WQ0019782_Monitoring - 06-2024_20241001 (2)

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month:* June
Report Information
WQ0019782
YMCA -Camp Weaver
Type *
Revised - NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2024
Upload Document*
06-2024 Camp Weaver 596.49KB
N D M R_Revised_Sig ned. pdf
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: * Heather Parker
Signature:
we"Mi-t ,,1?��r.4Vc
Date of submittal: 10/1/2024
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: 10/16/2024

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No.: WQ0019782
Facility Name: YMCA -CAMP WEAVER
County: Guilford
Month: Jude
Year: 2024
PPI: 001
Flow Measuring Point: @ Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent o Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code 0
50050
00400
50060
00310
00610
70300
31616
00916
00625
00665
00010
00620
00927
00600
00931
00929
2O
UQE
O
P
O
°
O o
L
O
=
E
F
d N
-0
°
(n U)
o
d
u_ o
cc
d
10
p
0
a
++
cco
d
d
Z
=cc
c
y
o o
~m
Z)
2
=a cc
U
Q
E
a
c
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
3
15:00
0.5
6,237
6.9
<15
4
20:15
0.5
3,115
5
14:15
0.5
3,900
6
18:50
0.5
2,645
7
11:10
0.5
11,190
8
3,935
9
3,935
10
15:45
0.5
3,935
7.1
<15
11
17:17
0.5
4,667
12
12:15
0.5
7,372
13
16:15
0.5
4,230
14
11:15
0.5
18,727
15
2,299
16
2,299
17
15:30
0.5
2,299
7
<15
18
18:00
0.5
6,637
19
13:30
0.5
11,535
20
18;55
0.5
4,530
21
11:10
0.5
16,382
22
2,993
23
2,993
24
13:40
0.5
2,993
6.8
<15
25
18:50
0.5
345
26
13:30
0.5
19,635
160
21.9
211
>600
23.4
31
3.58
<10
5.75
31.1
1.3
27
27
17:45
0.5
5,230
28
11:00
0.5
10,701
29
10,667
30
10,667
31
Average:
6,646
0.00
160.00
21.90
211.00
1.00
23.40
31.00
3.58
0.00
5.75
31.10
1.30
27.00
Daily Maximum:
19,635
7.10
15.00
160.00
21.90
211.00
0.00
23.40
31.00
3.58
10.00
5.75
31.10
1.30
27.00
Daily Minimum:
345
6.80
15.00
160.00
21.90
211.00
0.00
23.40
31.00
3.58
10.00
5.75
31.10
1.30
27.00
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 sampfing frequencies meet the requirements in Attachment A of your permit? R 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 1 1006252
Signing Official: David Burton
A
Grade: Sill Phone Number: 252-235-8809
Signing Official's Title: Maintenance Supervisor
Has the ORC changed since the previous Ni ° Yes m No
Phone Number: Permit Expiration: 12/31/2026
Todd Dig�telly signed by: Todd Robinson
O, "= Todd Robinson email =
ap' son@envirollnklnacom C =
Robinson 11 O= Inc.
-�.pate:aoza.oafafz:2sas-oa�oo�
(D— ,724
24.09.lnk,
09/13/202A
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 ware prepared under my dlrection or supervision in
accordance with a system designed to assure that all quallfled personnel property gathered and evaluated the Information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons dlreclly responsible for
gathering the information, the Information submitted Is, to the beat of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for subrnitting false information, including the possibility of flnes 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.:Q11 •
• •2024
• irrigation occur
at this facility?
°YES NO
Area (acres):
Area (acres):
Area (acres):
Area (acres):
Cover Crop:
Natural Forest
Natural Forest
Cover Crop:
Natural Forest
Cover Crop:
Natural Forest
•
1�
.
H.
H.
1�
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Field Irrigated?
Field Irrigated?
Field Irrigated?
Field Irrigated?
gal
min
in
in..
.
..
m�m
1 .
�_
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1 11
1 11
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12 Month Floating Total

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?
m Compliant ❑ Non -Compliant
Ed Compliant ❑ Non -Compliant
la Compliant ri Non -Compliant
la Compliant ❑ Non -Compliant
m 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 1 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 Ni ❑ Yes 0 No
Phone Number: Permit Exp.: 12/31/26
Todd Clg�dlly algnod by, Todd Robinson
ZIICN = Tadd Robinson email =
i Inson®envlrollnkinc.wm C =
Robinson � �= Envlrollnk,lnc
q le:2gza.os.tsiz:ze:az-9'oo 09113/2024
Signature Date
Signature Date
By this slgnalure, 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 supervlslon 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 informatlon, the
Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are signlffcant
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