WQ0019782_Monitoring - 11-2022_20230428

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * November
WQ0019782
YMCA CAMP WEAVER
Report Information
Type *
Revised - NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2022
Upload Document*
REVISED 11-2022 Camp Weaver NDMR-AR.pdf 490.76KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * Envirolink, Inc.
Signature:
Date of submittal: 4/28/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0019782
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 6/7/2023

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No.: WQ0019782
Facility Name: YMCA -CAMP WEAVER
County: Guilford
Month: November
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 0
50050
00400
50060
00310
00610
70300
31616
00916
00625
00665
00010
00620
00927
00600
00931
00929
QE
U —
O
=
U
O
7v
O
H y
O
`�
E
Q
a�i
O O
o
E
=N y
LO
U
t
-a =
Z
O
H
rn
L
O O_
N
O
a
Q
Z
cc
_
O
w
Z
_
c
p cc
O y 1
Q
F
'NO
O
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
17:00
0.5
6922.44
2
16:44
0.5
2,215
3
16:50
0.5
1,600
4
11:35
0.5
3,807
5
3,807
6
3,807
7
08:30
0.5
5,707
6.93
<15
8
13:45
0.5
5,160
9
17:00
0.5
5,115
10
18:50
0.5
3,638
11
H
H
3,638
12
3,638
13
3,638
14
13:30
0.5
5,100
6.83
<15
15
18:25
0.5
4,107
16
14:30
0.5
6,407
17
18:05
0.5
4,200
18
12:30
0.5
1,433
19
1,433
20
17:30
0.5
742
21
14:40
0.5
930
6.86
<15
22
369
23
10:45
0.5
369
24
H
369
25
H
H
369
26
369
27
369
28
14:20
0.5
800
6.92
<15
29
08:40
0.5
665
30
13:15
0.5
665
31
Average:
2,568
0.00
Daily Maximum:
6,407
6.93
15.00
Daily Minimum:
369
6.83
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'f0-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of 2
Sampling Person(s) Certified Laboratories
Name: Operators Name: Statesville Analytical
Name: Name:
woes au monitoring aata ana sampiing trequencies 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 date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if nP.r:Pq.gnry
Operator in Responsible Charge (ORC) Certification Permittee Certification
011 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
311712023
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 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 bellef, 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 2
PermitNo.:loll •
YMCA -CAMP '
• •
Month: November
Year: 2022
• irrigation occur
at this facility?
El YES NO
Area (acres):
Area (acres):
Area (acres):
Area (acres):
Cover Crop:
Natural Forest
Natural Forest
Natural Forest
Natural Forest
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Field lrrigated?,����
Field Irrigated?
Field Irrigated?
Field Irrigated?
Monthly
Lo
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?
m Compllant
Q Non -Compliant
e Compliant
❑ Non -Compliant
® Compliant
Q Non -Compliant
® Compliant
o Non -Compliant
ti 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
action(s) taken. Attach additional sheets if necessarv.
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? la Yes n No
Phone Number: Permit Exp.: 12/31 /26
3/17/2023
Signature Date
Signature Date
By this signature, I certify (hat this report is accurrate and complete to the best of my knowledge.
I corlify, under penalty of law, (hat this document and all attachments were prepared under my diroction 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 parson or persons who manage the system, or those persons directly responsible forgathering the information, the
Information submitted is, to the best of my knowledge and belief, true, accurate, and complele, I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violalions.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617