WQ0013808_Monitoring - 02-2024_20240414 (2)

Monitoring Report Submittal
.....................................................
Permit Number#* WQ0013808
Name of Facility:* Summerfield Constructed Wetlands WWTF
Month: * March Year: * 2024
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Upload Document*
SUM_ND_ 2403.pdf 387.77KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Chad Leinbach
6�Aw'a
Reviewer: Wanda.Gerald
4/14/2024
This will be filled in automatically

Is the project number correct?* WQ0013808
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 5/14/2024

NON DISCHARGE WASTEWATER MONITORING REPORT
PERMIT NUMBER:
FACILITY NAME:
WQ0013808
Summerfield Constructed Wetlands
MONTH: March
COUNTY:
Page of
YEAR: 2024
Uuurora
// ■l
Parameter Monitoring -• // ■ ■I
SW Code/Name:
Was There Effluent Flow For This Month Generated At This Facility: Yes: /1�■I
.-
Total
Nitrate
Monthly Limit(s)
Composite (C) Grab (G)
Operator in Responsible Charge (ORC): Chad Lelnbach Grade:
Check Box if ORC Has Changed: ❑
Certified Laboratories (1): Conner Consulting, LLC
Person(s) Collecting Samples: Chad Leinbach
ORC Certification Number:
(2):
11/SI Phone: [phone]
23928
Eurofins
Mail ORIGINAL and TWO COPIES to: OX GYM Lgz�f�a'4
ATTN: Non -Discharge Compliance Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
DENR BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
Division of Water Quality AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
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? �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."
�,1-6ell 4/14/2024
(Signature of Permittee)" Date
Kotis Properties, Inc.
(Perm ittee-Please print or type)
Post Office Box 9296
Greensboro, NC 27429
(Permittee Address)
Parameter Codes:
Chad Leinbach
(Name of Signing Official -Please print or type)
(Position or Title)
[phone]
(Phone Number)
ORC
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 BAR
00310 BOD5
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556 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
00927 Magnesium
32730 Phenols
00680 TOC
71900 Mercury
00665 Phosphorus, Total
00530 TSS/TSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
6/30/30
(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 -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
Page of
PERMIT NUMBER: WQ0013808
FACILITY NAME: Summerfield Constructed Wetlands
MONTH: March
COUNTY:
YEAR:
Guilford
Formulas:
Daily Loading (inches) _ [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/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) / [Time Irrigated (minutes) 160 (minutes/hour)] Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Did Irrigation Occur At This Facility:
Yes: No:
Did Irrigation Occur On This Field:
Yes: No: F
Did Irrigation Occur On This Field:
Yes: M No:
FIELD NUMBER:1
1
FIELD NUMBER:
2
AREA SPRAYED (acres):
1 0.71
AREA SPRAYED (acres):
0.52
COVER CROP:
1 Grass/Forest
COVER CROP:
Grass/Forest
PERMITTED HOURLY RATE (inches):
0.3
PERMITTED HOURLY RATE (inches):
0.3
D
A
T
Ecode*at
WEATHER CONDITIONS
storage
Lagoon
Free -board
PERMITTED YEARLY RATE (inches):
34.75
PERMITTED YEARLY RATE (inches):
34.75
weather
Temper-ature
application
Precipita-lion
Volume
A lied
Time
Irri ated
Daily
Loadin
Maximum
Hourly
Loadin
Volume
A lied
TimegDailyHourly
Irri atedLoadininches
Maximum
feet
gallons
minutes
inches
inches
gallons
minutes
inches
1
CI
46
500
10
0.03
0.16
500
10
0.21
2
CI
66
1000
20
0.05
0.16
500
10
0.21
3
CI
66
500
10
0.03
0.16
1289
25.78
0.21
4
Cl
67
500
10
1 0.03
0.16
500
10
0.04
0.21
5
Cl
71
1.3
2.3
1 1000
20
0.05
0.16
500
10
0.04
0.21
6
Cl
59
500
10
0.03
0.16
1000
20
0.07
0.21
7
Cl
68
500
10
0.03
0.16
500
10
0.04
0.21
6
Cl
61
1347
26.94
0.07
0.16
500
10
0.04
0.21
9
Cl
53
500
10
0.03
0.16
1000
20
0.07
0.21
lot
Cl
51
500
10
0.03
0.16
500
10
0.04
0.21
11
Cl
61
500
10
1 0.03
0.16
500
10
0.04
0.21
12
C
70
1.86
2.1
1000
20
0.05
0.16
1000
20
0.07
0.21
13
Cl
75
1 500
10
0.03
0.16
500
10
0.04
0.21
14
Cl
78
500
10
0.03
0.16
500
10
0.04
1 0.21
15
Cl
66
1000
20
0.05
0.16
1000
20
0.07
0.21
16
Cl
69
1
500
10
0.03
0.16
500
10
0.04
0.21
17
Cl
71
500
10
0.03
0.16
500
10
0.04
0.21
16
Cl
60
1000
20
1 0.05
0.16
1000
20
0.07
0.21
19
C
50
0.27
2.4
500
10
0.03
0.16
500
10
0.04
0.21
20
Cl
71
500
10
0.03
0.16
500
10
0.04
0.21
21
Cl
64
1000
20
0.05
0.16
1000
20
0.07
0.21
22
Cl
60
500
10
0.03
0.16
500
10
0.04
0.21
23
Cl
66
500
10
0.03
0.16
500
10
0.04
0.21
24
Cl
54
500
10
0.03
0.16
500
10
0.04
0.21
251
Cl
58
1000
20
1 0.05
0.16
1000
20
0.07
0.21
26
Cl
54
1.3
2.2
500
10
0.03
0.16
500
10
0.04
0.21
27
Cl
52
500
10
0.03
0.16
788
15.76
0.06
0.21
26
Cl
65
1000
20
0.05
0.16
1000
20
0.07
0.21
29
Cl
69
500
10
0.03
1 0.16
500
10
0.04
0.21
30
CI
74
500
10
0.03
0.16
500
10
0.04
0.21
31
Cl
81
500
10
0.03
0.16
500
10
0.04
0.21
Total Gallons/Monthly Loading (inches)
20347
1
1.05
20577
1.46
12 Month Floating Total (inches)
22.72
26.42
Average Weekly Loading (inches)l
0.2381652
0.3288629
- weatner �oaes: t,-clear, ril-partly ciouay, �t-clouay, K-ram, an -snow, arsleet
Spray Irrigation Operator in Responsible Charge (ORC): Chad Leinbach
ORC Certification Number: 23928 Check Box if ORC Has Changed:
Mail ORIGINAL and TWO COPIES to: _ ATTN: Non -Discharge Compliance Unit DENR /G .ap1S6
(2A
7
Phone: [phone]
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
SPRAY IRRIGATION SITE(S)
Page of
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. )
1. The did the limit(s) in
Com liant Y,N
N
application rate(s) not exceed specified the permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
YY
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
YY
4. All buffer zones as specified in the permit were maintained during each application.
YY
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
Y�
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.
The application rate was exceeded at Zone 2. The rate was decreased in June and July. This zone should be in compliance next
month. Chad - ORC
"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."
��G�C�a� .L_94;26G.C,f 4/14/2024
(Signature of Permittee)* Date
Kotis Properties, Inc.
(Permittee-Please print or type)
Post Office Box 9296
Greensboro, NC 27429
(Permittee Address)
Chad Leinbach
(Name of Signing Official -Please print or type)
ORC
(Position or Title)
919 260-7301 6/30/30
(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 213.0506 (b)(2)(D).
DENR FORM NDAR-1 (5/2003)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
Page of
PERMIT NUMBER: WQ0013808
FACILITY NAME: Summerfield Constructed Wetlands
MONTH: March
COUNTY:
YEAR:
Guilford
Formulas:
Daily Loading (inches) _ [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/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) / [Time Irrigated (minutes) 160 (minutes/hour)] Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Did Irrigation Occur At This Facility:
Yes: No:
Did Irrigation Occur On This Field:
Yes: No: F
Did Irrigation Occur On This Field:
Yes: R No:
FIELD NUMBER:1
3
FIELD NUMBER:
AREA SPRAYED (acres):
1 0.17
AREA SPRAYED (acres):
COVER CROP:
1 Grass/Forest
COVER CROP:
PERMITTED HOURLY RATE (inches):
0.3
PERMITTED HOURLY RATE (inches):
D
A
T
E
WEATHER CONDITIONS
storage
Lagoon
Free -board
PERMITTED YEARLY RATE (inches):
34.75
PERMITTED YEARLY RATE (inches):
weather
Code*
Temper-ature
at application
Precipita-tion
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
ff)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
Cl
46
300
15
0.06
0.26
2
Cl
66
300
15
0.06
0.26
3
Cl
66
1
600
30
0.13
0.26
4
Cl
67
300
15
0.06
0.26
5
Cl
71
1.3
2.3
1 300
15
0.06
0.26
6
Cl
59
600
30
0.13
0.26
7
Cl
68
300
15
0.06
0.26
6
Cl
61
200
10
0.04
0.26
9
Cl
53
2300
115
0.50
0.26
lot
Cl
1 51
300
15
0.06
0.26
11
Cl
61
600
30
0.13
0.26
12
C
70
1.86
2.1
300
15
0.06
0.26
13
Cl
75
300
15
0.06
0.26
14
Cl
78
300
15
0.06
0.26
15
Cl
66
1
600
30
0.13
0.26
16
Cl
69
300
15
0.06
0.26
17
Cl
71
300
15
0.06
0.26
16
Cl
60
1 300
15
0.06
0.26
19
C
50
0.27
2.4
600
30
0.13
0.26
20
Cl
71
300
15
0.06
0.26
21
Cl
64
300
15
0.06
0.26
22
Cl
1 60
600
30
0.13
0.26
23
Cl
66
300
15
0.06
0.26
24
Cl
54
300
15
0.06
0.26
25
Cl
58
1 600
30
0.13
0.26
26
Cl
54
1.3
2.2
300
15
0.06
0.26
27
Cl
52
300
15
0.06
0.26
26
Cl
65
1
600
30
0.13
0.26
291
Cl
1 69
300
15
0.06
0.26
30
Cl
1 74
300
15
0.06
0.26
311
Cl
1 81
600
30
0.13
0.26
Total Gallons/Monthly Loading (inches)
13900
3.01
0
0.00
12 Month Floating Total (inches)
27.48
Average Weekly Loading (inches)l
1 0.6795197
0
- weatner il.,oaes: t,-clear, ril-partly ciouay, w-clouay, K-ram, an -snow, arsleet
Spray Irrigation Operator in Responsible Charge (ORC): Chad Leinbach
ORC Certification Number: 23928 Check Box if ORC Has Changed
Mail ORIGINAL and TWO COPIES to:
7
Phone: [phone]
ATTN: Non -Discharge Compliance Unit rize G_ G
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, INC 27699-1617 TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (5/2003)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
Page of
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 Iiant Y,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).
YY
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
YY
4. All buffer zones as specified in the permit were maintained during each application.
YY
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
Y�
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. I am aware that there are significant penalties for submitting false information, including the possibility of fines
and imprisonment for knowing violations."
CWZI�d•L-g-;f�a�4 4/14/2024
(Signature of Permittee)* Date
Kotis Properties, Inc.
(Permittee-Please print or type)
Post Office Box 9296
Greensboro, NC 27429
(Permittee Address)
Chad Leinbach
(Name of Signing Official -Please print or type)
ORC
(Position or Title)
919 260-7301 6/30/30
(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 213.0506 (b)(2)(D).
DENR FORM NDAR-1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: WQ0013808 MONTH: February YEAR: 2024
FACILITY NAME: Summerfield Constructed Wetlands COUNTY: Guilford
Flow Monitoring Point: Effluent: X Influent: 111
Parameter Monitoring Point: Effluent: IN Influent: Surface Water(SW): SW Code/Name:
Was There Effluent Flow For This Month Generated At This Facility: Yes: N No:
50050 00400 50060 00310 00610 00530 31616 00625 00620 00665 00600
D Operator Total
A Arrival Operator ORC Daily Rate(Flow) Fecal
T Time 2400 Time On on into Treatment Residual BOD-5 Coliform(Geo Total Phosph Total
E Clock Site Site? System pH Chlorine 20*C NH3-N TSS metric Mean*) TKN Nitrate Orus Nitrogen
HRS YIN GALLONS UNITS UG/L MG/L MG/L MG/L 1100ML MG/L MG/L MG/L MG/L
1 1743
2 1743
3 1743
4 1743
5 1743
6 14:00 1.25 Y 1743 6.89 2.11
7 1771
8 1771
9 1771
10 1771
11 1771
12 1771
13 14:05 1 Y 1771 7.1 1.65
14 2000
15 2000
16 2000
17 2000
18 2000
191 1 1 2000
20 14:50 0.17 Y 2000 6.92 1.74
21 1671
22 1671
23 1671
24 1671
25 1671
26 1671
271 15:15 1 0.75 Y 1 1671 7.04 1 1.71
28 1429
29 1429
30
31
Average 1772.7586 1.8025 #DIV/0! #DIV/0! #DIV/0! #NUM! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Daily Maximum 2000 7.1 2.11 01 01 01 0 01 01 01 0
Daily Minimum 1429 6.89 1.65 0 0 0 0 01 01 01 0
Monthly Limit(s) 3182 NA NA NA NA NAI NA NAI NAI NAI NA
Composite(C)/Grab(G) IG G G G G IG IG IG IG
Operator in Responsible Charge(ORC): Chad Lelnbach Grade: 11/SI Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 23928
Certified Laboratories(1): Conner Consulting, LLC (2): Eurofins
Person(s)Collecting Samples: Chad Leinbach
Mail ORIGINAL and TWO COPIES to:
ATTN: Non-Discharge Compliance Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
DENR BY THIS SIGNATURE,I CERTIFY THAT THIS REPORT IS ACCURATE
Division of Water Quality AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH,NC 27699-1617
DENR FORM NDMR-1 (5/2003)

Page of
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
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."
C,4 c' ,'.9 ;fL act 3/28/2024 Chad Leinbach
(Signature of Permittee)" Date (Name of Signing Official-Please print or type)
Kotis Properties, Inc. ORC
(Perm ittee-Please print or type) (Position or Title)
Post Office Box 9296 [phone] 6/30/30
(Phone Number) (Permit Exp. Date)
Greensboro, NC 27429
(Permittee Address)
Parameter Codes:
01002 Arsenic 31504 Coliform,Total 00600 Nitrogen,Total 00929 Sodium
01022 Boron 00094 Conductivity 00630 NO2&NO3 00931 BAR
00310 BOD5 01042 Copper 00620 NO3 00745 Sulfide
01027 Cadmium 00300 Dissolved Oxygen 00556 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 00927 Magnesium 32730 Phenols 00680 TOC
Residual 71900 Mercury 00665 Phosphorus,Total 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 Compliance/Enforcement Unit at(919)733-5083 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-DISCHARGE APPLICATION REPORT Page of
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE.USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0013808 MONTH: February YEAR: 2024
FACILITY NAME: Summerfield Constructed Wetlands COUNTY: Guilford
Formulas:
Daily Loading(inches) =[Volume Applied(gallons)x 0.1336(cubic feet/gallon)x 12(inches/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)/[Time Irrigated(minutes)160(minutes/hour)] Monthly Loading(inches) =Sum of Daily Loadings(inches)
12 Month Floating Total(inches) =Sum of this month's Monthly Loading(inches)and previous 11 month's Monthly Loadings(inches)
Average Weekly Loading(inches) =[Monthly Loading(Inches/month)/Number of days In the month(days/month)]x 7(days/week)
Did Irrigation Occur At This Facility: Did Irrigation Occur On This Field: Did Irrigation Occur On This Field:
Yes: No: Yes: No: F Yes: M No:
FIELD NUMBER:1 1 FIELD NUMBER: 2
AREA SPRAYED(acres):1 0.71 AREA SPRAYED(acres): 0.52
COVER CROP:1 Grass/Forest COVER CROP: Grass/Forest
PERMITTED HOURLY RATE(inches): 0.3 PERMITTED HOURLY RATE(inches): 0.3
D WEATHER CONDITIONS PERMITTED YEARLY RATE(inches): 34.75 PERMITTED YEARLY RATE(inches): 34.75
A storage Maximum Maximum
T weather Temper-ature Lagoon Volume Time Daily Hourly Volume Time Daily Hourly
E code* at application Precipita-tion Free-board Applied Irrigated LoadingLoadingApplied Irri ated Loadin Loading
(°F) inches feet gallons minutes inches inches gallons minutes inches inches
1 C 56 500 10 0.03 0.16 500 10 0.04 0.21
2 Cl 61 100 2 0.01 0.16 500 10 0.04 0.21
3 Cl 53 500 10 0.03 0.16 1000 20 0.07 0.21
4 Cl 53 500 10 1 0.03 0.16 500 10 0.04 0.21
5 Cl 56 1000 20 0.05 0.16 500 1 10 0.04 0.21
6 C 50 0.18 2.3 500 10 0.03 0.16 1000 20 0.07 0.21
7 C 51 500 10 0.03 0.16 500 10 0.04 0.21
6 Cl 56 1000 20 0.05 0.16 500 10 0.04 0.21
9 Cl 54 500 10 0.03 0.16 500 10 0.04 0.21
10 Cl 67 1 500 10 0.03 0.16 500 10 0.04 0.21
11 Cl 57 1000 20 0.05 0.16 1000 20 0.07 0.21
12 Cl 56 500 10 0.03 0.16 500 10 0.04 0.21
13 Cl 55 1.4 2.1 500 10 0.03 0.16 500 10 0.04 0.21
14 Cl 59 1000 20 0.05 0.16 793 15.86 0.06 0.21
15 Cl 64 500 10 0.03 0.16 1000 20 0.07 0.21
16 Cl 55 1 500 10 0.03 0.16 500 10 0.04 0.21
171 Cl 51 1000 20 1 0.05 0.16 500 10 0.04 0.21
16 Cl 46 844 16.88 0.04 0.16 1000 20 0.07 0.21
19 Cl 55 500 10 0.03 0.16 500 10 0.04 0.21
20 C 54 0.03 2.2 1000 20 0.05 0.16 500 10 0.04 0.21
21 C 55 500 10 0.03 0.16 1000 20 0.07 0.21
22 Cl 1 66 500 10 0.03 0.16 500 10 0.04 0.21
23 Cl 58 1000 20 0.05 0.16 500 10 0.04 0.21
24 Cl 54 500 10 1 0.03 0.16 1000 20 0.07 0.21
25 C 57 500 10 0.03 0.16 500 10 0.04 0.21
26 Cl 69 1000 20 0.05 0.16 500 10 0.04 0.21
27 R 54 0.35 2.3 1000 20 0.05 0.16 0 0 0.00 #DIV/0!
281 Cl 67 1000 20 0.05 0.16 500 10 0.04 0.21
291 Cl 1 62 500 10 0.03 0.16 1000 20 0.07 0.21
30 0 0
31 0 0
Total Gallons/Monthly Loading(inches) 19444 1.01 18293 1.29
12 Month Floating Total(inches) 26.05 31.05
Average Weekly Loading(inches) 0.2275954 0.2923599
Weather Codes: C-clear,PC-partly cloudy,CI-cloudy,R-rain,Sn-snow,SI-sleet
Spray Irrigation Operator in Responsible Charge(ORC): Chad Leinbach Phone: [phone]
ORC Certification Number: 23928 Check Box if ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to:
ATTN:Non-Discharge Compliance Unit C� LI��
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,INC 27699-1617 TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1(5/2003)

NON-DISCHARGE APPLICATION REPORT Page of
SPRAY IRRIGATION SITE(S)
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 Iiant Y,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). YY
3.A suitable vegetative cover was maintained on the site(s)in accordance with the permit. YY
4.All buffer zones as specified in the permit were maintained during each application. YY
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.I am aware that there are significant penalties for submitting false information,including the possibility of fines
and imprisonment for knowing violations."
Cad3/28/2024 Chad Leinbach
(Signature of Permittee)* Date (Name of Signing Official-Please print or type)
Kotis Properties,Inc. ORC
(Permittee-Please print or type) (Position or Title)
919 260-7301 6/30/30
Post Office Box 9296 (Phone Number) (Permit Exp.Date)
Greensboro,NC 27429
(Permittee Address)
*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 NDAR-1(5/2003)

NON-DISCHARGE APPLICATION REPORT Page of
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE.USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0013808 MONTH: February YEAR: 2024
FACILITY NAME: Summerfield Constructed Wetlands COUNTY: Guilford
Formulas:
Daily Loading(inches) _[Volume Applied(gallons)x 0.1336(cubic feet/gallon)x 12(inches/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)/[Time Irrigated(minutes)160(minutes/hour)] Monthly Loading(inches) =Sum of Daily Loadings(inches)
12 Month Floating Total(inches) =Sum of this month's Monthly Loading(inches)and previous 11 month's Monthly Loadings(inches)
Average Weekly Loading(inches) =[Monthly Loading(Inches/month)/Number of days In the month(days/month)]x 7(days/week)
Did Irrigation Occur At This Facility: Did Irrigation Occur On This Field: Did Irrigation Occur On This Field:
Yes: No: Yes: No: F Yes: R No:
FIELD NUMBER:1 3 FIELD NUMBER:
AREA SPRAYED(acres):1 0.17 AREA SPRAYED(acres):
COVER CROP:1 Grass/Forest COVER CROP:
PERMITTED HOURLY RATE(inches): 0.3 PERMITTED HOURLY RATE(inches):
D WEATHER CONDITIONS PERMITTED YEARLY RATE(inches): 34.75 PERMITTED YEARLY RATE(inches):
A storage Maximum Maximum
T Weather Temper-ature Lagoon Volume Time Daily Hourly Volume Time Daily Hourly
E code* at application Precipita-tion Free-board Applied Irrigated Loading Loading Applied Irrigated Loading Loading
ff) inches feet gallons minutes inches inches gallons minutes inches inches
1 C 56 600 30 0.13 0.26
2 Cl 61 300 15 0.06 0.26
3 Cl 53 1 300 15 0.06 0.26
4 Cl 53 300 15 0.06 0.26
5 Cl 56 600 30 0.13 0.26
6 C 50 0.18 2.3 300 15 0.06 0.26
7 C 51 591 29.55 0.13 0.26
6 Cl 56 600 30 0.13 0.26
9 Cl 54 300 15 0.06 0.26
10 Cl 1 67 600 30 0.13 0.26
11 CI 57 300 15 0.06 0.26
12 Cl 56 300 15 0.06 0.26
13 Cl 55 1.4 2.1 600 30 0.13 0.26
14 Cl 59 300 15 0.06 0.26
15 Cl 64 1 300 15 0.06 0.26
16 Cl 55 1 600 30 0.13 0.26
171 CI 51 300 15 0.06 0.26
16 Cl 46 300 15 0.06 0.26
19 Cl 55 600 30 0.13 0.26
20 C 54 0.03 2.2 300 15 0.06 0.26
21 C 55 300 15 0.06 0.26
22 Cl 66 600 30 0.13 0.26
23 Cl 58 300 15 0.06 0.26
24 Cl 54 300 15 0.06 0.26
25 C 57 897 44.85 0.19 0.26
26 Cl 69 300 15 0.06 0.26
27 R 54 0.35 2.3 600 30 1 0.13 0.26
281 Cl 67 1 300 15 0.06 0.26
291 Cl 62 300 15 0.06 0.26
301 1 0
311 1 0
Total Gallons/Monthly Loading(inches) 12288 2.66 0 0.00
12 Month Floating Total(inches) 24.47
Average Weekly Loading(inches) 0.600715 0
Weather Codes: C-clear,PC-partly cloudy,CI-cloudy,R-rain,Sn-snow,SI-sleet
Spray Irrigation Operator in Responsible Charge(ORC): Chad Leinbach Phone: [phone]
ORC Certification Number: 23928 Check Box if ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to:
ATTN:Non-Discharge Compliance Unit /;(i,GTi s _QI.rL(�GL
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,INC 27699-1617 TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1(5/2003)

NON-DISCHARGE APPLICATION REPORT Page of
SPRAY IRRIGATION SITE(S)
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 Iiant Y,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). YY
3.A suitable vegetative cover was maintained on the site(s)in accordance with the permit. YY
4.All buffer zones as specified in the permit were maintained during each application. YY
5.The freeboard in the treatment and/or storage lagoon(s)was not less than the limit(s) Y�
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.I am aware that there are significant penalties for submitting false information,including the possibility of fines
and imprisonment for knowing violations."
("Z t( 3/28/2024 Chad Leinbach
(Signature of Permittee)* Date (Name of Signing Official-Please print or type)
Kotis Properties,Inc. ORC
(Permittee-Please print or type) (Position or Title)
919 260-7301 6/30/30
Post Office Box 9296 (Phone Number) (Permit Exp.Date)
Greensboro,NC 27429
(Permittee Address)
*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 NDAR-1(5/2003)