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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