WQ0002161_Monitoring - 09-2016_20161208 (2)

NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: WQ0002161 MONTH: September YEAR:_ 2016
FACILITY NAME: Carolina Friends School COUNTY:
Operator in Responsible Charge:(ORC): Chad LeinbaCh Grade: II/SI Phone: [phone]
Check box if ORC Has'Ghanged: `Q ORC Certification Number. 23928
Certified Laboratories (1):. Conner Consulting, LLC (2g ENCO.
Person(s) Collecting Samples; _ Chad LeinbaCh
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Ur
DENR
Division of Water Quality
1617 Mail Service Ceriter
RALEIGH, NC -27699-1617
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM-NDMR-1 (5/2003)
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Operator in Responsible Charge:(ORC): Chad LeinbaCh Grade: II/SI Phone: [phone]
Check box if ORC Has'Ghanged: `Q ORC Certification Number. 23928
Certified Laboratories (1):. Conner Consulting, LLC (2g ENCO.
Person(s) Collecting Samples; _ Chad LeinbaCh
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Ur
DENR
Division of Water Quality
1617 Mail Service Ceriter
RALEIGH, NC -27699-1617
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 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 re.ason(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 accordancewith's system designed to assure that all qualified `personnel properly gathered and
evaluated the information submitted. Based on my inquiry of the personor persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of iriy
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false information, in; luding the possibility of fines and imprisonment. for knowing violations."
Chad Leinbach '
(Signature of Permittee)* Era. e (Name of Signing Official -Please print or type) -
Carolina Friends School ORC
(Permittee:Please print or type) (Position or Title)
4809'17riends School Road [phone] 4130/21
(Phone Number) (Permit Up: -Date)
Durham, NG 27705-6602 -
(Permittee Address)
Parameter Gnripc
' -01002 k senic •'
.31504 Coliform, Total
00660 Nitrogeh, Toter`
00929 Sodium
01022:9orm
OD094 Conduclivily
ODWOWOMOZI
00931 SAR .
00310 B005
01042 Copper
OD620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen.
00556.0II-Grease
70295 TDS
00916 Calcium
- 31616 Fecal Coliform
WQ09 PAN PlantAvailable)
-00010 Te eratur6
00940 Chloride -
- 01051 Lead -
00400 AH:. --
00625 TKN
50.060 'Chlodne, Total '
Resldual
00927 -Magnesium
71900 Mercury
. -:
32730.Phenols00680
00565,Phosphonis.Total
TOC-_
00530 TWTSR
• 01034 -Chromium
- 00610 NH3asN
00937 Potassiurim ' ' -
00076 Tuitiid'
00340 COD
- 01067 Nickel
00545 Settleable Matter
01092Zmc
Parameter Code assistance may be obtained by calling'the Water Quality CompliancelEnforCement Unit at [phone] ext. 529_
The monthly average,for Fecal.Col form is to:be;reported ass GEOMETRIC mean.-Use.onlv4he units designated in the rep6torig facilivs
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 26,0506 (b)(2)(D).
DENR FORM NDMR-1 (5/2003)