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Home My WebLink AboutWQ0004972_Monitoring - 11-2016_20170105Page 1 of 2 NOV-DISCHARCE �i'.�STE W'ATER MONITORING REPORT PERMIT NUMBER: W0111104972 MONTH: November YEAH: 2U16 F:ICILITY N.AMC: �orest Lakc� Preserve ELS COUN"PY: Davie R ■ l� � � ■ l� ■ � �� . �� 0��0�� a��o�� A��a�� o��m�� o�� m�� o��m��we�� o��o�� o� � � a�� m��a�� m�� m��m��■�� o�� a�� m� � � a�� a�� m�� m��a�� a�� e�� m�� m�� a�� m� � � �� o�� m�� :�� Uperular in lirspnnsi6le Charge (ORCJ: Clemi I'rice CruJe: 11 Phone: 37b-')96-2NJ1 Check Bus if ORC Itas Changed: � Certified L�buraturies (I): R&:� Labm'atories Inc ORC Certificatim� Number: 987931/21177I Person(s) Collecting Samples: Glenn Nrice \lail URIGIi�',\I. vnJ'Pwn COI'll?ti in: I \ :\'I"1��\': Non-Uischarxc Cumpliance Uni� X �\i- n� -� DP:,AR (SIGSA'fURE pF pPFR,CI'ON 1,1 RESPO,A'SIRI.F. ClliARGF;) Di�ixiun of \\'a�er Qualily 161711��i1 Serv'ice CeNcr R:\Lk7G11. �RC 27694dfi17 R)� �hiti signulure I ccrtifi� �hat Ihis repnr� is accuralc and tumplr�c �u the Lesl nf my knnwirdge. DENR Form NDAR-1 (5/2003) NON DISCHARGE WASTEWATER MONITORING REPORT FACILITY STATUS: Please answer the following question: 1. Does all monitoring data and sampling frequencies meet permit requirements? If the facility is non-con:nliant , 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. � y Com liant Y,N) "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 infor ion bmitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant pen ties for s bmitting fa�nf�nation, including the possibility of fines and imprisonment for knowing violations." of (Permittee-Please print or type) 2N Riverside Plaza . Suite 800 Chicaeo, Il 60606 (Permittee Address) 01002 Arsenic 01022 Boron 00310 BODS 01027 Cadmium 00916 Calcium 00940 Chloride 50060 Chlorine, Total Residual 01034 Chromium 00340 COD James M. Cheshire (Name of Signing Official-Please print or type) President R & A Laboratories (Position or Title) 00600 Nitro en, Total 00630 NO2 & NO3 00620 NO3 00556 Oil & Grease WQ09 PAN Plant Available) 00400 H 32730 Phenols 00665 Phos horus, Total 00937 Potassium 00545 Settleable Matter 00929 Sodium 00931 SAR 00745 Sulfide 00515 TDS 00010 Tem erature 00625 TKN 00680 TOC 00530 TSS/TSR 00076 Turbidi 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 desi�nated in the reportin� facilitv's permit for reportin data. * If signed by other than the Permittee, delegation of signatory autliority must be on file with the state per i 5A NCAC 2B.0506 (b) (2) (D). \ ,\ M. � NON-DISCHARGE APPLICATION REPORT SPRAY IRRIGATION SITE(S) THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONA� PAGES AS NEEDED Page 2 of 2 PERMIT NUMBER: WQ004972 MONTH: November YEAR: 2016 FACILITY NAME: Forest Lakes Preserve ELS. COUNTY: Davie Formulas: Daily Loading (inches) _[Voiume Applied (gallons) x 0.1336 (cubic feeUgallon) x 12 (inches/(oot)] /[Area Sprayed (acres) x 43,560 (square feeUacre) or _ [Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch). Maximum Hourly Loading (inches) = Daily Loading (inches) /[Time irrigated (minutes) / 60 (minutes/hour)] Monthly Loading (inches) =Sum of Daily Loading (inches) 12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 monlh's Monlhly Loadings (inches) Average Weekly Loading (inches) _[Monthly Loading (inches/monlh) / Number of days in lhe monlh (days/month )] x 7(days/week) '\Vca[her Codcs: Gclear, PC-partly cloudy, Cl-cloudy, R-rain, Sn-sno�v, SI-sleet Spray Irrigation Operator in Responsiblc Charge (ORC): Glenn Price Phane: 336-996-2841 ORC Certification Number: 987931/20771 Check Box if ORC Has Changed: 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 NDAR-1 (5/2003) NON-DISCHARGE APPLICATION REPORT SPRAY IRRIGATION SITE(S) FACILITY STATUS: Please indicate( by inserting Y(es) or N(o) in the appropriate box) whether the facility has been comnliant with the following permit requirements: (Note: If a requirement does not apply to your facility put (NA) in the compliant box.) 1. The application rate(s) did not exceed the limit(s) specified in the permit. 2. Adequate measures were taken to prevent wastewater ninoff from the site(s). 3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit. 4. All buffer zones as specified in the permit were maintained during each application. S. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s) specified in the permit. Compliant (Y,N) Q 4 4 �=J—� 4 If the facility is non-con:pliant, 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 informat' bmitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant penalti s for s bmitting fa� in�ation, including the possibility of fines and imprisonment for knowing violations." )* (Permittee-Please print or type) 2N. Riverside Plaza. Suite 800 Chica�o, II 60606 (Permittee Address) James M. Cheshire (Name of Signing Official-Please print or type) President R & A Laboratories (Position or Title) (Phone Number) (Permit Exp. Date) * 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).