WQ0005279_Monitoring - 09-2016_20161024 (2)

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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page I of 2 -
Permit No.:
W00005279
Facility Name: Bingham Woods Mobile Home Park
PPI:
001
Flow Measuring Point: Influent ❑ Effluent ❑ No flow generated
Parameter Code —►
50050
.
m
0 V H
�
O
O
y
E d
~ U)
U
O
3
LL
24 -hr
hrs
GPD
1
9,334
2
9,334
3
9,334
4
9,334
5 13:00
2
9,334
6
9,334
7
9,334
8
9,334
9 13:00
2.5
9,334
10
9,334
11
9,334
12 13:30
1.5
9,334
13
9,334
14 12:00
2
9,334
15 11:30
1
9,334
16 12:30
2
9,334
334
334
11:50 3.5 9,334
9,334
9,334
9,334
Average:
9,334
Daily Maximum:
9,334
Daily Minimum:
9,334
Sampling Type:
Recorder
Monthly Avg. Limit:
15,000
Daily Limit:
Sample Frequency:
Continuous
County: Orange
Month:
September
Year: 2016
Parameter Monitoring Point: ❑ Influent
❑� Effluent
❑ Groundwater Lowering
❑ Surface Water

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of a
Sampling Person(s) Certified Laboratories
Name: Steven Yarbrough Name: R &A Laboratories, Inc.
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? R] 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.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Eric W.
Klein
Permittee: William C. Klein
Certification No.:
1003140
Signing Official: William C. Klein
Grade: I
Phone Number: 919-740-2153
Signing Official's Title: Owner
Has the ORC changed
since the previous NDMR? ❑ Yes R1 No
Phone Number: 919-933-1131 Permit Expiration:
Signature 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 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617