WQ0002161_Monitoring - 08-2016_20161007 (2)

PERMIT NUMBER:
FACILITY NAME:
NON DISCHARGE WASTEWATER MONITORING REPORT
W00002161
Carolina Friends School
Page of
MONTH: August YEAR: 2016.
COUNTY:
Flow Monitoring Point:
Effluent:
LJ
Influent:
ME
Parameter Monitoring Point:
•Effluent:
Influent::,
-
Surface Water (SW)',
SW Code/Name: .
Was There Effluent Flow For This Month Generated At This Facility:
Yes:
DQ
No:
-00600 -
.00665
50050
D Operator
A Arrival operator ORC Daily Rate (Flow)
T Time 2400 Time on on into Treatment
E Clock site Site? System
00400
pH
50060
Residual
Chlorine
00310
BOD -5
20'C
00610
NH3•N
00530
TSS
31616
Fepl
Col form (GeoTotal
metric Mean-)
00625
TKN
00620
Total
Nitrogen Nitrate
Total
P•hOSph
ortis
HRS' YIN
GALLONS
UNITS
UGIL
MG/L
MG/L
MGIL -
1100ML
VIGIL
MG/L MG/L
MG/L.
1 1
1906
-2
1906
3
1906
4 12:30 0.25 Y
1906
6.84
5
1906
AA
6
1906 .
7
1906
8
1906
9
1906
3
"07
10
1906-
11
1906
D
12
1906
13
1906
14 11:20 0.25 Y
1906•
6.64
i
15
1906:
.
16
1906
1
17
1906
18
1906
19
1906
20 .10:15. 0:33 Y
1906
6.72.
21
1906
22 10:50 0.67 Y
1906
6.78
5.9
5.5
<2.5
1
5.3 -
24 19
6.3
23
1906
24
1906
z6
1906....
26
1906
27
1906
_.
28
1906
29
1906
30
-1,906
31
1906
Average
1906:
: ,: :=
#DIV/0!
5.9
5.5 #DIV/0!
. 1
• 5.3
24 19
6.3
Daily Maximum
- 1906
6.84..
0
5.9
5.5
0
1
5.3 ; ... 24, .. 19
6.3
Daily Minimum
1906
6.641
0
5.91
5.5
0
1
5.3
24 19
6.3
Monthly Limit(s)
4000
6-9
NA
NA
NA
NA
NA
NA
NA NA
Composite (C) / Grab (G)
G ,
JIG,. ,
G IG
:
G
G ., .
G.
G G
Operator In Responsible Charge (ORC): Chad Leinbach Grade: II/SI Phone:_
Check Box if ORC Has Changed: Q :ORC Certification Number: 23928
Certified Laboratories (1): Conner Consulting, LLC (2): ENCO
Person(s) Collecting Samples: Chad Leinbach
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
010 Tan 79n1
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (5/2003)
I

NON DISCHARGE:WASTEWATER MONITORING REPORT. Page of
Facility Status:
Please, answer the following question:
Compliant (Y,N)
1..Does all monitoring data and sampling frequencies meet permit requirements? DY
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
knowledge and belief, true, accurate;: and complete. I am aware that there are significant penalties for submitting
false information, incl ding the possibility of fines and imprisonment for knowing violations."
Chad Leinbach
(Signature of Permittee)* Date (Name of Signing Official -Please print or type)
Carolina Friends School ORC
(Permittee -Please print or type) (Position or Title)
4809 Friends School Road [phone], 2/29116
(Phone Number) (Permit Exp. Date)
Durham, NC 27705-6602
(Permittee Address)
Parameter Cedes'
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556 Oil -Grease
70295 TDS
00916 Calcium
31616 Fecal Coliform
WQ09 PAN (Plant Available)
00010 Temperature
00940 Chloride
01051 Lead,
00400 pH
00626TKN
50060 Chlorine, Total
Residual
00927 Magnesium
71900 Mercury
32730 Phenols
00665 Phosphorus, Total
00680•TOC
00530 TSsfrSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
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.mead. Use only the 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 28.0506 (b)(2)(D).
DENR FORM NDMR-1 (5/2003)