HomeMy WebLinkAboutWQ0006941_Monitoring - 05-2020_20200626FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page _t_ of_2_
Facility Name: Stoney Creek Elementary School
Parameter Code 0
No Discharge - Schools Out (Covid-19)
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FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) 11 Certified Laboratories
Name: Glenn Price 11 Name: Research & Analytical Laboratories, Inc.
Name: II Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? gCompliant ❑ Nan -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: Glenn Price Permittee: Baron Neal McDuffie ( Authorized Agent)
Certification No.: 987931/20771 Signing Official: Baron Neal McDuffie
Grade: II Phone Number: 336-996-2841 Signing Official's Title: Field Services Director ( R & A Laboratories, Inc)
Has the ORC changed since the previous NDMR? ❑ Yes [] No Phone Number: 336-996-2841 Permit Expiration: 8/31 /2021
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
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Signature V,41 Date
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
FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _2_ of _2_
Facility Name: Stoney Creek Elementary School
Did irrigation occur
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Area (acresy
at this facility?
0YES ■ .
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FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
[Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? [Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? [Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? [Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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: Glenn Price
Permittee: Baron Neal McDuffie (Authorized Agent)
Certification No.: 987931 /20771
Signing Official: Baron Neal McDuffie
Grade: II Phone Number: 336-996-2741
Signing Official's Title: Field Services Director (R & A Laboratories, Inc)
Has the ORC changed since the previous NDARA? ❑ Yes 2) No
Phone Number: 336-996-2841 Permit Exp.: 8/31/21
ignature 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 property 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
RESEARCU ANA YTICA1
LAbORATORIES, INC.
For: Caswell County Schools
P.O. Box 160
Yanceyville, NC 27379
Attn: Jerry Hatchett
Report of Analysis
6/22/2020
L
NC#34
NC#37701
Client Sample ID: Stoney Creek Lagoon Effluent
Site: Caswell Co. Schools
Lab Sample ID:
Collection Date:
82593-01
5/26/2020
8:41
Parameter
Method
Result
Units
Rep Limit Analyst Analysis Date/Time
Ammonia Nitrogen
SM 4500 NH3 D-2011
17.4
mg/L
0.1
FK
5/26/2020
BOD-5
SM 5210 B-2011
2.68
mg/L
2
HW
5/27/2020
1530
Fecal Coliform QT
Colilert 18
1
MPN/100ml
1
BJ
5/26/2020
1430
Nitrate + Nitrite
Hach10206
<0.3
mg/L
0.3
FK
5/27/2020
1605
Nitrate Nitrogen
Hach 10206
<0.3
mg/L
0.3
FK
5/27/2020
1605
Total Kjedjahl Nitrogen
Hach 10242
24.0
mg/L
1
FK
6/1/2020
Total Nitrogen
Calc
24.0
mg/L
1
Total Phosphorous
SM 4500 P E-2011
2.62
mg/L
0.05
BJ
5/29/2020
Total Suspended Solids
SM 2450 D-2011
13.9
mg/L
5
AW
5/28/2020
NA = not analyzed
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 v .randalabs.conn Page 1
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Research & Analytical
Laboratories, Inc.
Analytical / Process Consultations
Phone (336) 996-2841
CHAIN OF CUSTODY RECORD
Water / Waste ivater
Misc.
Company Caswell Co Schools
.lob No.
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Street Address
Project Stoney Creek Lagoon
City, State, Zip
Sampler Name (Plea int)
(/'
Contact
Phone
Sampler Signature
o
Sample Number
(Lab Use Only)
Date
Time
Comp
Grab
Temp
°C
Res.
Cl.
Chlorine
Removed
Y or N
Sample
Matrix
S or W
Sample Location
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Requested Anal sis
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BOD, TSS, NH3N, F.Coh,
T. Phos, T. Nit, NO3-N, TK
R 'nquish By
a /Time `
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ceived By
Remarks: January, May, September Sampling **
Re inquished By
Date/Time
Received By
On Ice
Sample Temperature at receipt 0C