WQ0019782_Monitoring - 01-2022_20220218

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * January
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:* 2022
Upload Document*
011822 - January Report 226.16KB
(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
Reviewer: EADS\wgerald 1
2/18/2022
This will be filled in automatically

Is the project number correct?* WQ0019782
Is the monitoring report accepted?* = YeS No
Regional Office* Washington
Accepted Date: 3/28/2022

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No.: WQ0019782
Facility Name: YMCA -CAMP WEAVER
county: Guilford
Month: January
Year: 2022
PPI: 001
Flow Measuring Point: M influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: a influent o Effluent r7 Groundwater Lowering o surface water
Parameter Code -►
50060.
00400
.50060
00310
00610.-
70300
31616,
00916
00625
00665
000.1.0 ;
00820
.0092T.
00600
00931
00929
C
o
O
01
f3 --
°
7
a
f's
c-
°°
Cg
�a
m
o
24-hr
hrs
OPD
su
mglL
mg1L
mglL .
mglL
#1100 mL
mg1L
mglL
mg/L
T ...:
mg1L
rrtglL .
mglL
Ratio..:,.
mg1L
1
2
3
14:00
0.5
460
6.97
0
4
14:15
0.5
300
5
14:30
0.5
370 ..
6
14:30
0.5
870,.
7
15:00
0.5
359.
359..
91
1
359
10
14:15
0.5
.370.
7.03
0 -
11
13:30
0.5
470
12
13.40
0.5
465
13
13:50
0.5
470
14
12:56
0.5
527.
15
421
16
.421
171
M
I H
421
10
Imant weather
421: -
19
iment weather
421
-
20
13:00
0.5
421
6.93
0. - ..
21
16:25
0.5
.900.
22
14:45
0.5
350-
23
350 -
24
07:40
0.5
71T .:
7.01
0.01,-.
25
16:00
0.5
.-487
261
13:40-
1 0.5
5,950
27
17:40
0.5
290
28
11:40
0.5
480.
29
480 ..
30
480
31
15:15
0.5
_ ., _ -
6.93
0.01
Average.
641
o.00
Daily Maximum:
.5,950 ,
7.03
0.01
Daily Minimum::.
,290:
6.93
0.00
Sampling Type:
Recorder,
Grab
Grab
Grab...
Grab
Grab,.,
Grab
Grab_
Groh
Monthly Avg, Limit:
, . 3;670 .-
gally Limit:
3i670 >
Sample Frequancy:.:..
22
1lweek
1lweaic
3xYear
3xYear.:
3xYear
::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
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0 Compliant 13 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: David Burton
Grade: SI Phone Number: 252-235-8809
Signing Official's Title: Maintenance Supervisor
Has the ORC changed since the previous NDMR? o Yes m No
Phone Number: Permit Expiration: 12/31/2026
l
Signature Date
Signature Date
By Ihle signaturo,1 carttry that this report Is accurrats and complete to the best of my ftrsswledgo.
I certify, under penalty of taw, that this document and all attachments were prepared under my direction or supervision In
accordance with a system designed to neouro that all qualified poraornol properly gathorod and evaluated the Information
submitted. Based on my Inquiry of the person or persons who manage the system, or those persons directly responsib€e for
gathering the Informal on, the information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are oignificont penalties for submitting (also Inrormation, Including the possibgRy of fines and Imprisonment for
knowing viorallons.
Mall Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mall 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:
©id irrigation occur
at this fRC1lIt]I?
o Yes ❑ NO
Field Name:
1
Field Name:
2
Field Name
3
Area (acres):
0.3719
Aroa (acres):
0.3719
Area'(acres)
0 4477,
CovarCrop:
Natural Forest
Cover Crop:
Natural Forest
Cover Crop,
,; .Naiural;Forast
Hourly Rate (in):
0.4 ;....
Hourly Rate (in):
0.4
Hourly irate (in).
0 4
.Annual Rate (in):.
38.3
Annual Rate (in):
38,3
Annual itate'(in)
38.3
Weather
Freeboard
Field irrigated?
° YES n No
Field Irrigated?
° YES m No
Field Irrigated?
0 YES m NO
A
m
O
i
o
'p
p1
�mF
0. ro
m
m_
p}
-7. G
- .m
7. C
GJ
C
7 C
EnV
:v
CI
tl1
j
E OS-.
ass
°F
In
it
It
-_:.-gal
.min
In
In
gal
min
in
In
gal.
min
7n
In . .
1
,
2
3
CL
38
2.95
7.33
4
CL
44
0.06
6.68
5
PC
54
0
6.77
6
PC
54
0
6.71
7
CL
37
0
6.71
8
8
10
CL
47
0.55
6.93
11
CL
42
0.01
6.6
12
CL
48
0
6.93
13
CL
61
0
6.93
14
CL
61
0
6.93
1S
1G
17
H
H
H
18
3N
Inclement weather
19
SN
Inclement weather
20
R
40
0.61
6.31
21
CL
28
0.05
6.67
22
CL
38
0.31
6.1
23
24
C
29
0.37
6.1
25
C
56
0
6.02
26
C
41
0
6.35
27
C
36
0
5.85
28
PC
44
0
6.35
29
.,
30
31
C 1
49
0.25
5.02
Monthly Loading
D, .:.,
0.00NMI
0
roo
12 Month Floating Total (In):
34.62 :
1.11
%0.01
January
Year:
2022
Field Name:
4
Area (acres):
0.4477
Cover Crop:
Natural Forest
Houdy Rate (in):
0.4
Annual hate (in):
38.3
Field Irrigated?
0 YES
W No
E!
CL
GI a
E M
I' E
C
�
°3
7 _i C
E 3v
_
gal
min
In
in

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
❑ Non -Compliant
M compliant
Cl Non -Compliant
tt compliant
❑ Non -Compliant
o Compliant
IJ Non -Compliant
63 Compliant
n Non•Compllant
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 addltlonal sheets if necessary.
Operator In Responsible Charge (ARC) Certification
Permittee Certification
ORC: Todd Robfnson
Permittee: YMCA of Greensboro
Certification No.: 1006252
Signing 01"ficlal: David Burton
Grade: SI Phone Number: 252-235-8809
Signing Official's Title: Maintenance Director
Has the ORC changed since the previous NDAR-1? 0 Yes o No
Phone Number: Permit Exp.: 12/31/26
lie
Signature Date
Signature Date
By this signature, I certify that this report Is aocurrate and complete to the best of my knowledge,
1 certify, under penalty of low, that ibis document and ail attachments were prepared under my dlrecllon or supervision In accordance
with a system designed to assure that all qualified personnel propuAy gathered and evaluated the Information submitted. Based on my
fnqulry of the person or persons who menage the system, or those persons directly responsUe for gathering the Information, the
Information submitted Is, to the best of my kroAridge and bollef, true, accurate, and complete. I am aware that there are significant
penalties for submitting falso Information, #ncludtng the possibility of fines and lmprlsonmont 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