WQ0019782_Monitoring - 08-2022_20220930

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * August
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*
08-2022 CAMP WEAVER 515.86KB
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
9/30/2022
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: 10/11/2022

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of
PermitNo.:1111 •782
FacilityName: YMCA-CAMPWEAVER
County:• •
• August
1
irrigation
• •
at this .•
• • s e • —Cover
Crop:•
-
• • s e • —
• • •Forest
p YES • •
s ® "
•
Hourly•

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2 of 2
Did the application rates exceed the limits in Attachment 13 of your permit?
© Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
o Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
V Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
a Compliant d Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
© 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
acuonts? taken. Httacn aapltlonal sneets It necessary.
e #1 no longer irrigated as of 3129. CPU NOT RESPONSIVE 813 - 8/8.
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 Officials Title: Maintenance Director
Has the ORC changed since the previous NDARA? ❑ Yes o No
Phone Number: Permit Exp.: 12/31 /26
9/23/2022
Signature Date
Signature Date
By this signature. I certify that this report is accurrate and complete to the best of my knovedge.
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:
August
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 No
50060
00400
60060
00310
00610
70300
31616
00916
00625
00665
00010
00620
00927
00600
00931
00929
AQ
7
E
c
Orc
O
LL
er_
m
E
d.
d
O
Oo
o
E
{�
E
'v
V
L.
O Q
O
a
E
F
_
Z
1
i6
2,
O p
Z
i
:J pH
i/i '{i
4
'O
f/A
24-hr
hrs
GPD
su
mg1L
mg/L
mg/L
mg/L
#1100 mL
mg/L
mg1L
mg/L
QG
mg/L
mg1L
mg/L
Ratio
mg/L
1
14:00
0.5
4387.24
6.79
0
2
14:30
0.5
4,045
3
12:35
0.5
4,733
4
4,733
5
12:35
0.5
2;142
61
2;142
7
2;142
8
13:30
0.5
5,020,
6.87
0,
9
20:51
0.5
21'365
10
13:25
0.5
4,465
11
18:05
0.5
21'280,
121
12:15
0.5
1,210,
13
1,210,
14
1,210,
15
17:00
0.5
1,075
6.99
<15
16
12:49
0.5
1,485
17
12:15
0.5
2;172.
181
17:45
0.5
915
19
11:45
0.5
21'410,
20
2;410,
21
2;410,
22
13:40
0.5
1,776
6.83
<15
23
1,776
241
13:30
0.5
992'
25
17:00
0.5
0,
26
13:25
0.5
4,545
27
10:15
0.5
3x145
28
3x145
29
08:30
0.5
0.
6.91
<15
301
19:25
0.5
570;
311
07:55
0.5
Average:
2,294
000
Daily Maximum:
5,020
6.99
15,m
Daily Minimum:
0
6.79
0:00
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
3x670
Daily Limit:
3x670
Sample Frequency:
22
1/week
11week
3x Year
3x Year
3x Year
3x Year
3x Year
3x Year
3x Year

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDIVIR) 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? © 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 dates) of the non-compliance and describe the corrective
actions) 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? rj Yes 0 Mo
Phone Number: Permit Expiration: 121311202E
V / 9/23/2022
-
Signature Date
Signature Date
By this signature, I certify that this report Is accurrale and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direciion or supervision in
accordance with a system designed to assure that all quatified personnel prepedy 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 penadies for submitting false information, Ind uding 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