WQ0019782_Monitoring - 03-2021_20210506

FORM:NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page 1 of 2
Permit No.: W00019782 I Facility Name: YMCA CAMP WEAVER I County: Guilford i Month: March Year: 2021
V S el =Na e!"" w "er 1 w " e1d 1�ane
Did irrigation occur 1 � "`� V�� xFt Field Name: 2 I i"' y 4 10 Field Name: 4
xra '+Gv.�NAF.sr4e �.^x` a r, rs� xa ,..�
,Y l l$#rs flv37'('9� Area(acres 0.3719 V `" "''� ` rl .� 1L
at this facility? �� ""� `"',�`"""£ w s ) ` �Area.'ae es � ..!f� Area(acres): 0.4477
s� ,
ve milt N slates j Cover Crop: Natural Forest I ealt Ordits 2 ..Wirs�<�'�' uMy p+,t oF.K�%,...aa��u k � Cover Crop: Natural Forest
rw. Fui,xav +� �,,�!{ sav enw,ra..she;..v '1�^', p'
Houi ee 'eti 'Q'`i 40 , x HourlyRate(in): 0.4 trt fe Ip ""
O YES 0 NO t -�dyr.r�. 0 0. r. 5 ,t. Nam.. ..} cat a4.� .r - Hourly Rate(in): 0.4
�llatitf 2a e('ir e g^�"`'�t 3p7 Annual Rate(in): 38.3 �,+Airn�t `O i w 6t 55 ii1 Annual Rate m 38.3
Weather Freeboard elil'�r►�j`""� Y` i r ���
gated OW ,,:l U t+. Field Irrigated? °YES a NO r s ?
az mw �w , �Lx< 9Fielfylgd � � to�N€ Field Irrigated? 0 YES 0 No
m C s t `�!'y ww y tail la r� a t 4'�t�5 t r u Y., "k .J,i.ray,.,„
d O m F r/' W K +N'St�3 ,�¢. �M n ld`7 Yp�''r3 '-k7f u+�S x`".a21.vi
L (!) � ��ri 4 � d ih� ? � W 1' � i � yt+'� '� Y�''y+ ,k'x�R�:1
a Q rn a tB t1�,m. ���i4 ar a a et E a rn %"o' a ` m a, a a 0 E a,
m a o >,a t& `Prat¢ 141,Atilti§f00,1 t a E m 7: -a E5 1 = m-' �Ee��4 4 a 'a E a' m :' �, c ? c
'u R a n * N1-��c....+51 o v' o�toA o a t- °} a o x o o ;, r�' 2 1 'R,,rria o cl 0 a E_ C2 o E o
m Qi i to w �5� "J19 > Q _ J ca 2 J rP.Q' tz r Q'"°:+Q 1 O. O II. F- i p J Fa = J
cu r ,�•b °�''f�"
H a "ec�v �,�s G ' �w;s kr ` ., �'"'i"er�eE��r'r;L'� +M1 ,''t°h�-'�0
°F in ft ft 7t "g1 ;MOO'MAW M gal min in in ,w of y7 mitt � Z n n 9af min in in
1 CL 54 1 5.08 N110i k` ' tRIMSAI NAVAa =Mittik 1, '&6 ailMt&
2 CL 52 0 5.25 g 2 6g1 t-;MAO ii Mitin2.0 `t" xk ti r+'s t
3 C 60 0 5.33 Atia a<r7S atiltO o XON WM*.� 3101.
4 C 60 0 5.33 �'" 1 .. �x
� MOO ton *' r"railtai
5 C 49 0 5.16 n+` VAIMIMalgei44�'ti y: a
T6 ens ViSi `arA �U' ft.:W 61 itt a f004 "l
8 C 62 0 5.33 ' r pig c 2 f�F y x 4 {� '
�r 4 j° y Mal
9 PC 71 0 5.33 s as. t�Rt?raT• Waxs Nan "Mat glat2 . i9 o
lat
10 PC 74 0 5.33 `u'0 01 2 , „ V.'''VIA k�"{ O xn5 �.J `� ''y`°tt�
11 C 72 0 5.25 WAWA C--.140110 `I Mitigg
12 CL 55 0 5.25 x',y trft5`' ' J0 KOZi:¢11"1rn4 r .fli201`2%r Mt 1I ' ''.x`', R�.1 Itifiliafta
13 xa:t x °'w. ofsms axa, ;lone1 tt .M?. wrx �Yfi'a`
14 M ° ; !' "" ilu tw tl OrOftra + +.
15 CL 51 0 6.42sP. ;d40 rO4Tfl;-i2U ):t� "� r�w a��;
16 CL 43 0.01 6.92 t�3`7i5 �`d�, tiORM MUD �e v nn
17 CL 57 0.01 7 il" �Sfl' �t 4 s��.,, 4 `, s" g��a'tg✓*''.. IM�r''att
18 R 54 0 7 `" a• ° ��*PO .14
I ry
19 CL 38 0 7 ON: ' '�r w;;y��4 v . ".a bEgon�etSs kt\t', ��\ �`,`�.a� '"'�'� � t OM
20 WAWA-,r''�', �tll:'r � au NM' `? attatliNON SI:-`` ,vIXOYM
21 '4U a Oat 0�.1 aqtrati `.` i•O. S° i.1::c ;,11 s_'�0
22 CL 67 0 7 SM 3 etSigr eASI f4W2 �`' gitINSf VA'N��'t'' 2
23 CL 57 0 7 t z� N M ` 'ct! tira1 M v" ..1ViR n rev'
24 CL 56 0 7 Atiteaffgala 0404 3L`o' '?' aut', .6114 ,ata i 5 '�s
25 R 67 0 7 K 8+$ 6:2 0-4,60pW065o 4 t rtA47+`%.ICII.: ; , ,.�,
26 CL 67 0 7 At* 0 Of 1 a� 010 ZV MSS 11111,4a.MU O
28 k 3y. K. -f' t�Y '?�M 4S esXIM! Y
29 C 63 0 7 yy .S , FtblinteMsyx , } rw y µ
30 C 72 0 7.16 OZA Sf3g.20�p*v't Irmo ' to'a�p
,t�v : MO.
31 R 62 0 7 W .:' ' 'r ' 4 ! t doom •6t
MonthlyLoading:�' , �7� � ���.
�Q!t;,�o.�.,`'/ x�� � 0 % o.00 � � � W' 0 7 0.00
12 Month Floating Total(in): �i1g !'1�2G 23.79 ,,')`9'�'9'.8 ': ` A 20.96

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? a Compliant 0 Non-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? a Compliant ❑Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? a Compliant 0 Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? a Compliant ❑Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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(ORC)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 NDAR-1? ❑Yes o No Phone Number: Permit Exp.: 12/31/26
41 ,72Y/
zt/7-71—2—t
Signature Date Signature 9 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

` FORM:NDMR 10-13 NON-DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No.: WQ0019782 Facility Name: YMCA-CAMP WEAVER County: Guilford Month: March Year: 2021
PPI: 001 Flow Measuring Point: E Influent ❑Effluent ❑No flow generated Parameter Monitoring Point: °Influent la Effluent 0 Groundwater Lowering 0 Surface Water
Parameter Code -s Noo5b 00400 �500'0'� 00310 ;�pk06�f1, 70300 t�(6fi�,,yn 00916 D&25: 00665 �, 0 3 ft 00620 ''y or32,T 00600 �0931 00929
Ti 0 }1 F�Ny�� 14449,1
•i m ��� 4'' �2 R '�iP: 3 - ' , �x� e, if dos
a. Q E ! ,04 �` _ �� 12 p f . fi _ s). .;' ° �o,, ', , ry fat 7c L ` w 4 W t;(1' cr n •14:2 E
p U I- ~ N lie,"'-'4, r a a s� i Ov. „ 1 o Tiow o t. -� ,�-- or1� o a 4`� ,,& ` m SY :^r w o s¢.-,03,,
P' ; rs�, w v u' C t' '` H N G t 'f,. p, f- o�'� p
O O d� =�U'v. �u¢ t p k� C7 'r U Fr �a 1 r �'4 Z m Fs s�k r tY N
Te�Y kF `5l � d'i; •• '�t^ '7E.f'.*` 14 a • �� Z A m__
k .t2�d'x at'Rs a'� ku k :xaW � mom_r"��' _
24-hr hrs `xGPD kiv su tnig/L mg/L giiittra mglL t 01 fT►C mg/L �"migl mg/L ; ""C , mg/L , �tt,�i mg/L ;'u tateo mg/L
1 18:00 0.5 itseMitt Atittfat wy�`"`fi-se IIralta MEM Mat~
2 16:15 0.5 ,.r4kt% ° tx s" :. nx 4 s 0,A
tti
3 16:00 0.5 01 t :tr fi"'�1k '"u 101 a x" ifitta 4Mititaii Sendet ?t to,1"' l_
4 17:00 0.5 gattOtittaq 7.95 .P^.x,.�".0,,0401: .. itiMidi 40441441 COMM. sir r 3,to Y°Jt
5 13:45 0.5 A AV ON S __tt{�.0 ti �' ,ir yyi.� b M'� kf r x�'�iL'f^SEF. Y.zkY $ 'fi. ,emu �.5'
6 ,�wr��� Q.�,�d''i11". s'y�.������,:"F `(,,,,�.i�""s ���', i'n.fi�k ;1.6�'c� '+ �,yi r� r�"rdy�� c { '
7 ;n V.}iti �u.�tu.1 - f43'�xa.�i+f%t Efati 3' AV O ii r it e
8 16:00 0.5 a gra3 x`ittlgin '`i„E+a ' N Mate Atil t h rates V{,`f`,rw kf + rr y '
9 16:15 0.5 ` 4fi7' MAW z r'` .,. � +; '�" tag &£. ,< v a
10 16:00 0.5C ;". az5�4� a + ���� c "�e
_x.n r ,y ;WSW, :' J�`' 1. ..Ezti'^F2'v'SaV i�"Ha:
11 17:45 0.5 2003oz (,Vin t a ti int t"'' k. $ a braiV 1
12 06:00 0.5 MOW, 7.57 VAMis 4.21 s ; s t 92 bt,Omtl,, 15 to 1.7 0.4 i `-Imo 7.73 z7
rr�:��Y� MOM
x•'S .,..„ 4.44
13 :0 ,r2H a"� O '` t,s& x'u�xi.S �,� '. cam, s maw r
14 'b a`'Yfi, Matta
i 4a. '�`: a 4�t. 3�2'�n Y. �+: k 4, 2 v e�rVu,a-.1 *gait OWN
Y, uYt Yf'i3HNY�n d�(> 5 4; M{' J l
15 17:15 0.5 galg,qt 7.28 4 0,v26 „ '' ' " ` figgi' /r RM& 0 ONO . lgica
16 15:30 0.5 ft.i �° F ` mt m.tr Y4f,a wt 1. two-is M sow x itifaME4
17 16:30 0.5 gam "xi c E mum
wow vsaA 2N 4- V
iw
18 11:43 0.5 MO j �a �' �.-,+�„w r " �kt;
:'.� 2 rx w s:..) ----, '_ Mal 00101
e R19 12:00 0.5 L�28 J, . i v � Lt :; mt s
va.0 4e.4 za" 1 �� s� U� t°ts uwgifIVN
20 ° y imam-
exams S, P''"t q 2,0^&i «r; a�',4S m a o� '
21 k 2ni slA � pima E','-r.' ' ,n�ti� i� ` '�;I i? a� "t ' e: JfiJ'r .skin
22 17:00 0.5 10011 8 7.67 °�r� mot`w , "' Isa a : ` „ add;
�` �' ip laY�.`h.QJd2�H,>n '�';�'.v�' +��rs� �: ����we^.. �y�"3Mi� '1 � r � �e '�^t
23 14:15 0.5 KW Weit 0111,040 itatlek NMI dike#fit; ttiltd1 a"r „j sumo
24 05:00 0.5 tit** R¢ kf 610 `y inktk 5 ` ,o-Myu*= *:4 o ifs a..a
25 18:00 0.5 '0500., e. VW1a* OlgiN ONSSil *Atilt &s a$v�a"r < 1r �
26 04:30 0.5 �a 2:�`,' 4 $wv '>s � 4 �tu� s 'z��' °�zt3 ` "
27
28 WOW %`N+° ft^i a 1011114 te3tisl` dig`• iralAsix Sgata feMli AVAVI.O.A
29 17:30 0.5 722 7.57 p` a �4 i' Gaf 1 e:Mot r igr art Y`:`` ri
a c. �.�a' aG,.+9 Y k K. ..�?� � kN� ydc^�g ''`" is xw''ntx C.
30 15:30 0.5 SOW .MO i `i`s4h 3',�s� �RAI ra''. •, ',ix''1 s 3gw�' i" #i„« NAM
31 17:30 0.5 ili 1H`,V'x+I la** to illear wow, itte iva teweg "+ 5m u o
Average fftag6 �;09 4.21 la4g3& r`;,,s7 92 00 940 ` 'r,47 15.00 13.2R.; 1 70 mow, 0.40 $t
� a 7.73 9r �s 2 4.44
Daily Maximum an8g 7.95 , d0�16s'1'` 3 4.21 „.f.dgiota 92.00 14:01 15.00 eita804 1 70 soon 0.40 ' '1 7,4' 7.73 Nom% 4.44
Daily Minimum 'gge27) 7.28 1,14I(Y4;f 4.21 ' re 0 92.00 &Z9i4t t 15.00 tSgtOtit 1.70 ,Ist.ktait 0.40 r' ]175O 7-73 '"
.44
Sampling Type 0,,,t¢er Grab z '! Grab K 29.11 4
�+r 1 S� i2�',.vt�'`� �.u�C�'I�b Grab s�'`ryF36sje�,r Grab xtM�J�iGIahhp?,�.�' Grab "'fit`, s�""� � s„ a'�it0
l��
"
�Monthly Avg-Limit ei p� e . X h i0.✓ � Nr#IM A:WA to ara, AVON Daily Limit Atom :6 0.4Afen e4 �it 3 J Naitail
Sample Frequency:M§Ogat 1/week IZvee16 3x Year 4C,y ar' 3x Year 00161,a 3x Year Wilkiai 3x Year s° ' 404If ' -' *OM

FORM:NDMR 10-13 NON-DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Chip White Name: Statesville Analytical
Name:
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? CI 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
action(s)taken.Attach additional sheets if necessary.
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 Official's Title: President/CEO
Has the ORC changed since the previous NDMR? 0 Yes o No Phone Number: Permit Expiration: 12/31/2026
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