WQ0019782_Monitoring - 02-2020_20200406

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No.: W00019782
Facility Name: YMCA -CAMP WEAVER
County: Guilford
Month: February
Year: 2020
PPI: 001
Flow Measuring Point: 0 Influent ❑ Effluent 11 No flow generated
parameter Monitoring Point: ° Influent o Effluent 0 Groundwater towering Surface water
Parameter Code —s
50050
00400
50060
00310
00610
00530
31616.
00630
00625
00665
00010°
00620
00615'`
00600
tlf
OQE
O
t
O
o
-
Ix U
O
O
E
C
ytN
v=
O
V
t
i-
o
inin 0
L
F Nn
O
a
N
)
MF«
Zl
�
oo
z
24-hr
hrs
GPD
I su
mgfL
mg/L
mg/L
mg/L
1 #/100 mL
mg/L
mg/L
mg/L
°C
mg/L
mgfL
mg/L
1
2
3
16:15
0.5
250
4
1600
0.5
321
5
13:30
0.5
807
6
15:00
0.5
661
7
10:45
0 5
653
8
653
9
653
10
13-15
0 5
461
11
17.00
0.5
220
12
14:00
0.5
590
13
17:00
0.5
550
14
10:00
0.5
449
15
449
161
1
449
17
449
18
14:30
0.5
380
19
10:00
0.5
240
r
20
14:00
0.5
350
Q
21
12:30
0.5
302
221
302
23
302
24
16:00
0.5
330
25
14:30
0.5
370
26
14 00
0.5
341
27
15:45
0.5
531
28
649
29
10:15
0.5
649
30
31
Average:
458
Daily Maximum:
807
Daily Minimum:
220
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) ii Certified Laboratories
Name: Chip White 1, Name: Statesville Analytical
�I
Name: Name:
Page 2 of
Uoes all monitoring data and sampling frequencies meet the requirements in Attachment A Of your permit? ° °t"" •' NO;,
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance Provide to your exolanatlon the date(s) of the non•comp,iance and describe the corrective
action(s) taken Attach additional sheets if nerassary
is "0" for 1/31 This is due to the eeduct values being higher than the ,yell values. This occurred due to peonie were using more water at the areas where the deducts are located Than the
Operator in Responsible Charge (ORC) Certification
II
l Permrttee Certification
ORC: Chi White
p
t
;Permrttee:
Yt1CA. of Gieensboro
Certification No.:
Signing Official: Greg ,tones
Grade: Phone Number: 252-235.4900
i
Signing Official's Title: President/CEO
Has the ORC c tinged since the previous NDMR? �`' " rh
Phone Number: 3368548410 Permit Expiration: 9/30/2020
77
2&
3
Signature
Date
I
Signature
Oat
� :e�c::. r
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n eJ�e
. cel!h ..... renai;y of ia& !nal Tr; e.'c✓nrrn anti ,aL• allaa.m eats wire p:eparze :.nee; my C•rruron d' scene: wa+:m :
I
aCCU canoe +.:!^. a is ass:;•e mat a:! .;:ai:!k-q Geracnne: p:C7dn( gd:rdren and
s�G.r. ^dc Easee ur, n•. :n�u ry o; the person or Cerscns »hl rcana5e the sysieru c: uccay
�a!h4nn� Ili@ �ntcnnabnn. the mfortOal:0:1 sJDr,,,,:1 L•U •s to tnc Lest of my kr Olmeogc are U¢Itd!. Lue. dcc-at¢. c.mptei. i an:
aNOte !nli InMe e.G sgn!G]rl peea!fis IS se.^.meth !aUc int O: m.nLCn :uC2rC+:y :' - pUS s:C,,:y or t.Ma m.,. i.ny: av : e... �.
•npw�ng :�;�I�I:c+ns
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: February
Year: 2020
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
Did irrigation occur
at this facility?
---
Area (acres):
-
0.3719
Area (acres):
-
0.3719
Area (acres):
-
0.4477
Area (acres):
0,4477
Cover Crop:
Natural Forest
Cover Crop:
Natural Forest
Cover Crop:
Notural'Forest
Cover Crop:
Natural Forest
° 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?
" YES a No
Field Irrigated?
° YES ° No
Field Irrigated?
" YES ❑ No
Field Irrigated?
° YES ° No
w
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y
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7
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>�[
M
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1- C
rn
r c
� 0
E 0
� >1
M= 0
.
d v
E
0
v
a� ;;
m
~
rn
c
v
0 �
E rn
=? c
E o
1° _ 0
°r
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
2
3
C
67
0
5.25
4
CL
65
0
5.25
5
R
60
0.1
5.25
6
R
50
0.71
4.5
7
C
52
1.09
4.5
8
9
10
CL
55
0
4.25
11
C
64
1 0.83
4.25
121
CL
55
0.01
4.06
63
2
0.01
0.01
127
5
0.01
0.01
106
2.5
0.01
0.01
179
5
0.01
0.01
131
PC
59
0.63
4
141
C
45
0
4
2,638
79
0.26
0.20
1,708
65
0.17
0.16
4,257
101
0.35
0.21
2,666
74
0.22
0.18
15
16
17
18
CL
55
0
4.3
598
18
0.06
0.06
392
15
0.04
0.04
9,591
228
0.79
0.21
669
18
0.06
0.06
19
CL
47
0,25
4.5
667
20
0.07
0.07
405
15
0.04
0.04
2,969
70
0,24
0.21
661
18
0.05
0.05
20
SN
40
0
4.75
21
SN
36
0.01
4.75
653
19
0,06
0.06
406
15
0.04
0.04
4,317
102
0.36
0.21
655
18
0.05
0.05
22
23
24
R
45
0.01
4.75
25
CL
62
0.44
4.75
26
CL
63
0
4.75
271
C
70
0
4.75
28
29
C
41
0
4.6
30
31
Monthly Loading:
4,619
0.46
3,038
0.30
21,240;R-77-5
4,830
0 40
12 Month Floating Total (in):
14.91
11.81
17. 99
11.60

FORM NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT NDAR-1 ._rr
Paaa _ 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?
1 Non'cotne:vin
:. Comitlant + ti C, 11 u:ohJnt
If the facility is non -compliant. please explain in the space below the reason(s) the facility was nct in compliance. Provide +r, your explanation the date(s) of the non-comOiance and describe the corrective
acUon(s) taken A!tach additional sheets if necessary
Operator in Responsible Charge (ORC) Certification j Permittee Certification
I
ORC: Chip White Perinittee.
YMCA of Greensboro
Certification No.: �i Signing Official: Greg Jones
Grade: Phone Number: 252-235-4900 Signing Official's Title: PresldenUCEO
I
Has the ORC changed since the previous NDAR-1?
yes a II Phone Number: 3368548410 Permit Exp.: 913020
i J
Signature Date
Signature Dale
By lrs s: :na:..te I ce::tly That n::s reliCl: d..Culldlr a. r ,,Wo;,_ t.,- l:-2 zcs. c.:rp i,.� rd)_ I __. .. pe. a'Ir ..+r. ;.I ;'.6 aaG..m2:'1 e� ,: el, al1a.'�rr r-� a �. er._• p: ef:%�rcu _..r rr r tl reU�o' o a.p�:..v0o _�_ ,....:ncc
system �as.gne.! 1p ass•,:e !r:X al gaal.! �.d {:crcrrel jrupe:ly 43l.'1Crei1 .1r0
.r.c..::y of :he petsiln cr ❑erSors 'nra manage :nr sys.'enl r VWse rersr.r!s rLreah re:rucs•bW tar g.arCnny trte
NOD: ffr �!::.:, s�U^.;:ems .: :o ;to-i Cesl C':pj Lr. t. nir Cge OnC oBie t, rr.h:. aUuf%tle sfvi :4N p:n; l• ! am .,.... a Thal !born S:c yn:Liry
.'.t'.:f l••:'s :Ct 5,......,. 'r�!ai3C r^.1.--'rr 1:.:,.1 ......'i .� �Ca�J.1.lI :)I r.:'ie a':1 .rn,. ri�ur ,-r:t I.:, i•:iG .,j
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617