HomeMy WebLinkAboutWQ0022870_Monitoring - 12-2016_20170201 (2)NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: WQ0022870 MONTH:
FACILITY NAME: Chapel Ridge
December YEAR:
COUNTY:
Or%4 G
Chatham
Operator in Responsible Charge (ORC): _
Check Box if ORC Has Changed: ❑
Certified Laboratories (1):
Person(s) Collecting Samples:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Enviroment 1
Bobbv Fox
Grade: Phone:
ORC Certification Number:
(2):
(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 (11/2005)
■
■
.�
■
■
p
..-
•,-W
I1.1
,1 MINIMM.
��
-----
• Daily
(Flow) into
Treatment
System
NONNI
Fecal
Coliform
I
Static
Water
Level
MEN
. :.
1
-
ffa =1
Operator in Responsible Charge (ORC): _
Check Box if ORC Has Changed: ❑
Certified Laboratories (1):
Person(s) Collecting Samples:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Enviroment 1
Bobbv Fox
Grade: Phone:
ORC Certification Number:
(2):
(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 (11/2005)
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
J
Page of
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, includi the possibility of fines and imprisonment for knowing violations."
Dennis G. Mahaffey
nature of(fyx4ettee)* Date (Name of Signing Official -Please print or type)
Aqua North Carolina
(Permittee -Please print or type)
202 MacKenan Ct
Cary NC. 27511
(Permittee Address)
Parameter Codes:
Regional Supervisor
(Position or Title)
919-653-5768
(Phone Number)
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 TSS/TSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
9/30/2017
(Permit Exp. Date)
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at (919) 715-6189.
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)(13).
DENR FORM NDMR-1 (11/2005)
NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: WQ0022870
FACILITY NAME: Chapel Ridge
MONTH: December
COUNTY
YEAR: 2016
Chatham
Monitoring------------
'•
■
influent.,
Emig M.
Daily Rate
(Flow) into
Treatment
I . Oil System
100011111=1111
Fecal
Coliform
Static
Water
Level
MEN
Operator in Responsible Charge (ORC): Grade:
Check Box if ORC Has Changed: ❑ ORC Certification Number:
Certified Laboratories (1): Enviroment 1 (2):
Person(s) Collecting Samples: Bobby Fox
Mail ORIGINAL and TWO COPIES to:
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
ATTN: Information Processing Unit AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
Phone:
DENR FORM NDMR-1 (11/2005)
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Page of
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? u
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."
l• 3- �� Dennis G. Mahaffey
nature mittee)* Date (Name of Signing Official -Please print or type)
Aqua North Carolina
(Permittee -Please print or type)
202 MacKenan Ct
Cary NC. 27511
(Permittee Address)
Parameter Codes:
Regional Supervisor
(Position or Title)
919-653-5768 9/30/2017
(Phone Number) (Permit Exp. Date)
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 TSS/TSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at (919) 715-6189.
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 (11/2005)
NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: WQ002-2870 MONTH:
FACILITY NAME: Chapel Ridge
December YEAR: 2016
COUNTY: Chatham
Operator in Responsible Charge (ORC): _
Check Box if ORC Has Changed: ❑
Grade: Phone:
ORC Certification Number:
Certified Laboratories (1): Enviroment 1 (2):
Persons) Collecting Samples: Bobby Fox
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
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 NDMR-1 (11/2005)
■
■--------------
•
■
■
p
..-
Daily
(Flow) into
System
ONION
Static
MEN
� 1
0000---_-
..
Operator in Responsible Charge (ORC): _
Check Box if ORC Has Changed: ❑
Grade: Phone:
ORC Certification Number:
Certified Laboratories (1): Enviroment 1 (2):
Persons) Collecting Samples: Bobby Fox
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
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 NDMR-1 (11/2005)
NON DISCHARGE WASTEWATER MONITORING REPORT
Fv.cility Status:
Page of
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements?
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, in ding the possibility of fines and imprisonment for knowing violations."
G l �T- l� Dennis G. Mahaffey
Ignatur o rmittee)* Date (Name of Signing Official -Please print or type)
Aqua North Carolina
(Permittee -Please print or type)
202 MacKenan Ct
Cary NC. 27511
(Permittee Address)
Parameter Codes:
Regional Supervisor
(Position or Title)
919-653-5768'
(Phone Number)
9/30/2017
(Permit Exp. Date)
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 TSS/TSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at (919) 715-6189.
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 26.0506 (b)(2)(13).
DENR FORM NDMR-1 (11/2005)
NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: WQ0022870 MONTH:
FACILITY NAME: Chapel Ridge
December YEAR: 2016
COUNTY: Chatham
.
■
■
----------------
' Daily
(Flow) into
Treatment
System
0—
INN
Static
Water
1 Level
N�'
Operator in Responsible Charge (ORC): _
Check Box if ORC Has Changed: ❑
Grade:
ORC Certification Number:
Certified Laboratories (1): Enviroment 1 (2):
Person(s) Collecting Samples: Bobby FOX
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Phone:
(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 (11/2005)
Page of
NON DISCHARGE WASTEWATER MONITORING REPORT
IF cility 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 informatio , i uding the possibility of fines and imprisonment for knowing violations."
Dennis G. Mahaffey
tgnature ermittee)* Date (Name of Signing Official -Please print or type)
Aqua North Carolina
(Permittee -Please print or type)
202 MacKenan Ct
Cary NC. 27511
(Permittee Address)
Parameter Codes:
Regional Supervisor
(Position or Title)
919-653-5768 9/30/2017
(Phone Number) (Permit Exp. Date)
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 TSS/TSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at (919) 715-6189.
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 26.0506 (b)(2)(D).
DENR FORM NDMR-1 (11/2005)
NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: W00022870 MONTH:
FACILITY NAME: Chapel Ridge
December YEAR:
COUNTY:
OnIa
Chatham
Flow Monitoring Point: Effluent:
■
Influent.■
' Daily
(Flow) into
Treatment:..
System
Fecal
Collform
Static
Level
Total
..
o
ooEMMIDaily
MaximumMonthlyComposite
(C) I Grab (G)
Operator in Responsible Charge (ORC): _
Check Box if ORC Has Changed: ❑
Grade:
ORC Certification Number:
Certified Laboratories (1): Enviroment 1 (2):
Person(s) Collecting Samples: Bobby Fox
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Phone:
(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 (11/2005)
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Page of
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? �Y
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."
` ` a T' Dennis G. Mahaffey
tgnature f mittee)* Date (Name of Signing Official -Please print or type)
Aqua North Carolina
(Permittee -Please print or type)
202 MacKenan Ct
Cary NC. 27511
(Permittee Address)
Parameter Codes:
Regional Supervisor
(Position or Title)
919-653-5768
(Phone Number)
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 TSS/TSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
9/30/2017
(Permit Exp. Date)
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at (919) 715-6189.
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 (11/2005)
NON DISCHARGE WASTEWATER MONITORING REPORT Page
PERMIT NUMBER: WQ0022870
FACILITY NAME: Chapel Ridge
MONTH: December
COUNTY
of
YEAR: 2016
Chatham
•.MIIIIIIIIIINEEMME,
Operator
OEM
----------------
' Daily Rate
(Flow) into
Treatment
System
NONNI
Fecal
C oliform
I
Static
Water
Level
MEN
DallyMinimurn
Monthly Limit(s)
Composite (C) I Grab (G)
in in Responsible Charge (ORC):
Check Box if ORC Has Changed: ❑
Grade:
ORC Certification Number:
Certified Laboratories (1): Envlroment 1 (2):
Person(s) Collecting Samples: Bobby Fox
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality,
ATTN: Information Processing. Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Phone:
(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 (11/2005)
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Page of
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? �Y
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."
Dennis G. Mahaffey
nature of(!a ittee)* Date (Name of Signing Official -Please print or type)
_ Aqua North Carolina
(Permittee -Please print or type)
202 MacKenan Ct
Cary NC. 27511
(Permittee Address)
Parameter Codes:
Regional Supervisor
(Position or Title)
919-653-5768 9/30/2017
(Phone Number) (Permit Exp. Date)
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
00660 TOC
00530 TSS/TSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at (919) 715-6189.
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the reportinq
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 (11/2005)