WQ0013808_Monitoring - 05-2020_20200813

I NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
Page I of
PERMIT NUMBER: WQ0013808
FACILITY NAME: Summerfleld Constructed Wetlands
MONTH: May YEAR:
COUNTY: Guilford
Formulas:
Daily Loading (inches) =(Volume Applied (gallons) x 0.1336 (cubic feettgallon) x 12 (Inches/foot)] I [Area Sprayed (acres) x 43,560(square feet/acre)] OR
= Volume Applied (gallons) I [Area Sprayed (acres) x 27,152 (gallons/aore-inch)]
Maximum Hourly Loading (inches) =Daily Loading(inches)/(Time Irrigated(minutes)/ 60(minuteshour)l Monthly Loading (inches) =Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 1t month's Monthly Loadings (inches)
2020
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)71
0.71
AREA SPRAYED (acres):
0.52
COVER CROP:
Grass/Forest
COVER CROP:
1 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-alure
at application
Precipita-tion
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
Cl
60
2
2.1
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
2
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
3
1
800
27
0.04
0.09 1
800
27
0.06
0.13
a 1
1
800
27
0.04
0.09
800
27
0.06
0.13
5
R
55
0.05
2.1
979
33
0.05
0.09
1220
40
0.09
0.13
6
800
27
0.04
0.09
800
27
0.06
0.13
7
800
27
0.04
0.09
800
27
0.06
0.13
e
800
27
0.04
0.09
800
27
0.06
0.13
9
800
27
0.04
0.09
800
27
0.06
0.13
10
1
1 800
27
0.04
0.09
1 800
27
0.06
0.13
11
800
27
0.04
0.09
800
27
0.06
0.13
12
PC
60
0.14
2.5
800
27
0.04
0.09
800
27
0.06
0.13
13
800
27
0.04
0.09
800
27
0.06
0.13
14
800
27
0.04
0.09
800
27
0.06
0.13
15
800
27
0.04
0.09
800
27
0.06
0.13
16
800
27
0.04
0.09
800
27
0.06
0.13
17
800
27
0.04
0.09
800
27
0.06
0.13
16
800
27
0.04
0.09
800
27
0.06
0.13
1s
R
58
2.45
2.1
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/O!
20
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
21
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
22
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/0!
23
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
24
1
1 0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
25
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
26
Cl
65
6.6
1.1
23GO
77
0.12
0.09
2300
77
0.16
0.13
27
2000
66
0.10
0.09
2000
66
0.14
0.13
28
0
0
0.00
#DIVIO!
0
0
0.00
#DIV/O!
29
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/0!
301
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
311
1
1 2000
66
0.10
1 0.09
2000
66
0.14
0.13
Total Gallons/Monthly loading (inches)l
19279
1.00
19520
1.38
12 Month Floating Total (inches)
;
39.41
54.50
Average Weekly Loading (inches)
:
0.225664
0.3119699
weamer uoaes: U-clear, ru-parry ctouay, w-clouay, K-ram, Jn-snow, bi-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 (SIGNAT RE OF OPERATOR IN RESPO 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 limits) specified in the permit.
N
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
YO
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
y
4. All buffer zones as specified in the permit were maintained during each application.
y
6. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
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.
Excess rain has caused a temporary freeboard violation (over 10"). Water will be put out as weather allows. 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."
L �Chad Leinbach
(Signature of Permitteer Oa, (Name of Signing Official -Please print or type)
Kotis Properties, Inc. ORC
(Permittee-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 (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: WQ0013808
FACILITY NAME Summerfield Constructed Wetlands
MONTH: May
COUNTY:
Page of !
YEAR: 2020
Guilford
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet(gallon) x 12 (inches/Foot)] I [Area Sprayed (acres) x 43,560 (square feetacre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch))
Maximum Hourly Loading (inches) = Daily loading (inches)! (rare Irrigated (minutes) / 60 (minuhnMour)] Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and pmvious 11 month'= Monthly Loadings (inches)
G�arana Wm41v I naAinn linrhml = rLlnMhh.l naAinn (innhaclmnnMl / Nnmhwr of Aave in Mw month /r1a.,ehnnnMll v ] lrlavch,aw41
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:
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
Ecode'
WEATHER CONDITIONS
Storage
Lagoon
Fme4/oard
PERMITTED YEARLY RATE (inches):
34.75
PERMITTED YEARLY RATE (inches):
Weather
�TemperaWre
appacation
Precipitafion
Volume
Applied
Time
Irri ated
Daily
LoadingLoadingApplied
Maximum
Hourly
Volume
Time
Irrigated
Daily
LoadingLoading
Maximum
Hourly
('F)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
CI
60
2
2.1
0
0
0.00
#DIVIO!
2
0
0
0.00
#DIV/O!
3
0
0
0.00
#DIV/0!
4
0
0
0.00
#DIV/0!
5
R
55
0.05
2.1
0
0
0.00
#DIV/0!
6
0
0
0.00
#DIV/0!
7
0
0
0.00
#DIV/0!
s
0
0
0.00
#DIV/O!
9
0
0
0.00
#DIV/O!
to
0
0
0.00
#DIV/O!
11
0
0
0.00
#DIV/O!
12
PC
60
0.14
2.5
30D
10
0.06
0.39
13
300
10
0.06
0.39
14
300
10
0.06
0.39
15
300
10
0.06
0.39
16
300
10
0.06
0.39
17
300
10
0.06
0.39
18
300
10
0.06
0.39
19
R
58
2.45
2.1
0
0
0.00
#DIV/0!
20
0
0
0.00
#DIV/0!
21
0
0
0.00
#DIV/O!
22
0
0
0.00
#DIV/0!
23
1
0
0
0.00
#DIV/0!
24
0
0
0.00
#DIV/0!
25
0
0
0.00
#DIV/0!
26
CI
65
6.6
1.1
1000
33
0.22
0.39
27
300
10
0.06
0.39
2a
0
0
0.00
#DIV/0!
29
0
0
0.00
#DIV/0!
30
0
0
0.00
#DIV/0!
31
300
10
0.06
0.39
Total Gallons/Monthly Loading (inches)
3700
0.80
0
0.00
12 Month Floating Total (inches)
;
32.70
Average Weekly Loading (inches)
:
0.1808793
0
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)
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 R N
1. The application rate(s) did not exceed the limits) specified in the permit.
Y
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
0
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit
0
4. All buffer zones as specified in the permit were maintained during each application.
Y�
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limits)
YO
specified in the permit.
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach
additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
and imprisonment for knowing violations."
" 1��//JJ
—V 0 Chad Leinbach
(Signature of Permittee)' Date I (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 (512003)

NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER:
FACILITY NAME:
WQ0013808
Summerfield Constructed Wetlands
MONTH: May YEAR:
COUNTY:
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 Facilit : Yes: 54 No:
D
A
T
E
operator
Arrival
Time 2400
Clock
Operator
Time On
Site
ORC
on
Site?
50050
00400
60060
00310
00610
00530
31616
00625
00620
00665
00600
Daily Rate (Flow)
into Treatment
System
pH
Residual
Chlorine
BOD-5
20'C
NH3-N
TSS
Fecal
Coliform (Ge
metric Meao`)
TKN
Total
Nitrate
Total
Phosph
OrUS
Total
Nitro en
HRS
Y/N
GALLONS
UNITS
UG/L
MG/L
MGIL
MG/L
1100ML
MG/L
MG/L
MG/L
MG/L
1
13A0
0.15
N
1167
2
1300
3
1300
4
1300
5
13:00
1.75
Y
1300
7.06
1.6
6
1114
7
1114
s
1114
9
1114
10
1114
11
1114
12
13:00
0.75
Y
1114
6.86
0.66
13
1450
14
1450
161
1450
16
1450
17
1450
18
1450
19
11:30
0.67
Y
1450
7.02
0.32
20
1088
21
1088
22
1088
23
1088
24
1088
25
1088
26
9A5
0.33
Y
1088
6.78
0.5
27
1314
2s
1314
29
1314
30
1
1
1314
31
1
1
1314
Average
1241.9677
0.77
#DIV/01
#DIV/0.'
#DIV/01.
#NUMI
#DIV/01
#DIV/01.
#DIV/0:
#DIV/01
Daily Maximum
1450
7.06
1.6
0
0
0
0
0
0
0
0
Daily Minimum
1088
6.78
0.32
0
0
0
0
0
0
0
0
Monthly Limit(s)
3182
NA
NA
NA
NA
NA
NAI
NA
NA
NA
NA
Composite (C) / Grab (G)
G
G
G
G
G
G
IG
G
G
Operator in Responsible Charge (ORC):
Check Box if ORC Has Changed:
Certified Laboratories (1):
Person(s) Collecting Samples:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
Chad Leinbach Grade: ll/Si
EJ
Conner Consulting, LLC
Chad Leinbach
ORC Certification Number:
(2):
Phone: [phone]
23928
ENCO
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (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, ind ing the possibility of fines and imprisonment for knowing violations."
--Z-
1 Chad Leinbach
(Signature of Permittee)* Dafe (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
00927 Magnesium
32730 Phenols
00680 TOC
71900 mercury00665
Phosphorus, Total
00530 TssfrSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
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)