WQ0019704_Monitoring - 11-2016_20170105

PERMIT NUMBER:
FACILITY NAME:
NON' DISCHARGE WASTEWATER -MONITORING REPORT
W00019704 MONTH: November
Old Chatham Golf Club
COUNTY:
Page of _
YEAR: 2016
Chatham
Flow Monitoring Point:
Effluent:
Lj
Influent:
Parameter Monitoring Point:
Effluent:
Influent:
U
Surface Water (SW):
SW Code/Name:
Was There Effluent Flow For This Month Generated At This Facility:
Yes:
PQ
No:
D
A
T
E
Operator
Arrival operator ORC
Time 2400 Time on on
Clock She site?
50050
Daily Rate (Flow)
Into Treatment
System
00400
pH
50060
Residual
Chlorine
00310
BOD -5
20'C
00610
NH3-N
00530
TSS
31616
Fecal
coliform (Gec
metric Mean*)
625
TKN
630
Nitrate +
Nitrite
665
Total
Phosph
orus
HRS YIN
GALLONS
UNITS
UG/L -
MG/L
MG/L
MG/L
1100ML
MG/L -
MG/L
MGiL
1
700
2
10:20 0.33 Y
700
6.51
0.49
3
700
4
700
5
700
6
700
7
700.
8
700 .
9
700
10
18:05 0.25 Y
700
7.18
0.7
11
700
12
700
131
700
14
700
15
700
16
700
F6.69
17
10:25 0.45 Y
700
0.19
<2
0.14
<2.5
<1.0
1.1
1.5
0.82
18
700
191
1
700
20
700
21
700
22
700
23
700
24
700
261
13:30 0.25 1 Y
700
.6.75 -
0.25 .
26
700 .
27
700
28
700
29
700
30
14:30 1 0.33 Y
700
6.82
0.31
311
1
Average
700
: : : : : : :
0.388 #DIV/0!
0.14 #DIV/0!
#NUM!
1.1
1.5
0.82
Daily Maximum
700
7.18.
0.7
0
0.14
0
0
1.1
1.5
0.82
Daily Minimum
700
6.51
0.19
0
0.1.4
0
0
1.1
1.5
0.82
Monthly Limit(s)
NA
NA
NA
NA
NAI
NA
NAI
NA
NA
NA
Composite (C) / Grab (G).
G
G
G
G
G
IG IG
G
G
Operator in Responsible Charge (ORC): Chad Leinbach Grade: II/SI Phone: [phone]
Check Box if ORC Has Changed: Q ORC Certification Number: 23928
Certified Laboratories (1): Conner Consulting, LLC (2): ENCO
Person(s) Collecting Samples: Chad Leinbach
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit (S 6ATURE 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 27699-1617ee
DENR FORM NDMR-1 (512003)

NON DISCHARGE WASTEWATER MONITORING'REPORT
Facility Status:
Please answer the following question:
1. Does all monitoring data and sampling frequencies meet permit requirements?
Page of
14
Compliant (Y,N)
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.
TRC reported in mg/L as required by Lab Certification. 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."
Chad Leinbach
(Signature of Permittee)* Date (Name of Signing Official -Please print or type)
Old Chatham Golf Club
(Permittee -Please print or type)
6330 Quadrangle Drive, Suite 200
Chapel Hill, NC 27514
(Permittee Address)
Parameter Codes:
ORC
(Position or Title)
[phone] 4/30/15
(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
00921Ma nesium
71900 Merw
32730 Phenols
00665 Phosphorus, Total
00680 TOC
00530 TssrrSR
01034 Chromium
00610 NH3asN00937
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 [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 2B.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: WQ0019704 MONTH: November YEAR: 2016
FACILITY NAME: Old Chatham Golf Club COUNTY- Chatham
Formulas:
Dally Loading (Inches) = IVolume Applied (gallons) x 0.1336 (cubic feettgallon) x 12 (inahes/foot)] / [Area Sprayed (acres) x43,560 (square feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallonslacre-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 Cinches)
Did Irrigation Occur At This Facility:
Yes: No:
Did Irrigation Occur On This Field:
Yes:
No:
Did Irrigation Occur On This Field:
Yes: F1
No:
FIELD NUMBER: 1
AREA SPRAYED (acres): 4.1
COVER CROP:j Pine Forest
PERMITTED HOURLY RATE (inches): 0.4
FIELD NUMBER:
AREA SPRAYED (acres):
COVER CROP:
PERMITTED HOURLY RATE (inches):
DWEATHER
CONDITIONS
PERMITTED YEARLY RATE (inches):
26.63
PERMITTED YEARLY RATE (inches):
TWeather
E
Temperature Lagoon
Code at application Precipitation Free -board
Volume Time
Applied Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume Time
Applied Irrigated
Daily
Loading
Maximum
Hourly
Loading
(°F) Inches feet
gallons minutes
Inches
Inches
gallons minutes
Inches
Inches
1
8066 93
0.07
0.05
2
C 72 0 6.12
8066 93
0.07
0.05
3
3529 41
0.03
0.05
4
3529 41
0.03
0.05
5
3529 41
0.03
0.05
6
3529 41
0.03
0.05
7
3529 41
0.03
0.05
s
3529 41
0.03
0.05
9
3529 41
0.03
0.05
10
C 60 0 6.78
3529 41
0.03
0.05
11
0 0
0.00
#DIV/01
12
0 0
0.00
#DIV/0!
13
0 0
0.00
#DIV/01
14
0 0
0.00
#DIV/0!
15
0 0
0.00
#DIV/0!
1s
0 0
0.00
#DIV/0!
17
C 63 0.38 6.7
0 0
0.00
#DIV/01
18
0 0
0.00
#DIV/01
19
0 0
0.00
#DIV/01
20
0 0
0.00
#DIV/0!
21
0 0
0.00
#DIV/01
22
0 0
0.00
#DIV/01
23
0 0
0.00
#DIV/O!
24
0 0
0.00
#DIV/0!
zs
C 70 . 0.05 6.78
0 0
0.00
#DIV/0!
26
0 0
0.00
#DIV/0!
27
0 0
0.00
#DIV/0!
28
0 0
0.00
#DIV/0!
291
0 0
0.00
#DIV/0!
301
CI 72 0.13 6.7
0 1 0
0.00
#DIV/01
31
Total Gallons/Monthly Loading (inches)
4436417
0.40
0
0.00
12 Month Floating Total (inches)
11.48
Average Weekly Loading (inches)
0.0929231
0
vrramur �oues: %.-crear, r�-parrry arvuuy, a.rwrvuuy, rc-raur, anrinuw, arvr=r
Spray Irrigation Operator In Responsible Charge (ORC): Chad Leinbach Phone: [phone]
ORC Certification Number: 23928 Check Box if ORC Ha Changed: ❑
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
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 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. )
1. The application rate(s) did not exceed the limit(s) specified in the permit.
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.
4. All buffer zones as specified in the permit were maintained during each application.
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 Vowing violations."
Chad Leinbach
(Signature of Permittee)* Date (Name of Signing Official -Please print or type)
Old Chatham Golf Club ORC
(Permittee -Please print or type) (Position or Title)
919 260-7301
6330 Quadrangle Drive, Suite 200 (Phone Number)
Chapel Hill, NC 27514
(Permittee Address)
* 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).
4/30/15
(Permit Exp. Date)
DENR FORM NDAR-1 (512003)