WQ0019782_Monitoring - 04-2023_20230607

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * April
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*
04-2023 Camp Weaver NDMR-AR (2).pdf 502.82KB
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
6/7/2023
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: 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: April
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 0
50050
00400
50060
00310
00610
70300
31616
00916
00625
00665
00010
00620
00927
00600
00931
00929
QE
U —
O
=
U
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7v
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H y
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E
=N y
LO
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rn
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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
2
3
13:00
0.5
607
6.92
<15
4
15:25
0.5
500
5
14:15
0.5
600
6
14:40
0.5
555
7
H
H
555
8
555
9
555
10
14:00
0.5
1,422
6.86
<15
11
14:05
0.5
907
12
14:05
0.5
1,037
13
14:20
0.5
807
14
11:50
0.5
3,800
15
3,800
16
3,800
17
12:45
0.5
4,407
6.94
<15
18
14:00
0.5
3,300
19
11:45
0.5
607
20
607
21
09:45
0.5
3,407
22
11:45
0.5
2,450
23
2,450
24
13:00
0.5
2,300
6.85
<15
25
10:30
0.5
1,100
26
11:20
0.5
1,307
27
16:50
0.5
600
28
11:15
0.5
29
30
31
Average:
1,682
0.00
Daily Maximum:
4,407
6.94
15.00
Daily Minimum:
500
6.85
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 Person(s) Certified Laboratorles
Name: Operators Name: Statesville Analytical
Name. Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? [a Compliant 11 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
taken. Attach additional sheets it necessa
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? d Yes Q 140
Phone Number: Permit Expiration: 12/31/2026
&
'�
5I3012023
L6eL-
C _6 , �°°''''))3
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 ballot, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility or 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 '
• •
'•2023
• 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?
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Monthly
Loading:
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?
o Compliant ❑ Non-Compllant
m Compliant o Non-Compllant
m Compliant of Non -Compliant
o Compliant ❑ Non -Compliant
o 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 dale(s) of the non-compliance and describe the corrective
Men, Attacn aaanlonai sneets it 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-t? a Yes o No
Phone Number: Permit Exp.: 12131 /26
L911—L 5/30/2023
-
S��& cy -.,,J
Signature Date
Signature Date
By this signalure, I certify that this report Is accurrato 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 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