? ❑ ❑ ® ❑
Is mud well free of excess solids and filter media? ❑ ❑ ® ❑
If sand filter, is unit subsurface? ❑ ❑ ® ❑
Is media free of ponding, algae or excess vegetation? ❑ ❑ ® ❑
Is air scour operational and acceptable? ❑ ❑ ® ❑
Is clear well free of excess solids? ❑ ❑ ® ❑
Does backwashing frequency appear adequate? ❑ ❑ ® ❑
Comment:
Treatment Clarifiers Y N NA NE
Weirs level, free of excessive solids&algae? ❑ ❑ ® ❑
Scum removal system operational and accessible? ❑ ❑ ® ❑
Sludge blanket at acceptable level? ❑ ❑ ® ❑
Clarifier effluent free of excessive solids? ❑ ❑ ® ❑
Comments:
Treatment Disinfection Y N NA NE
Type: ® Tablets ❑ Gas ❑ Liquid ❑ UV
Is the system properly maintained and working? ® ❑ ❑ ❑
Fecal coliform results indicate proper disinfection? ® ❑ ❑ ❑
Adequate detention time(>30 minutes)? ® ❑ ❑ ❑
If tablets, proper size? ® ❑ ❑ ❑
Present in Cylinder(s)? ® ❑ ❑ ❑
If gas/liquid, does cylinder/tank storage appear safe? ❑ ❑ ® ❑
If UV bulbs, are replacement bulbs on hand? ❑ ❑ ® ❑
Is contact chamber free of sludge, solids and growth? ® ❑ ❑ ❑
Comments:
Flow Measurement Y N NA NE
Flowmeter location: ❑ Influent ❑ Effluent
Is flowmeter calibrated annually(design flow>10,000 gpd)? ❑ ❑ ® ❑
Is flowmeter operating properly? ❑ ❑ Z ❑
Does flowmeter operate continuously? ❑ ❑ ® ❑
Does flowmeter record flow? ❑ ❑ ® ❑
Does flowmeter appear to monitor accurately? ❑ ❑ ® ❑
If no flowmeter(design flow 1,000-<10,000 gpd), are water-use records available (water meter)?
® ❑ ❑ ❑
Are the daily average values properly calculated? ® ❑ ❑ ❑
Comments:
Page 3 of 5

YMCA Camp Weaver Permit No WO0019782
Compliance Inspection Report 09/15/2011
Treatment Y N NA NE
Are treatment facilities consistent with those outlined in permit? ® El El El
Do all treatment units appear to be operational? If no, note below. ® ❑ El El
Comments(list any action items necessary for each unit):
Effluent Storage
®Lagoon(s): ❑Aerated or ❑ Mixed
Spill control plan on site? ['Yes ZNo ❑NA ONE
❑Above ground tank(s): ❑ Aerated or ❑ Mixed
❑ Underground tank(s): ❑Aerated or ❑ Mixed
❑ Drying beds ❑ Concrete storage pads ['Other:
Amount of Storage(days, months, gallons, etc.):
Comments:
Effluent Storage Lagoon(s) Y N NA NE
❑ Primary ® Secondary
Influent structure(s)free of obstructions? ® ❑ ❑ ❑
Banks/berms (are there signs of seepage, overtopping, down cutting or erosion)
® ❑ ❑ ❑
Vegetation (is there excessive vegetation on the lagoon bank) ❑ ® El El
Liner(if visible, is it intact) ® ❑ ❑ ❑
Baffles/curtains (in need of repair) El ❑ ® El
Freeboard (>2 feet from overtopping) ® ❑ ❑ El
Measurement at time of inspection 7_6
Staff gauge(clearly marked) El ❑ ® ❑
Evidence of overflow(vegetation discolored or laying down/broken) El ® El El
Unusual color(very black, textile colors) ❑ ® ❑ El
Effluent Storage Lagoon(s) continued Y N NA NE
Foam (are antifoam agents used) ❑ ® El El
Floating mats (sludge, plants, inorganics) ® ❑ ❑ ❑
Excessive solids buildup(from bottom) ❑ ® El ❑
Aerators/mixers operational (if present) ❑ ❑ Z El
Effluent structure(free of obstructions, easily accessible) ® ❑ ❑ ❑
Comments:
Pump station(s) Y N NA NE
All pumps present, operational ® ❑ ❑ ❑
Floats/Controls operable ® ❑ ❑ ❑
Audio&Visual Alarms Operational ® ❑ El ❑
Free of bypass lines or structures ® ❑ El ❑
General housekeeping good ® ❑ El ❑
Back-up power El El ® ❑
Page 4 of 5

YMCA Camp Weaver Permit No WO0019782
Compliance Inspection Report 09/15/2011
End Use-Irrigation Number of Fields: 4 Y N NA NE
Are buffers adequate? ® ❑ 0 0
Are cover crops the type specified in permit and in good condition? ® ❑ ❑ ❑
Are there signs of runoff, ponding, or drift? ❑ ® ❑ ❑
Is the acreage specified in the permit being utilized? ® ❑ ❑ ❑
Is the application equipment present, operational, and in good condition? ® ❑ ❑ ❑
Are there any limiting slopes in disposal fields? ❑ ® ❑ ❑
Is site access restricted and/or signs posted in accordance with permit? ® ❑ ❑ ❑
Are any supply wells within the CB? ❑ ® ❑ ❑
Are any supply wells within 250' of the CB? ❑ ® ❑ ❑
Spray heads calibrated this past year? ❑ ❑ ® ❑
Is permit being followed? ® ❑ ❑ ❑
Comments:
Recordkeeping Y N NA NE
Is current permit available upon request? Z ❑ ❑ ❑
Has the facility been free of public complaints for the last 12 months? Z ❑ ❑ ❑
Are operational logs and maintenance records present and complete? ® ❑ ❑ ❑
Effluent Monitoring:
Are monitoring reports present? ® NDMR Z NDAR ® ❑ ❑ ❑
Are flow rates less than permitted flow? ® ❑ ❑ ❑
Are application rates adhered to? ® ❑ ❑ ❑
Are lab sheets available for review and support NDMR or NDAR? ® ❑ ❑ ❑
Are all samples analyzed for the required parameters? ® ❑ ❑ ❑
Are PAN records required, if so, are they present and complete? ❑ ❑ ® ❑
Is field parameter certification required? ® ❑ ❑ ❑
Do effluent concentrations exceed 2L GW standards? ❑ ❑ ® ❑
Soil Analysis:
Were annual soil analysis conducted for each irrigation field? Z ❑ ❑ ❑
Was lime called for on the Agronomist report? ® ❑ ❑ ❑
If required, was lime applied? ❑ ❑ ® ❑
Copper and Zinc indices: ® <2,000 ❑2,000—3,000 ❑ >3,000
Was Sodium less than 0.5 meq/100 cm3? Z ❑ ❑ ❑
Was Exchangeable Sodium Percentage(ESP) less than 15% ? ❑ ❑ ❑
Comments:
Page 5 of 5

Knight, Sherri
From: Risgaard, Jon
Sent: Monday, October 17, 2011 3:44 PM
To: Jamie Cosson
Cc: Knight, Sherri
Subject: RE: Board Walk
Jamie,
Thanks for asking the question, however I do not feel that construction of a boardwalk, even
with a railing, over a drip field meets the requirements to proper control public access.
The increased likelihood of exposure to leaks or aerosols is too great. You should consider
alternative means of providing access to the other part of the camp where the campers will
not need to cross a drip fields.
Please feel free to call either Sherri Knight at the Winston Salem Regional office, of myself
if you have any questions.
Jon
Jon Risgaard - Supervisor, Land Application Unit Aquifer Protection Section - Land
Application Unit
1636 Mail Service Center
Raleigh, NC 27699-1636
919-715-6167
919-715-6048 FAX
http://h2o.enr.state.nc.us/lau/main.html
Please take a minute to let us know how are can serve you better by completing a customer
service survey at: http://www.surveymonkey.com/s/EACExternal
DISCLAIMER: Per Executive Order No. 150, all e-mails sent to and from this account are
subject to the North Carolina Public Records Law and may be disclosed to third parties.
Original Message
From: Jamie Cosson [mailto:[e-mail]]
Sent: Monday, October 17, 2011 1:49 PM
To: Risgaard, Jon
Subject: Board Walk
Hey Jon,
I am with YMCA Camp Weaver, Wastewater Permit # WQ0019782. We would like to build a board
walk across one of our drip fields for access to another part of our camp. The board walk
would not interfere with the drip lines and could have a rail if needed. People would not be
stepping on the field in any way.
If you could let me know if this possible.
Thanks
1

amie Cosson
Executive Director
YMCA Camp Weaver
(336) 697-0525
2

Event Data Sheet
Event# 568
Section APS
Date 10/14/2011
Status Closed
Staff Derek Denard
Time Spent(Minutes) 30
First Name David
Last Name Hicks
Phone Number [phone]
Fax Number
Street
City
County Guilford
Event Category Spray Irrigation
Event Category Other
Event Affiliation ORC
Event Affiliation Other
Phone Call 111
Email/Fax ❑d
Mail Ltr ❑
Referral ❑
Walk-In ❑
Meeting ❑
Comments David,
The addition of the cabin would not require a permit modification.
However,you may want to add this to the description of the facilities
being served by the system in any future permit renewal applications.
The additional flow should not be significant enough to merit a
modification of any permit flow limits either. In other words,the system
has enough capacity to treat the additional flow. Guilford county may
ask for approval by the our office upon occupancy of the new structure.
You may forward this acknowledgement to them or have us contact
them. If you or anyone should have any questions,please contact me at
the address or phone number below.
Derek C.Denard
Environmental Specialist
NC DENR Winston-Salem Regional Office
Division of Water Quality,Aquifer Protection Section
585 Waughtown Street
Winston-Salem,NC 27107
Voice:[phone]
FAX:[phone]
E-mail:[e-mail]
E-mail correspondence to and from this address may
be subject to the North Carolina Public Records Law
Friday,October 14,2011 Page 1 of 2

Denard, Derek
From: Denard, Derek
Sent: Friday, October 14, 2011 1:38 PM
To: 'Dave Hicks'
Cc: Knight, Sherri
Subject: RE: Permit modification request
David,
The addition of the cabin would not require a permit modification. However,you may want to add this to the
description of the facilities being served by the system in any future permit renewal applications. The additional flow
should not be significant enough to merit a modification of any permit flow limits either. In other words,the system has
enough capacity to treat the additional flow. Guilford county may ask for approval by the our office upon occupancy of
the new structure. You may forward this acknowledgement to them or have us contact them. If you or anyone should
have any questions, please contact me at the address or phone number below.
Derek C. Denard
Environmental Specialist
NC DENR Winston-Salem Regional Office
Division of Water Quality,Aquifer Protection Section
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
E-mail: [e-mail]
*********************************************
E-mail correspondence to and from this address may
be subject to the North Carolina Public Records Law
and may be disclosed to third parties.
*********************************************
From: Dave Hicks [mailto:[e-mail]]
Sent: Thursday, October 13, 2011 6:29 PM
To: Denard, Derek
Subject: Permit modification request
Derek,
I have a couple of questions about a potential permit modification at the Camp Weaver YMCA at Greenboro. I think
what they want to do is tie in several new bathrooms to the system. I'm assuming sometime of flow reduction study is
necessary,and engineering work. I need to find out how to get started on this project and am looking for some basic
information from you. Can you call me Friday AM to discuss briefly? My phone is 336-340-5514.
Regards,
David Hicks
1

PHONE LOG
Derek C. Denard
Environmental Specialist
Winston-Salem Regional Office
Division of Water Quality,Aquifer Protection Section
® Call Made Date: 10-14-11 Time:-lpm
❑ Left Message Date: Time:
❑ Call or Message Received Date: Time:
❑ Call Returned Date: Time:
❑ Complaint ❑ Non-Compliance Reporting Z Information Request ❑ Inspection
Subject: Added Cabin to flow
Facility: YMCA Guilford Camp Weaver
Permit:WQ0019782
Name of Caller or Contact Person: David Hicks
Did caller ask to remain anonymous?YES ❑ NO ❑ N/A
Affiliation: ORC YMCA Guilford
Mailing Address:
Site Address:
Phone(Work): Phone(Cell): 336-340-5514 Phone(Residence):
Complaint/Incident
Source of Pollution:
Nature of Complaint/Incident:
Surface Water Impact: YES ❑ NO ❑ N/A ❑
Amount Spilled:
Time/Date Begin:
Time/Date End:
Action Taken:
Referred to/Investigator:
Summary: Called to discuss addition of a cabin to the system. Would not need permit mod.
See attached email.

T Michael F.Easley,Governor
�9p William G.Ross Jr.,Secretary
North Carolina Department of Environment and Natural Resources
0 �. Coleen H.Sullins,Director
pir
_ Division of Water Quality
O `C
April 29,2008
Mr.Greg Jones
YMCA of Greater Charlotte
620 Green Vly Rd
Ste 210
Greensboro,NC 27408-7725
SUBJECT: February 6,2008 Compliance Evaluation Inspection
YMCA of Greater Charlotte
YMCA Camp Weaver
Permit No: WQ0019782
Guilford County
Dear Mr.Jones:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted
on February 6,2008. The Compliance Evaluation Inspection was conducted by Derek Denard of the
Winston-Salem Regional Office. The facility was found to be in Compliance with permit WQ0019782.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff
have any questions,please call Derek Denard at 336-771-5286.
Sincerely,
546A t,:Y
Sherri V.Knight,P E ght,
Regional Aquifer Protection Supervisor
cc: Robert David Hicks,ORC,202 Newberry St.,Jamestown,NC 27282
Guilford County Health Department
APS Central Files
6
NiCarolina
aturally
Division of Water Quality/Aquifer Protection Section Customer Service
585 Waughtown Street,Winston-Salem NC 27107 1-877-623-6748
Phone: [phone] Fax: [phone] Internet: http://w1+w.ncwaterqualitv.org
An Equal OpportunitylAftirmative Action Employer—50%Recycled/10%Post Consumer Paper

Compliance Inspection Report
Permit: WQ0019782 Effective: 10/26/06 Expiration: 09/30/11 Owner: YMCA of Greater Charlotte
SOC: Effective: Expiration: Facility: YMCA Camp Weaver
County: Guilford 4924 Tapawingo Trl
Region: Winston-Salem
Greensboro NC 27407
Contact Person: Greg Jones Title: President/CEO Phone: [phone]
Directions to Facility:
From 1-40 East/I-85 North take the Lee Street Exit#128. Turn Right(south)on Lee Street and follow until it ends. Right onto Young's
Mill Road nd fgllovy until it ends. Left onto Mill Point Road and follow for 3/4 mile. right on Tapawi
System Classifications:
Primary ORC: Robert David Hicks Certification:27687 Phone: [phone]
Secondary ORC(s):
David Lynn Burton Certification:986938 Phone: [phone]
On-Site Representative(s):
Related Permits:
Inspection Date: 02/06/2008 Entry Time: 01:00 PM Exit Time: 03:00 PM
Primary Inspector: Derek Denard Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Surface Irrigation
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
■Treatment Flow ■Treatment Flow .Miscellaneous Questions 1111 Treatment Flow
Measurement-Effluent Measurement-Influent Measurement-Water Use
Records
gi Treatment El Record Keeping 1111 Treatment Lagoons 1111 End Use-Irrigation
111 Treatment Disinfection ■Treatment Flow
Measurement
•
(See attachment summary)
Page: 1

Permit:W00019782 Owner-Facility:YMCA of Greater Charlotte
Inspection Date: 02/06/2008 Inspection Type:Compliance Evaluation Reason for Visit:Routine
s 5 ipn Summary:
The Non-discharge permit WQ0019782 for YMCA Greensboro, Inc. Camp Weaver is for the continued operation of a
3670 gallon per day (GPD) surface irrigation treatment and disposal facility consisting of a 10,000 gallon baffled
Stay-Right septic tank, a 9,000 GPD MicroFast 9.0 consisting of a 2,813 gallon settling zone with a Zabel effluent filter
and a 8,438 gallon biological treatment zone with blower, an EIC Model 100 tablet chlorinator, a duplex transfer pump
station from the chlorinator to the lagoon, a 250,000 gallon line lagoon, a duplex transfer pump station from the lagoon to
the application area, a 70,000 ft2 drip irrigation are using 28,800 feet of Netafim bioline with approximately 11,900
emitters and Rain Bird rain sensor to serve Camp Weaver,with no discharge of wastes to the surface waters, pursuant to
the application received July 7, 2006, by the Division of Water Quality (Division), and in conformity with the project plan,
specifications, and other supporting data subsequently filed and approved by the Department of Environment and Natural
Resources and considered a part of this permit.
RECORD KEEPING AND SELF-MONITORING
Review of self-monitoring for the period September 2006 to November 2007 found the following:
The hourly loading rate was 0.42 in/hour on 9/05/07 due to the filter back flush valve was hung open. The application rate
shall not exceed a cumulative loading of 38.3 inches over any twelve (12) month period at instantaneous rate not to
exceed 0.4 inches per hour(Condition 11.7.).
FACILITY SITE REVIEW
The lagoon liner had been damaged by muskrats in a couple of placers near the water line. A small tree had also
punchered the liner above the waterline in another place. A contactor will be hired to make repairs to the liner. Bentonite
will be used to fill the muskrat dens.
FLOW MEASUREMENT
Flow is measured by a water use meter at the Camp's well.
LABORATORY
R&A Labs
SLUDGE UTILIZATION/DISPOSAL
Pump and hauled as needed.
OTHER
The last inspection was conducted by Derek Denard of this office on September 15, 2006.
ADDITIONAL INSPECTION QUESTIONS
Page: 2

Permit:WQ0019782 Owner-Facility:YMCA of Greater Charlotte
Inspection Date: 02/06/2008 Inspection Type:Compliance Evaluation Reason for Visit:Routine
Soil Tests
Was a Standard Soil Fertility Analysis conducted for each application field?YES
Were the soil pH's 6.0 or greater for each application field?The pH ranged from 5.2 to 5.4. The application area is
forested.
Were the copper and zinc indexes in the soil less than 3000 for each application field?YES
Septic Tanks
(If pumps are used) Is an audible and visual alarm operational?YES
Is septic tank pumped on a schedule?YES
Is distribution box level and watertight?YES
Are pumps or syphons operating properly?YES
Are high and low water alarms operating properly?YES
Page: 3

Permit:WQ0019782 Owner-Facility:YMCA of Greater Charlotte
Inspection Date: 02/06/2008 Inspection Type:Compliance Evaluation Reason for Visit:Routine
Type Yes No NA NE
Reuse(Quality) 0
Lagoon Spray, LR
Single Family Spray, LR 0
Infiltration System 0
Recycle/Reuse 0
Activated Sludge Drip, LR 0
Activated Sludge Spray, HR 0
Activated Sludge Spray, LR n
Single Family Drip 0
Treatment Yes No NA NE
•
Are Treatment facilities consistent with those outlined in the current permit? II 0 0 0
Do all treatment units appear to be operational?(if no, note below.) • n n 0
Comment:
Treatment Flow Measurement-Influent Yes No NA NE
Is flowmeter calibrated annually? 0 n • n
Is flowmeter operating properly? 0 0 • 0
Does flowmeter monitor continuously? n n • n
Does flowmeter record flow? n ❑ ■ ❑
Does flowmeter appear to monitor accurately? 0 0 • 0
Comment:
Treatment Flow Measurement-Water Use Records Yes No NA NE
Is water use metered? ■ 0 n n
Are the daily average values properly calculated? ■ n ❑ n
Comment:
Treatment Flow Measurement-Effluent Yes No NA NE
Is flowmeter calibrated annually? 0 0 ■ 0
Is flowmeter operating properly? 00110
Does flowmeter monitor continuously? 0 0 •
Does flowmeter record flow? 0 0 ■ 0
Does flowmeter appear to monitor accurately? 0 0 ■ 0
Page: 4

Permit:WQ0019782 Owner-Facility: YMCA of Greater Charlotte
inspection Date: 02/06/2008 Inspection Type:Compliance Evaluation Reason for Visit:Routine
Comment:
Treatment Disinfection Yes No NA NE
Is the system working? ■ ❑ ❑ ❑
Do the fecal coliform results indicate proper disinfection? • ❑ ❑ ❑
Is there adequate detention time(>=30 minutes)? U ❑ ❑ ❑
Is the system properly maintained? ■ ❑ ❑ ❑
If gas,does the cylinder storage appear safe? ❑ ❑ 110
Is the fan in the chlorine feed room and storage area operable? ❑ ❑ U ❑
Is the chlorinator accessible? U ❑ ❑ ❑
If tablets, are tablets present? ■ ❑ ❑ ❑
Are the tablets the proper size and type? ■ ❑ ❑ ❑
Is contact chamber free of sludge, solids, and growth? U ❑ ❑ ❑
If UV,are extra UV bulbs available? 001. 0
If UV, is the UV intensity adequate? 0 0 ■ 0
#Is it a dual feed system? ■ ❑ ❑ ❑
Does the Stationary Source have more than 2500 lbs of Chlorine(CAS No. 7782-50-5)? 0 0 ■ 0
If yes,then is there a Risk Management Plan on site? 0 0 • 0
If yes, then what is the EPA twelve digit ID Number?(1000-= )
If yes,then when was the RMP last updated?
Comment:
Record Keeping Yes No NA NE
Is a copy of current permit available? ■ ❑ ❑ ❑
Are monitoring reports present: NDMR? ■ ❑ ❑ ❑
NDAR? U ❑ ❑ ❑
Are flow rates less than of permitted flow? U ❑ ❑ ❑
Are flow rates less than of permitted flow? U ❑ ❑ ❑
Are application rates adhered to? . 000
Is GW monitoring being conducted,if required (GW-59s submitted)? ❑ ❑ E ❑
Are all samples analyzed for all required parameters? U ❑ ❑ ❑
Are there any 2L GW quality violations? 0 0 • 0
Page: 5

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Permit:W00019782 Owner-Facility:YMCA of Greater Charlotte
Inspection Date: 02/06/2008 Inspection Type:Compliance Evaluation Reason for Visit:Routine
How close is the closest water supply well? ■ ❑ ❑ ❑
Is municipal water available in the area? 0 • 0 0
#Info only: Does the permit call for monitoring wells? 0 • 0 0
Are GW monitoring wells located properly WI respect to RB and CB? 0 0 ■ 0
Are GW monitoring wells properly constructed, including screened interval? 0 0 • 0
Are monitoring wells damaged? 0 0 ■ 0
Comment: The closest supply well is at the camp. See summary for other comments.
EFFLUENT LAGOON -
Treatment Lagoons Yes No NA NE
Lagoon Type None
Primary/Secondary Primary
Influent structure U ❑ ❑ ❑
Comment:
Banks/berms(seepage and erosion) ■ ❑ ❑ ❑
Comment: See summary for comments.
Vegetation(excessive vegetation on banks/berms) 0 • 0 0
Comment:
Liner ■ ❑ ❑ ❑
Comment:
Liner Type Full,synthetic
Baffles/curtains 0 0 ■ 0 •
Comment:
Freeboard Marker U ❑ ❑ ❑
Comment:
Required freeboard 2
Feet
Actual freeboard 10
Feet
Are increments clearly marked on gauge at adequate intervals? 0 0 ■ 0
Comment:
Page: 7

Permit:WQ0019782 Owner-Facility:YMCA of Greater Charlotte
Inspection Date: 02/06/2008 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Has the water level gauge been surveyed w/respect to lowest point on dike?wall? • 0 0 0
Comment:
No Evidence of overflow • 0 0 0
Comment:
Acceptable color • 0 0 0
Comment:
Floating mats 0 ■ 0 0
Comment:
Excessive solids buildup 0 • 0 0
Comment:
Aerators/mixers 0 0 • 0
Comment:
Effluent structure . 000
Comment:
Lagoon cover 0 0 ■ 0
Comment:
Page: 8

W A 7. Michael F.Easley,Governor
100 R William G.Ross Jr.,Secretary
OCR QG North Carolina Department of Environment and Natural Resources
Cq Alan W.Klimek,P.E.Director
> Division of Water Quality
'C
December 22, 2006
Mr.Greg Jones
YMCA of Greensboro Inc
620 Green Vly Rd
Ste 210
Greensboro NC 274087725
SUBJECT: September 15,2006. Compliance Evaluation Inspection
YMCA of Greensboro Inc
YMCA Camp Weaver
Permit No: WQ0019782
Guilford County
Dear Mr.Jones:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted
on September 15,2006. The Compliance Evaluation Inspection was conducted by Derek Denard of the
Winston-Salem Regional Office. Present for the inspection was David Hicks,ORC. The facility was found
to be in Compliance with permit WQ0019782.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff
have any questions,please call Derek Denard at 336-771-5286.
Sincerely,
,j ,Y.
Sherri V.Knight,P.E.
Regional Aquifer Protection Supervisor
cc: Robert David Hicks,ORC
Guilford County Health Department
S Central Files
Nc_47thCarolin
tura/Ib
Division of Water Quality/Aquifer Protection Section Customer Service
585 Waughtown Street,Winston-Salem NC 27107 1-877-623-6748
Phone: [phone] Fax: [phone] Internet: http://www.ncwatergpalitv.ora
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper

Compliance Inspection Report
Permit: WO0019782 Effective: 08/13/02 Expiration: 08/31/06 Owner: YMCA of Greensboro Inc
SOC: Effective: Expiration: Facility: YMCA Camp Weaver
County: Guilford 4924 Tapawingo Trl
Region: Winston-Salem
Greensboro NC 27407
Contact Person: Greg Jones Phone:[phone]
Directions to Facility:
From 1-40 East/I-85 North take the Lee Street Exit#128. Turn Right(south)on Lee Street and follow until it ends. Right onto Young's
Mill Road and follow until it ends. Left onto Mill Point Road and follow for 3/4 mile. right on Tapawi
Primary ORC: Robert David Hicks Certification:27687 Phone:[phone]
Secondary ORC(s):
Dorian Gray Dixon Certification:27681 Phone:[phone]
On-Site Representative(s):
Related Permits:
Inspection Date: 09/15/2006 Entry Time: 02:30 PM Exit Time: 03:30 PM
Primary Inspector: Derek Denard Phone:[phone]
Secondary Inspector(s): , r� /,y/ ,
ivc t' / [ �r , � �� }�C Vietve�
Reason for Inspection: Routine Inspection Type:Compliance Evaluation
Permit Inspection Type: Surface Irrigation
Facility Status: • Compliant 0 Not Compliant
Question Areas:
■Treatment Flow ■Treatment Flow .Miscellaneous Questions •Treatment Flow
Measurement-Effluent Measurement-Influent Measurement-Water Use
Records
Treatment Record Keeping •Treatment Lagoons •End Use-Irrigation
MI Treatment Disinfection .Treatment Flow
Measurement
(See attachment summary)
Page: 1

Permit:WQ0019782 Owner•Facility:YMCA of Greensboro Inc
Inspection Date: 09/15/2006 Inspection Type:Compliance Evaluation Reason for Visit: Routine
•
Inspection Summary:
PERMIT
The Non-discharge permit WQ0019782 for YMCA Greensboro, Inc. Camp Weaver is for the continued operation of a
3670 gallon per day(GPD)surface irrigation treatment and disposal facility consisting of a 10,000 gallon baffled
Stay-Right septic tank, a 9,000 GPD MicroFast 9.0 consisting of a 2,813 gallon settling zone with a Zabel effluent filter
and a 8,438 gallon biological treatment zone with blower, an EIC Model 100 tablet chlorinator, a duplex transfer pump
station from the chlorinator to the lagoon, a 250,000 gallon line lagoon, a duplex transfer pump station from the lagoon to
the application area, a 70,000 ft2 drip irrigation are using 28,800 feet of Netafim bioline with approximately 11,900
emitters and Rain Bird rain sensor to serve Camp Weaver,with no discharge of wastes to the surface waters, pursuant to
the application received July 7, 2006, by the Division of Water Quality(Division), and in conformity with the project plan,
specifications, and other supporting data subsequently filed and approved by the Department of Environment and Natural
Resources and considered a part of this permit.
RECORD KEEPING AND SELF-MONITORING
-The review period for NDMR's and NDAR's was September 2005 to August 2006. Review of self-monitoring data found
the facility to be compliant.
-The annual soil sample was taken in December 2005 and reported on 1/31/06.
-Fecal results(/100ML): 1 (8/30/06), 10 (04/28/06), 7.30 (12/29/06). The fecal coliform results were above the ground
water standard of 1 /100ML for total coliform, but indicate sufficient disinfection. The lagoon is not covered so fecal
coliform maybe due to contamination from natural sources.
FACILITY SITE REVIEW
Duckweed was present on the lagoon surface. Chlorine tablets were present in the chlorinator. Overall, the facility was
found to be in excellent condition.
FLOW MEASUREMENT
Flow is measured by a water use meter at the Camp's well.
COMPLIANCE SCHEDULES
N/A
LABORATORY
R&A Labs and R. David Hicks LLC
SLUDGE UTILIZATION/DISPOSAL
Pumped and hauled as needed.
OTHER
The last inspection was conducted by Derek Denard of this office on December 7, 2005.
ADDITIONAL INSPECTION QUESTIONS
Soil Tests
Was a Standard Soil Fertility Analysis conducted for each application field?Yes
Page: 2

Permit:W00019782 Owner-Facility: YMCA of Greensboro Inc
Inspection Date: 09/15/2006 Inspection Type:Compliance Evaluation Reason for Visit:Routine
Were the soil pH's 6.0 or greater for each application field?Yes
Were the copper and zinc indexes in the soil less than 3000 for each application field?Yes
Sand Filters
(If pumps are used) Is an audible and visible alarm present and operational? N/A
Is the distribution box level and watertight? N/A
Is sand filter free of ponding? algae or excessive vegetation? N/A
Is the sand filter effluent re-circulated at a valid ratio? N/A
Septic Tanks
(If pumps are used) Is an audible and visual alarm operational? Yes
Is septic tank pumped on a schedule?Yes
Is distribution box level and watertight?Yes
Are pumps or syphons operating properly?Yes
Are high and low water alarms operating properly?Yes
Page: 3

Permit:WO0019782 Owner-Facility:YMCA of Greensboro Inc
Inspection Date: 09/15/2006 Inspection Type:Compliance Evaluation Reason for Visit:Routine
Tye Yes No NA NE
Infiltration System
Reuse(Quality) n
Single Family Spray, LR n
Activated Sludge Spray, HR 0
Activated Sludge Spray, LR n
Activated Sludge Drip, LR n
Recycle/Reuse n
Single Family Drip n
Lagoon Spray, LR ■
Treatment Yes No NA NE
Are Treatment facilities consistent with those outlined in the current permit? ■ ❑ n n
Do all treatment units appear to be operational?(if no, note below.) ■ n n n
Comment:
Treatment Flow Measurement-Influent Yes No NA NE
Is flowmeter calibrated annually? n n m n
Is flowmeter operating properly? n n ■ n
Does flowmeter monitor continuously? n n U n
Does flowmeter record flow? n n ■ n
Does flowmeter appear to monitor accurately? n ❑ ■ n
Comment:
Treatment Flow Measurement-Water Use Records Yes No NA NE
Is water use metered? • n n n
Are the daily average values properly calculated? ■ n n n
Comment: See summary.
Treatment Flow Measurement-Effluent Yes No NA NE
Is flowmeter calibrated annually? n n ■ n
Is flowmeter operating properly? n n ■ n
Does flowmeter monitor continuously? n n ■ n
Does flowmeter record flow? n n ■ n
Does flowmeter appear to monitor accurately? n n ■ 0
Page: 4

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Permit:WQ0019782 Owner-Facility:YMCA of Greensboro Inc
Inspection Date: 09/15/2006 Inspection Type:Compliance Evaluation Reason for Visit:Routine
Is GW-59A certification form completed for facility? ❑ ❑ ■ ❑
Is effluent sampled for same parameters as GW? n n ■ n
Do effluent concentrations exceed GW standards? ■ ❑ n ❑
Are annual soil reports available? ■ ❑ ❑ ❑
#Are PAN records required? ❑ ■ ❑ ❑
#Did last soil report indicate a need for lime? ❑ ■ ❑ ❑
If so, has it been applied? n n m n
Are operational logs present? ■ ❑ ❑ ❑
Are lab sheets available for review? ❑ ❑ ❑ ■
Do lab sheets support data reported on NDMR? 0 ❑ ❑ ■
Do lab sheets support data reported on GW-59s? ❑ ❑ ■ ❑
Are Operational and Maintenance records present? ■ ❑ ❑ ❑
Were Operational and Maintenance records complete? ■ ❑ ❑ ❑
Has permittee been free of public complaints in last 12 months? ■ ❑ ❑ ❑
Is a copy of the SOC readily available? ❑ ❑ ■ ❑
No treatment units bypassed since last inspection? ■ ❑ ❑ ❑
Comment: Fecal results( /100ML): 1 (8/30/06), 10 (04/28/06), 7.30 (12/29/06). The
fecal results were above the ground water standard of 1 /100ML for total Coliform, but
indicate sufficient disinfection. The lagon is not covered so fecal coliform maybe due to
contamination after chlorination from natural sources.
End Use-Irrigation Yes No NA NE
Are buffers adequate? ■ n n n
Is the cover crop type specified in permit? ■ n n n
Is the crop cover acceptable? ■ ❑ ❑ ❑
Is the site condition adequate? ■ ❑ ❑ ❑
Is the site free of runoff/ponding? ■ n n n
Is the acreage specified in the permit being utilized? ■ ❑ n n
Is the application equipment present? ■ n n n
Is the application equipment operational? ■ n n n
Is the disposal field free of limiting slopes? ■ n n n
Is access restricted and/or signs posted during active site use? ■ ❑ n n
Page: 6

Permit:W00019782 Owner-Facility:YMCA of Greensboro Inc
Inspection Date: 09/15/2006 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Are any supply wells within the CB? ❑ ■ 0 0
Are any supply wells within 250' of the CB? ❑ ■ ❑ ❑
How close is the closest water supply well? ■ ❑ ❑ ❑
Is municipal water available in the area? 0 ■ 0 0
#Info only: Does the permit call for monitoring wells? ❑ ■ ❑ ❑
Are GW monitoring wells located properly w/respect to RB and CB? 0 0 • ❑
Are GW monitoring wells properly constructed, including screened interval? ❑ ❑ ■ ❑
Are monitoring wells damaged? onion
Comment: The camp has a supply well.
EFFLUENT LAGOON
Treatment Lagoons Yes No NA NE
Lagoon Type None
Primary/Secondary Secondary
Influent structure ■ ❑ ❑ ❑
Comment:
Banks/berms(seepage and erosion) ■ ❑ ❑ ❑
Comment:
Vegetation(excessive vegetation on banks/berms) MEMO
Comment:
Liner ■ ❑ ❑ ❑
Comment:
Liner Type Full,synthetic
Baffles/curtains ❑ ❑ ■ ❑
Comment:
Freeboard Marker ■ ❑ ❑ ❑
Comment:
Required freeboard 2.0
Feet
Feet
Actual freeboard 7.8
Page: 7

•
Permit:WO0019782 Owner-Facility:YMCA of Greensboro Inc
Inspection Date:09/15/2006 Inspection Type:Compliance Evaluation Reason for Visit:Routine
Are increments clearly marked on gauge at adequate intervals? rl ❑ ❑ •
Comment:
Has the water level gauge been surveyed w/respect to lowest point on dike?wall? ❑ � ❑ ■
Comment:
No Evidence of overflow • ❑
Comment:
Acceptable color U ❑ 0 0
Comment:
Floating mats •
000
Comment: Duck weed was present.
Excessive solids buildup 0 • O
Comment: No excessive solids
Aerators/mixers ❑ ❑ ■ fl
Comment:
Effluent structure U ❑ ❑
Comment:
Lagoon cover n ❑ U Q
Comment:
Page: 8

.act Information/Directions/Hours at Camp Weaver http://www.campweaver.org/admin/contact.html#directions
1 1rF 9 .
Parent/Childlitj
.1. Summer Camps Retreats Schools Photos Programs
Summer Camp Contact Information and Directions
Overnight Camp
Day Camp
Horseback Riding 4924 TAPAWINGO TRAIL
Teen Leadership GREENSBORO,NC 27406
Parent Packet phone: [phone]
FAQs fax:[phone]
Camp [e-mail]
Summer Day Camp Application
Adventure Education& . Summer Overnight Camp Application
Retreats
Project American Life
Teambuilding Staff:
Ropes Course Send us an email with any questions or concerns by clicking on the staff name(s)below:
School Adventures
Group Retreats ®Jamie Cosson,Executive Director
Facility Info ®Andi Garcia,Associate Executive Director
Hours/Contact I Directions (DM Woodruff,Program Director
About Our Staff ®Kim Guilbeau,Program Director
Jobst Camp Weaver Ea David Burton,Maintenance Director
Photos Cynthia Rabbers,Equestrian Directo-
Camp Photos .�.
PIP se see our Staff Rio Page fc-a more camp!ete 2ictur9 of our Staff.
Y-Adventure Guides&
Princesses
Guides&Princesses Directions to Canp Weaver
Intranet(Members) —
I28
Camp Weaver Home From I-40 East/I-85 North(towards Raleigh)take the Lee Street exit#42 Make a right at the stop
light.Follow E. Lee Street till it dead ends and make a right onto Young's Mill Road. Follow Young's
Area YMCAs Mill Road until it dead ends and make a left onto Mill Point Road. From Mill Point Road the camp is
located 3/4 of a mile on the right on Tapawingo Trail.
Click here to open a new window with driving directions. Enter your starting address below.
Address:
• City: I
State: (Select State •J
Zip:
Day Camp Overnight Camp Parent Packet FAQs Adventure Retreats c �
,0'p Leadership Horseback Riding Employment News Contact !//G '
Call us today to meet the staff and tour our camp!336-697-0525 r EDITED
of 1 9/15/2006 1:03 PM

AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
Date: 10/02/06 County: Guilford
To: Aquifer Protection Section Central Office Permittee: YMCA of Greensboro
Central Office Reviewer: Jon Risgaard Project Name: YMCA Camp Weaver
Regional Login No: Application No.: WQ0019782
I. GENERAL INFORMATION
1. This application is (check all that apply): ❑New ® Renewal
❑ Minor Modification ❑ Major Modification
® Surface Irrigation ❑ Reuse El Recycle ❑ High Rate Infiltration El Evaporation/Infiltration Lagoon
❑ Land Application of Residuals ❑ Attachment B included ❑ 503 regulated ❑ 503 exempt
❑ Distribution of Residuals El Surface Disposal
❑ Closed-loop Groundwater Remediation El Other Injection Wells (including in situ remediation)
Was a site visit conducted in order to prepare this report? ' Yes or El No.
a. Date of site visit: 9/15/06
b. Person contacted and contact information: Robert Hicks, ORC, 336-340-5514
c. Site visit conducted by: Derek Denard-APS-WSRO, Perry Wyatt-DSWC, Jon Risgaard -APS-CO
d. Inspection Report Attached: El Yes or ® No.
2. Is the following information entered into the BIMS record for this application correct?
❑ Yes or®No. If no, please complete the following or indicate that it is correct on the current application.
For Treatment Facilities:
a. Location: 4924 Tapawingo Trail, Greensboro,NC 27406. Mailing address is: 620 Green Valley Rd. Suite
210, Greensboro,NC 27408
b. Driving Directions: From I-40 East/I-85 North (towards Raleigh) take the Lee Street exit #128. Make a
right at the stop light. Follow E. Lee Street till it dead ends and make a right onto Young's Mill Road.
Follow Young's Mill Road until it dead ends and make a left onto Mill Point Road. From Mill Point Road
the camp is located 3/4 of a mile on the right on Tapawingo Trail.
c. USGS Quadrangle Map name and number: McLeansville,NC
d. Latitude: Not AvailableLongitude: Not Available
e. Regulated Activities / Type of Wastes (e.g., subdivision, food processing, municipal wastewater):
Lodging/Campground/Rest area
For Disposal and Injection Sites:
(If multiple sites either indicate which sites the information applies to, copy and paste a new section into the
document for each site,or attach additional pages for each site)
a. Location(s): same as above
b. Driving Directions: same as above
c. USGS Quadrangle Map name and number: same as above
d. Latitude: Not Available Longitude: Not Available

AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
II. NEW AND MAJOR MODIFICATION APPLICATIONS(this section not needed for renewals or minor
modifications,skip to next section)
Description Of Waste(S) And Facilities
1. Please attach completed rating sheet. Facility Classification:
2. Are the new treatment facilities adequate for the type of waste and disposal system?
❑ Yes ❑No ❑ N/A. If no, please explain:
3. Are the new site conditions (soils, topography, depth to water table, etc) consistent with what was reported by
the soil scientist and/or Professional Engineer? ❑ Yes ❑ No ❑N/A. If no, please explain:
4. Does the application (maps, plans, etc.) represent the actual site (property lines, wells, surface drainage)? ❑
Yes ❑No ❑ N/A. If no, please explain:
5. Is the proposed residuals management plan adequate and/or acceptable to the Division. ❑ Yes ❑ No ❑
N/A. If no, please explain:
6. Are the proposed application rates for new sites(hydraulic or nutrient)acceptable?
❑Yes ❑No ❑N/A. If no, please explain:
7. Are the new treatment facilities or any new disposal sites located in a 100-year floodplain?
❑ Yes ❑ No ❑ N/A. If yes, please attach a map showing areas of 100-year floodplain and please explain
and recommend any mitigative measures/special conditions in Part IV:
8. Are there any buffer conflicts (new treatment facilities or new disposal sites)? ❑ Yes or ❑ No. If yes, please
attach a map showing conflict areas or attach any new maps you have received from the applicant to be
incorporated into the permit:
9. Is proposed and/or existing groundwater monitoring program (number of wells, frequency of monitoring,
monitoring parameters, etc.) adequate? ❑ Yes ❑ No ❑ N/A. Attach map of existing monitoring well
network if applicable. Indicate the review and compliance boundaries. If No, explain and recommend any
changes to the groundwater monitoring program:
10. For residuals, will seasonal or other restrictions be required? ❑ Yes ❑ No ❑ N/A If yes, attach list of sites
with restrictions(Certification B?)
III. RENEWAL AND MODIFICATION APPLICATIONS(use previous section for new or major modification
systems)
Description Of Waste(S) And Facilities
1. Are there appropriately certified ORCs for the facilities? ® Yes or ❑No.
Operator in Charge: Robert David Hicks Certificate #:27687
Backup- Operator in Charge: Dorian Gray Dixon Certificate #:27681
FORM: APSRSR 0904 2

AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
2. Is the design, maintenance and operation (e.g. adequate aeration, sludge wasting, sludge storage, effluent
storage, etc) of the treatment facilities adequate for the type of waste and disposal system? ® Yes or ❑ No.
If no, please explain:
3. Are the site conditions (soils, topography, depth to water table, etc) maintained appropriately and adequately
assimilating the waste? ® Yes or❑No. If no, please explain:
4. Has the site changed in any way that may affect permit (drainage added, new wells inside the compliance
boundary, new development, etc.)? If yes, please explain: NO
5. Is the residuals management plan for the facility adequate and/or acceptable to the Division?
® Yes or ❑ No. If no, please explain:
6. Are the existing application rates (hydraulic or nutrient) still acceptable? ® Yes or ❑ No. If no, please
explain:
7. Is the existing groundwater monitoring program (number of wells, frequency of monitoring, monitoring
parameters, etc.) adequate? n Yes ❑ No ® N/A. Attach map of existing monitoring well network if
applicable. Indicate the review and compliance boundaries. If No, explain and recommend any changes to the
groundwater monitoring program:
8. Will seasonal or other restrictions be required for added sites? ❑ Yes ❑ No ® N/A If yes, attach list of sites
with restrictions (Certification B?)
9. Are there any buffer conflicts (treatment facilities or disposal sites)? ❑ Yes or ® No. If yes, please attach a
map showing conflict areas or attach any new maps you have received from the applicant to be incorporated
into the permit:
10. Is the description of the facilities, type and/or volume of waste(s) as written in the existing permit correct?
Yes or ❑ No. If no, please explain:
11. Were monitoring wells properly constructed and located? ❑ Yes or ❑ No ® N/A. If no, please explain:
12. Has a review of all self-monitoring data been conducted (GW, NDMR, and NDAR as applicable)? ® Yes or
❑ No ❑ N/A. Please summarize any findings resulting from this review: Will be reviewed for compliance
evalution inspection
13. Check all that apply: ® No compliance issues; ❑ Notice(s) of violation within the last permit cycle; ❑
Current enforcement action(s) ❑ Currently under SOC; ❑ Currently under JOC; ❑ Currently under
moratorium. If any items checked, please explain and attach any documents that may help clarify
answer/comments (such as NOV,NOD etc):
14. Have all compliance dates/conditions in the existing permit, (SOC, JOC, etc.) been complied with? ❑ Yes
❑No ❑Not Determined ®N/A.. If no, please explain:
15. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit? ❑
Yes or❑No ®N/A. If yes, please explain:
rnnr,r• encPCR ()Q(li 3

AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
IV, INJECTION WELL PERMIT APPLICATIONS(Complete these two sections for all systems that use injection
wells, including closed-loop groundwater remediation effluent injection wells, in situ remediation injection wells,and heat
pump injection wells.)
Description Of Well(S)And Facilities—New,Renewal,And Modification
1. Type of injection system:
El Heating/cooling water return flow(5A7)
El Closed-loop heat pump system(5QM/5QW)
❑In situ remediation(5I)
❑ Closed-loop groundwater remediation effluent injection (5L/"Non-Discharge")
El Other(Specify: )
2. Does system use same well for water source and injection? ❑ Yes ❑No
3. Are there any potential pollution sources that may affect injection? El Yes El No
What is/are the pollution source(s)? . What is the distance of the injection well(s) from the pollution
source(s)? ft.
4. What is the minimum distance of proposed injection wells from the property boundary? ft.
5. Quality of drainage at site: ❑ Good El Adequate El Poor
6. Flooding potential of site: ❑ Low ❑ Moderate El High
7. For groundwater remediation systems, is the proposed and/or existing groundwater monitoring program
(number of wells, frequency of monitoring, monitoring parameters, etc.) adequate? El Yes ❑No. Attach
map of existing monitoring well network if applicable. If No, explain and recommend any changes to the
groundwater monitoring program:
8. Does the map presented represent the actual site(property lines, wells, surface drainage)? ❑ Yes or❑ No. If
no or no map, please attach a sketch of the site. Show property boundaries, buildings, wells, potential pollution
sources,roads, approximate scale, and north arrow.
Injection Well Permit Renewal And Modification Only:
1. For heat pump systems, are there any abnormalities in heat pump or injection well operation(e.g. turbid water,
failure to assimilate injected fluid, poor heating/cooling)?
❑ Yes El No. If yes, explain:
2. For closed-loop heat pump systems, has system lost pressure or required make-up fluid since permit issuance
or last inspection? El Yes ❑No. If yes, explain:
3. For renewal or modification of groundwater remediation permits(of any type), will
continued/additional/modified injections have an adverse impact on migration of the plume or management of
the contamination incident? El Yes El No. If yes, explain:
4. Drilling contractor: Name:
FORM: APSRSR 0904 4

AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
Address:
Certification number:
5. Complete and attach Well Construction Data Sheet.
FORM: APSRSR 0904 5

AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
V. EVALUATION AND RECOMMENDATIONS
1. Provide any additional narrative regarding your review of the application.:
2. Attach Well Construction Data Sheet- if needed information is available
3. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes ®No. If yes, please explain
briefly. .
4. List any items that you would like APS Central Office to obtain through an additional information request.
Make sure that you provide a reason for each item:
Item Reason
5. List specific Permit conditions that you recommend to be removed from the permit when issued. Make sure
that you provide a reason for each condition:
Condition Reason
6. List specific special conditions or compliance schedules that you recommend to be included in the permit when
issued. Make sure that you provide a reason for each special condition:
Condition Reason
7. Recommendation: ❑ Hold,pending receipt and review of additional information by regional office; ❑ Hold,
pending review of draft permit by regional office; ❑ Issue upon receipt of needed additional information;
Issue; ❑ Deny. If deny, please state reasons:
8. Signature of report preparer(s): 30.i )0 ' 0,/ 0 1
Signature of APS regional supervisor: Z,j�j�/7 ), /�tii, wy/0
Date: 11)/4-1/0(1
ADDITIONAL REGIONAL STAFF REVIEW ITEMS
FORM: APSRSR 0904 6

AQUIFER PROTECTION SECTION
APPLICATION REVIEW REQUEST FORM
Date: July 31, 2006
To: ❑ Landon Davidson, ARO-APS ❑ David May, WaRO-APS
❑ Art Barnhardt,FRO-APS ❑ Charlie Stehman,WiRO-APS
❑ Andrew Pitner,MRO-APS ® Sherri Knight,WSRO-APS
❑ Jay Zimmerman, RRO-APS
From: Jon Risgaard , Land Application Unit
Telephone: [phone] Fax: [phone]
E-Mail: jon.risgaard(a,ncmail.net
A. Permit Number: wg0019782
B. Owner: YMCA of Greensboro
C. Facility/Operation: YMCA Camp Weaver
❑ Proposed ® Existing ® Facility ❑ Operation
D. Application:
1. Permit Type: ❑ Animal ® Surface Irrigation ❑ Reuse ❑ H-R Infiltration
❑ Recycle ❑ I/E Lagoon ❑ GW Remediation(ND)
❑ UIC - (5QW)closed loop water only geothermal
For Residuals: ❑ Land App. ❑ D&M ❑ Surface Disposal
❑ 503 ❑ 503 Exempt ❑ Animal
2. Project Type: ❑ New ❑ Major Mod. ❑ Minor Mod. ® Renewal ❑ Renewal w/Mod.
E. Comments/Other Information: ❑ I would like to accompany you on a site visit.
Attached, you will find all information submitted in support of the above-referenced application for your
review,comment, and/or action. Within 30 calendar days,please take the following actions:
® Return a Completed Form APSSRR. ACM:'3E9 TO C,C 6
❑ Attach Well Construction Data Sheet. otJ DUE LATE (g i I Q 6
ElAttach Attachment B for Certification by the LAPCU.
LI Issue an Attachment B Certification from the RO*.
* Remember that you will be responsible for coordinating site visits, reviews, as well as additional
information requests with other RO-APS representatives in order to prepare a complete Attachment B for
certification. Refer to the RPP SOP for additional detail.
When you receive this request form, please write your name and dates in the spaces below, make a copy
of this sheet, and return it to the appropriate Central Office-Aquifer Protection Section contact person
listed above.
RO-APS Reviewer: Date: *ISA/
FORM: APSARR 02/06 Page 1 of 1

F9 Michael F.Easley,Governor
�O QG William G.Ross Jr.,Secretary
rNorth Carolina Department of Environment and Natural Resources
Alan W.Klimek,P.E. Director
Division of Water Quality
July 18,2006
Jamie Cosson
620 Green Valley Road, Suite 210
Greeensboro,NC 27408
Subject: Acknowledgement of Application No. WQ0019782
YMCA Camp Weaver
Surface Irrigation
Guilford
Dear Ms. Cosson:
The Aquifer Protection Section of the Division of Water Quality(Division)acknowledges receipt of your permit
application and supporting materials on July 7,2006.This application package has been assigned the number listed
above and will be reviewed by Jon Risgaard.
The reviewer will perform a detailed review and contact you with a request for additional information if necessary.
To ensure the maximum efficiency in processing permit applications,the Division requests your assistance in
providing a timely and complete response to any additional information requests.
Please be aware that the Division's Regional Office,copied below,must provide recommendations prior to final
action by the Division. Please also note at this time,processing permit applications can take as long as 60-90 days
after receipt of a complete application. To check on the status of your application,you can visit
http://h2o.enr.state.nc.us/bims/reports/reportsPermits.html.
If you have any questions,please contact Jon Risgaard at 919715-6167,or via e-mail at [e-mail].
If the reviewer is unavailable,you may leave a message,and they will respond promptly. Also note that the
Division has reorganized. To review our new organizational chart,go to
http://h2o.enr.state.nc.us/documents/dwq orgchart.pdf.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS
PROJECT.
Sincerely,
for Kim H. Colson, P.E.
Supervisor
cc:
Permit Application File WQ0019782
No One Carolina
,Naturally
Aquifer Protection Section 1636 Mail Service Center Raleigh,NC 27699-1636 Telephone: [phone]
Internet:www.ncwateraualitv.orq Location: 2728 Capital Boulevard Raleigh, NC 27604 Fax 1: [phone]
Fax 2: [phone]
An Equal Opportunity/Affirmative Action Employer-50%Recycled/10%Post Consumer Paper Customer Service: [phone]

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
INSTRUCTIONS FOR FORM: WWR 06-06
(RENEWAL WITHOUT MODIFICATION OF WASTEWATER NON-DISCHARGE SYSTEMS)
For more information or for an electronic version of this form, visit the Land Application Unit(LAU)web site at:
http.//h2o.enr state.nc.us/lau/main.htrnl
This form is for renewal without modification for all wastewater non-discharge systems. Wastewater non-discharge
systems include:High Rate Infiltration Systems;Infiltration/Evaporation Lagoons;Reclaimed Water Utilization
Systems; Wastewater Recycle Systems;Single Family Surface Irrigation Systems;and Surface Irrigation Systems.
This application may not be used for renewal of Land Application ofResiduals Permits.
A. Application Form(All Application Packages):
• Submit one (1)original and two(2)•copies of the completed and appropriately executed application form.
Any changes made to this form will result in the application package being returned.
✓ If the Applicant is a corporation or company, it must be registered for business with the NC Secretary of•
State(http://www.secretary.state.nc.us/Corporations/CSearch.aspx).
✓ If the Applicant is a partnership,sole proprietorship, trade name, or d/b/a enclose a copy of the certificate
filed with the register of deeds in the county of business.
✓ The application must be signed appropriately in accordance with 15A NCAC 2H .0206(b). An alternate
person may be designated as the signing official,provided that a delegation letter is provided from a person
who meets the referenced criteria. You may download an example delegation letter from the LAU web site.
V Submit three(3)copies of the most recently issued existing permit..
B. Additional Forms(Single Family Residence Surface Irrigation Systems Only):
✓ . Submit one(1)original and two(2)copies of a completed and properly executed Form SFR O&M 09/05.
This Form may be downloaded at:http://h2o.enr.state.nc.us/lau/applications.html#Sinale
RECEIVED/DENR I DWQ
I. GENERAL INFORMATION: AQUIFER'PRQTECTIONSECIION
1. Permittee's name(Owner of the facility): C v-e,3.rcpvve
JUL 0 7200.6
2. Complete mailing address of Permittee: (5 a.O ' v-eAv v a
City: Ck`re2 vsSllrov'o State: 1\1 C Zip: 2 7 Li p TS
Telephone number: ('33(,)`65 y -% 1 O Facsimile number:(336 ) 56,5 —`tS ut l 2
•
Email Address: v 2 ov��S Q v�iMc_4�r�e„�S�T�p • ov-�
3. Facility name(name of the subdivision,shopping center,etc.): `1'w1 c.1 (-ow."e e r_
4. Complete address of the physicalsi location of the facility(if different from above): �/ Q a.
City: Gv-eev ky s- r State: NJ C Zip: 2..-7 L o(0
5. County where project is located: au.A,l v-a. .
6. Name and affiliation of contact person who can answer questions about project:
4` Oa VIc k S Email Address: I\ 1r a O Vvov- s-st���
e-vz�
FORM: WWR 06-06 Page 1

piv
. PERMIT INFORMATION:
1. Existing permit number W Q 00,c1--i <6 g, and the issuance date `\3\2o CD Z
2. Existing permit type: .
❑ High-Rate Infiltration ❑Ev oration Lagoons ❑ Reclaimed Water Utilization
❑ Single Family Surface Irrigation Surface Irrigation 0 Wastewater Recycle
3. Has the treatment and disposal system been constructed? Yes 0 No
4. If the system has not been constructed,would you like to rescind your permit(i.e.the permitted facilities
will not be needed)? 0 Yes 0 No
5. Has the wastewater system been connected to a municipal or community sewer system? ❑ Yes [4o
Applicant's Ce cation (signing authority must be in compliance with 15A NCAC 2H.0206(b)J:
I, J cxv 4 v e.
Co
<,,ov-.
(signing authority name and title)
attest that this application for `�vvkc-W C_CAvH () W QV�,
(facility name)‘
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that any discharge
of wastewater from this non-discharge system to surface waters or the land will result in an immediate enforcement
action that may include civil penalties,injunctive relief,and/or criminal prosecution. I will make no claim against
the Division of Water Quality should a condition of this permit be violated. I also understand that if all required
parts of this application package are not completed and that if all required supporting information and attachments
are not included,this application package will be returned to me as incomplete. Note: In accordance with NC
General Statutes 143-215.6A and 143-215.6B,any person who knowingly makes any false statement,representation,
or certification in any application package shall be guilty of a Class 2 misdemeanor,which may include a fine not to
exceed$10,000 as well as civil penalties up to$25,000 per violation.
Signature: 4( Date: f I5J c3
TM,COMPLETED RENEWAL APPLICATION SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
AQUIFER PROTECTION SECTION
LAND APPLICATION UNIT
By U.S.Postal Service: By Courier/Special Delivery:
1636 MAIL SERVICE CENTER 2728 CAPITAL BOULEVARD
RALEIGH,NORTH CAROLINA 27699-1636 RALEIGH,NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone] FAX NUMBER: [phone]
RECEIVED/DENR I DWQ
AQUIFERPROTECTION SECTION
JUL 0 72006
FORM:WWR 06-06 Page 2

W.6:c"
WA T
F Michael F.Easley,Governor
y William G.Ross Jr.,Secretary
' North Carolina Department of Environment and Natural Resources
I
O Alan W.Klimek,P.E.Director
Division of Water Quality
January 20,2006
Mr.Greg Jones
YMCA of Greensboro Inc
620 Green Vly Rd
Ste 210
Greensboro NC 27408-7725
SUBJECT: December 7,2005 Compliance Evaluation
YMCA of Greensboro Inc
YMCA Camp Weaver
Permit No: WQ0019782
Guilford County
Dear Mr Jones:
Enclosed please find a copy of the Compliance Evaluation form from the inspection conducted on December 7,2005.
The Compliance Evaluation was conducted by Derek Denard of the Winston-Salem Regional Office. Present for the
inspection was David Hicks,ORC. The facility was found to be in Compliance with permit WQ0019782.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff have any
questions,please call Derek Denard or me at 336-771-4600.
Sincerely,
etAA
U
Sheen V.Knight,P.E.
Regional Aquifer Protection Supervisor
cc: David Hicks,ORC
Guilford County Health Department
DWQ-APS-Land Application Permitting and Compliance Unit
u
No thCarolina
Naturally
Division of Water Quality/Aquifer Protection Section Customer Service
585 Waughtown Street,Winston-Salem NC 27107 1-877-623-6748
Phone: [phone] Fax: [phone] Internet: httn:'imw.ennr.statc.n:.u,
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper

Compliance Inspection Report
Permit: WO0019782 Effective: 08/13/02 Expiration: 08/31/06 Owner: YMCA of Greensboro Inc
SOC: Effective: Expiration: Facility: YMCA Camp Weaver
County: Guilford 4411 W Market St
Region: Winston-Salem Ste 103
Greensboro NC 27407
Contact Person: Greg Jones Phone: [phone]
Directions to Facility:
Primary ORC: Robert David Hicks Certification:27687 Phone: [phone]
Secondary ORC(s):
Dorian Gray Dixon Certification:27681 Phone: [phone]
On-Site Representative(s):
Related Permits:
Inspection Date: 12/07/2005 Entry Time: 01:30 PM Exit Time: 03:00 PM
Primary Inspector: Derek Denard Phone:[phone]
Secondary Inspector(s): Ext.382
Reason for Inspection: Routine Inspection Type:Compliance Evaluation
Permit Inspection Type: Surface Irrigation
Facility Status: • Compliant 0 Not Compliant
Question Areas:
■Treatment Flow ■Treatment Flow MI Miscellaneous Questions •Treatment Flow
Measurement-Effluent Measurement-Influent Measurement-Water Use
Records
II Treatment Record Keeping II Treatment Lagoons •End Use-Irrigation
gi Treatment Disinfection •Treatment Flow
Measurement
(See attachment summary)
Page: 1

Permit:WO0019782 Owner-Facility:YMCA of Greensboro Inc
Inspection Date: 12/07/2005 Inspection Type:Compliance Evaluation
Reason for Visit:Routine
Inspection Summary:
Page: 2

Permit:WO0019782 Owner-Facility:YMCA of Greensboro Inc
Inspection Date: 12/07/2005 Inspection Type:Compliance Evaluation Reason for Visit:Routine
Type Yes No NA NE
Reuse(Quality) n
Infiltration System n
Lagoon Spray, LR n
Activated Sludge Spray,LR n
Single Family Spray, LR 0
Activated Sludge Spray,HR 0
Activated Sludge Drip, LR
Recycle/Reuse n
Single Family Drip n
Treatment Yes No NA NE
Are Treatment facilities consistent with those outlined in the current permit? ■ n n n
Do all treatment units appear to be operational?(if no,note below.) ■ n n n
Comment:
Treatment Flow Measurement-Influent Yes No NA NE
Is flowmeter calibrated annually? n n ■ n
Is flowmeter operating properly? n n ■ n
Does flowmeter monitor continuously? n n ■ n
Does flowmeter record flow? 0 0 ■ 0
Does flowmeter appear to monitor accurately? n n ■
Comment:
Treatment Flow Measurement-Water Use Records Yes No NA NE
Is water use metered? ■ n n n
Are the daily average values properly calculated? ■ ❑ ❑ n
Comment:
Treatment Flow Measurement-Effluent Yes No NA NE
Is flowmeter calibrated annually? ❑ n • n
Is flowmeter operating properly? n n U n
Does flowmeter monitor continuously? n n ■ n
Does flowmeter record flow? n n ■ n
Does flowmeter appear to monitor accurately? n n • n
Page: 3

Permit:WQ0019782 Owner-Facility:YMCA of Greensboro Inc
Inspection Date: 12/07/2005 Inspection Type:Compliance Evaluation
Reason for Visit:Routine
Comment:
Treatment Disinfection
Yes No NA NE
Is the system working? ■ n n n
Do the fecal coliform results indicate proper disinfection? ■ n n n
Is there adequate detention time(>=30 minutes)? ■ 0 0 n
Is the system properly maintained? ■ n n n
•
If gas,does the cylinder storage appear safe? 0 0 •
0
Is the fan in the chlorine feed room and storage area operable? n n ■ n
Is the chlorinator accessible? n n ■ n
If tablets,are tablets present? ■ n n n
Are the tablets the proper size and type? ■ n n n
Is contact chamber free of sludge,solids,and growth? ■ n n ❑
If UV,are extra UV bulbs available? n n ■ 0
If UV,is the UV intensity adequate? 0 0 •
0
#Is it a dual feed system? n ■ n n
Comment: No comments
Record Keeping Yes No NA NE
Is a copy of current permit available? ■ n n n
Are monitoring reports present: NDMR? ■ n n n
NDAR?
■ ❑ nn
Are flow rates less than of permitted flow? ■ n n n
Are flow rates less than of permitted flow? ■ n 00
Are application rates adhered to? ■ n n n
Is GW monitoring being conducted,if required(GW-59s submitted)? n n ■ n
Are all samples analyzed for all required parameters? n n ■ n
Are there any 2L GW quality violations? n n ■ n
Is GW-59A certification form completed for facility? n n ■ n
Is effluent sampled for same parameters as GW? n n ■ n
Do effluent concentrations exceed GW standards? noon
Are annual soil reports available?
■ nnn
Page: 4

Permit:W00019782 Owner-Facility:YMCA of Greensboro Inc
Inspection Date: 12/07/2005 inspection Type:Compliance Evaluation Reason for Visit:Routine
#Are PAN records required? 0 0 ■ 0
#Did last soil report indicate a need for lime? 0 • 0 0
If so, has it been applied? 0 0 • 0
Are operational Iogs•present? ■ ❑ n ❑
Are lab sheets available for review? ■ n ❑ n
Do lab sheets support data reported on NDMR? Ninon
Do lab sheets support data reported on GW-59s? 0 0 ■ 0
Are Operational and Maintenance records present? ■ ❑ ❑ ❑
Were Operational and Maintenance records complete? ■ ❑ ❑ ❑
Has permittee been free of public complaints in last 12 months? ■ ❑ ❑ ❑
Is a copy of the SOC readily available? n n ■ n
No treatment units bypassed since last inspection? ninon
Comment: Last soil report was conducted on 02/08/2005. Lab reports supported data
for Aug 2005 NDMRs.
End Use-Irrigation Yes No NA NE
Are buffers adequate? ■ ❑ n n
Is the cover crop type specified in permit? ❑ ■ 0 n
Is the crop cover acceptable? ■ n n n
Is the site condition adequate? ■ ❑ n n
Is the site free of runoff/ponding?
■ nnn
Is the acreage specified in the permit being utilized? ■ ❑ n n
Is the application equipment present? ■ ❑ ❑ ❑
Is the application equipment operational? ■ ❑ ❑ ❑
Is the disposal field free of limiting slopes? ■ ❑ n n
Is access restricted and/or signs posted during active site use? "Inn n
Are any supply wells within the CB? n ■ n n
Are any supply wells within 250' of the CB? 0 ■ 0 0
How close is the closest water supply well? 0 n ❑ ■
Is municipal water available in the area? 0 • 0 0
#Info only: Does the permit call for monitoring wells? ■ ❑ n ❑
Are GW monitoring wells located properly w/respect to RB and CB? ■ n n n
Page: 5

Permit:WO0019782 Owner-Facility:YMCA of Greensboro Inc
Inspection Date: 12/07/2005 Inspection Type:Compliance Evaluation Reason for Visit:Routine
Are GW monitoring wells properly constructed,including screened interval? ■ ❑ ❑ ❑
Are monitoring wells damaged? • ❑ ❑ ❑
Comment: Closest water supply well would be for the camp at nearly 1/4 of a mile.
Effluent Lagoon
Treatment Lagoons Yes No NA NE
Lagoon Type None
Primary/Secondary Secondary
Influent structure . ❑ ❑ ❑
Comment:
Banks/berms(seepage and erosion) ■ ❑ ❑ ❑
Comment:
Vegetation(excessive vegetation on banks/berms) ■ ❑ ❑ ❑
Comment:
Liner • n ❑ ❑
Comment:
Liner Type Full,synthetic
Baffles/curtains ❑ ❑ o ❑
Comment:
Freeboard Marker ❑ ■ ❑ ❑
Comment: Freeboard is measured in the wet well.
Required freeboard 2
Feet
Actual freeboard 6
Feet
Are increments clearly marked on gauge at adequate intervals? ❑ ❑ •
Comment:
Has the water level gauge been surveyed w/respect to lowest point on dike?wall? ❑ ❑ ❑
Comment:
No Evidence of overflow ■ ❑ ❑ ❑
Comment:
Page: 6

Permit:WO0019782 Owner-Facility: YMCA of Greensboro Inc
Inspection Date: 12/07/2005 Inspection Type:Compliance Evaluation Reason for Visit:Routine
Acceptable color U ❑ ❑ ❑
Comment:
Floating mats 0 • 0 0
Comment: water mill (duck weed)
Excessive solids buildup ■ ❑ ❑ ❑
Comment:
Aerators/mixers 0 0 • 0
Comment:
Effluent structure • ❑ ❑ 0
Comment:
Lagoon cover ❑ ❑ U ❑
Comment:
Page: 7

RECEIVED
N.C. Dept. of EHNR
OCT 2 5 2004
R. David Hicks LLC Red«,,►�..
= Environmental Consulting
October 22, 2004
Sherri V. Knight, Supervisor
Aquifer Protection Section
585 Waughtown, Street
Winston-Salem,NC
27107
Dear Ms. Knight,
We received your Notice of Violation(NOV)dated October 5th,2004 for the facility located at the YMCA of
Greensboro Inc, Camp Weaver which holds permit number WQ0019782. I am the operator in charge for the
facility, and have been requested by Mr. Greg Jones,the permittee to respond to your NOV and formulate a
corrective action.
I have reviewed the permit for the facility and am in agreement with your findings. In addition, I have
examined the operational log and information files of the facility to determine the root cause(s)of the
observed problem. Three potential quality faults were discovered in operational oversight,and I am
proposing a comprehensive corrective action to prevent any future reoccurrence. These will be discussed
below.
Our root cause failure analysis uncovered three problems with training and schedule oversight. The training
issue involved learning and understanding of the permit requirements for timing of soil analysis. Two issues
contributed to the training fault and are listed and discussed below. A scheduling fault occurred in addition
and is listed and discussed below as well.
Quality Faults
1) The current permit conditions in Part III Monitoring and Reporting Requirements (6)call for"annual
soil analysis"without any delineation such as calendar year, fiscal year, operational year, or etc.
2) The current permit conditions in Part III Monitoring and Reporting Requirements(6)do not instruct
on soil monitoring requirements for a partial year of operation.
3) No scheduling was set for submission of annual soil sample.
ENVIRONMENTAL TECHNOLOGY
ON TARGET
ON TIME
202 Newberry Street,Jamestown,NC 27282 Phone[phone] Fax[phone]

w

October 22, 2004
Quality Faults Discussion and Corrective Actions
1) The support and advice I have received from DENR's branch in Winston-Salem has been outstanding
on this installation, and I am especially appreciative of that received from Abner Brady. The original
permit had to be revised to correct and explain several other contradictory and confusing monitoring
issues. So,there is a positive and cooperative track record between DENR and the permittee to
establish mutual understanding and resolution of monitoring requirements in this permit. However, in
the case of soil analysis timing it was assumed that the"annual"requirement of the permit referred to
an annual fiscal year, starting on the approved in service date of the facility. For a corrective action
on this point,I will in the future contact DENR for an interpretation letter on permit monitoring date
matters if no specific date range is provided on the permit. This point obviously should have been
addressed in the initial permit modification/clarification request.
2) The lack of any comment in the permit on how to handle soil analysis monitoring for an operational
period of less than one calendar year bolstered my assumption that soil analysis should be performed
on a fiscal operation year basis for the facility. The same corrective action plan for(1)above applies
here.
3) No schedule was set at the facility for routine monitoring events required in the permit. As a result,
there was no opportunity for permittee management oversight or double check by the permittee
management as to routine operation task completion dates. This was especially problematic when
severe infiltration problems developed during the facility's construction warrantee period, and
operation tasks and timing were stressed to the limit during the problem finding period(late 2003).
This led to the oversight in 2003 to collect soil samples. To correct the scheduling problem, an
operator's task list by date has been developed on Microsoft Outlook for positive reminders, and a
copy of this task list will be provided to the permittee management. This should prevent schedule
oversights during busy times.
I hope you will accept this explanation of the events that led to this oversight,and the track record of permit
corrections that prevented other monitoring problems at this facility. In addition, I believe the corrective
actions implemented will prevent any future re-occurrence. Your positive consideration of these events
would be appreciated, along with waving any further action on this matter.
Regards,
g4f....e. 4.44.
R. David Hicks
cc: Jamie Cosson
Greg Jones
2

A t'Fi4 Michael F.Easley.Governor
J•f OG William G.Ross Jr.,Secretary
6 r North Carolina Department of Environment and Natural Resources
H
O -C Alan W.Klimek,P.E.Director
Division of Water Quality
CERTIFIED MAIL#7003 0500 0000 25220 2556
RETURN RECEIPT REQUESTED
October 5,2004
Mr. Greg Jones
YMCA of Greensboro Inc.
4411 W Market St
Greensboro,NC 27407
SUBJECT: Notice of Violation
Compliance Evaluation Inspection
YMCA of Greensboro Inc.
Camp Weaver
Permit No: WQ0019782
Guilford County
Dear Mr.Jones:
Enclosed please find a copy of the Inspection Report from the inspection conducted September 16,2004. The
Compliance Evaluation Inspection was conducted by Derek Denard of the Winston-Salem Regional Office.The treatment
facility was found to be in violation of permit WQ0019782 for the following:
Compliance Issue
The annual soils analysis as required by Permit Condition III. 6. has not been done since the treatment
system began operation in 2002. The permit requires that the soils analysis be done once per calendar
year.
Please refer to the enclosed Inspection Report for any additional observation and comments.
To prevent further action, carefully review these violations and deficiencies and respond in writing to this office within
fifteen(15)working days of receipt of this letter. You should address the causes of noncompliance and all actions taken
to prevent the recurrence of similar situations. If you should have any questions, please do not hesitate to contact Derek
Denard or me at 336-771-4600.
Sincerely,
Sew 44p
Sherri V. Knight
Supervisor
Aquifer Protection Section
cc: David Hicks, ORC
Guilford County Health Department
Central Files
111111116, NorthCarolina
,Naturally
North Carolina Division of Water Quality 585 Waughtown Street Winston-Salem.NC 27107 Phone[phone] Customer Service
Internet: h2o.enr.state.nc.us FAX [phone] 1-877-623-6748

Compliance Inspection Report
Permit: WQ0019782 Effective: 08/13/02 Expiration: 08/31/06 Owner: YMCA of Greensboro Inc
SOC: Effective: Expiration: Facility: YMCA Camp Weaver
County: Guilford 4411 W Market St
Ste 103
Region: Winston-Salem
Contact Person: Greg Jones Phone: [phone] Ext.
Directions to Facility:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
Phone:
Related Permits:
Inspection Date: 09/16/2004 Entry Time: 02:00 PM Exit Time: 04:30 PM
Primary Inspector: Derek Denard Phone: [phone] Ext.
Secondary Inspector(s)
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Surface Irrigation
Facility Status: 0 Compliant • Not Compliant
Inspection Summary:
PERMIT
The Non-discharge permit WO0019782 for YMCA Greensboro, Inc. Camp Weaver is for the operation of a 3,670 gallon per day
(GPD)drip irrigation treatment and disposal facility consisting of a 10,000 gallon baffled Stay-Right septic tank,a 9,000 GPD
MicroFast 9.0 consisting of a 2813 gallon settling zone with a Zabel effluent filter and a 8438 gallon biological treatment zone with
blower,an EIC model 100 tablet chlorinator,duplex transfer pump station from the chlorinator to the lagoon,a 250,000 gallon lined
lagoon,a duplex transfer pump station from the lagoon to the application area,a 70,000 ft2 drip irrigation area using 28,800 feet of
Netafim bioline with approximately 11,900 emitters and Rain Bird rain sensor,with no discharge of wastes to the surface waters.
In areas were drip lines were placed over drainage features the drip lines were replaced with non-permeable lines. Some acreage
may have been lost due to these modifications to the drip zones. The permitted application area square footage may need to be
amended to for these changes.
RECORD KEEPING AND SELF-MONITORING
The self-monitoring review period for this inspection was from July 2003 to June 2004. The operator keeps an excellent log for
operation and maintenance. An annual soil report has not been done since operation first began in July 2002.
FACILITY SITE REVIEW
The lagoon banks and berms need to be mowed.
For further details,see the attached inspection checklist and additional questions below.
FLOW MEASUREMENT
Flow is measured by a water use meter at the Camp's well.
Page: 1

COMPLIANCE SCHEDULES
N/A
LABORATORY y ��
The contract laboratory used by this facility is Meritech.
SLUDGE UTILIZATION/DISPOSAL
Sludge disposal from septic system and MicroFast 9.0 was not evaluated.
OTHER
Overall,the inspection found the facility to be satisfactory.
For further details on any of the above areas evaluated,see the attached inspection checklist with comments.
ADDITIONAL INSPECTION QUESTIONS
Treatment System Pump Station/Wet Well to Lagoon
(If pumps are used)Is an audible and visual alarm operational? YES
Is septic tank pumped on a schedule?N/A
Is distribution box level and watertight?YES
Are pumps or syphons operating properly?YES
Are high and low water alarms operating properly?YES
Comment:
Pump Station/Wet Well to Drip system
(If pumps are used)Is an audible and visual alarm operational? YES
Is septic tank pumped on a schedule?N/A
Is distribution box level and watertight?YES
Are pumps or syphons operating properly?YES
Are high and low water alarms operating properly?YES
Comment:
Page: 2

Permit: WQ0019782 Owner-Facility: YMCA of Greensboro Inc-YMCA Camp Weaver
Inspection Date: 09/16/04 Inspection Type: Compliance Evaluation
IXRE.
Lagoon Spray,LR
Activated Sludge Drip,LR
Treatment Yes Nn NA NF
Are Treatment facilities consistent with those outlined in the current permit? • ❑ ❑ ❑
Do all treatment units appear to be operational?(if no,note below.) ■ ❑ ❑ ❑
Comment:
Treatment Lagoons Corn NC NA NF
Effluent Lagoon
Lagoon Type None
Primary/Secondary Secondary
Comment:
Influent structure • ❑ ❑ ❑
Comment:
Banks/berms(seepage and erosion) ■ ❑ ❑ ❑
Vegetation(excessive vegetation on banks/berms) U ❑ ❑ ❑
Comment:Banks and berms need to be mowed.
Comment:
Liner ■ ❑ ❑ ❑
Liner Type Full,synthetic
Comment:
Baffles/curtains 0 0 • 0
Freeboard Marker 0 • 0 0
Comment:Freeboard is measured in the wet well.
Required freeboard 2
Feet
Feet
Actual freeboard 9
Comment:
No Evidence of overflow . 000
Comment:
Acceptable color U ❑ ❑ ❑
Comment:
Floating mats 0 • 0 0
Comment:
Excessive solids buildup 0 • 0 0
Comment:
Aerators/mixers 0 0 • 0
Comment:
Effluent structure 0 0 0 ■
Comment:
Lagoon cover 0 0 • ❑
Page: 3

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•
Permit: WQ0019782 Owner-Facility: YMCA of Greensboro Inc-YMCA Camp Weaver
Inspection Date: 09/16/04 Inspection Type: Compliance Evaluation
Record Keeping Yes Nn NA NF
Are lab sheets available for review? ■ ❑ ❑ ❑
Do lab sheets support data reported on NDMR? • ❑ ❑ ❑
Are Operational and Maintenance records present? 11000
Were Operational and Maintenance records complete? U ❑ ❑ ❑
Has permittee been free of public complaints in last 12 months? ■ ❑ ❑ ❑
Is a copy of the SOC readily available? 00 . 0
No treatment units bypassed since last inspection? U ❑ ❑ ❑
Comment:An annual soil report has not been done since operation first began in July 2002. The permittee will be
required to comply with this requirement as soon as possible. (PAN records are not required with this permit.)
FM Use-Irrigation Yes Nn NA NF
Are buffers adequate? • ❑ ❑ ❑
Is the cover crop type specified in permit? • ❑ ❑ ❑
Is the crop cover acceptable? 11000
Is the site condition adequate? • ❑ ❑ ❑
Is the site free of runoff/ponding? • ❑ ❑ ❑
Is the acreage specified in the permit being utilized? 0 . 00
Is the application equipment present? U ❑ ❑ ❑
Is the application equipment operational? • ❑ ❑ ❑
Is the disposal field free of limiting slopes? U ❑ ❑ ❑
Is access restricted and/or signs posted during active site use? • ❑ ❑ ❑
Info only:Does the permit call for monitoring wells? 0 • 0 0
Comment:In areas were drip lines were placed over drainage features,the dip lines were replaced with non-permeable
lines. Some acreage may have been lost due to these modifications to the dip zones. The permitted application area
square footage may need to be amended to for these changes. A surge protector had been added to the power supply
to prevent damage to the logic control for the drip system.
Page: 5

Compliance Inspection Report
_ 6," we4 VC r
Permit: WQ0019782 Effective: 08/13/02 Expiration: 08/31/06 Owner: YMCA of Greensboro Inc
SOC: Effective: Expiration: Facility: YMCA-Guilford Co YMCA Outdoor
County: Guilford 4411 W Market St
Region: Winston-Salem
/ -�-- Greensboro NC 27407
Contact Person: Jo i e,Jr r Qy ✓ i i e s Phone: [phone] Ext.
Directions to Facility:^ /d��`� G�
,awo.i c G oss•7 (
Primary ORC: L Certification: Phone: ( 5 6 ) 3'1 - s i y
Secondary ORC(s):
On-Site Representative(s):
Phone:
Related Permits:
Inspection Date: Entry Time: Exit Time:
Primary Inspector: Derek Denard Phone: [phone] Ext.
Secondary Inspector(s)
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Surface Irrigation
Facility Status: 0 Compliant 0 Not Compliant
Inspection Summary:
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Permit: WQ0019782 Owner-Facility: YMCA of Greensboro Inc-YMCA-Guilford Co YMCA Outdoor
Inspection Date: Inspection Type: Compliance Evaluation
Type
Treatment Yes No NA NF
Are Treatment facilities consistent with those outlined in the current permit? DODO
Do all treatment units appear to be operational?(if no,note below.) DODO
Comment:
Treatment I agoons Corn NC NA NF
Effluent Lagoon
Lagoon Type None
Primary/Secondary Secondary
Influent structure DODO
Comment:
Banks/berms(seepage and erosion) DODO
Comment:
Vegetation(excessive vegetation on banks/berms) ❑ ❑ ❑ ❑
Comment:
Liner DODO
Comment:
Liner Type Full,synthetic
Baffles/curtains DODO
Comment:
Freeboard Marker DODO
Comment:
Required freeboard 2
Feet
Actual freeboard 0
Feet
No Evidence of overflow DODO
Comment:
Acceptable color DODO
Comment:
Floating mats ❑ O O O
Comment:
Excessive solids buildup DODO
Comment:
Aerators/mixers DODO
Comment:
Effluent structure DODO
Comment:
Lagoon cover ❑ O ❑ O
Comment:
Treatment Influent Pump Station Yes No NA NF
Is the pump station free of bypass lines or structures? DODO
Page: 2

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•
Permit: WQ0019782 Owner-Facility: YMCA of Greensboro Inc-YMCA-Guilford Co YMCA Outdoor
Inspection Date: Inspection Type: Compliance Evaluation
Treatment Activated Sludge Yes No NA NF
Is the aeration mechanism operable? ❑ ❑ ❑ ❑
Is the aeration basin thoroughly mixed? ❑ ❑ ❑ ❑
Is the aeration equipment easily accessed? ❑ ❑ ❑ ❑
Is Dissolved Oxygen adequate? DODO
Are Settleometer results acceptable? DODO
Is activated sludge an acceptable color? DODO
Comment: c N
Treatment Clarifiers 1 Yes No NA NF
Are the weirs level? / DODO
Are the weirs free of solids and algae? I DODO
Is the scum removal system operational? DODO
Is the scum removal system accessible? DODO
Is the sludge blanket at an acceptable level? I DODO
Is the effluent from the clarifier free of excessive solids? DODO
Comment:
Treatment Return pumps Yes Nn NA NF
Are they in place? DODO
Are they operational? DODO
Comment:
Treatment Filters Yes Nn NA NF
Is the filter media present? DODO
Is the filter media the correct size and type? DODO
Is the air scour operational? DODO
Is the scouring acceptable? DODO
Is the clear well free of excessive solids? DODO
Is the mud well free of excessive solids and filter media? DODO
Does backwashing frequency appear adequate? DODO
Comment:
Treatment Sludge Storage/Treatment Yes No NA NF
Is the aeration operational? DODO
Is the aeration pattern even? DODO
If required,are Sanitary"Ts"present in tankage? DODO
Comment:
Treatment Disinfection
Yes No NA NE
Is the system working? DODO
Do the fecal coliform results indicate proper disinfection? DODO
Is there adequate detention time(>=30 minutes)? Al
❑ ❑ ❑ ❑
Is the system properly maintained? «c1/_ ❑ ❑ ❑ ❑
If gas,does the cylinder storage appear safe? yyy 1 DODO
Is the fan in the chlorine feed room and storage area operable? /Si ! DODO
Is the chlorinator accessible? ❑ ❑ ❑ ❑
Page: 4

•
Permit: WQ0019782 Owner-Facility: YMCA of Greensboro Inc-YMCA-Guilford Co YMCA Outdoor
Inspection Date: Inspection Type: Compliance Evaluation
Treatment Disinfection Yes Nn NA NF
If tablets,are tablets present? DODO
Are the tablets the proper size and type? DODO
Is contact chamber free of sludge,solids,and growth? DODO
If UV,are extra UV bulbs available? DODO
If UV,is the UV intensity adequate? DODO
Is it a dual feed system? DODO
Comment:
Storage Yes No NA NF
Storage
Storage Type? Septic tank
Storage amount? 10000
Gallons
At what point is side-stream wastewater returned to treatment?
Storage amount(before BIMS)? 10000
Is there a Spill Control Plan? DODO
Aerated or Mixed?
If aeration is present,is it adequate? DODO
If present,are diffusers cleaned regularly? ❑ ❑ ❑ ❑
Is influent structure acceptable? ❑ ❑ ❑ ❑
Are banks/berms free of seepage and erosion? DODO
Are banks/berms free of excessive vegetation? ❑ ❑ ❑ ❑
Is pond lined? 0 0 • ❑
Liner Type
Is liner acceptable? DODO
Are baffles/curtains acceptable? DODO
Does the pond have a freeboard marker? ❑ ❑ • ❑
Required freeboard?
Actual freeboard?
Is there suitable grassed vegetation? DODO
Is the vegetation maintained? ❑ ❑ ❑ ❑
Woody species or excessive weeds are not a problem? ❑ ❑ ❑ ❑
No evidence of overflow? DODO
Is color acceptable? DODO
Are floating mats acceptable? DODO
No excessive buildup of solids? DODO
Are aerators/mixers acceptable? DODO
Is effluent structure acceptable? DODO
If present,is pond cover acceptable? DODO
Comment:
Page: 5

•
Permit: WQ0019782 Owner-Facility: YMCA of Greensboro Inc-YMCA-Guilford Co YMCA Outdoor
Inspection Date: Inspection Type: Compliance Evaluation
Record Keeping
Is a copy of current permit available? /0 0 0
Are monitoring reports present: NDMR? ^ �� 1k ") /� • le le G�l❑ 0 0
NDAR? "' AI`"
5-/4•40 Are annual soil reports available? aw1.4(d 41," I (' �❑ 0
O fc or Are PAN records required? lion n T J S ❑ 0 �,0
�� 6�1. Did last soil report indicate a need for lime? 11 ❑ ❑ ❑
If so,has it been applied? 'T 0 EJ---
Are operational logs present? 10 0
Are lab sheets available for review? CJ`-e lir,, l 0 0
,�,
Do lab sheets support data reported on NDMR? U 0 0
Are Operational and Maintenance records present? tJ U 0 0
Were Operational and Maintenance records complete? rEt U 0 0
Has permittee been free of public complaints in last 12 months? 0 VaC 0
Is a copy of the SOC readily available? 0 gif:r 0
No treatment units bypassed since last inspection? afrr ❑ ❑
Comment:
Fnd I Ise-Irrigation Yes Nn NA NF
Are buffers adequate? ❑ ❑ ❑ ❑
Is the cover crop type specified in permit? ❑ ❑ ❑ ❑
Is the crop cover acceptable? ❑ ❑ ❑ ❑
Is the site condition adequate? ❑ ❑ ❑ ❑
Is the site free of runoff/ponding? ❑ ❑ ❑ ❑
Is the acreage specified in the permit being utilized? ❑ ❑ ❑ ❑
Is the application equipment present? ❑ ❑ ❑ ❑
Is the application equipment operational? ❑ ❑ ❑ ❑
Is the disposal field free of limiting slopes? ❑ ❑ ❑ ❑
Is access restricted and/or signs posted during active site use? ❑ ❑ ❑ ❑
Info only:Does the permit call for monitoring wells? ❑ ❑ ❑ ❑
Comment:
c- I (
C
„A'
u► �
'41
,(ii,i,,„1.-
ey.,,A,,,,\
( ii),,,, r" i'Afr"
(/'ixv-,
�t Cai / Page: 6

NDMR REVIEW SHEET
PERMIT NUMBER: FACILITY NAME:
COUNTY: TYPE: REVIEW PERIOD: to
Parameter I Freq. Limit C or G I6J.( s/.y "i.y II,o V. '/ '/oj IS) V.1 4�..
Flow ✓�;�,llo ✓v �L ., v sTkC
pH `1
TRC
BOD5 ✓ — v v X
NH3-N ✓
TSS ` K
Fecal -- x
DO �I A
TDS 1
Conductivity //u /1.•.►„�Y��
Temp. kw.Awl
• 1
COD ktivk� I
TOC
Phenols
O&G
NO2&NO3
NO3
TN
TKN
TP
Chloride
Sulfide
SAR
As
B
Cd
Ca
Cr
Cu
Pb
Mg
Hg •
Ni
K
Na
Zn
Comments:
fla . i , •r weekends ?
.Pa 20" 1 N,. got" fiDMR -f.ith 40444.4
n,tA tt r /1-0,i j PI Oci 2So3

NDAR REVIEW SHEET
Storage Freeboard 2.F 4 vs v 4/ L.,-
./ / ✓ 1...1Cover Hourly Yearly S/ 7l / y12J y l� 4/ i�0Field Acres crop Rate Rate �Y off P� o`I oy °1 /63 °3 al 1� 3
1 o.3?19 F„,,� ( Li 38.1 V✓ " v ./ ,./ ,� ..../
Z 0,37161 ', f, ,, " ', J ✓ ./ v ✓ ., d
3 o.44r „ it ,/ ✓ i " ," ../ / ✓
i/ ✓ �' V ‘/ ./ v ✓ ✓ /
L. o.�i�l Li
Comments:

�OF W ATF9Q Michael F.Easley,Governor
\O C. William G.Ross Jr.,Secretary
Cq North Carolina Department of Environment and Natural Resources
OAlan W.Klimek,P.E.Director
Division of Water Quality
> r'
September 30,2004 � ' 2094
OCT Q
MR. GREG JONES, PRESIDENT/CEO
YMCA OF GREENSBORO,INC. ci
4411 WEST MARKET STREET
SUITE 103
GREENSBORO,NORTH CAROLINA 27407 "
Subject: Permit No. WQ0019782
YMCA of Greensboro,Inc.
YMCA Camp Weaver
Surface Irrigation
Guilford County
Dear Mr. Jones:
The Division of Water Quality (Division) received a letter from you on September 7, 2004 regarding the
above-referenced permit. In this letter, you requested that the Division update its database to reflect the fact that
the name of the facility covered by the permit is now YMCA Camp Weaver. In addition, you granted Jamie
Cosson, Executive Director of YMCA Camp Weaver,authority to sign all monitoring and reporting forms that are
required for submittal by the permit.
The Division has made the requested modifications to our database; however,note that a modified permit
does not have to be issued to address your requests. Thank you for providing us with your notification of these
needed database modifications. Please note that nothing in this correspondence should be construed as releasing
you from complying with your permit in full.
If you need any additional information concerning this matter, please do not hesitate to contact me by
telephone at(919) 715-6167, or via e-mail at [e-mail].
S rely,
hannon Mohr Thornburg
Environmental Engineer II
Land Application Unit
cc: 1 11 • ;a !,, - i i ktoli i1i11
Mr. Ed Hardee,Land Application Unit
APS Central Files-Permit File WQ0019782
One
NprthCarolina
Naturally
tion Section 1636 Mail Service Center Raleigh,NC 27699-1636 Phone[phone] Customer Service
)2o.enr.state.nc.us 2728 Capital Boulevard Raleigh,NC 27604 Fax [phone] 1-877-623-6748
Fax [phone]
ity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper

nfo Request]
Subject: Re: [Fwd: Logbook Info Request]
From: Derek Denard<[e-mail]>
Date: Fri, 27 Aug 2004 11:25:24 -0400
To: [e-mail]
David,
A loose leaf print-out would meet the minimum requirements, however there is a risk of losing or
disorganizing the daily logs. I would recommend keeping abound log. Printing to a gummed label and
pasting it in a bound, page numbered logbook as a daily entry would be an excellent idea. (Pasting or
gluing a loose leaf into a numbered log book might be a less expensive but more messy way.) For any
computer print-out it would be a good idea for the operator to sign it with the date. If have any more
questions please call be at the number and extension below.
Derek Denard
On 8/26/2004 1:21 PM, Abner Braddy wrote:
Derek, can you call David on this? I think all he does are sprays and drips, and he's probably not
aware of our recent reorg.
BTW, as far as I know, the only rule on the ORC logs is in the Operator Regs. @ 15A NCAC 8A
.0204 (5) "....document the operation, maintenance, and all visitation of the system in a daily log
that shall be maintained at the system...". Far as I know, he can use any system he pleases which
fulfills those minimum requirements.
Original Message
Subject:Logbook Info Request
Date:Thu, 26 Aug 2004 12:57:11 EDT
From:Hicksrd202(Z cs.com
To:abner.braddyAncmail.net
Dear Mr. Braddy,
I am looking at a software program to aid in report management for a non-discharge drip irrigation
system I management. I need to know the State's requiments for logbook records that may be
computer generated (a printed hard copy of daily operations log, for example).
Can we go from a bound, page numbered hand written logbook to loose leaf computer printout as a
daily logbook?
Can we print to a gummed label and paste it in a bound, page numbered logbook as a daily entery in
the logbook?
I need some help meeting the logbook regs and adding a computer to the mix! Give me a call at
336-340-5514 if you need more information to discuss.
Thanks,
David Hicks
l of 2 8/27/2004 11:25 AM

nfo Request]
Abner Braddy [e-mail]
Environmental Specialist II
NC DENR - Water Quality Section
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, NC 27107
voice: 336-771-4608 ext 286
FAX: [phone]
Derek Denard
NC DENR Winston-Salem Regional Office
Division of Water Quality, Aquifer Protection Section
585 Waughtown Street
Winston-Salem, NC 27107
Voice: (336) 771-4608 ext 382
FAX: (336) 771-4630
2 of 2 8/27/2004 11:25 AM

YMCA Outdoors Center
Subject: YMCA Outdoors Center
From: [e-mail]
Date: Wed, 14 Jan 2004 21:24:35 EST
To: [e-mail]
Abner,
YMCA-Guilford County Outdoor Center(WQ0019782) wastewater system will be shutdown 1/15/2004
through 1/21/2004 to enable maintenance and other activities onsite. During that time, tap water will be
turned off to that portion of the camp serviced by the wastewater system. The drip irrigation system will
also be shutdown. Please contact me at 336-340-5514 should you require additional information.
Regards,
David Hicks
OCR
1 of 1 1/20/2004 9:16 AM

_ Torth CarolinaIF•r mrA
1
Department of Environment and Natural Resources
Water Pollution Control System Operator Certification Commission 4 •;
Michael F.Easley, Governor
William G.Ross Jr.,Secretary NCDENR
Coleen H.Sullins, Chairman
June 24, 2002
Joe R Warwaite
YMCA
4411 West Market Street
Greensboro NC 27407
Subject: Designation of Certified Operators
Facility: YMCA-Guilford Co YMCA Outdoor
Permit No: WQ0019782
County: Guilford
Dear Mr. Warwaite:
You were notified by certified letter dated August 24, 2001, that the subject facility had been classified as a
Spray Irrigation System and a Grade 2 Biological Water Pollution Control System. You were further notified
that you were required to designate an appropriately certified Operator in Responsible Charge (ORC) and an
appropriately certified back-up ORC by October 1, 2001.
Our records indicate that you have not designated an ORC or backup ORC for your treatment facility. The
enclosed ORC designation form must be returned to this office within 10 days of receipt of this letter. This
office maintains a list of certified operators in your area if you need assistance in locating a certified
operator.
By failing to designate an appropriate ORC and backup ORC, you are in violation of 15A NCAC 8G .0201
and the subject permit. Violations of permit conditions are subject to the assessment of civil penalties. Please
be advised that nothing in this letter should be taken as resolving you of the responsibility and liability for
any past or future violations for your failure to designate an appropriate ORC and backup ORC by
October 1, 2001.
1618 Mail Service Center, Raleigh,North Carolina 27699-1618
Phone: 919—733-0026 V FAX: 919—733-1338
AN EQUAL OPPORTUNITY\AFFIRMATIVE ACTION EMPLOYER—50%RECYCLED/10%POST CONSUMER PAPER
s.

Joe R Warwaite
Page Two
June 24, 2002
If you have questions concerning this matter, or if this office can be of further assistance, please call Beth
Buffington at [phone], extension 313.
Sincerely,
Hope Walters, Supervisor
Technical Assistance and Certification Unit
Enclosure
cc: Central Files
Winston-Salem Regional Office
Non-Discharge Enforcement/Compliance Unit
TAC Facility Files

Michael F.Easley
OG Governor
William G.Ross Jr.,Secretary
r Department of Environment and Natural Resources
-i r-.
Pr
.� Gregory J.Thorpe,Ph.D.,Acting Director
Rr,y,- Q#'v f Water Quality
N.C. U - - ;ry.
April 30, 2002
Joe R Warwick,Jr. MAY 0 8 2002
YMCA-Guilford Co YMCA Outdoor ,fir;;
4411 West Market St _f
Greensboro,NC 27407 R e g I`'" ` -- `.J ' '
Subject: Delegation of Enforcement Authority
For NDMR Monitoring and Reporting Violations
Dea
r Joe R Warwick,Jr.: I(X0/9—;"<?--- /q7S.
On November 5, 2001 the Director of the Division of Water Quality delegated enforcement authority for
Non-Discharge Monitoring Report (NDMR) monitoring and reporting violations to the Regional Water Quality
Supervisors. Beginning with the NDMR for May 2002, the Supervisors will assess civil penalties for violations
of monitoring frequencies and monitoring parameter permit limits. All monitoring frequency violations will be
issued a Notice of Violation (NOV) and assessed a civil penalty. All parameter permit limit violations will
result in a NOV. For the first six months of the delegation, any violation of a parameter permit limit of 40% or
greater will also result in the assessment of a civil penalty except for flow violations. Flow violations of 10% or
greater will be assessed a civil penalty. After the first six months of delegation, any violation of a parameter
permit limit of 20% or greater will result in the assessment of a civil penalty except for flow violations. Flow
violations of 10% or greater will be assessed a civil penalty. The civil penalty amounts for these violations are
as follows:
Violations of Effluent Limits* Reporting Violations*
• Exceed Influent/Effluent Limits • Missing Data/per Data Point
1. Weekly Avg./Daily Max. $250 1. Permit Limit $50
2. Monthly/Quarterly Avg. $1,000 2. No Permit Limit $25
Violations for failure to submit a NDMR, as required by your permit, will be issued a NOV and assessed a civil
penalty by the Non-Discharge Compliance and Enforcement Unit in the Raleigh Central Office. Failure to
submit a NDMR will carry a civil penalty assessment of$1,000*.
* For Permittees with NDMR violations in four or more months of the previous six months, a multiplier will be
applied to the civil penalty assessment (4 of 6 months— 1.25, 5 of 6 months— 1.35, 6 of 6 months— 1.45)
The process for identifying violations is as follows:
1. All monitoring results from the submitted NDMR are entered into the Non-Discharge Compliance and
Enforcement database.
2. A list is generated detailing the Permittees who are required to submit an NDMR within 30 days following
that particular month and did not.
3. A second list is generated detailing the Permittees whose NDMR's contained violations for monitoring
frequency, missing data,parameter permit limits, etc.
Division of Water Quality 1617 Mail Service Center Raleigh,NC 27699-1617 [phone]

nation of Enforcement Authc___, Page 2
1. The two lists are sent to the appropriate Regional DWQ Office for verification. At this time, the regional
staff will conduct a review of the NDMR and identify any other reporting violations.
2. Based on the review, all Permittees who did not submit NDMR and were required to, will be issued a NOV
and will be assessed a civil penalty by the Non-Discharge Compliance and Enforcement Unit in the Raleigh
Central Office. All Permittees who violated their monitoring permit limits or did not adequately conduct the
monitoring in accordance with the permit will be issued a compliance and/or enforcement action (NOV,
assessment of civil penalty, etc.)by the designated Regional Supervisor.
3. If a civil penalty assessment is deemed necessary, the Supervisors will assess the appropriate civil penalty
for the violations taking into consideration the assessment factors established in N.C.G.S. 143-292.1(b). ff
the Permittee has had violations in four or more of the last six months, a multiplier will be applied to the
civil penalty assessment.
4. The Permittees in violation will be issued a letter informing them of the compliance and/or enforcement
action and the options available to them for response.
If there is no wastewater flow through the treatment system for the month, please indicate in the Comments
section why and when the flow and wastewater monitoring will resume.
For combination discharge/non-discharge facilities, where the treatment plant has a permitted discharge as well
as a spray irrigation system or other Non-Discharge treatment and disposal system, please indicate the volume
routed to the system when reporting flow measurements.
For any instances of non-compliance, the appropriate non-compliant box must be marked on the back of the
NDMR and a description of the non-compliance must be included in the comments section.
Please be advised that nothing in this letter precludes the Division from assessing civil penalties of up to
$25,000 per day per violation or from taking additional enforcement actions when appropriate. If you have any
questions concerning this letter, please contact Daryl Merritt or our Central Water Quality staff or your
Regional Water Quality staff as listed below:
1. Asheville Regional Office: Kevin Barnett, [phone],Ext. 205, [e-mail]
2. Central Office: Daryl Merritt, [phone], Ext. 581, [e-mail]
3. Fayetteville Regional Office: Belinda Henson, [phone], Ext. 727, [e-mail]
Grady Dobson, [phone],Ext. 329, [e-mail]
4. Mooresville Regional Office: Ellen Huffman, [phone],Ext. 233, [e-mail]
5. Raleigh Regional Office: Charles Brown, [phone], Ext 237, [e-mail]
6. Washington Regional Office: Kim Cole, [phone], Ext. 317, [e-mail]
7. Wilmington Regional Office: Dean Hunkele, [phone], Ext. 219, [e-mail]
8. Winston-Salem Regional Office: Abner Braddy, [phone],Ext. 276, [e-mail]
Corey Basinger, [phone],Ext. 277,[e-mail]
Sincerel
Signed for Dennis Ramsey by Daryl Merritt: ,,� •
Dennis R. Ramey, Assistant Chief
Non-Discharge Branch
Cc: Non-Discharge Compliance and Enforcement Unit
Winston-Salem Regional Office
Central Files

PROCEDURE 4 REQUEST FORM
DIVISION OF WATER QUALITY
NON DISCHARGE PERMITTING UNIT
December 21, 2001
TO/ ) Larry Coble, Winston Salem Regional Office
CC -ROM Kristin E. Miguez
919-733-5083 x 524
919-715-6048 (FAX)
[e-mail]
Applicant Number: WQ0020847
County: Guilford
Applicant: YMCA of Greensboro
Project Name: Herman Weaver Outdoor Center Sanitary Sewer
Project Type: Fast Track
Receiving Facility: YMCA-Guilford Co YMCA Outdoor
Receiving Facility Permit: WQ0019782
Flow Volume (GPD): 9000
Flow Type: DOM COM IND
Engineer: Civil Designs,P.A.
SOC Project? ❑ YES E NO
Approval: YES ❑ NO
Comments:
Regional Office Signature: Q.34_, 27_o

North Carolina
Department of Environmwtit and Natural Resources AA
T
Water Pollution Control System Operator Certification Commission
Michael F.Easley,Governor
William G.Ross Jr.,Secretary D E R
Coleen H.Sullins, Chairman
August 27, 2001 r~
CERTIFIED MAIL ' Dept. of NR
RETURN RECEIPT REQUESTED
AUG 2 9 2001
Mr Joe R Warwaite Jr
4411 West Market St Winst +;;_. '.;_;`•e 1
Greensboro NC 27407
Subject: Classification of Water Pollution Control Systems
System: YMCA-Guilford Co YMCA Outdoor
Permit No: WQ0019782
County: Guilford
Dear Mr Warwaite:
The Water Pollution Control System Operators Certification Commission adopted Rule 15A NCAC 8G .0304,
Classification of Spray Irrigation Systems, effective April 1, 1999. In order to insure the proper operation and
maintenance of these systems, this Rule requires that all systems permitted for the spray irrigation of wastewater be
classified as spray irrigation systems.
If the subject spray irrigation system consists only of preliminary treatment, lagoons, septic tanks, pump tanks, pumps,
grease traps or grease interceptors, oil/water separators, sand filters,disinfection, and chemical treatment for nutrient or
algae control and the spray irrigation of wastewater, no additional wastewater treatment classification is required.
Wastewater treatment in excess of these components may be subject to rating under Rule 15A NCAC 8G .0302(b-f).
The Water Pollution Control System Operators Certification Commission hereby classifies the subject system as a
Spray Irrigation System and a Grade II Biological Water Pollution Control System.
As required by Rule 15A NCAC .0302(b) and the subject permit, an Operator in Responsible Charge (ORC) and
back-up operator of the appropriate type and grade must be designated for each classified system. Your system
requires an ORC who holds a valid spray irrigation certificate and a valid Grade II Biological Water Pollution Control
System Operators certificate. In addition, your system requires a back-up operator who holds a valid spray irrigation
certificate and a valid Grade I or higher Biological Water Pollution Control System Operators certificate. If you have
not already done so, please complete and return the enclosed designation forms to this office by October 1, 2001.
Failure to designate a properly certified ORC and back-up operator is a violation of the permit issued for this system
and Rule 15A NCAC .0302(b).
A Spray Irrigation System Operators Training School is being offered October 29 through November 1, 2001, at the
McKimmon Center in Raleigh. The first certification examination offered after the training school will be
December 13,2001.
1618 Mail Service Center, Raleigh,North Carolina 27699-1618
Phone: 919—733-0026 \ FAX: 919—733-1338
AN EQUAL OPPORTUNITY\AFFIRMATIVE ACTION EMPLOYER-50%RECYCLED/10%POST CONSUMER PAPER

Joe R Warwaite
August 27, 2001
Page Two
If you need assistance or have any questions concerning this requirement,please call Beth Buffington at 919-733-0026,
extension 313.
Sincerely,
Tony Ariold, Acting Supervisor
Technical Assistance and Certification Unit
cc: Enclosure
Central Files
TAC Facility Files

State of North Carol I
Department of Environment 16: •and Natural Resources 46
- •
Division of Water Quality
Michael F. Easley, Governor NCDENR
William G. Ross Jr., Secretary
Kerr T. Stevens, Director NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
RECEIVED
July 12, 2001NC ;f E H
JOE R. WARWAITE, JR.
4411 WEST MARKET STREET J U L 1 6 2001
SUITE 302
GREENSBORO, NC 27401 in ton-Satem
finional Officio
Subject: Application No. WQ0019782
Additional Information Request#2
YMCA—Guilford County
Drip Irrigation System
Guilford County
Dear Mr. Warwaite:
The Non-Discharge Permitting Unit has completed the engineering review of both your
permit application for the installation and maintenance of a new treatment and drip irrigation
system and the requested additional information received June 21, 2001. However, additional
information is required before the permit can be issued. Please address the following items no
later than August 12, 2001.
Soil Scientist Report:
1. On page 14 of the permit application package, you state that Ksats for the C horizon
were averaged to get a hydraulic conductivity of 0.009 in/hr were equal to average of
0.10 in/hr permeability rate. The latter value is about 11 times higher than the
measured hydraulic conductivity, and hence it is confusing as to why 0.10 inch/hr is
used to calculate the drainage rate (DR). Also, while you already have the in-situ
measurements of 0.009 in/hr, why was not that value used to calculate the DR?
Please contact JR Joshi at [phone] ext. 363 if you have any questions
regarding this request.
Please reference the subject permit application number when providing the requested
information. Five (5) copies of all should be submitted to my attention at the address listed
below. Please note that failure to provide this additional information on or before the above
requested date can result in your application being returned as incomplete.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50%recycled/10%post-consumer paper

If you have any questions regarding this request, please call me at [phone],
extension 533. Thank you in advance for your cooperation and timely response.
Sincerely,
O
Nathaniel D. Thornburg
Environmental Engineer
Non-Discharge Permitting Unit
cc: Dalton Engineering & Associates
b *" Winston-Salem Regional Office-Water Quality Section
David Goodrich—Groundwater Section
Permit File WQ0019782

State of North Carolina
Department of Environment
and Natural Resources •
,Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary NCDENR
Kerr T. Stevens, Director NORTH i� styMENT OF
ENVIRONM 1 RESOURCES
N.C. Dept. of EHNR
June 8, 2001 JUN 2 5 2001
JOE R. WARWAITE, JR.
4411 WEST MARKET STREET
SUITE 302 �(I�til:�o -S lern
GREENSBORO, NC 27407
Regional Office
e
Subject: Application No. WQ0019782
Additional Information Request
YMCA—Guilford County
Drip Irrigation System
Guilford County
Dear Mr. Warwaite:
The Non-Discharge Permitting Unit has completed a preliminary engineering review of
your permit application for the installation and maintenance of a new treatment and drip
irrigation system. However, additional information is required before we may continue'our
review. Please address the following items no later than July 8, 2001.
General:
oiL 1. Please denote a more specific Applicant Name for Item I.1. to differentiate this
YMCA facility from others located in the State of North Carolina. The Division
recommends YMCA—Guilford County Outdoor Center. Please submit three (3)
copies of a completed Page 1 of the application form.
0'4 2. Item I.2. requires the name and title of the signing official. Please have Mr. Warwaite
Jr. print his name and title on Item I.2. on Page 1 of 8 of the application form. Please
submit three (3) copies of a completed Page 1 of the application form.
414- 3. Per instructions for Item I.5. on Page 1 of 8 of the Permit Application Form, the
location of the Drip Irrigation Facility must have a complete address. Please submit
three (3) copies of a completed Page 1 of the application form.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50%recycled/10%post-consumer paper

General (continued):
01 4. Per Regulation 15A NCAC 2H .0205 (d) (7) (A) and Instruction C. on Page 5 of 8 of
the application form, submitted plans must include a site map detailing all relevant
features within 500 feet of the drip irrigation facility. The area of concern is the
property not belonging to the YMCA near the wetted area of the spray irrigation
facility. If no structures, wells, surface waters or drainage features exist in this area,
have the contracted engineers submit a statement verifying that the surrounding
property is free of the aforementioned parameters. If this area does contain any of
these structures or landmarks, please amend Sheet 3 of 7 and Sheet 4 of 7
accordingly. oa! coot*. (..nM G..et.were-ta b-'1 Pc b- P *o WIATEe.MS 1t� t.S
PIVOTED root too M Fromm,A G s one mere ,.,r 1 '1 s.'a Qin/ •F. went.
5. The Division would like clarification about the septic tank portion of the treatment 'A.
system. The submitted application states that project will require the installation of a
10,000 gallon septic tank, however, no calculations, specifications or plans are
submitted for the septic tank. If the septic tank is a previous installation, please
clarify in Items III.6. and V.1. that this structure has been previously installed, and
submit three (3) copies each of Pages 2 and 3 of the application form. If the septic
tank is to be installed with the rest of the treatment system, please submit calculations,
specifications and amend plans accordingly.
If the septic tank is a previously constructed portion of the treatment system, please
amend drawings accordingly to show the existing septic tank system.
aa( If the septic tank was constructed previously, the Division would like the septic tank
to be drained and have a leakage test performed before it is incorporated into the
proposed wastewater treatment system.
Septic Tank Design: (Ignore if previously installed)
1. Flotation of the septic tank may be of concern. Please provide flotation/buoyancy
calculations for this structure.
cf.-2. Note that the septic tank selected for installation must have approval from the North
Carolina Department of Environmental Health (DEH) for the intended use. Please
add a note to the engineering drawings specifying this requirement for the installing
contractor. Submit the amended drawings accordingly.
Biological Treatment Unit:
V-1. Flotation of the MicroFAST tank may be of concern. Please provide
flotation/buoyancy calculations for this structure.

Please reference the subject permit application number when providing the requested
information. Three copies of all should be submitted to my attention at'the address listed below.
Please note that failure to provide this additional information on or before the above requested
date can result in your application being returned as incomplete.
If you have any questions regarding this request, please call me at [phone],
extension 533. Thank you in advance for your cooperation and timely response.
Sincerely,
Nathaniel D. Thornburg
Environmental Engineer
Non-Discharge Permitting Unit
cc: Dalton Engineering&Associates
David Goo c —Groundwater Section
Permit File WQ0019782

State of North Carolina •
Department of ivironment, Health and Nai ti Resources
Division of Environmental Management
Non-Discharge Permit Application Form(THIS FORM FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) RE C;'''\a F D
SPRAY IRRIGATION DISPOSAL, SYSTEMS N.
JUN25 2091
I. GENERAL INFORMATION:
1. Applicant's name(please specify the name of the municipality,corporation,individual,etc.): _ { SItJ ? " "`4 r?'4
•
YMCA - ('cat1-�rtd eoU►„-tti 00-1-,1„rt. Cc„, ".�itarsai i4i
2. Print Owners or Signing Official's name and title(the person who is legally responsible for the facility and its compliance):
/77/1 • Zc/H2&JIck, T2• pae,f.1cde.✓fi C'EO.
3. Mailing address: W// 4/61o7 /n Fa 21&a" ,5 / s ci;7 e .3OL
City: (R8s s bores State: /1....0 • Zip: o?74 07
Telephone Number. ( 33/0 ) 351/ - 8'7/O
4. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters of flow acceptance,Operational Agreements,etc.):
yMC4 - au, /- rt.cf COO ®otcoort L'eN77tc�
5. Location of Spray Irrigation Facility(Street Address): 47902u/ 7f 4 -';AI 772,4 1.
City: Ge&N.borLo State: Al,C C . Zip: 274/0(0
6. Latitude: ,36 o Q2 ;Longitude 79 e yI of Spray Irrigation Facility
7. Contact person who can answer questions about application:
Name: /Th2. _ oe L2A2/.c,�•cX,�2 Telephone Number: ( 33(0 ) esy - aim)
8. Application Date:
oo
9. Fee Submitted: $ col%'• [The permit processing fee should be as specified in 15A NCAC 2H.0205(c)(5).[
10. County(ies)where project is located: Cv;/�°4+
II. PERMIT INFORMATION:
1. Application No. (will be completed by DEM):
2. Specify whether project is: new; renewal'; modification
*For renewals,complete only sections I, II,and applicant signature(on page 7). Submit only pages 1, 2,and 7(original
and three copies of each). Engineer's signature not required for renewal without other modifications.
3. If this application is being submitted as a result of a renewal or modification to an existing permit, list the existing permit
number and its issue date
4. Specify whether the applicant is public or private.
FORM: SIDS 06/94 Page 1 of 8

WASTEWATER TREATMENT & DISPOSAL
GUILFORD CO. YMCA OUTDOOR CENTER
Determine Average Daily Flow: The client has supplied the population estimates
used in this report. Summertime use (June, July, & August) is estimated to be 100
overnighters, and 200 day-visitors. For all other months, a daily maximum of 25
overnighters, and 25 day-visitors was used. The wastewater flow estimates are derived
from usage rates dictated by "15A NCAC 02H.0219, Minimum Design Requirements,
L(2), Wastewater Flow Rates", 60 gal/day for campers, and 15 gal/day for day care
facility.
June-July-August: 100 Overnighters (includes Staff) @ 60 gpcd + 200 Day Visitors
@ 15 gpcd =9,000 gpd; .Monthly Wastewater Flow = 270,000 gal
Jan thru May, Sept Thru Dec: 25 Overnighters @ 60 gpcd + 25 Day Visitors @ 15
gpcd = 1,875 gpd; Monthly Wastewater Flow = 56,250 gal.
Based on information provided and calculations in accordance with current regulations,
the septic tank (10,000 gallons minimum) will provide treatment for the worse case flow
condition.

ENR-EIWIRONMENTAL MANAGEMENT TISA: 02H.0200
Wilbur supply.
(vi) Cross-Connection Control .
(I) There shall be no direct cross-connections between the reclaimed water and potable
water systems.
(II) Where both reclaimed water and potable water are supplied to a reclaimed water use
area, a reduced pressure principle backflow prevention device or an approved air gap
separation shall be installed at the potable water service connection to the use area. The
installation of the reduced pressure principal backflow prevention device shall allow
proper testing.
(III) Where potable water is used to supplement a reclaimed water system,there shall be an
air gap separation, approved and regularly inspected by the potable water supplier,
between the potable water and reclaimed water systems.
(1) Wastewater Flow Rates:
(1) In determining the volume of sewage from dwelling units, the flow rate shall be 120 gallons per day per
bedroom. The minimum volume of sewage from each dwelling unit shall be 240 gallons per day and each
additional bedroom above two bedrooms will increase the volume by 120 gallons per day. Each bedroom or
any other room or addition that can reasonably be expected to function as a bedroom shall be considered a
bedroom for design purposes. When the occupancy of a dwelling unit exceeds two persons per bedroom,the
volume of sewage shall be determined by the maximum occupancy at a rate of 60 gallons per person per day.
(2) The following table shall be used to determine the minimum allowable design daily flow of wastewater
facilities. Design flow rates for establishments not identified below shall be determined using available flow
data,water-using fixtures, occupancy or operation patterns,and other measured data.
Type of Establishments Daily Flow For Design
Airports,also RR Stations,bus terminals
(not including food service facilities) 5 gal/passenger
Barber Shops 50 gal/chair
Bars,Cocktail Lounges(not including food services) 20 gal/seat
Beauty Shops 125 gal/booth or bowl
Bowling Alleys 50 gaVlane
Businesses(other than those listed in this table) 25 gal/employee
Camps
Construction or work camps 60 gal/person
Summer camps 60 gal/person
Camp grounds Without water and sewer hookups 100 gal/campsite
Travel trailer/recreational vehicle park with water and sewer hookup 120 gal/campsite
Churches(not including food service,day care and camps) 3 gal/seat
Country Clubs:
Resident Members 60 gal/person
Nonresident Members 20 gal/person
Day Care Facilities 15 gal/person
Factories(exclusive of industrial wastes)—per shift 25 gal/person
Add for showers—per shift 10 gal/person
Food Service Facilities Restaurants(including fast food) 40 gal/seat or
40 gal/15 ft 2 of
dining area,whichever
is greater
24-hour Restaurants 50 gal/seat
Single-Service(exclusive of fast food) 25 gal/seat
Food Stands
(I) Per 100 square feet of total floor space 50 gal
(2) Add per employee 25 gal
Hospitals 300 gal/bed
Laundries(self-service) 500 gal/machine
Marinas 10 gal/boat slip
with bathhouse 30 gal/boat slip
Meat Markets
(1) Per 100 square feet of total floor space 50 gal
NORTH CAROLINA ADMINISTRATIVE CODE 02/24/00 Page 29

Imprinted On Tank:
SRTC
STB-165
10,000 Gal
Date Of Mfg
18"•-•• 20.-0" ...81
y 8"0 x 4" Deep 6" 78"
Knockout
r x Tr A n 1
I
1 1
1 1 0
L.a
F:(I
ri
1 1
L.a
6"0 Flow Holes H
_ Typ Of 5 I I _
8"02 "0 18" OC 2."0 < 8"0 10'-0"
1--- I I 4
�a
F::I
r1
1 1
[a
Lifters I-
r�
I I
I I
I I '
L IL J
r-1
ir
8°
y 8"0 x 4" Deep
Knockout 24"0 Cast Iron
Rings & Covers
Brought To Grade
By Contractor
fLifters
J_ 11 A - - r f :' ' .�' [ ' 8"
8"0 _ C: 3" —
8"0 4"
i Z T 21"
Wt.= 36,350 Lbs A ,
(2) 8'0 Wt.= 31,000 Lbs Lifters
Knockouts /� 8'-0"
96" 9 84" d
f 54.,
1-1/2"0 Butyl Rubber - 6"0 Flow Holes 92"
Sealant In Joint With 6" I Typ Of 5
Band Of Nonshrink Grout 18" OC
_ t
A
e Lifters 41"
i21" '
�. Wt.= 36,350 Lbs I
1 _ - -. :.A .
` _ _ . . . a. -: .a . ' 1 8"
Baffle Wt.= 5,957 Lbs t
WW\10000gst
REINFORCEMENT: H-20 Bridge Loading
Or #5 ® 6" OCEW
CONCRETE: 4000 PSI ® 28 DAYS 10,000 Gallon Septic Tank
Box 58659 Traffic Rated
StP.O.
ai-Mght Raleigh, NC 27658
n Phone [phone]
}���tr ee. WWWstayTlglu.com

Buoyant Force for Cubical Tank: 10,000 Gallon Septic Tank
Forces Down:
Weight of Tank:
Bottom: length 21.3 Sides: length 21.3 Ends: length 10 Top: length 21.3
width 11.3 height 8.67 height 8.67 width 11.3
thickness 0.67 thickness 0.67 thickness 0.67 thickness 0.67
Vol. (cuft): 161.3 Vol. (cuft): 247.5 Vol. (cuff): 116.2 Vol. (cuft): 161.3
Weight: 24189.3 Weight: 37118.9 Weight: 17426.7 Weight: 24189.35
Weight: 102924.3
Weight of Materials: 0 Assume material weight and compacted soil around tank=0
Volume of Water at Normal Water Level: 1400 Given: L= 20
Weight of Water: 87360 W= 10
D= 7
Total Forces Down: 190284.3
Forces Up: (empty volume times weight of water)
Empty Volume:
length 20
width 10
height 1
Vol. (cuft): 200
Buoyant Force: 12480.0
Total Forces Up: 12480.0
Safety Factor: 15.25 Note: During normal operating conditions the SF would be 15.2
Concrete to add to provide Safety Factor of 1.2:
Required Force Down: 14976.0
Additional Concrete (cuyd): -43.3 If"negative"then FS already exceeds 1.2

•
Buoyant Force for Cubical Tank: 10,000 Gallon Septic Tank
Forces Down:
Weight of Tank:
Bottom: length 21.3 Sides: length 21.3 Ends: length 10 Top: length 21.3
width 11.3 height 8.67 height 8.67 width 11.3
thickness 0.67 thickness 0.67 thickness 0.67 thickness 0.67
Vol. (cuft): 161.3 Vol. (cuff): 247.5 Vol. (cuff): 116.2 Vol. (cuff): 161.3
Weight: 24189.3 Weight: 37118.9 Weight: 17426.7 Weight: 24189.35
Weight: 102924.3
Weight of Materials: 0 Assume material weight and compacted soil around tank=0
Volume of Water at Normal Water Level: 400 Given: L= 20
Weight of Water: 24960 W= 10
D= 2
Total Forces Down: 127884.3
Forces Up: (empty volume times weight of water)
Empty Volume:
length 20
width 10
height 6
Vol. (cuff): 1200
Buoyant Force: 74880.0
Total Forces Up: 74880.0
Safety Factor: 1.71 Note: During pumping the fluid level could be lowered to 2'with SF of 1.7
Concrete to add to provide Safety Factor of 1.2:
Required Force Down: 89856.0
Additional Concrete(cuyd): -9.4 If"negative"then FS already exceeds 1.2

Buoyant Force for Cubical Tank: 10,000 Gal.Tank to Hold ATU
Forces Down:
Weight of Tank:
Bottom: length 21.3 Sides: length 21.3 Ends: length 10 Top: length 0
width 11.3 height 8.67 height 8.67 width 0
thickness 0.67 thickness 0.67 thickness 0.67 thickness 0
Vol. (cuft): 161.3 Vol. (cuff): 247.5 Vol. (cult): 116.2 Vol. (cuff): 0.0
Weight: 24189.3 Weight: 37118.9 Weight: 17426.7 Weight: 0
Weight: 78734.9
Weight of Materials: 0 Assume material weight and compacted soil around tank=0
Volume of Water at Normal Water Level: 322.9 Given: L= 12.3
Weight of Water: 20147.4 W= 6.25
D= 4.2
Total Forces Down: 98882.3
Forces Up: (empty volume times weight of water)
Empty Volume:
length 20
width 10
height 5 Equivilent empty volume in 10,000 gallon tank after installation of FAST
Vol. (cuft): 1000
Buoyant Force: 62400.0
Total Forces Up: 62400.0
Safety Factor: 1.58

Dalton Engineering —and Associates, P.A.
6/18/01
NC DENR
Division of Water Quality
1617 Mail Service Center �;
Raleigh,North Carolina 27699-1617 • `% �444 +
SUB. Application No. WQ0019782 2" POO
Additional Information Request
1 •
YMCA—Guilford county ''
Drip Irrigation System
Guilford County
Mr.Nathaniel D.Thornburg
This is in response to your memo dated 6/8/01. We feel that all items have been
addressed as indicated below. Numbering is consistent with your numbered-comments.
General:
1. Applicant name(Item I.1)has been changed, as requested. Five copies of Page 1 of
the application form are enclosed.
61(2. Mr. Warwick's name has been printed in Item 1.2, as requested. Five copies of Page 1
of the application form are enclosed.
Gkc 3. The complete address of the proposed system has been provided in Item 1.5, as
requested. Five copies of Page 1 of the application form are enclosed.
4. Map review, site investigation and discussion with Owners indicate that there is.
nothing within 500 feet of the property boundary that is relevant to the project. Based
on my analysis, I hereby certify that there are no structures, wells,surface waters or
drainage features within 500 feet of the drip area.
5. Since receiving this request for additional information, I have been in contact with the
owner/developer. It is their desire to now show the 10,000 gallon septic tank on this
submittal. It was our understanding initially,that the tanks for individual buildings
would be applied for during the building permit process. Flow calculations, cut-
sheets,specifications, etc., are hereby enclosed.-
446 East Main Street—PO Box 426-Clayton, NC 27520—[phone]/Fax[phone]

$-6. Based on number 5, above, this item does not apply.
Or'7. Based on number 5, above,this item does not apply.
Septic Tank Design:
d%-1. Flotation calculations are hereby enclosed.
612. Requested notes have been placed on pages 2 & 7 of 7. Also, a detail of the
recommended Stay-Right tank has been added to page 7 of 7
Biological Treatment Unit:
1. Flotation calculations are hereby enclosed.
Thank you for your comments. If you have questions or require additional information,
please call. Five copies of all pages and plan sheet, having requested changes, are hereby
enclosed.
Thank you.
e/del=
erry T. Dalton, P.E.

State of North Carolina
Department of Environment
and Natural Resources •
Division of Water Quality
Michael F. Easley, Governor NCDENR
William G. Ross Jr., Secretary
Kerr T. Stevens, Director NORTH CAROLINA DEPARTMENT OF
ENVIRONMEIttlbtaWriSESOURCES
June 8, 2001 N• • Dept. oR
n
JOE R. WARWAITE, JR. JUN t 2 2Q01
4411 WEST MARKET STREET
SUITE 302 Ston-Sa°er
GREENSBORO, NC 27407 Regional Office
Subject: Application No. WQ0019782
Additional Information Request
YMCA-Guilford County
Drip Irrigation System
Guilford County
Dear Mr. Warwaite:
The Non-Discharge Permitting Unit has completed a preliminary engineering review of
your permit application for the installation and maintenance of a new treatment and drip
irrigation system. However, additional information is required before we may continue our
review. Please address the following items no later than July 8, 2001.
General:
1. Please denote a more specific Applicant Name for Item I.1. to differentiate this
YMCA facility from others located in the State of North Carolina. The Division
recommends YMCA-Guilford County Outdoor Center. Please submit three (3)
copies of a completed Page 1 of the application form.
2. Item I.2. requires the name and title of the signing official. Please have Mr. Warwaite
Jr. print his name and title on Item I.2. on Page 1 of 8 of the application form. Please
submit three (3)copies of a completed Page 1 of the application form.
3. Per instructions for Item I.5. on Page 1 of 8 of the Permit Application Form,the
location of the Drip Irrigation Facility must have a complete address. Please submit
three (3) copies of a completed Page 1 of the application form.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50%recycled/10%post-consumer paper

General (continued):
4. Per Regulation 15A NCAC 2H .0205 (d) (7) (A) and Instruction C. on Page 5 of 8 of
the application form, submitted plans must include a site map detailing all relevant
features within 500 feet of the drip irrigation facility. The area of concern is the
property not belonging to the YMCA near the wetted area of the spray irrigation
facility. If no structures, wells, surface waters or drainage features exist in this area,
have the contracted engineers submit a statement verifying that the surrounding
property is free of the aforementioned parameters. If this area does contain any of
these structures or landmarks, please amend Sheet 3 of 7 and Sheet 4 of 7
accordingly.
5. The Division would like clarification about the septic tank portion of the treatment
system. The submitted application states that project will require the installation of a
10,000 gallon septic tank, however, no calculations, specifications or plans are
submitted for the septic tank. If the septic tank is a previous installation, please
clarify in Items 1111.6. and V.1. that this structure has been previously installed, and
submit three (3)copies each of Pages 2 and 3 of the application form. If the septic
tank is to be installed with the rest of the treatment system, please submit calculations,
specifications and amend plans accordingly.
6. If the septic tank is a previously constructed portion of the treatment system, please
amend drawings accordingly to show the existing septic tank system.
7. If the septic tank was constructed previously, the Division would like the septic tank
to be drained and have a leakage test performed before it is incorporated into the
proposed wastewater treatment system.
Septic Tank Design: (Ignore if previously installed)
1. Flotation of the septic tank may be of concern. Please provide flotation/buoyancy
calculations for this structure.
2. Note that the septic tank selected for installation must have approval from the North
Carolina Department of Environmental Health (DEH) for the intended use. Please
add a note to the engineering drawings specifying this requirement for the installing
contractor. Submit the amended drawings accordingly.
Biological Treatment Unit:
1. Flotation of the MicroFAST tank may be of concern. Please provide
flotation/buoyancy calculations for this structure.

Please reference the subject permit application number when providing the requested
information. Three copies of all should be submitted to my attention at the address listed below.
Please note that failure to provide this additional information on or before the above requested
date can result in your application being returned as incomplete.
If you have any questions regarding this request, please call me at [phone],
extension 533. Thank you in advance for your cooperation and timely response.
Sincerely,
7‘e.Zw, of
Nathaniel D. Thornburg
Environmental Engineer
Non-Discharge Permitting Unit
cc: Dalton Engineering & Associates
David Goodrich—Groundwater Section
Permit File WQ0019782

State of North Caronna Dic
Department of Environment .� .
and Natural Resources r
Division of Water Quality
•
Michael F. Easley, Governor
William G. Ross Jr., Secretary NCDENR
Kerr T. Stevens, Director NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
March 29, 2001 N.C. ECEIVED
NC Dept. of E.t INR
YMCA-GUILFORD CO OUTDOOR CNTR APR 0 3 2001
JOE R WARWAITE,JR
4411 WEST MARKET STREET STE 302 Wiriston_Salem
GREENSBORO NC 27407 Regional Office,
Subject: Acknowledgement of Application No.
WQ0019782
YMCA Outdoor Center
Drip Irrigation
Guilford County
Dear Mr. Warwaite:
The Non-Discharge Permitting Unit of the Division of Water Quality(Division) acknowledges receipt of
your permit application and supporting materials on March 26, 2001. This application package has been
assigned the number listed above.
Your application package has been assigned to Shannon Thornburg for a detailed review. The reviewer
will contact you with a request for additional information if there are any questions concerning your
submittal.
tchaanie.L—rhaIn6uSIS — 5�3
If you have any questions, please contact Shannon Thornburg at 919-733-5083 extension 353. If the
reviewer is unavailable, you may leave a message on their voice mail, and they will respond promptly.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES
ON THIS PROJECT.
Sincerely,
e-L‘e;
. Colson,P.E.
Supervisor, Non-Discharge Permitting Unit
cc: maimmumminpunomplamk
Permit Application File WQ0019782
Dalton Engineering
ASSICN."rD TO
DUEDM E 1/ ` / 7 0 /
•
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50%recycled/10%post-consumer paper

NON NPDES FP ITY AND PERMIT DATA 03, '01 16:24:55
UPDATE OPTION TRXID `_ KEY AIIIIMINIP
PERSONAL DATA FACILITY APPLYING FOR PERMIT APP/PERMIT FEE-$ 675.00 REGION
FACILITY NAME> YMCA-GUILFORD CO YMCA OUTDOOR6 COUNTY> GUILFORD 04
ADDRESS: MAILING (REQUIRED) ENGINEER: DALTON ENGINEERING & ASSO
STREET: 4411 WEST MARKET ST STREET: P 0 BOX 426
CITY: GREENSBORO ST NC ZIP 27407 CITY: CLAYTON ST NC ZIP 27520
TELEPHONE 336 854 8410 TELEPHONE: [phone]
STATE CONTACT> THORNBURG FACILITY CONTACT JOE R WARWAITE JR
TYPE OF PROJECT> DRIP IRRIGATION LAT: LONG:
DATE APP RCVD 03/26/01 N=NEW,M=MODIFICATION,R=REISSUE> N
DATE ACKNOWLEDGED 03/29/01 DATE REVIEWED / / RETURN DATE / /
REG COMM REQS / / DATE DENIED / / NPDES #-
REG COMM RCVD / / DATE RETURNED / / TRIB Q .0000 MGD
ADD INFO REQS / / OT AG COM REQS / / TRIB DATE- / /
ADD INFO RCVD / / OT AG COM RCVD / /
DATE ISSUED / / DATE EXPIRE / /
FEE CODE( ) 1=(>1MGD) ,2=(>10KGD) ,3=(>1KGD) , 4=(<1KGD+SF) ,5=(S>300A) , 6=(S<=300A) ,
7=(SENDEL) , 8=(SEDEL) ,9=(CLREC) ,0=(NO FEE) DISC CODES ASN/CHG PRMT
ENG CERT DATE / / LAST NOV DATE / / CONBILL( )
COMMENTS:
MESSAGE: *** DATA ADDED SUCCESSFULLY ***

cc: Central Files
NON-DISCHARGE STAFF REPORT AND RECOMMENDATION
To: Permits and Engineering Unit
Water Quality Section
Attention: Nathaniel Thornburg
Date: May 25, 2001
County Guilford
Permit No. WQ0019782
PART I - GENERAL INFORMATION
1. Facility and Address: YMCA-Guilford County Outdoor Center
Located at Tappawingo Trail
Mailing address: Mr. Joe Warwaite, Jr.
4411 West Market Street, Suite 302
Greensboro, NC 27407
2. Date of Investigation: May 3, 2001
3. Report Prepared by: Jenny Rankin
4. Persons Contacted and Telephone Number:
Roger Allen, Project Manager, Dalton Engineering and Associates, P.A. 919-550-4740
Jerry Dalton, Professional Engineer, Dalton Engineering and Assoc., P.A. 919-550-4740
John Harman, Waste Water Systems of NC, 919-779-6301
5. Directions to Site: From WSRO, Take I-40 East to I-40/1-85 East towards Raleigh. Take
the McConnell Road exit (#130). Turn right at the ramp. Turn right on Millpoint Road.
Turn left on Tappawingo Trail and the YMCA camp is at the end of the road.
6. Size (land available for expansion and upgrading) : Drip irrigation application acreage is
70,000 square feet.
7. Topography (relationship to the 100 year flood plain included): The fields are slightly
sloped with no more than a 2% grade.
Attach a U.S.G.S. map extract and indicate facility site.
See attachment.
8. Any buffer conflicts with location of nearest dwelling and water supply well?

Yes No X If Yes, explain:
9. Watershed Stream Basin Information: The closest downslope surface waters is Beaver
Creek which is classified as "WS-IV NSW" waters of the State. It is located in the Cape
Fear River Basin.
PART II -PROJECT DESCRIPTION
The Guilford County YMCA Outdoor Center is proposing construction of a drip irrigation system
which consists of a 10,000 gallon septic tank, 9000 gallon per day MicroFast treatment unit, 10,000
gallon per day tablet chlorinator, 250,000 gallon storage lagoon, 70,000 square foot drip application
area. This system would serve day and overnight campers and office staff for the outdoor center.
PART IV - EVALUATION AND RECOMMENDATIONS
All fields met the minimum buffer requirements. There was some concern about drainages that went
through Zone 3. Upon investigation, there was no flow in the drainage and it appeared that the
topography had been altered so the drainage would never have flow in it. All drip fields and
treatment systems should be fenced and marked appropriately.
WSRO recommends issuance of the permit for this drip irrigation system.
90tAiliuv 2a S- zq-0l
Jenny Rankin Date
Environmental Chemist
Larry D. ble Date
Water Quality Supervisor

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5liet,v; li i/ t
DIVISION OF WATER QUALITY
GROUNDWATER SECTION rri =�' \,/�D
FINR
May 22, 2001 .l
MEMORANDUM 5 Z0Q1
To: Kim Colson LI n a i offtda
cc: Sherri Knight, GWS-RO
Through: Debra Watts b
From: David Goodrich 4-4
Subject: YMCA/ Guilford County Outdoor Center Drip Irrigation Disposal System
Guilford County
WQ0019782/GWO1067
The Groundwater Section is in receipt of the subject application to permit a new drip irrigation
system to treat the domestic wastewater stream generated by the planned Guilford County YMCA
Outdoor Center.The wastewater treatment system is designed to treat 9,000 gallons per day and will
include a septic tank,tablet chlorination,a lined 250,000-gallon storage lagoon,and a 71,400 square
foot wetted irrigation treatment area(see Figures 1 and 2).
The intended application area was evaluated by a soil scientist to determine its suitability for
treating the wastewater stream.The site evaluation disclosed the soils as belonging to the Enon soils
series, and several deep borings indicated a water table elevation at a depth of more than seven feet
below land surface. The mean seasonal high water table in these soils is typically encountered at a
depth of greater than four feet. The soil scientist found the site soil to be suitable for drip irrigation
not to exceed 0.4 inches per hour and 0.73 inches per week.The design loading rate for the system is
based on a peak season loading of 9,000 gallons per day onto an area of 71,400 square feet. This
translates to an application rate of 0.20 inches per day (0.0083 inches per hour), with a maximum
weekly application not to exceed 0.58 inches. The actual average loading rate is projected to be on
the order of 3,670 gallons per day.The most hydraulically restrictive horizon was found to be the C
horizon, with an average Ksat value of 0.43 GPD/sq. ft.
The site was visited on May 3 and 10, 2001 by Groundwater Section personnel from the
Winston-Salem Regional Office.Observations made during the visit supported the recommendations
of the soil scientist in terms of site description and suitability for the proposed system. Groundwater
Section personnel estimated the water table to be at a depth of approximately nine feet, based on
nearby surface water features. The nearest water supply well was near the camp's dining hall, at a
distance of approximately 750 feet from the edge of the drainfield area. It was noted by the staff of
the regional office that a remnant of a wet weather rivulet was present near the center of proposed
Page 1 of 3

Zone 2. It is therefore recommended that careful reconnaissance of the site be conducted by the
installers of the drip lines prior to line installation so that surface drainage indications can be
identified and considered during the installation process. It is further recommended that the drip
area be examined frequently during its operation to confirm satisfactory performance.
The Groundwater Section used the information gathered by the soil scientist to evaluate the
hydraulic behavior of the water table beneath the application area during times of peak application.
The Section took the average vertical hydraulic conductivity of the most restrictive horizon, made
allowances for higher values in the horizontal direction,and ran several simulations using a software
package developed at Colorado State University. The Outdoor Center will be seasonally operated,
and the off-season loading rates are very low and should allow any mounding which takes place
during the camping season to dissipate. The first simulation assumed an average loading rate of
3,670 gallons per day, and the results indicated that a mounding of 3.33 vertical feet could be
expected at the conclusion of the seasonal camping season (late August). The second simulation
assumed a loading rate of 9,000 gallons per day during the camping season,and its results indicated
a mound of 8.17 vertical feet at the conclusion of the camping season. Although the application area
is situated on a hillside, the software package assumes a flat water table and therefore simulates a
maximum mound height which is higher than that which will actually take place. Furthermore, it is
not likely that the peak design flow of 9,000 gallons per day will take place on every day of the
camping season.Taking these factors into consideration,the actual height of the mound beneath the
application area will probably be on the order of 4 to 5 vertical feet. This will probably take place
near the end of the camping season(during the month of August), when the water table will be at a
depth of more than seven feet below land surface.Based on these considerations, the Groundwater
Section does not perceive a need to recommend groundwater quality monitoring at this site.
The Groundwater Section has reviewed the subject permit application and recommends
issuance of the permit with the following conditions:
1. Applicable Boundaries:
a. The COMPLIANCE BOUNDARY for the disposal system is specified by regulations in
15A NCAC 2L,Groundwater Classifications and Standards. The Compliance Boundary for
a disposal system individually permitted after December 31, 1983 is established at either(1)
250 feet from the waste disposal area,or(2)50 feet within the property boundary,whichever
is closest to the waste disposal area. An exceedance of Groundwater Quality Standards at or
beyond the Compliance Boundary is subject to immediate remediation action in addition to
the penalty provisions applicable under General Statute 143-215.6A(a)(1).
. The REVIEW BOUNDARY is established around the disposal system midway between the
Compliance Boundary and the perimeter of the waste disposal area. Any exceedance of
standards at the Review Boundary shall require action in accordance with 15A NCAC 2L
.0106(d)(1).
Page 2 of 3

2. Additional Requirements:
a. *The drip irrigation system shall only distribute treated domestic wastewater.
b. *The drip irrigation area shall be examined by the drip line installers prior to installation of
the drip lines for possible indications of surface drainage and erosion.The drip lines shall be
installed in such a fashion as to minimize the impact of surface runoff on the function of the
system.
c. *The drip irrigation system shall be frequently examined by the operator to confirm
satisfactory performance.
d. Any groundwater quality monitoring, as deemed necessary by the Division, shall be
provided.
If there are any questions please contact David Goodrich at 715-6162.
cc: Sherri Knight
Permit Files
--GW01067--
*This language differs from that of the shell document.
Page 3 of 3

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FIGURE 1
YMCA — GUILFORD COUNTY OUTDOOR CENTER
DRIP IRRIGATION SYSTEM
GUILFORD COUNTY
WQ0019782/GW01067
SITE LOCATION MAP
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iFIGURE 2 ' 'aria:
YMCA - GUILFORD COUNTY OUTDOOR CENTER
,^D rR TLDDo L,N, DRIP IRRIGATION SYSTEM
,,LLNEA TO 9r C,741.5'
• PLANNED . GUILFORD COUNTY
GU/LFC WQ0019782/GW01067
.. OUTDOOF . _. • __. . . SITE DETAIL MAP

Memorandum
May 14, 2001
To: David Goodrich, Permits and Compliance Unit, Groundwater Section, Central
Office, Raleigh
—V/l
Through: Sherri Knight, Supervisor, Groundwater Section, Winston Salem Regional Office
Through: ' Perry Wyatt, Soil Scientist, Division of Soil and Water Conservation, WSRO
From: Christopher Green .S.S., Hydrogeological Technician, GW Section, WSRO
Subject: YMCA—Guilford County Outdoor Center, Drip irrigation,new permit #GW
01067/WQ 0019782
On May 3, 2001, C. Greene and Jenny Rankin, WSRO, and Nathan Thornberg, Permits
and Engineering, Central Office, Water Quality Section, met with Jerry Dalton, Dalton
Engineering and Associates, and P.A., Jack Harmon, Waste Water Systems of NC, Inc., to
corroborate accuracy of the submitted report and evaluate site suitability for a drip irrigation
system designed for an average daily flow of 3620 gallons over a projected area of 71,400 ft.2.
On May 10, 2001, C. Greene returned to the site with Perry Wyatt, Division of Soil and Water
Conservation, who had conducted detailed preliminary findings of the project with the consulting
soil scientist at an earlier date.
To meet the schedule constraints of the clientele (youth camp), the system is proposed for
one dosing interval (8 hours,per the submitted report). The weekly hydraulic loading is proposed
at 0.73 inches per week(average), with an instantaneous loading rate at a conservative 0.065
gallons/day/ft.2. The report cited field—based Ksat measurements using a constant head
permeameter to reliably estimate hydraulic conductivity[multiple of.05 (5%)per EPA
guidelines]. The data in the report appears to be valid,taking into account average slope and
textures observed in the field.
WSRO's field review concentrated upon soil profiles in differing landscape positions, and
notably"site 1",where low chroma mottling was reported"starting at 13 inches" in the EB soil
horizon. At the request of Nathan Thornberg, emphasis was also devoted to the area in proximity
of the pond (specifically, southwest corner of"zone 3") to determine whether overland flow(due
to breakout of effluent on the surface) was a possibility there.
Overall, the site possesses favorable attributes to drip irrigation, including: forest cover
with an estimated age of 35 years (prior logging activity) to enhance water movement along root
channels and absorption by the natural organic mat,prevailing slope of 3 —7% (favorable to
drainage relative to flat terrain), and sandy loam A, E and EB horizons collectively ranging from
11 — 16 inches in thickness. In the areas of special interest mentioned above, low chroma
mottling was observed along root channels at a depth of 16 inches at "site 1", but is considered

an ephemeral condition. Soils in"zone 3"were well drained, with no low chroma mottling
observed; manganese concretions at 38 inches indicate retarded drainage there,but is not
considered a delimiting condition.
It is noted that a remnant of a wet weather rivulet was observed in the approximate center
of"zone 2" (see map), and should be "bridged" (consultant's term for utilizing solid drip pipe),
along with other buffered drainageways cited on the proposed map. It is recommended that
careful reconnaissance of the site be conducted by responsible parties of drip line installation for
other such possible wet weather rivulets (and corresponding solid pipe"bridging" of flow over
these areas)before the irrigation pipe is stationed.
Given the proposed conservative hydraulic loading rates and good site conditions, WSRO
recommends approval of the site. As with any such system, operator vigilance of the site is
stressed. The low risk to groundwater resources appears not to require monitor well installation.
Depth to the surficial aquifer was not encountered in auger borings, but is projected at
approximately 9 feet [based upon the relative elevation of the nearest surface water(pond)] and
is reported at"...excess of 7 feet"by the consulting soil scientist. Neil Rosenbaum, staff member
of the YMCA camp, indicated that the nearest water supply well is located in proximity to the
dining hall,placing it at an overland distance of approximately 750 feet to the system, and is
approximately 150 feet in depth.

lisi
Dalton Engineering
and Associates, P.A.
3/26/01
To: NC Department of Environment &Natural Resources
Division of Water Quality
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
Sub: YMCA
4411 West Market Street
Greensboro,North Carolina 27407
[phone]
Please accept the attached design for a proposed drip system to be applied in Guilford
County.
The design is based on the system,as flagged on the ground by Soil &Environmental
Consultants, Inc: All information relative to daily flow, LTAR, required land area, etc.,
can be found in the Soils Scientist's Report and in the attached Plans and Specifications.
Any change in layout shall be approved by the Engineer and Soil Scientist, prior to
installation.
Four copies are being delivered to you and one copy is being delivered to the Regional
Office at Winston-Salem.
Thank you for considering this design
Jerry T. Dalton
446 East Main Street—P.O. Box 426—Clayton, NC 27520-[phone]/Fax [phone]

`119 55d - " 7140
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Mr. Greg Jones OCT 3 2004
YMCA of Greensboro Inc. =,<-
4411 W. Market Street _ a
Greensboro, NC 27407 3. ype a
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