WQ0002015_Monitoring - 08-2016_20160919 (2)

NON DISCHARGE WASTEWATER MONITORING REPORT Page of_
PERMIT NUMBER: WQ0002015 MONTH: August YEAR: 2016
FACILITY NAME: Oak Hill Fellowship Center COUNTY: Granville
Flow Monitoring Point:
Effluent:
Influent:
Parameter Monitoring Point:
Effluent:
Dg Influent: Ll
Surface Water (SW): SW Code/Name: SI
Was There Effluent Flow For This Month Generated At This Facility:
Yes:
DQ No:
D
A
T
E
Operator
Arrival operator ORC
Time 2400 Time On on
Clock Site Site?
50050
Dally Rate (Flow)
Into Treatment
System
00400
pH
50060 00310 00610
Residual BOD -5
Chlorine 20°C NH3-N
00530
TSS
31616 1
Fecal
Coliform (Geo
metric Mean*)
630 1 +665 625
Nitrate/ Total
Nitrite Phos. TKN
00010
TEMP.
HRS Y/N
GALLONS
UNITS
UG/L MG/L MG/L
MG/L
/1001VIL
MG/L MG/L MG/L
I F
1
7:25 2 Y
1490
2
4710
3
4680
4
9570
5
10:00 1 Y
2335
6
2335
7
8
10:15 Y
520
520
9
1560
10
3970
ill
12:45 1 Y
1450
7.05
1120
84
12
4490
13
1033
14
1033
15
10:30 1 Y
1034
16
5600
17
5600
18
11:00 1 Y
200
7.16
1 1420 1d
85
19
920
20
920
21
920
—+
221
11:00 1 Y
920
23
305
24
305
25
13:15 1 Y
200
26
1162
27
1163
281
1162
29
10:00 1 Y
1163
30
1 1
410
31
1
400
Average
2002:5806:
1270 #DIV/0! #DIV/01 #DIV/0!
#N.UM!.
#DIV/0! #DIV/0! #DIV/0!
84.5
Daily Maximum
9570
7.16
1420 0 0
0
0
0 0 0
85
Daily Minimum
200
7.05
1120 0 0
0
0
0 0 0
84
Monthly Limit(s)
Composite (C) / Grab (G)
G
G G G
G
G G
G G
G
Operator in Responsible Charge (ORC): Dale Lee Mathews Grade: Spray Phone: [phone]
Check Box if ORC Has Changed:
Certified Laboratories (1): Meritech
Person(s) Collecting Samples: Dale Lee Mathews
Mail ORIGINAL and TWO COPIES to: -
ORC Certification Number: 22794
(2): NCDA & CS Agronomic Division
DENR (SIGNATURE>OIF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality BY THIS SIGNATURE, I. CERTIFY THAT THIS REPORT IS ACCURATE
ATTN: Information Processing Unit AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Page of
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? 0
If the facility is non-compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
"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."
(Signature of Permittee)* D to
Alan Glover
(Permittee -Please print or type) -
Oak Hill Fellowship Center
3824 Barrett Drive; Raleigh, NC 27609
(Permittee Address)
Parameter Codes:
Alan Glover
(Name of Signing Official -Please print or type)
Facility Manager
(Position or Title)
919-691-3883
(Phone Number)
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556 oil -Grease
70295 TDS
00916 Calcium
31616 Fecal Coliform
WQ09 PAN (Plant Available)
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
71900 Mercury
32730 PhenGis
00665 Phosphorus, Total
I 00C30 -TOC
00530 TSSf rSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
1 01092 Zinc
Parameter Code assistance maybe obtained by calling the Water Quality Land Application Unit at [phone].
31 -Jul -19
(Permit Exp. Date)
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the reporting facility's
permit for reporting data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b)(2)(1)).
DENR FORM NDMR-1 (11/2005)