WQ0013808_Regional Office Historical File Pre 2016

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/ Report No. FY15-SL019545
fi a,uua,.:,� Client: Conner Consulting LLC Advisor:
'� Attn: Chad Leinbach
�,;,,, 4f�.1 Predictive
�� T, 1284 Windy Ridge Rd.
`1 fit:// Soil Report Mehlich-3 Extraction Chapel Hill, NC 27517
6. 4'
` Sampled County : Orange
Sampled: Received: 11/21/2014 Completed: 01/12/2015 Farm: Links to Helpful Information
9npla101.. SF114 Recommendations: Lime Nutrients(lb/acre) More
Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B Information
Lime History: 1 -Hardwood, E 0.3 0 10 20 0 0 0 0 Note: 11
2-Hardwood, M 0.0 80-120 10 0 0 0 0 0 Note: 11
Test Results[units-WN in g/cn' ;CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral
HM% WN CEC BS% Ac pH P-I K-I Ca% Mg% S-I Mn-1 Mn-All Mn-Al2 Zn-I Zn-Al Cu-I Na ESP SS-1 NO3-N
0.36 0.91 5.7 65 2.0 5.3 38 59 49 10 33 195 96 96 68 0.2 4
S fnpfe-ID -.SE214. Recommendations: Lime Nutrients(lb/acre) More
Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B Information
Lime History: 1 -Hardwood, E 0.0 0 0 20 0 0 0 0 Note: 11
2-Hardwood, M 0.0 80-120 0 0 0 0 0 0 Note: 11
Test Results[units-WN in g/cn ;CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral
HM% WN CEC BS% Ac pH P-I K-I Ca% Mg% S-I Mn-I Mn-All Mn-Al2 Zn-1 Zn-Al Cu-I Na ESP SS-1 NO3-N
0.36 0.96 7.8 74 2.0 5.5 54 56 60 10 35 52 70 70 67 0.2 3
S mpIo.0 i:.. SF3,14._.....,, Recommendations: Lime Nutrients(lb/acre) More
Crop (tons/acre) N P2Os K20 Mg S Mn Zn Cu B Information
Lime History: 1 -Hardwood, E 0.4 0 0 30 0 0 0 0 Note: 11
2-Hardwood, M 0.0 80-120 0 0 0 0 0 0 Note: 11
Test Results[units-WN in glcm3;CEC and Na in meg1100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral
HM% WN CEC BS% Ac pH P-I K-I Ca% Mg% S-I Mn-I Mn-All Mn-AI2 Zn-I Zn-Al Cu-I Na ESP SS-1 NO3-N
0.32 0.98 7.0 68 2.3 5.3 61 50 54 10 45 58 47 47 48 0.2 3
North Carolina Reprogramming of the laboratory-information-management system that makes this report possible is being funded
IV�y,. through a grant from the North Carolina Tobacco Trust Fund Commission.
I R
'=rThank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner of Agriculture
Tobaau Trust f and Cer mns k,n

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomU Report No. FY15-SL019545
Page 2 of 5
Sample ID: TP-14 Recommendations: Lime Nutrients(lb/acre) More
Crop (tons/acre) N P2O6 K2O Mg S Mn Zn Cu B Information
Lime History: 1 -Bermuda hay/past., E 0.5 60-80 130 80 0 20 ' 0 0 0 0 Note: 12
2-Bermuda hay/past., A 0.0 180-220 130 160 0 20 0 0 0 0 Note: 12
Test Results[units-W/V in g/cn ;CEC and Na in meq/100 cnr1; NO3-N in mg/drrr?]: Soil Class: Mineral
HM% W/V CEC BS% Ac pH P-I K-I Ca% Mg% S-I Mn-I Mn-All Mn-Al2 Zn-I Zn-Al Cu-I Na ESP SS-I NO3-N
0.27 0.99 10.4 82 1.9 5.8 8 29 52 28 23 521 330 330 64 64 53 0.1 1
Sample ID: ORR14 Recommendations: Lime Nutrients(lb/acre) More
Crop (tons/acre) N P2Os K2O Mg S Mn Zn Cu B Information
Lime History: 1 -Bermuda hay/past., E 0.6 60-80 60 40 0 0 0 0 $ 0 Note: 12 Note: $
2-Bermuda hay/past., A 0.0 180-220 40 120 0 0 0 0 $ 0 Note: 12 Note: $
Test Results[units-WN in g/cnr3;CEC and Na in meq/100 cnr3; NO3-N in mg/dn3]: Soil Class: Mineral
HM% WN CEC BS% Ac pH P-I K-I Ca% Mg% S-I Mn-I Mn-All Mn-Al2 Zn-I Zn-Al Cu-I Na ESP SS-1 NO3-N
0.27 0.99 4.4 68 1.4 5.6 40 48 43 20 26 78 64 64 66 66 23 0.2 5
Sample ID: ORU14 Recommendations: Lime Nutrients(lb/acre) More
Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information
Lime History: 1 -Bermuda hay/past., E 0.0 60-80 0 50 0 20 0 0 0 0 Note: 12
2-Bermuda hay/past., A 0.0 180-220 0 130 0 20 0 0 0 0 Note: 12
Test Results[units-WN in g/cm3;CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral
HM% WN CEC BS% Ac pH P-I K-I Ca% Mg% S-I Mn-I Mn-All Mn-Al2 Zn-I Zn-Al Cu-I Na ESP SS-I NO3-N
0.32 1.01 5.3 81 1.0 6.0 86 43 60 17 23 49 46 46 69 69 32 0.1 2
Sample ID: CLG14 Recommendations: Lime Nutrients(lb/acre) More
Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information
Lime History: 1 -Bermuda hay/past., E 0.6 60-80 140 120 0 20 0 $ $ 0 Note: 12 Note:$
2-Bermuda hay/past., A 0.0 180-220 130 220 0 20 0 $ $ 0 Note: 12 Note: $
Test Results[units-WN in g/cn ;CEC and Na in meq/100 cirri; NO3-N in mg/dn' ]: Soil Class: Mineral
HM% W/V CEC BS% Ac pH P-I K-I Ca% Mg% S-I Mn-I Mn-All Mn-Al2 Zn-I Zn-Al Cu-I Na ESP SS-I NO3-N
0.46 1.01 4.5 71 1.3 5.5 5 10 54 17 21 203 139 139 14 14 16 0.1 2

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/ Report No. FY15-SL019545
Page 3 of 5
Sample ID: OCG14 Recommendations: Lime Nutrients(lb/acre) More
Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B Information
Lime History: 1 -Hardwood, E 1.0 0 70 70 0 0 0 0 Note: 11
2-Hardwood, M 0.0 80-120 70 30 0 0 0 0 Note: 11
Test Results[units-WN in g/cnt3;CEC and Na in meq/100 cnr3; NO3-N in mg/dn ]: Soil Class: Mineral
HM% WN CEC BS% Ac pH P-I K-I Ca% Mg% S-I Mn-I Mn-All Mn-Al2 Zn-I Zn-Al Cu-I Na ESP SS-I NO3-N
0.22 1.01 7.0 62 2.6 4.8 5 23 44 17 18 300 31 31 34 0.4 6
Sample ID: MSR14 Recommendations: Lime Nutrients(lb/acre) More
Crop (tons/acre) N P2Os K20 Mg S Mn Zn Cu B Information
Lime History: 1 -Hardwood, E 0.6 0 50 60 0 0 $ 0 Note: 11
2-Hardwood, M 0.0 80-120 50 30 0 0 $ 0 Note: 11
Test Results[units-WN in g/call;CEC and Na in meq/100 cm3; NO3-N in mg/dm31: Soil Class: Mineral
HM% WN CEC BS% Ac pH P-I K-I Ca% Mg% S-I Mn-I Mn-All Mn-Al2 Zn-I Zn-Al Cu-I Na ESP SS-I NO3-N
0.41 0.97 3.8 62 1.4 4.7 14 24 42 17 26 145 38 38 23 0.2 5
Sample ID: LGB14 Recommendations: Lime Nutrients(lb/acre) More
Crop (tons/acre) N P2Os K20 Mg S Mn Zn Cu B Information
Lime History: 1 -Bermuda hay/past., E 0.0 60-80 100 80 0 20 0 0 $ 0 Note: 12 Note: $
2-Bermuda hay/past., N 0.0 180-220 100 170 0 20 0 0 $ 0 Note: 12 Note: $
Test Results[units-WN in g/cn ;CEC and Na in meq/100 cm?; NO3-N in mg/dn ]: Soil Class: Mineral
HM% WN CEC BS% Ac pH P-I K-I Ca% Mg% S-I Mn-I Mn-All Mn-Al2 Zn-I Zn-Al Cu-I Na ESP SS-I NO3-N
0.46 1.07 5.8 85 0.8 6.0 18 28 58 25 23 242 162 162 32 32 25 0.2 3
Sample ID: LPR14 Recommendations: Lime Nutrients(lb/acre) More
Crop (tons/acre) N P2O5 K20 Mg S Mn Zn Cu B Information
Lime History: 1 -Bermuda hay/past., E 0.5 60-80 40 50 0 0 0 0 0 0 Note: 12
2-Bermuda hay/past., r 0.0 180-220 30 120 0 0 0 0 0 0 Note: 12
Test Results[units-WN in g/cnt3;CEC and Na in meq/100 cnr3; NO3-N in mg/dni]: Soil Class: Mineral
HM% WN CEC BS% Ac pH P-I K-I Ca% Mg% S-I Mn-I Mn-All Mn-Al2 Zn-I Zn-Al Cu-I Na ESP SS-1 NO3-N
0.27 1.02 4.1 78 0.9 5.4 48 46 54 18 28 135 98 98 31 31 26 0.1 2

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.goviagronomU Report No. FY15-SL019545
Page 4 of 5
Sample ID: RMC14 Recommendations: Lime Nutrients(lb/acre) More
Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information
Lime History: 1 -Bermuda hay/past., E 0.0 60-80 0 100 0 0 0 0 0 0 Note: 12
2-Bermuda hay/past., h 0.0 180-220 0 180 0 0 0 0 • 0 0 Note: 12
Test Results[units-WN in g/cm3;CEC and Na in meq/100 cm3; NO3-N in mg/dnt3]: Soil Class: Mineral
HM% WN CEC BS% Ac pH P-I K-I Ca% Mg% S-I Mn-I Mn-All Mn-Al2 Zn-I Zn-Al Cu-I Na ESP SS-I NO3-N
0.27 0.96 6.3 85 0.9 6.1 109 22 75 9 32 108 81 81 157 157 34 0.2 3
Sample ID: JLB14 Recommendations: Lime Nutrients(lb/acre) More
Crop (tons/acre) N P2O5 1(2O Mg S Mn Zn Cu B Information
Lime History: 1 -Bermuda hay/past., E 0.9 60-80 120 90 0 0 0 0 0 0 Note: 12
2-Bermuda hay/past., I. 0.0 180-220 110 170 0 0 0 0 0 0 Note: 12
Test Results[units-WN in g/crrr;;CEC and Na in meg1100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral
HM% WN CEC BS% Ac pH P-I K-I Ca% Mg% S-I Mn-I Mn-All Mn-Al2 Zn-I Zn-Al Cu-I Na ESP SS-I NO3-N
0.36 1.11 5.8 75 1.5 5.2 12 26 53 19 29 119 88 88 49 49 69 0.2 3

NCDA&CS Agronomic Division Phone: [phone] Weblike: www.ncagr.gov/agronomi/ Report No. FY15-SL019545
Page 5 of 5
Understanding the Soil Report:explanation of measurements,abbreviations and units
Recommendations Report Abbreviations
Lime Ac exchangeable acidity
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either B boron
ton/acre or lb/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting. BS% %CEC occupied by basic cations
For no-till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre(50 lb/1000 sq ft) at Ca% %CEC occupied by calcium
one time, even if the report recommends more. You can apply the rest in similar increments every six months until the CEC cation exchange capacity
full rate is applied. If MG is recommended and lime is needed, use dolomitric lime. Cu-I copper index
ESP exchangeable sodium percent
Fertilizer HM% percent humic matter
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of K-I potassium index
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies K20 potash
for the crop being grown, not on soil test results. K-I and P-I values are based on test results and should be> 50. If they Mg% %CEC occupied by magnesium
are not,follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is MIN mineral soil class
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-I levels appear Mn manganese
only on reports for greenhouse soil or problem samples. Mn-All Mn-availability index for crop 1
Mn-Al2 Mn-availability index for crop 2
Farmers and other commercial producers should pay special attention to micronutrient levels. If$, pH$, $pH, C or Z M m
M-0 mi n nerral-oal-orrgg indexanic soil class
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients. In general, homeowners do not N nitrogen
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit . Na sodium
ncagr.gov/agronomi/pubs.htm. NO3-N nitrate nitrogen
ORG organic soil class
Recommendations for small areas,such as home lawns/gardens, are listed in units of Ib/1000 sq ft . If you cannot pH current soil pH
find the exact fertilizer grade recommended on the report, visit www.ncagr.gov/agronomi/obpart4.htm#fs to find P-I phosphorus index
information that may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer. P205 phosphate
S-I sulfur index
Test Results SS-I soluble salt index
WN weight per volume
The first seven values[soil class, HM%, W/V, CEC, BS%,Ac and pH]describe the soil and its degree of acidity. The Zn-Al zinc availability index
remaining 16 [P-I, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-I, Zn-Al, Cu-I, S-I, SS-I, Na, ESP, SS-I, NO3-N (not Zn-I zinc index
routinely available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncagr.gov/agronomi/uvrst.htm
for more information.

On September 3, 2015, I had a telephone conversation with Chad Leinbach, ORC for
Summerfield and Oak Ridge. Chad stated that due to a solenoid valve failure on the system, he
was currently manually irrigating Summerfield. The system was operational. He was not sure
how long it would take to repair the system. He also stated that Randall Jarrell (919-210-2500)
is the back-up ORC for Summerfield and Oak Ridge. Additionally, Bradley Flint(336-587-
0330) is also a back-up ORC for Oak Ridge, running the reuse spray system.

NOTE TO FILE
At 4:50 PM on 10/06/2015, I received a call from Chad Leinbach, ORC for Summerfield. He said
that the current freeboard was 6-inches and that the facility had received 8-inches of rain over the
weekend. He also said that the water did not overflow the lagoon. Currently he is irrigating and,
with the good weather that is forecast, he anticipates there will be no problem dropping the
freeboard to below 2-feet
Jim Gonsiewski

ATA
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald van der Vaart
Governor Secretary
August 24, 2015
Mr. Dan Witcher
Kotis Properties, Inc.
P.O. Box 9296
Greensboro,NC 27429-9296
Subject: Compliance Evaluation Inspection
Summerfield Shopping Center—Wastewater Surface Irrigation
Permit No. WQ0013808
Guilford County
Dear Mr. Witcher:
On July 28, 2015 staff of the North Carolina Division of Water Resources (DWR), Winston-Salem Regional
Office (WSRO) performed a compliance evaluation inspection of the subject facility. This inspection was
conducted by DWR representative Jim Gonsiewski. The compliance inspection report for this inspection is
enclosed for your review. A separate DWR office file review of self-monitoring data for the period of
December 2013 through May 2015 was also conducted.
While the majority of the inspection reflects compliance with the permit, the following items were noted in
which permit conditions were not met:
1. The review of the NDMR reports indicates that the permitted monthly average flow of 3,182 gpd
was exceeded in July 2014 (11,912 gpd), August 2014 (3,484 gpd), and November 2014 (9,060 gpd).
This office recommends that the flow rates be closely monitored to prevent future exceedances.
2. As required by Permit Condition IV.4. total nitrate was missing from the effluent analysis during the
July 2014 sampling event. According to Mr. Chad Leinbach, operator in responsible charge (ORC)
for the facility, this condition was due to an error by the analytical laboratory.
3. In June and July 2014, the permitted 12-month application total was exceeded in Field 1 (35.08" in
June and 35.50" in July) and Field 3 (36.58" in June and 38.54" in July). Please monitor future
applications to ensure that these application totals are not exceeded.
4. As required by Permit Condition IV.9.d., the conditions listed above were not reported to the DWR
WSRO within 24 hours. Please ensure that any future exceedances or permit variations are reported
to the WSRO within this time frame.
5. As required by Permit Condition III.2, a back-up ORC must be designated. Please appoint a back-up
ORC send the ORC change form to Raleigh and copy this office.
450 W.Hanes Mill Road,Suite 300,Winston-Salem,North Carolina 27105
Phone:[phone]\FAX:[phone] Customer Service 1-877-623-6748
Internet:www.ncdenr.gov-www.ncwater.org
An Equal Opportunity\Affirmative Action Employer

6. Permit Condition III.9. requires that public access to the application sites be controlled. The fence
along Highway 220 was removed by the NC DOT during expansion of the highway. Please ensure
that the fence is replaced when the highway expansion is completed.
In addition to the above listed permit condition violations, the following items of concern require your
attention and action as well:
The markings on the water level gauge in the wet weather storage pond should be annotated in tenths of a
foot for accurate water level readings. The audio alarm for the wet weather storage pond was not
operational at the time of the Site visit and should be replaced.
Our office appreciates your prompt attention to the above listed items of concern. Please refer to the enclosed
compliance inspection report for additional observations and comments. If you or your staff have any
questions concerning this letter, please contact me or Jim Gonsiewski at [phone] or via email at
i im.gonsiewskinncdenr.gov.
Sincerely,
Sherri V. Knight, P. E.
Assistant Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources,NCDENR- WSRO
enc.: Compliance Inspection Report
cc: Chad Leinbach - ORC — Summerfield Shopping Center — 1284 Windy Ridge Road, Chapel Hill,
NC 27517
Guilford County Environmental Health
Central Office - Permit File WQ0013808
.111412.Q5aSitialiles

•
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Section
NON-DISCHARGE COMPLIANCE INSPECTION REPORT
WASTEWATER IRRIGATION
General Information pC
Facility Name: SumYY`R-C,C21�'A hbpp(.A3�n County: GI L(
S ' 1
Permit No.: WQ00\3R O 8' Issuance Date: I `k-iI(7)
ct
Owner: s e-S —}_Yic Expiration Dat�J_31 (('.)
ORC Name:C'& �l v� o4,C Telephone No.: IGI— -7 3 0
Backup ORC: Telephone No.:
Other Contact: Tele hone No.:
Location(address,gps or directions): sg u y\a Mve r<U e) 5 l.( YV\ rvi e r 2(.4
Reason for Inspection
,ROUTINE ❑ FOLLOW-UP ❑ COMPLAINT ❑ PERMITTING ❑ Other:
Comments (attach additional pages as necessary)
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Is a follow-up inspection necessary ❑ Yes IS,No
Primary Inspector:) m GOV\SlQ,WS Secondary Inspector:
Date of Inspection: it N 1, Entry Time:I. 0 ; D Exit Time: 1 i ) 'CO

Non-Discharge Compliance Inspection Report
Record Keeping and Reporting Information Y N NA NE
Is current permit available upon request? —la ❑ El El
Has the facility been free of public complaints for the last 12 months? ❑ El El
Are maintenance and inspection logs present(date&time of inspections, visual observations,
any maintenance(adjustments, cleanings, equip changes) or repairs taken)? n ❑ El El
Are weekly freeboard records present? S, El ❑ El
Are irrigation tracking records present(date, weather, volume, length time,field#,
Hydraulic loading, nutrient loading, other)? El El El
Has irrigation equipment been calibrated(once/permit cycle)&records present? LI ❑ El
Are records present for residuals removal (date, volume, Residual Hauler Name,
Name/permit of the receiving party or letter from Municipality)? ❑ El El IN
Is an Operation&Maintenance Plan,and Spill Plan present? El ❑ ❑ j
Effluent Monitoring:
Were effluent monitoring reports present? aNDMR ,i ND AR ❑NDMLR r ■ El ❑
Are flow rates less than permitted flow? Permitted Flow: 31 ga ❑ ►* El ❑
Are application rates adhered to? Permitted Rate:.?j1,1S"/ r ❑ ) 1 El '
Are lab sheets available for review and support monitoring reports NI ❑ El ❑
Are samples analyzed for the required parameters(See permit)? El ❑ El
Effluent concentrations do NOT exceed 2L GW standards? El El ❑
If required, are PAN records present and complete? El A El
Groundwater Monitoring:
Is groundwater monitoring required? ❑ . E(
Were GW-59's and lab results present? El ,® El
Were samples analyzed for the required parameters(See permit)? ❑ M ElObserved records indicate no 2L GW quality violations? El El El
Soil Analysis:
Were annual soil analyses results present for each irrigation field? ,t. El El El
If lime was called for on the Agronomist report, was lime applied? El ❑ �C El
Copper and Zinc indices: EV2,000 ❑ 2,000—3,000 El >3,000
Was Sodium less than 0.5 meq/100 cm3 ? El El El El
Was Exchangeable Sodium Percentage(ESP) less than 15% ? El El ❑ El
Influent Pump Station(s) ❑Check box if component is listed in permit description. Y N NA NE
All pumps present, operational in El El El
Floats/Controls operable A El El El
Audio&Visual Alarms Operational !: ❑ ❑ El
Free of bypass lines or structures 1' El El ❑
General housekeeping good II El El El
Back-up power available, routinely tested& fueled? 17 El El ❑
Treatment Barscreen ❑Check box if component is listed in permit description. Y N NA NE
Are bars spaced properly& free of excess debris? 'El ❑ El El
Are screenings disposed of properly? 5( El El El
Is unit in good condition(excess corrosion)? El ❑ El
Equalization Basin ❑ Check box if component is listed in permit description. Y NA NE
Is aeration present? El ❑
Are pumps present and operational? El El El
Is unit in good general condition? El El ❑
Page 2 of 4

i
• Non-Discharge Compliance Inspection Report
Treatment Activated Sludge El Check box if component is listed in permit description. Y N NA NE
Aeration mechanism operable&accessible? CI ❑
Aeration basin thoroughly mixed? ❑ ❑ ❑
Settleometer& dissolved oxygen results acceptable? ❑ ❑ ❑
Is sludge an acceptable color? ❑ ❑ ❑
Residual Storage/Treatment Y N NA NE
Fixlagoon ❑ Basin Ntpeptic Tank Capacity(gallons): a 0 p
If Septic Tank, is a sanitary T or filter present? /X As ❑ ❑
How often are residuals pumped?
Treatment Filter(s) ❑Check box if component is listed in permit description. Y N NA NE
Is unit accessible for review(i.e. inspection port or not subsurface)? ] ❑
Is the filter media present,correct size&type? Al ❑ ❑ ❑
Is mud well free of excess solids and filter media? 2� ❑ ❑ ❑
Is media free of ponding, algae or excess vegetation? ❑ ❑ ❑
Is clear well free of excess solids and filter media? ❑ ❑ ��_ ,
Does backwashing/air scour frequency appear adequate? CI
Treatment Clarifiers ❑ Check box if component is listed in permit description. Y N `A NE
Weirs level, free of excessive solids&algae? ❑ ❑ ► , ❑
Scum removal system operational and accessible? ❑ ❑ E ❑
Sludge blanket at acceptable level? ❑ ❑ IR ❑
Clarifier effluent free of excessive solids? ❑ ❑ I. ❑
Treatment Disinfection
Type: laTablets ❑ Gas ❑ Liquid ❑ UV Y N NA NE
Is the system properly maintained and working? ❑ ❑ ❑
Fecal coliform results indicate proper disinfection? FA ❑ ❑ ❑
Adequate detention time(>30 minutes)? rjj ❑ ❑ ❑
If tablets, proper size&type? 4 ❑ ❑ ❑❑Present in Cylinder(s)?
If UV bulbs, are replacement bulbs on hand? ❑ E] ❑
Is contact chamber free of sludge, solids and growth? [( ❑ ❑ ❑
Flow Measurement
Flowmeter location: Influent n Effluent Y N NA NE
Is flowmeter calibrated annually(design flow>10,000 gpd)? ❑ ❑ ❑
Is flowmeter operating properly? ❑ ❑ ❑
Does flowmeter record flow? CI CI 0
If no flowmeter(<10,000 gpd), are water-use records available(water meter)? ❑ ❑ AK ❑
Are the daily average values properly calculated? ❑ ❑ ❑
Treatment Y N NA NE
Are treatment facilities consistent with those outlined in permit? .a ❑ ❑ ❑
Do all treatment units appear to be operational?If no, note below. b ❑ ❑ ❑
List any items/units):
Page 3 of 4

Non-Discharge Compliance Inspection Report .
Effluent Storage
ylLagoon(s) ❑ Above ground tank(s) ❑ Underground tank(s) ❑Other:
Amount of Storage(days,months, gallons, etc.):
Effluent Storage Lagoon(s) ❑ Primary ❑ Secondary Y N NA NE
Influent structure(s)free of obstructions? :4 ❑ ❑ ❑
No signs of seepage, overtopping, down cutting or erosion on embankments? a ❑ ❑ ❑
Proper vegetation type w/no excessive vegetation present on embankments? 3 ❑ ❑ ❑
Liner(if visible, is it intact)? ❑ ❑ Cl
Baffles/curtains in good condition? LJ r N ❑ ❑ ❑
Freeboard is>2 feet from overtopping? Measurement at time of inspection: ?• i ❑ CI
Staff gauge is clearly marked ne P a �O CI
No evidence of overflow(vegetation discolored or laying down/broken)? El
unusual color(very black,textile colors)? Al ❑ ❑
No Foam present? Are antifoam agents used?❑ Yes El No 3 ❑ ❑ ❑
No floating mats(sludge,plants, inorganics)? ❑ ❑ CINo signs of excessive solids buildup(from bottom)? ❑ ❑ ❑
Aerators/mixers operational(if present)? ❑ ❑ i.. ❑
Effluent structure is free of obstructions and easily accessible? 554, ❑ ❑ ❑
Effluent Pump station Y N NA NE
All pumps present, operational 1E1 ❑ ❑ ❑
Floats/Controls operable J . ❑ ❑ ❑
Audio&Visual Alarms Operational ice'` ❑ ❑ ❑
Free of bypass lines or structures ❑ ❑ ❑
If required, is a rain sensor present and operational 2- ❑ ❑ ❑
General housekeeping good El
El [IIBack-up power %.. ❑ ❑
End Use-Irrigation Number of Fields: 9 Y N NA NE
Are buffers adequate? ❑ ❑ ❑
Are cover crops the type specified in permit and/or in good condition? ❑ ❑ ❑
No signs of runoff,ponding, or drift? g ❑ ❑ ❑
Is the acreage specified in the permit being utilized? q., ❑ ❑ ❑
Is the application equipment present, operational, and in good condition?
No limiting slopes present in irrigation fields? ®, ❑ ❑ ❑
Is site access restricted and/or signs posted in accordance with permit? I3& ❑ ❑ ❑
No water supply wells within the CB? ® ❑ ❑ ❑
No water supply wells within 250' of the CB? IJI ❑ ❑ ❑
Is permit being followed? tfEt. ❑ ❑ ❑
Groundwater Monitoring Wells Y N NA NE
Does the permit require monitoring wells?If so, answer the following. ❑ 1!
Are the monitoring wells properly installed according to the permit? ❑ • ❑
Are the monitoring wells located properly w/respect to RB&CB? ❑ ❑ gc ❑
Are the wells properly identified& free of damage? CI CI
Page 4 of 4

•
NDMR REVIEW SHEET
PERMIT NUMBER: WO0013808 FACILITY NAME: Summerfield Shopping Center
COUNTY: Guilford TYPE: Spray Irrigation REVIEW PERIOD: 'OP_ccO 13 to No ad'-(
Parameter Freq. Limit G or Y143 1', a j 3/y VI4
y s/•y 1/_,% /( tl/
Flow X Monthly 3182 C /��✓ ✓ v-`.40 l% ✓ Ch
pH X Weekly G 613 (,63-1,39 6,6(0 6.6��e�c ig to" i 6.71 ,a,
TRC
.i
BOD5 X 3xyr G cZ C a
NH3-N X 3 x yr G 44641<4.1 <j,) c:
TSS X 3xyr G <d,5—
Fecal X 3xyr G ‹I ) <
DO
TDS X 3xyr G di8v 336
Conductivity
Temp.
COD
TOC
Phenols
O&G
NO2&NO3
NO3 (�
TN X 3 x yr G /8 ,if-
TKN X 3 x yr G <oa,a, ®,Y.
TP
Chloride X 3xyr
Sulfide
SAR
As
B
Cd
Ca
Cr
Cu
Pb
Mg
Hg
Ni
K
Na
Zn
Total ChlorResidual X Weekly I G ine a 33 t 3j- a.R� =Lb '�j `�`;1 1,d8 SI 0tf.-1
Comments:
p ti^dt Tc,�-1 Res j LAN \ CVO e ei d vic a r`e Pnnn°
-e ,r •
�+! �,i t a ( sc - f 3 OCR /v\�, ci rn N� (PO()C�
n v,1u mil)4
� A y-hra �gs k 414 S 1°( --� C,3 I
•Z PA,ercrSQ �3CO rl/ C fc '"`off

NDAR REVIEW SHEET
PERMIT NUMBER: WO0013808 FACILITY NAME:Summerfield Shopping Center
COUNTY:Guilford TYPE:Spray Irrigation REVIEW PERIOD: Ptaol-toNov L I
Storage Freeboard(>2 feet)Y or N ✓ t I � 4✓
Rate
Co P r Hourly YearlyRate .I ji3 r'1 rly Y/
3 y �y J/� �� (p/� y I tL
Field Acres cro (( // 1
1 0.71 Fescue 0.3 34.75" V t t/ /I/
2 0.52 Fescue 0.3 34.75" L V
3 0.17 Fescue 0.3 34.75" ✓V /v'
Li V/ Iv 4",i/
Comments:
Q t ',Iwo n y\Lk tt *vial

NDAR REVIEW SHEET
PERMIT NUMBER: WO0013808 FACILITY NAME:Summerfield Shopping Center
COUNTY:Guilford TYPE:Spray Irrigation REW ER D: cao l'(to
Storage Freeboard(?2 feet)Y or N f�� �, gk
Cover Hourly Yearly �/ X,S
Field Acres crop Rate Rate iy i! S
1 0.71 Fescue 0.3 34.75" V
V
2 0.52 Fescue 0.3 34.75" ✓ :✓ V ,V
3 0.17 Fescue 0.3 34.75" V V
Comments:
N o )0? 1 +"ctr.. v‘ ac.)

NDMR REVIEW SHEET
PERMIT NUMBER: WO0013808 FACILITY NAME: Summerfield Shopping Center
COUNTY: Guilford TYPE: Spray Irrigation REVIEW PERIOD:Oe_. `f to
Parameter Freq. Limit C or �/,y tiS (tr��j�—ryS—��
Flow X Monthly 3182 C V �✓ ✓ �
gpd
pH X Weekly G ?,( 3 73 T, .6,74),Wb
TRC
BOD5 X 3xyr G ��
NH3-N X 3xyr
TSS X 3xyr G / ,a
Fecal X 3xyr G <
DO
TDS X 3xyr G ' 0
Conductivity
Temp.
COD
TOC
Phenols
O&G
NO2&NO3
NO3
TN X 3xyr G
TKN X 3xyr G 1lt
TP
Chloride X 3 x yr G
Sulfide
SAR
As
B
Cd
Ca
Cr
Cu
Pb
Mg
Hg
Ni
K
Na
Zn
Total Residual X WeeklyG
Chlorine t�`�a.34�.`f� I•1 ,���.�1
Comments:

Compliance Inspection Report
Permit: WO0013808 Effective: 09/12/08 Expiration: 08/31/17 Owner: Kotis Properties Inc
SOC: Effective: Expiration: Facility: Summerfield Shopping Center
County: Guilford 4548 Highway 220
Region: Winston-Salem
Summerfield NC 27358
Contact Person: Bill Kotis Title: Phone: [phone]
Directions to Facility:
take 1-40 east to Hwy 150 in kemesville,turn left at top of ramp. turn right on Hwy 220 then take first left gravel driveway behind the
shopping center
System Classifications: SI, WW1,
Primary ORC: Kenneth Chad Leinbach Certification: 23928 Phone: [phone]
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Inspection Date: 07/28/2015 Entry Time: 10:10AM Exit Time: 11:40AM
Primary Inspector: Jim J Gonsiewski Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Wastewater Irrigation
Facility Status: ❑ Compliant II Not Compliant
Question Areas:
In Treatment Flow Measurement-Effluent II Treatment Flow Measurement-Influent • Miscellaneous Questions
1111 Treatment Flow Measurement-Water MI Treatment • Treatment Barscreen
Use Records
• Treatment Filters Record Keeping • Treatment Influent Pump Station
▪ Treatment Disinfection 111 End Use-Infiltration III Treatment Flow Measurement
▪ Treatment Return pumps In Storage III Standby Power
(See attachment summary)
Page: 1

permit: W00013808 Owner-Facility:Kotis Properties Inc
Inspection Date: 07/28/2015 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
On July 28, 2015 staff of the North Carolina Division of Water Resources(DWR),Winston-Salem Regional Office(WSRO)
performed a compliance evaluation inspection of the subject facility. This inspection was conducted by DWR representative
Jim Gonsiewski.A separate DWR office file review of self-monitoring data for the period of December 2013 through May
2015 was also conducted.While the majority of the inspection reflects compliance with the permit,the following items were
noted in which permit conditions were not met:
1. The review of the NDMR reports indicates that the permitted monthly average flow of 3,182 gpd was exceeded in July
2014(11,912 gpd),August 2014(3,484 gpd), and November 2014(9,060 gpd). This office recommended that the flow
rates be closely monitored to prevent future exceedances.
2. As required by Permit Condition IV.4. total nitrate was missing from the effluent analysis during the July 2014 sampling
event. According to Mr. Chad Leinbach,operator in responsible charge(ORC)for the facility,this condition was due to an
error by the analytical laboratory.
3. In June and July 2014, the permitted 12-month application total was exceeded in Field 1 (35.08"in June and 35.50"in
July)and Field 3(36.58"in June and 38.54"in July). This office recommended monitoring future applications to ensure that
these application totals were not exceeded.
4. As required by Permit Condition IV.9.d.,the conditions listed above were not reported to the DWR WSRO within 24
hours. This office requested that any future exceedances or permit variations be reported to the WSRO within this time
frame.
5. As required by Permit Condition 111.2, a back-up ORC must be designated. This office requested a back-up ORC be
designated and the ORC change form be sent to Raleigh with the WSRO copied.
6. Permit Condition 111.9. requires that public access to the application sites be controlled. The fence along Highway 220
was removed by the NC DOT during expansion of the highway. This office requested that the fence be replaced when the
highway expansion is completed.
In addition to the above listed permit condition violations,the following items of concern were noted:
The markings on the water level gauge in the wet weather storage pond should be annotated in tenths of a foot for accurate
water level readings. The audio alarm for the wet weather storage pond was not operational at the time of the Site visit and
should be replaced.
Page: 2

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AVA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder John E. Skvarla, Ill
Governor Director Secretary
January 15, 2014
Dan Witcher—Vice President
Kotis Properties, Inc.
P.O. Box 9296
Greensboro, NC 27429-9296
SUBJECT: NOTICE OF DEFICIENCY (Case No: NOD-2014-PC-0024)
Kotis Properties, Inc.
Summerfield Shopping Center
Wastewater Surface Irrigation
Permit No: WQ0013808
Guilford County
Dear Mr. Witcher:
On December 17, 2013, Stephen Berry of the Division of Water Resources (DWR)
performed a compliance evaluation inspection of the subject wastewater irrigation
system. Chad Leinbach accompanied Mr. Berry during the inspection. Prior to the
facility inspection, Mr. Berry reviewed Summerfield Shopping Center's 2013 Non-
Discharge Monitoring and Application Reports.
Summerfield Shopping Center was found to be deficient in the following Permit
condition:
1) Condition III. 1. The facilities shall be properly maintained and operated at all times.
Sand filter alarm is not functioning properly.
Action Required: Please ensure the audial alarm is functioning properly by March 1,
2014.
In addition to the above deficiency, please note the following item of concern:
WATER QUALITY SECTION
585 Waughtown street,Winston-Salem,North Carolina 27107
Phone:[phone] FAX:[phone] Customer Service 1-877-623-6748
Internet www.ncwater.orq
An Equal Opportunity\Affirmative Action Employer

- �;,1, SummeJanuary eld15 :WQ0013808
,2014
Page 2 of 2
Vegetation on wetland cells may impede proper treatment. Please rake (frequently)
both wetland cells and remove all facultative upland vegetation when necessary.
Thank you in advance for your attention to these matters. If you or your staff have any
questions concerning this letter, you may contact Stephen Berry at [phone] or
by email at [e-mail].
Sincerely,
Sherri V. Knight, P.E.
Asst. Regional Supervisor, Water Quality Section
cc: Chad Leinbach, ORC, Conner Consulting, LLC, 1284 Windy Ridge Rd, Chapel Hill, NC 27517
Guilford County Health Department
Non-Discharge Central Office- Permit File WO0013808

Berry, Stephen
From: Chad Leinbach <[e-mail]>
Sent: Wednesday, January 29, 2014 4:30 PM
To: Berry, Stephen
Cc: Dan Witcher
Subject: Notice of Deficiency NOD-2014-PC-0024
Dear Stephen,
The audible alarm has been replaced,tested and is working in the recirculating sand filter control panel at the
Summerfield Renaissance Center in Summerfield, NC. Although vegetation is dormant I have been reassured that the
roots are not and are actually active. This dormancy was considered during the design of the wetlands. I believe the
data supports a well functioning system. Please call me with questions of comments. Thank you.
Chad Leinbach, ORC
919 260-7301
•

Berry, Stephen
From: Chad Leinbach <[e-mail]>
Sent: Wednesday, January 29, 2014 4:30 PM
To: Berry, Stephen
Cc: Dan Witcher
Subject: Notice of Deficiency NOD-2014-PC-0024
Dear Stephen,
The audible alarm has been replaced,tested and is working in the recirculating sand filter control panel at the
Summerfield Renaissance Center in Summerfield, NC. Although vegetation is dormant I have been reassured that the
roots are not and are actually active. This dormancy was considered during the design of the wetlands. I believe the
data supports a well functioning system. Please call me with questions of comments. Thank you.
Chad Leinbach, ORC
919 260-7301
1

4
Compliance Inspection Report
Permit: WO0013808 Effective: 09/12/08 Expiration: 08/31/17 Owner: Kotis Properties Inc
SOC: Effective: Expiration: Facility: Summerfield Shopping Center
County: Guilford 4548 Highway 220
Region: Winston-Salem
Summerfield NC 27358
Contact Person: Bill Kotis Title: Phone: [phone]
Directions to Facility:
take 1-40 east to Hwy 150 in kernesville,turn left at top of ramp. turn right on Hwy 220 then take first left gravel driveway behind the
shoppin center
ystem�l assificatio ns:
Primary ORC: Kenneth Chad Leinbach Certification: 23928 Phone: [phone]
Secondary ORC(s): �sk .�� M t cke t)^';Nl
On-Site Representative(s):
Related Permits:
Inspection Date: 12i}1I 1, Entry Time: ( ' y51 Exit Time: l-� P
Primary Inspector: Stephen Berry Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Wastewater Irrigation
Facility Status: ❑ Compliant ❑ Not Compliant
Question Areas:
■Treatment Flow ■Treatment Flow ■Miscellaneous Questions ■Treatment Flow
Measurement-Effluent Measurement-Influent Measurement-Water Use
Records
111 Treatment 111 Treatment Filters Record Keeping Treatment Lagoons
■Treatment Sludge .End Use-Irrigation ■Treatment Influent Pump ■Treatment Disinfection
Storage/Treatment Station
■Treatment Flow ■Storage II Standby Power
Measurement
(See attachment summary)
Sol-►a 1 k✓ a cv► vi ( wk.! _ Ito ark.- frti:, 1 1'4)
FIIN S lo,) - IMF Gam W4„1w
4ru,yo4� > ( .c' IAYlk&ic
Page: 1

Permit: WQ0013808 Owner-Facility: Kotis Properties Inc
Inspection Date: Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Page: 2

•
Permit: WQ0013808 Owner-Facility: Kotis Properties Inc
Inspection Date: Inspection Type: Compliance Evaluation Reason for Visit: Routine
Type Yes No NA NE
Single Family Spray, LR ❑
Infiltration System 0
Lagoon Spray, LR ❑
Reuse(Quality) 0
Recycle/Reuse 0
Activated Sludge Drip, LR ❑
Activated Sludge Spray, HR fl
Activated Sludge Spray, LR 0
Single Family Drip ❑
Treatment Yes No NA NE
Are Treatment facilities consistent with those outlined in the current permit? Ff 0 0 0
Do all treatment units appear to be operational?(if no, note below.) lJ ❑ 0 0
Comment:
Treatment Influent Pump Station Yes No NA NE
Is the pump station free of bypass lines or structures? cfpoo
Is the general housekeeping acceptable? i3 ❑ ❑ ❑
Are all pumps present? DODO
Are all pumps operable? 17 ❑ ❑ ❑
Are floats/controls operable? .d000
Are audio and visual alarms available? IZ1000
Are audio and visual alarms operational? Stc vtvtee 0 13/0 0
#Are SCADA/Telemetry alarms required? ❑ ❑ ❑ ❑
Are SCADA/Telemetry available? 0 0 ■ 0
Are SCADA/Telemetry operational? 0 0 • 0
Comment:
Treatment Flow Measurement-Influent Yes N NA NE
Is flowmeter calibrated annually? ❑ 0 0
Is flowmeter operating properly? ra/❑ ❑ ❑
Does flowmeter monitor continuously? L 0 0 0
Page: 3

Permit: WQ0013808 Owner-Facility: Kotis Properties Inc
Inspection Date: Inspection Type: Compliance Evaluation Reason for Visit: Routine
Does flowmeter record flow? Ef ❑ ❑ ❑
Does flowmeter appear to monitor accurately? g ❑ 0 0
Comment:
Treatment Flow Measurement-Water Use Records Yes No NA NE
Is water use metered? ,d,,(( ❑ ❑ ❑
Are the daily average values properly calculated? ❑ ❑ ❑
Comment:
Treatment Flow Measurement-Effluent L Yes No NA NE
r lc
Is flowmeter calibrated annually? 'f 2A-41 t'l� it 0 0 0
MIZAW (M40•v16
Is flowmeter operating properly? 4. w4i4 v I • ODD
Does flowmeter monitor continuously? (u it-% I `evv'3 �`° � II 0 0 0
Does flowmeter record flow? • ❑ ❑ ❑
Does flowmeter appear to monitor accurately? 11000
Comment:
Standby Power Yes No NA NE
Is automatically activated standby power available? 0 0 0
Is generator tested weekly by interrupting primary power source? 0 0 0
Is generator operable? 0 0 0
Does generator have adequate fuel? 0 0 0
Comment:
Treatment Filters Ye No NA NE
Is the filter media present? 0 0 0
Is the filter media the correct size and type? f 0 0 0
Is the air scour operational? C rr 1-'`i 0 0 0
Is the scouring acceptable? 10Vf� ❑ ❑ ❑
Is the clear well free of excessive solids? 0 0 0
Is the mud well free of excessive solids and filter media? 0 0 0
Does backwashing frequency appear adequate? 0 0 0
Comment:
Treatment Sludge Storage/Treatment Yes No NA NE
Is the aeration operational? ❑ ❑ ❑ ❑
Page: 4

•
Permit: WO0013808 Owner-Facility: Kotis Properties Inc
Inspection Date: Inspection Type: Compliance Evaluation Reason for Visit: R utii"fe
Is the aeration pattern even? 0 0
If required,are Sanitary"Ts"present in tankage? fO _ ��� AI,(e-�'J ❑ ❑
Comment: /
Treatment Disinfection Yes No NA NE
Is the system working? do 0 0
Do the fecal coliform results indicate proper disinfection? b21 0 0 0
Is there adequate detention time(>=30 minutes)? E! ❑ ❑ ❑
Is the system properly maintained? `f ❑ ❑ ❑
If gas,does the cylinder storage appear safe? 0 0 El 0
Is the fan in the chlorine feed room and storage area operable? ❑ ❑ ❑ ❑
Is the chlorinator accessible? (211❑ 0 0
If tablets,are tablets present? E(❑ 0 0
Are the tablets the proper size and type? n � ( el ❑ ❑ ❑
Is contact chamber free of sludge,solids,and growth? ri ❑ ❑ ❑
If UV, are extra UV bulbs available? ❑ ❑ ❑
If UV, is the UV intensity adequate?
0 0 - 0
#Is it a dual feed system? Id❑ 0 0
Does the Stationary Source have more than 2500 lbs of Chlorine(CAS No. 7782-50-5)? ❑ ❑ ❑
If yes,then is there a Risk Management Plan on site? 0000
If yes,then what is the EPA twelve digit ID Number?(1000- - )
If yes,then when was the RMP last updated?
Comment:
Record Keeping Yes No NA NE
Is a copy of current permit available? Ii' 0 0 0
Are monitoring reports present: NDMR? +YJ 0 0 0
NDAR? L ❑ 0 0
Are flow rates less than of permitted flow? d ❑ ❑ ❑
Are flow rates less than of permitted flow? E( 0 0 0
Are application rates adhered to? "❑ 0 0
Is GW monitoring being conducted, if required(GW-59s submitted)? 0 0 11 ❑
Page: 5

•
Permit: WQ0013808 Owner-Facility: Kotis Properties Inc
Inspection Date: Inspection Type: Compliance Evaluation Reason for Visit: Routine
Are all samples analyzed for all required parameters? 0 0 0
Are there any 2L GW quality violations? 0 0 0
Is GW-59A certification form completed for facility? 0 0 0
Is effluent sampled for same parameters as GW? 0 0
Do effluent concentrations exceed GW standards? 0 0 0E(
Are annual soil reports available? 0 ❑ to ❑
#Are PAN records required? 0 0 ri❑
#Did last soil report indicate a need for lime? •
( ❑ 0 0
If so, has it been applied? eJ ❑ 0 0
Are operational logs present? 0/❑ 0 0
,f.
Are lab sheets available for review? E 0 0 0
Do lab sheets support data reported on NDMR? ❑ ❑
Do lab sheets support data reported on GW-59s? U ❑ 0 0
Are Operational and Maintenance records present? 0 ❑ ❑ ❑
Were Operational and Maintenance records complete? Q"0 0 0
Has permittee been free of public complaints in last 12 months? '❑ ❑ ❑
Is a copy of the SOC readily available? 270 0 0
No treatment units bypassed since last inspection? t/ ❑ 0 0
Comment:
End Use-Irrigation Yes No NA NE
Are buffers adequate? Gi❑ ❑ ❑
Is the cover crop type specified in permit? ❑ ❑ ❑ ❑
Is the crop cover acceptable? 6 ❑ ❑ ❑
Is the site condition adequate? Of 0 0 0
Is the site free of runoff/ponding? 0" ❑ 0 0
Is the acreage specified in the permit being utilized? Er 0 0 0
Is the application equipment present? 9 ❑ ❑ ❑
Is the application equipment operational? 21300
Is the disposal field free of limiting slopes? d ❑ ❑ ❑
Is access restricted and/or signs posted during active site use? 0000
Page: 6

Permit: WQ0013808 Owner-Facility: Kotis Properties Inc
Inspection Date: Inspection Type: Compliance Evaluation Reason for Visit: Routine
Are any supply wells within the CB? 0 0 0
Are any supply wells within 250' of the CB? n E(n 0
How close is the closest water supply well? ❑ n 0 id
Is municipal water available in the area? ❑ El n n
#Info only: Does the permit call for monitoring wells? n Q d❑
Are GW monitoring wells located properly w/respect to RB and CB? n n gin
Are GW monitoring wells properly constructed, including screened interval? n n Din
Are monitoring wells damaged? Dojo
Comment:
Page: 7

Ara
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
September 24, 2010
CERTIFIED MAIL#7008 3230 0002 7797 7990
RETURN RECEIPT REQUESTED
Bill ICotis
Kotis Properties Inc
PO Box 9296
Greensboro,NC 27429-9296
SUBJECT: NOTICE OF VIOLATION(NOV-2010-PC-1034)
September 29,2008 & August 25,2010 Compliance Evaluation Inspections
Kotis Properties,Inc.
Summerfield Shopping Center
Permit No: WQ0013808
Guilford County
Dear Mr. Kotis:
Enclosed please find a copy of the Inspection Reports from the inspections conducted September 29, 2008 and August 25,
2010. The Compliance Evaluation Inspection was conducted by Derek Denard and Patrick Mitchell of the Winston-
Salem Regional Office. Present for the inspection was Chad Leinbach, ORC. The treatment facility was found to be in
violation of permit WQ0013808 for the August 25, 2010 inspection for the following:
• Electrical problems with the control panel at the mud well to the recirculation sand filter. The visual alarm(red
light) was working, but the audio alarm buzzer was not operational. In addition,pump number one was not
operational in the mud well. This electrical panel and mud well pump has not been working for some time.(We
received a phone call from the operator notifying us that repairs were made prior to drafting this letter; however, a
written explanation of the repairs for this issue should be included in the response.)
• Electrical problems with the control panel at the wet well to irrigation. There was power to the panel but the
controls were not responsive. The audio/visual alarm was not functional either. Lighting may have damaged this
electrical panel. (We received a phone call from the operator notifying us that repairs were made prior to drafting
this letter; however, a written explanation of the repairs for this issue should be included in the response.)
Permit Conditions II.1. and 111.1. address the general operation and maintenance requirements for the wastewater
treatment facility.
Winston-Salem Regional Office
585 Waughtown Street,Winston-Salem,North Carolina 27107 One
Phone:[phone] FAX:[phone] Customer Service:1-877-623-6748 Not thCal'olina
Internet:http:/lportal.ncdenr.orglweblwq ���������
An Equal Opportunity i Affirmative Action Employer

Mr. Kotis •
September 24, 2010
Page2of2
• Heavy erosion has occurred on the southeastern side of the berm for the storage pond. This area needs to be
repaired to prevent failure of the lagoon berm. Related to this issue is that storm water drainage needs to be
managed around treatment units such as the area between the storage lagoon and sand filter. Storm water
drainage within the topography surrounding of the treatment units needs to be better diverted to prevent erosion or
inundation of the treatment facility. (We received a phone call from the operator notifying us that repairs were
made prior to drafting this letter; however,a written explanation of the repairs for this issue should be included in
the response.)
Permit Condition III.14 requires that a protective vegetative cover be established and maintained on all earthen
embankments, berms, pipe runs,erosion control areas, and surface water diversions.
Other operation and maintenance issues noted during the inspection of this facility:
• The covering material (gravel, pebbles,stalite) for the recirculating sand filter has settled and slumped away on
the storage pond side and the back end(wetlands)side of the sand filter,exposing the drip piping. The piping
needs to be recovered with the proper material according to engineering specifications such as stalite,pebbles,
and/or#67 stone.
• The growth of undesired plants in the wetlands treatment system should be managed to encourage the growth of
desired plant species.
Review of self-monitoring from October 2006 to June 2010 noted the following:
• February 2010 through June 2010 NDARs noted that the yearly loading rate of 34.75 inches had been exceeded
due to adjustment of the shutdown protocol.
• Weekly pH and TRC were not reported from February 2008 to December 2008,which was oversight of the new
monitoring requirements for the new permit modified on January 22,2008 and renewed on September 12,2008.
Weekly monitoring of pH and TRC was started in January 2009.
• Daily and monthly average flow rates were not record on the December 2006 NDMR.
Please refer to the enclosed Inspection Report for any additional observation and comments.
To prevent further action,carefully review these violations and deficiencies and respond in writing to this office within
thirty(30) working days of receipt of this letter. You should address the causes of noncompliance and all actions taken to
prevent the recurrence of similar situations. If you should have any questions,please do not hesitate to contact Derek
Denard at 336-771-5286.
Sincerely,
•
Sherri V. Knight,P.E
Regional Supervisor, Aquifer Protection Section
cc: Chad Leinbach, Conner Consulting, LLC, 1284 Windy Ridge Rd, Chapel Hill,NC 27517
Guilford County Health Department
Ed Hardee, AP Program Section LAU
APS Central Office-Permit File WQ0013808
1.11.111es
Winston-Salem Regional Office
535 Waughtown Street,Winston-Salem,North Carolina 27107 One
Phone:[phone] FAX:[phone] Customer Service:1.877-623.6748 NorthCarolina
Internet http/fportal.ncdenr.org/web/wq Naturally
atur ll
An Equal Opportunity Affirmative Action Employer �

•
AT&
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
October 26, 2011
CERTIFIED MAIL#7008 3230 0003 2547 0299
RETURN RECEIPT REQUESTED
Dan Witcher—Vice President
Kotis Properties,Inc.
P.O. Box 9296
Greensboro,NC 27429-9296
SUBJECT: NOTICE OF DEFICIENCY(Case No: NOV-2011-PC-0579)
Compliance Evaluation Inspection
Kotis Properties,Inc.
Summerfield Shopping Center
Wastewater Surface Irrigation
Permit No: WQ0013808
Guilford County
Dear Mr. Witcher:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted on
September 13, 2011. The Compliance Evaluation Inspection was conducted by Derek Denard of the Winston-Salem
Regional Office. Present for the inspection was Chad Leinbach. The facility was found to be in violation with permit d
WQ0013808 for the following deficiencies.
The following deficiencies for operation of treatment system units were noted during the facility site review:
• The control panel for re-circulation sand filter has a time override that needs to be corrected. Any significant
amount of rain causes the pumps to lock out and send wastewater to the chlorinator,by-passing the treatment
filter.
• The wet weather storage pond is not automatically filling the wet well when conditions call for it to be filled. The
problem may be in the control panel or float controls.
Winston-Salem Regional Office
585 Waughtown Street,Winston-Salem,North Carolina 27107 One
Phone:[phone] FAX:[phone]\Customer Service:1-877-623-6748 North Carolina
Internet http:l/portal.ncdenr.org/web/wq Naturally Equal Opportunity 1 Affirmative Action Employer

•
Mr. Witcher
October 26, 2011
Page 2 of 2
Review of self-monitoring form July 2010 to July 2011 found the following:
• July 2010- 12 month floating total was 37.03 inches for field A,which exceeded the yearly limit of 34.75 inches.
The loading was exceeded due to adjustment of shutdown protocol.
• October 2010— 12 month floating total was 35.15 inches for field A,which exceeded the yearly limit of 34.75
inches. The system was being adjusted to reduce freeboard in the wet weather storage pond. High loading of
field A occurred a year ago. Loading returned to compliance in November 2010.
• March 2011 —Chloride was missing from the March 2011 sampling.
Please refer to the enclosed report form for additional observations and comments. To prevent further action,carefully
review these deficiencies and respond in writing to this office within thirty(30)working days of receipt of this letter. You
should address the causes of noncompliance and all actions taken to prevent the recurrence of similar situations. If you
should have any questions,please do not hesitate to contact Derek Denard at 336-771-5286.
Sincerely,
Tlccct jL= `�� L
Sherri V.Knight,P.E.
Regional Supervisor,Aquifer Protection Section
cc: Chad Leinbach,ORC,Conner Consulting, LLC, 1284 Windy Ridge Rd,Chapel Hill,NC 27517
Guilford County Health Department
Ed Hardee,AP Program Section LAU
APS Central Office-Permit File WQ0013808
411111111111111111
Winston-Salem Regional Office
585 Waughtown Street,Winston-Salem,North Carolina 27107 One
Phone:[phone] FAX:[phone] Customer Service:1-877-623-6748 North Carolina
Internet http://portal.ncdenr.org/web/wq Naturally
An Equal opportunity\Affirmative Action Employer

State of North Carolina OOF W A 7'F92G
Department of Environment and Natural Resources
Division of Water Quality
� r
Beverly Eaves Purdue, Governor --
Dee Freeman, Secretary
Coleen H. Sullins, Director
NON-DISCHARGE COMPLIANCE INSPECTION REPORT
SURFACE IRRIGATION
GENERAL INFORMATION
Owner: Kotis Properties County: Guilford
Permit No.: WQ0013808 Issuance Date: September 12, 2008
Facility Name: Summerfield Shopping Center Expiration Date: August 31, 2017
Facility Address: 4548 Hwy 220, Summerfield, NC 27358
Mailing Address: P.O. Box 9296, Greensboro, NC 27429-9296
Coordinates: 36.190652N 79.889973W
Driving Directions: 1-40 East to Hwy 150 in Kernersville. Take left at end of ramp. Turn right onto Hwy
220 and then turn left onto first gravel road passed the shopping center.
Permitte Owner: Bill Kotis Telephone No.: 336-574-2000
Permittee Contact: Dan Witcher-Vice President Telephone No.: 336-574-2000
ORC Name: Chad Leinbach Cert#: 23928 Telephone No.: 919-260-7301
Backup ORC: Dennis Hodge Cert#: 14872 Telephone No.:
Reason for Ins ection
® ROUTINE IQ COMPLAINT ❑ FOLLOW-UP ❑ Other:
Inspection Summary:(additional comments may be included on attached pages)
The following deficiencies for operation for treatment system units were noted during the facility
site review:
• The control panel for re-circulation sand filter has a time override that needs to be
corrected. Any significant amount of rain causes the pumps to lock out and send
wastewater to the chlorinator, by-passing the treatment filter.
• The wet weather storage pond is not automatically filling the wet well when conditions call
for it to be filled. The problem may be in the control panel or float controls.
Review of self-monitoring form July 2010 to July 2011 found the following:
• July 2010- 12 month floating total was 37.03 inches for field A, which exceeded the yearly
limit of 34.75 inches. The loading was exceeded due to adjustment of shutdown protocol.
• October 2010- 12 month floating total was 35.15 inches for field A, which exceeded the
yearly limit of 34.75 inches. The system was being adjusted to reduce freeboard in the wet
weather storage pond. High loading of field A occurred a year ago. Loading returned to
compliance in November 2010.
• March 2011-Chloride was missing from the March 2011 sampling. •

Kotis Properties, Inc. —Summerfield Shopping Center Permit No WQ0013808 •
Compliance Inspection Report September 13, 2011
F TN Status. Cnmpliant D Nnt Cnmpliant co
Is a follow-up inspection necessary?Yes ❑ No
Primary Inspector: Derek Denard
Secondary Inspector:
Telephone: [phone] Fax: [phone]
Date of Inspection: 09/13/11 Entry Time: 1:30 pm Exit Time: 4:00 pm
In!
❑ Reuse (i.e., golf courses)
❑Activated Sludge Spray, low rate
❑ Recycle-Reuse
❑Activated Sludge Spray, high rate
❑ Lagoon Drip, Low Rate
El Activated Sludge Drip, low rate
❑ Infiltration System
® Other Constructed Wetlands Drip,low rate
Influent Pump Station Y N NA NE
All pumps present, operational ❑ ❑ Z ❑
Floats/Controls operable ❑ ❑ ® ❑
Audio &Visual Alarms Operational ❑ ❑ ® ❑
Free of bypass lines or structures ❑ ❑ ® ❑
General housekeeping good ❑ ❑ ® ❑
Back-up power available, routinely tested &fueled? ❑ ❑ ® ❑
Comments:
Treatment Barscreen Y N NA NE
Are bars spaced properly&free of excess debris? ❑ ❑ ® ❑
Are screenings disposed of properly? ❑ ❑ ® ❑
Is unit in good condition (excess corrosion)? ❑ ❑ ® ❑
Comments:
Equalization Basin Y N NA NE
Is aeration present? ❑ ❑ ® ❑
Are pumps present and operational? ❑ ❑ ® ❑
Is unit in good general condition? ❑ ❑ ® ❑
Comments:
Treatment Activated Sludge Y N NA NE
Aeration mechanism operable&accessible? ❑ ❑ ® ❑
Aeration basin thoroughly mixed? ❑ ❑ ® ❑
Settleometer&dissolved oxygen results acceptable? ❑ ❑ ® ❑
Is sludge an acceptable color? ❑ ❑ ® ❑
Comments:
Page 2 of 6

,
. Kotis Properties, Inc. —Summerfield Shopping Center Permit No WO0013808
Compliance Inspection Report September 13, 2011
Residual Storage/Treatment Y N NA NE
❑ Lagoon ❑ Basin
Is aeration pattern even? ❑ ❑ ® ❑
® Septic Tank(s) Capacity(gallons):
Is sanitary T or filter present? ❑ ❑ ❑
How often are residuals pumped?NE
Are pumping receipts available? ❑ ❑ ❑
What is the receiving WWTP? Greensboro
Comment: Town Septic tanks: Food Lion and one for Wal-Greens.
Treatment Filter(s) Y N NA NE
Is the filter media present, correct size &type? ® ❑ ❑ ❑
Is mud well free of excess solids and filter media? ® ❑ ❑ ❑
If sand filter, is unit subsurface? ❑ ® ❑ ❑
Is media free of ponding, algae or excess vegetation? Z ❑ ❑ ❑
Is air scour operational and acceptable? ❑ ❑ ❑
Is clear well free of excess solids? Z ❑ ❑ ❑
Does backwashing frequency appear adequate? Z ❑ ❑ ❑
Comment:
Treatment Clarifiers Y N NA NE
Weirs level, free of excessive solids&algae? ❑ ❑ ® ❑
Scum removal system operational and accessible? ❑ ❑ ® ❑
Sludge blanket at acceptable level? ❑ ❑ Z ❑
Clarifier effluent free of excessive solids? ❑ ❑ Z ❑
Comments:
Treatment Disinfection Y N NA NE
Type: ®Tablets ❑ Gas ❑ Liquid ❑ UV
Is the system properly maintained and working? ® ❑ ❑ ❑
Fecal coliform results indicate proper disinfection? Z ❑ ❑ ❑
Adequate detention time (> 30 minutes)? ® ❑ ❑ ❑
If tablets, proper size? Z ❑ ❑ ❑
Present in Cylinder(s)? ® ❑ ❑ ❑
If gas/liquid, does cylinder/tank storage appear safe? ❑ ❑ ® ❑
If UV bulbs, are replacement bulbs on hand? ❑ ❑ ® ❑
Is contact chamber free of sludge, solids and growth? ❑ Z ❑ ❑
Comments: The effluent looked very dark.
Page 3 of 6

Kotis Properties, Inc. —Summerfield Shopping Center Permit No WQ0013808 •
Compliance Inspection Report September 13, 2011
Flow Measurement Y N NA NE
Flowmeter location: ❑ Influent ❑ Effluent
Is flowmeter calibrated annually(design flow>10,000 gpd)? ❑ ❑ ® 0
Is flowmeter operating properly? ❑ 0 ® ❑
Does flowmeter operate continuously? ❑ ❑ ® ❑
Does flowmeter record flow? ❑ ❑ ® ❑
Does flowmeter appear to monitor accurately? El ❑ ® ❑
If no flowmeter(design flow 1,000-<10,000 gpd), are water-use records available(water meter)?
® ❑ ❑ ❑
Are the daily average values properly calculated? ® ❑ ❑ ❑
Comments:
Treatment Y N NA NE
Are treatment facilities consistent with those outlined in permit? ® ❑ ❑ ❑
Do all treatment units appear to be operational? If no, note below. ❑ ® ❑ ❑
Comments(list any action items necessary for each unit): See summary for details.
Effluent Storage
ZLagoon(s): ❑Aerated or ❑ Mixed Spill control plan on site? ['Yes ❑No
DNA ZNE
❑Above ground tank(s): ❑Aerated or ❑ Mixed
® Underground tank(s): ❑Aerated or ❑ Mixed
❑ Drying beds ❑ Concrete storage pads ❑Other:
Amount of Storage (days, months, gallons, etc.):550,000 gallons
Comments:
Effluent Storage Lagoon(s) Y N NA NE
❑ Primary ® Secondary
Influent structure(s)free of obstructions? ® ❑ ❑ ❑
Banks/berms (are there signs of seepage, overtopping, down cutting or erosion)
® ❑ ❑ ❑
Vegetation (is there excessive vegetation on the lagoon bank) Z ❑ ❑ ❑
Liner(if visible, is it intact) ® ❑ ❑ ❑
Baffles/curtains(in need of repair) ❑ ® ❑ ❑
Freeboard (>2 feet from overtopping) ® ❑ ❑ ❑
Measurement at time of inspection
Staff gauge(clearly marked) ❑ ❑ ❑
Evidence of overflow(vegetation discolored or laying down/broken) ❑ ® ❑ ❑
Unusual color(very black, textile colors) ❑ Z ❑ ❑
Page 4 of 6

Kotis Properties, Inc. —Summerfield Shopping Center Permit No WO0013808
Compliance Inspection Report September 13, 2011
Effluent Storage Lagoon(s) continued Y N NA NE
Foam (are antifoam agents used) ❑ ® ❑ ❑
Floating mats (sludge, plants, inorganics) ❑ ® ❑ ❑
Excessive solids buildup (from bottom) ❑ ® ❑ ❑
Aerators/mixers operational (if present) ❑ ❑ ® ❑
Effluent structure(free of obstructions, easily accessible) ® ❑ ❑ ❑
Comments:Duckweed present.
Pump station(s) Y N NA NE
All pumps present, operational ❑ ❑ ® ❑
Floats/Controls operable ❑ ❑ ® ❑
Audio&Visual Alarms Operational ❑ ❑ ® ❑
Free of bypass lines or structures ❑ ❑ ® ❑
General housekeeping good ❑ ❑ ® ❑
Back-up power ❑ ❑ ® ❑
Comments:
End Use-Irrigation Number of Fields: 3 Y N NA NE
Are buffers adequate? ® ❑ ❑ ❑
Are cover crops the type specified in permit and in good condition? ® ❑ ❑ ❑
Are there signs of runoff, ponding, or drift? ❑ ® ❑ ❑
Is the acreage specified in the permit being utilized? ® ❑ ❑ ❑
Is the application equipment present, operational, and in good condition? ® ❑ ❑ ❑
Are there any limiting slopes in disposal fields? ❑ Z ❑ ❑
Is site access restricted and/or signs posted in accordance with permit? ® ❑ ❑ ❑
Are any supply wells within the CB? ❑ ® ❑ ❑
Are any supply wells within 250'of the CB? ❑ ® ❑ ❑
Spray heads calibrated this past year? ❑ ❑ ® ❑
Is permit being followed? Z ❑ ❑ ❑
Comments:
Groundwater Monitoring Wells Y N NA NE
Does the permit require monitoring wells? If so, answer the following. ❑ ❑ ® ❑
Are the monitoring wells properly installed according to the permit? ❑ ❑ ® ❑
Are the monitoring wells located properly w/respect to RB &CB? ❑ ❑ ® ❑
Are the wells properly identified &free of damage? ❑ ❑ ® ❑
Comments:
Page 5 of 6

Kotis Properties, Inc.—Summerfield Shopping Center Permit No WQ0013808 •
Compliance Inspection Report September 13, 2011
Recordkeeping Y N NA NE
Is current permit available upon request? ® ❑ 0 ❑
Has the facility been free of public complaints for the last 12 months? ® ❑ ❑ ❑
Are operational logs and maintenance records present and complete? ® ❑ ❑ ❑
Effluent Monitoring:
Are monitoring reports present? ® NDMR ® NDAR Z Cl ❑ ❑
Are flow rates less than permitted flow? ® ❑ ❑ ❑
Are application rates adhered to? ❑ ® ❑ ❑
Are lab sheets available for review and support NDMR or NDAR? Z ❑ ❑ ❑
Are all samples analyzed for the required parameters? ® ❑ ❑ ❑
Are PAN records required, if so, are they present and complete? ❑ El Z ❑
Is field parameter certification required? ® ❑ ❑ ❑
Do effluent concentrations exceed 2L GW standards? ❑ ❑ ❑ ❑
Groundwater Monitoring:
Were GW-59's submitted? ❑ ❑ ® ❑
Has GW-59A certification been completed for facility? ❑ ❑ ® ❑
Are all samples analyzed for the required parameters? ❑ ❑ ® ❑
Are there any 2L GW quality violations? Cl ❑ ® ❑
Soil Analysis:
Were annual soil analysis conducted for each irrigation field? ❑ ❑ ❑
Was lime called for on the Agronomist report? ❑ ❑ ❑ El
If required, was lime applied? ❑ ❑ ❑ El
Copper and Zinc indices: ❑ <2,000 ❑2,000—3,000 ❑ >3,000
Was Sodium less than 0.5 meq/100 cm'? ❑ ❑ ❑ El
Was Exchangeable Sodium Percentage (ESP) less than 15% ? ❑ ❑ ❑
Comments:2011 soil sample has not been taken yet. Reviewed data for March 2011 monitoring. See
summary for details on review of monitoring.
Page 6 of 6

Compliance Inspection Report Permit:W00013608 Owner-Facility:rots Properties Inc
Permit: W00013808 Effective:09/12/08 Expiration:08/31/16 Owner:Kotis Properties Inc Inspection Date:09292008 Inspection Type:Compliance Evaluation Reason for Visit:Routine
SOC: Effective: Expiration: Facility:Summerheld Shopping Center Inspection Summary:
County:Guilford 4548 Highway 220 Notes from the inspection conducted on 9/29/08.
Region:Winston-Salem The new liner was recently installed. It had a new type of liner surface that is textured which provides grip when walking
Summerfield NC 27358
on the liner.
Contact Person: Bill Kotis Title: Phone:[phone] •The mud well to sand filter had wastewater in it that flowed in during installation of the treatment units. They will have to
pump and haul until construction is complete.
Directions to Facility: •The sycamores planted on the drip fields are now 20 feet or more in height and numerous tulip poplars have grow in the
take 1-40 east to Hwy 150 in kemesville,turn left at top of ramp turn tight on Hwy 220 then take first left gravel driveway behind the past 8 years.
shopuino�center_ -The recirculating sand filter was being constructed at the time of the inspection.
systxm-classlftcations: SI, WW1, -Wetlands cells were redone with new gravel placed in the bottom. New plants will be placed later.
Primary ORC: Kenneth Chad Leinbach Certification:23928 Phone:[phone] 'The old permit monitoring requirements were being used at the time of this inspection.
•For the January'08 monitoring report the POL was written down instead of the value reported for Ammonia on the lab
Secondary ORC(s): sheets. This monitoring report needs to be revised.
Dennis James Hodge Certification:14872 Phone:[phone]
On-Site Representative(s): Type Yes No NA NE
Related Permits: Lagoon Spray.LR ❑
Reuse(Quality) 0
Inspection Date: 09/29/2008 Entry Time:01:30 AM Exit Time:03:15 PM Infiltration System 0
Primary Inspector. Derek Denard Phone:[phone] Single Family Spray,LR 0
Secondary Inspector(s):
Activated Sludge Spray,HR 0
Reason for Inspection: Routine Inspection Type:Compliance Evaluation Activated Sludge Spray.LR 0
Permit Inspection Type: Surface Irrigation Activated Sludge Drip.LR 0
Facility Status: ■Compliant 0 Not Compliant Recycle/Reuse 0
Question Areas: 0
Single Family Drip
Ii Miscellaneous Questions
(See attachment summary)
Page:1 Page:2

•
Compliance Inspection Report Permit:W00013808 Owner.Facility,Kots Properties Inc
Permit: W00013808 Effective:09/12/08 Expiration:08/31/16 Owner:Kotis Properties Inc Inspection Date:0825/2010 inspection Type:Compliance Evaluation Reason for Visit:Routine
•
SOC: Effective: Expiration: Facility:Summerfield Shopping Center Inspection Summary:
County:Guilford 4548 Highway 220
•
Region:Winston-Salem •
Summerfield NC 27358 The facility was in violation for the following.
Contact Person: Bill Kotis Title: Phone:[phone] -Electrical problems with the control panel at the mud well to the recirculation sand filter. The visual alarm(red light)was
working,but the audio alarm buzzer was not operational. In addition,pump number one was not operational in the mud
Directions to Facility: well. This electrical panel and mud well pump has not been working for some time.(We received a phone call from the
take I-00 east to Hwy 150 in kemesville,turn left at top of ramp.turn right on Hwy 220 then take first left gravel driveway behind the operator notifying us that repairs were made prior to drafting this letter;however,a written explanation of the repairs for
shopoin4�center this issue should be inducted in the response.)
Systkm-Classifications: SI, WW1.
Electrical problems with the control panel at the wet well to irrigation. There was power to the panel but the controls
Primary ORC: Kenneth Chad Leinbach Certification:23928 Phone:[phone] were not responsive. The audio/visual alarm was not functional either. Lighting may have damaged this electrical panel.
Secondary oRc(s): (We received a phone call from the operator notifying us that repairs were made prior to drafting this letter;however,a
written explanation of the repairs for this issue should be included in the response.)
Dennis James Hodge Certification:14872 Phone:[phone]
Permit Conditions 11.1.and 111.1.address the general operation and maintenance requirements for the wastewater
On-Site Representative(s): treatment facility.
-Heavy erosion has occurred on the southeastern side of the berm for the storage pond. This area needs to be repaired
Related Permits: to prevent failure of the lagoon berm. Related to this issue is that storm water drainage needs to be managed around
treatment units such as the area between the storage lagoon and sand filter. Storm water drainage within the topography
surrounding of the treatment units needs to be better diverted to prevent erosion or inundation of the treatment facility.
Inspection Date: 0812512010 Entry Time:0115 PM Exit Time:04:00 PM (We received a phone call from the operator notifying us that repairs were made prior to drafting this letter;however,a
written explanation of the repairs for this issue should be included in the response.)
Primary Inspector: Derek Denard Phone:[phone]
Secondary Inspector(s): Permit Condition 111.14 requires that a protective vegetative cover be established and maintained on all earthen
embankments,berms,pipe runs,erosion control areas,and surface water diversions.
Patrick Mitchell Phone:
Other operation and maintenance issues noted during the inspection of this facility:
Reason for Inspection: Routine Inspection Type:Compliance Evaluation
Permit Inspection Type: Surface Imgation •The covering material(gravel,pebbles,stalite)for the recirculating sand filter has settled and slumped away on the
storage pond side and the back end(wetlands)side of the sand filter,exposing the drip piping. The piping needs to be
Facility Status: 0 Compliant •Not Compliant recovered with the proper material according to engineering specifications such as stalite,pebbles,and/or#67 stone.
•The growth of undesired plants in the wetlands treatment system should be managed to encourage the growth of
Question Areas: desired plant species.
■Treatment Flow ■Treatment Flow In Miscellaneous Questions ■Treatment Flow
Measurement-Effluent Measurement-Influent Measurement-Water Use Review of self-monitoring from October 2006 to June 2010 noted the following.
Records
Treatment Treatment Filters Record Keeping End Use-Irrigation •February 2010 through June 2010 NDARs noted that the yearly loading rate of 34.75 inches had been exceeded due to
El adjustment of the shutdown protocol.
NI Treatment Disinfection •Treatment Flow U Storage Weekly pH and TRC were not reported from February 2008 to December 2008,which was oversight of the new
Measurement monitoring requirements for the new permit modified on January 22,2008 and renewed on September 12,2008. Weekly
monitoring of pH and TRC was started in January 2009.
Daily and monthly average flow rates were not record on the December 2006 NDMR.
(See attachment summary) ADDITIONAL INSPECTION QUESTIONS
Soil Tests
Was a Standard Soil Fertility Analysis conducted for each application field?YES:12/21/09
•Were the soil pH's 6.0 or greater for each application field?4.9 and 4.9 for forest soils
-If no,was lime applied to those fields?N/A
Page:1 Page:2

•
•
Permit:W00013808 Owner-Facility:Kole Properties Inc Permit:W00013808 Owner-Facility:core Properties Inc
inspection Date:08252010 inspection Type:Compliance Evaluation Reason tor Visit:Routine Inspection Date:08252010 inspection Type:Compliance Evaluation Reason for Visit:Routine
Type Yes No NA NE
Reuse(Quality) ❑
•Were the copper and zinc indexes in the soil less than 2000 for each application field?YES
Was sodium less than 0.5 meq/100 an^3?YES:0.1 and 0.1 Lagoon Spray,LR 0
Was the exchangeable sodium percentage(ESP)less than 15%?YES:3.2%and 2.6%
Sand Filters Infiltration System ❑
(If pumps are used)Is an audible and visible alarm present and operational?NO:audible not operational Single Family Spray,LR 0
Is the distribution box level and watertight?YES
Is sand filter free of ponding?algae or excessive vegetation?YES Activated Sludge Spray.LR 0
Is the sand filter effluent re-circulated at a valid ratio?YES
Septic Tanks Activated Sludge Drip,LR ❑
(If pumps are used)Is an audible and visual alarm operational?YES Activated Sludge Spray,HR ❑
Is septic tank pumped on a schedule? YES
Is distribution box level and watertight?YES Reryde/Reuse 0
Are pumps or syphons operating properly?YES
Are high and low water alarms operating properly?NO:audible not operational Single Family Dap ❑
Treatment Yes No NA NE
Are Treatment facilities consistent with those outlined in the current permit? ■ ❑ ❑ ❑
Do all treatment units appear to be operational?(if no,note below.) 0 ■ 0 0
Comment: See summary for comments and additional questions.
Treatment Flow Measurement-Influent Yes No NA NE
Is flowmeter calibrated annually? 00 . 0
Is flowmeter operating properly? 0 0 ■ 0
Does flowmeter monitor continuously? 0 0 ■ 0
Does flowmeter record flow? 0 0 ■ 0
Does flowmeter appear to monitor accurately? 0 0 ■ 0
Comment: See summary for comments and additional questions.
Treatment Flow Measurement-Water Use Records Yes No NA NE
Is water use metered? ■ ❑ ❑ ❑
Are the daily average values properly calculated? ■ ❑ ❑ ❑
Comment: See summary for comments and additional questions.
Treatment Flow Measurement-Effluent Yes No NA NE
Is flowmeter calibrated annually? 00110
Is flowmeter operating properly? 0 0 ■ 0
Does flowmeter monitor continuously? 0 0 ■ 0
Does flowmeter record flow? ❑ ❑ ■ ❑
Does flowmeter appear to monitor accurately? 00110
Page,3 Pa 4
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Permit:W00013808 Owner-Facility:Kolis Properties Inc Permit:W00013808 Owner-Facility:Irons Properties Inc
Inspection Oate:0825/2010 Inspection Type:Compliance Evaluation Reason for Visit:Routine Inspection Date:08/252010 Inspection Type:Compliance Evaluation Reason for Visit:Routine
• Is the site condition adequate? ■ ❑ ❑ ❑ Liner Type Fun,synthetic
Is the site free of runoff/ponding? ■ ❑ ❑ ❑ Is liner acceptable? ■ ❑ O ❑
Is the acreage specified in the permit being utilized? ■ ❑ ❑ ❑
Are baffles/curtains acceptable? 0 0 ■ 0
Is the application equipment present? ■ ❑ ❑ O Does the pond have a freeboard marker? ■ ❑ ❑ ❑
Is the application equipment operational? ■ ❑ ❑ O Required freeboard? 2
Is the disposal field free of limiting slopes? ■ ❑ O O Feet
Is access restricted and/or signs posted during active site use? ■ ❑ ❑ ❑ Actual freeboard? 3.5
Are any supply wells within the CB? 08100 Feet
Are any supply wells within 250'of the CB? O O ❑ ■ is there suitable grassed vegetation? ■ O ❑ ❑
How close is the closest water supply well? 00011 Is the vegetation maintained? ■ ❑ ❑ ❑
Is municipal water available in the area? 0 0 0 ■ Is the area free of excessive weeds and/or woody species? ■ ❑ ❑ O
#Info only:Does the permit call for monitoring wells? 0 ■ 0 0 Is the area free from signs of overflow? ■ ❑ ❑ ❑
Are GW monitoring wells located property wl respect to RB and CB? ❑ ❑ ■ O Is color acceptable? ■ ❑ ❑ ❑
Are GW monitoring wells properly constructed,including screened interval? 0 0 ■ 0 Are floating mats acceptable? ■ ❑ ❑ ❑
Are monitoring wells damaged? 0 0 ■ 0 No excessive buildup of solids? ■ ❑ ❑ ❑
Comment: See summary for comments and additional questions. Are aerators/mixers acceptable? 00110
550,000- Is effluent structure acceptable? ■ ❑ ❑ ❑
Storage Yes No NA NE If present,is pond cover acceptable? ❑ ❑ ■ ❑
Storage Type? Pond Comment: See summary for comments.
Storage amount? 55055
*At what point is side-stream wastewater returned to treatment? irrigation
Is there a Spill Control Plan? ❑ ❑ ❑ ■
Aerated or Mixed? NONE
If aeration is present,is it adequate? ❑ ❑ ■ ❑
If present,are diffusers leaned regularly? ❑ ❑ ❑ ❑
Is influent structure acceptable? ■ ❑ ❑ ❑
Are banks/berms free of seepage and erosion? 01800
Are banks/berms free of excessive vegetation? ■ ❑ ❑ ❑
Is pond lined? 1. 000
Page:7 Page'8

•
AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
Date: August 25,2008 County: Guilford
To: Aquifer Protection Section Central Office Permittee: Kotis Properties,Inc.
Central Office Reviewer: Matt Fleahman, PG, LAU Project Name: Summerfield Shopping Center
Regional Login No: Application No.: W00013808
I. GENERAL INFORMATION
1. This application is(check all that apply): ❑New ® Renewal
❑ Minor Modification ❑ Major Modification
• Surface Irrigation ❑ Reuse❑ Recycle ❑High Rate Infiltration ❑ Evaporation/Infiltration Lagoon
❑ Land Application of Residuals ❑Attachment B included ❑503 regulated ❑ 503 exempt
❑ Distribution of Residuals ❑ Surface Disposal
❑ Closed-loop Groundwater Remediation ❑ Other Injection Wells(including in situ remediation)
Was a site visit conducted in order to prepare this report? ❑Yes or®No.
a. Date of site visit: A site visit will be conducted by the end of September when the construction of the
approved modifications are completed. These modifications were approved on January 22, 2008.
b. Person contacted and contact information: Chad Leinbach,ORC, Conner Consulting, LLC,919-260-7301
c. Site visit conducted by:
d. Inspection Report Attached: ❑ Yes or®No.
2. Is the following information entered into the BIMS record for this application correct?
® Yes or❑No. If no,please complete the following or indicate that it is correct on the current application.
For Treatment Facilities:
a. Location: The Summerfield Renaissance Shopping Center is located at the intersection of Hwy 220 and
Hwy 150 near Summerfield,NC in Guilford County
b. Driving Directions: Frow WSRO, take Hwy 52 north to I-40 Business east. Take the Hwy 150 exit (in
Kernersville) and turn left at the top of the ramp. Follow the signs for Hwy 150 through Kernersville.
Turn right on Hwy 220. The Summerfield Renaissance Shopping Center is at the intersection of Hwy 220
and Hwy 150. To get to the wastewater plant, continue on Hwy 220 beyond the intersection with Hwy 150.
Turn left at the gravel driveway behind the shopping center.
c. USGS Quadrangle Map name and number: Summerfield
d. Latitude: 36 11' 29" Longitude: 79 53' 24"
e. Regulated Activities/Type of Wastes (e.g., subdivision, food processing,municipal wastewater): Domestic
wastewater from shopping center,restaurant and grocey store.
For Disposal and Injection Sites:
(If multiple sites either indicate which sites the information applies to, copy and paste a new section into the
document for each site, or attach additional pages for each site)
a. Location(s): Same as above
b. Driving Directions: Same as above
c. USGS Quadrangle Map name and number: Same as above
d. Latitude: Longitude:
FORM: Kotis-Summerfield WQ0013808 APSRSR 0904.doc 1

AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
II. NEW AND MAJOR MODIFICATION APPLICATIONS(this section not needed for renewals or minor
modifications,skip to next section)
Description Of Waste(S)And Facilities
1. Please attach completed rating sheet. Facility Classification:
2. Are the new treatment facilities adequate for the type of waste and disposal system?
❑ Yes ❑No ❑N/A. If no, please explain:
3. Are the new site conditions (soils, topography, depth to water table, etc) consistent with what was reported by
the soil scientist and/or Professional Engineer? ❑ Yes ❑No ❑N/A. If no, please explain:
4. Does the application (maps, plans, etc.) represent the actual site (property lines, wells, surface drainage)? ❑
Yes ❑No ❑N/A. If no,please explain:
5. Is the proposed residuals management plan adequate and/or acceptable to the Division. ❑ Yes ❑ No ❑
N/A. If no,please explain:
6. Are the proposed application rates for new sites(hydraulic or nutrient)acceptable?
❑ Yes ❑No ❑N/A. If no, please explain:
7. Are the new treatment facilities or any new disposal sites located in a 100-year floodplain?
❑ Yes ❑ No ❑ N/A. If yes, please attach a map showing areas of 100-year floodplain and please explain
and recommend any mitigative measures/special conditions in Part IV:
8. Are there any buffer conflicts (new treatment facilities or new disposal sites)? ❑ Yes or❑No. If yes, please
attach a map showing conflict areas or attach any new maps you have received from the applicant to be
incorporated into the permit:
9. Is proposed and/or existing groundwater monitoring program (number of wells, frequency of monitoring,
monitoring parameters, etc.) adequate? ❑ Yes ❑ No ❑ N/A. Attach map of existing monitoring well
network if applicable. Indicate the review and compliance boundaries. If No, explain and recommend any
changes to the groundwater monitoring program:
10. For residuals, will seasonal or other restrictions be required? ❑ Yes ❑ No ❑N/A If yes, attach list of sites
with restrictions (Certification B?)
III. RENEWAL AND MODIFICATION APPLICATIONS(use previous section for new or major modification
systems)
Description Of Waste(S) And Facilities
1. Are there appropriately certified ORCs for the facilities? ® Yes or❑No.
Operator in Charge: Kenneth C. Leinbach Certificate#:SI/23928 WW-2/29210
Backup-Operator in Charge: Dennis J. Hodge Certificate#:SI/ 14872 WW-4/8754
FORM: Kotis-Summerfield WQ0013808 APSRSR 0904.doc 2

AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
2. Is the design, maintenance and operation (e.g. adequate aeration, sludge wasting, sludge storage, effluent
storage, etc) of the treatment facilities adequate for the type of waste and disposal system? El Yes or El No.
If no,please explain:
3. Are the site conditions (soils, topography, depth to water table, etc) maintained appropriately and adequately
assimilating the waste? ®Yes or El No. If no,please explain:
4. Has the site changed in any way that may affect permit (drainage added, new wells inside the compliance
boundary,new development, etc.)? If yes,please explain:NO
5. Is the residuals management plan for the facility adequate and/or acceptable to the Division?
® Yes or El No. If no, please explain: Septic tanks are pumped and hauled every 6 months.
6. Are the existing application rates (hydraulic or nutrient) still acceptable? ® Yes or ❑ No. If no, please
explain:
7. Is the existing groundwater monitoring program (number of wells, frequency of monitoring, monitoring
parameters, etc.) adequate? ❑ Yes ❑ No El N/A. Attach map of existing monitoring well network if
applicable. Indicate the review and compliance boundaries. If No, explain and recommend any changes to the
groundwater monitoring program:
8. Will seasonal or other restrictions be required for added sites? ❑ Yes ❑No ®N/A If yes,attach list of sites
with restrictions (Certification B?)
9. Are there any buffer conflicts (treatment facilities or disposal sites)? ❑ Yes or ® No. If yes, please attach a
map showing conflict areas or attach any new maps you have received from the applicant to be incorporated
into the permit:
10. Is the description of the facilities, type and/or volume of waste(s) as written in the existing permit correct?
Yes or❑No. If no, please explain:
11. Were monitoring wells properly constructed and located? El Yes or El No ® N/A. If no, please explain:
12. Has a review of all self-monitoring data been conducted (GW,NDMR, and NDAR as applicable)? ® Yes or
❑No El N/A. Please summarize any findings resulting from this review: Review of self monitoring for
August 2006 through June 2008 found the following: Flow (in conduit or thru treatment plant) exceeded the
permitted flow of 1,700 GPD for PPI 001 for May 2007 (1,950.65), June 2007 (3,036.1), July 2007 (2,460.97),
August (2,954.87), September 2007 (3,073.03), October 2007 (2,811.97), November 2007 (2,577.81), May
2008 (2,383.45), and June 2008 (2,211.07).
13. Check all that apply: ® No compliance issues; ❑ Notice(s) of violation within the last permit cycle; ❑
Current enforcement action(s) El Currently under SOC; El Currently under JOC; El Currently under
moratorium. If any items checked, please explain and attach any documents that may help clarify
answer/comments (such as NOV,NOD etc):
14. Have all compliance dates/conditions in the existing permit, (SOC, JOC, etc.) been complied with? El Yes
El No El Not Determined ®N/A.. If no, please explain:
FORM: Kotis-Summerfield WQ0013808 APSRSR 0904.doc 3

AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
15. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit? ❑
Yes or®No ❑N/A. If yes,please explain:
FORM: Kotis-Summerfield WQ0013808 APSRSR 0904.doc 4

AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
IV. INJECTION WELL PERMIT APPLICATIONS(Complete these two sections for all systems that use injection
wells,including closed-loop groundwater remediation effluent injection wells,in situ remediation injection wells,and heat
pump injection wells.)
Description Of Well(S)And Facilities—New,Renewal,And Modification
1. Type of injection system:
❑ Heating/cooling water return flow(5A7)
❑ Closed-loop heat pump system(5QM/5QW)
❑In situ remediation(5I)
❑ Closed-loop groundwater remediation effluent injection(5L/"Non-Discharge")
❑ Other(Specify: )
2. Does system use same well for water source and injection? ❑ Yes ❑No
3. Are there any potential pollution sources that may affect injection?❑ Yes ❑No
What is/are the pollution source(s)? . What is the distance of the injection well(s)from the pollution
source(s)? ft.
4. What is the minimum distance of proposed injection wells from the property boundary? ft.
5. Quality of drainage at site: ❑ Good ❑Adequate ❑ Poor
6. Flooding potential of site: ❑ Low ❑ Moderate ❑High
7. For groundwater remediation systems, is the proposed and/or existing groundwater monitoring program
(number of wells, frequency of monitoring,monitoring parameters,etc.) adequate? ❑Yes ❑No. Attach
map of existing monitoring well network if applicable. If No, explain and recommend any changes to the
groundwater monitoring program:
8. Does the map presented represent the actual site(property lines, wells, surface drainage)? ❑Yes or❑No. If
no or no map, please attach a sketch of the site. Show property boundaries,buildings,wells,potential pollution
sources,roads, approximate scale, and north arrow.
Injection Well Permit Renewal And Modification Only:
1. For heat pump systems, are there any abnormalities in heat pump or injection well operation (e.g.turbid water,
failure to assimilate injected fluid,poor heating/cooling)?
❑ Yes ❑No. If yes, explain:
2. For closed-loop heat pump systems,has system lost pressure or required make-up fluid since permit issuance
or last inspection? ❑ Yes ❑No. If yes, explain:
3. For renewal or modification of groundwater remediation permits(of any type),will
continued/additional/modified injections have an adverse impact on migration of the plume or management of
the contamination incident? ❑ Yes ❑No. If yes, explain:
4. Drilling contractor: Name:
FORM: Kotis-Summerfield WQ0013808 APSRSR 0904.doc 5

AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
Address:
Certification number:
5. Complete and attach Well Construction Data Sheet.
FORM: Kotis-Summerfield WQ0013808 APSRSR 0904.doc 6

I.
AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
V. EVALUATION AND RECOMMENDATIONS
1. Provide any additional narrative regarding your review of the application.: Review of self monitoring for
August 2006 through June 2008 found the following: Flow(in conduit or thru treatment plant)exceeded the
permitted flow of 1,700 GPD for PPI 001 for May 2007 (1,950.65), June 2007 (3,036.1),July 2007 (2,460.97),
August(2,954.87), September 2007 (3,073.03), October 2007 (2,811.97),November 2007(2,577.81),May
2008 (2,383.45), and June 2008 (2,211.07). PPI 001, permitted for 1,700 GPD,will be deleted upon receipt of
the engineering certification for completion of improvements according to the note in BIMS. The permitted
flow was increased to 3,600 GPD(as stated in permit description)on January 22,2008 pending improvements
that will have PPI 002 permitted for 3,182 GPD(per Attachment A). The permit description and the
Attachment A differ on flow. This is also the case in BIMS. This may create confusion from an operational
standpoint on which value(3,600 GPD or 3,182 GPD) is the treatment system going to have to be compliant
with. Apparently, influent flow or the maximum amount that can be treated is 3,600 GPD and the maximum
effluent flow or amount irrigated is 3,182 GPD. Since the permitted influent flow is greater than the permitted
effluent flow there should be adequate storage capacity(550,000 gallons).
2. Attach Well Construction Data Sheet- if needed information is available
3. Do you foresee any problems with issuance/renewal of this permit? ❑Yes ®No. If yes, please explain
briefly.
4. List any items that you would like APS Central Office to obtain through an additional information request.
Make sure that you provide a reason for each item:
Item Reason
5. List specific Permit conditions that you recommend to be removed from the permit when issued. Make sure
that you provide a reason for each condition:
Condition Reason
6. List specific special conditions or compliance schedules that you recommend to be included in the permit when
issued. Make sure that you provide a reason for each special condition:
Condition Reason
FORM: Kotis-Summerfield WQ0013808 APSRSR 0904.doc 7

r
AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
7. Recommendation: ❑Hold, pending receipt and review of additional information by regional office; ❑ Hold,
pending review of draft permit by regional office; ❑ Issue upon receipt of needed additional information;
Issue; ❑ Deny. If deny,please state reasons:
8. Signature of report preparer(s): -e-------' 0
Signature of APS regional supervisor: ›ege-tit Y.
Date: 8l Z4,jo0
ADDITIONAL REGIONAL STAFF REVIEW ITEMS
FORM: Kotis-Summerfield WQ00 13808 APSRSR 0904.doc 8

RECEIVED
AQUIFER PROTECTION SECTION N.C.Dept.of ENR
APPLICATION REVIEW REQUEST FORM JUL 2 2 2008
Winston-Salem
Regional Office I
Date: July 21, 2008
To: n Landon Davidson,ARO-APS ❑ David May, WaRO-APS
❑ Art Barnhardt,FRO-APS ❑ Charlie Stehman, WiRO-APS
❑ Andrew Pitner,MRO-APS ® Sherri Knight, WSRO-APS
❑ Jay Zimmerman,RRO-APS
From: Matt Fleahman, PG , Land Application Unit
Telephone: [phone] Fax: [phone]
E-Mail: [e-mail]
A. Permit Number: WQ0013808
B. Owner: Kotis Properties, Inc
C. Facility/Operation: Summerfield Shopping Center
❑ Proposed ® Existing ® Facility ® Operation
D. Application:
1. Permit Type: n Animal ® Surface Irrigation n Reuse ❑ H-R Infiltration
n Recycle ❑ I/E Lagoon ❑ GW Remediation(ND)
n UIC - (5QW) closed loop water only geothermal
For Residuals: ❑ Land App. ❑ D&M ❑ Surface Disposal
❑ 503 ❑ 503 Exempt ❑ Animal
2. Project Type: ❑ New ❑ Major Mod. ❑ Minor Mod. ® Renewal ❑ Renewal w/Mod.
E. Comments/Other Information: ❑ I would like to accompany you on a site visit.
Attached, you will find all information submitted in support of the above-referenced application for your
review, comment, and/or action. Within 30 calendar days,please take the following actions:
® Return a Completed Form APSSRR.
❑ Attach Well Construction Data Sheet.
n Attach Attachment B for Certification by the LAPCU.
❑ Issue an Attachment B Certification from the RO*.
* Remember that you will be responsible for coordinating site visits, reviews, as well as additional
information requests with other RO-APS representatives in order to prepare a complete Attachment B for
certification. Refer to the RPP SOP for additional detail.
When you receive this request form, please write your name and dates in the spaces below, make a copy
of this sheet, and return it to the appropriate Central Office-Aquifer Protection Section contact person
listed above. L)
RO-APS Reviewer: `" ' "'L" J , rvuc Date: ____424Z
FORM: APSARR 02/06 Page 1 of 1

' t
�OF W ATF9Q Michael F.Easley,Governor
William G.Ross Jr.,Secretary
C - North Carolina Department of Environment and Natural Resources
-� Coleen H.Sullins Director
Division of Water Quality
RECEIVED
July 18,2008 N.C.Dept.of ENR
Dan Witcher JUL 2 2 2008
Kotis Properties Inc Winston-Salem
PO Box 9296 Regional Office I
Greensboro,NC 27429
Subject: Acknowledgement of Application No.WQ0013808
Summerfield Shopping Center
Surface Irrigation System
Guilford
Dear Mr. Witcher:
The Aquifer Protection Section of the Division of Water Quality(Division)acknowledges receipt of your permit
application and supporting materials on June 27,2008.This application package has been assigned the number listed
above and will be reviewed by Matthew Fleahman.
The reviewer will perform a detailed review and contact you with a request for additional information if necessary.
To ensure the maximum efficiency in processing permit applications,the Division requests your assistance in
providing a timely and complete response to any additional information requests.
Please be aware that the Division's Regional Office,copied below,must provide recommendations prior to final
action by the Division. Please also note at this time,processing permit applications can take as long as 60-90 days
after receipt of a complete application.
If you have any questions,please contact Matthew Fleahman at 919-715-6173,or via e-mail at
[e-mail]. If the reviewer is unavailable,you may leave a message,and they will respond
promptly.Also note that the Division has reorganized.To review our new organizational chart,go to
http://h2o.enr.state.nc.us/documents/dwo orgchart.pdf.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS
PROJECT.
Sincerely,
006LA , &0i4.<
for Kim H.Colson,PE
Supervisor
•
cc:
Victor D mato,PE/Arcadis US 4915 Prospectus Dr. Ste F,Durham,NC 27713
Permit Application File WQ0013808
NorthCarolina
Naturally
Aquifer Protection Section 1636 Mail Service Center Raleigh,NC 27699-1636 Telephone: [phone]
Internet:www.ncwateraualitv.orq Location: 2728 Capital Boulevard Raleigh,NC 27604 Fax 1: [phone]
Fax 2: [phone]
An Equal Opportunity/Affirmative Action Employer-50%Recycled/10%Post Consumer Paper Customer Service: [phone]

State of North Carolina i4QUlFPa oPn-rzCTinN SFCTIOK
Department of Environment and Natural Resources JUN 2 7 Z
Division of Water Quality
INSTRUCTIONS FOR FORM: WWR 09-06
(RENEWAL WITHOUT MODIFICATION OF WASTEWATER NON-DISCHARGE SYSTEMS)
For more information or for an electronic version of this form, visit the Land Application Unit(LAU) web site at:
http://h2o.enr.slate.nc.tis/lau/main.html
This form is for renewal without modification for all wastewater non-discharge systems. Wastewater non-discharge
systems include:High Rate Infiltration Systems;Infiltration/Evaporation Lagoons;Reclaimed Water Utilization
Systems; Wastewater Recycle Systems;Single Family Surface Irrigation Systems;and Surface Irrigation Systems.
This application may not be used for renewal of Land Application of Residuals Permits.
A. Application Form (All Application Packages):
✓ Submit one (1) original and two (2) copies of the completed and appropriately executed application form.
Any changes made to this form will result in the application package being returned.
✓ If the Applicant is a corporation or company, it must be registered for business with the NC Secretary of
State(http://www.secretary.state.nc.us/Corporations/CSearch.aspx).
✓ If the Applicant is a partnership, sole proprietorship, trade name, or d/b/a enclose a copy of the certificate
filed with the register of deeds in the county of business.
✓ The application must be signed appropriately in accordance with 15A NCAC 2T .0106(b). An alternate
person may be designated as the signing official, provided that a delegation letter is provided from a person
who meets the referenced criteria. You may download an example delegation letter from the LAU web
site.
✓ Submit three(3)copies of the most recently issued existing permit.
B. Additional Forms(Single Family Residence Surface Irrigation Systems Only):
✓ Submit one(1)original and two(2)copies of a completed and properly executed FORM: SFR O&M. This
Form may be downloaded at: http://h2o.enr.state.nc.us/lau/applications.html#Single
C. Site Map
✓ Submit three (3) copies of an updated site map if required as part of the original submittal in accordance
with 15A NCAC 2T.0105(d).
I. GENERAL INFORMATION:
I. Permittee's name(Owner of the facility): Kotis Properties,Inc.
2. Complete mailing address of Permittee: PO Box 9296
City: Greensboro State: NC Zip: 27429-9296
Telephone number: [phone] Facsimile number: [phone]
Email Address: dan(&,kotisprop.com
3. Facility name(name of the subdivision, shopping center,etc.): Summerfield Shopping Center
4. Complete address of the physical location of the facility(if different from above):4548 Highway 220
North
City: Summerfield State: NC Zip: 27358
5. County where project is located: Guilford County
6. Name and affiliation of contact person who can answer questions about project: Victor D'Amato,PE
Email Address: vdamatoamindspring.com
II. PERMIT INFORMATION:
FORM: WWR 09-06 Page 1

• 1. Existing permit number WQ0013808 and the issuance date January 22,2008
2. Existing permit type:
❑ High-Rate Infiltration ❑ Evaporation Lagoons ❑ Reclaimed Water Utilization
❑ Single Family Surface Irrigation ® Surface Irrigation ❑ Wastewater Recycle
3. Has the treatment and disposal system been constructed? ❑ Yes ® No
SYSTEM MODIFICATIONS ARE CURRENTLY UNDER CONSTRUCTION
4. If the system has not been constructed,would you like to rescind your permit(i.e.the permitted facilities
will not be needed)? ❑ Yes ® No
5. Has the wastewater system been connected to a municipal or community sewer system? ❑ Yes
No
Applicant's Certification [signing authority must be in compliance with 15A NCAC 2T.0106(b)J:
I,Dan Witcher,Vice President(signing authority name and title)attest that this application for Summerfield
Shopping Center(facility name)has been reviewed by me and is accurate and complete to the best of my
knowledge. I understand that any discharge of wastewater from this non-discharge system to surface waters or the
land will result in an immediate enforcement action that may include civil penalties, injunctive relief,and/or
criminal prosecution. I will make no claim against the Division of Water Quality should a condition of this permit
be violated. I also understand that if all required parts of this application package are not completed and that if all
required supporting information and attachments are not included,this application package will be returned to me as
incomplete. I further certify that the applicant or any affiliate has not been convicted of an environmental crime,has
not abandoned a wastewater facility without proper closure,does not have an outstanding civil penalty where all
appeals have been exhausted or abandoned,are compliant with any active compliance schedule,and do not have any
overdue annual fees under Rule 2T.0105. Note: In accordance with NC General Statutes 143-215.6A and 143-
215.6B,any person who knowingly makes any false statement,representation,or certification in any application
package shall be guilty of a Class 2 misdemeanor,which may include a fine not to exceed$10,000 as well as civil
penalties up to$25,0 per violation. n/
Signature: 6 Date:
THE COMPLETED RENEWAL APPLICATION SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
AQUIFER PROTECTION SECTION
By U.S. Postal Service: By Courier/Special Delivery:
1636 MAIL SERVICE CENTER 2728 CAPITAL BOULEVARD
RALEIGH,NORTH CAROLINA 27699-1636 RALEIGH,NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone] FAX NUMBER: [phone]
RECEIVED/DENR/DWQ
Aquifer Protection Section
JUN 27 2008
FORM: WWR 09-06 Page 2

WAr -
� l9� Michael F.Easley.G vemor
0 6 William G.RossJr..Secretary
- North Carolina Department of Environment and Natural Resources
>_
`(' Coleen H Sullins. I>irector
Division of Water Quality
April 21, 2008 RECEIVED
N.C.Dept.of ENR
DAN WITCHER APR 2 2 2008
KOTIS PROPERTIES,INC. Winston-Salem lI
PO Box 9296 Regional Office
GREENSBORO,NC 27408
Subject: Permit Renewal Reminder
Surface Irrigation
Summerfield Shopping Center
Permit Number WQ0013808
Guilford County
Dear Mr.Witcher,
As of this date, our records indicate that the above-referenced permit, which was issued on
1/22/2008 and expires on 12/31/2008, has not been renewed. It is both a condition of your permit and
required by 15A NCAC 2T .0109 to request a renewal of your permit at least 180 calendar days prior to
its expiration date.
Failure to apply for permit renewal, and operation of your facility without an active permit may
result in the assessment of civil penalties in accordance with North Carolina General Statute §143-
215.6A. Therefore, it is imperative that you submit a permit renewal application package for review as
soon as possible.
Please submit the enclosed Wastewater Renewal without Modification Application (Form WWR
09-06) in triplicate to the following address:
Aquifer Protection Section
Land Application Unit
1636 Mail Service Center
Raleigh,NC 27699-1636
Please note that if the facility has never been constructed or if the facility has been connected to
sewer service,the Permittee has the option of rescinding the permit. Thank you in advance for your
cooperation and timely response. If you have any questions, please contact Nathaniel Thornburg at(919)
715-6160 or at [e-mail].
Sincerely,
Nathaniel D.Thornburg
Environmental Engineer II
APS Central Files
One
N Carolina
,Naturally
Aquifer Protection Section 1636 Mail Service Center Raleigh,NC 27699-1636 Phone[phone] Customer Service
Internet:www.ncwaterquality.org 2728 Capital Boulevard Raleigh,NC 27604 Fax [phone] 1-877-623-6748
Fax [phone]
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper

G
__--------eg'unal 0 nce
—Yam ■■r
*********************************************************************�F********
DIVISION OF WATER QUALITY
RALEIGH REGIONAL OFFICE
February 4, 2008
******************************************************************************
MEMORANDUM
TO: Sherri Knight
Regional Supervisor
Aquifer Protection Section,Winston Salem Regional Office
FROM: Rich Hayes
Soil Scientist
Aquifer Protection Section,Raleigh Regional Office
SUBJECT: Permit No.WQ0013808
Summerfield Shopping Center
Wastewater Treatment and Surface Irrigation System
Guilford County
I am sending on a package of all information received during the express permitting process for
permit number WQ0013808, the Summerfield Shopping Center,Wastewager Irrigation and Surface
Irrigation System. You will receive a copy of the permit from the Central Office in a separate mailing.
Please do not hesitate to contact me if you need any additional information about this project.

WO*':\14A7 ; Michael F.Easley,Governor
0G William G.Ross Jr.,Secretary
North Carolina Department of Environment and Natural Resources
Q 6 Coleen H.Sullins,Director
Division of Water Quality
Regional OificE
December 20, 2007
DAN WITCHER—VICE PRESIDENT
KOTIS PROPERTIES,INC.
P.O.Box 9296
GREENSBORO,NORTH CAROLINA 27429-9296
Subject: .. =AIROlf
Additional Information Request
Summerfield Shopping Center
Wastewater Treatment and
Surface Irrigation System
Dear Mr. Witcher:
The Central and Regional Aquifer Protection Section's Express Reviewers have completed their review
of the subject permit application package. Additional information is required before we may continue our
review. Please address the following items no later than the close of business on January 3, 2008.
Please be aware that you are responsible for meeting all requirements set forth in North Carolina rules and
regulations. Any oversights that occurred in the review of the subject application package are still the
responsibility of the applicant. In addition, any omissions made in responding to the above items shall
result in future requests for additional information.
Please reference the subject application number when providing the requested information. Three(3)
copies of all revised and/or additional documentation should be signed, sealed, dated, and submitted to
the address below. One(1)copy of all revised and/or additional documentation should be signed, sealed,
dated, and submitted to Rich Hayes in the Raleigh Regional Office. Please note that failure to provide
this additional information on or before the above requested date may result in your application being
returned as incomplete.
If you have any questions regarding this request,please do not hesitate to contact me at(919)715-6160.
.Thank you for your cooperation.
Sincerely,
Nathaniel D.Thornburg
Environmental Engineer II
cc: ompleumumpampumemmimmumaimp
Victor D'Amato, PE—Arcadis G&M of NC,Inc.
Permit Application File WQ0013808
O
ow N Carolina
aturally
Aquifer Protection Section 1636 Mail Service Center Raleigh,NC 27699-1636 Telephone: [phone]
Internet:www.ncwaterquality.org Location: 2728 Capital Boulevard Raleigh,NC 27604 Fax 1: [phone]
Fax 2: [phone]
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper Customer Service: [phone]

Mr. Dan Witcher
December 20,2007
Page 2 of 5
General Note:
Upon submittal of the additional information prior to the close of business on Thursday,January 3rd,
please submit a check made payable to the Department of Environment and Natural Resources in the
amount of$1,077. Failure to provide this check by 5:00 pm on January 3rd shall result in the immediate
return of the application package. Failure to provide all requested additional information items shall
result in an automatic additional information request and associated fee.
Application:
1. Item II(5) indicates an Erosion and Sedimentation Control Plan(E&SCP)has not been submitted to
the Division of Land Resources(DLR)for the proposed modifications to the sand filter,wetland cells,
relocation of the wet weather storage pond and addition of the septic and dosing tanks. Assuming the
proposed changes and additions exceed one(1)acre in area disturbance,contact the Winston-Salem
Regional Office's DLR and determine whether or not an update E&SCP is required. Please note, if
an E&SCP is required,this non-discharge permit modification may not be issued until the plan is at
least submitted to the appropriate office for review.
2. Application Item III(3)states the flow from the Walgreens is 1,400 GPD based on a square footage of
14,000;however,Plan Sheet C-1 shows an area of 14,820 ft2. Based on this information,the flow
from the Walgreens should be 1,482 GPD,therefore,amend the Application and engineering
calculations to reflect this change, and resize any treatment components as necessary.
3. Item III(5)states the effluent Total Nitrogen concentration is 10 mg/1;however,the effluent
concentrations for ammonia, nitrate and organic nitrogen(TKN-NH3)are 1 mg/1, 15 mg/1 and 4 mg/1,
respectively,resulting in a Total Nitrogen concentration of 20 mg/l. Please note the sum of the
nitrogen family parts may not exceed the Total Nitrogen concentration. Reevaluate Item III(5).
4. To the best of the engineer's ability and without any additional field survey work,amend Item IV(2)
to include the minimum setback distances for the Irrigation System parameters. Please note these
values are needed only for informational purposes,and the wetted area(i.e., irrigation) setbacks in the
requested permit will remain the same as those in previous permit issuances.
5. Remove the statement"Additionally,there is [an] automatic,passive overflow to the storage unit at
the new filter dosing station"from Item N(5). Per Rule 15A NCAC 2T .0505(j)prohibits the use of
overflow/by-pass lines(See Detail Plans Question#5 for more information).
6. Amend Item IV(6)to include the actual chlorine detention time based upon an average daily flow of
3,100 GPD. Please note a minimum of 30 minutes of residence time is required.
7. Amend Item V(2)(b)to include the third dimension for the proposed septic tank, and provide the
required information for the sand filter dosing/purnp tank.
8. In order to complete the Division's database for this project,please amend Item VII(9)to include the
latitude and longitude for each irrigation field, as well as provide the level of accuracy,method of
measurement and datum.

Mr.ban Witcher
DeAmber 20,2007 ,
Page 3 of 5
Property Ownership Documentation:
1. Review of the Guilford County GIS (http://gcgis.co.guilford.nc.us/guilford new/) and Plan Sheet C-1
indicates the proposed Walgreens septic tank is on a piece of property separate from the existing
wastewater treatment facility property. Per Rule 15A NCAC 2T .0504(f),please provide a copy a
deed documenting that the Applicant owns the parcel where the proposed new septic tank will be
located.
Detailed Plans:
1. Per Application Instruction N and Rule 15A NCAC 2T .0105(c)(2), amend each plan sheet to include
the signature and date on the seal of a licensed North Carolina Professional Engineer.
2. Per Application Instruction N and Rule 15A NCAC 2T .0504(c),amend the plans to include a
hydraulic profile from the septic tank influent through each treatment unit and ending at the highest
irrigation emitter.
3. Amend the"Issued for State Review"issued date for Sheets C-1 through C-9.
4. Sheet C-1 indicates a sewer easement has been granted for the effluent line from the Walgreens septic
tank to the treatment plant headworks. Provide a copy of this easement. In addition, since this
collection system line will be crossing multiple property lines, it will be necessary for the Applicant
to obtain a sewer permit from the Winston-Salem Regional Office's Surface Water Protection
Section. Amend Application Item II(5) as necessary.
5. As designed,the wet weather storage pond is not serving its purpose as required by Division Rules.
Specifically,the wet weather storage pond should only receive treated and disinfected wastewater
effluent when the disposal fields are in a condition not suitable for irrigation(i.e.,inclement weather,
ponding,runoff, etc.). Plan Sheets C-1,C-2, C-4, C-7 and C-8 indicate there is a bypass line from
the sand filter recirculation tank to the wet weather storage pond,which is prohibited by Rule 15A
NCAC 2T .0505(j). Therefore,remove the bypass line to the wet weather storage pond and the return
line from the pond to the sand filter dosing tank from Plan Sheets C-1, C-2, C-4, C-7 and C-8. As an
alternate design,the Division recommends installing a line from the pump station/chlorine contact
chamber to the wet weather storage pond,and providing some means of returning the treated stored
effluent from the pond to the field dosing pump station for irrigation. •
6. Per Application Instruction N, amend the plans to include plan and profile views of the modified
wetland cell and the level control/flow splitters, as well as include their dimensions and respective
elevations. In addition, amend the sand filter plan and profile views (Sheets C-5, C-6 and C-7)to
include the sand filter dimensions,as well as amend the sand filter dosing tank plan and profile views
on Sheet C-8 to include the required dimensions and float elevations.

s
t i
Mr.Dan Witcher
December 20,2007
Page 4 of 5
Site Map:
1. Per 15A NCAC 2T .0504(d),provide four(4)copies of a standard size site map and two (2) copies of
an 11 by 17-inch site map that has been signed, sealed and dated by a North Carolina licensed Land
Surveyor and/or Professional Engineer. At a minimum,this site map shall include:
✓ A scaled map of the site, with topographic contour intervals not exceeding 10 feet or 25 percent
of total site relief and showing all facility-related structures and fences within the treatment,
storage and irrigation areas.
✓ Soil mapping units shown on all irrigation areas.
✓ The location of all wells (including usage and construction details if available), streams
(ephemeral, intermittent, and perennial), springs, lakes,ponds,and other surface drainage features
within 500 feet of all waste treatment, storage, and irrigation area(s).
✓ Delineation of the review and compliance boundaries.
✓ Setbacks as required by 15A NCAC 2T .0506.
✓ Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s).
✓ All habitable residences or places of public assembly within 500 feet of all waste treatment,
storage, and disposal site(s).
Specifications:
1. Per Application Instruction P and Rule 15A NCAC 2T .0105(c)(2), amend the specifications package
to include the seal, signature and date of a licensed North Carolina Professional Engineer.
2. Per Application Instruction P, amend the package to include the specifications for the project site
work,materials and mechanical and electrical work. Please see the application instructions for a
more detailed list of the required specifications.
3. Amend Section 00004 to include the hydraulic conductivity for the proposed wet weather storage
liner. Please note that per Rule 15A NCAC 2T .0505(f),the liner's hydraulic conductivity shall be at
least 1 x 10-6 centimeters per second.

Mr.Dali Witcher
December 20,2007
Page 5 of 5
Engineering Calculations:
1. Per Application Instruction Q and Rule 15A NCAC 2T .0105(c)(2), amend the engineering
calculations package to include the seal, signature and date of a licensed North Carolina Professional
Engineer.
2. Per Application Instruction Q and Rule 15A NCAC 2T .0504(c)(3), amend the engineering
calculations to include buoyancy calculations for the sand filter dosing tank and Walgreens septic
tank. Note Division Policy requires all subsurface treatment/storage units to maintain a buoyancy
safety factor of 1.20 determined by the following equation:
Weight of Tank 1 +Minimum Water Weight
Safety Factor = >_1.20
Volume of Tank) 62.4 lb3 T
fr ,
For your reference,please do not include the weight of soil overburden as a downward force, and the
buoyant upward force of the soil and tank material when determining this calculation.

Arm
NCDENR
North Carolina Department of Environment and Natural Resources
Michael F. Easley, Governor William G. Ross Jr., Secretary
FAX TRANSMITTAL
Winston-Salem Regional Office
Telephone: [phone] FAX: [phone]
Date: 2/z Z/(2 .'"'<' ,Ig::, NORTH CAROLINA DEPARTMENT OF
iti ENVIRONMENT AND NATURAL RESOURCES
1 7 .,4 Y� 4 ; DEREK C. DENARD
No. of Pages (including this page) 417
4i ENVIRONMENTAL CHEMIST e
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:y, AQUIFER PROTECTION SECTION NCDENR
To: Car I Pele_con I rt DIVISION OF WATER QUALITY
From
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b a 585 Waughtown Street,Winston-Salem,NC 27107
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W A 7- Michael F.Easley,Governor
R William G.Ross Jr.,Secretary
\0 QG North Carolina Department of Environment and Natural Resources
f/5 7 Alan W.Klimek,P.E.Director
> 1 Division of Water Quality
K
November 28,2006
Mr.Bill Kotis
Kotis Properties Inc
PO Box 9296
Greensboro NC 27408
SUBJECT: September 13,2006 Compliance Evaluation Inspection
Kotis Properties Inc
Kotis Properties Inc-Summerf
Permit No: WQ0013808
Guilford County
Dear Mr.Kotis:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted
on September 13,2006. The Compliance Evaluation Inspection was conducted by Derek Denard of the
Winston-Salem Regional Office. The facility was found to be in Compliance with permit WQ0013808.
Upon review of monitoring reports for the period January 2005 to July 2006 the following was noted:
• Daily,Average,Maximum and Minimum flows were not recorded on the February 2005 DMR.
This DMR should be amended if this information is available.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff
have any questions,please call Derek Denard at 336-771-5286.
Sincerely,
•
Sherri V.Knight,P.E.
Regional Aquifer Protection Supervisor
cc: Kenneth Chad Leinbach,ORC
Guilford County Health Department
APS Central Files
WinipithCarolin
)Vatural4
•
Division of Water Quality/Aquifer Protection Section Customer Service
585 Waughtown Street,Winston-Salem NC 27107 1-877-623-6748
Phone: [phone] Fax: [phone] Internet: http:!'w vv.no%aterqualit`Ave
An Equal Opportunity/Affirmative Action Employer—50%Regded/10%Post Consumer Paper

•
Compliance Inspection Report
Permit: WO0013808 Effective: 01/23/04 Expiration: 12/31/08 Owner: Kotis Properties Inc
SOC: Effective: Expiration: Facility: Kotis Properties Inc-Summerf
County: Guilford PO Box 9296
Region: Winston-Salem
Greensboro NC 27408
Contact Person: Bill Kotis Phone:[phone]
Directions to Facility:
Primary ORC: Kenneth Chad Leinbach Certification:23928 Phone:[phone]
Secondary ORC(s):
Dennis James Hodge Certification: 14872 Phone:[phone]
On-Site Representative(s):
Related Permits:
Inspection Date: 09/13/2006 Entry Time: 12:55 PM Exit Time: 03:00 PM
Primary Inspector: Derek Denard Phone:[phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type:Compliance Evaluation
Permit Inspection Type: Surface Irrigation
Facility Status: ■ Compliant 0 Not Compliant
Question Areas:
■Treatment Flow ■Treatment Flow Miscellaneous Questions ■Treatment Flow
Measurement-Effluent Measurement-Influent Measurement-Water Use
Records
In Treatment II Treatment Barscreen MI Record Keeping Treatment Lagoons
II End Use-Irrigation II Treatment Disinfection .Treatment Flow
Measurement
(See attachment summary)
Page: 1

Permit:WQ0013808 Owner-Facility: Kotis Properties Inc
Inspection Date: 09/13/2006 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
PERMIT
Non-discharge Permit No. WQ0013808 is for the operation of a 1,700 GPD drip irrigation treatment and disposal facility
consisting of 851 linear feet of six inch gravity sewer, a 1,500 gallon grease trap, a 5,000 gallon septic tank, 641 linear
feet of eight inch gravity sewer to the wetland system, an influent distribution box with a cleanout to split the flow evenly
between the wetland cells, two wetland cells, each sized at 161 feet by 22 feet with a maximum water depth of two feet, a
tablet chlorinator(with the option to change to a UV disinfection system), a 980 gallon baffled chlorine contact basin, 150
linear feet of four inch gravity sewer to the pump station, a 9 foot diameter wet well with duplex 70 GPM pumps, on-site
audible and visual high water alarms, an on site emergency generator located outside of the pump building with automatic
transfer switch, 3 Arkal Disc Kleen filters in series, Perk Rite Drip irrigation system with emitters designed a 0.1 GPD/sf
(0.0067 inches per hour), two drip irrigation fields (Field A has 28,314 square feet and Field B has 17,424 square feet
available)with a total of 45,738 square feet available for disposal, and soil moisture sensors in the drip fields with all
necessary pipes, pumps, electrical fixtures, and appurtenances required for proper operation to serve a 24 hour grocery
store and four thousand square feet of attached multi-purpose retail (no food service) use, an outparcel for multi-purpose
retail (no food service) use at the Summerfield Renaissance Shopping Center, and construction of an 8,000 gallon grease
trap in series with a 6,00 gallon septic tank with effluent filter with all necessary pipes, pumps, electrical fixtures, and
appurtenances required for proper operation to serve a food service establishment at the Summerfield Renaissance
Shopping Center(the septic tank effluent shall flow into the existing gravity collection system to the wastewater treatment
facility), and construction of a 9,000 gallon sand filter dosing pump station with two 3-HP pumps, a 2,500 ft2 vegetated
recirculating sand filtration system with two cells and an LPP distribution system, modification to the hydraulics (and
addition of a flow splitter box) of the south wetland cell (to be referred to as the treatment cell), modification to the north
wetland cell (to be referred to as the storage cell)to increase the size of the cell to 279,000 gallons and increase storage
capacity to 77.5 days at 3,600 gpd, as well as modify hydraulics of flow through the cell, and modification to the existing
irrigation area for better utilization as well as construction to add 0.35 acres of new irrigation area to the current irrigation
area with all necessary pipes, pumps, electrical fixtures, and appurtenances required for proper operation to serve
additional services a the Summerfield Renaissance Shopping Center, with no discharge of wastes to the surface waters
pursuant to the application received June 3, 2000, and subsequent additional information received by the Division, and in
conformity with the project plan, specifications, and other supporting data subsequently filed and approved by the
Department of Environment and Natural Resources and considered a part of this permit.
RECORD KEEPING AND SELF-MONITORING
Upon review of monitoring reports for the period January 2005 to July 2006 the following was noted:
-Daily,Average, Maximum and Minimum flows were not recorded on the February 2005 DMR. This DMR should be
amended if this information is available.
Effluent concentrations for Fecal Coliform exceeded the 2L standard for Total Coliform (1/100m1) on a few occasions.
FACILITY SITE REVIEW
A invasive vine has taken over Cell B. The vine should be removed if it begins to choke out the aquatic vegetation such
as bulrushes.
Needs to mow around berms.
See previous inspection for notes on the supply well that has remained a contentious issue.
Over all the irrigation fields have improved since the last inspection. Sycamore trees that were planted have grown
quickly.
FLOW MEASUREMENT
Effluent flow is measured by a manual (magnetic)type of flow meter that is not possible to calibrate and does not record
flow.
Page: 2

•
Permit:W00013808 Owner-Facility: Kotis Properties Inc
Inspection Date: 09/13/2006 Inspection Type:Compliance Evaluation Reason for Visit:Routine
COMPLIANCE SCHEDULES
N/A
LABORATORY
Certified Laboratories used by the permittee are Conner Consulting, LLC and Chemical Environmental Tech.
SLUDGE UTILIZATION/DISPOSAL
Septic tanks are pumped every 6 months.
OTHER
The previous inspection of this facility was conducted by Derek Denard of this office on March 22, 2005.
ADDITIONAL INSPECTION QUESTIONS
N/A
Page: 3

Permit:W00013808 Owner-Facility: Kotis Properties Inc
Inspection Date: 09/13/2006 Inspection Type:Compliance Evaluation Reason for Visit:Routine
Type Yes No NA NE
Reuse(Quality) n
Infiltration System n
Activated Sludge Spray, LR n
Single Family Spray, LR ❑
Activated Sludge Spray, HR n
Activated Sludge Drip, LR n
Recycle/Reuse n
Single Family Drip n
Lagoon Spray, LR ■
Treatment Yes No NA NE
Are Treatment facilities consistent with those outlined in the current permit? ■ n n n
Do all treatment units appear to be operational?(if no, note below.) ■ n n n
Comment:
Treatment Flow Measurement-Influent Yes No NA NE
Is flowmeter calibrated annually? n ❑ ■ n
Is flowmeter operating properly? n n ■ n
Does flowmeter monitor continuously? n n ■ n
Does flowmeter record flow? n n ■ n
Does flowmeter appear to monitor accurately? n n ■ n
Comment:
Treatment Flow Measurement-Water Use Records Yes No NA NE
Is water use metered? ■ n n n
Are the daily average values properly calculated? mono
Comment:
Treatment Flow Measurement-Effluent Yes No NA NE
Is flowmeter calibrated annually? n n ■ n
Is flowmeter operating properly? ■ n ❑ n
Does flowmeter monitor continuously? ■ Q n n
Does flowmeter record flow? n ■ n n
Does flowmeter appear to monitor accurately? ■ n n n
Page: 4

Permit:WO0013808 Owner-Facility: Kotis Properties Inc
Inspection Date: 09/13/2006 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Comment: Effluent flow is measured by a manual (magnetic) type of flow meter that is
not possible to calibrate and does not record flow.
Treatment Barscreen Yes No NA NE
Is it free of excessive debris? ■ n n n
Is disposal of screenings in compliance? U n n n
Are the bars spaced properly? ■ n n 0
Is the unit in good condition? ■ ❑ n n
Comment: distribution box with a cleanout
Treatment Disinfection Yes No NA NE
Is the system working? ■ n 0 n
Do the fecal coliform results indicate proper disinfection? ■ n n n
Is there adequate detention time(>=30 minutes)? ■ 0 n 0
Is the system properly maintained? ■ n n 0
If gas,does the cylinder storage appear safe? n n ■ n
Is the fan in the chlorine feed room and storage area operable? n n ■ 0
Is the chlorinator accessible? ■ n n n
If tablets,are tablets present? ■ n n n
Are the tablets the proper size and type? ■ n n n
Is contact chamber free of sludge,solids, and growth? ■ n n n
If UV, are extra UV bulbs available? 0 0 ■ 0
If UV, is the UV intensity adequate? 0 0 ■ 0
#Is it a dual feed system? ■ n ❑ n
Does the Stationary Source have more than 2500 lbs of Chlorine(CAS No. 7782-50-5)? 0 ■ 0 0
If yes,then is there a Risk Management Plan on site? 0 0 • 0
If yes,then what is the EPA twelve digit ID Number?(1000- )
If yes,then when was the RMP last updated?
Comment: No comments.
Record Keeping Yes No NA NE
Is a copy of current permit available? ■ n n n
Are monitoring reports present: NDMR? ■ n n n
NDAR? ■ nnn
Page: 5

Permit:WQ0013808 Owner-Facility: Kotis Properties Inc
Inspection Date: 09/13/2006 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Are flow rates less than of permitted flow? ■ ❑ U U
Are flow rates less than of permitted flow? ■ ❑ ❑ ❑
Are application rates adhered to? • ❑ ❑ ❑
Is GW monitoring being conducted,if required(GW-59s submitted)? 0 0 • 0
Are all samples analyzed for all required parameters? ■ U ❑ ❑
Are there any 2L GW quality violations? 0 0 • 0
Is GW-59A certification form completed for facility? ❑ ❑ • ❑
Is effluent sampled for same parameters as GW? U U ■ U
Do effluent concentrations exceed GW standards? ■ ❑ ❑ ❑
Are annual soil reports available? ❑ ❑ ❑ ■
#Are PAN records required? ❑ ❑ ❑ •
#Did last soil report indicate a need for lime? 0 0 0 ■
If so, has it been applied? U U U ■
Are operational logs present? ■ ❑ ❑ ❑
Are lab sheets available for review? 0 0 0 ■
Do lab sheets support data reported on NDMR? ❑ ❑ ❑ •
Do lab sheets support data reported on GW-59s? U ❑ • U
Are Operational and Maintenance records present? ■ ❑ ❑ ❑
Were Operational and Maintenance records complete? ■ ❑ ❑ ❑
Has permittee been free of public complaints in last 12 months? • ❑ ❑ U
Is a copy of the SOC readily available? ❑ U ■ ❑
No treatment units bypassed since last inspection? ■ ❑ ❑ ❑
Comment: Upon review of monitoring reports for the period January 2005 to July 2006
the following was noted:
-Daily, Average, Maximum and Minimum flows were not recorded on the February 2005
DMR. This DMR should be amended if this information is available.
Effluent concentrations for Fecal Coliform exceeded the 2L standard for Total Coliform
(1/100m1) on a few occasions. _
End Use-Irrigation Yes No NA NE
Are buffers adequate? ■ ❑ ❑ ❑
Is the cover crop type specified in permit? U ■ U U
Is the crop cover acceptable? ■ ❑ ❑ ❑
Page: 6

Permit:W00013808 Owner-Facility: Kotis Properties Inc
Inspection Date: 09/13/2006 Inspection Type:Compliance Evaluation Reason for Visit:Routine
Is the site condition adequate? • Q n n
Is the site free of runoff/ponding? ■ 0 0 0
Is the acreage specified in the permit being utilized? ■ ❑ n ❑
Is the application equipment present? ■ n n n
Is the application equipment operational? ■ n ❑ n
Is the disposal field free of limiting slopes? ■ n n n
Is access restricted and/or signs posted during active site use? ■ n n n
Are any supply wells within the CB? ■ n n n
Are any supply wells within 250' of the CB? ■ n n n
How close is the closest water supply well? ■ n n n
Is municipal water available in the area? ■ n n n
#Info only: Does the permit call for monitoring wells? 0 ■ 0 0
Are GW monitoring wells located properly w/respect to RB and CB? ❑ 0 ■ 0
Are GW monitoring wells properly constructed, including screened interval? 0 n ■ n
Are monitoring wells damaged? 0 0 • n
Comment: See previous inspection for notes on the supply well that has remained a
contentious issue.
Over all the irrigation fields have improved since the last inspection. Sycamore trees
that were planted have grown quickly.
WETLAND CELL A
Treatment Lagoons Yes No NA NE
Lagoon Type •
None
Primary/Secondary Primary
Influent structure Ninon
Comment:
Banks/berms(seepage and erosion) 01100
Comment: No comments
Vegetation(excessive vegetation on banks/berms) ■ n n n
Comment: Needs to mow.
Liner ■ n n n
Comment:
Page: 7

Permit:WO0013808 Owner-Facility: Kotis Properties Inc
Inspection Date:09/13/2006 Inspection Type:Compliance Evaluation Reason for Visit:Routine
Liner Type Full,clay
Baffles/curtains n ❑ ■ ❑
Comment:
Freeboard Marker ■ ❑ ❑ ❑
Comment:
Required freeboard 24
Inches
Actual freeboard 44
Inches
Are increments clearly marked on gauge at adequate intervals? 0 0 0 •
Comment:
Has the water level gauge been surveyed w/respect to lowest point on dike?wall? ❑ ❑ ❑ ■
Comment:
No Evidence of overflow ■ ❑ ❑ ❑
Comment:
Acceptable color ■ ❑ ❑ ❑
Comment:
Floating mats ❑ ■ ❑ ❑
Comment: No comments
Excessive solids buildup ❑ ■ ❑ ❑
Comment: No comments
Aerators/mixers ❑ ❑ ■ ❑
Comment:
Effluent structure ❑ ❑ ❑ ■
Comment:
Lagoon cover ❑ ❑ ■ ❑
Comment:
WETLAND CELL B
Treatment Lagoons Yes No NA NE
Lagoon Type None
Page: 8

Permit:WO0013808 Owner-Facility: Kotis Properties Inc
Inspection Date: 09/13/2006 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Primary/Secondary Primary
Influent structure • ❑ ❑ ❑
Comment:
Banks/berms(seepage and erosion) ❑ • 0 0
Comment: Needs to mow.
Vegetation(excessive vegetation on banks/berms) U ❑ ❑ ❑
Comment: A invasive vine has taken over Cell B. The vine should be removed if it
begins to choke out the aquatic vegetation such as bulrushes.
Liner ■ ❑ ❑ ❑
Comment:
Liner Type Full,clay
Baffles/curtains ❑ ❑ • ❑
Comment:
Freeboard Marker ■ ❑ ❑ ❑
Comment:
Required freeboard 24
Inches
Actual freeboard 44
Inches
Are increments clearly marked on gauge at adequate intervals? 0 D. 0 •
Comment:
Has the water level gauge been surveyed w/respect to lowest point on dike?wall? 0 0 0 •
Comment:
No Evidence of overflow U ❑ ❑ ❑
Comment:
Acceptable color U ❑ ❑ ❑
Comment:
Floating mats 0 • 0 0
Comment: No comments
Excessive solids buildup ❑ ■ ❑ ❑
Page: 9

Permit:WQ0013808 Owner-Facility: Kotis Properties Inc
Inspection Date: 09/13/2006 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Comment: No comments
Aerators/mixers ❑ ❑ ■ 0
Comment:
Effluent structure 0 0 0 •
Comment:
Lagoon cover 0 0 • ❑
Comment:
•
Page: 10

•
'•' NDMR REVIEW SHEET
PERMIT NUMBER: W�Y U0!3 'O' FACILITY NAME: #'19r6ti e
COUNTY:64; ) r A TYPE: S",-y REVIEW PERIOD: 06 to 6,/a R
Parameter Fri Limit C or G ,o ) 1?4 . ) c/ S b
Flow / 5 /,7�o &IA+ _✓'� i ' ,
pH ✓ `" 6-,45 y t�lJi/ ��iV� r/
TRC
� j
BOD5 �� '3 ��//�� //� /� +� //
NH3-N ✓ ✓�� / r� �/ ✓�r
TSS 1� k 7//✓ f7 I�
i Fecal �-� (/ �/ V(�
DO
TDS
Conductivity
Temp.
COD
TOC
Phenols
O&G
NO2&NO3 -ii O��pP.+e., 4 ✓ L/ v t/ /„,/j/ 1�
NO3 &., a
TN ' f
TKN v f� 1/✓ .✓ vv1✓ /•
Sulfide
SAR
As
B
Cd
Ca
Cr
Cu
Pb
Mg
-
Hg
Ni
K
Na
Zn
Comments:/25 71 - Fec41 7 J O 00 / [moo 1L
7/2 `/o ? r- l ) 21 «(/ � /41L
20b7 — % ,eiti�t' Fln1._. I1Sb ,6LIL 6-41'
2D 7 — /� o'J L. I (r-fJ)
J41 2bb 7 2, l� 6--p�

NDMR REVIEW SHEET
PERMIT NUMBER: FACILITY NAME:
COUNTY: TYPE: REVIEW PERIOD: to
f7 7s T H 1-.1)(
Parameter Freq. Limit C or G Q of )3 /f 2 j
Flow 2av ✓ f V ✓
pH /� V /�/y �1/ v;
//"
TRC b l//�✓ �,,1/ v��/
BOD5 ✓�/ �/
NH3-N V /7.✓ ✓✓ �/�/' v L -
TSS ✓' ✓`••••"*d 177 fit/ / �.`""
Fecal t� ✓✓ S��%p/�/
DO
•
TDS
Conductivity
Temp.
COD
TOC
Phenols
NO&NO3 ✓ / ✓✓��if �Y V I/
NO3
TN
TPTKN ✓ ✓✓�7 ►� 1/1//
Chloride
Sulfide
SAR
As
B
Cd
Ca
Cr
Cu
Pb
Mg
Hg
Ni
K
Na
•
Zn
Comments:
Seth I- Z�� ram, / Z�s� s-7) c rn
o 2b�7t`-'i -3 . l>rD
D$ (,s D ivory. 1l y
$ —f ZZ1(1,061tD
c2?fag -4 I byioMtPam
/G a9 y fs /iao n,c, Fec / bg 7.393.`�S c_

NDAR REVIEW SHEET
Storage Freeboard I( 1
Cover Hourly Yearly
Field Acres crop Rate Rate S' 11 12
U) 3V,25 J l ✓ ✓:, /14-/ �✓
0, 3
Comments:

NDAR REVIEW SHEET
Storage Freeboard
Cover Hourly Yearly 9 /p I /� /
Field Acres crop Rate Rate g �� G 12
�(
7
0, ) -3L9s /J,../\/7////
Comments:

MONITORING REPORT(MR)VIOLATIONS for: Report Date: 08/21/08 Page: 1 of 4
Permit wg9013808 MRs Between: 8 2006 and 8-2008 Region:Winston-Salem Violation Category:% Program Category:%
Facility Name: % Param Name:% = County:% Subbasin:% >Violation Action:% ,-a
Major Minor "/a
PERMIT:WQ0013808 FACILITY: Kotis Properties Inc-Summerfield Shopping Center COUNTY:Guilford REGION: Winston-Salem
Limit Violation
MONITORING OUTFALL/ VIOLATION UNIT OF CALCULATED
REPORT PPI LOCATION PARAMETER DATE FREQUENCY MEASURE LIMIT VALUE IOLATION TYPE VIOLATION ACTION
go
05-2007 001 Flow,in conduit or thru 05/31/07 Monthly gpd 1,700 1,950.65 Monthly Average Exceeded'- ne
treatment plant
06-2007 001 Flow,in conduit or thru 06/30/07 Monthly gpd 1,700 3,036.1 onthly Average ExceededZ/ flprl€
treatment plant
07-2007 001 Flow,in conduit or thru 07/31/07 Monthly gpd 1,700 2,460.97 onthly erage Exceeded N
treatment plant
08-2007 001 Flow,in conduit or thni 08/31/07 Monthly gpd 1,700 2,954.87 Monthly Average Exceeded I No
treatment plant
09-2007 001 Flow,in conduit or thru 09/30/07 Monthly gpd 1,700 3,073.03 onthly Average Exceeded, ydhe
treatment plant v
10-2007 001 Flow,in conduit or thru 10/31/07 Monthly gpd 1,700 2,811.97 onthly Average Exceeded/ ne
treatment plant �/
11-2007 001 Flow,in conduit or thru 11/30/07 Monthly gpd 1,700 2,612.4 nthly Average Exceeded one rep N
treatment plant
,� kS
05-2008 001 Flow,in conduit or thru 05/31/08 Monthly gpd 1,700 2,383.45 onthly Average Exceeded v--..'
treatment plant Uo
2S/ 7-g
06-2008 001 Flow,in conduit or thru 06/30/08 Monthly gpd 1,700 2,211.07 Monthly Average Exceeded one
treatment plant
02-2008 1 Application Surface Irrigation 02/29/08 Monthly inches 34.75 54.77 12 Month Floating Total None
Exceeded
03-2008 1 Application Surface Irrigation 03/31/08 Monthly inches 34.75 82.81 12 Month Floating Total None
Exceeded
04-2008 1 Application Surface Irrigation 04/30/08 Monthly inches 34.75 111.16 12 Month Floating Total None
Exceeded
05-2008 1 Application Surface Irrigation 05/31/08 Monthly inches 34.75 112.91 12 Month Floating Total None
Exceeded
06-2008 1 Application Surface Irrigation 06/30/08 Monthly inches 34.75 115.54 12 Month Floating Total None
Exceeded

MONITORING REPORT(MR)VIOLATIONS for: Report Date: 08/21/08 Page: 2 of 4
e r r
h 'errnit wg0bf3808 ' '''MRs Between: 8-2008. `,and 82008 Regi`oic.14nston-Salem 'Violation Category%'-; ProBram`Category 96
�o.i 9 Param Name % County %• Subbasm % ' VIo aIon Action R
j�,��... 7-i p �, i 6 tak•,:: `W7 of€ $e�r
PERMIT:WQ0013808 FACILITY: Kotis Properties Inc-Summerfield Shopping Center COUNTY:Guilford REGION: Winston-Salem
Limit Violation
MONITORING OUTFALL/ VIOLATION UNIT OF CALCULATED
REPORT PPI LOCATION PARAMETER DATE FREQUENCY MEASURE LIMIT VALUE VIOLATION TYPE VIOLATION ACTION
02-2008 2 Application Surface Irrigation 02/29/08 Monthly inches 34.75 42.48 12 Month Floating Total None
Exceeded
03-2008 2 Application Surface Irrigation 03/31/08 Monthly inches 34.75 64.91 12 Month Floating Total None
Exceeded
04-2008 2 Application Surface Irrigation 04/30/08 Monthly inches 34.75 88.62 12 Month Floating Total None
Exceeded
05-2008 2 Application Surface Irrigation 05/31/08 Monthly inches 34.75 89.91 12 Month Floating Total None
Exceeded
06-2008 2 Application Surface Irrigation 06/30/08 Monthly inches 34.75 92.15 12 Month Floating Total None
Exceeded
Monitoring Violation
MONITORING OUTFALL/ VIOLATION UNIT OF CALCULATED -
REPORT PPI LOCATION PARAMETER DATE FREQUENCY MEASURE LIMIT VALUE - VIOLATION TYPE VIOLATION ACTION
02-2008 002 Chlorine,Total Residual 02/02/08 Weekly mg/I Frequency Violation None 44 ("I./4-,,,
02-2008 002 Chlorine,Total Residual 02/09/08 Weekly mg/1 a 1 Frequency Violation None /"I -1- J jrr„ �,_.�\
02-2008 002 Chlorine,Total Residual 02/16/08 Weekly mg/I Cr Frequency Violation None �1�
02-2008 002 pH 02/02/08 Weekly su v i( Frequency Violation None
02-2008 002 pH 02/09/08 Weekly su D(( Frequency Violation None
02-2008 002 pH 02/16/08 Weekly su 1,/ Frequency Violation None
12-2007 1 Application Surface Irrigation 12/31/07 Monthly inches Frequency Violation None
Reporting Violation
MONITORING OUTFALL/ VIOLATION UNIT OF CALCULATED
REPORT PPI LOCATION PARAMETER DATE FREQUENCY MEASURE LIMIT VALUE VIOLATION TYPE VIOLATION ACTION

MONITORING REPORT(MR)VIOLATIONS for: Report Date: 08/21/08 Page: 3 of a
Permit: wq0013808 MRs Between: 8-2006 and 8-2008 Region:Wrnston-Salem Violation Category:% Program Category:%
Facility Name: % Param Name:% County:% Subbasin:% Violation Action:%
Major Minor. %
PERMIT:WQ0013808 FACILITY: Kotis Properties Inc-Summerfield Shopping Center COUNTY:Guilford REGION: Winston-Salem
Reporting Violation
MONITORING OUTFALL/ VIOLATION UNIT OF CALCULATED
REPORT PPI LOCATION PARAMETER DATE FREQUENCY MEASURE LIMIT VALUE VIOLATION TYPE VIOLATION ACTION
08-2006 10/01/06 Late/Missing NDAR-1 None
08-2006 10/01/06 Late/Missing NDMR None
03-2007 05/01/07 Late/Missing NDAR-1 None
03-2007 05/01/07 Late/Missing NDMR None
04-2007 05/31/07 Late/Missing NDAR-1 None
04-2007 05/31/07 Late/Missing NDMR None
10-2007 12/01/07 Late/Missing NDAR-1 None
10-2007 12/01/07 Late/Missing NDMR None
12-2007 01/31/08 Late/Missing NDAR-1 None
12-2007 01/31/08 Late/Missing NDMR None
12-2006 001 Flow,in conduit or thru 12/31/06 Monthly gpd Parameter Missing None
treatment plant
03-2008 001 Nitrogen,Nitrate Total(as N) 03/31/08 Monthly mg/I Parameter Missing None A
04-2008 001 Nitrogen,Nitrate Total(as N) 04/30/08 Monthly mg/I Parameter Missing None 'y
05-2008 001 Nitrogen,Nitrate Total(as N) 05/31/08 Monthly mg/I Parameter Missing None w x�Nd
1
06-2008 001 Nitrogen,Nitrate Total(as N) 06/30/08 Monthly mg/I Parameter Missing None
08-2006 Nitrogen,Nitrate Total(as N) 08/31/06 Monthly mg/I Parameter Missing None
09-2006 02 Nitrogen,Nitrate Total(as N) 09/30/06 Monthly mg/I Parameter Missing None

MONITORING REPORT(MR)VIOLATIONS for: Report Date: 08/2vo8 Page: a of a
' wt 38Q8 MIRs Between: 8 008}- and 8' 't)Q8 . 'xRegton:mWinston-Sm ale ' W Violation Category , p Im Cat y:+, ; `
Subbasin
FatiiBty'Name °rt!' 1?aram`Name: County: ' Vie>la>r4n Action:°y6
Mai 11nor % . `'
PERMIT:WQ0013808 FACILITY: Kotis Properties Inc-Summerfield Shopping Center COUNTY:Guilford REGION: Winston-Salem
Reporting Violation
MONITORING OUTFALL/ VIOLATION UNIT OF CALCULATED
REPORT PPI LOCATION PARAMETER DATE FREQUENCY MEASURE LIMIT VALUE VIOLATION TYPE VIOLATION ACTION
11-2006 002 Nitrogen,Nitrate Total(as N) 11/30/06 Monthly mg/I Parameter Missing None
12-2006 002 Nitrogen,Nitrate Total(as N) 12/31/06 Monthly mg/IParameter Missing None
1
01-2007 002 Nitrogen,Nitrate Total(as N) 01/31/07 Monthly mg/I Parameter Missing None
04-2007 002 Nitrogen,Nitrate Total(as N) 04/30/07 Monthly mg/I Parameter Missing None
05-2007 002 Nitrogen,Nitrate Total(as N) 05/31/07 Monthly mg/I Parameter Missing None
06-2007 002 Nitrogen,Nitrate Total(as N) 06/30/07 Monthly mg/I Parameter Missing None
, 3
07-2007 002 Nitrogen,Nitrate Total(as N) 07/31/07 Monthly mg/I Parameter Missing None
08-2007 002 Nitrogen,Nitrate Total(as N) 08/31/07 Monthly mg/I Parameter Missing None
09-2007 002 Nitrogen,Nitrate Total(as N) 09/30/07 Monthly mg/I Parameter Missing None
10-2007 002 Nitrogen,Nitrate Total(as N) 10/31/07 Monthly mg/I Parameter Missing None
11-2007 002 Nitrogen,Nitrate Total(as N) 11/30/07 Monthly mg/I Parameter Missing None
12-2007 002 Nitrogen,Nitrate Total(as N) 12/31/07 Monthly mg/I Parameter Missing None
01-2008 002 Nitrogen,Nitrate Total(as N) 01/31/08 Monthly mg/I Parameter Missing None
12-2007 2 03/01/08 Field-Site Missing None
D/V�
12-2007 3 03/01/08 Field-Site Missing None ,I
Y. " ti
y

U�OF W ATF9PG Michael F.Easley,Governor
William G.Ross Jr.,Secretary
r North Carolina Department of Environment and Natural Resources
Alan W.Klimek,P.E.Director
Division of Water Quality
April 20,2005
Mr. Bill Kotis
Kotis Properties Inc
1 PO Box 9296
Greensboro NC 27408
SUBJECT: March 22,2005 Compliance Inspection
Kotis Properties Inc
Kotis Properties Inc-Summerfield Shopping Renaissance Center
Permit No: WQ0013808
Guilford County
Dear Mr. Kotis:
Enclosed please find a copy of the Compliance Inspection form from the inspection conducted on March 22,2005. The
Compliance Inspection was conducted by Derek Denard and Chris Green of the Winston-Salem Regional Office. Present
for the inspection was Chad Linebach, ORC, and Don Amos. Also present for the inspection was Perry Wyatt with the
Division of Soil and Water Conservation. The facility was found to be in Compliance with permit WQ0013808.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff have any
questions,please call Derek Denard or me at 336-771-4600.
Sincerely,
t��`,L. . •f�`, ._
Sherri V.Knight,P.E.
Regional Aquifer Protection Supervisor
cc: Kenneth Chad Leinbach, ORC
Guilford County Health Department
D W -APS lication Permitting and Compliance Unit
N""oe
�r httCarolina
✓vatura!!"
Division of Water Quality/Aquifer Protection Section Customer Service
585 Waughtown Street Winston-Salem NC 27107 1-877-623-674E
Phone: [phone] Fax: [phone] Internet: n::: ,. ..r:r:. r:1_.i:_u
An Equal Opportunity/Affirmative Action Employer—50%Recycied/10%Post Consumer Paper

Compliance Inspection Report
K.
Permit: W00013808 Effective: 01/23/04 Expiration: 12/31/08 Owner: Kotis Properties Inc
SOC: Effective: Expiration: Facility: Kotis Properties Inc-Summed
PO Box 9296
County: Guilford
Region: Winston-Salem
Greensboro NC 27408
Contact Person: Bill Kotis Phone: [phone] Ext.
Directions to Facility:
Primary ORC: Kenneth Chad Leinbach Certification: 23928 Phone: [phone]
Secondary ORC(s):
Dennis James Hodge Certification: 14872 Phone: [phone]
On-Site Representative(s):
•
Related Permits:
Inspection Date: 03/22/2005 Entry Time: 10:00 AM Exit Time: 12:00 PM
Primary Inspector: Derek Denard Phone: [phone]
Secondary Inspector(s) Ext.382
Christopher F Greene Phone: [phone] Ext.324
Perry Wyatt Phone:
Reason for Inspection: Routine Inspection Type: Compliance Inspection
Permit Inspection Type: Surface Irrigation
Facility Status: • Compliant ❑ Not Compliant
Question Areas:
■Treatment Flow ■Treatment Flow II Miscellaneous Questions II Treatment Flow
Measurement-Effluent Measurement-Influent Measurement-Water Use
Records
•Treatment II Record Keeping II Treatment Lagoons II End Use-Irrigation
II Treatment Disinfection ■Treatment Flow
Measurement
Inspection Summary:
PERMIT
Non-discharge Permit No.WQ0013808 is for the operation of a 1,700 GPD drip irrigation treatment and disposal facility consisting
of 851 linear feet of six inch gravity sewer,a 1,500 gallon grease trap,a 5,000 gallon septic tank,641 linear feet of eight inch gravity
sewer to the wetland system,an influent distribution box with a cleanout to split the flow evenly between the wetland cells,two
wetland cells,each sized at 161 feet by 22 feet with a maximum water depth of two feet,a tablet chlorinator(with the option to change
to a UV disinfection system),a 980 gallon baffled chlorine contact basin, 150 linear feet of four inch gravity sewer to the pump station,
a 9 foot diameter wet well with duplex 70 GPM pumps,on-site audible and visual high water alarms,an on site emergency generator
located outside of the pump building with automatic transfer switch,3 Arkal Disc Kleen filters in series, Perk Rite Drip irrigation system
with emitters designed a 0.1 GPD/sf(0.0067 inches per hour),two drip irrigation fields(Field A has 28,314 square feet and Field B
• has 17,424 square feet available)with a total of 45,738 square feet available for disposal,and soil moisture sensors in the drip
fields with all necessary pipes,pumps,electrical fixtures,and appurtenances required for proper operation to serve a 24 hour
grocery store and four thousand square feet of attached multi-purpose retail(no food service)use,an outparcel for multi-purpose
retail(no food service)use at the Summerfield Renaissance Shopping Center,and
Page: 1

Permit: W00013808 Owner-Facility: Kotis Properties Inc
Inspection Date: 03/22/2005 Inspection Type: Compliance Inspection Reason for Visit: Routine
construction of an 8,000 gallon grease trap in series with a 6,00 gallon septic tank with effluent filter with all necessary pipes,
pumps,electrical fixtures,and appurtenances required for proper operation to serve a food service establishment at the
Summerfield Renaissance Shopping Center(the septic tank effluent shall flow into the existing gravity collection system to the
wastewater treatment facility),and
construction of a 9,000 gallon sand filter dosing pump station with two 3-HP pumps,a 2,500 ft2 vegetated recirculating sand
filtration system with two cells and an LPP distribution system,modification to the hydraulics(and addition of a flow splitter box)of
the south wetland cell(to be referred to as the treatment cell),modification to the north wetland cell(to be referred to as the storage
cell)to increase the size of the cell to 279,000 gallons and increase storage capacity to 77.5 days at 3,600 gpd,as well as modify
hydraulics of flow through the cell,and modification to the existing irrigation area for better utilization as well as construction to add
• 0.35 acres of new irrigation area to the current irrigation area with all necessary pipes,pumps,electrical fixtures,and appurtenances
required for proper operation to serve additional services a the Summerfield Renaissance Shopping Center,with no discharge of
wastes to the surface waters pursuant to the application received June 3,2000,and subsequent additional information received by
the Division,and in conformity with the project plan,specifications,and other supporting data subsequently filed and approved by
the Department of Environment and Natural Resources and considered a part of this permit.
RECORD KEEPING AND SELF-MONITORING
The review period for self-monitoring was January 2004 to December 2004 for this inspection.
-the Fecal Coliform result was 1200/100mL on 3/18/05 and 8/100mL on 5/20/04. The groundwater 2L standard for total coliform
organisms is 1 per 100 milliliters.
-The 2004 soil report was taken,but was not available for review. 2003 Soil report was available.
-Lab sheets supporting data reported on NDMR's were not available for review.
FACILITY SITE REVIEW
-A ground hog burrow was found in wetland cell B berm. The ground hog has been removed. The burrow was above the water level
and should not cause failure of the structure. The berm will be reconstructed for a planned expansion that will enlarge wetland cell B.
Wetland cell B is currently being used for storage. Plants in wet cell B had died off due to a contaminant(possibly a herbicide)
being dumped into sewer system at the shopping center.
-Five leaks were noted in the drip lines of field B.
-Please see Memorandum April 5,2005 by Chris Green for comments on field conditions and closest supply well.
FLOW MEASUREMENT
Water use is metered.
Effluent flow is measured by a manual(magnetic)type of flow meter that is not possible to calibrate and does not record flow.
COMPLIANCE SCHEDULES
N/A
LABORATORY
The contract labs used are Conner Consulting,LLC#5149 and Chemical&Environmental Tech.
OPERATIONS AND MAINTENANCE
The operations and maintenance for this facility was found to be excellent condition.
SLUDGE UTILIZATION/DISPOSAL
Septic tank is pumped and hauled.
OTHER
The last inspection of this facility was conducted by Jennifer Rankin of this office on 2/15/2001.
Memorandum
April 5,2005
To: Sherri Knight,Supervisor,Aquifer Protection Section,Winston Salem Regional Office
From: Christopher Greene,L.S.S., Hydrogeological Technician,GW Section,WSRO
Subject: Summerfield Wetlands(AKA Kotis Properties),inspection of spray irrigation facility,permit #WQ 0013808
On March 22,2005,C.Greene and D.Denard,Aquifer Protection Section,and Perry Wyatt, DSWC,WSRO,met with Mr.Chad
Linebach,ORC of the subject facility to inspect the system and its components.
An update to the system functions entail:
1.C.Linebach reported that American Manufacturing,Inc.has bought out Perc-Rite, Inc.(drip irrigation contractor)which has resulted
in"software"problems to automated control,and that manual operation was expected to be ongoing"for the next two weeks".
2. 1100 gallons per day wastewater is discharged to"cell A"(constructed wetland cell);cell"B"was"cut off"at the time of inspection,
Page: 2

Permit: W00013808 Owner-Facility: Kotis Properties Inc
Inspection Date: 03/22/2005 Inspection Type: Compliance Inspection Reason for Visit: Routine
functioning to"lower water level"(i.e.storage). Expansion is planned for the system capacity that will effectively enlarge"cell B".
The inspection divulged some improvement of vegetated cover on the drip irrigation fields,especially field"B",though continued
growth of planted trees and ongoing germination of grass will be needed to augment the appearance of field"B".A previous
instruction(source undisclosed)of utilizing mulch to act as a"sponge"on"B"has, in the opinion of WSRO Aquifer Protection Section,
not resulted in an ideal substrate for cover germination(mulch's intent is generally retardation of plant growth),though erosion was
not observed at the time of inspection.
Field"A"undergrowth was in need of some trimming,along with removal of a fallen tree there,but in general this zone appeared
stabilized.Special vigilance for gnawing animals in field"A",and for burrowing animals at the cells is stressed here.
A persistent,somewhat contentious issue was addressed,specifically the offset of a public water supply well which has affected
potential utilization of additional acreage.This issue remains unchanged however,as indicated in a discussion between WSRO and
David Goodrich,Central Office Aquifer Protection Section on April 5,2005.Acknowledging that a 100 foot buffer exists in Public
Water Supply Rules, nevertheless,the most limiting standard,i.e.2L definition of Compliance Boundary must dictate here,unless
reuse quality of the effluent is established,or the existing well abandoned.Sherri Knight and C.Greene followed up on the above
conversation by perusing proposed changes to 2H Rules,and was found that that are no proposed citations to affect the above.
Page: 3

Permit: W00013808 Owner-Facility: Kotis Properties Inc
Inspection Date: 03/22/2005 Inspection Type: Compliance Inspection Reason for Visit: Routine
TYRE
Lagoon Spray,LR
Treatment Yea Nn NA NF
Are Treatment facilities consistent with those outlined in the current permit? Opp
Do all treatment units appear to be operational?(if no,note below.) • ❑ ❑ ❑
Comment:
Treatment Lagoons r.nm NC. NA NF
WETLAND CELL A
Lagoon Type None
Primary/Secondary Primary
Influent structure ❑ ❑ ❑
Comment:
Banks/berms(seepage and erosion) • ❑ ❑ ❑
Comment:
Vegetation(excessive vegetation on banks/berms) • ❑ ❑ ❑
Comment:
Liner
Comment:
Liner Type Full,clay
Baffles/curtains 00 . 0
Comment:
Freeboard Marker ❑ ❑ ❑
Comment:
Required freeboard 24
Inches
Actual freeboard 27
Inches
Are increments clearly marked on gauge at adequate intervals? 000 .
Comment:
Has the water level gauge been surveyed w/respect to lowest point on dike?wall? ❑ 0 0
•
Comment:
No Evidence of overflow • ❑ ❑ ❑
Comment:
Acceptable color • ❑ ❑ ❑
Comment:
Floating mats • ❑ ❑ ❑
Comment:
Excessive solids buildup ❑ ❑ ❑
Comment:
Aerators/mixers ❑ 0 ■ ❑
Comment:
Page: 4

•
Permit: W00013808 Owner-Facility: Kotis Properties Inc
Inspection Date: 03/22/2005 Inspection Type: Compliance Inspection Reason for Visit: Routine
Effluent structure 11000
Comment:
Lagoon cover O O • O
Comment:
WETLAND CELL B
Lagoon Type None
Primary/Secondary Primary
Influent structure ■ ❑ ❑ ❑
Comment:
Banks/berms(seepage and erosion) 111000
Comment:Ground hog burrow was found in cell B.
Vegetation(excessive vegetation on banks/berms) . 000
Comment:
Liner • ❑ ❑ ❑
Comment:
Liner Type Full,clay
Baffles/curtains 00 . 0
Comment:
Freeboard Marker ❑ ❑ 0 •
Comment:
Required freeboard 24
Inches
Actual freeboard 39
Inches
Are increments clearly marked on gauge at adequate intervals? 000 .
Comment: •
Has the water level gauge been surveyed w/respect to lowest point on dike?wall? ❑ ❑ 0 •
Comment:
No Evidence of overflow MOOD
Comment:
Acceptable color • ❑ ❑ ❑
Comment:
Floating mats . 000
Comment:
Excessive solids buildup 0013 .
Comment:
Aerators/mixers OCIED
Comment:
Effluent structure MOOD
Comment:
Lagoon cover ❑ ❑ ❑ ❑
Page: 5

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•
Permit: WO0013808 Owner-Facility: Kotis Properties Inc
Inspection Date: 03/22/2005 Inspection Type: Compliance Inspection Reason for Visit: Routine
Comment:-Five leaks were noted in the drip lines of field B.
-Please see Memorandum April 5,2005 by Chris Green for comments on field conditions and closest supply well.
Page: 8

•
Memorandum
April 5, 2005
To: Sherri Knight, Supervisor, Aquifer Protection Section, Winston Salem Regional
Office
From: Chriphe Greene, L.S.S., Hydrogeological Technician, GW Section, WSRO
Subject: Summerfield Wetlands (AKA Kotis Properties), inspection of spray irrigation
facility, permit #WQ 0013808
On March 22, 2005, C. Greene and D. Denard, Aquifer Protection Section, and Perry
Wyatt, DSWC, WSRO, met with Mr. Chad Linebach, ORC of the subject facility to inspect the
system and its components.
An update to the system functions entail:
1. C. Linebach reported that American Manufacturing, Inc. has bought out Perc-Rite,
Inc. (drip irrigation contractor) which has resulted in"software"problems to
automated control, and that manual operation was expected to be ongoing "for the
next two weeks".
2. 1100 gallons per day wastewater is discharged to "cell A"(constructed wetland cell);
cell `B"was "cut off'at the time of inspection, functioning to "lower water level"
(i.e. storage). Expansion is planned for the system capacity, that will effectively
enlarge"cell B".
The inspection divulged some improvement of vegetated cover on the drip irrigation
fields, especially field`B", though continued growth of planted trees and ongoing
germination of grass will be needed to augment the appearance of field`B". A previous
instruction (source undisclosed) of utilizing mulch to act as a"sponge" on`B"has, in the
opinion of WSRO Aquifer Protection Section, not resulted in an ideal substrate for cover
germination (mulch's intent is generally retardation of plant growth), though erosion was not
observed at the time of inspection.
Field"A" undergrowth was in need of some trimming, along with removal of a fallen tree
there, but in general this zone appeared stabilized. Special vigilance for gnawing animals in
field"A", and for burrowing animals at the the cells is stressed here.
A persistant, somewhat contentious issue was addressed, specifically the offset of a
public water supply well which has affected potential utilization of additional acreage. This
issued remains unchanged however, as indicated in a discussion between WSRO and David
Goodrich, Central Office Aquifer Protection Section on April 5, 2005. Acknowledging that a
100 foot buffer exists in Public Water Supply Rules, nevertheless, the most limiting standard,
i.e. 2L definition of Compliance Boundary must dictate here,unless reuse quality of the
effluent is established, or the existing well abandoned. Sherri Knight and C. Greene followed
up on the above conversation by perusing proposed changes to 2H Rules, and was found that

2
that are no proposed citations to affect the above.

Compliance Inspection Report
Permit: WQ0013808 Effective: 01/23/04 Expiration: 12/31/08 Owner: Kotis Properties Inc
SOC: Effective: Expiration: Facility: Kotis Properties Inc-Summerf
County: Guilford PO Box 9296
Region: Winston-Salem
Greensboro NC 27408
Contact Person: Bill Kotis Phone: [phone] Ext.
Directions to Facility:
Primary ORC: C 941(,I,44 Certific n: Phone:
Secondary ORC(s):
dh 4-'"'`S
On-Site Representative(s):
Related Permits:
Inspection Date: Entry Time: Exit Time:
Primary Inspector: Derek Denard Phone: [phone]
Secondary Inspector(s) Ext.382
Phone:
Phone:
Reason for Inspection: Routine Inspection Type: Compliance Inspection
Permit Inspection Type: Surface Irrigation
Facility Status: 0 Compliant 0 Not Compliant
Question Areas:
■Treatment Flow ■Treatment Flow ■Miscellaneous Questions Treatment Flow
Measurement-Effluent Measurement-Influent Measurement-Water Use
Records
▪Treatment II Treatment Filters Record Keeping II End Use-Irrigation
■Treatment Influent Pump ■Treatment Flow Standby Power
Station Measurement
Inspection Summary:
4i& 41 0.E
SOK~4e,
it/t / . 4
Page: 1

, , T
Permit: WQ0013808 Owner-Facility: Kotis Properties Inc
Inspection Date: Inspection Type: Compliance Inspection Reason for Visit: Routine
Treatment Yeses No NA NF
Are Treatment facilities consistent with those outlined in the current permit? !J 0j 0
Do all treatment units appear to be operational?(if no,note below.) re ❑ ❑ 0
Comment:
II-, 1 -I ' II. . •..1
Is t e pump station free of -ypass lines or structures? ❑ ❑ ❑ •
Is the b-neral houseke•ping acceptable? ❑ ❑ I. ❑
Are all pu Tps pres- t? • ■ 0 0
Are all pump o-erable? • ■ 0 0
•
Are floats/c• tr.s operable? • MOO
Are aid',and visu- alarms available? ❑ ❑ ❑ ❑
Are. dio and visual a-rms operational? ❑ ❑ • ❑
• e SCADA/Telemetry ala s required? 0 0 0 •
Are SCADA/Telemetry avail-.le? 0 0 0 ■
Are SCADA/Telemetry operatio :I? ❑ ❑ ❑ ❑
Comment:
Treatment Flow Measurement-Influent Yes No NA NF
Is flowmeter calibrated annually? 0 0 /I ■
Is flowmeter operating properly? / l 0 0 • •
Does flowmeter monitor continuously? V ❑ ❑ ri ❑
Does flowmeter record flow? ❑ ❑ ❑ ❑
Does flowmeter appear to monitor accurately? ❑ ❑ ❑ ❑
Comment:
Treatment Flow Measurement-Water t ise Records,
Is water use metered? ❑�] ❑
Are the daily average values properly calculated? ❑ 0 0
Comment:
Treatment Flow Measurement-Effluent Yes No NA NF
Is flowmeter calibrated annually? ❑ ❑ ❑ ❑
Is flowmeter operating properly? N/i 14't ❑ ❑ ❑ ❑
Does flowmeter monitor continuously? ❑ ❑ ❑ ❑
Does flowmeter record flow? 2) ` /+ . l 111/1, ❑ ❑ ❑ ❑
Does flowmeter appear to monitor accurately? ❑ ❑ ❑ ❑
Comment:
Standby Power Yes Nn NA NF
Is automatically activated standby power available? ❑ ❑ ❑ ❑
Is generator tested weekly by interrupting primary power source? ❑ ❑ ❑ ❑
Is generator operable? ❑ ❑ ❑ ❑
Does generator have adequate fuel? ❑ ❑ ❑ ❑
Comment:
Treatment Filters Yes No NA NF
Page: 2

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Permit: WQ0013808 Owner-Facility: Kotis Properties Inc
Inspection Date: Inspection Type: Compliance Inspection Reason for Visit: Routine
Is the acreage specified in the permit being utilized? d,4, 1
! II 2 H L U ❑ 0 0
Is the application equipment present? {{{{ ( ged ❑ ❑
Is the application equipment operational? Lt Q ❑ ❑ ❑
Is the disposal field free of limiting slopes? QY❑ 0 0
Is access restricted and/or signs posted during active site use? Vk6 0 0
Are any supply wells within the CB?
Are any supply wells within 250' of the CB? ` {A,,� L / ❑ ❑
How close is the closest water supply well? ` I �" 1�''� I •Ali{ L❑ ❑ ❑ ❑
Is municipal water available in the area? 4404 2 bti 1; 1-d /� ® ❑e 0 ' 0
Info only:Does the permit call for monitoring wells? 1, ( 0 Ne❑ 0
Are GW monitoring wells located properly w/respect to RB and CB? 0 0
Are GW monitoring wells properly constructed,including screened interval? 0 0 r�❑�
Are monitoring wells damaged? 0 0
Commelntt:
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NDMR REVIEW SHEET /26 4,-r Irma",tr
PERMIT NUMBER: V Q°o 11S°/ FACILITY NAME: SuN+m«Lr .' u /
COUNTY: &ull(►rd TYPE: REVIEW PERIOD:Taal 0 I to i79'
Parameter Freq. Limit C or G z 3 y S 6 L) 8 .71 I. // /Z
Flow 1 t 1 b b 6I0 ✓ ✓1�✓!� ✓
pH �' ✓ ,;)
TRC ✓ ✓L, ✓ �✓ �/ ./
BOD5 ✓ ✓ �/ ✓ ✓ ✓ ✓ ✓ LV v
NH3-N ✓ f✓j✓ r/ �/ ✓ d ,i �/ v ` �1,/
TSS V V r/ y ✓ ✓ ✓ '� '� v `� '� v
Fecal ✓ ✓ ✓ V V X V ✓ '� ' V v ✓
DO
TDS
Conductivity
Temp.
COD
TOC
Phenols
O&G
NO2&NO3 ✓ ✓ l/ LV L/ V ✓ v v [/ �✓
NO3
TN
TKN ✓ �✓ ✓ ✓ ✓ ✓IV IV
✓ tf
TP , L/
Chloride
Sulfide
SAR
As
B
Cd
Ca
Cr
Cu
Pb
Mg
Hg
Ni
K
Na
Zn
Comments:
S (2U/(?� 1-tc� l y/iooHL
3/1 / flool ibewo.

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NDAR REVIEW SHEET
Storage Freeboard 11 ,'t
Cover Hourly Yearly [ 2 �( to it !
Field Acres crop Rate Rate
t 0(6.5 e`" ` o.Z 3' .iS ��= �-
2 Oil II I-" tom- L-. 1- X
Comments:
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