WQ0002161_Monitoring - 10-2016_20161207

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NON DISCHARGE WASTEWATER MONITORING, REPORT Page of_
PERMIT NUMBER: W00002161 MONTH: October YEAR: 2016
FACILITY NAME: Carolina Friends School COUNTY:
Flow Monitoring Point:
Effluent:j
Influent:
Parameter Monitoring Point:
Effluent:
P g Influent:.
Surface Water (SW):
SW Code/Name:
Was There Effluent Flow For This Month Generated At This Facility:
Yes:
DQ No:
.•
D
A
T
E
Operator
Arrival operator ORC'
Time 2400 Time on on
Clock site Site?
50050
Daily Rate (Flow)
into Treatment
System
00400
pH
50060 00310
Residual BOD -6
Chlorine 20'C
00610 00530
NH3-N TSS
31616 00625
Fecal
Coliform (Gee
metric Mean*) TKN
00600 00620
Total Total
Nitrogen Nitrate
00665
Total
Phosph
orus
HRS YIN
GALLONS
UNITS
UGIL MGIL
MG/L - MGIL
1100ML MG/L
MGIL MGIL
MG/L
1
2503
2
2503
3
2503
4
2503
5
2503
6
11:05 0.33 Y
2503
6.55
7
2503
8
2503
9
2503
10
2503
11
2503
12
2503
131
16:00 0.33 Y
2503
6.61
14
2503
15
2503
16
2503
17
2503
18
2503
191
2503
'
20
15:25 0.3.3 Y
1 2503
6.7
21
2503
22
2503
23
2503
24
2503
261
1
2503
26
2503
27
C 0.5 Y
2503
6.45
28
2503
29
2503
30
2503
311
1
2503
Average
2503::::::::
#DIV/01 #DIV/0! #DIV/0! #DIV/0!
#NUM! #DIV/0!
#DIV/0! #DIV/0! #DIV/0!
Daily Maximum
2503
6.7
0 0
0, . 0.
0 0
0 0
0
Daily Minimum
2503
6.45
0 0
0 0
0 0
0 0
0
Monthly Limit(s)
4000
6-9
IG
NA NA
IG
NA NA
NA NA
NA NA
Composite (C) / Grab (G)
IG IG.
G
G IG
G . G
Operator in Responsible Charge (ORC): Chad Leinbach Grade: II/SI
Check Box if ORC Has Changed: El ORC Certification Number:
Certified Laboratories (1): Conner Consulting, LLC (2):
Person(s) Collecting Samples: Chad Leinbach
Mail ORIGINAL and TWO COPIES to: �--
Phone: [phone]
23928
ENCO
ATTN: Non -Discharge Compliance Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
DENR BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
Division of Water Quality AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
DENR FORM NDMR-1 (5/2003)

- 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?. = .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
(Signature of Permittee)* Dat (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] 2/29/16.
(Phone Number) (Permit Exp. Date)
Durham, NC 27705-6602
(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 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 TSSrrSR
01034 Chromium
00610 NH3asN.
00937 Potassium
00076 Turbidit
00340 COD
01057 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 28.05060)(2)(D).
DENR FORM NDMR-1 (5/2003)