WQ0019782_Monitoring - 10-2022_20221201

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * October
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 NDMR-AR 503.92KB
10-2022. 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
12/1 /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: 12/13/2022

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No.: WQ0019782
Facility Name: YMCA -CAMP WEAVER
County: Guilford
Month: October
Year: 2022
PPI: 001
Flow Measuring Point: o Influent ElEffluent ElNo flow generated
Parameter Monitoring Point: El Influent 0 Effluent ElGroundwater Lowering ElSurface Water
Parameter Code ob
60050 +
00400
60060 f
00310
00610 f
70300
31616
00916
00626 f
00665
00010
00620
00927 f
00600
00931 +
00929
A
M
0
Q >_
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C
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O
0
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2
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w a
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=a
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(�
24-hr
hrs
GPD +
su
mg/L
mg/L
mg/L
mg/L
#1100 mL
mg/L
mg/L ;
mg/L
°C
mg/L
mg/L
mg/L
Ratio ;
mg/L
1
2
3
16:40
0.5
" 1,707
6.84
<15
4
16:42
0.5
815
5
10:00
0.5
" 1,867
6
14:30
1 0.5
1,593 +
7
09:45
0.5
2,991 +
8
2,991
9
2,991
10
14:00
0.5
1,800 +
6.8
<15
11
17:00
0.5
1,315 +
121
13:15
0.5
1,900 +
13
17:12
0.5
100
14
12:00
0.5
3,676 +
15
3,676 +
16
3,676
17
14:00
0.5
4,130 +
6.93
<15
181
14:10
0.5
4,460 +
19
13:30
0.5
5,207
20
14:00
0.5
5,000 +
21
14:00
0.5
3,579 +
22
3,579 +
23
3,579 +
241
15:45
1 0.5
3,507 +
7
<15
25
16:35
0.5
1,915 +
26
15:20
0.5
2,200 +
27
16:35
0.5
1,715 +
28
12:10
0.5
3,051
29
3,051 +
301
1
3,051
311
07:00
1 0.5
7.06
<15
Average:
2,826 ; +
0.00
Daily Maximum:
5,207
7.06
15.00
Daily Minimum:
+ 100 +
6.80
15.00
Sampling Type:
Recorders
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: li 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of 2
Sampling Persons)
Name: Operators
Name:
Name: Statesville Analytical
Name:
Certified Laboratories
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 reason(s) the facility was not In compliance. Provide In your explanation the date(s) of the non-compliance and describe the corrective
actions) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
011 Todd Robinson
Certification No.: 1006252
Grade: Si Phone Number: 252-235-8809
Has the ORC changed since the previous NDMR? El Yes ra No
11/30/2022
Signature date
By this signature, I certify that this report is accurrale and complete to the hest of my knowledge.
Permittee Certification
Permittee: YMCA of Greensboro
Signing Official: David Burton
Signing Official's Title: Maintenance Supervisor
Phone Number: Permit Expiration: 12/31/2026
Signature Date
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In
accordance wltl, 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
alhering 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: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of
PermitNo.:•11 •782
FacilityName: YMCA-CAMPWEAVER
County:• •
• October
1
• irrigation •
at this .•
mom
• •.
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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?
o Compliant n Non -Compliant
o Compliant ❑ Non -Compliant
o Compliant n Non•Compliant
o Compliant ❑ Non -Compliant
© Compliant: ❑ Nan-Compllant
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.
Zone #1 no longer irrigated as of 3/29122.
Operator in Responsible Charge (ORC) Certification
Pormittee Certification
ORC: Todd Robinson
Permill
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 since the previous NDAR-1? ❑ Yes 2 No
Phone Number: Permit Ex p.: 12/31/26
11/30/2022
x-
Signature Date
Signature Date
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge.
1 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 27699A617