WQ0002015_Monitoring - 12-2016_20170126

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0002015
Page _ of _
MONTH: December YEAR: 2016
FACILITY NAME: Oak HIII Fellowship Center COUNTY:
Formulas:
Dally 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)
12 Month Floating Tota[ (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)
Granville
= Sum of Daily 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:
No:
FIELD NUMBER: 1
AREA SPRAYED (acres): 1 1.07
COVERCROP:1 Fescue
PERMITTED HOURLY RATE (inches): 0.25
FIELD NUMBER:
AREA SPRAYED (acres):
COVER CROP:
PERMITTED HOURLY RATE (inches):
D WEATHER CONDITIONS
TWeather Temperature Lagoon
E Code' at application Precipita-tton Free -boars
PERMITTED YEARLY RATE (inches): 52
Maximum
Volume Time Dally Hourly
Applied Irrigated Loading Loading
PERMITTED YEARLY RATE (Inches):
Volume Time Daily
Applied Irrigated Loading
Maximum
Hourly
Loading
(°F) Inches feet
gallons minutes
inches
Inches
gallons minutes
Inches
Inches
1 C 3.4
2 CL
3 R 0.5
4 R 0.5
5 CL 3.35
6 R 0.75
7 CL
8 CL 3.3
9 PC
10 C
ill C
12 PC 3.3
13 CL
14 CL
15 PC 3.3
16 C
17 C
181 C
19 C 3.35
20 C
21 C
22 C 3.4
23 PC
24 PC
251 C
26 PC 3.4
27 C
28 C
29 PC 3.4
30 PC
31 CL
Tota[ Gallons/Monthly Loading (inches)
00.00
0
0.00
12 Month Floating Tota[ (Inches)
2.78
Average Weekly Loading (inches)
0
0
Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC):
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality l'
ATTN: Information Process) Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617ZP
e
Z
Dale Lee Mathews
22794 Check Box if ORC Has Changed: ❑
Phone: [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 NDAR-1 (11/2005)

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 Ilant 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). 0
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit. 0
4. All buffer zones as specified in the permit were maintained during each application. 0
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s) 0
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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines
and imprisonment for knowing violations."
(Signature of Permittee)* ate'
Alan Glover
(Permittee -Please print or type)
Oak Hill Fellowship Center
3824 Barrett Drive; Raleigh, NC 27609
(Permittee Address)
Alan Glover
(Name of Signing Official -Please print or type)
Facility Manager
(Position or Title)
[phone] 31 -Jul -19
(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 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: WQ0002015 MONTH:
FACILITY NAME: Oak Hill Fellowship Center
December YEAR: 2016
COUNTY: Granville
Flow Monitoring Point:
Effluent:
Li
Influent:
Parameter Monitoring Point:
Effluent:
Influent:
Surface Water (SW):
SW Code/Name: SI
Was There Effluent Flow For This Month Generated At This Facility:
Yes:
No:
•665
D Operator
A Arrival operator ORC
T Time 2400 Time on on
E Clock Site Site?
60050
Daily Rate (Flow)
into Treatment
System
00400
pH
50060 00310
Residual BOD -5
Chlorine 20°C
00610 00530
NH3-N TSS
31616 630
Fecal
coliform (Geo
metric Mean*) Nitrite
630 625 00010•
Total
Nitrate Phos. TKN TEMP.
HRS Y/N
GALLONS
UNITS
UG/L MG/L
MG/L MG/L
/100ML MG/L
MG/L MG/L MG/L F
1 12:30 1 Y
640
2
420
3
370
4
455
5 8:30 1 Y
455
6
880
7
1800
8 13:15 1 Y
1090
9
267
10
267
11
267
12 9:15 1 Y
267
13
210
14
210
15 13:15 1 Y
430
16
162
17
162
181
163
19 10:00 1 Y
163
20
320
21
320
22 17:15 1 Y
150
23
150
241 1
100
26
100
26 11:00 1 Y
100
27
210
28
210
29 14:00 1 Y
220
301 1 1
210
311 1 1
1057
Average
381.45161:
:
#DIV/0! #DIV/01 #DIV/0! #DIV/0!
#NUM! #DIV/0!
#DIV/01 #DIV/0! #DIV/0! #DIV/0!
.Dally Maximum
1800
0
01 0
.0 0
0 0
0 0 0- - 0
Daily Minimum
1001
0
0 0
0 0
0 0
0 0 0 0
Monthly Limit(s)
Composite (C) / Grab (G) IG
G G
IG G
G I
IG G G G
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
Dale Lee Mathews Grade: Spray Phone: [phone]
ORC Certification Number: 22794
Meritech
Dale Lee Mathews
(2): NCDA & CS Agronomic Division
(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
Facility 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 facilitywas 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.
71 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."
1L'a" Alan Glover
(Signature of Permittee)* Dat (Name of Signing Official -Please print or type)
Alan Glover Facility Manager
(Permittee -Please print or type) (Position or Title)
Oak Hill Fellowship Center 919-691-3883 31 -Jul -19
(Phone Number) (Permit Exp. Date)
3824 Barrett Drive; Raleigh, NC 27609
(Permittee Address)
Parameter Codes:
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/rsR
01034 Chromium
1
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 [phone].
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)