WQ0019782_Monitoring - 10-2019_20200617

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of 2
Permit No.: W00019782
Facility Name: YMCA -CAMP WEAVER
County: Guilford
Month: October
Year: 2019
®id irrigation occur
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
this facility?
Area (acres):
0.3719
Area (acres):
0.3719
Area (acres):
0,4477
Area (acres):
0.4477
at
Cover Crop:Natural
Forest
P-
Cover Crop:
Natural Forest
Cover Crop:
P:
Natural Forest
Cover Crop:
P:
Natural Forest
D YES ❑ NO
Hourly Rate (in):
0.4
Hourly Rate (in):
0.4
Hourly Rate (in):
0.4
Hourly Rate (in):
0.4
Annual Rate (in):
38.3
Annual Rate (in):
38.3
Annual Rate (in):
38.3
Annual Rate (in):
38.3
Weather
Freeboard
Field Irrigated?
nYEs I:JNO
Field Irrigated?
OYES ONO
Field Irrigated?
nYES 17NO
Field Irrigated?
DYES ONO
o
m
U
tvis
C
E
F
c
°
V
a
°
w
�O,C>
N
W M
a
° C
E
F 2
c
tj
�=p
-
E 0/
6 C
>
m
t
o
>
°
M=p
J
E °
O C
>
Q�
F- •_�
c
o
c
G
>
"
x°
=p
.0
E a
0
>
_c
v
o
EE '
JrnE°
-o
x°
p
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
C
80
0.1
7.2
1,053
25
0.09
0,09
2
C
94
0
7.2
3
C
75
0
7.2
4
C
86
0
7.2
398
12
0.04
0.04
373
14
0.04
0.04
386
10
0.03
0.03
5
398
12
0.04
0.04
373
14
0.04
0.04
386
10
0.03
0.03
6
398
12
0.04
0.04
373
14
0.04
0.04
386
10
0.03
0.03
7
CL
78
0
7.2
8
CL
62
0
7.2
9
C
75
0
7.2
10
C
70
0
7.2
11
C
77
0
7.2
109
3
0.01
0.01
109
4
0.01
0.01
3,028
72
0.25
0.21
125
3
0.01
0.01
12
109
3
0.01
0.01
109
4
0.01
0.01
3,028
72
1 0.25
0.21
125
3
0.01
0.01
13
109
3
0.01
0.01
109
4
0.01
0.01
3,028
72
0.25
0.21
125
3
0.01
0.01
14
C
71
0.57
7.2
15
PC
70
0
7.2
16
C
64
0.85
7.2
171
PC
1 60
0
7.2
1,676
50
0.17
0.17
1,543
59
0.15
0.15
1,568
43
0.13
0.13
18
C
63
0
7.2
19
21
CL
71
2.14
6.58
22
PC
64
0.26
6.5
837
25
0.08
0.08
421
16
0.04
0.04
434
12
0.04
0.04
231
C
1 66
0
6.5
24
C
65
0
6.58
465
14
0.05
0.05
362
13
0.04
0.04
368
10
0.03
0.03
25
C
66
0
6.5
26
27
28
C
66
0.34
6.5
29
CL
63
0
6.5
1,806
54
0.18
0.18
1,622
62
0.16
0.16
1,823
50
0.15
0.15
30
R
65
0.12
6.58
31
CL
71
1.86
6.1
Monthly Loading:
7,305
0.62
11 5,394
0.53
10,137
0.83
5,726
0.47
12 Month Floating Total (in):
13.53
13.80
64.37
15.29

FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
Page 2 of 2
OCompliant
ONon-Compliant
I] Compliant
❑ Non -Compliant
O Compliant
❑ Non -Compliant
121 Compliant
❑ Non -Compliant
O Compliant
❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Chip White
Permittee:
YMCA of Greensboro
Certification No.:
Signing Official: Greg Jones
Grade: Phone Number: 252-235-4900
Signing Official's Title: President/CEO
Has the ORC changed since the previous NDAR-1? ❑yes ONo
Phone Number: 3368548410 Permit Exp.: 9/30/20
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the in(ormation submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No.: W00019782
Facility Name: YMCA -CAMP WEAVER
County: Guilford
Month: October
Year: 2019
PPI: 001
Flow Measuring Point: 2Influent ❑ Effluent ❑ No Flow generated
Parameter Monitoring Point: 0Influent 2 Effluent ❑ Groundwater Lowering :.D Surface Water
Parameter Code 0
50050
00400
50060
00310
00610
00530
31616
00630
00625
00665
00010
00620
00615
00600
o
m
i y
OQ F
O
iO
= in
0.m
1
'a
ul
o
O
o
E
N
m c vo
M�v
rn
°
co
,"=
L)Z
+d
Z
1
rd
W
rn
2
o
aN
mo 2
LE
~
0
IL
EQ~
WO
Z
Z
C
m0
o
24-hr
hrs
GPD
su
mg/L
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
°C
mg/L
mg/L
mg/L
1
17:45
0.5
458
2
14:15
0.5
636
3
20:20
0.5
346
4
12:15
0.5
875
7.34
0.05
5
875
6
875
7
14:00
0.5
418
8
17:35
0.5
178
9
15:30
0.5
416
10
15:30
0.5
209
11
13:30
0.5
778
7.8
0.04
12
778
13
778
14
11:45
0.5
204
15
16:30
0.5
229
16
15:00
0.5
282
7.3
0.02
17
16:45
0.5
552
18
14:00
0.5
856
7.5
0.04
19
856
20
856
21
16:15
0.5
90
22
17:22
0.5
368
23
15:00
0.5
172
7.4
0.04
24
11:30
0.5
352
25
12:30
0.5
423
26
423
27
423
28
09:45
0.5
209
29
17:50
0.5
291
30
13:45
0.5
225
31
18:00
0.5
51
Average:
467
0.04
Daily Maximum:
875 1
7.80
0.05
Daily Minimum:
51
7.30
0.02
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
3,670
Daily Limit:
3,670
Sample Frequency:
22
.1/week
1/week
3x Year
3x Year
3x Year
3x Year
3x Year
3x Year
3x Year

FORM: NDMR 10-13
NON -DISCHARGE MONITORING REPORT (NDMR)
Sampling Person(s) Certified Laboratories
Name: Chip White Name: Statesville Analytical
Name: Name:
Page 2 of 2
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0Compliant ❑Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Chip White Permittee: YMCA of Greensboro
Certification No.: Signing Official: Greg .tones
Grade: Phone Number: 252-235-4900 Signing Officials Title: President/CEO
Has the ORC nged since the previous NDMR? 0Yes 2) No Phone Number: 3368548410 Permit Expiration: 9/30/2020
Signature Date Signature ' Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel property gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center