WQ0013808_Monitoring - 04-2020_20200611

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
Page _ of
PERMIT NUMBER: WQ0013808
MONTH:
YEAR: 2020
FACILITY NAME: Summerfleld Constructed Wetlands COUNTY: Guilford
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feedgdon) x 12 (nchesfib0l / [Area Sprayed (acres) x 43,500 (square feetlacre)) OR
= Volume Applied (gallons) l [Area Sprayed (acres) x 27,152 (gallonslacre-inch)1
Maximum Hourly Loading (inches) = Daily Loading (inches) / Crime Irrigated (minutes) I So (ninutesmour)) Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and pie sous 11 months Mordhty Loadings (inches)
Did Irrigation Occur At This Facility:
Yes: No:
Did Irrigation Occur On This Field:
Yes: No:
Did Irrigation Occur On This Field:
Yes: No:
FIELD NUMBER:
1
FIELD NUMBER:
2
AREA SPRAYED (acres):
0.71
AREA SPRAYED (acres):
0.52
COVER CROP:
Grass/Forest
COVER CROP:
Grass/Forest
PERMITTED HOURLY RATE (inches):
0.3
PERMITTED HOURLY RATE (inches):
0.3
D
T
E
WEATHER CONDITIONS
Limoniq
Free-boardIrri
PERMITTED YEARLY RATE (inches):
34.75
PERMITTED YEARLY RATE (inches):
34.75
Weather
Code-
Temperahore
at application
Precipit"on
Time
ated
Daily
Loadin
Maximum
Hourly
Loadin
Volume
A lied
Time
Irri ated
Daily
Loadin
Maximum
Hourly
Loadin(°F)
inches
feetminutes
inches
inches
gallons
minutes
inches
inches
1
CI
23
0.04
0.09
1400
47
0.10
0.13
2
C
47
0.07
0.09
700
23
0.05
0.13
3
CI
23
0.04
0.09 1
1400
47
0.10
0.13
4
C
1400
47
0.07
0.09
700
23
0.05
0.13
5
CI
700
23
0.04
0.09
1400
47
0.10
0.13
6
CI
1400
47
0.07
0.09
700
23
0.05
0.13
7
CL
75
0.34
2.5
700
23
0.04
0.09
1400
47
0.10
0.13
s
C
1400
47
0.07
0.09
700
23
0.05
0.13
9
C
700
23
0.04
0.09
1400
47
0.10
0.13
110
C
1400
47
0.07
0.09
700
23
0.05
0.13
11
CI
700
23
0.04
0.09
6000
47
0.42
0.54
12
CI
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
13
CI
0
0
0.00
#DIV/O!
0
0
1 0.00
#DIV/O!
14
C
60
1
2.5
700
23
0.04
0.09
1400
47
0.10
0.13
15
CI
2100
60
0.11
0.11
2100
60
0.15
0.15
161
Cl
2100
60
0.11
0.11
2100
60
0.15
0.15
17
Cl
1
2100
60
0.11
0.11
2100
60
0.15
0.15
19
Cl
2100
60
0.11
0.11
2100
60
0.15
0.15
1g
Cl
2100
60
0.11
0.11
2100
60
0.15
0.15
20
R
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/O!
21
PC
61
0.87
2.5
2100
60
0.11
0.11
2100
60
0.15
0.15
22
Cl
2100
60
0.11
0.11
2100
60
0.15
0.15
23
Cl
2100
60
0.11
0.11
2100
60
0.15
0.15
24
Cl
2100
60
0.11
0.11
2100
60
0.15
0.15
25
Cl
2100
60
0.11
0.11
2100
60
0.15
0.15
26
Cl
2100
60
0.11
0.11
2100
60
0.15
0.15
27
C
2100
60
0.11
0.11
2100
60
0.15
0.15
29
Cl
68
0.54
2.75
21GO
60
0.11
0.11
2100
60
0.15
0.15
29
Cl
2100
60
0.11
0.11
2100
60
0.15
0.15
30
R
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
31
Total Gallons/Monthly Loading (inches)
41300
2.14
47300
3.35
12 Month Floating Total (inches)
;
40.38
55.77
Average Weekly Loading (inches)
:
0.4995378
0.78115
11eau rol wuea. \.n.le , 17 -p-ly cluuuy, a.rcluuuy, n-lain, o 1- 10W, -1-
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 (SIGNA RE 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.
13
DENR FORM NDAR-1 (5/2003)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
Page _ of
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box ) whether the facility has been compliant
with the following permit requirements: (Note. if a requirement does not apply to your facility put (NA) in the
compliant box. )
Com liant(Y N
1. The application rate(s) did not exceed the limits) specified in the permit.
N
2. Adequate measures were taken to prevent wastewater runoff from the site(s).—�
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
4. All buffer zones as specified in the permit were maintained during each application.
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limits)
I�
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.
The June report will be in compliance. Chad - ORC
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
and imprisonment for knowing violations."
Chad Leinbach
(Signature of Permittee)" Dat (Name of Signing Official -Please print or type)
Kotis Properties, Inc. ORC
(Perm ittee-Please print or type) (Position or Title)
919 260-7301
Post Office Box 9296 (Phone Number)
Greensboro, NC 27429
(Permittee Address)
If signed by otherthan the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (bH2HD).
7131123
(Permit Exp. Date)
DENR FORM NDAR-1 (5/2003)

NON -DISCHARGE APPLICATION REPORT Page of
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0013808 MONTH: April YEAR: 2020
FACILITY NAME Summerfield Constructed Wetlands COUNTY: Guilford
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1330 (cubic feetga w) x 12 (ncheslloot)) l [Area Sprayed (acres) x 43,560 (square feetlacre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (galions/aue-inch))
Maximum Hourly Loading (inches) = Daly Loaning (inches) / [Time irrigated (minutes) l6o (minutesrhour)] Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 momh's Monthly Loadings (inches)
A....=... wmtd„ 1 n dir rinrh 1 = ru., mr h tiny„ ­h­M.­ r N.,..,h....s w...- � M......uh rb.,=an,»,mu. 7 h,b.Rn..eh.h
Did Irrigation Occur At ThisFacility:
Yes: No:
Did Irrigation Occur On This Field:
Yes: No:
Did Irrigation Occur On This Field:
Yes: 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
T
E
WEATHER CONDITIONS
ge
LLag000n
Freeboard
PERMITTED YEARLY RATE (inches):
34.75
PERMITTED YEARLY RATE (inches):
Weather
code'
Temperature
at application 1pwipilafiorl�
Volume
Applied
Time
Irri ated
Daily
Loading_Loading
Maximum
Hourly
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
('F)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
Cl
0
0
0.00
#DIV/O!
2
C
0
0
0.00
#DIV/O!
3
Cl
0
0
0.00
#DIV/O!
a
C
0
0
0.00
#DIV/0!
5
Cl
0
0
0.00
#DIV/O!
6
CI
0
0
0.00
#DIV/O!
7
CL
75
0.34
2.5
0
0
0.00
#DIV/O!
s
C
0
0
0.00
#DIV/0!
6
C
0
0
0.00
#DIV/O!
10
C
0
0
0.00
#DIV/O!
ill
CI
0
0
0.00
#DIV/0!
12
CI
0
0
0.00
#DIV/0!
13
CI
0
0
0.00
#DIV/0!
14
C
60
1
2.5
0
0
0.00
#DIV/O!
15
CI
0
0
0.00
#DIV/O!
16
Cl
0
0
0.00
#DIV/O!
17
CI
0
0
0.00
#DIV/O!
to
Cl
0
0
0.00
#DIV/O!
19
CI
0
0
0.00
#DIV/0!
20
R
0
0
0.00
#DIV/O!
21
PC
61
0.87
2.5
0
0
0.00
#DIV/O!
22
Cl
1
0
0
0.00
#DIV/O!
23
Cl
0
0
0.00
#DIV/O!
24
Cl
0
0
0.00
#DIV/0!
25
Cl
0
0
0.00
#DIV/O!
26
Cl
0
0
1 0.00
#DIV/0!
27
C
0
0
0.00
#DIV/O!
28
Cl
68
0.54
2.75
0
0
0.00
#DIV/O!
29
CI
0
0
0.00
#DIV/0!
3o
R
0
0
0.00
#DIV/O!
31
Total Gallons/Monthly Loading (inches)
0
0.00
0
0.00
12 Month Floating Total (inches)
;
32.20
Average Weekly Loading (inches)
.
0
0
weamer i.oaes. a. ear, rh,.-pdniy cwuay, a.r•crouay, n-rdm, an�now, Jr-sree[
Spray Irrigation Operator in Responsible Charge (ORC): Chad Leinbach Phone: [phone]
ORC Certification Number: _23928 Check Box if ORC Has Changed: EJ
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. )
Compliant Y N
1. The application rate(s) did not exceed the limit(s) specified in the permit.
Y
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
l�.J
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit
L_J
4. All buffer zones as specified in the permit were maintained during each application.
L J
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limits)
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"
Lzz_4�__c� Uz/_� Chad Leinbach
(Signature of ermitteer 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 other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2XD).
7/31 /23
(Permit Exp. Date)
DENR FORM NDAR-1 (512003)

NON DISCHARGE WASTEWATER MONITORING REPORT Page of
ORC Certification Number:
LLC (2):
PERMIT NUMBER: WQ0013808
FACILITY NAME: Summerfield Constructed Wetlands
MONTH: April YEAR:
COUNTY:
IjUIITorci
Flow Monitoring Effluent:
-Point:
perator
sitenChlorinemmn
••
E
••
Operator in Responsible Charge (ORC): Chad Leinbach Grade:
Check Box if ORC Has Changed: ❑
Certified Laboratories (1): Conner Consulting,
Person(s) Collecting Samples: Chad Leinbach
Mail ORIGINAL and TWO COPIES to: _
ATTN: Non -Discharge Compliance Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
DENR BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
Division of Water Quality AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
11/SI Phone: [phone]
23928
ENCO
DENR FORM NDMR-1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
Facili _Status:
Please answer the following question:
Compliant (YIN)
1. Does all monitoring data and sampling frequencies meet permit requirements? OY
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 dates) 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."
/
I S 3 U i% Chad Leinbach
(Signature of Permittee)* ate (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] 7/31/23
(Phone Number) (Permit Exp. Date)
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
Oo929 Sodium
01022 Boron
00094 Conductivity00630
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 PlantAvailable
00010 Tem rature
00940 Chloride
01051 Lead
00400
00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
32730 Phenols
00680 TOC
71900 Mercury
00665 Phosphorus, Total
00530 TSSrrSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidt
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Compliance/Enforcement Unit at [phone] ext. 529.
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the reporting facility's
permit for reporting data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).
DENR FORM NDMR-1 (5/2003)