WQ0013808_Monitoring - 06-2020_20200813

PERMIT NUMBER:
FACILITY NAME:
NON DISCHARGE WASTEWATER MONITORING REPORT
WQ0013808 MONTH: June
Summerfield Constructed Wetlands COUNTY:
Page of_
YEAR: 2020
Guilford
Flow Monitoring Point: Effluent: Influent:
Parameter Monitoring Point: Effluent: N Influent: Surface Water (SW): Ll
SW Code/Name:
Was There Effluent Flow For This Month Generated At This Facility: Yes: DQ No:
50050
00400
50060
00310
00610
00530
31616
00626
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
YM
GALLONS
UNITS
UGIL
MG/L
MG/L
MG/L
1100ML
MG/L
MG/L
MG/L
MG/L
1
1314
2
1315
1.25
Y
1314
6.63
0.2
3
1143
4
1143
5
1143
6
1143
1143
8
1143
9
10:55
0.67
Y
1143
6.98
0.45
10
1100
11
1100
12
1100
13
1100
114
1100
15
1100
16
10:00
1
Y
1100
6.97
2.2
17
1200
18
1200
19
10:30
0.25
N
1200
20
1200
21
1
1200
22
1200
23
9:50
2
Y
1200
6.99
2.2
24
1143
251
1143
261
1143
271
1
1143
28
1143
29
1143
30
10:40
0.83
Y
1143
6.79
2.2
31
Average
1157.6667
1.45
#DIV/0!
#DIV/0!
#DIV/0!
#NUM!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/01
Daily Maximum
1314
6.99
2.2
0
0
01
0
0
0
0
0
Daily Minimum
1100
6.63
0.2
01
0
0
01
0
0
0
0
Monthly Limit(s)
3182
NA
NA
NAI
NA
NA
NAI
NA
NA
NA
NA
Composite (C) / Grab (G)
G
G
G
IG
G
G
1G
G
G
Operator in Responsible Charge (ORC): Chad Lelnbach Grade: II/SI Phone: [phone]
Check Box if ORC Has Changed: ORC Certification Number: 23928
Certified Laboratories (1): Conner Consulting, LLC (2): ENCO
Person(s) Collecting Samples: Chad Leinbach
Mail ORIGINAL and TWO COPIES to: //
ATTN: Non -Discharge ComplianceyG nit (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 CIO
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? IY
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."
6 2 -.a
(Signature of Permittee)* Date
Kotis Properties, Inc.
(Permittee-Please print or type)
Post Office Box 9296
Greensboro, NC 27429
(Permittee Address)
Parameter Codes:
Chad Leinbach
(Name of Signing Official -Please print or type)
(Position or Title)
[phone]
(Phone Number)
ORC
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 Chlorine
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
Residual
00921 Ma nesium
32730 Phenols
00680 TOC
90
710 Mercur
00665 Phosphorus, Total
00530 TSsrrSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbltli
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 L l
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0013808 MONTH: June YEAR: 2020
FACILITY NAME: Summerf!eld Constructed Wetlands COUNTY: Guilford
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inchestfoot)] / [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)I[rxne Irrigated (minutes) 160(minules1hour)] Monthly Loading (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)
Did Irrigation Occur At is 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 CROP71
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'
Temperature
atapplicatton
I
Precipita-tion
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
(°F) I
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
C
80
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/O!
2
C
80
0
1.6
2800
93
0.15
0.09
2800
93
0.20
0.13
3
C
85
1
1500
50
1 0.08
0.09
1500
50
0.11
0.13
4
Cl
80
1500
50
0.08
0.09
1500
50
0.11
0.13
5
Cl
80
1500
50
0.08
0.09
1500
50
0.11
0.13
6
CI
83
1500
50
0.08
0.09
1500
50
0.11
0.13
7
Cl
75
1500
50
0.08
0.09
1500
50
0.11
0.13
8
CI
83
1500
50
0.08
0.09
1500
50
0.11
0.13
9
Cl
80
0.75
1.1
3200
107
0.17
0.09
3200
107
0.23
0.13
1 o
Cl
82
3200
107
0.17
0.09
3200
107
0.23
0.13
11
CI
82
3200
107
0.17
0.09
3200
107
0.23
0.13
12
PC
75
3200
107
0.17
0.09
3200
107
0.23
0.13
13
PC
76
3200
107
0.17
0.09
3200
107
0.23
0.13
14
PC
70
3200
107
0.17
0.09
3200
107
0.23
0.13
15
CI
60
3200
107
0.17
0.09
3200
107
0.23
0.13
16
R
60
1.2
1.5
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
17
Cl
65
0
0
0.00
#DIVJO!
0
0
0.00
#DIVIO!
18
Cl
75
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
19
CI
72
1.52
1.3
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/0!
20
Cl
80
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
21
CI
75
1000
33
0.05
0.09
1000
33
0.07
0.13
22
C
80
1000
33
0.05
0.09
1000
33
0.07
0.13
23
C
85
0.35
1.1
3000
100
0.16
0.09
3000
100
0.21
0.13
24
Cl
75
3000
100
0.16
0.09
3000
100
0.21
0.13
25
Cl
75
3000
100
0.16
0.09
3000
100
0.21
0.13
26
Cl
75
5574
185
0.29
0.09
2937
98
0.21
0.13
27
PC
75
1500
50
0.08
0.09
1500
50
0.11
0.13
28
CI
75
1500
50
0.08
0.09
1500
50
0.11
0.13
29
CI
78
1500
50
0.08
0.09
1500
50
0.11
0.13
3o
Cl
81
0.16
1.1
1500
50
0.08
0.09
1500
50
0.11
0.13
31
Total 3allons/Monthly Loading (inches)
56774
2.94
54137
3.83
12 Month Floating Total (inches)
:
33.08
45.73
Average Weekly Loading (inches)
' • : • : • : • : • : • :
• : • : • : •
0.6867011
0.8940616
weatner u,oues. u ciear, ru,-parry ciouuy, u,r-ciouuy, m-ram, an -snow, arsreec
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 C��
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 (512003)

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 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.
YY
4. All buffer zones as specified in the permit were maintained during each application.
y
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limits)
NN
specified in the permit.
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance
with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
Excess rain has caused a temporary freeboard violation (over 10"). Water will be put out as weather allows. Zone 2 is out of
compliance for application running average. Water dosage to Zone 2 will be reduced. 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)* to (Name of Signing Official -Please print or type)
Kobs Properties, Inc.
(Permittee-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)(2XD).
7/31 /23
(Permit Exp. Date)
DENR FORM NDAR-1 (5/2003)

NON -DISCHARGE APPLICATION REPORT Page 3 of�
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0013808 MONTH: June YEAR: 2020
FACILITY NAME: Summerfleld Constructed Wetlands COUNTY: Guilford
Formulas:
Daily Loading (inches) = LVolume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (nchesRoot)] / [Area Sprayed (acres) x 43,560 (square feetlacre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acm4nch)]
Maximum Hourly Loading (inches) =Daily Loading(inches) I[Tiime Irrigated (minutes)/60(minuteshour)] Monthly Loading (inches) =Sum of Daily Loadings(inches)
12 Month Floating Total (inches) = Sum of this momh's Monthly Loading (inches) and pmicus 11 mmth's Monthly 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: F1 No:
FIE7NUMBEW
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
Codeat
Temperature
application I
Precipita-bon
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
(°F) I
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
C
80
0
0
0.00
#DIV/O!
2
C
80
0
1.6
600
30
0.13 1
0.26
3
C
85
1
700
35
0.15
0.26
4
Cl
80
700
35
0.15
0.26
5
CI
80
700
35
0.15
0.26
6
Cl
83
700
35
0.15
0.26
7
Cl
75
700
35
0.15
0.26
8
Cl
83
700
35
1 0.15
0.26
9
Cl
80
0.75
1.1
900
45
0.19
0.26
10
CI
82
900
45
0.19
0.26
11
Cl
82
900
45
0.19
0.26
12
PC
75
900
45
0.19
0.26
131
PC
76
900
45
0.19
0.26
141
PC
1 70
900
45
0.19
0.26
i5l
Cl
1 60
1
900
45
0.19
0.26
1s
R
60
1.2
1.5
0
0
0.00
#DIV/0!
17
CI
65
0
0
0.00
#DIV/0!
18
Cl
75
0
0
0.00
#DIV/0!
19
Cl
72
1.52
1.3
0
0
0.00
#DIV/0!
zo
Cl
80
0
0
0.00
#DIV/0!
21
Cl
75
0
0
0.00
#DIV/0!
221
C
80
0
0
0.00
#DIV/0!
23
C
85
0.35
1.1
900
45
0.19
0.26
24
Cl
75
900
45
0.19
0.26
25
Cl
75
900
45
0.19
0.26
26
Cl
75
1466
74
0.32
0.26
27
PC
75
1 0
0
0.00
#DIV/0!
ze
CI
75
0
0
0.00
#DIV/O!
29
CI
78
0
0
0.00
#DIV/O!
30
CI
1 81
1 0.16
1.1
0
0
0.00
#DIV/O!
31
Total Gallons/Monthly Loading (inches)
15266
3.31
0
0.00
12 Month Floating Total (inches)'
21.29
Average Weekly Loading (inches)
:
0.771175
0
.. weamer I-.. a.crear, r Panry crouuy, --ciouuy, M-raur, onm W, ---
Spray Irrigation Operator in Responsible Charge (ORC): Chad Leinbach Phone: [phone]
ORC Certification Number: 23928 Check Box if ORC Has Changed: ❑
r.
Mail ORIGINAL and TWO COPIES to: ;
ATTN: Non -Discharge Compliance Unit f '
DENR {
Division of Water Quality (SIGN URE 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: ifa requirement does notapply to yourfacility put (NA) in the
compliant box. )
in
Compliantly, N
1. The application rate(s) did not exceed the limit(s) specified the permit.
Y
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
0
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
0
4. All buffer zones as specified in the permit were maintained during each application.
y
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limits)
NN
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.
See notes on other page.
"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 k wing violations"
1
Chad Leinbach
(Signature of Permitteer 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)
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)