WQ0019782_Monitoring - 04-2020_20200609

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No.: WQ0019782
Facility Name: YMCA -CAMP WEAVER
County: Guilford
Month: April
Year: 2020
PPI: 001
Flow Measuring Point: ° influent 0 Effluent u No flow generated
Parameter Monitoring Point: 0 Influent m Effluent 0 Groundwater Lowering o Surface Water
Parameter Code - 0.
50050
00400
50060
00310
_00610
00530
31616
00630
00625
00665
00010
00620
00615
00600
o
>
C
E
O
3
CL
p>prn
c
m
U
o
E
a n
w c
�
Ec
u
U
+
ZW
Al
Al
V
2
o
N
7
E
m
r
Ca0)
z
24-hr
hrs
GPD
su
I mg/L
mg/L
I mg/L
mg/L
#1100 mL
mg/IL
mg/L
mg/L
°C
mg/L
mg/L
mg/L
1
07:45
05
927
2
07:45
0 5
440
6.56
0.04
3
06:45
0.5
722
4
722
5
722
6
06:15
0.5
922
7
11:00
0.5
347
8
06:30
0.5
430
7.44
0,01
9
15:30
0.5
330
10
H
H
330
11
330
12
330
13
16:15
0.5
337
14
16:15
0.5
210
15
09:00
0.5
645
16
16:00
0.5
170
7.13
0.03
17
06:00
0.5
335
18
335
19
335
'•
201
07:45
0.5
805
c
21
14:30
0.5
425
s'
22
15:15
0.5
350
23
14:15
0.5
425
7.37
0.01
1
V
24
15:30
0.5
295
25
295
261
295
27
11:15
0.5
640
�*
'
28
17:30
0.5
475
29
14:45
0.5
140
6.77
0.02
30
12:50
0.5
657
31
Average:
457
0,02
Daily Maximum:
927
7.44
0.04
Daily Minimum:
140
6.56
0.01
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
11week
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?
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 correchi
artinnfcl taken Attach additional sheets if necessary.
Flow is "0" for 1/31. 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) Certification
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
Has the OR changed since the previous NDMR? 0 yes C No
Phone Number: Permit Expiration: 9/30/2020
S _l
I 1 ,
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 penally 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 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

FORM NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page 1 of 2
Did irrigation occur
Area (acres
Area (acres):
I Cover Crop:
•
Cove r Cr.
Natural Forest
W YES NO
mmmmmm��
�
Hourly Rate
1
. �..
/Hourly
Rateail•
���
Annual Rate (in):
1
NOUN
mmmm
I'mm
m
m
1
®M
t.3
j//////W,j,///////.�%/////
1 1:
jMm1
j///�//Mj/////�
1j/////
1 1.
j///////%//////�,/////
j///////i//////�%ij//////
"�13�-
�j///////j////%®'

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?
Compliant o Non -Compliant
d Compliant o Non -Compliant
o Compliant o Non -Compliant
n Compliant n Non -Compliant
U Compliant o 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: Rhonda Anderson
Grade: Phone Number: 252-235-4900
Signing Officials Title: President/CEO
Has the ORC chan90 since the previous NDAR-1? o Yes 0 No
Phone Number: Permit Exp.: 9/30120
r
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 penally 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 suomllledeased 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 lines 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