WQ0004502_Monitoring - 08-2016_20160919

NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: WQ0004502 MONTH: August YEAR: 2016
FACILITY NAME: Hillsborough United Church of Christ COUNTY: Orange
Flow Monitoring Point: Effluent:
❑
Influent:
EI
Parameter Monitoring Point:
Effluent:
❑
Influent: 0
Surface Water (SW): ❑
SW Code/Name:
Was There Effluent Flow For This Month Generated At This Facility:
Yes: ❑
No: ❑
............................
..
50050
00400
50060
00310 00610
00530 31616
665
625
630
600
D Arrival Daily Rate
A Time Operator ORC (Flow) into
T 2400 Time on on Treatment
E Clock Site Site? System
pH
Residual
Chlorine
BOD -5
20°C NH3-N
Fecal
Coliform
(Geo -metric
TSS Mean*)
TOT
Phos
TKN
NO2-
No3
TOT N
C Calc
HRS YIN GALLONS
UNITS
UGIL
MG1L NIGIL
MG/L L 1100ML
MG/L
MG/L
MGIL
MG/L
1 342
2 342
3 342
4 9:20 0.75 Y 342
5 325
61 325
7 325
8 325
9 325
10 325
11 10:15 0.25 Y 325
121 1 327
13 327
14 327
15 327
16 12:34 0.25 Y 327
17 321
181 321
19 321
20 321
21 321
22 8:43 0.75 Y 321
23 323
1-
241 323
25 323
26 323
27 323
28 323
29 323
30 9:52 0.25 Y 323
311 320
Average 326.0645::::::::::::::::
######
; # #NUM!
##hE##
#DIV/0!
Daily Maximum 342
0
0
0 0
0 0
0
0
0
0
Daily Minimum 3201
01
0
0 0
0 0
0
0
0
0
Monthly Limit(s) 0.00156
Composite (C) / Grab (G)
Operator in Responsible Charge (ORC):
Check Box if ORC Has Changed: ❑
Certified Laboratories (1):
Person(s) Collecting Samples:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
James W Gooch Grade:
ORC Certification Number:
(2):
IV Phone: [phone]
988035
WrOkE & GTR06't IN RESPONSTELE CHARGE)
41S SIGNATUR 1 CERTIFY THAT THIS REPORT IS ACCURATE
COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (512003)

NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Page of
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? 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
knowlea and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
fal infor ation, including the possibility of fines and imprisonment for knowing violations."
Russell Knop
ign ture of Permittee)* Date (Name of Signing Official -Please print or type)
Hillsborough United Church of Christ
(Permittee -Please print or type)
200 Davis Rd.
Hillsborough NC 27278
(Permittee Address)
Parameter Codes:
Chair of Trustees
(Position or Title)
919-732-9183
(Phone Dumber)
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Baron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BODS
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556 Oil -Grease
70295 TDS
00916 Calcium
31616 Fecal
WQ09 PAN (Plant Available)
00010 Temperature
00940 Chloride
-Coliform
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
71900 Mercury
32730 Phenols
00665 Phosphorus, Total
00680 TOC
00530 TSSITSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
9/30/2018
(Permit Exp. Date)
Parameter Code assistance may be obtained by calling the Water Quality Compliance/Enforcement Unit at [phone] ext. 529.
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the repotting
FacilitVs 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 213.0506 (b)(2)(D).
DENR FORM NDMR-1 (5/2003)