WQ0013808_Monitoring - 10-2016_20161207 (2)

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NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: W00013808 MONTH: October YEAR: 2016
FACILITY NAME: Summerfield Constructed Wetlands COUNTY: Guilford
Flow Monitoring Point:
Effluent:
Influent:
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:
-• -
D
A
T
Operator
Arrival operator ORC
Time 2400 Time on 'on
Clock site Site?
50050
Daily Rate (Flow)
into Treatment
System
00400
pH
50060 00310
Residual BODS
Chlorine 20'C
00610 1 00530 31616 00625
Fecal
coliform (Gec
NH3-N TSS metric Mean*] TKN
00620 70300
Total
Nitrate TDS
00940
Chlor -
ide
HRS Y/N
GALLONS
UNITS
UG/L MG/L
MG/L MGIL /100ML MG/L
MG/L I MG/L
MG/L
1
1300
2
1300
3
1300
4
12:45 0.75 Y
1300
6.26
0.72
5
1371
6
1371
7
1371 _
8
1371
9
1371
10
1371
11
13:00 1.5 Y
1371
6.55
0.81
12
1400
13
1400
14
1400
151
1400
16
1400
17
1400
18
13:30 1 Y
1400
6.91
0.46
19
1300
20
1300
21
1300
221
1300
O
23
1300
24
1300
26
13:15 2 Y
1300
6.93
0.81
O
26
1157
c!'
27
1157
G'
281
1157
29
1157
30
1157
31
1157
Average
1310.9355
: : : : : : :
0.7 #DIV/0! #DIV/0! #DIV/0! #NUM! #DIV/0!
#DIV/0! #DIV/0! #DIV/01
Daily Maximum
1400
6.93
0.811 0
0 0 0 0
0 0
0
Daily Minimum
1157
6.26
0.461 0
0 0 0 01
01 0
0
Monthly Limit(s)
NA
NA NA
NA NA NA NAI
NAI NA
NA
Composite (C) / Grab (G)
G
G G
G IG I G G
I G I G
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): Cohnef Consulting, LLC (2):
Person(s) Collecting Samples: Chad Leinbach A
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
ENCO
(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)

Page of
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? 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
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false information, inc ding the possibility of fines and imprisonment for knowing violations."
Chad Leinbach
(SigVature of Permittee)'` ate (Name of Signing Official -Please print or type)
Kotis Properties, Inc. ' ORC
(Permittee -Please print or type) (Position or Title)
Post Office Box 9296 [phone] 8/31/17
(Phone Number) (Permit Exp. Date)
Greensboro, NC 27429
(Permittee Address)
Parameter Codes:
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
00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
71900 Mercury
32730 Phenols
00665 Phosphorus, Total
00680 TOC
00530 TSSrTSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidi
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 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)