WQ0006941_Monitoring - 09-2020_20201030

Monitoring Report Submittal
...........................................................................................................................................
Permit Number #* WQ0006941
Name of Facility:*
Month:* September
Report Information
Stoney Creek Elementary School
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2020
Upload Document*
Stoney Creek Elem Sept.pdf 1.72MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
[e-mail]
Jessica Mize
jus6coLkc
Reviewer: Williams, Kendall
10/30/2020
This will be filled in automatically

Is the project number correct? * WQ0006941
Is the monitoring report r Yes r No
accepted?*
Regional Office * Winston-Salem
Accepted Date: 10/30/2020

FORM: NDMR05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page _1_of_2_
Permit No.: WQ0006941
Facility Name: Stoney Creek Elementary School
County: Caswell
Month: September
Year: 2020
PPI: 001 Flow Measuring Point:
Parameter Monitoring Point:
Parameter Code -; 50050
00310
50060
31616
00610
00625
00620
00600
00400
00665
00530
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a
24-hr
hrs GPD
mg1L
mg1L
#1100 mL
mg1L
mg1L
mg1L
mglL
su
mg1L
mg/L
1
29
1 2 1 13:04 f 0.25 1 29 1 No Dishcharge - Schools Out
3
128
4
128
5
128
6
128
7
128
8
128
9 13:32
0.25 128
0.08
6.4
10
512
11
512
12
512
13
512
14
512
15
512
16
512
I
17
512
18 10:20
0.25 512 1
0.76
6.4
19
472
20
472
21
1 472
221
472
23 10:28
0.25 472
<2
0.72
<1
16.9
19.4
<0.05
19.4
6.4
1.99
38.2
24
333
25
333
26
333
27
333
28
333
29
333
30
333
31
333
Average: 341
0.00
0.52
1.00
16.90
19.40
0.00
19.40
1.99
36,20
0.00
Daily Maximum: 512
2.00
0.76
1.00
16.90
19.40
0.05
19.40
6.40
1.99
38,20
0.00
Daily Minimum: 29
2.00
0,08
1.00
16.90
19.40
0.05
19.40
6.40
1.99
38.20
0.00
Sampling Type: Estimate
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit: 3,500
Daily Limit:
Sample Frequency: Manthly
3 X Year
Weekly
3 X Year
3 X Year
3 X Year
3 X Year
3 X Year
Weekly
3 X Year
3 X Year

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: I) Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 316M*nt ❑ Non-Comptlarrt
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
taken. Attach ariartonai sneets it
Operator in Responsible Charge (ORC) Certification 11 Permittee Certification
ORC: Glenn Price
Certification No.: 987931/20771
Grade: II Phone Number. 336-996-2841
Has the ORC changed since the previous NDMR? ❑ Yes Q No
.�L Z� �12e z-
Signature Date
By this signature. I certify, that this report is accurrate and complete to the best of my knowledge.
Permittee: Baron Neal McDuffie ( Authorized Agent)
Signing Official: Baron Neal MCDuffie
Signing Official's Title: Field Services Director ( R & A Laboratories, Inc)
Phone Number: 336-996-2841 Permit Expiration: 8/31/2021
/0��a�
Signatu Date
1 certffy, under penalty of law, that Otis document and all attachments were prepared under my d"u ec lion or supervision In
acoordance with a system designed to assure that all quaCdied personnel property gathered and evaluated the Infumatim
submitted. Based on my inquiry of the person or persons who manage the system, or those persons *ec@y responsmte for
gathering the information. the Information submitted is, to the best of my knowledge and bedef, true, accurate, alb complete. I am
aware that there are significant penalties for submltfing false Information, inclu ft the possbIlly of thm 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_
Permit No.: W00006941 Facility Name: Stoney Creek Elementary School
County: Caswell
Month: September
Year: 2020
Field Name:
Did irrigation
1
Field Name:
Field Name:
Field Name:
occur
Area (acres):
3.12
Area (acres):
Area (acres):
Area (acres):
at this facility? Cover Crop:
P�
Woods
Cover P=
Cover P�
CoverCro P:
E] YES No Hourly Rate (in):
0.3
Hourly Rate (in):
Hourly Rate (in).
Hourly Rate (in):
Annual Rate (in):
18.72
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard Field Irrigated?
❑ YES ❑ Na
Field Irrigated?
❑ YES ❑ No
Field Irrigated?
❑ Yes ❑ No
Field Irrigated?
❑ YES ❑ No
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= J
°F
In
ft
ft gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
2
CI
72
0
2.5
3
4
5
6
7
8
9
PC
69
0
2.5
10
11
12
13
14
15
16
17
18
PC
76
0
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19
20
21
22
23
R 1
74 1
0.4
2.3
24
25
26
27
28
29
30
31
^
1k
Monthly Loading: 0
12 Month Floating Total (in):
N1,93
40
0
0.00
0
0.00
0
m
0.00

FORM: NDAR-1 05-16
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
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?
Page of
©"Ca.pliant O NO.-compranc
&'Cbmpliant ❑ NonCompliarut
Q- omptiant ❑ Non -Compliant
['Compliant ❑ Non -Compliant
p'comprent ❑ Non-CompGant
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: 11 Phone Number: 336-996-2741
Signing Official's Title: Field Services Director (R & A Laboratories, Inc)
Has the ORC changed since the previous NDAR-1? ❑ Yes ONO
Phone Number. 336-996-2841 Permit Exp.: 8131/21
Signature Date
Si ture Date
By this signature, I car* that this report is axurrate and complete to the best of my knowledge.
1 oe", under penalty of law, that this dootment and all atta0memts were prepared urrder my clirection or supervision in actordanoe
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 wtm manage the system, or those persons directly responsilge for gathering the Information, the
ittrormation submitted is, to the best of my Imowledge and belief, true, accurate, and complete. I am aware that there are sigroficant
penalties for submitting false information, inducting the possibility of tines and Imprisonment for knowing violations.
Mall Original and Two Copies to:
Division of Water Resources
Infonnation Processing Unit
1617 Mall Service Center
Raleigh, North Carolina 276994617

RESEARCh & ANA[YiiCA1
LA ORATORiES� INC.
Report of Analysis
1011 /2020
t'%.UI:11111+,.
For: Caswell County Schools
-
.�`G� Yj,
P.O. Box 160
Yance vide, NC 27379
Y
NC#34 �•�
Attn: Jerry Hatchett
NC#37701
Client Sample ID: Effluent
Lab Sample ID: 87980-01
Site: Caswell Co. Schools -Stoney Creek Elementary
Collection Date: 9/23/2020 10:33
Parameter Method Result Units Rep Limit Analys Analysis Date
lTime j
M1111 IUFSId NJUUY#dC l
0M +DUU Nrij U-LU I !
1t7.`J
mgn_
u.1
rK
9/24/2020
BOD-5
SM 5210 B-2011
<2
mg/L
2
HW
9/24/2020
1130
Fecal Coliiorm OT
Colilert 18
<1
MPN/100ml
1
BJ
9/23/2020
1543
Nitrate + Nitrite
SM 4500 NO3 E-2011
<0.05
mg/L
0.05
LP
9/23/2020
1550
Nitrate Nitrogen
(SM 4500 NO3 E-2011)-(SM
<0.05
mg/L
0.05
LP
9/23/2020
1550
4500 NO2 B-2011)
Total Kjedjahl Nitrogen
Hach 10242
19.4
mg/L
1
FK
9/2512020
Total Nitrogen
Calc
19.4
mg/L
1
Total Phosphorous
SM 4500 P E-2011
1.99
mg1L
0.05
BJ
9/25/2020
Total Suspended Solids
SM 2450 D-2011
38.2
mg/L
5
AW
9/24/2020
NA = not onalyzed
P.O. Box 473 106 Short Street Kernersville, North Caroiina 27284 Tel: [phone] Fax [phone] www randalabs.com Page 1

Research & Analytical
Laboratories, Inc.
Analytical / Process Consultations
Phone [phone]
CHAIN OF CUSTODY RECORD
rVuler/Wastewater
117ise.
Company Caswell Co Schools
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Street Address
Project Stoney Creek Lagoon
City, State, Zip
Sampler Name (Plea aPrint)
/'J
Contact Phone
Sampler Signature
U
Sxmplc Number
(Lah Ilse Only)
Date
'Time
Comp
Graf}
'I•em!}
"C
Res.
C!.
Chlorine
Removed
Y or N
Sample
Matrix
S or W
Sample Location I I.D.
F7 Requested Anal sis
q tAZ
ZG
M-3 3
\
W
Efflunet
I BOD, TSS, NH3N, F.Coli,
T. Phos, T. Nit, NO3-N, TK
Rel'nquisl d [iy
�3D te/1'iA-
Zc,
iecci ed y
Remarks: �"` January, May, September Sampling *�
Relin(jukhed_
By
Date/Time
Receivcc 3�
Ice Sample Tcmperalure at receipt °C
(-On