WQ0013808_Monitoring - 12-2020_20210209

NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER:
FACILITY NAME:
WQ0013808
Summerfield Constructed Wetlands
MONTH: December YEAR: 2020
COUNTY: Guilford
..................................
Flow Monitoring Point: Effluent: Influent: .
Parameter Monitoring Point: Effluent: X Influent: Lj Surface Water (SW):
SW Code/Name:
Was There Effluent Flow For This Month Generated At This Facility: Yes: DQ No:
50
00400
50060
00310
00610
00530
31616
00625
00620
00665
00600
D
A
E
Operator
Arrival
Time 2400
Clock
operator
Time on
Site
ORC
onatment
Site?em
rDailye (Flow)
pH
Residual
Chlorine
BOD-5
20°C
NH3-N
TSS
FecalT
Coliform (Ge
metric Mean')
TKN
Total
Nitrate
Total
Phosph
orus
Total
Nitrogen
HRS
Y/N
GALLONS
UNITS
UG/L
MG/L
MG/L
MG/L
/100ML
MG/L
MG/L
MG/L
MG/L
1
12:001
1
Y
1314
6.78 1
2.2
2
1314
3
1314
4
1314
5
1314
6
1314
7
1314
8
12:00
1
Y
1314
6.7
2.2
9
1
1400
10
1400
11
1400
12
1400
13
1
1400
14
1400
151
11:20
1
Y
1400
6.2
1 2.2
16
1543
17
1543
18
1543
19
1543
20
1543
211
1543
22
11:15
1
Y
1543
6.37
1.75
23
1557
,
24
1557
26
1557
26
1557
271
1557
28
1557
29
14:15
2
Y
1557
6.41
2.2
30
1529
31
1529
Average
1453.871
2.11
#DIV/0!
#DIV/0!
#DIV/0!
#NUM!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Daily Maximum
1557
6.78
2.2
0
0
0
0
0
0
0
0
Daily Minimum
1314
6.2
1.75
0
0
0
0
0
0
0
0
Monthly Limit(s)
3182
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Composite (C) / Grab (G)
IG
IG
I G
IG
G
G
G
G
G
Operator in Responsible Charge (ORC): Chad Leinbach Grade: I!/SI
Check Box if ORC Has Changed: ❑ 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 _p
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617�
Phone: [phone]
23928
ENCO
(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
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, incl ing the possibility of fines and imprisonment for knowing violations."
Chad Leinbach
(Signature of Permittee)* tfate (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 ColiformWQ09
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 Mercu
00665 Phosphorus, Total
00530 TSS/TSR
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 15A NCAC 2B.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: WQ0013808 MONTH: December YEAR: 2020
FACILITY NAME: Summerfield Constructed Wetlands COUNTY: Guilford
Formulas:
Daily Loading (Inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-mh)I
Maximum Hourly Loading (inches) = Daily Loading (inches) / mime 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)
Averaoe Weekho Loadino (inches) = [Monthly Loadinq (inches/month) / Number of days in the month (days/month)1 x 7 (days/week)
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):
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
Code*
Temper-ature
at application
Precipitation
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
C
45
2.25
1.5
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
2
C
45
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
3
C
50
1
1600
54
1 0.08
0.09
1000
34
0.07
0.12
4
1 C
1 50
1600
54
0.08
0.09
1000
34
0.07
0.12
5
C
45
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
6
C
45
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
7
CI
40
1600
54
0.08
0.09
1000
34
0.07
0.12
8
C
45
0.95
2
4800
160
0.25
0.09
4000
135
0.28
0.13
9
Cl
50
1600
54
0.08
0.09
1000
34
0.07
0.12
10
CI
55
1600
54
0.08
0.09
1000
34
0.07
0.12
ill
CI
55
1600
54
am
0.09
1000
34
0.07
0.12
12
Cl
55
1600
54
0.08
0.09
1000
34
0.07
0.12
13
CI
55
1600
54
0.08
0.09
1000
34
0.07
0.12
14
Cl
45
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
15
C
42
1.7
2.1
0
0
0.00
#DIV/0!
0
1 0
0.00
#DIV/0!
16
CI
32
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/01
17
Cl
40
1
1 0
0
0.00
#DIV/0!
0
0
0.00
#DIV/0!
18
Cl
36
1600
54
0.08
0.09
1000
34
0.07
0.12
19
Cl
40
1600
54
0.08
0.09
1000
34
0.07
0.12
20
Cl
40
1600
54
0.08
0.09
1000
34
0.07
0.12
21
CI
45
1600
54
0.08
0.09
1000
34
0.07
0.12
22
C
50
1.1
2.7
1600
54
0.08
0.09
500
17
0.04
0.12
23
Cl
50
800
27
0.04
0.09
1000
34
0.07
0.12
24
CI
55
1
1 1600
54
0.08
0.09
500
17
0.04
0.12
25
CI
30
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
26
C
35
1600
54
0.08
0.09
500
17
0.04
0.12
27
Cl
45
800
27
0.04
0.09
1000
34
1 0.07
0.12
28
Cl
50
800
27
0.04
0.09
500
17
0.04
0.12
29
C
48
0
2.7
1600
54
0.08
0.09
500
17
0.04
0.12
30
CI
35
800
27
0.04
0.09
1000
34
0.07
0.12
31
CI
50
800
27
0.04
0.09
500
17
0.04
0.12
Total Gallons/Monthly Loading
(inches)
34400
1.78
22000
1.56
12 Month Floating Total (inches)
:
31.23
36.15
Average Weekly Loading (inches)[0.4026579
:
0.3516054
Weather Codes: C-clear, PC -partly cloudy, CI -cloudy, R-rain, Sn-snow, SI-sleet
Spray Irrigation Operator in Responsible Charge (CRC): Chad Leinbach Phone:
919 260-7301
ORC Certification Number: 23928
Check Box if ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to:
>
ATTN: Non -Discharge Compliance Unit
/
/� Z_�
DENR
1 ` K
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
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. )
Compliant Y N
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).
YY
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
YY
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)
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.
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 foAnowing violations."
Chad Leinbach
(Signature of Permittee)* ate (Name of Signing Official -Please print or type)
Kotis Properties, Inc. ORC
(Permittee-Please print or type) (Position or Title)
Post Office Box 9296
Greensboro, NC 27429
(Permittee Address)
919 260-7301
(Phone Number)
* If signed by other than 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 (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: December YEAR: 2020
FACILITY NAME: Summerfield Constructed Wetlands COUNTY: Guilford
Formulas:
Daily Loading (inches) = (Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/aaeinch)]
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)
Average Weekly Loading (inches) = (Monthly Loading (inches/month) / Number of days in the month (days/month)l x 7 (dayshveek)
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,j
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 -board
PERMITTED YEARLY RATE (inches):
34.75
PERMITTED YEARLY RATE (inches):
weather
Code*
Temper -acre
at application
Precipita-tion
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
C
45
2.25
1.5
0
0
0.00
#DIV/01
2
C
45
0
0
0.00 1
#DIV/0!
3
C
50
1
0
0
0.00
#DIV/0!
4
1 C
1 50
0
0
0.00
#DIV/01
5
C
45
0
0
0.00
#DIV/01
6
C
45
0
0
0.00
#DIV/0!
7
Cl
40
0
0
0.00
#DIV/01
6
C
45
0.95
2
0
0
0.00
#DIV/0!
9
CI
50
1 0
0
0.00
#DIV/01
10
Cl
55
1
1 0
0
0.00
#DIV/01
11
Cl
55
0
0
0.00
#DIV/01
12
Cl
55
0
0
0.00
#DIV/01
13
Cl
55
0
0
0.00
#DIV/0!
14
Cl
45
0
0
0.00
#DIV/01
15
C
42
1.7
2.1
0
0
0.00
#DIV/0!
16
Cl
32
0
0
0.00
#DIV/01
17
Cl
40
1
1 0
0
0.00
#DIV/0!
19
Cl
36
0
0
0.00
#DIV/01
19
Cl
40
0
0
0.00
#DIV/0!
20
Cl
40
0
0
0.00
#DIV/0!
21
Cl
45
0
0
0.00
#DIV/01
22
C
50
1.1
2.7
300
15
0.06
0.26
23
Cl
50
300
15
0.06
0.26
24
Cl
55
0
0
0.00
#DIV/0!
25
Cl
30
0
0
0.00
#DIV/O!
26
C
35
300
15
0.06
0.26
27
CI
45
300
15
0.06
0.26
28
CI
50
600
30
0.13
0.26
29
C
48
0
2.7
300
15
0.06
0.26
30
Cl
35
300
15
0.06
0.26
31
Cl
50
600
30
0.13
0.26
Total Gallons/Monthly Loading (inches)l
3000
0.65
0
0.00
12 Month Floating Total (inches)
14.15
Average Weekly Loading inches)[-.-.'-.'-.
0.1466589
0
Weather Codes: Cclear, 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 hanged: ❑
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 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 Y N
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.
YY
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."
Chad Leinbach
(Signature of Permittee)` -- Date' (Name of Signing Official -Please print or type)
Kotis Properties, Inc.
(Perm ittee-P lease 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 28.0506 (b)(2)(D).
7/31 /23
(Permit Exp. Date)
DENR FORM NDAR-1 (5/2003)