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NON -DISCHARGE WASTE WATER MONITORING REPORT
PERMIT NUMBER: W00004972 MONTH: September YEAR: 2016
FACILITY NAME: Forest Lakes Preserve ELS COUNTY: Davie
Flow Monitoring Point: Effluent: LJ Influent: Li
Parameter Monitoring Point: Effluent: Q
Influent: LJ ISurface
Water (SW):
SW Code/Name:
❑
Was There Effluent Flow for this Month Generated At This Facility: Yes:
No:
Operator 50050 00400
50060 00310
00610
00530
31616 00665
00625 00630 00600 70300
00940
D Arrival Daily Rate
A Time Operator ORC (Flow) into
T 2400 Time on on Treatment
E Clock Site Site? System pH
Residual BOD -5
Chlorine 20°C
NH -3-N
TSS
Fecal
Coliform
(Geo -metric Total
Mean*) Phos
Total Total
Kjeldhal Total Dissolved
Nitrogen NO2+NO3 Nitrogen Solids
Chloride
HRS Y/N GPD UNITS
UG/L MOIL
MG/L
MG/L
/100ML MG/L
MG/L MG/L MG/L MG/L
MG/L
Continuous 5/Wcek
5/Week Monthly
Monthly
Monthly
Monthly Monthly
Monthly Monthly Monthly 3/year
3/year
), 0755r 0.75, '.Y'2;67Q6.55, 0.02-
2 1138 0.15 Y 2,670
3; 38399.fi
4 38,399
-
FIs,= :.dro,s�p.,- s 38,599ax=, Holfda - -7-7---- --.__ - -- -----------------
6
6 1458 0.15 Y 38,399
r, 1712'"� 0:10 38;399.
�a
8 1430 0.50 Y 38,399 6.62
0.03
054 0.10Y, 11;001
-77
10 34,016
F iu: .. i:, ; :.34,016 °.s ...a
W ( yvi`v4
12 1410 0.10 Y 34,016
13 0705.' 0.50 ;Y `- "34;016 - � �� .6.50
0.02 .-
14 1350 0.10 Y 22,242
OSM 12,242;'
16 0610 0.10 Y 39,417
UVV l OL"1 I I_ Iv
1T; 39;417,:°
„I rd,'U(
N184"I 4tt tt ,7S19it7L''t°A
18 39,417
19 1310 , 0:15 ` . Y <' -,39,417,,'.
„4
20 0930 0.50 Y 39,417 6.56
0.04 4.80
32.2
<5
517 4.02
34.6 <0.05 34.6
;��.
i1 1412. 0.25:4 1 ,": 4 , 1,4--
.4 � >
':
r 777
22
22 1422 0.15 Y 4,174
iau ,1405, 0.15' Y,` X4,174:
24 6,983
,is' 6;983
26 0807 0.15 B 6,983
27.,' 1411 P 0.15." ` l „`$'«kga 1225 , r
M
28 1512 0.10 Y 4,230
20, ; 06001 0.501'a Y i< 4;230 a 16.60
36 1429 0.15 B 2,736
31.
Average 22,342
0.03 4.80
32.2
<5
517 4.02
34.6 <0.05 34.6
Daily Maximum 39,417 6.62
0.04 4.80
32.2
<5
517 4.02
34.6 <0.05 34.6
Daily Minimum 1,225 6.50
0.02 4.80
32.2
<5
517 4.02
34.6 <0.05 34.6
Monthly Limits (s)
Composite D / Grab (G)
* Sample had to be recollected due to lab error. Sample was recollected December 4th & will be included on Decembe
Operator in Responsible Charge (ORC): Glenn Price Grade: II Phone: 336-996-2841
Check Box if ORC Has Changed: 1-1
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
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality By this signature, I 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 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
informatiallsubmitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant
pen ties for ubmitting false i forp9ation, including the possibility of fines and imprisonment for knowing violations."
of
(Permittee -Please print or type)
2N Riverside Plaza , Suite 800
Chicago, Il 60606
(Permittee Address)
01002 Arsenic
01022 Boron
00310 BOD5
01027 Cadmium
00916 Calcium
00940 Chloride
50060 Chlorine, Total
Residual
01034 Chromium
00340 COD
�1 l James M. Cheshire
(Name of Signing Official -Please print or type)
President R & A Laboratories
(Position or Title)
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
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 (919) 733-5083, extension 529.
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting
facility'spermit 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).