WQ0019782_Monitoring - 03-2024_20240430

Monitoring Report Submittal
..................................................
Permit Number#* WQ0019782
Name of Facility:* YMCA CAMP WEAVER
Month: * March Year: * 2024
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR 03-2024 Camp Weaver NDMR-AR.pdf 521.82KB
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: 4/30/2024
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: 5/21/2024

e o• 50050 00400 1 50060 00310 1 00610 1 70300 1 31.616 00916 1 00625 1 00665 1 00010 00620 1 00927 1 00600 1 009
0.5 4 800
0.5 2161
0.5 1 2,600
0.5 1 1207
I 2302:
0.5 I 1307
I 1605
0.5 1 671
average: 2372
iximum: 10,837
inimum: 671

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? o 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 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: St. Phone Number: 252-235-8809
Signing Official's Title: Maintenance Supervisor
Has the ORC changed since the previous NDMR? Q vqs o No
Phone Number: Permit Expiration: 12/31/2026
Dlgl Ily signed by: Todd Robinson
Todd R CN = Todd RoWnson email =
.
[e-mail]
C = US
O ENVIROLINK, INC. OU = ORCRobinson 4/3012024
.104 30 15:00:13-04'00'
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, 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 or 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

Area (acres): 0.3719
Area (acres):
0.3719
Area (acres): OA47T
Area (acres):
s facility?
cover Crop: Natural Forest
Cover Crop:
Natural Forest
Cover Crop: Natural Forest
Cover Crop:
M
❑ No
Hourly, Rate (in): 0.4
Hourly Rate (in):
0.4
Hourly Rate (in). 0A,
Hourly Rate (in):
Annual Rate (ire): 38.3
Annual Rate (in):
38.3
Annual Rate (in): 3&3
Annual Rate (in):
ier
Freeboard
Field Irrigated? ❑YES ❑ NO
Field Irrigated?
o YES ❑ No
Field Irrigated? © YES ❑ NO
Field Irrigated?
o YE
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gal rein, in in
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0.23
2.9
0.94
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1,204! 29 0.10, i7.10
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2.83

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 rl Non -Compliant
C Compliant © Non -Compliant
W Compliant © Non -Compliant
d Compliant o Non -Compliant
R 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 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 Director
Has the ORC changed since the previous NDAR-1? ❑ Yes © No
Phone Number: Permit Exp.: 12/31 /26
Todd Uig Ily signed by: Todd Robinson
D CN = Todd Robinson email =
o in [e-mail] C US
Robonson ENVIROLINK, INC. oU = ORC 413012024
pa e:
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 penaity of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed 10 assure that ell 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 submltted is, to the best of my knowledge and belief, true, accurate, and coni l am aware that there are significant
penalties for submitting false inforrnatlon, 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