WQ0019782_Monitoring - 11-2019_20200617

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of 2
Permit No.: W00019782
Facility Name: YMCA -CAMP W EAVER
County: Guilford
Month: November
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
Cover Crop:
p:
Natural Forest
Cover Crop:
p:
Natural Forest
Cover Crop:
p:
Natural Forest
DYES ONO
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?
OYES ❑NO
Field Irrigated?
OYES ONO
Field Irrigated?
DYES EINO
Field Irrigated?
OYES ❑NO
>,
o
L
0
t
a
3
E
c
g
-M
.a
v
in
=
m °1
a R
x
m°
O.
m 4
E .a
a
> Q
Q
m 4;
E `°
i= °'
ai
c
v
p
J
T
_
E rn
° c
E 'v
M x o
J
w v
E °1
3 a
o a
� Q
-°
a
E 0
i= °'
rn
_c
v
p
J
�.
E rn
c
3
2 0
E v
a
° a
v
m ;;
E
F'
rn
c
v
0
J
E m
° T c
3 0
A 2 0
E 2
c
° a
y w
E
E
rn
c
m
_
rn
>> c
E 3 =o
x o m
m x °
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
C
37
0.43
6
500
15
0.05
0.05
384
14
0.04
0.04
401
11
0.03
0.03
2
3
_
4
CL
60
0
5.9
5
PC
66
0
6
470
14
0.05
0.05
389
14
0.04
0.04
413
11
0.03
0.03
6
C
1 63
0
5.9
7
PC
64
0
7
534
16
0.05
0.05
394
15
0.04
0.04
418
11
0.03
0.03
8
C
47
0.17
5.9
9
10
11
C
67
0
5.8
12
R
38
0.45
5.75
1,978
59
0.20
0.20
1,684
64
0.17
1 0.16
1,923
53
0.16
0.16
13
C
29
1 0.15
5.8
90
2
0.01
0.01
14
CL
38
0
5.75
15
CL
48
0
5.6
40
1
0.00
0.00
16
17
18
R
44
0.01
5.8
19
PC 1
48 1
0.25
5.75
525
15
0.05
0.05
358
13
0.04
0.04
ION-
412
11
0.03
0.03
20
C
50
0
5.8
21
PC
50
0
5.6
543
15
0.05
0.05
404
15
0.04
0.04
427
11
0.04
0.04
22
C
60
0
5.8
1�-
-
23
24
C
46
0
5.5
2,021
61
0.20
0.20
1,723 1
66
0.17
0.16
1
1,998
55
0.16
0.16
251
C
32
0
5.5
26
CL
63
0
5.6
27
R
57 1
0,32
5.6
28
29
30
31
Monthly Loading:
6,661
0.66
5.376
0.53
0.00
5,992
0.49
L-12 Month Floating Total (in):
13.18
14.27
r//A0
63.26
rM
14.72

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
O Compliant
❑ Non -Compliant
O Compliant
0 Non -Compliant
0 Compliant
❑ Non -Compliant
O Compliant
0 Non -Compliant
0 Compliant
0 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: PresidenUCEO
Has the ORC ch' nged since the previous NDAR-1? ❑ Yes [a No
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 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

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No.: W00019782
Facility Name: YMCA -CAMP WEAVER
County: Guilford
Month: November
Year: 2019
PPI: 001
Flow Measuring Point: C Influent C Effluent 0 No flow generated
Parameter Monitoring Point: L1 Influent O Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code -►
50050
00400
50060
00310
00610
00530
31616
00630
00625
00665
00010
00620
00615
00600
AQ
o
.->.
d
c
0:p
O
c
O
a
d
O
C
u
m
c
o
I-�v
Ln
m
10
c
p
E
a
°i
v m
a o
r �N
to
E
v v
+ v
ZZ
t
f0
v v
2i
�z
a
F.,
o a
F o
a
m
w
v
w
F
Z
d
Z
c
6l
No 0m
i-
Z
24-hr
hrs
GPD
su
mg/L
mg/L
mg/L
mg/L
#1100 mL
mg/L
mg/L
mg/L
°C
mg/L
mg/L
mg/L
1
07:15
0.5
711
6.94
0.03
2
711
3
711
4
15:30
0.5
218
5
17:00
0.5
357
6
13:45
0.5
258
7.65
0
7
15:00
0.5
862
8
14:45
0.5
1,650
9
1,660
10
1,650
11
13:15
0.5
761
12
10:30
0.5
831
13
06:30
0.5 _
749
14
16:15
0.5
771
15
13:30
0.5
581
7.48
0.02
16
581
17
581
18
09:45
0.5
486
7.3
0.08
19
17:30
0.5
352
20
10:30
0.5
785
21
17:00
0.5
330
22
15:15
0.5
665
23
665
24
12:00
0.5
501
7.7
0,03
25
06:30
0.5
569
26
15:15
0.5
569
27
13:45
0.5
569
28
621
29
621
30
621
31
621
Average:
697
0,03
Daily Maximum:
1,650
7.70
0.08
Daily Minimum:
218
6.94
0.00
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
3,670
Daily Limit:
3,670
Sample Frequency:
22
1/week
1/week
3x Year
3x Year
3x Year
3x Year
3x Year
3x Year
3x Year

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of 2
Sampling Person(s) Certified Laboratories
Name: Chip White Name: Statesville Analytical
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 2)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 c raged since the previous NDMR? eves LINo
Phone Number: 3368548410 Permit Expiration: 9/30/2020
�(
7 Z
t
r/
Signature Date
I
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 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