"Recycled Water Annual Report" - Oregon

Recycled Water Annual Report is a legal document that was released by the Oregon Department of Environmental Quality - a government authority operating within Oregon.

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  • Released on October 26, 2018;
  • The latest edition currently provided by the Oregon Department of Environmental Quality;
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State of Oregon
DEQ use only
Department of Environmental Quality
700 NE Multnomah St. Suite 600, Portland, OR 97232
Recycled Water Annual Report
Part I: Recycled water production and disposition
A. REPORTING PERIOD
1. This report is for recycled water produced during the calendar year:
B. PERMIT INFORMATION
Permit Type (select one):
NPDES or
WPCF
DEQ File No.:
1.
DEQ Permit No.:
EPA Permit No.:
C. FACILITY INFORMATION
1. Legal name of facility:
Physical address
2.
Street Address:
City:
State:
Zip code:
Mailing address
Same as physical address.
3.
Mailing Address:
City:
State:
Zip code:
Facility Type (check all that apply)
Major or Tier 1 facility (design flow of 1 mgd or greater, or serving a population of 10,000 or greater)
4.
Minor or Tier 2 facility (design flow less than 1 mgd or serving a population less than 10,000)
Class I wastewater treatment facility (i.e., facility with a pre-treatment program)
Other, please specify:
D. CONTACT INFORMATION
Responsible official
Name:
Title:
1.
Telephone:
Email Address:
Mailing Address:
City:
State:
Zip code:
Recycled water contact
Same as responsible official
Name:
Title:
2.
Telephone:
Email Address:
Mailing Address:
City:
State:
Zip code:
Recycled water annual report
Page 1
v. 10-26-2018
State of Oregon
DEQ use only
Department of Environmental Quality
700 NE Multnomah St. Suite 600, Portland, OR 97232
Recycled Water Annual Report
Part I: Recycled water production and disposition
A. REPORTING PERIOD
1. This report is for recycled water produced during the calendar year:
B. PERMIT INFORMATION
Permit Type (select one):
NPDES or
WPCF
DEQ File No.:
1.
DEQ Permit No.:
EPA Permit No.:
C. FACILITY INFORMATION
1. Legal name of facility:
Physical address
2.
Street Address:
City:
State:
Zip code:
Mailing address
Same as physical address.
3.
Mailing Address:
City:
State:
Zip code:
Facility Type (check all that apply)
Major or Tier 1 facility (design flow of 1 mgd or greater, or serving a population of 10,000 or greater)
4.
Minor or Tier 2 facility (design flow less than 1 mgd or serving a population less than 10,000)
Class I wastewater treatment facility (i.e., facility with a pre-treatment program)
Other, please specify:
D. CONTACT INFORMATION
Responsible official
Name:
Title:
1.
Telephone:
Email Address:
Mailing Address:
City:
State:
Zip code:
Recycled water contact
Same as responsible official
Name:
Title:
2.
Telephone:
Email Address:
Mailing Address:
City:
State:
Zip code:
Recycled water annual report
Page 1
v. 10-26-2018
E. RECYCLED WATER TREATMENT PROCESSES
Please indicate the recycled water treatment processes used at your facility (mark all that apply)
Treatment technology
Filtration technology
Disinfection technology
Primary Clarifier
Sand filter
Ultraviolet
Secondary Clarifier
Mixed media filter
Chlorine
DAF
Bio-filtration
Ozone
1.
Lagoon
Artificial wetland
Paracetic acid
Membrane reactor
Other:
Hydrogen peroxide
Trickling filter
Hypochlorite
Other:
Pasteurization
Other:
F. RECYCLED WATER SAMPLING and PRODUCTION
Select your facility’s regulatory monitoring frequency:
Water Class
A
B
C
D
Non-disinfected
Monitoring
Once per
As specified in
1.
Daily/hourly
3/week
1/week
frequency
month
permit
Total Coliform (daily)
Parameters
Total coliform
Total coliform
E. coli
As Specified in permit
Turbidity (hr)
Please indicate total volume of each class of recycled water produced at your facility.
2.
Total quantity
produced (gal)
G. SUMMARY OF ATTACHMENTS
Information required with some annual reports:
Additional copies of tables in Part II for all recycled water produced during the calendar year.
1.
Laboratory reports showing analytical results only. NO LAB QA/QC
Example of documentation held by the permittee and available upon request:
Additional land application site information.
Nitrogen loading calculations
2.
Daily irrigation and records.
Daily or hourly sampling results
H. SIGNATURE OF LEGALLY AUTHORIZED REPRESENTATIVE
I certify that the information in this report is true, correct and representative of the recycled water produced at my
facility to the best of my knowledge and belief. Information and records used or referenced with this report will be
maintained and made available to the Oregon Department of Environmental Quality on request.
Signature
Title
Date
Print Name:
Recycled water annual report
Page 2
v. 10-26-2018
State of Oregon
DEQ use only
Department of Environmental Quality
700 NE Multnomah St. Suite 600, Portland, OR 97232
Recycled Water Annual Report
Part II: Sampling and Monitoring Summary
I. RECYCLED WATER CLASSIFICATION
Turbidity (NTU)
Total Coliform (organisms/100mL)
E. coli (organisms/100mL)
Max
Max
Max 24hr
Avg 24
# of
Avg 7day
# of
Avg 30day
Max
Ave
7day
Max
Ave
30day log
Max
Ave
Mean
hr mean
samples
median
samples
log mean
median
mean
1.
Jan
2.
Feb
3.
Mar
4.
Apr
5.
May
6.
Jun
7.
Jul
8.
Aug
9.
Sep
10.
Oct
11. Nov
12. Dec
13.
14.
15.
Annual
Attach additional pages as needed to report all sampling.
** Please attach laboratory report showing sample results only. No lab QA/QC.
Recycled water annual report
Page 3
v. 10-26-2018
J. RECYCLED WATER CHARACTERIZATION
pH (SU)
Residual Cl (mg/L)
Sodium (mg/L)
# of
# of
# of
Min
Max
Ave
Min
Max
Ave
Min
Max
Ave
samples
samples
samples
1.
Jan
2.
Feb
3.
Mar
4.
Apr
5.
May
6.
Jun
7.
Jul
8.
Aug
9.
Sep
10.
Oct
11. Nov
12. Dec
13.
14.
15.
Annual
Attach additional pages as needed to report all sampling.
** Please attach laboratory report showing sample results only. No lab QA/QC.
Recycled water annual report
Page 4
v. 10-26-2018
K. RECYCLED WATER NUTRIENT
Nitrogen NO2 + NO3
Nitrogen TKN (mg/L)
Ammonia NH3-N (mg/L)
Phosphate PO4 (mg/L)
Potassium K (mg/L)
(mg/L)
# of
# of
# of
# of
# of
Max
Ave
Max
Ave
Max
Ave
Max
Ave
Max
Ave
samples
samples
samples
samples
samples
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Annual
Attach additional pages as needed to report all sampling.
** Please attach laboratory report showing sample results only. No lab QA/QC.
Recycled water annual report
Page 5
v. 10-26-2018
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