WQ0022785_Monitoring - 10-2020_20201215

NON DISCHARGE WASTEWATER MONITORING REPORT
PERMIT NUMBER: WQ0022785
FACILITY NAME: Lattisville Grove Baptist Church
MONTH: October
Page of
YEAR: 2020
COUNTY: Orange
Flow Monitoring Point: Effluent: Influent:
Parameter Monitoring Point: Effluent: D9 Influent: Surface Water (SW):
SW Code/Name:
Was There Effluent Flow For This Month Generated At This Facilit : Yes: DQ No:
• .
D
A
T
E
Operator
Arrival
Tlme 2400
Clock
operator
Time on
Site
ORC
on
Site?
50060
00400
50060
00310
00610
00530
31616
00626
00630
00666
000620
00600
Dally Rate (Flow)
Into Treatment
System
pH
Residual
Chlorine
BOD-5
20'C
NH3-N
TSS
Fecal
Coliform (Ge
metric Mean•i
TKN
Nitrate +
Nitrite
Total
Phosph
orus
Total
Nitrate
as(N)
Total
Nitrogen
as N
HRS
YIN
GALLONS
UNITS
UG/L
MG/L
MG/L
MG/L
1100ML
MG/L
MG/L
MG/L
MG/L
MG/L
1 1
1
129
2
129
3
129
4
129
5
129
6
10:45
0.25 1
N
129
7.58
0.19
7 1
78
8
78
9
78
10
78
11
78
12
1
78
131
78
14
78
15
17:15
0.25
N
78
7.07
0.18
16
100
17
100
18
100
191
100
20
100
21
100
22
17:25
0.5
Y
100
7.27
0.25
23
83
24
83
251
83
26
83
27
83
28
14:25
0.33
Y
83
6.96
0.16
29
75
30
1
75
311
1
1
75
Average
93.516129
•:
0.195
#DIV/0!
#DIV/0!
#DIV/0!
#NUM!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Daily Maximum
129
7.58
0.25
0
0
0
0
0
0
0
0
0
Daily Minimum
75
6.96
0.16
0
0
01
01
0
0
0
0
0
Monthly Limit(s)
956 GPD
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Composite (C) / Grab (G)
G
G
G
G
G
G
G
I G
G
G
G
Operator in Responsible Charge (ORC): Chad Lelnbach Grade: SI Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 23928
Certified Laboratories (1): Conner Consulting, LLC (Field) (2): ENCO, Inc. (La
Person(s) Collecting Samples: Chad Lelnbach
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center i)F
RALEIGH, NC 27699-1617
(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
.4
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, includi g the possibility of fines and imprisonment for knowing violations."
h., Chad Leinbach
(Signature of Permittee)" Da a (Name of Signing Official -Please print or type)
Lattisville Grove Baptist Church
(Permittee-Please print or type)
1701 Jimmy Ed Road
Hurdle Mills, NC 27541
(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 Phos horus Total
00530 TSS/TSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
10/31 /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
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00022785 MONTH: October
Page of
YEAR: 2020
FACILITY NAME: Lattisville Grove Baptist Church COUNTY: Orange
Formulas:
Daily Loading (Inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (Indiestfoot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallonslacre-imh)]
Maximum Hourly Loading (Inches) = Daily Loading (inches) /[Time Irrigated (minutes)/ 60 (minutes/hour)] 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)
Ay rase Weekly Leadine (Inches\ = rm-thly I -din, finheshnonth) / Number of days in the month (days/month)l x 7 (days/week)
Did Irrigation Occur At This Facility:
Yes: No:
Did Irrigation Occur n This Field:
Yes: No:
Did Irrigation Occur On This Field:
Yes: No:
FIELD NUMBER:
1
FIELD NUMBER:
AREA SPRAYED (acres):
1.04
AREA SPRAYED (acres):
COVERCROP:1
Fescue, Rye
COVER CROP:
PERMITTED HOURLY RATE (inches):
0.2
PERMITTED HOURLY RATE (inches):
D
A
T
E
WEATHER CONDITIONS
Storage
Lagoon
Fm"oard
PERMITTED YEARLY RATE (inches):
23.75
PERMITTED YEARLY RATE (inches):
VYeather
code*
Temper-eiu
at application
Precipita-lion
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
NA
281
10
0.01
0.06
2
NA
281
10
0.01
0.06
3
NA
281
10
0.01
0.06
4
NA
281
10
0.01
0.06
5
NA
281
10
0.01
0.06
6
C
70
0.75
NA
281
10
0.01
0.06
7
NA
978
37
0.03
0.06
8
NA
978
37
0.03
0.06
9
NA
978
37
0.03
0.06
i0i
I
NA
978
37
0.03
0.06
ill
I
NA
978
37
0.03
0.06
121
1
NA
978
37
0.03
0.06
13
NA
978
37
0.03
0.06
14
NA
978
37
0.03
0.06
15
CI
72
1.85
NA
978
37
0.03
0.06
16
NA
0
0
0.00
#DIV/01
17
NA
0
0
0.00
#DIV/0!
18
NA
0
0
0.00
#DIV/0!
191
NA
0
0
0.00
#DIV/0!
20
NA
0
0
0.00
1 #DIV/0!
21
NA
0
0
0.00
#DIV/0!
22
C
78
0.73
NA
0
0
0.00
#DIV/0!
23
NA
0
0
0.00
#DIV/0!
24
NA
0
0
0.00
#DIV/0!
25
NA
0
0
0.00
#DIV/0!
261
1
NA
0
0
1 0.00
#DIV/0!
27
NA
0
0
0.00
#DIV/0!
28
CI
75
0.13
NA
0
0
0.00
#DIV/0!
29
NA
100
3
0.00
0.07
30
NA
100
3
0.00
0.07
31
NA
100
3
0.00
0.07
Total Gallons/Monthly Loading
(inches)
10788
0.38
0
0.00
12 Month Floating Total (inches)
3.91
Average Weekly Loading (inches)
0.0862072
0
Weather Codes: Cclear, PC -partly cloudy, Cl-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:
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, 1 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 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: if a requirement does not apply to your facilityput (NA) in the
compliant box. )
1. The application rate(s) did not exceed the limit(s) specified in the permit.
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.
4. All buffer zones as specified in the permit were maintained during each application.
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
specified in the permit.
Com liarrt YN
Y
0
0
0
NA
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."
I
Z Q Chad Leinbach
(Signature of Permittee)* Date (Name of Signing Official -Please print or type)
Lattisville Grove Baptist Church
(Permittee-Please print or type)
1701 Jimmy Ed Road
Hurdle Mills, NC 27541
(Permittee Address)
(Position or Title)
[phone]
(Phone Number)
ORC
* 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).
10/31/23
(Permit Exp. Date)
DENR FORM NDAR-1 (52003)