WQ0019782_Monitoring - 02-2022_20220329

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * February
Report Information
WQ0019782
YMCA CAMP WEAVER
Year:* 2022
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR 02-2022 NDMR-NDAR YMCA 490.03KB
CAMP WEAVER.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * Madelyn Mills
Signature:
Date of submittal: 3/29/2022
This will be filled in automatically
Initial Review
Reviewer: Gerald, Wanda

Is the project number correct?* WQ0019782
Is the monitoring report accepted?* - YeS No
Regional Office* Winston-Salem
Accepted Date: 4/12/2022

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of 2
Permit No.: W00019782
Facility Name: YMCA -CAMP WEAVER
County: Guilford
Month: February
Year: 2022
Did irrigation Occur
at this facility?
o YES ❑ NO
Field Name:
1
Field Name:
2
Field Name:
15.54
Field Name:
4
Area (acres):
0.3719
Area (acres):
0.371 9
Area (acres):
{
0.4477
Area (acres):
0.4477
Cover------
Crop:
Natural Forest
Cover Crop:
Natural Forest
Cover Crop:
Natural Forest
Cover Crop:
Natural Forest
` Hourly; Rate (in):
0.4
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?
° YES ❑ No
Field Irrigated?
0 YES ❑ NO
Field lIrrigated?
o YES ❑ NO
Field Irrigated?
° YES o NO
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gal
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In
gal
min
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in
gal
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in
I in
1
C
49
0.08
6.02
2
C
53
0
5.85
31
R
57
0.53
5.77
4
CL
64
0.25
6.17
5
6
7
R
33
0.2
5.85
8
PC
51
0.5
5.6
91
C
57
0
5.74
10
PC
60
0
5.6
11
C
64
0
5.93
12
13
14
C
45
0.05
5.74
15
PC
45
0.06
5.6
161
C
61
0
5.85
17
PC
68
0
5.52
1,583
47
0.16
1 0.16`-
1,031
1 39
0.10
0.10
1
1 0 -
0.00
0.00
2,107
58
0.17
0.17
18
PC
55
0.15
5.92
19
20
21
C
63
0
6.07
22
CL
66
0.08
5.6
23
C
70
0.55
5.77
24
R
41 1
1.5
5.18
25
CL
51
0.28
5.33
26
27
281
C
57
0.15
5.6
29
30
1311
-
Monthly Loading:
7583
0.16 '-
1,031
0.10
1
0.00
2,107
0.17
12 Month Floating Total (in):
39.94!'
1.21
up= 0.011 '
16.64

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 specifled 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
m Nan -Compliant
ra Compliant
m Non -Compliant
o Compliant
❑ Noh-Compliant
m Compliant
© Non -Compliant
GI Compliant
0 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
trurlurit`.lf rdnrrr. Mudrirl duu iulldr arrrete rr
Operator In Responsible Charge (ORC) Certification
Permittee CertMication
ORC: Todd Robinson
Permittee:
YMCA of Greensboro
Certification No.: 1006252
Signing Officlal: David Burton
Grade: Sl Phone Number: 252-235-8809
Signing official's Title: Maintenance Director
Has the ORC changed since the previous NDAR-1? ❑ yes R No
Phone Number: Permit Exp.: 12131126
,
Signature Date
Signature Date
By this algnalure, I certify that this report Is accurrate end complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments ware prepared under my direction or supervision In accordance
w fit a system designed to assure that elf qualified personnel properly gathered and evaluated the €Mormatlon submitted. Based on my
Inquiry of the person or parsons who manage the system, or those persons directly responsible for gathering Iha Information, the
Information submitted Is, to the best of my knowledge and bellef, true, accurate, and complete. I am aware [hat there are significant
penalties for submitting false Information, Incfuding the poss)blllty or Ones 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 2
Permit No.: WQOO 19782
Facility Name: YMCA -CAMP WEAVER
County: Guilford
Month: February
Empogm
II IFlow
11Parameter
Measuring Point: o Influent ■ Effluent ■ No flow generated■
Monitoring Point: '- ■ - ■ Groundwater Lowering■ Surface Water
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FORM' NOMR 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? o Compliant o loon-umpiiant
If the facility Is non-compllent, 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
Men. Attaon aatlittorw sheets it necessary.
Operator in Responsible Charge (ORC) Ccrtifrcation
Permittee certification
ORC: Todd Robinson
Permittee: YMCA of Greensboro
Certification No.: 1006252
Signing Oflicial: David Burton
Grade: Sl Phone Number: 262-235-8809
Signing Official's Title: Maintenance Supervisor
Has the ORC changed singe the previous NK)MR? ° Yes Q No
Phone Number: Permit Expiration: 12/31/2026
Signature Data
Signature Data
By this signature, I certify that this rapwt Is accurrate end complete to the best of my knowiadga.
I oortify, under penalty of law, that this document and all attachments were prepared under my direoVon or supervision In
accordance Oh a system deslghed to assure that all qualilled personnel properly gathered and evaluated the information
submitted. Based oh my Inquiry of Iha person or persons who manage the system, or those persons directly responsible for
galhoring the information, the Information submitted Is, to the beat of my knowledge and belief, true, accurate, and complete. I am
aware that [hare are significant penalties for submiding false inrarmallon, including the possibility of fines and imprisonment for
krKWng violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mall Service Center
Raleigh, North Carolina 27699-1617