WQ0013808_Monitoring - 10-2020_20201215

PERMIT NUMBER:
FACILITY NAME:
NON DISCHARGE WASTEWATER MONITORING REPORT
WQ0013808 MONTH: October
Summerfield Constructed Wetlands
Page —Of —
YEAR: 2020
COUNTY: 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: DI No:
50050
00400
50060
00310
00610
00530 1
31616
00625
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
200C
NH3-N
TSS
Fecal
Coll(Geo
metric Mean')
TKN
Total
Nitrate
Total
Phosph
ores
Total
Nitrogen
HRS
YIN
GALLONS
UNITS
UG/L
MG/L
MG/L
MG/L
/100ML
MG/L
MG/L
MG/L
MG/L
1
1429
2
1429
3
1429
4
1429
5
1429
6
12A5
1.75
Y
1429
6.55
0.05
7
1
1357
9 1
1357
9
1357
10
1357
11
1357
12
1357
13
1415
1.25
1 Y
1357
6.6
2.2
141
1300
151
1300
16
1300
17
1300
18
1300
19
1300
20
10:55
1.25
Y
1300
6.72
1.95
211
1343
22
1343
23
1343
24
1343
25
1343
26
1343
271
11:15
0.75
Y
1343
7.09
0.18
281
1 1443
1443
30
L3129
1443
1443
Average
1366
1.095
#DIV/0!
#DIV/01:
#DIV/0'.
#NUM!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Daily Maximum
1443
7.09
2.2
0
0
0
0
0
0
0
0
Daily Minimum
1300
6.55
0.05
0
0
01
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
IG
G
G
IG
IG
G
G
Operator in Responsible Charge (ORC): Chad Lelnbach Grade:
Check Box if ORC Has Changed: 0 ORC Certification Number:
Certified Laboratories (1): Conner Consulting, LLC (2):
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 G
RALEIGH, INC 27699-1617 F�
(-'©P)
11/SI Phone: [phone]
23928
ENCO
DENR FORM NDMR-1 (512003)

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? 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, including 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:
(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 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
Residual
00927 Ma nesium
32730 Phenols
00680 TOC
71900 Mercur
00665 Phosphorus, Total
00530 TSSITSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbid,
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 reportingfacility'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 26.0506 (b)(2)(D).
DENR FORM NDMR-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 MONTH: October
Page of
YEAR: 2020
FACILITY NAME: Summerfield Constructed Wetlands COUNTY: Guilford
Formulas:
Daily Loading (inches) =[Volume Applied (gallons)x0.1336(cubic feet/gallon) x 12(nchesftot)]/[Area Sprayed (acres) x 43,560(square feetlaae)) OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) =Daily Loading (inch") I(Tiime 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)
Did Irrigation Occur At This Facility:
Yes: No:
Did Irrigation Occur On This Field:
Yes: No:
Did Irr[gat)on Occur On This Field:
Yes: No:
.
FIELD NUMBER:
1
FIELD NUMBER:
2
AREA SPRAYED (acres):
1 0.71
AREA SPRAYED (acres):
0.52
COVER CROP71
Grass/Forest
COVER CROP:
Grass/Forest
PERMITTED HOURLY RATE (inches):
0.3
PERMITTED HOURLY RATE (inches):
0.3
D
T
E
WEATHER CONDITIONS.
Lagoon
Freeboard
PERMITTED YEARLY RATE (inches):
34.75
PERMITTED YEARLY RATE (inches):
34.75
W"Ithal
Code'
Temperature
at application
Precipna-son
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loadin
(°F)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
PC
70
4000
130
0.21
0.10
800
27
0.06
0.13
2
C
65
2000
65
0.10 1
0.10
1600
54
0.11
0.13
3
Cl
65
2000
65
0.10
0.10
800
27
0.06
0.13
4
CI
65
4000
130
0.21
0.10
800
27
0.06
0.13
5
C
75
2.43
2.1
2000
65
0.10
0.10
1600
54
0.11
0.13
6
C
70
2000
65
0.10
0.10
800
27
0.06
0.13
7
C
75
4000
130
0.21
0.10
800
27
0.06
0.13
8
C
75
2000
65
0.10
0.10
1600
54
0.11
0.13
s
Cl
65
2000
65
0.10
0.10
800
27
0.06
0.13
10
Cl
65
4000
130
0.21
0.10
800
27
0.06
0.13
11
R
62
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
12
R
65
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
13
C
75
2.35
2
1500
50
0.08
0.09
1200
40
0.08
0.13
14
C
70
3000
100
0.16
0.09
600
20
0.04
0.13
15
Cl
70
1500
50
0.08
0.09
600
20
0.04
0.13
16
Cl
64
1 1500
50
0.08
1 0.09
1200
40
0.08
0.13
171
C
64
3000
100
0.16
0.09
600
20
0.04
0.13
18
C
60
1500
50
0.08
0.09
600
20
0.04
0.13
Is
CI
70
1500
50
0.08
0.09
1200
40
0.08
0.13
20
C
68
0.05
2.1
3000
100
0.16
0.09
600
20
0.04
0.13
21
Cl
75
1500
50
0.08
0.09
600
20
0.04
0.13
22
Cl
75
1500
50
0.08
0.09
1200
40
0.08
0.13
23
Cl
75
3000
100
0.16
0.09
600
20
0.04
0.13
24
Cl
78
1500
50
0.08
0.09
600
20
0.04
0.13
251
Cl
65
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
261
Cl
65
0
50
0.00
0.00
0
0
0.00
#DIV10!
27
Cl
76
2.1
2
1500
50
0.08
0.09
600
20
0.04
0.13
28
Cl
65
3000
100
0.16
0.09
1200
40
0.08
0.13
29
R
78
1500
50
0.08
0.09
600
20
0.04
0.13
30
C
60
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
31
Cl
52
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
Total Gallons/Monthly Loading
(inches)
58000
3.01
22400
1.59
12 Month Floating Total (inches)
•
32.25
38.72
Average Weekly Loading (inches)
;
0.6789
0.3579982
weaucr IiUYCS. litilCdl, ra.-paury awuvy, --cwuvy, me n, an-snvw, ai-steet
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 (SIG)qATURE OF OPERATOR IN R SPONSIBLECHARGE)
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. )
Com liant RN
1. The application rate(s) did not exceed the limit(s) 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.
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 limit(s)
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 N necessary.
ZONE 1 COMPLIANT - ZONE 2 NON -COMPLIANT for application rate (but rate is decreasing) 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"
7
CL�c7^=�' �L�,., Chad Leinbach
(Signature of Permittee)* Dafte (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 7/31/23
(Phone Number) (Permit Exp. Date)
* 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).
DENR FORM NDAR-1 (5/2003)

V 4e
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: October YEAR: 2020
FACILITY NAME: Summerfleld Constructed Wetlands COUNTY: Guilford
Formulas:
Daily Loading (inches) =]Volume Applied (gallons) x 0.1336 (cubic feet/gahw)x 12(nchesfioot)]/[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)/[rune Irrigated(minutes)/60(minutesthour)] 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)
.... a Wee Lr.. r ..n.1:nn - r o­in rhn --h /Aaveh .11 v 7 laavcl 11
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
Free
PERMITTED YEARLY RATE (inches):
34.75
PERMITTED YEARLY RATE (inches):
Weafher
code'
TemperaWre
atapplicason
Precipitafion
Volume
Applied
Time
Irrigated
Dail Y
LoadingLoadingApplied
Maximum
Hourly
Y
Volume
Time
Irrigated
Dail Y
LoadingLoading
Maximum
Hourly
Y
('F)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
PC
70
300
20
0.06
0.19
2
C
65
300
20
0.06
0.19
3 1
Cl
65
600
40
0.13
0.19
4
Cl
65
300
20
1 0.06
0.19
5
C
75
2.43
2.1
300
20
0.06
0.19
6
C
70
600
40
0.13
0.19
7
C
75
300
20
0.06
0.19
8
C
75
300
20
0.06
0.19
9
CI
65
600
40
0.13
0.19
iol
Cl
65
300
20
0.06
0.19
11
R
62
0
0
1 0.00
#DIV/0!
12
R
65
0
0
0.00
#DIV/0!
13
C
75
2.35
2
300
20
0.06
0.19
14
C
70
600
40
0.13
0.19
15
Cl
70
300
20
0.06
0.19
16
Cl
64
300
20
0.06
0.19
17
C
64
600
40
0.13
0.19
181
C
60
300
20
0.06
0.19
191
Cl
70
300
20
0.06
0.19
20
C
68
0.05
2.1
600
40
0.13
0.19
21
CI
75
300
20
0.06
0.19
22
Cl
75
300
20
0.06
0.19
23
Cl
75
600
40
0.13
0.19
24
Cl
78
300
20
0.06
0.19
25
Cl
65
300
20
0.06
0.19
26
Cl
65
600
40
0.13
0.19
27
Cl
76
2.1
2
300
20
0.06
0.19
28
Cl
65
300
20
0.06
0.19
29
R
78
600
40
0.13
0.19
30
C
60
0
0
0.00
#DIV/0!
31
Cl
52
0
0
0.00
#DIV/0!
Total Gallons/Monthly Loading (inches)
10800
2.34
0
0.00
12 Month Floating Total (inches)
;
12.59
Average Weekly Loading (inches)
:
0.5279721
0
weamer cones: ectear, i-L -partly ciouay, co-ciouay, K-ram, sn-snow, ar-sieez
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 Unit6�/
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)

. . 1111, ,
NON -DISCHARGE APPLICATION REPORT Page _of
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: ifa requirement does not apply to yourfacility put (NA) in the
compliant box. )
Com Pliant 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
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
Y�
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."
Chad Leinbach
(Signature of Permittee)* Da a (Name of Signing Official -Please print or type)
Kotis Properties, Inc.
(Permittee-Please print or type)
Post Office Box
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)