WQ0019782_Monitoring - 09-2023_20231031

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * September
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*
09-2023 Camp Weaver NDMR-AR.pdf 297.22KB
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
10/31 /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: 11/6/2023

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No.: WQ0019782
Facility Name: YMCA -CAMP WEAVER
County: Guilford
Month: September
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
x
CL
`—�° -3a c
o .y o
~
p
O
o
E
E
«? -a
o N p
�N
=
u.
0
v
t
a,
Y o
z
o
N
r t
p
°
m
>
E
D
a
Z
N
�
a�
p 0a
~co
L cC
to-0
Q
iWv
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
10:25
0.5
4,457
3
4,457
4
14:15
0.5
2,007
7.14
<15
5
17:25
0.5
700
6
10:20
0.5
2,130
7
16:30
0.5
2,007
8
09:30
0.5
1,986
9
1,986
10
1,986
11
14:50
0.5
2,015
7.16
<15
12
09:30
0.5
4,745
13
12:00
0.5
1,607
14
20:00
0.5
607
15
10:50
0.5
2,876
16
2,876
17
2,876
18
14:25
0.5
1,812
7.21
<15
19
17:05
0.5
695
20
12:55
0.5
1,215
21
17:15
0.5
730
22
10:50
0.5
1,976
23
1,976
24
1,976
25
12:25
0.5
5,230
7.09
<15
26
16:45
0.5
3,200
27
11:40
0.5
8,100
28
19:21
0.5
1,155
29
11:10
0.5
1,155
30
1,155
31
Average:
2,403
0.00
Daily Maximum:
8,100
7.21
15.00
Daily Minimum:
607
7.09
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? to Compliant 0 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
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: $I Phone Number: 252-235-8809
Signing Official's Title: Maintenance Supervisor
Has the ORC changed since the previous NDMR? a Yes o No
Phone Number: Permit Expiration: 12/31/2026
10/2512023
Z�a& �Lvl_�
��s U� c) -3 1 -R3
Signature Date
-1
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 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
Permit No.: WQ0019782
Facility Name: YMCA -CAMP WEAVER
County: Guilford
Month: September
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?
I 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
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=J
E
%
�a
=
J=J%
EE a
=
4) M
E a
J
E acR�
=7
CU XE L°O
JE
°F
in
ft
j ft
gal
j min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
2
C
73
0
5.78
3
4
C
91
0
5.27
5
C
86
0
4.91
394
12
0.04
0.04
245
9
0.02
0.02
1,414
39
0.12
0.12
6
C
84
0
5.27
7
C
88
0
5.27
1,486
45
0.15
0.15
1,314
50
0.13
0.13
342
9.5
0.03
0.03
8
C
74
0
5.18
9
10
11
PC
85
0.59
5.07
3,118
94
0.31
0.20
408
15
0.04
0.04
12
PC
71
0
4.93
5,337
148
0.44
0.18
13
PC
78
0.6
5.27
14
PC
70
0.19
5.27
154
5
0.02
0.02
221
9
0.02
0.02
454
13
0.04
0.04
15
C
72
0
5.27
16
17
18
C
77
0.22
4.93
191
PC
73
0
4.61
166
5
0.02
0.02
2,366
91
0.23
0.15
475
13
0.04
0.04
20
C
81
0
4.93
21
PC
71
0
4.93
898
27
0.09
0.09
22
C
69
0
4.93
23
24
25
C
76
0.76
4.76
26
CL
66
0
4.76
855
33
0.08
0.08
27
CL
65
0
4.68
28
C
65
0.02
4.68
29
CL
67
0
4.32
30
31
MonthlyLoading:
12 Month FloatingTotal in :
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21
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06 2
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7.64

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?
a Compliant
❑ Non -Compliant
d Compliant
o Non-Compllant
a Compllant
n Non -Compliant
[a Compllant
r] Non -Compliant
to Compliant
o 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 dates) of the non-compliance and describe the corrective
auuvntoy .n .. ayn auunw, iai ofr . n .—..
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 n Yes a No
Phone Number: Permit Exp.: 12/31/26
z a .
10/26/2023
Sig ature 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 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