WQ0019782_Monitoring - 10-2016_20161208 (2)

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No.: W00019782
Facility Name:
YMCA -CAMP WEAVER
County:
Guilford
Month:
October
Year: 2016
PPI: 001
Flow Measuring Point:
EInfluent El Effluent
El No flow generated
Parameter Monitoring Point:
❑Influent
QEffluent
El Groundwater Lowering ❑Surface Water
Parameter Code --0
50050
00400
50060
00310
00610
00530
31616
00630
00625
00665
00010
00620
00615
T
ra
E_ w
Q E ~ N
U i_ U C
lr �0
O 0
O
Ll
O
C
O
N t
XL)
1n
m
C
O
a
o
d
'O N
r y .�
FO- G O
��
N
Il O
U
+ a0.
" y
ZZ
c
c d
'D O
~
YZ
(n
O
Cc
.0
FO— y
t
a
2
Q
E
0
.d.
r
Z
r
Z
24 -hr hrs
GPD
su
mg/L
mg/L
mg/L
mg/L
#1100 mL
mg/L
mg/L
mg/L
°C
mg/L
mg/L
1
58
2
58
3
05:00 1
2,136
4
13:15 1
1,104
5
09:30 1
1,213
61
1,213
7
06:00 1
1,474
7.31
0
1
8
1,473
9
1,473
10
13:45 1
1,119
7.48
0
11
14:15 1
784
12
05:30 1
1,429
13
05:45 1
1,658
14
05:00 1
1,696
15
1,696
16
1,696
-n
171
13:30 1
1,217
7.13
0
1
;U
18
1,218
Jvv
19
15:00 1
1,344
20
1,344
21
05:30 1
1,955
o c?
f
22
1,956'
rn o
o1
231
1,956
241
13:00 1
1,413
7.13
0
1
25
1,413
26
14:45 1
830
27
831
28
05:30 1
1,126
29
1,126
301
1,126
311
12:30 1 1
485
Average:
1,278
0.00
Daily Maximum:
2,136
7.48
0.00
Daily Minimum:
58
7.13
0.00
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
3,670
Daily Limit:
3,670
Sample Frequency:
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)
Sampling Person(s) Certified Laboratories
Name: Chip White Name: Environment 1
Name: Anthony Branch 11 Name:
Page 2 of 2
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑' Compliant El 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
mrtinn/cl takpn Attarh arirtitinnal shpptc if nprpccary
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Chip White
Permittee: YMCA of Greensboro
Certification No.:
Signing Official: Greg Jones
Grade: Phone Number: 252-235-4900
Signing Official's Title: President/CEO
Has the ORC changed since the previous MR? OYes ❑No
Phone Number: 3368548410 Permit Expiration: 9/30/2020
I
Signature Date
Signature I 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 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