WQ0013808_Monitoring - 09-2016_20161104 (2)

�. NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER:
FACILITY NAME:
W00013808
Summerfield Constructed Wetlands
MONTH: September YEAR: 2016
COUNTY. Guilford
Flow Monitoring Point:
Effluent:
Influent:
. .... ....
..............................
. ..........................
..
Parameter Monitoring Point:
Effluent:
N
Influent:
U ISurface Water (SW):
SW Code/Name:
Was There Effluent Flow For This Month Generated At This Facility:
Yes:
DQ No:
.
50050
00400
50060
00310
00610 00530
31616 00625
00620 70300
00940
D
A
T.
E
Operator
Arrival operator ORC
Time 2400 Time on on
Clock site Site?
Daily Rate (Flow)
into Treatment
System
pH
Residual
Chlorine
BOD -6
20'C
NH3-N TSS
Feral
coliform (Gea
metric mean-) TKN
Total
Nitrate TDS
Chlor -
ide
HRS YIN
GALLONS
UNITS
UG/L
MGIL
MG/L MG/L
HODML MG/L
MGIL MG/L
MG/L
1
1471
2
1471
3
1471
4
1471
5
1471
6
11:20 0.67 Y
1471
6.33
0.37
7
1
1414
8
1414
9
1414
10
1414
11
1414
12
1414
131
13:10 1 Y
1414
6.25
0.3
14
1457
15
1457
16
1457
17
1457
18
1457
191
1457
20
11:05 0.67 Y
1457
6.33
0.35
L
21
1314
22
1314
23
1314
24
1314
O
261
1314
26
1314
27
13:20 1 Y
1314
6.41-
0.99
,
28
1300-.
29
1300
30
1300
31
-
Average
1400.7:
0.5025 #DIV/0! #DIV/01 #DIV/0!
MUM! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
Daily Maximum
1471
6.41
0.99
0
0 0
0 0
0 0
0
Daily Minimum
130IG
6.25
0.3
0
0 0
0 0
0 0
0
Monthly Limit(s)
NA
NA
NA
NA NA
NA NA
NA NA
NA
Composite (C) I Grab (G)
G
G IG.
G
G 1 G
IG IG
Operator in Responsible Charge (ORC): Chad LeinbaCh Grade: II/SI Phone: [phone]
Check Box if ORC Has Changed: 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
(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)

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? 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, includin the possibility of fines and imprisonment for knowing violations."
(X/ %' p h & Chad Leinbach
(Signature of Permittee)* Dae (Name of Signing Official -Please print or type)
Kotis Properties, Inc.
(Permittee -Please print or type)
Post Office Box 9296
Greensboro, NC 27429
(Permittee Address)
Parameter Codes:
(Position or Title)
[phone]
(Phone Number)
ORC
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 Suede
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
00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
71900 Mercury
32730 Phenols
00665 Phosphorus, Total
00680 TOC
00530 TSs/rSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
8/31/17
(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 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 2B.0506 (b)(2)(D).
DENR FORM NDMR-1 (5/2003)