WQ0013808_Monitoring - 11-2020_20210122

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00013808 MONTH: November
FACILITY NAME: Summerfiield Constructed Wetlands
YEAR:
COUNTY- Guilford
Page _ of
Formulas:
Daily Loading (inches) -[Volume Applied (gallons) x 0.1336 (oubic feet/gallon) x 12 (inches/foot)j / [Area Sprayed (acres) x 43,560 (square feetlaae)) OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/aae-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / [Time Inigated (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)
Avnrann Wm41� 1 nadinn finrhoel = IA1nne,h 1 naAinn linrhx/mnnfhl / Nnmhwr of love N Ma mnnm ldays/monthll x 7 ldaysAveekl
2020
Did Irrigation Occur At This Facility:
Yes: No:
Did Irrigation Occur On This Field:
Yes: No:
Did Irrigation Occur On This Field:
Ves: 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
Lagecn
Freeboard
PERMITTED YEARLY RATE (inches):
34.75
PERMITTED YEARLY RATE (inches):
t/veather
Code-
temper-alure
atapplication
Precipita-tion
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
ff)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
PC
60
300
20
0.06
0.19
2
C
50
300
20
0.06
0.19
3
C
61
1.3
2.1
600
40
0.13
0.19
a 1
C 1
65
300
20
0.06
0.19
5
C
67
300
20
0.06
0.19
6
Cl
70
600
40
0.13
0.19
7
Cl
70
300
20
0.06
0.19
8
Cl
75
300
20
0.06
0.19
9
Cl
75 1
600
40
0.13 1
0.19
10
PC
75
0
22
1 300
20
0.06
0.19
ill
R
75
0
0
0.00
#DIV/0!
121
R
70
0
0
0.00
#DIV/0!
13
PC
65
5.75
0.5
0
0
0.00
#DIV/0!
14
Cl
60
0
0
0.00
#DIV/0!
15
Cl
70
0
0
1 0.00
#DIV/0!
16
C
60
1
0
0
0.00
#DIV/01
17
C
55
0
0.5
1 600
40
0.13
0.19
18
Cl
45
300
20
0.06
0.19
19
Cl
50
300
20
0.06
0.19
20
Cl
60
600
40
0.13
0.19
21
Cl
70
300
20
0.06
0.19
22
Cl
60
300
20
0.06
0.19
23
Cl
60
600
40
0.13
0.19
24
C
55
1 0
1.5
1 300
20
0.06
0.19
25
Cl
60
300
20
0.06
0.19
26
Cl
60
600
40
0.13
0.19
27
Cl
60
300
20
0.06
0.19
28
C
60
300
20
0.06
0.19
29
R
50
0
0
0.00
#DIV/01
30
R
60
0
0
0.00
#DIV/0!
31
Total Gallons/Monthly Loading (inches)
$700
1.88
0
0.00
12 Month Floating Total (inches
14.15
Average Weekly Loading (inches)
0.4394879
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: ❑
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
=•
SHE BEST OF MY KNOWLEDGE.
v
�wo
�Z
1
z
_t
DENR FORM NDAR-1 (512003)

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. )
1. The limit(s) in the
compliant YN
application rate(s) did not exceed the specified 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.
O
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)
YY
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."
/ Z_
(Signature of Permittee)* ate
Kotis Properties, Inc
(Permittee-Please print or type)
Post Office Box 9296
Greensboro, NC 27429
(Permittee Address)
Chad Leinbach
(Name of Signing Official -Please print or type)
ORC
(Position or Title)
919 260-7301 7/31/23
(Phone Number) (Permit Exp. Date)
* 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 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: W00013808 MONTH: November
Page _ of
YEAR: 2020
FACILITY NAME: SUmmerfiield Constructed Wetlands COUNTY: Guilford
Formulas:
Daily Loading (Inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] / [Area Sprayed (aces) x 43,560 (square feellacre)] OR
= Volume Applied (gallons) / [Area Sprayed (aces) x 27,152 (gallons/aceandl)]
Maximum Hourly Loading (inches) = Dairy Loading (inches) / [rime Irrigated (mmutes)160 (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)
Al-P Wnekiv I nadinn (inch) = IMnnthly I nadinn (inches/month) / Number of days in the month (days/month)] x 7 (dayshveek)
Did Irrigation Occur At This Facility:
Yes: M 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):1
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
Lagoon
Free -board
PERMITTED YEARLY RATE (inches):
34.75
PERMITTED YEARLY RATE (inches):
34.75
Weather
code`
Temper-ature
rt application
precipita lion
Volume
Applied
Time
Irri ated
Daily
Loadin
Maximum
Hourly
LoadingApplied
Volume
Time
Irrigated
Daily
LoadingLoading
Maximum
Hourly
ff
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
PC
60
2000
66
0.10
0.09
800
27
0.06
0.13
2
C
50
1000
33
0.05
0.09
1600
54
0.11
0.13
3
C
61
1.3
2A
1000
33
0.05
0.09
800
27
0.06
0.13
4
C
65
2000
66
0.10
0.09
800
27
0.06
0.13
5
C
67
1000
33
0.05
0.09
1600
54
0.11
0.13
6
Cl
70
1000
33
0.05
0.09
800
27
0.06
0.13
7
CI
70
2000
66
0.10
0.09
800
27
0.06
0.13
8
CI
75
1000
33
0.05
0.09
1600
54
0.11
0.13
9
Cl
75
1000
33
0.05
0.09
800
27
0.06
0.13
10
PC
75
0
2.2
2000
66
0.10
0.09
800
27
0.06
0.13
11
R
75
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
12
R
70
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/O!
13
PC
65
5.75
0.5
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
14
Cl
60
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
15
Cl
70
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
16
C
60
1 0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
171
C
55
0
0.5
4000
133
0.21
0.09
4000
133
0.28
0.13
181
CI
45
2000
67
0.10
0.09
2000
67
0.14
0.13
19
Cl
50
2000
67
0.10
0.09
2000
67
0.14
0.13
20
Cl
60
2000
67
0.10
0.09
2000
67
0.14
0.13
21
Cl
70
2000
67
0.10
0.09
2000
1 67
0.14
0.13
22
CI
60
2000
1 67
0.10
0.09
2000
67
0.14
0.13
23
CI
60
1
2000
67
0.10
0.09
2000
67
0.14
0.13
24
C
55
0
1.5
1000
33
0.05
0.09
800
27
0.06
0.13
25
CI
60
1000
33
0.05
0.09
800
27
0.06
0.13
26
CI
60
1000
33
0.05
0.09
800
27
0.06
0.13
27
CI
60
1000
33
0.05
0.09
800
27
0.06
0.13
28
C
60
1000
33
0.05
0.09
800
27
0.06
0.13
29
R
50
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
30
R
60
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0.
31
1
t
Total Gallons/Monthly Loading
(inches)
35000
1.81
30400
2.15
12 Month Floating Total (inches)
31.88
37.90
Average Weekly Loading (Inches)f
0.4233371
0.5020499
Weather Codes: C-clear, 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: ❑
Mai[ ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit L
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
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. )
in
Compliant Y N
1. The application rate(s) did not exceed the limit(s) specified the permit.
N
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
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 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.
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."
f /� �� 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)
(Position or Title)
919 260-7301
(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).
7131 /23
(Permit Exp. Date)
DENR FORM NDAR-1 (5/2003)

PERMIT NUMBER:
FACILITY NAME:
NON DISCHARGE WASTEWATER MONITORING REPORT
WOOO13808 MONTH: November
Summerfield Constructed Wetlands
COUNTY:
Page of
YEAR: 2C
Guilford
Flow Monitoring Point: Effluent: Z Influent:
Parameter Monitoring Point: Effluent: Influent: Lj ISurface Water (SW):
SW Code/Name:
Was There Effluent
Flow For This Month Generated At This Facility: Yes: Pq No:
50060
00400
50060
00310
00610
00530
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
20°C
NH3-N
TSS
Fecal
Coliform (Geo
metric Mean*)
TKN
Total
Nitrate
Total
Phosph
ores
Total
Nitrogen
HRS
Y/N
GALLONS
UNITS
UG/L
MG/L
MG/L
MG/L
/1001VIL
MG/L
MG/L
MGIL
MG/L
1
1443
2
1443
3
15:15
1.5
Y
1443
6.85
0.75
4
1471
5
1471
s 1
1471
7
1471
8
1471
9
1471
10
12:10
13:25
Y
1471
6.7
0.8
11
1333
121
1333
13
15:00
0.5
N
1333
6.76
0.89
14
1275
15
1275
16
1275
17
11:20
1.5
Y
1275
6.76
0.89
181
1
1414
191
1
1414
201
1
1414
211
1
1414
221
23
1
1414
1414
1
_4
1
24
10:48
1.5
Y
1414
6.7
2.2
11
5.9
2.8
<1.0
7.6
11
4.5
19
25
1314
26
1314
27
1314
281
1314
z9
1314
30
1314
31
Average
1383.5667:
1.106
11
5.9
2.8
#NUM!
7.6
11
4.5
19
Daily Maximum
1471
6.85
2.2
ill
5.9
2.8
0
7.6
11
4.5
19
Daily Minimum
1275
6.7
0.75
11
5.9
2.8
0
7.6
11
4.5
19
Monthly Limit(s)
3182
NA
NA
NA
NA
NA
NA
NAI
NAI
NA
NA
Composite (C) / Grab (G)
G
G
G
G
IG
IG
G
IG
IG
Operator in Responsible Charge (ORC): Chad LeinbaCh Grade:
Check Box if ORC Has Changed: ❑
Certified Laboratories (1): Conner Consulting, LLC
Person(s) Collecting Samples: Chad LeinbaCh
Mail ORIGINAL and TWO COPIES to:
ORC Certification Number:
(2):
II/SI Phone: [phone]
23928
ENCO
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 a
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? DY
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."
jJ .Z 0 Chad Leinbach
(Signature of a ittee)' 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 N028NO3
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 Ma nesium
32730 Phenols
00680 TOC
71900 Mercu
00665 Phosphorus, Total
00530 TSSlTSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidit
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)