WQ0002015_Monitoring - 10-2016_20161129

NON DISCHARGE WASTEWATER MONITORING REPORT
PERMIT NUMBER: W00002015
FACILITY NAME: Oak Hill Fellowship Center
MONTH: October
Page I of 2—
YEAR:
YEAR: 2016
COUNTY- Granville
Flow Monitoring Point:
Effluent:
Influent:
Parameter Monitoring Point:
Effluent:
N influent:
Lj Surface Water (SW):
SW Code/Name: SI
Was There Effluent Flow For This Month Generated At This Facility:
Yes:
Pq No:
D
A
T
E
Operator
Arrival operator ORC
Time 2400 Time on on
Clock Site Site?
60050
Dally Rate (Flow)
Into Treatment
System
00400
pH
50060 00310
Residual BOD -5
Chlorine 20°C
00610 00530
NH3-N TSS
31616 1 630
Fecal
Collform (Gea
metric WWI Nitrite
630 665 626
Total
Nitrate Phos. TKN
00010
TEMP.
HRS YIN
GALLONS
UNITS
UG/L MG/L
MG/L MG/L
1100ML MG/L
MG/L MG/L MG/L
F
1
2683
2
2683
3
11:00 1 Y
2684
4
1070
5
1070
6
15:15 1 Y
620
7
1
410
s
5373
9
5374
10
8:30 1 Y
5373
11
1960
12
1175
13
13:00 1 1 Y
1175
141
1050
15
2663
16
2663
17
2663
18
14:15 1 Y
620
7.08
1130
70.5
19
210
201
420
21
9:15 1 Y
630
22
2050
23
2050
24
10:45 1 Y
2050
7.1
970
65
25
1
1080
261
875
27
10:00 1 Y
875
6.95
1540
62
28
630
29
490
30
490
31
13:45 1 Y
490
Average
1730.6129:
:.:`
1213.3 #DIV/0! #DIV/0! #DIV/01
#NUM! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
65.833
Daily Maximum
5374
7.1
1540 0
0 0
0 0
0 0 0
70.5
Daily Minimum
210
6.95
970 0
0 0
0 0
0 0 0
62
Monthly Limit(s)
Composite (C) / Grab (G)
G
IG G
G G
G
G IG G
G
Operator in Responsible Charge (ORC): _
Check Box if ORC Has Changed: F1
Certified Laboratories (1):
Person(s) Collecting Samples:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Dale Lee Mathews Grade: Spray Phone: [phone]
ORC Certification Number: 22794
Meritech
Dale Lee Mathews �l
(2): NCDA & CS Agronomic Division
(SIGNAGE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT '
Facility Status:
Please answer the following question:
1. Does all monitoring data and sampling frequencies meet permit requirements?
Page 2- of
Compliant (Y,N)
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."
Alan Glover
(Signature of Permittee)* Dae (Name of Signing Official -Please print or type)
Alan Glover Facility Manager
(Permittee -Please print or type) (Position or Title)
Oak Hill Fellowship Center 919-691-3883 31 -Jul -19
(Phone Number) (Permit Exp. Date)
3824 Barrett Drive; Raleigh, NC 27609
(Permittee Address)
Parameter Codes:
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conducti%4ty
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 Phenols
00665 Phosphorus, Total
00680 TOC
00530 TSSrrSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
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 28.0506 (b)(2)(1)).
DENR FORM NDMR-1 (11/2005)