WQ0013808_Monitoring - 07-2020_20200918

f 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: July YEAR:
FACILITY NAME: Summerfield Constructed Wetlands COUNTY: Guilford
Formulas:
Daily Loading (inches) =[Volume Applied (gallons) x 0.1336 (cubic feet/gallon)x12(inches/foot)]I[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) 160 (minutes�hour)] 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)
Did IrrigationtmXtThis Facility:
Yes: No:
Did Irrigation Occur On This Field:
Yes: No:
Did Irrigation Occur On This Field:
Yes: No:
•D • • • • • •
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
q
T
E
WEATHER CONDITIONS
Storage
Lagoon
Freeboard
PERMITTED YEARLY RATE (inches):
34.75
PERMITTED YEARLY RATE (inches):
34.75
Weather
Code'
temper-ad.rc
atapplicason
Pmcipiabon
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
PC
80
1500
50
0.08
0.09
1000
33
0.07
0.13
2
PC
80
1500
50
0.08
0.09
1000
33
0.07
0.13
3 1
C
80
1500 1
50
0.08
0.09
1000
33
0.07
0.13
a
Cl
80
1500
50
0.08
0.09
1000
33
0.07
0.13
5
Cl
80
1500
50
0.08
0.09
1000
33
0.07
0.13
6
Cl
80
1500
50
0.08
0.09
1000
33
0.07
0.13
7
PC
77 1
0.03
1.5
1500
50
0.08
0.09
1000
33
0.07
0.13
s
Cl
80
2000
67
0.10
0.09
1000
33
0.07
0.13
9
Cl
80
2000
67
0.10
0.09
1000
33
0.07
1 0.13
iol
Cl
80
2000
67
0.10
0.09
1000
33
0.07
0.13
11
C
80
2000
67
0.10
0.09
1000
33
0.07
0.13
12
Cl
80
2000
67
0.10
0.09
1000
33
0.07
0.13
13
Cl
80
2000
67
0.10
0.09
1000
33
0.07
0.13
14
PC
85
1 0.85
1.7
2000
67
0.10
0.09
1000
33
0.07
0.13
15
C
85
2000
1 67
0.10
0.09
1000
33
0.07
0.13
16
CL
85
2000
67
0.10
0.09
1000
33
0.07
1 0.13
171
CL
85
2000
67
0.10
0.09
1000
33
0.07
0.13
1s
R
85
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
19
R
85
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/0!
20
CL
85
2000
67
0.10
0.09
1000
33
0.07
0.13
21
C
90
1
2.5
2000
67
0.10
0.09
1000
33
0.07
0.13
22
CL
85
1 2000
67
0.10
0.09
1000
33
0.07
0.13
23
CL
85
2000
67
0.10
0.09
1000
33
0.07
0.13
24
R
85
0
0
0.00
#D!V/0!
0
0
0.00
#DIV/0!
251
CI
85
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
26
Cl
85
1500
50
0.08
0.09
1000
33
0.07
0.13
27
Cl
1 5
1500
50
1 0.08
0.09
1000
33
0.07
0.13
26
C
95
1 3.85
22
1500
50
0.08
0.09
1000
33
0.07
0.13
29
C
85
1500
50
0.08
0.09
1000
33
0.07
0.13
30
Cl
85
1500
50
0.08
0.09
1000
33
0.07
0.13
31
CI
85
1500
50
0.08
0.09
1000
33
0.07
0.13
Total GallonslMonthly Loading
(inches)
47500
2.46
27000
1.91
12 Month Floating Total (inches)
•
30.33
40.48
Average Weekly Loading (inches)
;
0.5559957
0.4315157
rrnaurer wuna. 1.,-panty -... y, .,r-I.-Y, n-ranr..,�r-�rr�.., �rsrrer
Spray Irrigation Operator in Responsible Charge (ORC): Chad Leinbach Phone: [phone]
ORC Certification Number: _23928 Check Box if ORC Has Changed: El
Mail ORIGINAL and TWO COPIES to: /
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality (SIGNATURE OF OPERATOR IN RES BLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
RALEIOH, NC 27699-1617 TO THE BEST OF MY KNOWLEDGE.
t�0
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: d a requirement does not apply to your facility put (NA) in the
compliant box. )
limits) in the
Com liant(Y-N�
N
1. The application rate(s) did not exceed the specified permit.
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)
N�
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.
ZONE 1 COMPLIANT - ZONE 2 NON -COMPLIANT for application rate, Freeboard compliant at end of month - 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
an/d ii/mmprisonment for know g violations" /JyA//V
�///f2e//l vV Chad I einha h
nature of Permitteer 'Date / (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)
(Position or Title)
919 260-7301
(Phone Number)
ORC
' 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.
Page _ of
PERMIT NUMBER: WQ0013808
MONTH: July
YEAR: 2020
FACILITY NAME Summerfield Constructed Wetlands COUNTY: Guilford
Formulas:
Daily Loading (inches) _ [Volume Applied (gallons) x 0.1336 (cubic feetigalion)x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feeNarre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) Dally Loading (inches)/(Tune Irrigated (minutes)/60(minutes/hour)] 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)
Avera le Weekly Loading (inches) = (Monthly Loading (inches/month) /Number of days in the month (daystmonth)] x 7 (dayshmek)
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:
1 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
at application
Precipitafion
Volume
AoDlied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
A lied
Time
Irrigated
Daily
Loading.Loading
Maximum
Hourly
('F)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
300
15
0.06
0.26
2
300
15
0.06
0.26
3
300
15
0.06
0.26
4
300
15
0.06
0.26
5
300
15
0.06
0.26
6
300
15
0.06
0.26
7
PC
77
0.03
1.5
300
15
0.06
0.26
e
0
0
0.00
#DIV/O!
9
0
0
0.00
#DIV/O!
10
1
0
0
0.00
#DIV/O!
11
1 0
0
0.00
#DIV/O!
12
0
0
0.00
#DIV/O!
13
0
0
0.00
#DIV/0!
to
PC
25
0.85
1.7
0
0
0.00
#DIV/O!
151
0
0
0.00
#DIV/O!
16
0
0
1 0.00
#DIV/O!
17
0
0
0.00
#DIV/O!
16
0
0
0.00
#DIV/O!
1g
0
0
0.00
#DIV/O!
20
0
0
0.00
#DIV/O!
21
C
90
1
2.5
0
0
0.00
#DIV/O!
22
0
0
0.00
#DIV/O!
23
0
0
0.00
#DIV/O!
24
0
0
0.00
#DIV/O!
25
0
0
0.00
#DIV/O!
26
0
0
0.00
#DIV/O!
27
0
0
0.00
#DIV/O!
26
C
95
3.85
2.2
0
1 0
0.00
#DIV/O!
29
0
0
0.00
#DIV/O!
301
0
0
0.00
#DIV/O!
311
0
0
0.00
#DIV/O!
Total Gallons/Monthly Loading (inches)
2100
0.45
0
0.00
12 Month Floating Total (inches)
;
17.24
Average Weekly Loading (inches),'
0.1026613
0
Weather Codes: G-clear, PG -partly cloudy, CI -cloudy, R-rain, Sn-Snow, SI-sleet
Spray Irrigation Operator in Responsible Charge (ORC): Chad Leinbach Phone: [phone]
ORC Certification Number: _23928 Check Box if ORC Has Changed: El
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit Z'_
DENR L. tea_
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: d a requirement does not apply to yourfacility put (NA) in the
compliant box. )
Corn liant YN
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).
YY
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.
YY
S. 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 knowi g violations." /� J
Chad Leinbach
(Signature of Permittee)* Daite (Name of Signing Official -Please print or type)
Kotis Properties, Inc.
(Perm i ttee-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 (512003)

• ' NON DISCHARGE WASTEWATER MONITORING REPORT
PERMIT NUMBER: WQ0013808 MONTH: July
FACILITY NAME: Summerfield Constructed Wetlands COUNTY:
Page of _
YEAR: 2020
Guilford
Flow Monitoring Point: Effluent: Influent:
Parameter Monitoring Point: Effluent: N Influent: Surface Water (SW):
SW Code/Name:
Was There Effluent Flow For This Month Generated At This Facility: Yes: DQ No:
50050
00400
50060
00310
00610
00530
31616
00625
00620
00665
00600
D
A
T
E
Operator
Arrival
Time 2400
Clock
operator
T,me on
sic.
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
onus
Total
Nitrogen
HRS
YIN
GALLONS
UNITS
UG/L
MG/L
MGIL
MG/L
1100ML
MG/L
MG/L
MG/L I
MG/L
1
1500
2
1500
3
1500
4
1500
5
1500
6
1500
7
12 30
1
Y
1500
7.11
1 28
8
1 1500
s
1
1500
10
1500
11
1500
12
1500
13
1500
14
1405
1.25
Y
1500
7.25
0.95
151
1657
16
1657
17
1657
18
1657
19
1657
20
1657
211
11:50
1.33
Y
1657
7.23
04
22
1171
23
1171
24
1171
25
1171
26
1171
271
1 1171
28
11 30
1
Y
1171
7 11
0 8
27
6.7
17
<1
9.4
0.053
5.1
9.5
29
2343
30
2343
31
2343
Average
1542.7419
0.8575
271
6.7
171
#NUM!
9.4
0.053
5.1
9.5
Daily Maximum
2343
7.25
1
27
6.7
17
0
9.4
0.053
5.1
9.5
Daily Minimum
11171
7.11
0.4
27
6.7
17
0
9.4
0.053
5.1
9.5
Monthly Limit(s)
1 3182
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Composite (C) / Grab (G)
G
G
G
G
G
G
IG
G
IG
Operator in Responsible Charge (ORC): Chad Lelnbach Grade: II/SI Phone: [phone]
Check Box if ORC Has Changed: El 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 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
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? I Y
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.
Inflow numbers are estimated from July 1st to July 14th because the solenoid was stuck open and dumping water beside the
grocery store. This water did not enter the wastewater system. 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, in ding the possibility of fines and imprisonment for knowing violations."
Chad Leinbach
(Signature of Permittee)* 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)
Parameter Codes:
(Position or Title)
[phone]
(Phone Number)
ORC
01002 Arsenic
31504 Coliform Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductirvity
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
01061 Lead
00400 PH
00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
32730 Phenols
00680 1-
71900 Mercury
00665 Phosphorus, Total
00530 TSSITSR
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 16A NCAC 213.0506 (b)(2)(D).
DENR FORM NDMR-1 (512003)