WQ0019782_Monitoring - 01-2023_20230228

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * January
WQ0019782
YMCA CAMP WEAVER
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2023
Upload Document*
01-2023 Camp Weaver NDMR-AR.pdf 510.49KB
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: Wanda.Gerald
2/28/2023
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: 3/3/2023

14,224

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
Q Nan-Compllant
V Compliant
❑ Non -Compliant
© Compliant
m Non -Compliant
pl Compliant
Ij Non-Ccmpllant
H Compllant ❑ 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: 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 since the previous NDAR-1? o yes Id No
Phone Number: Permit Exp.: 12/31 /26
2/2712023"t
YL :9 ,e ,;?
Signature Datee
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 aupBrvlHion 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 dlreetly responsible for gathering the Information, the
Information submitted is, to the best of my knowedge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, Including the possibility of fines and imprisonmont 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: January
Year: 2023
PPI: 001
Flow Measuring Point: o Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent o Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code 10
50050
00400
50060
00310
00610
70300
31616
00916
00625
00665
00010
00620
00927
00600
00931
00929
>
()
c
O
d
V
O
O
Q
fC d
a
O
d
W U
O
m
fa
d
O y
N (n
3
E
d`=
U
E
2
O
z
N
i
O
m
Z
C
a
O0
~ zco
O
7 CL
a
N WcC
QpM
7
O
cn
24-hr
hrs
GPD
su
mg/L
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
°C
mg/L
mg/L
mg/L
Ratio
mg/L
1
2
H
H
H
3
16:00
0.5
507
4
15:24
0.5
607
5
16:30
0.5
600
6
13:15
0.5
871
6.77
<15
7
871
8
871
9
14:15
0.5
607
6.82
<15
10
16:30
0.5
507
11
14:20
0.5
707
12
15:30
0.5
400
13
12:25
0.5
551
14
551
15
551
16
H
551
17
17:15
0.5
400
18
13:45
0.5
1,707
7
<15
19
16:00
0.5
1,500
20
11:30
0.5
533
21
533
22
533
23
14:20
0.5
600
7.11
<15
24
16:15
0.5
400
25
13:45
0.5
500
26
17:15
0.5
3,500
27
11:15
0.5
2,635
28
2,635
29
2,635
30
13:50
0.5
600
7
<15
31
16:50
0.5
Average:
981
0.00
Daily Maximum:
3,500
7.11
15.00
Daily Minimum:
400
6.77
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 10-113 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? n compliant o Non-Campllant
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? 13 Yes m No
Phone Number: Permit Expiration: 12/31/2026
2/27/2023
m
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 wore prepared under rry direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based an 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 hest 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