WQ0019782_Monitoring - 10-2023_20231129

Monitoring Report Submittal
..................................................
Permit Number#* WQ0019782
Name of Facility:* YMCA CAMP WEAVER
Month: * October Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR 10-2023 Camp Weaver NDAR-MR.pdf 511KB
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: 11/29/2023
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: 11/30/2023

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No.: WQ0019782
Facility Name: YMCA -CAMP WEAVER
County: Guilford
Month: October
Year: 2023
PPI: 001 __jFlow
Measuring Point: o Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent o Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code --►
50050
00400
50060
00310
00610
70300
31616
00916
00625
00665
00010
00620
00927
00600
00931
00929
'Fa
Uaai' E
o
0=
H
U
o
Q.
m
O
�
O
E
E
a
(D
gN
O O
o
E
_
U
E
t
a =
a
0
Z
�o
(n
O CL
O
a
E
�
Z
3
aar
0
Z
_
-E
N�ac
p o
y W
NE
'aP
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
14:15
0.5
900
7
<15
3
11:15
0.5
1,230
4
13:00
0.5
1,407
5
18:50
0.5
407
6
10:50
0.5
2,955
7
2,955
8
2,955
9
14:00
0.5
1,507
6.9
<15
10
16:35
0.5
700
11
13:55
0.5
900
12
16:05
0.5
15
13
11:15
0.5
1,515
14
1,515
15
1,515
16
14:25
0.5
861
7
<15
17
861
18
14:40
0.5
907
19
14:45
0.5
800
20
10:50
0.5
907
21
14:30
0.5
650
22
650
23
13:40
0.5
900
7.1
<15
24
16:00
0.5
807
25
12:35
0.5
3,607
26
15:00
0.5
600
27
11:30
0.5
2,050
28
2,050
29
2,050
30
15:00
0.5
757
7
<15
311
17:00
0.5
757
Average:
1,323
0.00
Daily Maximum:
3,607
7.10
15.00
Daily Minimum:
15
7.00
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 Persons) 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? [a 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 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? 0 Yes o No
Phone Number: Permit Expiration: 12/31/2026
Digitally signed by: Todd Robinson
D CN = Todd Robinson -mall =
Todd
nson@envlrollndnc.00m C =
0 = ENVIROf INK, INC. OU = 11/2812023
P
'Pate:
Signature Date
Signature bate
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 bast 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 2
PermitNo.:•11 •
YMCA -CAMP '
• •
October
Year: 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
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
a 11:140
Field Irrigated?
Field Irrigated?
Field Irrigated?
Field Irrigated?
©�
.•
��
1
��m
1 1�
1 1�
®�
1 1
1 1
----
1
m
1 1•
1 1•
ml
�m
1 1
• .
• •
m
1 1 •
1 1 •
---
----
�m
1 1 �
1 1 �
®�
••
1®
� 1•
.1
�
1 1•
1 1.
�
m
1 1�
1 1�
----®®
1 1�
1 1�
®I
�m�
�_
••
®1
1 1
1 1
�®
1 1�
1 1�
----
®�
1 1
1 1
1 •:
12 Month Floating Total (in):
l

FORM: 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?
Id Compliant n Non -Compliant
© Compliant (] Non -Compliant
a Compliant © Non -Compliant
o Compliant q Non -Compliant
o Compliant ❑ 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
Permlttee Certification
ORC: Todd Robinson
Permlttee:
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 o No
Phone Number: Permit Exp.: 12/31/26
Todd Digi lly signed by: Todd Robinson
D = Todd Robinson email =
.,CN
[e-mail] C = US
O ENVIROLINK, INC. OU = ORC 11/28/2023
D te: 2023.41.28 14:2t 24
J)
-OS'08'
_ZLC�
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 rry dlmGtion 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