WQ0019782_Monitoring - 12-2019_20200617

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of 2
PermitNo.: W00019782
Facility Name: YMCA -CAMP WEAVER
County: Guilford
Month: December
Year: 2019
®id irrigation occur
Field Name:
1
Field Name:
--
2
Field Name:
3
Field Name:
4
this facility?Cover
Area (acres):
0.3719
Area (acres):
0.3719
Area (acres):
-
0.4477
Area (acres):
0.4477
at
Crop:Natural
Forest
Cover Crop:
p:
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?
OYES ONO
Field Irrigated?
EYES ONO
Field Irrigated?
OYES ONO
Field Irrigated?
EYES ONO
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°F
in
ft
I ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
2
CL
46
0.7
5.25
500
15
0.05
0.05
383
14
0.04
0.04
8,426
234
0.69
0.18
3
C
50
0
5.25
_
4
C
36
0
5.25
5
C
50
0
5.25
510
15
0.05
0.05
412
15
0.04
0.04
438
12
0.04
0.04
6
CL
50
0
5.25
1
525
15
0.05
0.05
413
15
0.04
0.04
443
12
0.04
1 0.04
7
8
9
CL
52
0
5.2
10
R
54
0.11
5.2
2,124
64
0.21
0.20
1,736
66
0.17
0.16
2,058
57
0.17
0.17
11
CL
38
0.5
5.3
12
C
38
0
5.2
13
R
38
1.09
5
14
15
16
C
65
0
4.83
528
15
0.05
0.05
415
15
0.04
0.04
1
440
12
0.04
0.04
17
CL
60
0.39
4.75
514
15
0.05
0.05
414
15
0.04
0.04
437
12
0.04
0.04
18
C
46
0.11
1 4.6
19
C
37
0
4.2
20
C
56
0
4.6
21
22
C
46
0
4.75
2,146
65
0.21
0.20
1,766
67
0.17
0.16
2,103
58
0.17
0.17
23
R
46
0.26
4.6
24
25
26
27
C
62
0.03
4.6
28
29
30
C
67
0.54L4.
31
C
53
0
Monthly Loading:
6,847
0.68
5,539
0.55
0
Vo,
14,345
1.18
12 Month Floating Total (in):
NO13.20
14.29
63.26
15.41

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2 of 2
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
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 Official's Title: President/CEO
Has the ORC chan d since the previous NDAR-1?
Phone Number: 3368548410 Permit Exp.: 9/30/20
Signature Date
Signature Date
By this signature. I certify that (his report is accurrale 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. 1 am aware that there are significant
penalties for suhmitling false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: 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: December
Year: 2019
Did 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
0YES ❑n0
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?
DYES ONO
Field Irrigated?
OYES ONO
Field Irrigated?
❑YES ONO
Field Irrigated?
DYES ❑NO
W
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°F
f in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
rnin
in
in
1
2
CL
46
0.7
5.25
500
15
0.05
0.05
383
14
0.04
0.04
8,426
234
0.69
0.18
3
C
50
0
5.25
4
C
36
0
5.25
5
C
50
0
5.25
510
15
0.05
0.05
412
15
0.04
0.04
438
12
0.04
1 0.04
6
CL
50
0
5.25
525
15
0.05
0.05
413
15
0.04
0.04
443
12
0.04
0.04
8
9
CL
52
0
5.2
10
R
54
0.11
5.2
2,124
64
0.21
0.20
1,736
66
0.17
0.16
2.058
57
0.17
0.17
11
CL
38
0.5
5.3
12
C
38
0
5.2
13
R
38
1.09
5
14
15
16
C
65
0
4.83
528
15
0.05
0.05
415
15
004
0.04
440
12
0.04
0.04
17
CL
60
0.39
4.75
514
15
0.05
0.05
414
15
0.04
0.04
437
12
0.04
0.04
18
C
46
0.11
4.6
19
C
37
0
4.2
20
C
56
0
4.6
21
22
C
46
0
4.75
2,146
65
0.21
0.20
1.766
67
0.17
0.16
2,103
58
0.17
0.17_
23
R
46
0.26
4.6
24
25
26
27
C
62
0.03
4 6
28
9
I
3
0-.54
4-
0
Monthly Loading:
6,847
0.68
7539
0.55
0
0.00
0214,345
1.t8
12 Month Floating Total (in):
13.20
14.29
63.26
15.41

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Paoe 2 of 2
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
It 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
nrlinnfsl taken Attach additional sheets it 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 chap d since the previous NDAR-17
Phone Number: 3368548410 Permit Exp.: 9/30120
Signature Date
j Signature Date
By this signature, I certify Thal this repgd is accurrale and complete to the best of my knowledge.
I certify. under penally of law, that this document and all attachments were prepared under my direction or supervision in accordanre
Based my
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. on
inquiry of the person or persons who manage the system, at 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 sionificanl
i
penallies for submdang lake information, including the possibility of fines and imprisonment for krovnng violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of
Permit No.: W00019782 Facility Name: YMCA -CAMP WEAVER
County: Guilford
Month: December
Year: 2019
PPI: 001
Flow Measuring Point: ° Influent u Effluent u No flow generated
Parameter MonitoringPoint: ° Influent u Effluent 0 Groundwater Lowering
9 Surface water
Parameter Code -►
50050
00400
50060
00310
00610
00530
31616
00630
006725
00
_
00620
20
15
00Zw6
0
0~06a0c
E
0
O
~
O
U.
:°
a r
Ix UZ
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<
=1
n
E
U
+
m
wE
Y o
a
a
mv
CL
E
d
l'
Z
0 0
Z
1
24-hr
hrs
GPD
su
mg/L
mg/L
mglL
mg/L
#/100 mL
mg/L
mg/L
mg/L
°C
mg/L
mg1L
mg/L
2
15:00
0.5
591
3
13:45
0.5
250
7.86
0.03
4
07:45
0.5
379
5
16:15
0.5
360
6
16:00
0.5
364
7
364
8
364
9
14.30
0.5
141
10
16:15
0.5
291
11
06:45
0.5
471
7.67
0.05
7.52
0,9
8.667
461
1.8
2.69
1.9
1.8
1,8
449
12
17:00
0.5
341
13
15:00
0.5
1,023
14
1,023
15
1,023
16
14:15
0.5
301
17
1415
0.5
332
7.49
0.02
18
13:45
0.5
298
19
11:15
0.5
461
20
15:30
0.5
535
21
535
--
22
14:45
0.5
0
23
14:00
0.5
0
24
0
25
0
26
0
27
11:30
0.5
616
8.1
0.04
28
616
29
616
30
15:00
0.5
1,867
31
16: 55
0.5
577
Average:
458
0.04
7.52
0,90
8.67
461.00
1.80
2.69
1.90
1.80
1,80
4.49
Daily Maximum:
1,867
8.10
0,05
7.52
0.90
8.67
461.00
1.80
2.69
1.90
1.80
1.80
4.49
Daily Minimum:
0
7.49
0.02
7.52
0.90
8.67
461.00
1.80
2.69
1.90
1.80 1
1.80
4.49
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
Irweek
3x Year
3x Year
3x Year
3x Year
3x Year
3x Year
3x Year

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2of2
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? ° Compliant ❑ Nan -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.
Flow is "0" for dates 12/22-12/26. This is due to the deduct values being higher than the well values. This occurred due to people were using more water at the areas where the deducts are located than the
wells.
Operator in Responsible Charge (ORC) CertificationIL Permittee Certification
ORC: Chip White Permittee: YMCA of Greensboro
Certification No.: Signing Official: Rhonda Anderson
Grade: Phone Number: 252-235-4900 Signing Official's Title: President/CEO
4theO!RC�-cgel since the previous NbMR? 1 Yes a No Phone Number: 3368548410 Permit Expiration: 9/30/2020
1
/Signature Date Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge I teddy, under penalty of law, that this documenl and all attachments were prepared under my direction or supervision m
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
galhenng the inlormalion, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
_ knowing violations
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617