WQ0019782_Monitoring - 09-2022_20221101

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * September
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 09-2022 520.44KB
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
11 /1 /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: 11/2/2022

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No.: WQ0019782
Facility Name: YMCA -CAMP WEAVER
County: Guilford
Month: September
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
16:23
0.5
620
2
08:05
0.5
2,978
3
2,978
4
2,978
5
H
H
2,968
61
18:15
0.5
1,405 ;
6.87
<15
7
14:00
0.5
2,000
8
16:30
0.5
485
9
12:20
0.5
2,235
10
2,235
11
2,235
121
13:35
0.5
1,712 ;
6.99
<15
13
18:15
0.5
320
14
13:30
0.5
580
15
18:50
0.5
517
16
12:40
0.5
1,772
17
1,772
181
1,772
19
14:00
0.5
852
7.11
<15
20
13:40
0.5
737
21
13:35
0.5
807
22
17:30
0.5
657
23
12:30
0.5
2,072
241
2,072
25
2,072
26
10:15
0.5
1,802 ;
6.98
<15
27
17:00
0.5
1,677
28
13:00
0.5
2,532
29
18:10
0.5
490
30
11:45
0.5
31
Average:
1,668
0.00
Daily Maximum:
2,978
7.11
15.00
Daily Minimum:
320
6.87
15.00
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 Persorl 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 © Non -Compliant
If the facility is non -compliant, please explain in the space below the reasons) 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 Chargo (011 Certification
Permiltee Certification
oll Todd Robinson
Permlttee: YMCA of Greensboro
Certification li 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? 0 Yes tJ No
Phone Number: Permit Expiration: 12/31/2026
10/31 /2022
D'oL� ZL��� )1 —22
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 direetlon or supervision In
accordance with a system designed to assure that all quallilod porsonnCl properly gathered and evaluated the Information
submitted. Based on my Inquiry of the person or persons who manage the system, or those paBenS 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
I violations,
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDA11i 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?
Cd Compliant 11 Non -Compliant
t7 Compliant ❑ Non -Compliant
0 Compliant D Non -Compliant
o Compliant o Nan -Compliant
Q Compliant o Non -Compliant
If the facility is non -compliant, please explain in the space below the roason(s) the facility was not in compliance. Provide it your explanation the date(s) of the non-compliance and describe the corrective
aciicn(s) taken. Attach additional sheets if necessary.
Zone #1 no longer irrigated as of 312g.
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 Director
Has the ORC changed slnce the previous Nli? ❑ Yes Id No
Phone Number: Permit eXp.: 12/31 /26
10/31 /2022-
Signature Date
Signature Date
By this signature, I certify that this report Is accurrata and completo to the best of my knowledge.
I certify, under penalty of law, that this document and 01 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 dlreclly responsible for gathering the Information, the
Information submitted Is, to the best of my knowledge and belief, two. 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