WQ0019782_Monitoring - 12-2023_20240130

Monitoring Report Submittal
..................................................
Permit Number#* WQ0019782
Name of Facility:* YMCA CAMP WEAVER
Month: * December Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR 12-2023 Camp Weaver NDMR-AR.pdf 508.09KB
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: 1/30/2024
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* W00019782
Is the monitoring report accepted?* Yes NO
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 2/26/2024

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No.: WQ0019782
Facility Name: YMCA -CAMP WEAVER
County: Guilford
Month: December
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
O
0c
U
o
a)
4
�
O
E
E
a
y
O O
NO
E
_ E
_
V
E
s
cc c
0
ll� O
(n
O CL
O
a
Z
3>
0
H
Z
c
CL
rE
p o
O y
N�aO
3
'NaP
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
11:00
0.5
1769
2
1,769
3
1,769
4
12:20
0.5
1,307
7
<15
5
16:45
0.5
800
6
12:00
0.5
1,500
7
17:25
0.5
800
8
11:15
0.5
1,066
9
1,066
10
1,066
11
12:20
0.5
1,400
6.9
<15
12
22:20
0.5
900
13
17:00
0.5
800
14
11:15
0.5
700
15
13:20
0.5
2,699
16
2,699
17
2,699
181
13:35
0.5
1,100
7.1
<15
19
15:30
0.5
1,200
50.5
0.4
60
310
5.08
7.77
0.258
3
0.68
1.3
8.45
0.253
2.47
20
13:40
0.5
1,200
21
11:30
0.5
1,407
22
12:45
0.5
1,140
23
1,140
24
1,140
25
H
H
1,140
26
H
H
1,140
27
13:25
0.5
1,200
7
<15
28
15:49
0.5
907
29
13:45
0.5
1,366
30
1,366
311
1
1,366
Average:
1,328
0.00
50.50
0.40
60.00
310.00
5.08
7.77
0.26
2.60
0.68
1.30
8.45
0.25
2.47
Daily Maximum:
2,699
7.10
15.00
50.50
0.40
60.00
310.00
5.08
7.77
0.26
2.60
0.68
1.30
8.45
0.25
2.47
Daily Minimum:
700
6.90
15.00
50.50
0.40
60.00
310.00
5.08
7.77
2.60
0.68
1.30
8.45
0.25
2.47
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
3,670
j3ear
Daily Limit:
3,670
Sample Frequency:
22
1/week
1/week
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? o Compliant 13 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 dales) 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
Permlttee: 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 previousNDMR? n Yes I] No
Dig lta signed by: Todd Robinson
previous
Phone Number: Permit Ex Iralion: 12131/2Q26
Todd R ..CN = Todd Robinson email
'[e-mail]
C = US
ENVIROLINK, INC, oU = ORC
RoWn 42te: 1128/202A
son 2024.01.26 14:29:35-05'00'
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, thal 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 2
PermitNo.:loll •
YMCA -CAMP '
• •
December
1
• 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?
m�
��
��_
�®
1 1
1 1
•:
�
1 1
1 1
�©
1 1
1 1
®1
©
1 1
1 1
Monthly•..
•
1 1
12 Month Floating Total (in):
l

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?
© Compliant n Non -Compliant
w Compliant ❑ Non -Compliant
© Compliant © Non -Compliant
o Compliant 17 Non -Compliant
© Compliant Q 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
tal Attach aaattlonal sheets 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: S1 Phone Number: 252-235-8809
Signing Official's Title: Maintenance Director
Has the ORC changed since the previous NDAR-1? n Yes o No
Digitpily signed by: Todd Robinson
Phone Number: Permit Ex p" 12/31/26
Q : CN = Todd Robinson email =
Todd
ins [e-mail] C = US
0 ENVIROLINK, INC. OU = ORC
1p te: 2024.01.26 14:29:20-05'00' 1/26/2024
e e 1
\11
Signature Date
Signature Date
By this signature, I certify that this report is aocurrate 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 forgathering 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