WQ0019782_Monitoring - 06-2023_20230801

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month:* June
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*
06-2023 Camp Weaver NDMR-AR.pdf 436.89KB
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
8/1 /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: 8/1/2023

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No.: WQ0019782
Facility Name: YMCA -CAMP WEAVER
County: Guilford
Month: June
Year: 2023
__jPPI: 001
Flow Measuring Point: ° 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
Q E
O
c
E °'
W
O
3
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Q
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0 'y 0
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p
O
m
o
E
E
Q
«? -a
O N .0
~ �N
o
R c
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t
a� a,
Y 0
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0
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N
r t
0 0_
~ 0
a
m
(D
E
D
a
z
N
a�
0 0
~Z
a
73 C tv
to -0
Q
v�
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
18:20
0.5
800
2
09:00
0.5
2,640
3
2,640
4
2,640
5
12:00
0.5
6,515
6.79
<15
6
16:00
0.5
2,400
7
11:00
0.5
2,957
8
2,957
9
09:00
0.5
3,415
10
20:42
0.5
3,372
11
3,372
12
12:00
0.5
9,442
6.25
<15
131
19:15
0.5
3,437
14
11:25
0.5
9,394
15
16:35
0.5
11,115
16
09:00
0.5
4,560
17
4,560
18
4,560
19
12:25
0.5
4,937
6.95
<15
20
11:30
0.5
5,542
21
12:00
0.5
9,202
22
17:55
0.5
3,222
23
08:55
0.5
3,365
24
3,365
25
3,365
26
11:20
0.5
10,065
7.03
<15
27
17:30
0.5
2,945
28
11; 30
0.5
10,100
29
18:25
0.5
3,094
30
08:50
0.5
31
Average:
4,971
0.00
Daily Maximum:
11,115
7.03
15.00
Daily Minimum:
2,400
6.25
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 Laboratories
Name: Operators Name: Statesville Analytical
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? m Compliant 0 Non•comptant
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? o Yes ° No
Phone Number: Permit Expiration: 12/31/2026
7128/2023
(� (�,
1/CR.�-A Jp -"
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 directlon 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 ofthe 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 beliaf, 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 knit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of
Permit No.: WQ0019782
Facility Name: YMCA -CAMP WEAVER
County: Guilford
Month: June
Year: 2023
Did irrigation
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
occur
at this facility?
o YES ❑ NO
Area (acres):
0.3719
Area (acres):
0.3719
Area (acres):
0.4477
Area (acres):
0.4477
Cover Crop:Natural
Forest
Cover Crop:
p�
Natural Forest
Cover Crop:
p�
Natural Forest
Cover Crop:
p�
Natural Forest
Hourly Rate (in):
0.4
Hourly Rate (in):
0.4
Hourly Rate (in):
0.4
Hourly Rate (in):
0.4
Annual Rate (in):
38.3
Annual Rate (in):
38.3
Annual Rate (in):
38.3
Annual Rate (in):
38.3
Weather
Freeboard
Field Irrigated?
o YES ❑ NO
Field Irrigated?
YES ❑ No
Field Irrigated?
❑ YES o NO
Field Irrigated?
YES ❑ NO
°
C
�
°
L
a
0
fn
°
o
LO
i
a�
J=J
E0
O
E
%
°
L
+a
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k O
=J
E
%
�a
=
J=J%
EE a
=
4) M
E a
J
E acR�
=7
CU XE L°O
JE
°F
in
ft
ft
gal
j min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
PC
69
0
5.21
2
C
70
0
5.21
3
4
5
PC
73
0
5.21
6
C
74
0
5
4,917
149
0.49
0.20
327
12
0.03
0.03
4,877
135
0.40
0.18
7
R
68
0.01
5.21
19,620
594
1.94
0.20
8
9
C
64
0
5.87
14,128
428
1.40
0.20
10
PC
67
0
5.87
14,018
424
1.39
0.20
11
12
PC
76
0.2
6.67
13
PC
70
0
6.87
135
4
0.01
0.01
641
24
0.06
0.06
644
17
0.05
0.05
14
C
77
0
6.87
15
CL
75
0
5.91
3,299
99
0.33
0.20
974
37
0.10
0.10
3,708
103
0.31
0.18
16
C
73
0
6.27
13,332
404
1.32
0.20
7,973
221
0.66
0.18
17
18
19
PC
83
0
6.87
20
R
66
0
6.27
199
6
0.02
0.02
195
5
0.02
0.02
137
4
0.01
0.01
21
CL
66
0.61
6.21
22
CL
63
1.05
5.61
23
CL
68
0.51
5.77
24
25
26
C
81
0.09
5.77
27
PC
78
0.09
4.6
817
24
0.08
0.08
865
33
0.09
0.09
841
23
0.07
0.07
28
C
79
0
5.44
29
PC
76
0
5.01
119
4
0.01
0.01
195
5
0.02
0.02
81
2
0.01
0.01
30
CL
75
0
5.17
31
MonthlyLoading:
g�
12 Month Floatin Total in :
g ( )
70 584
;;;;aiiaiiG;-;;;
6.99
18.46
;;;;i
3 197
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ai30%%/%/O%/aiaii
aiiaiiiiiaiiiaiaiiaiii
0.32
5.13
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aiiiaiaiiaiiaiiaiiaiiii
0
0 00
17.4 0
iiai❖;;;;;;;;;i
;;;;si
18 261
%aiiiai;•;;;•;;;;•;;;;-=
iaiii30%%%%%%/aia
aiaiiaiiiaiaiiaiiiiiai
1.50
19.56
iiaiaiiaiiiaiaiiaiiiaiaii

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?
fa Compliant
la Non -Compliant
GI Compliant
t' Non -Compliant
la Compliant
® Non -Compliant
IA Compliant
❑ Non -Compliant
ra Compliant
ty 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-17 ❑ Yes la No
Phone Number: Permit Exp.: 12/31/26
7/28/2023
r
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 property 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