WQ0019782_Monitoring - 12-2020_20210209

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No.: W0001 9782
Facility Name: YMCA -CAMP WEAVER
County: Guilford
Month: December
Year: 2020
ppl, 001
Flow Measuring Point 12 Tn(b"t 13 Effluent 0 No flow generated
Parameter Monitoring Point; 0 Influent ® Effluent 0 Groundwater Lowering 0 Surface Water
Parameter Code
00400
' 00310
70300
00916
00665
00620
00600
00929
0
9r:1-
S
E E 2
0
0
0
co
0 0
vc
0
SUM--
2
U)
0
IL
24-hr hm
su
mg/L
mg/L
MA
W
mg/L
M91L
mg/L
mq/L
mg1L
1 13:15 0.5
�0' en
2 14:45 0.5
3 18:15 0.5
............
4 13:30 0,5
V
6
t.'z
x0t
7 15:00 0.5
. . . . . . . . . .
-'L6
8 1015 0.5
..........
9 11:30 0.5
11 �"'_Qkl
6.82
R.'
TO
10 17:45 0.5
11 13:45 0.5
ft
12
v
INA
13
14 15:20 1
7
15 20:45 0.5
W_
"Aw
16 13:15 0.75
6.9
17
3.83
53 . . Y.0 3
1.25
........ . . . . . .
0.55
0.2
2.75
2�23
18 09.25 0.75
6.9
Lim
19 14:30 0.5
..X
........
...
20
21 14:00 1
.................. ................. ............ . . . . . . . . . .
. . . . .
N �j
6.83
22 17:45 0-5
U 12:30 0.755
6.75
24 H
ON
251 H
11 . . . . . . . . . .
NWIR
26
9 0210
Now
27
5 011
28 14.45 0.75
no, WQ
6.9
�g
29 19:30 1 0.5
..........
........
30 16'45 0
0.
6.8
R
T, -00 0.5 14.
Average:
33 183
53.00
........ ....... . . . . . . .
1.25
.....
0.55
020
2.75
R?
Daily Maximum:
7.11
x03 3.83
53.00
1175
0.55
ram?0.20
275
__.2.23
2.23
Daily Minimum
6.75
3.83
53.00
1.25
-
0.55
020
2.75
2.23
Sampling Type:
Grab
b
Grab.ata
Grab y
k-Grabs
Monthly Avg. Limit :
..........
Daily Limit
1
4I
MM
AM
Sample Frequency:
1/week
3x Year
UYear
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:
uoes all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? a 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 (CRC) Certification Permittee Certification
ORC: Chip White Permittee: YMCA of Greensboro
Certification No.: Signing Official: Rhonda Anderson
Grade: Phone Number 336-549-8990 Signing Official's Title: President/CEO
Has the ORC changed since the previous NDMR? Q Yes a No Phone Number: Permit Expiration: 12131 /2026
Signature Date Signature Dal
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certify, under penally of Iaw, 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 these persons directly responsible far
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 violalions.
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.: WQ0019782
Facility Name: YMCA -CAMP WEAVER
County. Guilford
Month: December
Year: 2020
Did
irrigation occur
TOM ON
Field Name,
2
Field
Name:
4
at
this facility?
N. 5
W
Area (acres):
0.3719
% aCte
14"..- w,11-
Area
acres):
0.4477
Covef Crop:
Natural
Forest
Cover
Crop:
Natural
Forest
0 YES
0 NO
Hourly Rate (in):
0.4
Hourly
Pate (in):
0.4
Annual Rate (I n):
38,3
1 K
(in)
38,3:
Weather Freeboard
Field Irrigated?
0
YES
aNO
aced?
13 YES
0 NO
Q
E 01
;go
W
0•0
Q
R
U
0
0
E
CJ
TY.r
CL
.2
S
= z
E
0 4u,fit
E
E
r L
0
0 CL
> 4C
r
T
';K-
-F
I in
n
ft
nT
gal
min
in
In
Wit t —1
gal
min
in
in
I
PC
1 46
1 0
7.161
�-4
WORt
Q
W
2
C
53
0
716
it
3
C
41
0
716
4 a
'r 6
'N
.1k
4
CL
58
0
7.16
3.975
0-33
5
mom
6
7
CL
39
0.02
7.25
AM
8
C
38
0
7.25
9
C
46
0
T25
10
PC
50
0
7.25
11
C
64
0
08
7,009
0.58
12
. . . . . . . . . . .
13
Etiz
14
C
52
1.2
a
io 011
ft
uF rti_50
5,269
0.43
15
C
30
0.01
7.33,
i XYM
16
R
50
0.4
7.251
17
gg
18
C
51
0
7-251
k �50
A*
US;
gc
is-
PC
50
0
7-081
P.
INN
F-0
20
21
C
54
0
7.33
•
WN*M
010;
22
C
43
0
—0
7
M
ell', ft-4
MAO
i0n! WAK
23
C
54
7.33
MOM
. . . . . .
MR
—
24
H
H
H
25
H
H
H
ii��A.
wmu
. . . . . . . . . . . . . . . . .
0
26
NAM
.
27
41. At 22.
28
C
55
0
7.66
29
C
34
0
6.75
30
R
43
0
675
W
31: CL
55 5, 6.6
—
Monthly Loading.
16,253
1.3470
12
Month Floating Total
(in):
23-79

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?
O Compliant O Non -Compliant
0 Compliant ❑ Non -Compliant
O Compliant o Non -Compliant
21 Compliant ❑ Non -Compliant
o Compliant Q 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 nPrassary
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Chip White
Permittee:
YMCA of Greensboro
Certification No.:
Signing Official: Rhonda Anderson
Grade: Phone Number: 336-549-8990
Signing Officials Title: President/CEO
Has the ORC changed since the previous NDAR-1? o yes m No
Phone Number: Permit Exp.: 12/31/26
/2- 1� z, 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 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
Raleigh, North Carolina 27699-1617