WQ0013808_Monitoring - 03-2020_20200603

Page of
PERMIT NUMBER:
FACILITY NAME:
NON DISCHARGE WASTEWATER MONITORING REPORT
WQ0013808 MONTH: March
Summerfield Constructed Wetlands
COUNTY:
YEAR: 2020
Guilford
Flow Monitoring Point: Effluent: Influent:
Parameter Monitoring Point: Effluent: Influent: Surface Water (SW):
SW Code/Name:
Was There Effluent Flow For This Month Generated At This Facility: Yes: N No:
50050
00400 1
50060
00310
00610
00530
31616
00625
00620
00665
00600
D
A
T
E
Operator
Arrival
Time 2400
Clock
operator
Time On
Site
ORC
on
Site?
Daily Rate (Flow)
into Treatment
System
pH
Residual
Chlorine
BOD-5
20'C
NH3-N
TSS
Fecal
Coliform (Ge
metric Mean*(
TKN
Total
Nitrate
Total
Phosph
oruS
Total
Nitrogen
HRS
YIN
GALLONS
UNITS
UG/L
MGIL
MG/L
MG/L
/100ML
MG/L
MG/L
MG/L
MG/L
1
1357
2
1357
3
12:15
1
Y
1357
6.96
0.88
4
1329
5
1329
6
1329
7
1329
a
1329
9
1329
10
1235
2
Y
1329
7.02
0.55
11
1414
12
1414
13
1414
141
1414
15
1414
I
16
1414
17
13:00
1.5
Y
1414
7.01
0.27
18
1314
19
1314
201
1314
21
1314
22
1314
23
1314
24
12:30
1.5
Y
1314
6.77
2.2
2.1
1 0.15
20
1
1.3
0.76
10
2.1
25
1
1186
261
1186
27
1186
2s
1186
29
1186
#
30
1186
31
12:20
0.67
Y
1186
6.74
1 0.11
g
p
Average
1315.2258
0.802
2.1
0.15
201
1
1.3
0.76
10
2.1
Daily Maximum
1414
7.02
2.2
2.1
0.15
20
1
1.3
0.76
10
2.1
Daily Minimum
1186
6.74
0.11
2.1
0.15
20
1
1.3
0.76
10
2.1
Monthly Limit(s)
3182
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Composite (C) / Grab (G)
G
G
IG
IG
G
G
G
G
G
Operator in Responsible Charge (ORC): Chad Lelnbach Grade: 11/S1
Check Box if ORC Has Changed: ❑
Certified Laboratories (1): Conner Consulting,
Person(s) Collecting Samples: Chad Lelnbach
Mail ORIGINAL and TWO COPIES to:
ORC Certification Number:
LLC (2):
Phone: [phone]
23928
ENCO
ATTN: Non -Discharge Compliance Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
DENR BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
Division of Water Quality AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
c�
DENR FORM NDMR-1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? DY
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that all qualified personnel properly gathered and
evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false information, including the possibility of fines and imprisonment for knowing violations."
L Y 0 Chad Leinbach
(Signature of Permittee)* Vate V (Name of Signing Official -Please print or type)
Kotis Properties, Inc.
(Permittee-Please print or type)
Post Office Box 9296
Greensboro, NC 27429
(Permittee Address)
Parameter Codes:
ORC
(Position or Title)
[phone]
(Phone Number)
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556 Oil -Grease
70295 TDS
00916 Calcium
31616 Fecal Coliform
WQ09 PAN Plant Available
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
Residual
00921 Ma nesium
32730 Phenols
00680 TOC
71900 Mercur
00665 Phosphorus, Total
00530 TSslrSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbitli
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
7/31 /23
(Permit Exp. Date)
Parameter Code assistance may be obtained by calling the Water Quality Compliance/Enforcement Unit at [phone] ext. 529.
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the reporting facility's
permit for reporting data.
" If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).
DENR FORM NDMR-1 (5/2003)

NON -DISCHARGE APPLICATION REPORT Page of
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00013808 MONTH
YEAR: 2020
FACILITY NAME: Summerfleld Constructed Wetlands COUNTY: Guilford
Formulas:
Daily Loading (inches) = [Volume Applied (galons) x 0.1336 (cubic feet/gallon) x 12 imcheslroot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) / (Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) =Daily Loading (inches)/[Time Irrigated(minutes)/ 60(minutesibour)] Monthly Load i ng(inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading inches) and previous 11 month's Monthly Loadings (inches)
March
Did Irrigation Occur At This Facility:
Yes: M No:
Did Irrigation Occur On This Field:
Yes: No:
Did Irrigation Occur On This Field:
Yes: No:
FIELD NUMBER:
1
FIELD NUMBER:
2
AREA SPRAYED (acres):
0.71
AREA SPRAYED (acres):
0.52
COVER CROP:
1 Grass/Forest
COVER CROP:
Grass/Forest
PERMITTED HOURLY RATE (inches):
0.3
PERMITTED HOURLY RATE (inches):
0.3
D
A
T
E
WEATHER CONDITIONS
Storage
Lagoon
Freeboard
PERMITTED YEARLY RATE (inches):
34.75
PERMITTED YEARLY RATE (inches):
34.75
weather
Code-
Temper-aWre
at application
Precipitation
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
(°F)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
CI
55
6000
200
0.31
0.09
6000
200
0.42
0.13
2
CI
60
6000
200
0.31
0.09
6000
200
0.42 1
0.13
3
R
50
0.13
2.25
6000
200
0.31
0.09 1
6000
200
0.42
0.13
4
PC
55
6000
200
0.31
0.09
6000
200
0.42
0.13
5
CI
50
6000
200
0.31
0.09
6000
200
0.42
0.13
s
CI
45
6000
200
0.31
0.09
6000
200
0.42
0.13
7
C
45
6000
200
0.31
0.09
6000
200
0.42
0.13
e
C
60
6000
200
0.31
0.09
6000
200
0.42
0.13
9
Cl
60
6000
200
0.31
0.09
6000
200
0.42
0.13
10.
C
65
0.09
3.25
6000
200
0.31
0.09
6000
200
0.42
0.13
11
CI
70
6000
200
0.31
0.09
6000
200
0.42
0.13
12
CI
65
6000
200
0.31
0.09
6000
200
0.42
0.13
13
Cl
65
6000
200
0.31
0.09
6000
200
0.42
0.13
14
Cl
60
6000
200
0.31
0.09
6000
200
0.42
0.13
15
CI
50
6000
200
0.31
0.09
6000
200
0.42
0.13
16
CI
50
1
6000
200
0.31
0.09
6000
200
0.42
0.13
17
R
62
0.21
4.25
2315
77
0.12
0.09
2278
76
0.16
0.13
181
CI
55
750
25
0.04
0.09
750
25
0.05
0.13
19
CI
75
750
25
0.04
0.09
750
25
0.05
0.13
20
CI
80
750
25
0.04
0.09
750
25
0.05
0.13
21
PC
65
750
25
0.04
0.09
750
25
0.05
0.13
22
Cl
50
750
25
0.04
0.09
750
25
0.05
0.13
23
Cl
45
750
25
0.04
0.09
750
25
0.05
0.13
24
Cl
60
0.95
3
1700
56
0.09
0.09
1 1700
56
0.12
0.13
25
CI
60
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
26
CI
55
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
27
CI
80
2100
70
1 0.11
0.09
1400
46
0.10
0.13
29
CI
80
1400
46
0.07
0.09
2100
70
0.15
0.13
29
CI
80
2100
70
0.11
0.09
1400
46
0.10
0.13
30
CI
70
1400
46
0.07
0.09
2100
70
0.15
0.13
31
CI
50
1.34
2.5
1700
56
0.09
0.09
700
23
0.05
0.13
Total Gallons/Monthly Loading (inches)
113215
5.87
112178
7.94
12 Month Floating Total (inches)
:
39.72
54.44
Average Weekly Loading (inches)
:
1.3252011
1.7928359
weamer cones: cclear, rc-partly clouay, cl-clouay, n-ram, sin -snow, 51-sleet
Spray Irrigation Operator in Responsible Charge (ORC): Chad Leinbach Phone: [phone]
ORC Certification Number: 23928 Check Box if ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
RALEIGH, NC 27699-1617 TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (5/2003)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
Page of
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box ) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
in the
Com Pliant YN
N
1. The application rate(s) did not exceed the limit(s) specified permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
Y�
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
YY
4. All buffer zones as specified in the permit were maintained during each application.
YY
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
Y _j
specified in the permit.
If the facility is noncompliant, please explain in the space below the reason(s) the facility was not in compliance
with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
Application rate is coming down after record rainfall last year. Water from the wet weather storage was cut off on March 17.Only
water from the shopping center was irrigated. Chad - ORC
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
and imprisonment for kno ing violations"
Chad Leinbach
(Signature of Permitteer Date (Name of Signing Official -Please print or type)
Kotis Properties, Inc.
(Perm ittee-Please print or type)
Post Office Box 9296
Greensboro, NC 27429
(Permittee Address)
ORC
(Position or Title)
919 260-7301
(Phone Number)
' If signed by otherthan the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).
7/31 /23
(Permit Exp. Date)
DENR FORM NDAR-1 (5/2003)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00013808 MONTH: March YEAR:_
FACILITY NAME: Summerfield Constructed Wetlands COUNTY: Guilford
Formulas:
Daily Loading (Inches) = (Volume Applied (gallons) x 0.1336 (cubic feettgallon) x 12 (mchesftot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) =Daly Loading (inches) /[Time Irrigated (minutes)/60(minutesrhour)] Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum ofthis month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Page _ of
2020
Did Irrigation Occur At This Facility:
Yes: No: M
Did Irrigation Occur On This Field:
Yes: No: M
Did Irrigation Occur On This Field:
Yes: n No:
FIELD NUMBER:
3
FIELD NUMBER:
AREA SPRAYED (acres):
0.17
AREA SPRAYED (acres):
COVER CROP:
Grass/Forest
COVER CROP:
PERMITTED HOURLY RATE (inches):
0.3
PERMITTED HOURLY RATE (inches):
D
A
T
E
WEATHER CONDITIONS
Storage
Lagoon
Freeboard
PERMITTED YEARLY RATE (inches):
34.75
PERMITTED YEARLY RATE (inches):
weather
Code
temperature
atapplication
Precipitation
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
('F)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
CI
55
0
0
0.00
#DIV/0!
2
Cl
60
0
0
0.00
#DIV/O!
3 1
R
50
0.13
2.25
0
0
1 0.00
#DIV/0!
4
PC
55
0
0
0.00
#DIV/0!
5
CI
50
0
0
0.00
#DIV/0!
s
CI
45
0
0
0.00
#DIV/0!
C
45
0
0
0.00
#DIV/O!
8
C
60
0
0
0.00
#DIV/0!
9
CI
60
1 0
0
0.00
#DIV/O!
10
C
65
0.09
3.25
0
0
0.00
#DIV/0!
1t
CI
70
0
0
0.00
#DIV/0!
12
Cl
65
0
0
0.00
#DIV/0!
13
CI
65
0
0
0.00
#DIV/O!
14
CI
60
0
0
0.00
#DIV/0!
15
Cl
50
0
0
0.00
#DIV/0!
16
Cl
50
0
0
0.00
#DIV/0!
17
R
62
0.21
4.25
0
0
0.00
#DIV/0!
18
Cl
55
0
0
0.00
#DIV/0!
tg
CI
75
0
0
0.00
#DIV/O!
20
Cl
80
0
0
0.00
#DIV/0!
21
PC
65
0
0
0.00
#DIV/0!
22
Cl
50
0
0
0.00
#DIV/0!
23
CI
45
0
0
0.00
#DIV/O!
24
Cl
60
0.95
3
0
0
0.00
#DIV/0!
25
Cl
60
0
0
0.00
#DIV/O!
26
CI
55
0
0
0.00
#DIV/O!
27
Cl
80
0
0
0.00
#DIV/O!
28
CI
80
0
0
0.00
#DIV/O!
29
Cl
80
0
0
0.00
#DIV/O!
30
Cl
70
0
0
0.00
#DIV/O!
31
CI
50
1.34
2.5
0
0
0.00
#DIV/O!
Total Gallons/Monthly Loading (inches)
0
0.00
0
0.00
12 Month Floating Total (inches)
;
34.73
Average Weekly Loading (inches)
:
0
0
Na-y 11-y.­­Uy, n-rand, 1-L
Spray Irrigation Operator in Responsible Charge (ORC): Chad Leinbach Phone: [phone]
ORC Certification Number: _23928 Check Box if ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality (SIGNATURE OF OPERATOR IN RESPON IBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
RALEIGH, NC 27699-1617 TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (572003)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
Page
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box ) whether the facility has been compliant
with the following permit requirements: (Note. if a requirement does not apply to your facility put (NA) in the
compliant box. )
in
Compliantly, N
Y
1. The application rate(s) did not exceed the limits) specified the permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
Y�
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
YO
4. All buffer zones as specified in the permit were maintained during each application.
YY
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
YY
specified in the permit.
If the facility is noncompliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach
additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
and imprisonment for knowing violations"
(Signature of Permitteer Date
Kotis Properties, Inc.
(Perm ittee-Please print or type)
Post Office Box 9296
Greensboro, NC 27429
(Permittee Address)
Chad Leinbach
(Name of Signing Official -Please print or type)
ORC
(Position or Title)
919 260-7301
(Phone Number)
If signed by otherthan the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b)(2)(D).
7/31 /23
(Permit Exp. Date)
DENR FORM NDAR-1 (5/2003)