WQ0019782_Monitoring - 02-2024_20240329

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * February
WQ0019782
YMCA CAMP WEAVER
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:
Name of Submitter: *
Year:* 2024
Upload Document*
02-2024 Camp Weaver NDMR-AR.pdf 500.28KB
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.
Signature:
Date of submittal:
Initial Review
Reviewer: Wanda.Gerald
3/29/2024
This will be filled in automatically

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 1007
0.5 1835
0.5 1 1,200
I 550
0.5 I 1400
I 1076
0.5 1 266
average: 1519
1ximum: 6907
inimum: 266

FORM: NOMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of 2
Sampling Porsorl 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 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
actlon(s) Men. Attacn additional 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: SI Phone Number: 252-235-8809
Signing Official's Title: Maintenance Supervisor
Has the ORC changed since the previous NDIVIR? n Yes Id No
Todd fully signed by: Todd Robinson
D . j' CN =Todd Robinson email =
Phone Number: Permit Explration: 12/34/2026
binson(denvirolinkine.com C = US
`f ENVIROLINK, INC. OU - ORC 3/28/2024
V
(;
r✓ / i�
Signature Date
Signature Date
By this signature, ! certify that this report is accurrale end 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 quallfled personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the syslom, 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 signlficanl penalties for submltiing 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 Sell 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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a
,
in
ft
ft
gal mini
in
in
gal
min
in
in
gal rein,
in
in
gal
min
ii
0.13
2.9
0
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1,169
45
1 0.12
0.12
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FORM: N#DAR-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?
ra Compliant ❑ Non -Compliant
W Compliant a Non -Compliant
Ld Compliant W Non -Compliant
o Compliant ❑ Non-Compiiant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ra Compliant ❑ Non -Compliant
If the facility Is non -compliant, please explain in the space below the reason(&) 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 Dumber: 252-235-8809 Signing Officials Title: Maintenance Director
Has the ORC changed since the previous NDAR-1? ❑ yes o No Phone Number:
Digitally signed by: Todd Robinson Permit Exp.: 12131 /26
Todd t, CN = Todd Robinson email =
o [e-mail] C US
= ENVIROLINK, INC. OU = CRC 3/2812t)24
:8j5��� � 33 72 F3,
Signature
Date Signature Date
By this signature, I certify that this report is accurrato and completo to the best of my knowledge. I certify, under penally of law, that this document and all attachments were prepared under my dlrecilon or supervision In accordance
Win a system designed to assure that all qualified personnel prcperly 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 imp0sonment 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