WQ0014391_Monitoring - 10-2016_20161207 (2)

NON DISCHARGE WASTEWATER MONITORING REPORT
PERMIT NUMBER: WQ0014391
FACILITY NAME: Goldston -Apex Properties, L.L.C.
MONTH: October
COUNTY:
Page l of Z
YEAR: 2016
Chatham
Flow Monitoring Point:
Effluent:
❑
Influent:
[{
Parameter Monitoring Point:
Effluent:
Fz1
Influent:
❑
Surface Water (SW): ❑
SW Code/Name:
Was There Effluent Flow For This Month Generated At This Facility:
Yes:
Lj No: Lj
50050
00400
50060
00310
00610
00530
31616 70295
00620
00665
00625 00940
D
A
T
E
Operator
Arrival
Time Operator ORC
2400 Time On on
Clock Site Site?
Daily Rate
Flow into
(Flow)
Treatment
System
pH
Residual
Chlorine
BOD -5
20°C
NH3-N
TSS
Fecal
Coliform
(Geo -metric
Mean*) TDS
NO3
Total
Phosph
orus
Chlorid
TKN e
HRS Y/N
GALLONS
UNITS
UG/L
MG/L
MG/L
MG/L
/1001VIL MG/L
MG/L
MG/L
MG/L MG/L
1
606
2
606
3
11:50 0.5 Y
606
6.81
4
570
5
1
570
6
570
7
570
s
570
9
570
lo
9:40 0.5 Y
570
6.72
11
719
121
719
13
719
14
719
15
719
16
719
17
11:35 0.67 Y
719
6.76
18
594
19
594
201
594
211
1
594
22
594
23
594
24
9:05 0.42 Y
594
6.91
25
751
26
751
271
1
751
1
281
1
751
s�
29
751
%.
30
751
31
751
Average
653.4194
#####
#####
#####
#####
#NUM! #####
#DIV/0!
#####
##### #####
Daily Maximum
751
6.91
0
0
0
0
0 0
0
0
0 0
Daily Minimum
570
6.72
0
0
0
0
0 0
0
0
0 0
Monthly Limit(s)
NA
NA
NAI
NAI
NAI
NAI
NANA
NA
NA
Composite (C)1 Grab (G)
I G I
G I
G I
G
I G
G G
G
I G I
G G
Operator in Responsible Charge (ORC): Randall Jarrell Grade:
Check Box if ORC Has Changed: ❑ ORC Certification Number:
SI Phone: [phone]
23925
Certified Laboratories (1): Wastewater Management, LLC (2): ENCO, Inc
Person(s) Collecting Samples: Randall Jarrell Mail ORIGINAL and TWO COPIES to: Zi4LZ
ATTN: Non -Discharge Compliance Unit (SIGNATURE OF OPERATIJR IN RESPONSIBLE CHARGE)
DENR BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
Division of Water Quality AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
DENR FORM NDMR-1 (5/2003)

Page Z of Z
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements?
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 i
supervision in accordance with a system designed to asst
evaluated the information submitted. Based on my inquiry
those persons directly responsible for gathering the inform
knowledge and belief, true, accurate, and complete. I am
false information, including the possibility of fines and imp
zyn�_/ C1,0.6"
(Signature of Permittee)* Date
Goldston -Apex Properties, L.L.C.
(Permittee -Please print or type)
11305 Derby Lane
Raleigh, N.C. 27613
(Permittee Address)
Parameter Codes:
chments were prepared under my direction or
that all qualified personnel properly gathered and
the person or persons who manage the system, or
on, the information submitted is, to the best of my
are that there are significant penalties for submitting
nment for knowing violations."
Randall Jarrell
(Name of Signing Official -Please print or type)
ORC
(Position or Title)
[phone] 4/30/2013
(Phone Number) (Permit Exp. Date)
01002 Arsenic
31504 Coliform, Total 00
300 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity 00
330 NO2&NO3
00931 SAR
00310 BOD5
01042 Copper 00
320 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen 00
556 oil -Grease
70295 TDS
00916 Calcium
31616 Fecal Coliform W
109 PAN (Plant Available)
00010 Temperature
00940 Chloride
01051 Lead 00
00 pH
00625 TKN
50060 Chlorine, Total
Residual
71900 Mercury 00phorus,
00927 Magnesium 32r45SetUeable
nols
00680 TOC
Total
00530 TSsrrSR
01034 Chromium
00610 NH3asN 00ssium
00076 Turbidity
00340 COD
01067 Nickel 00
Matter
01092 Zinc
Parameter Code assistance may be obtained by calling the
The monthly average for Fecal Coliform is to be reported as a
facility's permit for reporting data.
Quality Compliance/Enforcement Unit at [phone] ext. 529.
ETRIC mean. Use only the units designated in the reporting
* If signed by other than the permittee, delegation of signatory authorio must be on file with the state per 15A NCAC 26.0506 (b)(2)(D).
DENR FORM NDMR-1 (5/2003)