WQ0019782_Monitoring - 09-2016_20161208 (2)

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FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Arun MU\L&ge 1 of 2
Permit No.: WQ0019782
Facility Name:
YMCA -CAMP WEAVER
County:
Guilford
Month:
September
Year: 2016
PPI: 001
Flow Measuring Point:
EInfluent El Effluent
0 N Flow generated
Parameter Monitoring Point:
❑Influent
DEffluept
❑Groundwater Lowering El Surface Water
Parameter Code 10
50050
00400
50060
00310
00610
00530
31616
00630
00625
00665
00010
00620
00615
om
U
O O
a
N_CL
m
Q
a
- m
N
o
Vz
~
Yz
U)
W
a
z
z
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
1
210
2
13:15 1
220
6.48
0
(
3
13:00 1
343
4
343
5
13:00 1
117
v
6
117
a
7
117
8
13:15 1
326
6.89
0
(in�tt
9
328
10
11:15 1
332
11
332
121
10:00 1
173
13
173
14
173
15
13:45 1
182
7.14
0
9.2
61.1
6.5
22
<0.04
55.3
7.98
19
<0.04
<0.02
16
184
17
10:15 1
240
18
242
19
12:30 1
148
20
148
21
148
22
14:00 1
178
6.93
0
231
178
241
14:15 1
149
251
150
261
05:30 1
139
271
139
281
1
139
291
14:00 1 1
57
30
58
311
1
7,910
Average:
442
0.00
9.20
61.10
6.50
22.00
0.00
55.30
7.98
19.30
0.00
1 0.00
Daily Maximum:
7,910
7.14
0.00
9.20
61.10
6.50
22.00
0.04
55.30
7.98
19.30
0.04
0.02
Daily Minimum:
57
6.48
0.00
9.20
61.10
6.50
22.00
0.04
55.30
7.98
19.30
0.04
0.02
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
3,670
Daily Limit:
3,670
Sample Frequency:
1lweek
1/week
3x Year
3x Year
3x Year
3x Year
3x Year
3x Year
3x Year

Sampling Person(s)
Certified Laboratories
Name: Chip White
Name: Environment 1
Name: Anthony Branch
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? i]Compffant ❑ 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,
I`
I
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 NOMR? ❑. Yes El No
Phone Number: 3368548410 Permit Expiration: 9/30/2020
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Signature Date
Signature ? ��G w L.(-Q-&IYY"c_ei✓YJl
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 qualfiedipersonnel property gathered and evaluated the informatior
=age
submitted. Based on my inquiry of the person or persons whe the system, or those persons direedy responsible fc
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that there are significant penalties for submitting false information, including the possibility of lines and imprison•
for knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center

FORM: NDMR 10-13
Sampling Person(s)
Name: Chip White
Name: Anthony Branch
NON -DISCHARGE MONITORING REPORT (NDMR)
Name: Environment 1
Name:
Certified Laboratories
Page 2 of 2
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑., 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: 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 NDMR? yes ❑ No
Phone Number: 3368548410 Permit Expiration: 9/30/2020
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j t
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 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.
I Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
j 1617 Mail Service Center
Raleigh, North Carolina 27699-1617
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