WQ0013808_Monitoring - 08-2020_20201021

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
PERMIT NUMBER:
FACILITY NAME:
WQ0013808
Summerfield Constructed Wetlands
MONTH: August YEAR:
COUNTY:
Uuuroro
Flow Monitoring Point: Effluent: Influent: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Parameter Monitoring Point: Effluent: Dg Influent: Surface Water (SW):
SW Code/Name:
Was There Effluent Flow For This Month Generated At This Facility: Yes: No:
50050
00400 1
50060
00310
00610
00630
31616
00625
00620
00665
00600
D
A
T
E
Operator
Arrival
Time 2400
Clock
Operator
p
Time on
Site
ORC
on
Site?
Daily Rate Flow
y (Flow)
into Treatment
System
pH
Residual
Chlorine
SOD-6
200C
NH3-N
TSS
Fecal
Coliform (Ge
metric Mean*)
TKN
Total
Nitrate
Total
Phosph
orus
Total
Nitrogen
HRS
YIN
GALLONS
UNITS
UG/L
MG/L
MG/L
MG/L
1100ML
MG/L
MG/L
MG/L
MG/L
1
1486
2
1486
3
1486
4
10:15
0.5
Y
1486
7.14
0.42
5
1145
6
12A0
2.33
Y
1145
7 1
1
1145
8
1145
s
1145
10
1145
11
12:55
1
Y
1145
6.36
0.32
12
1212
131
1
1212
14
1212
15
1212
16
1212
17
1212
18
1105
0.75
N
1212
6.82
0.3
191
1100
201
1100
21
1100
22
1100
23
1100
24
1100
25
1515
1.5
Y
1100
6.67
0.21
261
1371
27
1371
28
1371
2s
1371
30
1371
31
1371
Average
1237.7097
FG
0.3125
#DIV/0!
#DIV/0!
#DIV/0!
#NUM!
#DIV/0!
#DIV/01
#DIV/0!
#DIV/0!
Daily Maximum
1486
0.42
0
0
0
0
0
0
0
0
Daily Minimum
1100
0.21
0
0
0
0
0
0
0
0
Monthly Limit(s)
3182
NA
NA
NA
NA
NA
IG NA
NA
NA
NA
Composite (C) / Grab (G)
G
IG
IG
IG
IG
G
IG
Operator in Responsible Charge (ORC): Chad Lelnbach Grade: 11/Sl 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 L2InbaCh
Mail ORIGINAL and TWO COPIES to: Lid
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
U "'ool
Fs
s
DENR FORM NDMR-1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
Facility Status:
Please answer the following question:
Compliant(YIN)
1. Does all monitoring data and sampling frequencies meet permit requirements? 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.
"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.
(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
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 Ma nesium
32730 Phenols
00680 TOC
71900 Mercur
00665 Phosphorus, Total
00530 TSS/TSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbid)
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 16A NCAC 213.0506 (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: August YEAR:
FACILITY NAME: Summerfield Constructed Wetlands COUNTY: Guilford
Form ulas:
Daily Loading (inches) =[Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12(inchesHoot)]/[Area Sprayed (acres) x 43,560(square feetlacre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) I [time Irrigated (minutes) / 60 (minutesihour)] 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)
A­ann Wwwk1 L-dinn flnrhesl=!Mnnthlvl n.. fin, tincheshnonthl/Numbarof" in the month (da 1montl)Ix7(daisMeek)
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:
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
PERMITTED YEARLY RATE (inches):
34.75
PERMITTED YEARLY RATE (inches):
Weather
code'
Temper-ahrre
atapplicaeon iprecipit._tion:Freeboard
I
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loadin
VF)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
Cl
80
0
0
0.00
#DIV/O!
2
Cl
80
0
0
0.00
#DIV/0!
31
Cl
80
0
0
0.00
#DIV/0!
a 1
C
75
0.86
2.2
0
0
0.00
#DIV/0!
5
Cl
85
0
0
0.00
#DIV/0!
6
C
91
1.83
2.1
600
20
0.13
0.39
7
Cl
88
0
0
0.00
#DIV/0!
8
CI
88
0
0
0.00
#DIV/O!
9
Cl
88
1 0
0
0.00
#DIV/0!
to
Cl
88
0
0
0.00
#DIV/O!
11
C
90
0
1.3
0
0
0.00
#DIV/0!
12
Cl
85
0
0
0.00
#DIV/0!
13
Cl
85
0
0
0.00
#DIV/0!
14
Cl
85
0
0
0.00
#DIV/0!
15
Cl
85
0
0
1 0.00
#DIV/0!
16
CI
85
0
0
0.00
#DIV/0!
17
Cl
85
0
0
0.00
#DIV/0!
181
C
85
2.6
2
0
0
0.00
#DIV/O!
19
CL
83
0
0
0.00
#DIV/O!
20
CL
83
0
0
0.00
#DIV/0!
21
CL
83
0
0
0.00
#DIV/0!
22
CL
83
0
0
0.00
#DIV/0!
23
CL
83
0
0
0.00
#DIV/O!
24
CL
83
0
0
0.00
#DIV/O!
25
PC
80
0.6
3
0
0
0.00
#DIV/O!
261
Cl
82
0
0
0.00
#DIV/O!
27
Cl
82
0
0
0.00
#DIV/O!
2a
Cl
82
0
0
0.00
#DIV/O!
29
Cl
82
0
0
0.00
#DIV/O!
30
C11
82
0
0
0.00
#DIV/0!
31
Cl
82
1
0
0
0.00
#DIV/O!
Total G211ons/Monthly Loading (inches)
600
0.13
0
0.00
12 Month Floating Total (inches)
;
15.96
Average Weekly Loading (inches)
:
0.0293318
0
Weather Codes: C clear, PC -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: ❑
4
Mail ORIGINAL and TWO COPIES to: ,
ATTN: Non -Discharge Compliance Unitr X , / I /Z-1-A /AI C
DENR
Division of Water Quality (SIGNATURE UF OP TOR 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. /f a requirement does not apply to yourfacility put (NA) in the
compliant box. )
Com 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).
0
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
6. 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 n A / for krtpwing violations"
,
l YVdfd /1 1 4 / L4/ Chad Leinbach
(Signature of Permitteer Date T— (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 213.0506 (bx2)(D).
7/31 /23
(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: August YEAR: 2020
FACILITY NAME: Summerfield Constructed Wetlands COUNTY: Guilford
Formulas:
Daily Loading (inches) =(Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inchesifoot)) I [Area Sprayed (acres) x 43,560(square feetfarre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) =Daily Loading (inches)/[rime lnigated(minutes)/ 60(minutesbour)] 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 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
A
T
E
WEATHER CONDITIONS
Storage
Lagoon
Free -board
PERMITTED YEARLY RATE (inches):
34.75
PERMITTED YEARLY RATE (inches):
34.75
weather
Off'
temperature
at application
Precipitafion
Volume
Applied
Time
Irri ated
Daily
LoadingLoadingApplied
Maximum
Hourly
Volume
Time
Irri ated
Daily
Loadin
Maximum
Hourly
Loadin
('F)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
CI
80
2000
67
0.10
0.09
1600
53
0.11
0.13
2
CI
80
2000
67
0.10
0.09
1600
53
0.11
0.13
3
CI
80
2000
67
0.10
0.09
1600
53
0.11
0.13
4
C
75
0.86
2.2
2000
67
1 0.10
0.09
1600
53
0.11
0.13
5
CI
85
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
6
C
91
1.83
2.1
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
7
CI
88
0
0
0.00
#DIV/O!
0 1
0
0.00
#DIV/O!
a
CI
88
2000
67
0.10
0.09
1600
53
0.11
0.13
9
Cl
88
2000
67
0.10
0.09
1600
53
0.11
0.13
10
Cl
88
2000
67
0-10
0.09
1600
53
0.11
0.13
11
C
90
0
1.3
2000
67
0.10
0.09
1600
53
0.11
0.13
12
CI
85
2000
67
0.10
0.09
1600
53
0.11
0.13
13
CI
85
2000
67
0.10
0.09
1600
53
0.11
0.13
14
CI
85
0
0
0.00
#DIV/0!
1 0
0
0.00
#DIV/O!
15
Cl
85
0
0
0.00
#DIWO!
0
0
0.00
#DIV/O!
16
CI
85
2000
67
0.10
0.09
1600
53
0.11
0.13
171
Cl
85
2000
67
0.10
0.09
1600
53
0.11
0.13
18
C
85
2.6
2
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
10
CL
83
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
20
CL
83
2000
67
0.10
0.09
1600
53
0.11
0.13
21
CL
83
2000
67
0.10
0.09
1600
53
0.11
0.13
22
CL
83
2000
67
0.10
0.09
1600
53
0.11
0.13
23
CL
83
2000
67
0.10
0.09
1600
53
0.11
0.13
24
CL
83
0
0
0.00
#DIV/O!
0
0
0.00
#DIWO!
251
PC
80
0.6
3
0
0
0.00
#DIV/O!
0
0
1 0.00
#5IV/0!
261
Cl
82
1000
33
0.05
0.09
800
27
0.06
0.13
27
CI
82
1
1000
33
0.05
0.09
800
27
0.06
0.13
28
CI
82
1000
33
0.05
0.09
800
27
0.06
0.13
29
CI
82
1000
33
0.05
0.09
800
27
0.06
0.13
30
CI
82
1000
33
0.05
0.09
800
27
0.06
0.13
31
CI
82
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
Total Gallons/Monthly Loading (inches)
37000
1.92
29600
2.10
12 Month Floating Total (inches)
•
30.65
40.36
Average Weekly Loading (inches)
;
0.4330914
0.4730691
weatner cones: cclear, rc-parry ciouay, ct-cloucy, rt-ram, an -snow, at-steet
Spray Irrigation Operator in Responsible Charge (ORC): Chad Leinbach Phone: [phone]
ORC Certification Number: _23928 Check Box if ORC Has Chan ed:
Mail ORIGINAL and TWO COPIES to: P
ATTN: Non -Discharge Compliance Unit
DENR ell,'wll
Division of Water Quality [SIGMATURE 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)
Pageof r
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. )
Compliantly
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).
0
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.
YO
5. 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.
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
and imprisonment for kn ing violations"
r i
i
/ h `1�Ltll Chad Leinbach
(Signature of Permittee)* 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)
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 28.0506 (b)(2)(D).
7/31 /23
(Permit Exp. Date)
DENR FORM NDAR-1 (512003)