WQ0019782_Monitoring - 05-2020_20200701

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of
PermitNo.: WQ0019782
Facility Name: YMCA -CAMP WEAVER
County: Guilford
Month: May
Year: 2020
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
Did irrigation occur
Area (acres):
03719
Area (acres):
----
0.3719
Area (acres):
0,4477
Area (acres):
0.4477
at this facility?
Cover Crop:
Natural Forest
Cover Crop:
Natural Forest
Cover Crop:
Natural Forest
Cover Crop:
Natural Forest
L] YES NO
Hourly Rate (in):
0A
Hourly Rate (in):
0.4
Hourly Rate (in):
0A
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?
f YES No
Field Irrigated?
° YES o No
Field Irrigated?
n YEs n r+o
Field Irrigated?
° YEs ❑ No
y
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v
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> c
a
o
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_° o
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
CL
63
0,34
5.16
2
3
4
C
79
0
5,16
5
CL
62
0,03
5.16
675
20
0,07
0,07
400
15
0.04
0.04
32,467
773
267
0,21
654
18
0.05
0.05
6
CL
64
0
6.16
21,712
516
1.79
0.21
7
C
60
0
6.75
--
8
9
C
50
0.06
6.66
10
11
C
64
0
6.66
12
C
60
0
6.66
131
C
65
1 0.02
6.66
i
14
PC
71
0
6.66
_
15
C
81
0
6.66
�`
16
17
`
18
CL
69
0
6,66
h
1
19
R
54
1.85
6.16
20
R
55
16
5,25
21
R
59
1.39
5,16
22
C
80
0.21
516
23
24
- -
25
H
H
261
PC
68
0.31
5
27
R
66
0.2
4 83
1
28
CL
74
0.59
4.75
29
R
75
30
q��
31
Monthly Loading:
6%5
0,07
400
0.04
54,1 99
4.46
654
0.05
12 Month Floating Total (in):
8.48
4.27
46.18
8,26

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?
t7 Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
O Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
O Compliant 0 Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
91 Compliant 0 Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
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: Rhonda Anderson
Grade: Phone Number: 252-235-4900
Signing Official's Title: President/CEO
Has the ORC cha ged since the previous NDAR-1? o Yes o No
Phone Number: Permit Exp.: 9/30/20
2•-G
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, trial 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
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: May
Year: 2020
PPI: 001
Flow Measuring Point: u Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: o influent a effluent o Groundwater fowenng u Surrace water
Parameter Code -s
50050
00400
50060
00310
00610
00530
31616
00630
00625
00665
00010
00620
00615
00600
m
Q E
a~
O
C
O
..�+
i- n
O
Q
°
Q.
ro
o n e
~�v
O
m
T
E
E
a
o n 'o
~��
�
p
a" =
`_U
+
N N
y
zZ
7
c
N CJ7
Y o
�z
�
23
N 0
o n
~0
a
a
0
�
cl
E
a)
N
Z
.`
z
c
r3 p)
o
~z
24-hr
hrs
GPD
su
I mg/L
mg/L
mg/L
mg/L
#1100 mL
1 mg/L
mg/L
mg/L
°C
mg/L
mglL
mg/L
1
12:00
0.5
400
2
400
3
400
4
14.15
0.5
457
5
15:30
0.5
475
6
1 16:15
1 0.5
925
7
1645
0.5
625
8
625
9
10:15
0.5
881
7.91
002
10
881
11
14:00
0.5
1 795
12
15.00
0.5
792
131
15 00
0.5
860
14
17:45
0.5
590
15
15'45
0.5
1,022
6.97
0.02
16
1,022
17
1,022
18
14:00
0.5
870
191
16 45
0.5
740
20
16:15
0.5
920
21
1645
0.5
1,137
22
14,45
0.5
856
7.4
0.02
23
856
24
856
251
H
H
856
26
15:45
0.5
827
_
27
15:15
0.5
782
28
18:00
0.5
1,215
29
1315
0.5
1,030
7.18
0.04
30
1,030
311
1,030
t
Average:
812
0.03
Daily Maximum:
1,215
7.91
0.04
Daily Minimum:
400 1
6.97
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
s

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? n 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.
Flow is "0" for 1/31. This is due to
igher than the well values. This occurred due to people were using more water at the areas where the deducts are located than
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 t70Ran(j'0d since the previous NDMR? ❑ Yes a No
Phone Number: Permit Expiration: 9/30/2020
/ 41
Signature Date
Signature Da e
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 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
Raleigh, North Carolina 27699-1617