WQ0024320_Monitoring - 09-2016_20161014 (2)

NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: WQ0024320 MONTH: September YEAR: 2016
FACILITY NAME: Rockbdd a COUNTY: Wake
Operator in Responsible charge (ORC): Dale Mathews Grade: 2 Phone:_ 919-691-1056
Check Box If ORC Has Changed: El ORC Cert3ficat16n Number: 27762
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Certif4d laboratories (1): MeriteCh (2): 0
Persons) Collecting Samples: Dale Mathews
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Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality ORC
ATTN: Information Processing Un}i! • (SIGN RE OF OPERATOR IN RESPONSIBLE CHARGE)
1677 Mail Service Center }� BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
RALEIGH, NC 27699-1617 ) 0 AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
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DENR FORM NOMR,1 (11/2005)

Page of
NON DISCHARGE WASTEWATER MONITORING REPORT
Faclllty. Status:
PIQAse answer the following question:
Com Ilarlt Y,N)
1, Does all monitoring data and sampling frequencies meet permit requirements? y
If the facility is non-compliant, please explain in the space glow 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."
/v�/ /` James R Butler
(Signatu f Parmittee)" Date {blame of Signing 4fftclal•Pleosa print or type)
KRJ, Inc. d/b/a KRJ Utilities
(Permittee -Please print or type)
P O Box 2359
Swansboro, NC 28684-2369
(Permittee Address)
Parameter Codes:
Authorized Agent of Permittee
(Position or Thio)
262-393.8562 6/30119
(Phone Number) (Permit Exp, Date)
01002 Arsenlc
31504 Collrorm Tpinl
00800
N00 , Total
DOD29 Sodium
01022 Boron
ON94 CnmvoN
00030
N023NO3
009M SAR
00310 8005
01042 C r
1X1620
NO3
00745 SUmde
01027 Cadmium
W300 Didaoly d Oxygen
00566
011 -Geo,."
70295 TPS
00916 Cauum
31616 FBCal Cordem,
V409
PAN Plant A—il.wv
00010 Tam refute
00940 0 ave
010$1 Lead
00400
H
00625 TKN
50060 Cngllne, Total
n.eidual
01034 Ch..fvm
W340 COD
00927 M navum
719W Mer
00610 NH3Q8N
D1067 NiHeel
3Zi30
00865
00937
00545
PherSde
Pap a. T.W
Potauium
Settla■61. Matter
006&0 TOC
00530 T881TSR
OOD76 Tofbidily
01002 Zinc
Parameter Code assistance may be obtained by Calling the water Quality Land Application Unit at [phone],
The monthly average for Fecal Coliform is 10 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 parmitt", delegation of signatory authortry must be on file with the stat* per 15A NCAC 28.0508 (b)(2)(D).
DENR FORM NDMR-1 (1112005)