WQ0019782_Monitoring - 12-2021_20220125

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * December
Report Information
WQ0019782
YMCA Camp Weaver
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
12-2021 Camp Weaver 406.16KB
(signed).pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Madelyn Mills
�rr��� clot
Reviewer: EADS\wgerald 1
1 /25/2022
This will be filled in automatically

Is the project number correct?* WQ0019782
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Accepted Date: 3/28/2022

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No.: W00019782
Facility Name:
YMCA -CAMP WEAVER
County:
Guilford
Month:
December
Year:
2021
PPI: 001
Flow Measuring Point:
2 influent ❑ Effluent
D No flow generated
Parameter Monitoring Point:
° Influent
o Effluent
❑ Groundwater towering
❑ Surface water
Parameter Code --r
50050
00400
50060'<
00310
00610
70300
31615:
00915
00625':::'
00665
00010
00620
00927 ''
00600
00931 "
00929
R
O
.
.
:m
3M Oo
2V
oKo
p
»o c
'
oa
a
c_-N
on
t-
..
F
ss.
o
'oC
ro
p
o
jm
a
24-hr
hrs
GPD '.
su
mg/L '
mg1L
mg/L ':
mglL
#/900 mL
mglL
mgfL ";
mg1L
°C
mgfL
rimglL !;
mglL
Ratla '
mg/L
1
13:45
0.5
295
2
295
3
13:25
0.5
287
-;
4
09:15
0.5
243
5
243 '
6
14.30
0.5
r.270L..
7
0.01
7
14.45
0.5
160
<2.0
<0.1 L
98
<1 L L8.01
0.92
0.048
1
<0.10
4.2 .::
0.92
0.568
7.97
8
13:35
0.5
;:457' . .
9
16:00
0.5
290
10
11:30
0.5
340
11
340
12
17:00
0.5
390
;
13
13:35
0.5
;:310
6.91,
0
14
12:30
0.5
207
15
13:55
0.5
380
16
380
17
12:00
0.5
1,632
18
1,02 '
19
18:00
0.5
1,207
20
13:45
0.5
640
7.03
0.02
-
21
640
22
12:50
0.5
450
23
H
450.
24
H
450:
25
450
26
18:20
0.5
390
27
13.40
0.5
770
6.98
0.01
28
29
13:30
0.5
7.70 .
30
11:00
0.5
311
1 H
Average:
521 . ?
0.01
0.00
0.00 :
98.00
1.00
8.01
0.92;:r.:
0.05
1.40
- 0.00
4.20
0.92
0.57
7.97
Daily Maximum:
1,632 ;t
7.03
0.02
2.00
0.10`
98.00
1.00
8.01
0.92 `:
0.05
1.40 '
0.10
4.20
0.92
0.57..:-
T97
Daily Minimum:
160
6.91
0.00
2.00
0.10
98.00
'.. 1.00
8.01
0.32'::,
0.05
1.40'
0.10
420
0.92
0.57' ;
7.97
Sampling Type:
>!Recorder LGrab
Grab
Grab'
Grab
Grab
Grab
Grab;
Grab
Monthly Avg. Limit:
Daily Limit:
3,670 <
Sample Frequency
22
1/week
Itweek
3xYear
3xYear.
3xYear
r.:3xYear
3xYear
3xYear
3xYear

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of 2
Sampling Person(s) Certified Laboratories
Name: Operators Name: Statesville Analytical j
I
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? o 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: Todd Robinson
Permittee: YMCA of Greensboro
Certification No.: 1006252
Signing Official: Rhonda Anderson
Grade: S1 Phone Number. 252-235-8809
Signing Official's Title: President/CEO
Has the ORC changed since the previous NDMR? ° Yes o No
Phone Number: Permit Expiration: 12/31/2026
i
f
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 penatly 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

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of 2
Permit No,: WQ0019782
FacilityName:
YMCA -CAMP W EAVER
County: Guilford
Month:
December
Year: 2021
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
Did irrigation occur
Area (acres):
0.3719
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:
Natsira! Forest •
Cover Crop:
Natural Forest
° o No
Hourly Rafe (in):
0.4
Hourly Rate (in):
0.4
Hourty:Rate (m};
Q 4
Hourly Rate (in):
0.4
Annual Rafe (in).
38.3
Annual Rate (in):
38.3
- Annual Rate (in):
38 3
Annual Rate (in):
38.3
Weather
Freeboard
Feid Irrigated?
°YES © No
Field Irrigated?
° YES o NO
Field lydgated?
•°Yid o No'
Field Irrigated?
El El
mo
m
c
°a
$
II
mm£
rn
E"
v
E
T�o
m
= ME:
..
..ma
.w
c
=
E
6m
E m
mE W
�.vc
E aacAi
oo
0.o
cv
o
o
n
oin
o
to
o
o
o
°
>
*r
in
It
f
'gat
.m
-,min.-
In
In;gal
min
in
MinIn
„ in
gal
min
in
in
I
C
64
0
—
2
3
C
72
0
k8.37
4
PC
47
0
5
6
PC
69
0
7
C
49
0
8.11
$
C
48
0
8.37
MMME

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? © Compliant o Non -compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? a Compliant o Non -Compliant.
Was a suitable vegetative cover maintained on all sites as specified in your permit? Q compliant o Non -compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 13 Compliant a 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: Todd Robinson
Permittee:
YMCA Of Greensboro
Certification No.: 1006252
Signing Official: Rhonda Anderson
Grade: St Phone Number: 252-235-8809
Signing Official's Title: President/CEO
Has the ORC changed since the previous NDAR-1? n Yes ra No
Phone Number: Permit Exp.: 12131 /26
r�2
& 2 �2
Signature Date
Signature Date
By this signature. I certify that this report Is accurate and complete to the best of my knowledge.
1 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 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 276994617