HomeMy WebLinkAboutNon-Discharge Monitoring Report (NDMR) Form 131014 (1) Permit No.:
PPI:
Parameter Code
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Average:
Daily Maximum:
Daily Minimum:
Sampling Type:
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:
ORC Arrival Time
24-hr
ORC Time On Site
hrs
Average
Geomean
MAX/MIN
Flow Measuring Point:
50050
Flow
GPD
Facility Name:
Parameter Monitoring Point:
County:
Month:
Year:
Sampling Person(s)
Name:
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
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.
Operator in Responsible Charge (ORC) Certification
ORC:
Certification No.:
Grade:
Has the ORC changed since the previous NDMR?
Signature
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Phone Number:
Date
Certified Laboratories
Name:
Name:
Permittee Certification
Permittee:
Signing Official:
Signing Official's Title:
Phone Number:
Signature
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.
Permit Expiration:
Date
00010
00076
00092
00094
00125
00300
00310
00340
00400
00480
00515
00530
00545
00556
00600
00610
00615
00620
00625
00630
00660
00665
00670
00680
00681
00916
00927
00929
00931
00937
00940
00945
01002
01007
01022
01027
01034
01042
01045
01051
01055
01067
01077
01092
01147
01284
31504
31505
31613
31616
32106
32730
32730
34469
34694
38260
50050
50060
70295
70300
70318
71880
71900
78732
80082
81639
81688
82385
82546
CO310
CO530
CO600
CO610
CO665
WQ01
WQ09C
User Friendly Name
Temperature
Turbidity
Flow - Maximum
Conductivity
Dichlorobenzene
Dissolved Oxygen
BOD5
COD
pH
Salinity
Total Filterable Residue
Total Suspended Solids
Settleable Solids
Oil & Grease
Total Nitrogen
Ammonia
Nitrite
Nitrate
Total Kjeldahl Nitrogen
Nitrite + Nitrate
Ortho Phosphate
Total Phosphorus
Organic Phosphorus
Total Organic Carbon
Dissolved Organic Carbon
Calcium
Magnesium
Sodium
Sodium Adsorption Ratio
Potassium
Chloride
Sulfate
Arsenic
Barium
Boron
Cadmium
Chromium
Copper
Iron
Lead
Manganese
Nickel
Silver
Zinc
Selenium
ND Application Rate
Total Coliform
Total Coliform
Fecal Coliform
Fecal Coliform
Chloroform
Phenolics - Recoverable
Phenols
Pyrene
Phenol - Single
Surfactants
Flow
Total Residual Chlorine
Total Dissolved Solids
Total Dissolved Solids
% Solids
Formaldehyde
Mercury
Volatile Compounds
Carbonaceous BOD
Total Kjeldahl Nitrogen
Ethylene Glycol
Nitrogen Oxides
Water Level
BOD5 - Conc.
TSS - Conc.
Total Nitrogen - Conc.
Ammonia - Conc.
Total Phosphorus - Conc.
Reclaimed Water Distributed
Plant Available Nitrogen
Official Parameter Name
Temperature, Water Deg. Centigrade
Turbidity, HCH Turbidimeter
Flow, Maximum Flow Range
Conductivity
Dichlorobenzene (Isomers) M/P In Water ug/l
DO, Oxygen, Dissolved
BOD, 5-Day (20 Deg. C)
COD, Oxygen Demand, Chem. (High Level)
pH
Salinity
Residue, Tot Fltrble (dried at 105C)
Solids, Total Suspended
Solids, Settleable
Oil & Grease
Nitrogen, Total (as N)
Nitrogen, Ammonia Total (as N)
Nitrogen, Nitrite Total (as N)
Nitrogen, Nitrate Total (as N)
Nitrogen, Kjeldahl, Total (as N)
Nitrite plus Nitrate Total 1 DET. (as N)
Phosphate, Ortho (as PO4)
Phosphorus, Total (as P)
Phosphorous, Total Organic (as P)
Carbon, Tot Organic (TOC)
Carbon, Dissolved Organic (As C)
Calcium, Total (as Ca)
Magnesium, Total (as Mg)
Sodium, Total (as Na)
Sodium Adsorption Ratio
Potassium, Total (as K)
Chloride (as Cl)
Sulfate, Total (as SO4)
Arsenic, Total (as As)
Barium, Total (as Ba)
Boron, Total (as B)
Cadmium, Total (as Cd)
Chromium, Total (as Cr)
Copper, Total (as Cu)
Iron, Total (as Fe)
Lead, Total (as Pb)
Manganese, Total (as Mn)
Nickel, Total (as Ni)
Silver, Total (as Ag)
Zinc, Total (as Zn)
Selenium, Total (as Se)
Non-Discharge Application Rate
Coliform, Total MF, Immed,LES Endo Agar
Coliform, Tot, MPN, Completed, (100 mL)
Coliform, Fecal MF, M-FC Agar,44.5C,24hr
Coliform, Fecal MF, M-FC Broth,44.5C
Chloroform
Phenolics, Total Recoverable
Pyrene
Phenol, Single Compound
Surfactants (MBAS)
Flow, in conduit or thru treatment plant
Chlorine, Total Residual
Solids, Total Dissolved
Solids, Total Dissolved- 180 Deg.C
Solids, Total, Percent
Formaldehyde
Mercury, Total (as Hg)
Volatile Compounds, (GC/MS)
BOD, Carbonaceous 05 Day, 20C
Nitrogen Kjeldalh, Total (TKN)
Ethylene glycol
Nitrogen Oxides (as N)
Water level, distance from measuring point
BOD, 5-Day (20 Deg. C) - Concentration
Solids, Total Suspended - Concentration
Nitrogen, Total (as N) - Concentration
Nitrogen, Ammonia Total (as N) - Concentration
Phosphorus, Total (as P) - Concentration
Flow, Reclaimed Water Distributed
Plant Available Nitrogen - Concentration
DWR Accepted Units
ºC
NTU
GPD
µΩ
µg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
mg/L
mL/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
Ratio
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
in/yr
#/100 mL
MPN/100 mL
#/100 mL
#/100 mL
mg/L
mg/L
mg/L
µg/L
mg/L
mg/L
GPD
mg/L
mg/L
mg/L
%
mg/L
mg/L
Yes/No
mg/L
lbs/ac
µg/L
mg/L
ft
mg/L
mg/L
mg/L
mg/L
mg/L
gallons
mg/L