WQ0019782_Final Permit_20150128

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaarl
Governor Secretary
January 28, 2015
JAMIE COSSON — EXECUTIVE DIRECTOR
TEm YOUNG MEN's CmusTIAN ASSOCIATION OF GREENSBORO, INC.
4924 TAPAWINGO TRAIT.
GREENSBORO, NORTH CAROLINA 27406-9072
Subject: Permit No. WQ0019782
YMCA Camp Weaver
Wastewater Irrigation System
Guilford County
Dear Mr. Cosson:
In accordance with your permit renewal request received December 2, 2014, we are forwarding
herewith Permit No. WQ0019782 dated January 28, 2015, to The Young Men's Christian Association of
Greensboro, Inc. for the continued operation of the subject wastewater treatment and irrigation facilities.
Please note that this renewed permit shall become effective on October 1, 2015 (i.e. the day after the
expiration date of the existing permit), which differs from the date of this letter.
This permit shall be effective from October 1, 2015 until September 30, 2020, shall void Permit
No. WQ0019782 issued October 26, 2006, and shall be subject to the conditions and limitations as
specified therein. Please pay particular attention to the monitoring requirements listed in Attachments A
and B for they may differ from the previous permit issuance. Failure to establish an adequate system for
coIIecting and maintaining the required operational information shall result in future compliance
problems.
For your convenience, customized electronic copies of your facility's NDMR and NDAR-1
reporting forms are available for download at: http:I/portal.ncdenr.orglweb/wq-/aps/lau/reporting.
Please note the following permit conditions have been removed since the last permit
issuance dated October 26, 2006:
Y Old Condition I1.13. — This condition has been removed.
➢ Old Condition IV.3. — This condition has been removed.
➢ Old Condition IVA. — This condition has been removed because the 250,000 gallon
synthetically lined storage lagoon has been constructed and is operational.
➢ Old Condition IV.5. — This condition has been removed because the 250,000 gallon
synthetically lined storage lagoon has been constructed and is operational-
➢ Old Condition VI.10. —This condition has been removed.
Non -Discharge Permitting Unit
1617 Mall Service Center, Raleigh, North Carolina 27699-1617
Phone: [phone]Intemet: Lp:l/mrtal.ncdenr.org1webAN
An Equal Opporlu-iily %Affirmative Action Employer - Made in pars with recycled paper

Mr_ Jamie Cosson
January 28, 2015
Page 2 of 3
Please note the following permit conditions and attachments are new since the last permit
issuance dated October 26, 2006:
➢ Condition 1.1. — This condition requires that the Permittee install a gauge to monitor waste
levels in the 250,000 gallon synthetically lined storage lagoon within 60 days of the effective
date of this permit.
➢ Condition I1.5_ — This condition requires that the irrigation system be connected to a rain
sensor.
➢ Condition II.8. — This condition requires the Permittee to apply for a permit modification to
establish a new compliance boundary prior to any sale or transfer of property affecting a
compliance boundary.
➢ Condition 11.9. — This condition states that no wells, excluding Division approved monitoring
wells, shall be constructed within the compliance boundary.
➢ Condition II_ 10. — This condition requires any landowner who owns Iand within the
compliance boundary, but who is not the Permittee, to execute and file with the County
Register of Deeds an easement with the requirements listed in the said Condition. Please note
the previous permit was subject to this requirement under I5A NCAC 02L .0107(f),
therefore, this condition is intended to voice this rule.
Condition 111.13. — This condition requires that a gauge to monitor waste levels in the
555,000 gallon anaerobic treatment and storage lagoon shall be provided.
➢ Condition 111.14. — This condition requires that a protective vegetative cover be established
and maintained on .all earthen embankments.
➢ Condition 1V.2. — This condition requires that a Division certified laboratory conduct all
laboratory analyses for the required effluent, groundwater or surface water parameters.
➢ Condition IV.8. — This condition requires that the Permittee maintain a record of all residuals
removed from the facility.
Y Condition IV.9. — This condition requires that the Permittee keep a log of all maintenance
conducted at the subject facility.
➢ Condition VI.7. — This condition requires the Permittee to maintain this permit until all
permitted facilities are properly closed or permitted under another permit.
➢ Condition VI.8. — This condition notes that this permit is subject to revocation or unilateral
modification within 60 days notice from the Division if the terms in 15A NCAC 02T .0110
are violated.
➢ Condition VI9. — This condition notes that this facilities in this permit may not be expanded
if the Permittee exemplifies any of the criteria in 15A NCAC 02T .0120(b).

Mr. Jamie Cosson
January 28, 2015
Page 3 of 3
➢ Attachment A — This attachment includes information that was previously included in Old
Condition 111.5. Please note that per the Division of Water Resources' Non -Discharge
Permitting Unit Wastewater Monitoring Policy, all non -discharge systems are having their
effluent monitoring schedules reevaluated. Accordingly, the sampling frequency for pH
(00400) is now Weekly. In addition, BOD5 (00310), Fecal Coliform (31616), Ammonia
(00610), Nitrate (00610), Total Kjeldahl Nitrogen (00625), Phosphorus (00665) and Total
Suspended Solids (00530) have had their sampling frequency increased from 3 x Year to 4 x
Year. Finally, Total Residual Chlorine (50060) and Total Nitrogen (00600) have been added
to the sampling regimen.
➢ Attachment B — This attachment includes information that was previously included in Old
Condition H.7.
If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail
Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and
binding.
If you need additional information concerning this permit, please contact Nathaniel Thornburg at
(9I9) 807-6453 or nathaniel.thombur ncdenr.gov.
Sincerely,
Jay
Z' mActing
y , A tang Director
Division of Water Resources
cc: Guilford County Health Department (Electronic Copy)
Winston-Salem Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Central Files
Digital Permit Archive (Electronic Copy)

THIS PAGE BLANK

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER IRRIGATION SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules and Regulations
PERMISSION IS HEREBY GRANTED TO
The Young Men's Christian Association of
Greensboro, Inc.
Guilford County
FOR THE
continued operation of a 3,670 gallon per day (GPD) wastewater treatment and irrigation facility
consisting of.
a 10,000 gallon baffled septic tank; a 9,000 GPD rated MicroFast 9.0 with a 2,813 gallon settling zone
and effluent filter, as well as a 8,438 gallon biological treatment zone with blower; an EIC Model 100
tablet chlorinator; a duplex transfer pump station with an audible/visual high-water alarm; a 250,000
gallon 20=millimeter (mm) synthetically lined storage lagoon; a duplex irrigation pump station with an
audible/visual high-water alarm; an effluent flow meter; a 1.64 acre drip irrigation area with
approximately 28,800 linear feet (LF) of irrigation tubing with approximately 11,900 emitters; a rain
sensor; and all associated piping, valves, controls and appurtenances
to serve YMCA Camp Weaver, with no discharge of wastes to surface waters, pursuant to the application
received December 2, 2014, and in conformity with the project plans, specifications, and other supporting
data subsequently filed and approved by the Department of Environment and Natural Resources and
considered a part of this permit.
This permit shall be effective from October 1, 2015 until September 30, 2020, shall void Permit No.
WQ0019782 issued October 26, 2006, and shall be subject to the following specified conditions and
limitations:
WQ0019782 Version 3.0 SheIl Version 150101 Page 1 of 8

I. SCHEDULES
1. A gauge to monitor waste levels in the 250,000 gallon synthetically Iined storage lagoon shall be
installed within 60 days of the effective date of this permit. Caution shall be taken not to damage the
integrity of the liner when installing the gauge. [15A NCAC 02T .0108(b)(2), 02T .0505(d)]
2. No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal
application. [15A NCAC 02T .0105(d), 15A NCAC 02T .0106, 15A NCAC 02T .0109, and 15A
NCAC 02T .0115(c)]
H. PERFORMANCE STANDARDS
1. The subject non -discharge facilities shall be effectively maintained and operated at all times so there
is no discharge to surface waters, nor any contravention of groundwater or surface water standards.
In the event the facilities fail to perform satisfactorily, including the creation of nuisance conditions
due to improper operation and maintenance, or failure of the irrigation areas to adequately assimilate
the effluent, the Permittee shall take immediate corrective actions including Division required actions,
such as the construction of additional or replacement wastewater treatment or irrigation facilities.
[G.S. 143-215.1, 143-213.3(a)]
2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or
surface water resulting from the operation of this facility. [15A NCAC 02B .0200, 02L .0100]
3. Effluent quality shall not exceed the limitations specified in Attachment A. [15A NCAC 02T
.0108(b)(1)]
4. Application rates, whether hydraulic, nutrient or other pollutant, shall not exceed those specified in
Attachment B. [15A NCAC 02T .0505(c), 02T .0505(n)]
5. The irrigation system shall be connected to a rain or moisture sensor, which shall indicate when
effluent application is not appropriate in accordance with Conditions 111.4. and III.5. of this permit.
[15A NCAC 02T .0108(b)(l)]
6. This disposal system was individually permitted on or after December 30, 1983; therefore, the
compliance boundary is established at either 250 feet from the effluent disposal area, or 50 feet within
the property boundary, whichever is closest to the effluent disposal area. An exceedance of
groundwater standards at or beyond the compliance boundary is subject to remediation action
according to 15A NCAC 02L .0106(d)(2) as well as enforcement actions in accordance with North
Carolina General Statute 143-215.6A through 143-215.6C. [15A NCAC 02L .0106(d)(2), 02L
.0107(b)]
7. In accordance with 15A NCAC 02L .0108, the review boundary is established midway between the
compliance boundary and the effluent disposal area_ Any exceedance of groundwater standards at the
review boundary shall require action in accordance with 15A NCAC 02L _0106. [15A NCAC 02L
.0106, 02L .0108]
8. The Permittee shall apply for a permit modification to establish a new compliance boundary prior to
any sale or transfer of property affecting a compliance boundary. [15A NCAC 02L .0107(c)]
9. In accordance with 15A NCAC 02L .0107(d), no wells, excluding Division approved monitoring
wells, shall be constructed within the compliance boundary except as provided for in 15A NCAC 02L
.0107(g). [15A NCAC 02L .0107]
WQ0019782 Version 3.0 Shell Version 150101 Page 2 of 8

10. Except as provided for in 15A NCAC 02L .0107(g), the Permittee shall ensure any landowner who is
not the Permittee and owns land within the compliance boundary shall execute and file with the
Guilford County Register of Deeds an easement running with the land containing the following items:
[ 15A NCAC 02L .0107(f)]
a. A notice of the permit and number or other description as allowed in 15A NCAC 02L .0107(f)(1);
b. Prohibits construction and operation of water supply wells within the compliance boundary; and
c. Reserves the right of the Permittee or the State to enter the property within the compliance
boundary for purposes related to the permit.
The Director may terminate the easement when its purpose has been fulfilled or is no longer needed.
11. The facilities permitted herein shall be constructed according to the following setbacks:
a. The setbacks for irrigation sites permitted under 15A NCAC 0214 .0200 shall be as follows (all
distances in feet):
i. Any habitable residence or place of public assembly under separate ownership: 100
ii. Surface waters: 50
iii. Any well with exception of monitoring wells: 100
iv. Any property line: 50
v. Public right of way: 50
b. The setbacks for storage and treatment units permitted under 15A NCAC 02H _0200 shall be as
follows (all distances in feet):
i. Any well with exception of monitoring wells: 100
ii. Any property line: 50
M. OPERATION AND MAINTENANCE REQUIREMENTS
1. The facilities shall be properly maintained and operated at all times_ The facilities shall be effectively
maintained and operated as a non -discharge system to prevent the discharge of any wastewater
resulting from the operation of this facility. The Permittee shall maintain an Operation and
Maintenance Plan pursuant to 15A NCAC 02T .0507, which at a minimum shall include operational
functions, maintenance schedules, safety measures and a spill response plan. [15A NCAC 02T .0507]
2. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the subject non -discharge facilities, in accordance with ISA NCAC 08G .0200 the
Permittee shall designate and employ a certified operator in responsible charge (ORC) and one of
more certified operator(s) as back-up ORC(s). The ORC or their back-up shall visit the facilities in
accordance with 15A NCAC 08G .0200, and shall comply with all other conditions specified in the
previously cited rules. [15A NCAC 02T .0117]
A suitable year round vegetative cover shall be maintained at all times, such that crop health is
optimized, allows for even distribution of effluent and allows inspection of the irrigation system.
[I5ANCAC 02T .0108(b)(1)]
4. Adequate measures shall be taken to prevent effluent ponding in or runoff from the irrigation sites
listed in Attachment B. [15A NCAC 02T .0108(b)(1)]
5. Irrigation shall not be performed during inclement weather or when the ground is in a condition that
will cause ponding or runoff. [15A NCAC 02T .0108(b)(1)]
WQ0019782 Version 3.0 Shell Version 150101 Page 3 of 8

6. All irrigation equipment shall be tested and calibrated at least once per permit cycle. Calibration
records shall be maintained at the facility for a period of no Iess than five years, and shall be made
available to the Division upon request. [15A NCAC 02T .0108(b)(1)]
Only effluent from YMCA Camp Weaver shall be irrigated on the sites Iisted in Attachment B. [G.S.
143-215.1]
No automobiles or machinery shall be allowed on the irrigation sites except during equipment
installation or while maintenance is being performed. [15A NCAC 02T .0108(b)(1)]
9. Public access to the irrigation sites and wastewater treatment facilities shall be prohibited. [15A
NCAC 02T .0505(q)]
10. The residuals generated from the wastewater treatment facilities shall be disposed or utilized in
accordance with I SA NCAC 02T . 1100. The Permittee shall maintain a residual management plan
pursuant to 15A NCAC 02T .0508. [15A NCAC 02T .1100 & 15A NCAC 02T _0508]
11. Diversion or bypassing of untreated or partially treated wastewater from the treatment facilities is
prohibited. [ I5A NCAC 02T .05050)]
12. Freeboard in the 250,000 gallon synthetically Iined storage lagoon shall not be less than two feet at
anytime. [15A NCAC 02T .0505(d)]
13. A gauge to monitor waste levels in the 250,000 gallon synthetically lined storage lagoon shall be
provided. This gauge shall have readily visible permanent markings, at inch or tenth of a foot
increments, indicating the following elevations: maximum liquid level at the top of the temporary
Liquid storage volume; minimum Iiquid level at the bottom of the temporary liquid storage volume;
and the lowest point on top of the dam. [15A NCAC 02T .0108(b)(1)]
14. A protective vegetative cover shall be established and maintained on all earthen embankments (i.e.,
outside toe of embankment to maximum allowable temporary storage elevation on the inside of the
embankment), berms, pipe runs, erosion control areas, and surface water diversions. Trees, shrubs,
and other woody vegetation shall not be allowed to grow on the earthen dikes or embankments.
Earthen embankment areas shall be kept mowed or otherwise controlled and accessible. [15A NCAC
02T .0108(b)(1)]
IV. MONITORING AND REPORTING REQUIREMENTS
Any Division required monitoring (including groundwater, plant tissue, soil and surface water
analyses) necessary to ensure groundwater and surface water protection shall be established, and an
acceptable sampling reporting schedule shall be followed_ [15A NCAC 02T .0108(c)]
2. A Division certified laboratory shall conduct all laboratory analyses for the required effluent,
groundwater or surface water parameters. [15A NCAC 02H .0800]
Flow through the treatment facility shall be continuously monitored, and daily average flow values
shall be reported on Form NDMR_ Flow may be estimated from water use records, provided the
Permittec's water use is metered. Daily average flow values shall be calculated by dividing the
monthly metered water usage by the number of days in the month_ [15A NCAC 02T .0105(k), 02T
,0108(c)]
4. The Permittee shall monitor the effluent from the subject facilities at the frequencies and locations for
the parameters specified in Aiachment A. [15A NCAC 02T _0108(c)]
WQ0019782 Version 3.0 Shell Version 150101 Page 4 of 8

The Permittee shall maintain adequate records tracking the amount of effluent irrigated. At a
minimum, these records shall include the following information for each irrigation site listed in
Attachment B:
a. Date of irrigation;
b. Volume of effluent irrigated;
c. Site irrigated;
d. Length of time site is irrigated;
e. Continuous weekly, monthly, and year-to-date hydraulic (inches/acre) loadings;
f. Continuous monthly and year-to-date loadings for any non -hydraulic parameter specifically
limited in Attachment B;
g. Weather conditions; and
h. Maintenance of cover crops.
[ 15A NCAC 02T .0108(c)]
6. Freeboard (i.e., waste level to the lowest embankment elevation) in the 250,000 gallon synthetically
lined storage lagoon shall be measured to the nearest inch or tenth of a foot, and recorded weekly.
Weekly freeboard records shall be maintained at the facility for a period of no less than five years,
and shall be made available to the Division upon request. [15A NCAC 02T .0108(c)]
7. Three copies of all monitoring data (as specified in Conditions IV.3. and IVA.) on Form. NDMR for
each PPI and three copies of all operation and disposal records (as specified in Conditions N.S. and
IV.6.) on Form NDAR-1 for every site in Attachment B shall be submitted on or before the last day of
the following month. If no activities occurred during the monitoring month, monitoring reports are
still required documenting the absence of the activity. All information shall be submitted to the
following address:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[15A NCAC 02T .0105(1)]
A record shall be maintained of all residuals removed from this facility. This record shall be
maintained at the facility for a period of no less than five years, and shall be made available to the
Division upon request. At a minimum, this record shall include:
a. Name of the residuals hauler;
b. Non -Discharge permit number authorizing the residuals disposal, or a letter from a municipality
agreeing to accept the residuals;
c. Date the residuals were hauled; and
d. Volume of residuals removed.
[I5ANCAC 02T .0108(b)(1)]
9. A maintenance log shall be maintained at this facility. This log shall be maintained at the facility for
a period of no less than five years, and shall be made available to the Division upon request. At a
minimum, this log shall include:
a. Visual observations of the plant and plant site; and
b. Record of preventative maintenance (e.g., changing of equipment, adjustments, testing,
inspections and cleanings, etc.).
[I 5A NCAC 02T A 108(b)(1)]
WQ,70197n Version 3.0 Shell Version 150101 Page 5 of 8

10. An annual representative soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on
each irrigation site listed in Attachment B. These results shall be maintained at the facility for a
period of no less than five years, and shall be made available to the Division upon request. At a
minimum, the Standard Soil Fertility Analysis shall include the following parameters:
Acidity
Exchangeable Sodium Percentage
Phosphorus
Base Saturation (by calculation)
Magnesium
Potassium
Calcium
Manganese
Sodium
Cation Exchange Capacity
Percent Humic Matter
Zinc
Copper
pH
[15A NCAC 02T .0108(c)]
IL Noncompliance Notification:
The Permittee shall report by telephone to the Winston-Salem Regional Office, telephone number
[phone], as soon as possible, but in no case more than 24 hours, or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence at the facility resulting in the treatment of significant amounts of wastes that is
abnormal in quantity or characteristic, including the known passage of a hazardous substance.
b. Any process unit failure (e.g., mechanical, electrical, etc.), due to known or unknown reasons,
rendering the facility incapable of adequate wastewater treatment.
c. Any facility failure resulting in a by-pass directly to receiving surface waters.
d. Any time self -monitoring indicates the facility has gone out of compliance with its permit
limitations.
e. Ponding in or runoff from the irrigation sites.
Any emergency requiring immediate reporting (e.g_, discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone].
Persons reporting such occurrences by telephone shall also file a written report in letter form within
five days following first knowledge of the occurrence. This report shall outline the actions taken or
proposed to be taken to ensure the problem does not recur. [15A NCAC 02T .0105(l), 02T
.0108(b)(1)]
WQ0019782 Version 3.0 Shell Version 150101 Page 6 of 8

V. INSPECTIONS
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
wastewater treatment and irrigation facilities. [15A NCAC 02T .0108(b)]
2. The Permittee or their designee shall inspect the wastewater treatment and irrigation facilities to
prevent malfunctions, facility deterioration and operator errors resulting in discharges, which may
cause the release of wastes to the environment, a threat to human health or a public nuisance. The
Permittee shall maintain an inspection log that includes, at a minimum, the date and time of
inspection, observations .trade, and any maintenance, repairs, or corrective actions taken. The
Permittee shall maintain this inspection log for a period of five years from the date of the inspection,
and this log shall be made available to the Division upon request. [15A NCAC 02T .0108(b)]
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the wastewater treatment and irrigation facilities
permitted herein at any reasonable time for the purpose of determining compliance with this permit;
may inspect or copy any records required to be maintained under the terms and conditions of this
permit, and may collect groundwater, surface water or leachate samples. [G.S. 143-21.5.3(a)(2)]
VI. GENERAL CONDITIONS
Failure to comply with the conditions and limitations contained herein may subject the Permittee to
an enforcement action by the Division in accordance with North Carolina General Statutes 143-
215.6A to 143-215.6C.
2. This permit shall become voidable if the permitted facilities are not constructed in accordance with
the conditions of this permit, the Division approved plans and specifications, and other supporting
documentation. [15A NCAC 02T .0110]
3. This permit is effective only with respect to the nature and volume of wastes described in the permit
application., Division approved plans and specifications, and other supporting documentation. No
variances to applicable rules governing the construction or operation of the permitted facilities are
granted, unless specifically requested and approved in this permit pursuant to 15A NCAC 02T
.0105(n). [G.S. 143-21.5.11
4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdiefional government agencies
(e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules
in 15A NCAC 02B _0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4
and under General Permit NCG010000; any requirements pertaining to wetlands under 15A NCAC
02B .0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of Chapter 143 of
the General Statutes.
5. In the event the permitted facilities change ownership or the Permittee changes their name, a formal
permit modification request shall be submitted to the Division. This request shall be made on official
Division forms, and shall include appropriate property ownership documentation and other supporting
documentation as necessary. The Permittee of record shall remain fully responsible for maintaining
and operating the facilities permitted herein until a permit is issued to the new owner. [15A NCAC
02T .0104]
6. The Permittee shall retain a set of Division approved plans and specifications for the life of the
facilities permitted herein. [15A NCAC 02T .0108(b)(1)]
7. The Permittee shall maintain this permit until all permitted facilities herein are properly closed or
permitted under another permit issued by the appropriate permitting authority_ [15A NCAC 02T
.01050)]
WQ0019782 Version 3.0 Shell Version 150101 Page 7 of 8

8. This permit is subject to revocation or unilateral modification upon 60 days notice from the Division
Director, in whole or part for the requirements listed in 15A NCAC 02T .0110.
9. Unless the Division Director grants a variance, expansion of the permitted facilities contained herein
shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC 02T .0120(b).
10. The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to
pay the annual fee accordingly shall be cause for the Division to revoke this permit. [15A NCAC 02T
.0105(e)(3)]
Permit issued this the 281 day of January 2015
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT C01 [ IISSION
.� Jay pMmerman, Acting Director
Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number WQ0019782
WQ0019782 Version 3.0 Shell Version 150101 Page 8 of 8

ATTACHMENT A — LIMITATIONS AND MONITORING REQUIREMENTS
PPI 001— WWTP Effluent
Permit Number: WQ0019782 Version: 3.0
EFFLUENT CHARACTERISTICS
EFFLUENT LIMITS
MONITORING REQUIREMENTS
PCS
Code
Parameter Description
Units of
Measure
Monthly
Average
Monthly
Geometric Mean
Daily Minimum
Daily Maximum
Measurement
Frequency
Sample
Type
00310
BOD, 5-Day (20 °C)
mg/L
4 x Year E
Grab
50060
Chlorine, Total Residual
mg/L
Weekly
Grab
31616
Coliform, Fecal MF, M-FC Broth, 44.5 °C
#/100 mL
4 x Year
Grab
50050
Flow, in Conduit or thru Treatment Plant
GPD
3,670
Monthly
Estimate
00610
Nitrogen, Ammonia Total (as N)
mg/L
4 x Year i
Grab
00625
Nitrogen, Kjeldahl, Total (as N)
mg/L
4 x Year'
Grab
00620
Nitrogen, Nitrate Total (as N)
mg/L
4 x Year
Grab
00640
Nitrogen, Total (as N)
mg/L
4 x Year
Grab
00400
pH
su
Weekly
Grab
00665
Phosphorus, Total (as P)
mg/L
4 x Year
Grab
00530
Solids, Total Suspended
mg/L
4 x Year
Grab
I . 4 x Year sampling shall be conducted every March, June, September and December.
WQ0019782 Version 3.0 Attachment A Page I of 1

THIS PAGE BLANK

ATTACHMENT B - APPROVED LAND APPLICATION SITES AND LIMITATIONS
The Young Men's Christian Association of Greensboro, Inc. — YMCA Camp Weaver
Permit Number: WQ0019782 Version: 3.0
IRRIGATION AREA INFORMATION
APPLICATION LIMITATIONS
Field
Owner
County
Latitude
Longitude
Net
Dominant
Parameter
Hourly
Yearly
Units
Acreage
Soil Series
Rate
Max
I
The Young Men's Christian
Guilford
36.027773°
-79.681710°
0.37
01284 — Non -Discharge Application Rate
0.4
38.3
inches
Association of Greensboro Inc.
2
The Young Men's Christian
Guilford
36.0275080
-79.6818200
0.37
01284 — Non -Discharge Application Rate
0.4
38.3
inches
Association of Greensboro, Inc.
3
The Young Men's Christian
Guilford
36.0269030
-79.6810130
0.45
01284 — Non -Discharge Application Rate
0.4
38.3
inches
Association of Greensboro, Inc,
4
The Young Men's Christian
Guilford
36.027155'
-79.6810510
0.45
01284 — Non -Discharge Application Rate
0.4
38.3
inches
Association of Greensboro. Inc.
Totais
1.64
WQ0019782 Version 3.0 Attachment B Page 1 of 1

Figure 1 — Aerial Ma
WQ0019782
4924 Ta awingo Tr1., Greensboro, NC 27406
The Young Men's Christian Association of Greensboro, Inc.
Latitude: 36.027513'
YMCA Camp Weaver WWTP
Longitude:-79.6811091
1
FieldField
Weaver
Field

Figure 2 — Directional Ma
WQ0019782
4924 Ta awingo Trl., Greensboro, NC 27406
The Young Men's Christian Association of Greensboro, Inc.
Latitude: 36.027513'
YMCA Camp Weaver WWTP
Longitude: -79.681109"
54 / >'
I _
,fir
r
3154
- .-Trinity
Lakes
Association Clubhouse f
C'
{c�a
y'
_ t -
A
Cra Ei{E-Ales
k -
.:>
YMCA Camp Weaver a
i
I+
j
f
�I
f✓���1i1U11
act
,r
I
In r
�
7
ie . r-
:E 1000 ftt l+Macl 's Gas Mart Ll
��� i 4%
O
200 m
FellowshipFarm � eta„
—315 3Do 4 - }drab data S2015 3yOgla -Terms of 1.:ss