WQ0004972_Monitoring - 03-2020_20200424

Page 1 of 2
NON -DISCHARGE WASTE WATER MONITORING REPORT
PERMIT NUMBER: W00004972 MONTH: March YEAR: 2020
FACILITY NAME: Forest Lakes Preserve ELS COUNTY: Davie
Flow Monitoring Point: Effluent: W Influent:
Parameter Monitoring Point: Effluent: ❑ Influent: UISurface Water (SW): SW Code/Name: ❑
Was There Effluent Flow for this Month Generated At This Facility: Yes: Lid No: Ll
D
A
T
E
operator
Ani9e1
Thom
2400
Cloek
Operator
Time ran
Si¢
ORC
on
S4e7
50050
00400
50060
W310
00610
00530
31616
00565
00625
00630
00600
Mi
70300
MUD
Daily Rate
(Flow) into
Treatment
S>vrcm
PH
Raiduol
Cleminc
NOW
2Wc
M-3-N
TSS
Fecal
Colifone
(G-toom
Mom')
Tosal
ph.
TOW
Xpldlul
Nimoam
1,102tNO3
Tout
Nltmgrn
Nitmrc
NO3-N
Tout
D'msoled
Solids
C'hamde
HIS
YIN
GPO
I: NITS
UG/1.
MG/L
MOIL
MOIL
I100ML
MOIL
MGIL
MG/L
MG/L
MOVE.
MOIL
MG/L
('olool oe
'My'k
51We,k
Mooll",
Monthly
Monthly
Monthly
M,mIM11y
Monhly
_M777
MoahlY
MnmM1y
3/Year
3/Yea
2
1350
11.25
it
N,INI
5.55
10
3
1550
0.25
B
7,042
5.84
<10
4
1532
0.25
B
5.8113
5.91
<to
5
1600
0.25
B
51150
5.97
<10
6
164.1
0.25
B
6,222
5.41
<I0
7
8,029
s
8,029
9
1250
0.25
V
8,029
S53
<10
OR
1216
11.50
v
7,774
6.00
<I(I
u
1349
0.15
V
7.280
6.02
<to
12
1401)
0.15
V
6,104
6.00
<10
13
1438
0.15
Y
5,999
6.08
<10
4
4,363
15
4,363
16
1528
0.50
V
4,363
6.11
<10
17
1420
0.25
V
5,025
6.02
<10
-
1e
11751)
0.75
1'
5.071
6.01
<111
19
1239
0.15
V
4,994
6.021
<10
29
1341)
0.25
v
4.088
6.03
<10
n
6.274
22
6.274
v
1455
0.25
B
6.274
6.03
<10
24
1318
0.25RB
6.311
6.11
<10
25
1341
0.25
6,308
6.09
<10
26
1200
1.50
5,929
6.17
<10
20.7
36.2
14.0
>2420
7.34
43.5
<1).115
43.5
111.115
211
37.0
27
1440
0.15
5.700
6.14
<102a
5,222
5,222
I5015
5,222
6.13
<10
1240
0.15
5,206
6.11
<10
Arcrmxc
6,066
<III
20.7
36.2
14.0
>2420
7.34
43.5
<0.05
43.5
<0.05
1 211
37.0
Daily Maximum
8,181
6.17
<10
20.7
36.2
14.0
>2420
7.34
43.5
<0.05
43.5
<0.05
211
37.0
Daily Minimum
1 4,088
5.41
<IO
20.7
36.2
14.0
>2420
7.34
43.5
<0.05
43.5
<0.05
211
37.0
Monthly Limlts(s)
2J400
Composite D / Grab (G)
Operator in Responsible Charge (ORC): Glenn Price Grade: Il Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 987931/20771
Certified Laboratories (1): R & A Laboratories, Inc. (2):
Person(s) Collecting Samples: Glenn Price
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit X/t
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality
1617 Mail Service Center
RALEIGH, INC 27699-1617
By this signature, I certify that this report is accurate and
complete to the best of my knowledge.
DENR Form NDAR-1 (5/2003)

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 attachments were prepared under my direction or supervision in accordance
with a system designed to assure that a qualified personnel properly gather and evaluate 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."
A 5 R _:�� Lt
-,2 Baron Neal McDuffie
(Signature of Permiee)*/,//Date (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized Agent)
(Permittee-Please print or type)
2N Riverside Plaza , Suite 800
Chicago, I1 60606
(Permittee Address)
01002 Arsenic
01022 Boron
00310 BOD5
01027 Cadmium
00916 Calcium
00940 Chloride
50060 Chlorine, Total
Residual
01034 Chromium
00340 COD
31504
Coliform, Total
00094
Conductivity
01042
Copper
00300
Dissolved Oxygen
31616
Fecal Coliform
01051
Lead
00927
Magnesium
71900
Mercury
00610
NH3 as N
01067
Nickel
Field Services Director (R & A Laboratories. Inc. )
(Position or Title)
3/31/21
(Permit Exp. Date)
00600 Nitrogen, Total
00630 NO2 & NO3
00620 NO3
00556 Oil & Grease
WQ09 PAN Plant Available)
00400 pH
32730 Phenols
00665 Phosphorus, Total
00937 Potassium
00545 Settleable Matter
00929 Sodium
00931 SAR
00745 Sulfide
00515 TDS
00010 Temperature
00625 TKN
00680 TOC
00530 TSS/TSR
00076 Turbidity
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Compliance/Enforcement Unit at [phone], extension 529.
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only 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 2B.0506 (b) (2) (D).

Page 2 of 2
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERMIT NUMBER: W0004972 MONTH: March YEAR: 2020
FACILITY NAME: Forest Lakes Preserve ELS. COUNTY: Davie
Formulas:
Daily Loading (inches) =[Volume Applied(gallonsl x 0.1336 (cubic feeUgallon) x 12(inchesdool)l/(Area Sprayed (acres) x 43,560(square feauacre) or
= [Volume Applied (gallons) / [Area Sprayed (acres) x 27.152 (gallons/acre:ncn).
Maximum Hourly Loading (Inches) = Daily Loading (inches) / [Time argued (minutes)160 (mmulesmour)I Monthly Loading (inches) =Sum of Daily Loading theme)
12 Month Flooding Total (inches) = Sum of this month's MOntly Loading (inches) and previous 11 months Monthly Loadings (inches)
Average Weekly Loatling (inches) = [Monthly Loading (inches/month) / Number of days in the month (daysdnonlh )I x ] (daystureek)
Did rogation Occur At This Facility:
Yes: Q No:❑
Did litigation Occur On This Field:
Yes: © No: ❑
Did Imgation Occur On This Field:
Yes: ❑ No: ❑
Field Number
Field Number:
Area Sprayed (acres): ].0
Area Sprayed (aches):
Cover Crop:
CoverCmp:
Permitted Hourly Rate (inches)
0.11
Remained HDurly Rate (inches):
D
A
T
E
WEATHER CONDITIONS
so'a"
Lasoo
Permitted Yearly Rate (inches)
46.8
Permitted Yearly Rate (inches),
weenioo
cow
in,na,anaa
of
amra.mo
waashe
non
c,naa,
nrM�n
i„,
imeaim
oay
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III
wad�nx
valna.
Arn4a
rhoe
m,ynil
mey
L­e.e
n,.��..
r.„din.
r77'�n
t
2
CI
62
(1
2.4
33,9N4
240
11.18
0.03
3
PC
58
1)
3.0
4
CI
611
0
29
5
Cl
56
0
2.8
6
C
511
0
2.5
]
N
9
Cl
53
0
2.
ul
CI
61
II
2.2
33.984
240
0.18
0.03
n
PC
68
0
3.1
12
CI
62
II
3.0
u
CI
67
0
2.8
Ia
IS
u,
CI
54
02.1
33.984
24011.18
11.113
n
PC
58
0
2.6
Ix
Cl
49
0
2.4
19
R
47
0.1
2.3
±a
R
58
0.3
2.2
21
zz
z3
CI
47
0
2.0
33,984
240
0.18
0.03
24
R
50
0.7
2.3
E5
Cl
49
0
2.2
-
26
CI
48
(1
2.0
33.984
240
ILIN
0.03
27
CC
77
0
2.3
:x
79
3e
CI
77
1 0
2.11
33.984
1 240
1 0.18
a.u3
n
CI
55
(1
tents' -I �.I n6h hasa,xlmm..l
¢Mnnium,mx rma mm�o
e•w,,Idy Lo.ei^x lla.ee.1
1.08
11.72
0.22
+\Yemher Codo: C-deer, PC-parfly cloudy, CI -cloudy, a -rot, Sn-snow, 51-slecf
Spray Irrigation Operator in Responsible Charge (ORC): Glenn Price Phone: [phone]
ORC Certification Number: 987931/20771 Check Box if ORC Has Change
Mail ORIGINAL and Two COPIES to: o
ATTN: Non -Discharge Compliance Unit X �Q, �f A .r1,_.
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality By this signature,) certify that this report is accurate and
1617 Mail Service Center complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR Form NDAR-1 (5/2003)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
FACILITY STATUS:
Please indicate( by inserting Y(es) or N (o) in the appropriate box) whether the facility has been compliant
with the following permit requirements: (Note: If a requirement does not apply to your facility put (NA) in the
compliant box.)
Compliant (Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the pen -nit.
Z Adequate measures were taken to prevent wastewater runoff from the site(s). 4
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
4. All buffer zones as specified in the permit were maintained during each application.
S. The freeboard in the treatment and/or storage lagoon(s) was not less than the
limit(s) specified in the permit.
If the facility is non -compliant, please explain in the space below the reasons) 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 a qualified personnel properly gather and evaluate 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 Permitee)* Date
Baron Neal McDuffte (Authorized Aaent)
(Permittee-Please print or type)
2N. Riverside Plaza, Suite 800
Chicago,11 60606
(Permittee Address)
Baron Neal MCDuffie
(Name of Signing Official -Please print or type)
Field Services Director (R & A Laboratories. Inc)
(Position or Title)
3/31 /2021
(Permit Exp. Date)
* If signed by other than the Permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b) (2) (D).