WQ0019782_NOD-2021-PC-0376_20210526

ROY COOPER
Governor
DIONNE DELLFGATTI
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
May 26, 2021
CERTIFIED MAIL NUMBER 7018 1130 0000 1612 5365
RETURN RECIEPT REQUESTED
Jamie Cosson — Executive Director
The Young Men's Christian Association of Greensboro Inc.
4924 Tapawingo Trail
Greensboro, North Carolina 27406
SUBJECT: Notice of Deficiency (NOD-2021-PC-0376)
Compliance Evaluation Inspection
Permit No. WQ0019782
YMCA Camp Weaver WWTP
Guilford County
Dear Mr. Cosson:
On May 21, 2021 Division of Water Resources staff person Caitlin Caudle conducted a
scheduled routine compliance inspection. Jamie Cosson of YMCA Camp Weaver was
briefly present during the beginning of the inspection. David Murton, Back Up ORC, of
YMCA Camp Weaver and Josh Powers and Todd Robinson of Envirolink, Inc. were
present during the entire inspection. A review of records, wastewater treatment facility,
and drip zones was completed. This review showed noncompliance with the subject
permit.
The following deficiencies were noted:
1. Permit Condition 1.1 required that a gauge to monitor waste levels in the lagoon be
installed within 60 days of the effective date of the permit. A gauge should have been
installed by November 30, 2020. A staff gauge had not been installed by the time of
inspection. Please make efforts to install a staff gauge within ninety (90) days of
receipt of this letter. A freeboard marker may be installed by a surveyor and an
engineer certification submitted by the design engineer.
2. Several saplings were present on the top of the lagoon embankment on the interior of the
fence. Permit Condition 111.15 states "trees, shrubs, and other woody vegetation shall not
be allowed to grow in the earthen dikes or embankments. Earthen embankments shall be
kept mowed or otherwise controlled and accessible." Please remove the small saplings
and mow the rest of the embankment contained within the fenced area.
HoarH CAROLIYgD � Q�f
ORWOrn M u, �1m nM Ouai�
North Carolina Department of Environmental Quality I Division of Water Resources
Winston-Salem Regional Office 1 450 West Hanes Mill Road, Suite 300 1 Winston-Salem. North Carolina 27105
336.776.9800

3. At the time of inspection, effluent was leaking from a seal at the bottom of the secondary
disk filter (black covering). Permit Condition VA states "the permittee shall perform
inspections and maintenance to ensure proper operation of the wastewater treatment and
irrigation facilities." Please take measures to repair this leak as soon as possible.
The following items of concern were noted:
A. An Operation and Maintenance Plan could not be located at the time of inspection. Permit
Condition 111.2 states "the Permittee shall maintain an Operation and Maintenance
Plan..." Mr. Powers stated that a new Operation and Maintenance Plan will be developed
as the existing plan could not be located during the transition of ORCs. Please develop
a new Operation and Maintenance Plan within ninety (90) days and provide a copy
to Ms. Caudle.
B. A maintenance log was not present at the time of inspection. Permit Condition IV.9 states
"a maintenance log shall be kept at this facility." Mr. Powers stated that the previous ORC
kept a personal log book and did not provide copies to Envirolink. Mr. Powers stated that
moving forward, a single log book will be kept on site for all ORCs and Back UP ORCs.
Please review the referenced permit condition and be familiar with what must be
included in the log book.
C. A review of the soil reports from 2017 to 2020 showed elevated exchangeable sodium
percentages and elevated concentration of sodium. Ms. Caudle requested that she be
notified of the next soil sampling event to split sample and review sampling
procedures. Ms. Caudle also recommended collecting additional effluent samples to
analyzes for calcium, magnesium, and sodium. High strength effluent can negatively
impact the drip zones by decreasing permeability and infiltration potential, as well as
causing ponding and runoff.
D. Permit Condition 111.4 states "the Permittee shall maintain vegetative cover on the
irrigation sites, such that crop health is optimal, allows even effluent distribution, and
allows inspection of the irrigation system." At the time of inspection there was a small tree
down in Zone 2 and a tree on the fence of Zone 4. Please be mindful that brush and
downed trees will prevent adequate inspections of the drip zones. Please continue
to remove downed trees and brush from the drip zones in a timely manner.
E. Zone 3 has not been used since July of 2020 to allow the 12 month floating total to return
to compliance. Zone 2 has not been used since September of 2020 due to repairs. Please
inspect Zones 2 and 3 with the next irrigation event to ensure there are no leaks or
breaks in the drip lines and make timely repairs if needed.
Mr. Cosson stated that the facility has been approved to connect to city sewer and is the
engineering stage of the process. Please provide Ms. Caudle with documentation
supporting this approval and an expected timeline of connecting to city sewer within
ninety (90) days of receipt of this letter.
hFORiH �
CAROLINAD E Q�
gape qm of E Im...m I qualV\
North Carolina Department of Environmental Quality 1 Division of Water Resources
Winston-Salem Regional Office 1 450 West Hanes Mill Road, Suite 3001 Winston-Salem, North Carolina 27105
336.776.9800

Please take the appropriate corrective actions to address the above described
deficiencies and concerns and refer to the enclosed inspection report for additional
comments and observations. A follow up inspection will be scheduled to review the
placement of a staff gauge. If you have any questions concerning this letter, please
contact me or Caitlin Caudle at the letterhead address or phone number, or by email at
caitlin.caudle(a).ncdenr.gov or Ion.snider(ab-ncdenr.gov.
Sincerely,
DocuSiiggned by:
%A. l . 5,,. Gr
1-.49E225C94EA—
Lon T. Snider, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ-WSRO
enc: Inspection Report
cc: Todd Robinson (trobinson(c envirolinkinc.com)
Josh Powers (jpowers envirolinkinc.com)
Guilford County Environmental Health (waterguality(aguilfordcountync.gov)
Laserfiche File (WQ0019782)
WSRO Electronic Files
hFORiH �
CAROLINAD E Q�
gape qm of E Im...m I qualV\
North Carolina Department of Environmental Quality 1 Division of Water Resources
Winston-Salem Regional Office 1 450 West Hanes Mill Road, Suite 3001 Winston-Salem, North Carolina 27105
336.776.9800

Comoliance Insoection Resort
Permit: WQ0019782 Effective: 10/01/20 Expiration: 12/31/26 Owner: The Young Men's Christian Association of
Greensboro Inc
SOC: Effective: Expiration: Facility: YMCA Camp Weaver WWTP
County: Guilford 4924 Tapawingo Trl
Region: Winston-Salem
Greensboro NC 27406
Contact Person: Rhonda Anderson Title:
Phone:
Directions to Facility:
From 1-40 East/1-85 North take the Lee Street Exit #128. Turn Right (south) on Lee Street and follow until it ends. Right onto
Young's Mill Road and follow until it ends. Left onto Mill Point Road and follow for 3/4 mile. right on Tapawi
System Classifications: SI, WW2,
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 05/21/2021 Entry Time 10:OOAM Exit Time: 12:45PM
Primary Inspector: Caitlin Caudle Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Wastewater Irrigation
Facility Status: ❑ Compliant Not Compliant
Question Areas:
Miscellaneous Questions Treatment Record Keeping
Treatment Activated Sludge End Use -Irrigation Treatment Influent Pump Station
Treatment Disinfection Storage Standby Power
(See attachment summary)
Page 1 of 7

Permit: WQ0019782 Owner - Facility: The Young Men's Christian Association of Greensboro Inc
Inspection Date: 05/21/2021 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
On May 21, 2021 Division of Water Resources staff person Caitlin Caudle conducted a scheduled routine compliance
inspection. Jamie Cosson of YMCA Camp Weaver was briefly present during the beginning of the inspection. David Murton,
Back Up ORC, of YMCA Camp Weaver and Josh Powers and Todd Robinson of Envirolink, Inc. were present during the
entire inspection. A review of records, wastewater treatment facility, and drip zones was completed. This review showed the
facility was noncompliant with the subject permit.
The following deficiencies were noted:
1. Permit Condition 1.1 required that a gauge to monitor waste levels in the lagoon be installed within 60 days of the
effective date of the permit. A gauge should have been installed by November 30, 2020. A staff gauge had not been installed
by the time of inspection. Please make efforts to install a staff gauge within ninety (90) days of receipt of this letter. A
freeboard marker may be installed by a surveyor and an engineer certification submitted by the design engineer.
2. Several saplings were present on the top of the lagoon embankment on the interior of the fence. Permit Condition 111.15
states "trees, shrubs, and other woody vegetation shall not be allowed to grow in the earthen dikes or embankments.
Earthen embankments shall be kept mowed or otherwise controlled and accessible." Please remove the small saplings and
mow the rest of the embankment contained within the fenced area.
3. At the time of inspection, effluent was leaking from a seal at the bottom of the secondary disk filter (black covering).
Permit Condition V.1 states "the permittee shall perform inspections and maintenance to ensure proper operation of the
wastewater treatment and irrigation facilities." Please take measures to repair this leak as soon as possible.
The following items of concern were noted:
A. An Operation and Maintenance Plan could not be located at the time of inspection. Permit Condition 111.2 states "the
Permittee shall maintain an Operation and Maintenance Plan..." Mr. Powers stated that a new Operation and Maintenance
Plan will be developed as the existing plan could not be located during the transition of ORCs. Please develop a new
Operation and Maintenance Plan within ninety (90) days and provide a copy to Ms. Caudle.
B. A maintenance log was not present at the time of inspection. Permit Condition IV.9 states "a maintenance log shall be
kept at this facility." Mr. Powers stated that the previous ORC kept a personal log book and did not provide copies to
Envirolink. Mr. Powers stated that moving forward, a single log book will be kept on site for all ORCs and Back UP ORCs.
Please review the referenced permit condition and be familiar with what must be included in the log book.
C. A review of the soil reports from 2017 to 2020 showed elevated exchangeable sodium percentages and elevated
concentration of sodium. Ms. Caudle requested that she be notified of the next soil sampling event to split sample and
review sampling procedures. Ms. Caudle also recommended collecting additional effluent samples to analyzes for calcium,
magnesium, and sodium. High strength effluent can negatively impact the drip zones by decreasing permeability and
infiltration potential, as well as causing ponding and runoff.
D. Permit Condition 111.4 states "the Permittee shall maintain vegetative cover on the irrigation sites, such that crop health is
optimal, allows even effluent distribution, and allows inspection of the irrigation system." At the time of inspection there was
a small tree down in Zone 2 and a tree on the fence of Zone 4. Please be mindful that brush and downed trees will prevent
adequate inspections of the drip zones. Please continue to remove downed trees and brush from the drip zones in a timely
manner.
E. Zone 3 has not been used since July of 2020 to allow the 12 month floating total to return to compliance. Zone 2 has not
been used since September of 2020 due to repairs. Please inspect Zones 2 and 3 with the next irrigation to ensure there are
no leaks or breaks in the drip lines and make timely repairs if needed.
Mr. Cosson stated that the facility has been approved to connect to city sewer and is the engineering stage of the process.
Page 2 of 7

Permit: WQ0019782 Owner - Facility: The Young Men's Christian Association of Greensboro Inc
Inspection Date: 05/21/2021 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Please provide Ms. Caudle with documentation supporting this approval and an expected timeline of connecting to city
sewer within ninety (90) days of receipt of this letter.
Other observations:
• The previous ORC no longer works for Envirolink, and they are in the process of designating a new ORC.
• Freeboard is measured from the wet well. Mr. Murton stated that there is a 6" pipe that leads from the lagoon to the wet
well that allows the effluent levels in the lagoon and wet well to be the same. A handheld meter stays on site to read the
freeboard level in the wet well. The meter measure the depth of effluent from the top of the wet well. The top of the wet well
appears to be level with the top of the lagoon. The wet well is located on the exterior of the fence around the lagoon.
• Several relic ditches had been excluded from the irrigation zones in 1 and 2 due to past runoff during irrigation. Mr.
Murton stated that zone 3 may also have exclusions. These areas were excluded by replacing the drip emitters passing
through the ditch with solid pipes. Mr. Murton stated that these excluded areas have not been removed from the permitted
acreage.
• All drip zones are fenced with two strands of wire on T posts.
• The drip system is currently automated. The system is turned on by a float in the wet well. The system will irrigate in
each zone until a certain volume (gallons) is reached, and then switches to a new zone. If the system cuts off before a zone
is completely does, it will first irrigate the next zone in the cycle when activated again.
• A rain sensor was installed on the top of the pump house.
• Zones 2 and 3 are going back into use after being offline to allow the 12 month floating average to come back into
compliance. Zone 2 has also been offline for a valve to be repaired.
• Rainfall is recorded using an electronic rain gauge. Rain is reported on the day the rain gauge is read.
• The old dosing system is still being used, it has not been updated.
• The only meter on the system is the effluent flow meter at the irrigation pumps. This meter is calibrated annually. Permit
Condition 111.16 requires that all metering equipment be calibrated annually. The meter displays gallons per minute and also
has a totalizer. Water meters are read to determine influent flow.
• A small generator is used to power the lift station. It is tested weekly and regularly serviced.
• The WWTP consists of a septic tank, MicroFast 9.0, chlorinator and a wet well for the pump station. The manhole
inside the fenced area and the one directly outside are for the MicroFast unit. The next two are for the septic tank, and the
manhole on the concreate riser is a junction box.
• Solids are pumped as needed. The previous ORC from Envirolink would use a sludge judge to determine when the septic
tank needed to be pumped. The MicroFast unit would be pumped at the same time.
• The MicroFast unit has a blower in it to aerate the bacteria. There is an electrical control panel beside the blower unit
with a light on top of it. Mr. Murton did not know if the light was for an alarm when the blower was not working. There was not
a test button to test the alarm.
Page 3 of 7

Permit: WQ0019782
Inspection Date: 05/21/2021
Owner - Facility: The Young Men's Christian Association of Greensboro Inc
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Type
Yes No NA NE
Single Family Spray, LR
❑
Infiltration System
❑
Reuse (Quality)
❑
Activated Sludge Spray, HR
❑
Activated Sludge Spray, LR
❑
Single Family Drip
❑
Recycle/Reuse
❑
Activated Sludge Drip, LR
❑
Lagoon Spray, LR
Treatment Yes No NA NE
Are Treatment facilities consistent with those outlined in the current permit? 0 ❑ ❑ ❑
Do all treatment units appear to be operational? (if no, note below.) 0 ❑ ❑ ❑
Comment:
Treatment Influent Pump Station
Yes No NA NE
Is the pump station free of bypass lines or structures?
0
❑ ❑ ❑
Is the general housekeeping acceptable?
❑ ❑ ❑
Are all pumps present?
❑ ❑ ❑
Are all pumps operable?
❑ ❑ ❑
Are floats/controls operable?
❑ ❑ ❑
Are audio and visual alarms available?
0
❑ ❑ ❑
Are audio and visual alarms operational?
❑ ❑ ❑
# Are SCADA/Telemetry alarms required?
❑
❑ ❑
Are SCADA/Telemetry available?
❑
❑ ❑
Are SCADA/Telemetry operational?
❑
❑ 0 ❑
Comment:
Standby Power Yes No NA NE
Is automatically activated standby power available? ❑ ❑ ❑
Is generator tested weekly by interrupting primary power source? ❑ ❑ ❑
Is generator operable? ❑ ❑ ❑
Does generator have adequate fuel? 0 ❑ ❑ ❑
Comment: Generator is for pump station and blowers for MicroFast unit.
Treatment Activated Sludge Yes No NA NE
Is the aeration mechanism operable? 0 ❑ ❑ ❑
Page 4 of 7

Permit: WQ0019782 Owner - Facility: The Young Men's Christian Association of Greensboro Inc
Inspection Date: 05/21/2021 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Is the aeration basin thoroughly mixed? 0 ❑ ❑ ❑
Is the aeration equipment easily accessed? ❑ 0 ❑ ❑
Is Dissolved Oxygen adequate? ❑ ❑ 0 ❑
Are Settleometer results acceptable? ❑ ❑ 0 ❑
Is activated sludge an acceptable color? ❑ ❑ ❑
Comment: Aeration takes place in the MicroFast unit. That unit is buried below ground with an individual
cell in the tank housing the blowers.
Treatment Disinfection
Yes No NA NE
Is the system working?
❑ ❑ ❑
Do the fecal coliform results indicate proper disinfection?
❑ ❑ ❑
Is there adequate detention time (>=30 minutes)?
❑ ❑ ❑
Is the system properly maintained?
❑ ❑ ❑
If gas, does the cylinder storage appear safe?
❑
❑ ❑
Is the fan in the chlorine feed room and storage area operable?
❑
❑ ❑
Is the chlorinator accessible?
❑ ❑ ❑
If tablets, are tablets present?
❑ ❑ ❑
Are the tablets the proper size and type?
❑ ❑ ❑
Is contact chamber free of sludge, solids, and growth?
❑ ❑ ❑
If UV, are extra UV bulbs available?
❑
❑ ❑
If UV, is the UV intensity adequate?
❑
❑ ❑
# Is it a dual feed system?
❑
❑ ❑
Does the Stationary Source have more than 2500 Ibs of Chlorine (CAS No. 7782-50-5)?
❑
❑ ❑
If yes, then is there a Risk Management Plan on site?
❑
❑ ❑
If yes, then what is the EPA twelve digit ID Number? (1000-
If yes, then when was the RMP last updated?
Comment:
Record Keeping
Yes No NA NE
Is a copy of current permit available?
0
❑ ❑ ❑
Are monitoring reports present: NDMR?
❑ ❑ ❑
NDAR?
❑ ❑ ❑
Are flow rates less than of permitted flow?
❑ ❑ ❑
Are flow rates less than of permitted flow?
❑ ❑ ❑
Are application rates adhered to?
❑ ❑ ❑
Is GW monitoring being conducted, if required (GW-59s submitted)?
❑
❑ ❑
Are all samples analyzed for all required parameters?
❑ ❑ ❑
Are there any 2L GW quality violations?
❑
❑ ❑
Page 5 of 7

Permit: WQ0019782 Owner - Facility: The Young Men's Christian Association of Greensboro Inc
Inspection Date: 05/21/2021 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Is GW-59A certification form completed for facility?
❑
❑ 0 ❑
Is effluent sampled for same parameters as GW?
❑
❑ 0 ❑
Do effluent concentrations exceed GW standards?
❑
0 ❑ ❑
Are annual soil reports available?
0
❑ ❑ ❑
# Are PAN records required?
❑
❑ 0 ❑
# Did last soil report indicate a need for lime?
❑
0 ❑ ❑
If so, has it been applied?
❑
❑ 0 ❑
Are operational logs present?
❑
0 ❑ ❑
Are lab sheets available for review?
0
❑ ❑ ❑
Do lab sheets support data reported on NDMR?
0
❑ ❑ ❑
Do lab sheets support data reported on GW-59s?
❑
❑ 0 ❑
Are Operational and Maintenance records present?
❑
0 ❑ ❑
Were Operational and Maintenance records complete?
❑
0 ❑ ❑
Has permittee been free of public complaints in last 12 months?
0
❑ ❑ ❑
Is a copy of the SOC readily available?
❑
❑ 0 ❑
No treatment units bypassed since last inspection?
0
❑ ❑ ❑
Comment: Effluent samples did not exceed ground water standards. Lime was not recommended on soil
reports. Operational logs were not present,
and operational and maintenance records were not
present or complete.
End Use -Irrigation
Yes No NA NE
Are buffers adequate?
❑ ❑ ❑
Is the cover crop type specified in permit?
❑ ❑ ❑
Is the crop cover acceptable?
❑ ❑ ❑
Is the site condition adequate?
❑ ❑ ❑
Is the site free of runoff / ponding?
❑ ❑ ❑
Is the acreage specified in the permit being utilized?
❑
❑ ❑
Is the application equipment present?
❑ ❑ ❑
Is the application equipment operational?
❑ ❑ ❑
Is the disposal field free of limiting slopes?
❑ ❑ ❑
Is access restricted and/or signs posted during active site use?
❑ ❑ ❑
Are any supply wells within the CB?
❑
❑ ❑
Are any supply wells within 250' of the CB?
❑
❑ ❑
How close is the closest water supply well?
❑
❑ ❑
Is municipal water available in the area?
❑
❑ ❑
# Info only: Does the permit call for monitoring wells?
❑
❑ ❑
Are GW monitoring wells located properly w/ respect to RB and CB?
❑
❑ ❑
Are GW monitoring wells properly constructed, including screened interval?
❑
❑ ❑
Page 6 of 7

Permit: WQ0019782 Owner - Facility: The Young Men's Christian Association of Greensboro Inc
Inspection Date: 05/21/2021 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Are monitoring wells damaged?
Comment: Areas in the spray zones have been excluded from use because of limiting slopes and
topography.
❑❑■❑
Page 7 of 7

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orrth aro ma Deparnnent of VW e I ualiry
Division of Water Resources
Water Quality Section
NON -DISCHARGE COMPLIANCE INSPECTION REPORT
WASTEWATER IRRIGATION
General Information
Facility Name: YMCA Camp Weaver County: Guilford
Permit No.: W00019782
Issuance Date: .
Owner: Rhonda Anderson
Expiration Date
ORC Name:
Telephone No.:
Backup ORC: &Vk
Telephone No.:
Other Contac : amie Cosson
Telephone No.:
Location (address, gps or directions): 4924 Tapawingo
Trail, Greensboro NC 27406
10/01/2020
- 12/3112026
336-697-0525
Reason for Inspection
® ROUTINE ❑ FOLLOW-UP ❑ COMPLAINT ❑ PERMITTING ❑ Other:
(attach additional pages as
zTere oard marker installed? (by 11/30/2020) � 0� j
sensors installed? 11 Q5 I iA �Ap Re)S
V.ion s 2 and 3 going back in use (used in jan 2021)? \Ie5r wal� Al A$k� �U� �Q LIM
etering equipment calibrated? (Annually per new permit)
ZSpr kler and flow meter calibration must now be included in mainenance log
plit sample for effluent and review soil sampling methods, noted some high ESP and Na
values in soil reports
Ze Zdosing system? SAi�\ -c std 6y\ -
is rainfall recorded on NDMRs? At the end of the day? From the night before?
P2eo d2� o .ACda� iks nfad. Vt6" ��owrXe y tveI�r age
n me ering equipment of er than flow meter? Yob t Q
o�il Reports? ESP? l W�4o �{� It% �[
:eron cling to city sewer? TaAW gyj r Q i�c� ahGtSe, beby'( a�pt\u, /e b bq _Ww 6, y
�G's1Y mI 6� �roP O��V oaf JJP,ImbgANvt.emA- S41 ablocddo 6v�
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365h(Y6We'5100'09 WOVely' \J
t6&i 4-6bins6v\I c,s,-,A •are0—w4A 6r (,rv',N (3V_C) �rob�nsoy�@ e,lV,Nl(4-ii1C•CoryI
Few days in Sept 2020 where irrigation rbccurred when it rained
Submit permit renewal by July 4, 2026
Is a follow-up inspection necessary ❑ Yes ❑ No
Primary Inspector
Date of Inspection
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Exit Time:%
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Caitlin Caudle
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Secondary Inspector:
Entry Time: tb*,ft

No'n=D harge Compliance Inspection Report
Record Keeping and Reporting Information
Y
N
NA
NE
Is current permit available upon request?
❑
El
El
the facility been free of public complaints for the last 12 months?
❑
❑
❑
re maintenance and inspection logs present (date & time of inspections, visual observations,
any maintenance (adjustments, cleanings, equip changes) or repairs taken)?
❑
[ingif
❑
❑
Are weekly freeboard records present?
9
❑
❑
❑
Are irrigation tracking records present (date, weather, volume, length time, field #,
Hydraulic loading, nutrient loading, other)?
❑
❑
❑
—'Has irrigation equipment been calibrated (once/permit cycle) & records present?
�{
❑
❑
❑
Are records present for residuals removal (date, volume, Residual Hauler Name,
Name/permit of the receiving party or letter from Municipality)? ❑ ❑ ❑
Is an Operation & Maintenance Plan, and Spill P144&sent? ❑ ❑ ❑
Are appropriate grade ORC & Backk RC designated? Up to date CE? 4 ❑
Effluent Monitoring N"^��� mA1�(tQ(f(rlU�+1 t� �D(L456f- An
ffl
d2S[gVi0.AGaICZY11`�1C�
Were effluent monitoring reports present? NDMR ® NDAR ❑ NDMLR ❑ ❑ ❑
Are flow rates less than permitted flow? Permitted Flow: 3,670 GPo ❑ ❑ ❑
Are application rates adhered to? Permitted Rate: 0.4 inmr; 38.3 intyr ❑ ❑ ❑
Are lab sheets available for review and support monitoring reports? ❑ ❑ ❑
Are samples analyzed for the required parameters (See permit)? ❑ ❑ ❑
Effluent concentrations do NOT exceed permit limits or 2L GW standards? ❑ ❑ ❑
If required, are PAN records present and complete? ❑ ❑
roun water onitorinQ:
Is eraundvcaterfaonitocing— ouired? I-1 F—
Were sam les analLJ ❑
served records indicate no 2L GW quality violations? ❑ ❑ ❑
Soil Analysis:
Were annual soil analyses results present for each irrigation field? ❑ ❑ ❑
If lime was called for on the Agronomist report, was lime applied? ❑ ❑ ❑
El El El
and Zinc indices: IQ(< 2,000 ❑ 2,000 — 3,000 ❑ >3,000
s Sodium less than 0.5 meq/ 00 cm3 ? (10- gk-UnoS
as Exchangeable Sodium Percentage (ESP) less tha`n� 15% ? ❑ ❑ ❑
Influent Pump Station(s) Description: h�i sk t^�i�� Y N NA NE
All pumps present, operational ❑ ❑ ❑
Floats/Controls operable ❑ ❑ ❑
Audio & Visual Alarms Operational ❑ ❑ ❑
Free of bypass lines or structures ❑ ❑ ❑
General housekeeping good ❑ ❑ ❑
Back-up power available, routinely tested & fueled? . ❑ ❑ ❑
n escriptian:
Are bars spaced properly & free of excess debris? A pe Ase �Ya? El El El El
Are screenings disposed of properly? J ❑ ❑ ❑ ❑
Is unit in good condition (excess corrosion)? ❑ ❑ ❑ ❑
Eaaalizatian Basin—eeserp' Y N NA NE
Is aeration present? ❑ ❑ ❑ ❑
Are pumps present and operational? ❑ ❑ ❑ - ❑
Is unit in good general condition? ❑ ❑ ❑ ❑
Page 2 of 4
Were sam les analLJ ❑
served records indicate no 2L GW quality violations? ❑ ❑ ❑
Soil Analysis:
Were annual soil analyses results present for each irrigation field? ❑ ❑ ❑
If lime was called for on the Agronomist report, was lime applied? ❑ ❑ ❑
El El El
and Zinc indices: IQ(< 2,000 ❑ 2,000 — 3,000 ❑ >3,000
s Sodium less than 0.5 meq/ 00 cm3 ? (10- gk-UnoS
as Exchangeable Sodium Percentage (ESP) less tha`n� 15% ? ❑ ❑ ❑
Influent Pump Station(s) Description: h�i sk t^�i�� Y N NA NE
All pumps present, operational ❑ ❑ ❑
Floats/Controls operable ❑ ❑ ❑
Audio & Visual Alarms Operational ❑ ❑ ❑
Free of bypass lines or structures ❑ ❑ ❑
General housekeeping good ❑ ❑ ❑
Back-up power available, routinely tested & fueled? . ❑ ❑ ❑
n escriptian:
Are bars spaced properly & free of excess debris? A pe Ase �Ya? El El El El
Are screenings disposed of properly? J ❑ ❑ ❑ ❑
Is unit in good condition (excess corrosion)? ❑ ❑ ❑ ❑
Eaaalizatian Basin—eeserp' Y N NA NE
Is aeration present? ❑ ❑ ❑ ❑
Are pumps present and operational? ❑ ❑ ❑ - ❑
Is unit in good general condition? ❑ ❑ ❑ ❑
Page 2 of 4

,IGt�t( i-&A Oy, ayL Z mcknWtiI S '1'rc 3q'h(' `ar L lIabs kwO X'm K (O-DrEtb�-w ,-
Non -Discharge Compliance Inspection Report
9,000 GPD Microl'ast 9.0 --> 2,813 gal settling zone with effluent filter
Treatment Activated Sludffe Description: 8,438 gal biologial treatment zone Y N
NA
NE
Aeration mechanism operable & accessible?
❑
❑
❑
Aeration basin thoroughly mixed?
❑
❑
❑
Settleometer & dissolved oxygen results acceptable?
Is Judge an acceptable color?
❑
❑
❑
(&frn desk VMMV
W,VJ y has mCA( bud L')iw i-I I if OY1� bA4 ab a .
Residual Storase Treatment
Y
N
NA
NE
® Lagoon ❑ Basin ® Septic Tank Capacity (gallons): 10,000 gal
250,000 gal
If Septi ank, is a sanitary T or filter present?
❑
El
ElHow
ften are residuals pu ped?
fb�lA� _ tJ6W Stu 2 2 mr1-'yuwy4�
reat
T ine t--Frlrrer(s) D s 'ptio
`
N
NA
NE
_
Is unit accessible for review (i.e. inspection port or not subsurface)?
❑
El
Is the filter media present, correct size & type?
❑
❑
❑
❑
Is mud well free of excess solids and filter media?
❑
❑
❑
❑
Is media free of pending, algae or excess vegetation?
❑
❑
❑
❑
Is clear well free of excess solids and filter media?
❑
❑
❑
❑
Does backwashing/air scour frequency appear adequate?
❑
❑
❑
❑
Treatment Cla 'fl9ese i ti —
V
N—
NA
NE
Weirs level, free of excessive solids & algae?
❑
❑
❑
❑
Scum removal system operational and accessible? Sludge level:
❑
❑
❑
❑
Sludge blanket at acceptable level? (generally 25% or less of the sidewall)
❑
❑
❑
❑
Clarifier effluent free of excessive solids?
❑
❑
❑
❑
Treatment Disinfection • Description: EIG Model 100 tablet chlorinator
Type: ® Tablets ❑ Gas ❑ Liquid ❑ UV
Y
N
NA
NE
Is the system properly maintained and working?
❑
❑
❑
Fecal coliform results indicate proper disinfection?
❑
❑
❑
Adequate detention time (> 30 minutes)?
K
❑
❑
❑
If tablets, proper size & type? X_'5 a
❑
❑
❑
Present in Cylinder(s)?
❑
❑
❑
If UV bulbs, are replacement bulbs on hand?
❑
❑
Is contact chamber free of sludge, solids and growth?
❑
❑
❑
Flow Measurement trtw
A106(4
Flowmeter location: ❑ Influent ® Effluent
Y
N
NA
NE
Is flowmeter calibrated annually (design flow>10,000 gpd)?
❑
❑
❑
Is flowmeter operating properly? Calibration cords present (w/in 10%)9
0
El
El
❑
Does flowmeter record flow? pyylc{,� aW7
M
El
El
El
If no flowmeter (<10,000 gpd`tare water -use records available (water meter)?
El
El
El
Are the daily average values properly calculated?
❑
❑
❑
Treatment
Y
—N
NA
NE
Are treatment facilities consistent with those outlined in permit?
❑
❑
❑
Do all treatment units appear to be operational? If no, note below.
❑
❑
❑
List any items/units):
Page 3 of 4

'bwry- e bpc�d �i� w^� weal, pp Al(ovs w"-e,[( 4b Joe a4-4,c
SGok lwcl as (gy0y\1 use � 1 mer4br �Uu��c� Ov h fV wcefswr.�c'e �"m�
Non -Di charge Compliance Inspection Report
Effluent Storage
®Lagoon(s) ❑ Above ground tank(s) ❑ Underground tank(s) ❑Other:
Amount of Storage (days, months, gallons, etc.): 250,000 gal
Effluent Storage Lagoon(s) ❑ Primary ❑ Secondary
Influent structure(s) free of obstructions?
signs of seepage, overtopping, down cutting or erosion on embankments?
roper vegetation type w/ no excessive vegetation present on embankments?
Liner (if visible, is it intact)?
ZBafs/curtains in good condition?
oard is >2 feet from overtopping? Measurement at time of inspection:
gauge is clearly marked?
No evidence of overflow (vegetation discolored or laying down/broken)?
No unusual color (very black, textile colors)?
No Foam present? Are antifoam agents used? ❑ Yes ❑ No
No floating mats (sludge, plants, inorganics)?�Ny
No signs of excessive solids buildup (from bottom)?
Aerators/mixers operational (if present)?
� //Effluent structure is free of obstructions and e .1 Qaccessible? (, ^
\JMuent Pump station Description W V�l V 1 Nr,
All pumps present, operational 0 I OON
Floats/Controls operable 4
Audio & Visual Alarms Operational
Free of bypass lines or structures
If required, is a rain sensor present and operational
Geperal housekeeping good
ck-up power
�End Use- rrigation Number of Fields: 4
Are buffers adequate?
Are over crops the type specified in permit and/or in good condition?
N signs of runoff, ponding, or drift? 1x
the acreage specified in the permit being utilized?SC& (VjO� 11b
Is the application equipment present, operational, and in good condition?
No limiting slopes present in irrigation fields?
Is site access restricted and/or signs posted in accordance with permit?FEU,&,
No water supply wells within the CB?
No water supply wells within 250' of the CB?
Is permit being followed?
Are the monitoring wells properly installed according to the permit?
Are the monitoring wells located properly w/ respect to RB & CB?
/
Are the wells properly identified & free of damage?
Ae Oak (05WIe�&Ses eGi h--My�x 0,corva,V1 i1AIIOY]
Skins QWV'�' W L- Ck(ntUJ�ta s�'It A�,rvlIs
Uhei�e 'A- UAs s off, l f' /f
eg 5kM5 0� 3i �&+�s boll- aA- q Page 4of4
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NCDA&CS Agronomic Division Phone: [phone]
Website: www.ncagr.gov/agronomi/
Report No.
FY19-SL021534
k ,
Client:
Robert White
Advisor:
Davie CES - House
Predictive
PO Box 1
180 S Main Street
Barium Springs, NC 28010
Mocksville,
NC 27028
} Soil Report
Mehllch-3 Extraction
Sampled County: Guilford
Links to Helpful Information
Client ID: 480706
Advisor
ID: 402403
Sampled: 12/26/2018 Received: 01/02/2019 Completed: 02/06/2019
Farm: 0019782
Sample ID: ZONE1
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P2O5
K2O
Mg S Mn
Zn
Cu
B
Information
Lime History:
1 -Pine, E
0.0
0 60
20
0
0
0
0
Note: 11
2 -Pine, M
0.0
100-150 60
20
0
0
0
0
Note: 11
Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]:
Soil Class: Mineral
HM% W/V CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All Mn-Al2 Zn-I
Zn-AI
Cu-I
Na ESP
SS-1 NO3-N
0.27 1.19 3.6 62 1.4 5.2
9 29
39 18
37
597
27
27
26
0.2
6
Sample ID: 2
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P2O5
K2O
Mg S Mn
Zn
Cu
B
Information
Lime History:
1 -Pine, E
0.0
0 30
20
0
$
0
0
Note: 11
2 -Pine, M
0.0
100-150 30
20
0
$
0
0
Note: 11
Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]:
Soil Class: Mineral
HM% W/V CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All Mn-AI2 Zn-I
Zn-AI
Cu-I
Na ESP
SS-1 NO3-N
0.36 1.17 5.2 73 1.4 5.4
22 28
48 22
28
434
23
23
41
0.2
4
Sample ID: 3
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P2O5
K2O
Mg S Mn
Zn
Cu
B
Information
Lime History:
1 -Pine, E
0.0
0 30
40
0
0
0
0
Note: 11
2 -Pine, M
0.0
100-150 30
40
0
0
0
0
Note: 11
Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]:
Soil Class: Mineral
HM% W/V CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All Mn-AI2 Zn-I
Zn-AI
Cu-I
Na ESP
SS -I NO3-N
0.18 1.20 2.6 48 1.4 5.1
24 20
31 13
35
496
31
31
29
0.1
4
North Carolina
All!
Ta RCL, Trust Fwwi ckwnmisslan
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner of Agriculture

NCDA&CS Agronomic Division Phone:
[phone]
Website: www.ncagr.gov/agronomi/
Report No.
FY19-SL021534
Robert White
Page 2 of 3
Sample ID: 4
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P2O5
K2O
Mg S Mn Zn
Cu B
Information
Lime History:
1 -Pine, E
0.0
0 50
40
0 0
$ 0
Note: 11
2 -Pine, M
0.0
100-150 50
40
0 0
$ 0
Note: 11
Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm):
Soil Class: Mineral
HM% W/V CEC BS% Ac pH
P-1 K-I
Ca% Mg% S-1
Mn-I
Mn-All Mn-Al2 Zn-I Zn-AI
Cu-I Na ESP
SS -I NO3-N
0.32 1.14 3.8 56 1.7 5.0
15 19
40 13 24
76
29 29
19 0.1
3

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY19-SLO21534
Robert White
Page 3 of 3
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Report Abbreviations
Lime
Ac
exchangeable acidity
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
B
boron
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
BS%
% CEC occupied by basic cations
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at on
Ca%
% CEC occupied by calcium
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full rate
CEC
cation exchange capacity
is applied. If MG is recommended and lime is needed, use dolomitric lime.
Cu-I
copper index
ESP
exchangeable sodium percent
Fertilizer
HM%
percent humic matter
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
K-I
potassium index
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
K20
potash
for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they
Mg%
% CEC occupied by magnesium
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
MIN
mineral soil class
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
Mn
manganese
only on reports for greenhouse soil or problem samples.
Mn-All
Mn-availability index for crop 1
Mn-Al2
Mn-availability index for crop 2
Mn-I
manganese index
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
Mn-
mineral -organic soil class
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients. In general, homeowners do not
N
nitrogen
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
Na
sodium
ncagr.gov/agronomi/pubs.htm.
NO3-N
nitrate nitrogen
ORG
organic soil class
Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot find
pH
current soil pH
the exact fertilizer grade recommended on the report, visit www.ncagr.gov/apronomi/obpart4.htn7 fsfind information that
P-1
phosphorus index
may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer.
P205
phosphate
S-1
sulfur index
Test Results
SS-1
soluble salt index
W/V
weight per volume
The first seven values [soil class, HM%, W/V, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
Zn-AI
zinc availability index
Zn-I
zinc index
remaining 16 [P-I, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-I, Zn-AI, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routinel
available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncapr.gov/apronomi/uyrst.htm