WQ0019782_Monitoring - 07-2022_20220906

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * July
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*
CAMP WEAVER 07-2022 509.55KB
NDMR-AR.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Envirolink, Inc.
Reviewer: Gerald, Wanda
9/6/2022
This will be filled in automatically

Is the project number correct?* WQ0019782
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 9/13/2022

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of
PermitNo.:1111 •782
FacilityName: YMCA-CAMPWEAVER
County:• •
•
1
irrigation
• •
at this .•
Cover Crop:
Natural Forest
Cover Crop:
Natural Forest
21 YES El NO
Hourly Rate (in):
Hourly Rate (in):
OEM
mmmmm�
m=mmm_
�®i:
• •
• •
®
®
��
• ••
• ••
mmmmmm
m
___
__
----
----
m
___
__
----
----
m
___
__Monthly
-_--_-
-_---
Loading:
12 Month Floating Total (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?
© Compliant ❑ Non -Compliant
o Compllant 11 Non -Compliant
w Compliant ❑ Non -Compliant
@ Compliant © Non-Compllant
o Compliant ❑ 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 additional sheets if necessary.
Zone 91 no longer irrigated as of 3/29
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Todd Robinson
Permittee:
YMCA of Greensboro
Certification No.: 1006252
Signing Official: David Burton
Grade: S1 Phone Number: 252-235-8809
Signing Official's Title: Maintenance Director
Has the ORC changed since the previous NDAR-1? Q yes © No
Phone Number: Permit Exp.: 12/31 /26
8131 /2022
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 supervisbn 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: July
Year: 2022
PPI: 001
Flow Measuring Point: o Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent o Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code N
60060 f
00400
60060 f
00310
00610 f
70300
31616 +
00916
00625 f
00665
00010 f
00620
00927 f
00600
00931 f
00929
>,
aE
�~
O
c
O
y
Ew
U�
0O
c
LL
x
is
°ar-
~rYU
o
m
o
E
Q
a
d
:ao
~ ,nCn
E
o
LLU
E
'
U
a
��
�z
H
:ate
~ °
a
e°
E
12
y
L
Z
9
Tarn
~z
Via°
N �a�
Q
U)
24-hr
hrs
GPD
su
mg/L
mg/L
mg/L ;
mg/L
#1100 mL
mg/L
mg/L ;I
mg/L
°C
mg/L
mg/L
mg/L
Ratio
mg/L
1
12:30
0.5
3758
2
3,758
3
3,758
4
00:00
H
H
5
15:45
0.5
4,372
61
12:25
0.5
6,367 +
6.91
0.01
7
16:05
0.5
4,625
8
14:25
0.5
3,235
9
3,235
10
3,235
11
15:15
0.5
5,557 +
6.98
0
121
17:00
0.5
4,455
13
13:40
0.5
6,207
14
17:20
0.5
4,037
15
12:40
0.5
3,225
16
3,225
17
3,225
181
13:45
0.5
5,212 ;
7
0
19
5,212
20
13:50
0.5
8,407
21
15:15
0.5
4,885
22
13:30
0.5
7,595
23
20:57
0.5
3,501
241
3,501
25
15:00
0.5
5,277 + +
6.9
0
26
19>45
0.5
3,545
27
13:30
0.5
5,595
28
16:30
0.5
4,165
29
12:30
0.5
3,170
30
311
17:15
0.5
Average:
4,540 +
0.00
Daily Maximum:
8,407 + +
7.00
0.01
Daily Minimum:
3,170
6.90
0.00
Sampling Type:
Recorder;
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
3,670
Daily Limit:
3,670
Sample Frequency:
22
1/week
1/week
3x Year
3x Year
3x Year
3x Year
3x Year
3x Year
3x Year

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? ° compllant Ll W-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? ° Yes © No Phone Number: Permit Expiration: 12/31/2026
8131/2022tftz�
,
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 suporvlsion 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, inquding the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing knit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617