WQ0002161_Monitoring - 11-2016_20170105

t
PERMIT NUMBER:
FACILITY NAME:
NON DISCHARGE WASTEWATER MONITORING' REPORT
W00002161
Carolina Friends School
Page of
MONTH: November . YEAR: 2016
COUNTY
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:
PQ
No:
•
50050
00400
60060
00310
00610
00530
31616
00625
00600
00620
00665
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 -5
20°C
NH3-N
TSS
Fecal
Coliform (Gec
metric Mean*)
TKN
Total
Nitrogen
Total
Nitrate
Total
Phosph
Orus
HRS YIN
GALLONS
UNITS
UG/L
MG/L
MG/L
MG/L
/100ML
MG/L
MG/L
MG/L I
MG/L
1
1 1
2389
2
2389
3
2389
4
14:18 0.25 Y
2389
6.55
5
2389
6
2389
7
2389
8
2389
9
2389
10
14:20 0.75 Y
2389
6.91
11
.2389
12
2389
131
2389
14
2389
15
2389
16
2389
17
15:05 0.45 Y
2389
6.91
3.8
27
<2.5
23
28
67
39
8.5
18
2389
191
2389
20
2389
21
2389
22
2389
23
15:35 0.25 Y
2389
6.85
24
1
2389
261
2389
26
2389
27
2389
28
2389
29
2389
30
2389
31
Average
2389:
#DIV/0!
3.8
27 #DIV/0!
23
28
_ _ 67.
391
8.5
Daily Maximum
2389
6.91
0
3.8
27
0
23
28
67
39
8.5
Daily Minimum
2389
6.55
0
3.8
27
0
23
28
67
39
8.5
Monthly Limit(s)
4000
6-9
NA
NA
NA
NA
NA
NA
IG
NA
NA
Composite (C) I Grab (G)
G
G
G
G
G
G
G
G
Operator in Responsible Charge (ORC): Chad Leinbach Grade: II/SI
Check Box if ORC Has Changed: F ORC Certification Number:
Certified Laboratories (1): Conner Consulting, LLC (2):
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 �J
RALEIGH, NC 27699-1617 JAN 0 5 2017
AMCOR JIM
NAT
Phone: [phone]
23928
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)

NON DISCHARGE WASTEWATER MONITORING REPORT Page of
Facility Status:
ti
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, including the possibility of fines and imprisonment for knowing violations."
_�Ko � j1 3U Chad Leinbach
(Signature P rmlttee) Date (Name of Signing Official -Please print or type)
Carolina Friends School
(Permittee -Please print or type)
4809 Friends School Road
Durham, NC 27705-6602
(Permittee Address)
Parameter Codes:
ORC
(Position or Title)
[phone]
(Phone Number)
01002 Arsenic
31504 Coliform, Total
OD60D Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BODS
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
D0556 Oil -Grease
70295 TDS
00916 Calcium
31616 Fecal Coliform
W009 PAN (Plant Available)
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
Residual
00921 Magnesium
71900 Mercury
32730 Phenols
00665 Phosphorus, Total
00680 TOC
00530 TSS/TSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
4/30/21
(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 213.0506 (b)(2)(D).
DENR FORM NDMR-1 (5/2003)

NON-DISCHARGEAPPLICATION REPORT Page _of_
r a SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00002161
MONTH: INovember
YEAR: 2016
FACILITY NAME: Carolina Friends School COUNTY: Orange
Formulas:
Dally Loading (inches) =[Volume Applied (gallons) x 0.1336 (cubic feetfgallon) x 12 Cinches/foot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-Inch)]
Maximum Hourly Loading (Inches) =Daily Loading (inches) / [rime Irrigated (minutes) / 60 (minutes/hour)] - Monthly Loading (inches) =Sum of Daily Loadings (inches)
12 Month Floating Total (Inches) = Sum of this month's Monthly Loading Cinches) and previous 11 month's Monthly Loadings (inches)
Averane Weekly Loadin (inches)=1Monthly Loadina Cinches/month) / Number of days in the month (days/month)] x 7 (days/week)
Did Irrigation OccurAt This Facility:
Yes: No:
Did Irrigation Occur On This Field:
Yes:
No:.
Did Irrigation Occur On This Field:
Yes:
No:
FIELD NUMBER: A
AREA SPRAYED (acres): 1.8
COVER CROP: Hardwood Forest
PERMITTED HOURLY RATE (inches): 0.142
FIELD NUMBER: B
AREA SPRAYED (acres): 1.9
COVER CROP: Hardwood Forest
PERMITTED HOURLY RATE (inches): 0.142
D
WEATHER CONDITIONS
PERMITTED YEARLY RATE (inches):
19.72
PERMITTED YEARLY RATE (Inches):1
19.72
A
T
E
Storage
weather Temperature lagoon
code• atap lication Precipita-tion Free -board
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
Applied
Time
Irrigate
Daily
Loading
Maximum
Hourly
Loading
(°F) Inches feet
gallons
minutes
Inches
inches
gallons
minutes
Inches
Inches
1
NA
713
8
0.01
0.11
950
11
0.02
0.10
2
NA
713
8
0.01
0.11
950
11
0.02
0.10
3
NA
713
8
0.01
0.11
950
11
0.02
0.10
4
NA
713
8
0.01
0.11
950
11
0.02
0.10
6
NA
713
8
0.01
0.11
950
11
0.02
0.10
6
C 68 0.9 NA
713
8
0.01
0.11
950
11
0.02
0.10
7
NA
2467
30
0.05
0.10
850
10
0.02
0.10
6
NA
2467
30
0.05
0.10
850
10
0.02
0.10
9
NA
2467
30
0.05
0.10
850
10
0.02
0.10
10
NA
2467
30
0.05
0.10
850
10
0.02
0.10
11
NA
2467
30
0.05
0.10
850
10
0.02,
0.10
12
NA
2467
30
0.05
0.10
850
10
0.02
0.10
13
C 70 4.8 NA
2467
30
0.05
0.10
850
10
0.02
0.10
14
NA
343
4
0.01
0.11
1057
13
0.02
0.09
15
I NA
343
4
0.01
0.11
1057
13
0.02
0.09
16
NA
343
4
0.01
0.11
1057
13
0.02
0.09
17NA
343
4
0.01
0.11
1057 " ,
13
0.02
0.09
18
NA
343
4
0.01
0.11
1057
13
0.02
0.09
19
NA
343
4
0.01
0.11
1057
13
0.02
0.09
20
C 80 0- NA
343
4
0.01
0.11
1057
13
0.02
0.09
21
NA
1267
15
0.03
•0.10
1067
13
0.02
0.10
22
NA
1267
15
0.03
0.10
1067
13
0.02
0.10
23
NA
1267
15
0.03
0.10
1067
13
0.02
0.10
24
NA
1267
15
0.03
0.10
1067
13
0.02
0.10
26
NA
1267
15
.0.03
0:10
1067
13
0.02 -
0.10
26
NA
1267
15
0.03
0.10
1067
13
0.02
0.10
27
C 68 0 NA
1267
15
0.03
0.10
1067
13
0.02
0.10
28
NA
1067
13
0.02
0.10
744
9
0.01
0.10
29
NA
1067
13
0.02
0.10
744
9
0.01
0.10
30
NA
1067
13
0.02
0.10
744
9
0.01
0.10
31
NA
Tota[ Gallons/Monthly Loading (Inches)
36018
0.74
28750
0.56
12 Month Floating Total (inches)
9.14
7.10
Average Weekly Loading (inches)j:::::::::::
0.1718398
0.1299454
• Weather Codes: -clear, PC -partly cloudy, CI -cloudy, R-ra[n, Sn-snow, 51 -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Chad Leinbach Phone:
ORC Certification Number: _23928 Check Box if ORC Has Changed: ❑
919 260-7301
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit -- CL��v�4_
DENR
Division of Water Quality (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
RALEIGH, NC 27699-1617 TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (5/2003)

NON -DISCHARGE APPLICATION REPORT Pageof
SPRAY IRRIGATION SITE(S) �0 ° - `%
Facility Status:
Please indicate( by inserting Y(es) or N(o) in the appropriate box) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
Com liantY N
1. The application rate(s) did not exceed the limit(s) specified in the permit
Y
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
YO .
4. All buffer zones as specified in the permit were maintained during each application.
Y
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
specified in the permit.
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.] am aware that there are significant penalties for submitting false information, including the possibility of fines
and imprisonment for knowing violations."
3 d / Chadleinbach
(Signature of Permittee)* Date (Name of Signing Official -Please print or type)
Carolina Friends School ORC
(Permittee -Please print or type) (Position or Title)
4809 Friends School Road
Durham, NC 27705-6602
(Permittee Address)
919 260-7301 4130/21
(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).
DENR FORM NDAR-1 (5/2003)