WQ0013808_Monitoring - 08-2021_20210930

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * August
Report Information
WQ0013808
Summerfield Renaissance Wastewater System
Year:* 2021
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR SUM_ND_2108.pdf 337.73KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter: * Chad Leinbach
Signature:
Date of submittal: 9/30/2021
This will be filled in automatically
Initial Review
Reviewer: Saunders, Erickson G

Is the project number correct?* WQ0013808
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Accepted Date:
10/14/2021

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
PERMIT NUMBER:
FACILITY NAME:
WQ0013808
Summerfield Constructed Wetlands
MONTH: August YEAR:
COUNTY:
gn91
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 Facilit : Yes: No:
. .. . .
.0062000665
50050
00400
50060
00310
00610
00530
31616
00625
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
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
1
1
1 1300
2
1300
3
12:50
1
Y
1300
6.87
2.2
4
1314
5
1314
6
1314
7
1
1
1 1314
s
1314
9
1314
10
12:50
2
Y
1314
6.87
2.2
11
1157
12
1157
131
1157
14
1157
15
1157
16
1157
17
13:30
2.5
Y
1157
6.8
2.2
1s
1114
191
1
1114
20
1114
21
1114
22
1114
23
1114
24
12:20
1.33
Y
1114
6.91
2.2
251
1
1171
26
1171
27
1171
2s
1171
29
1171
30
1171
311
12:15
1 1
1 Y
1171
6.8
2.2
Average
1199.7419
::::::::
2.2
#DIV/0!
#DIV/0!
#DIV/0!
#NUM!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Daily Maximum
1314
6.911
2.2
0
0
0
0
0
0
0
0
Daily Minimum
1114
6.8
2.2
0
0
0
0
01
0
0
0
Monthly Limit(s)
3182
IG NA
NAI
NA
NA
NA
NA
IG NAI
NA
NA
NA
Composite (C) / Grab (G)
IG
IG
IG
IG
IG
IG
G
Operator in Responsible Charge (ORC):
Chad Leinbach Grade: II/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
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? OY
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."
�LazL aae,11� 9/30/21
(Signature of Permittee)* Date
Kotis Properties, Inc.
(Perm ittee-P lease print or type)
Post Office Box 9296
Greensboro, NC 27429
(Permittee Address)
Parameter Codes:
Chad Leinbach
(Name of Signing Official -Please print or type)
(Position or Title)
[phone]
(Phone Number)
O RC
01002
Arsenic
31504
Coliform, Total
00600
Nitrogen, Total
00929
Sodium
01022
Boron
00094
Conductivity
00630
NO2&NO3
00931
BAR
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
Magnesium
32730
Phenols
00680
TOC
71900 Mercury
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
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0013808 MONTH: August
FACILITY NAME: Summerfleld Constructed Wetlands COUNTY:
Page of
YEAR: 2021
Guilford
Formulas:
Daily Loading (inches) =[Volume Applied (gallons) x 0.1336 (oubiefeet/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-inch)]
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)
Ave an Weekly Loading /inch-1=lMnn}hly nadinn iln�hP_C/mnn}h1 / Niimhar nt dav� in }ha month (dav�/mnn}h11 x ] (dav�lwaakl
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):j
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
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
Cl
80
1390
27.8
0.07
0.16
1382
27.64
0.10
0.21
2
C
80
1149
22.98
0.06
0.16
1227
24.54
0.09
0.21
3
PC
75
0.28
3.1
1110
22.2
0.06
0.16
1321
26.42
0.09
0.21
a
Cl
80
1402
28.04
0.07
0.16
1058
21.16
0.07
0.21
5
C
80
5056
101.12
0.26
0.16
3687
73.74
0.26
0.21
6
Cl
80
9665
193.3
0.50
0.16
6415
128.3
0.45
0.21
T
C
75
9876
197.52
0.51
0.16
6175
123.5
0.44
0.21
a
Cl
85
9255
185.1
0.48
0.16
6127
122.54
0.43
0.21
0
Cl
85
9533
190.66
0.49
0.16
6339
126.78
0.45
0.21
10
C
92
0.85
3.4
7587
151.74
0.39
0.16
3708
74.16
0.26
0.21
11
C
90
3445
68.9
0.18
0.16
2094
41.88
0.15
0.21
12
PC
90
2668
53.36
0.14
0.16
2105
42.1
0.15
0.21
13
Cl
90
1485
29.7
0.08
0.16
2973
59.46
0.21
0.21
14
Cl
90
1823
36.46
0.09
0.16
1964
39.28
0.14
0.21
15
Cl
82
3637
72.74
0.19
0.16
2193
43.86
0.16
0.21
16
Cl
82
4041
80.82
0.21
0.16
2453
49.06
0.17
0.21
171
Cl
1 82
2.7
3.5
3622
72.44
0.19
0.16
2194
43.88
0.16
0.21
18
Cl
85
1
3696
73.92
0.19
0.16
2222
44.44
0.16
0.21
19
Cl
85
3724
74.48
0.19
0.16
2228
44.56
0.16
0.21
20
Cl
85
3694
73.88
0.19
0.16
2211
44.22
0.16
0.21
21
Cl
85
3606
72.12
0.19
0.16
2187
43.74
0.15
0.21
22
Cl
85
3577
71.54
0.19
0.16
2174
43.48
0.15
0.21
23
C
85
1 3569
71.38
0.19
0.16
2181
43.62
0.15
0.21
24
C
1 91
0.18
3.6
3968
79.36
0.21
0.16
1712
34.24
0.12
0.21
25
Cl
90
1213
24.26
0.06
0.16
1469
29.38
0.10
0.21
26
Cl
85
2439
48.78
0.13
0.16
739
14.78
0.05
0.21
27
C
90
1229
24.58
0.06
0.16
1482
29.64
0.10
0.21
28
C
90
2454
49.08
0.13
0.16
744
14.88
0.05
0.21
29
C
90
1
1222
24.44
0.06
0.16
1497
29.94
0.11
0.21
30
Cl
85
1
2419
48.38
0.13
0.16
746
14.92
0.05
0.21
31
Cl
90
0
3.7
1209
24.18
0.06
0.16
1487
29.74
0.11
0.21
Total Gallons/Monthly Loading (inches)
114763
5.95
76494
5.41
12 Month Floating Total (inches)
27.81
25.83
Average Weekly Loading (inches)
1.3433207
1.2225319
weacner cones: c-clear, rc-partry clouay, la-clouay, K-ram, an -snow, al -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 � �GI.i ZC_a, aey
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 Iiant 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.
0
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.
"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."
(?Jz f Z 9/30/21
(Signature of Permittee)* Date
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)
O RC
(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 213.0506 (b)(2)(D).
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: 2021
FACILITY NAME: Summerfleld Constructed Wetlands COUNTY: Guilford
Formulas:
Daily Loading (inches) =[Volume Applied (gallons) x 0.1336 (oubicfeet/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-inch)]
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)
Ave an Weekly Loading /inch-1=lMnn}hly nadinn iln�hP_C/mnn}h1 / Niimhar nt dav� in }ha month (dav�/mnn}h11 x ] (dav�lwaakl
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):j
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-ature
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
Cl
80
1212
60.6
0.26
0.26
2
C
80
1084
54.2
0.23
0.26
3
PC
75
0.28
1 3.1
656
32.8
0.14
0.26
a
Cl
80
0
0
0.00
#DIV/0!
5
C
80
0
0
0.00
#DIV/0!
6
Cl
80
0
0
0.00
#DIV/0!
7
C
75
0
0
0.00
#DIV/0!
8
Cl
85
0
0
0.00
#DIV/0!
9
Cl
85
0
0
0.00
#DIV/0!
10
C
92
0.85
3.4
0
0
0.00
#DIV/0!
11
C
90
0
0
1 0.00
#DIV/0!
12
PC
90
0
0
0.00
#DIV/0!
13
Cl
90
0
0
0.00
#DIV/0!
14
Cl
90
0
0
0.00
#DIV/0!
15
Cl
82
0
0
0.00
#DIV/0!
16
Cl
82
0
0
0.00
#DIV/0!
17
Cl
82
2.7
3.5
0
0
0.00
#DIV/0!
18
Cl
85
0
0
0.00
#DIV/0!
19
Cl
85
0
0
0.00
#DIV/0!
20
Cl
85
0
0
0.00
#DIV/0!
21
Cl
85
0
0
0.00
#DIV/0!
22
Cl
85
0
0
0.00
#DIV/0!
23
C
85
0
0
0.00
#DIV/0!
24
C
91
0.18
3.6
0
0
0.00
#DIV/0!
25
Cl
90
0
0
0.00
#DIV/0!
26
Cl
85
0
0
0.00
#DIV/0!
27
C
90
0
0
0.00
#DIV/0!
28
C
90
0
0
0.00
#DIV/0!
29
C
90
1
0
0
0.00
#DIV/0!
30
Cl
85
1
0
0
1 0.00
#DIV/0!
31
Cl
90
10
3.7
0
0
0.00
#DIV/0!
Total Gallons/Monthly Loading (inches)
2952
0.64
0
0.00
12 Month Floating Total (inches)
11.71
Average Weekly Loading (inches)
;
0.1443124
0
weacner cones: c-clear, rc-partry clouay, cl-clouay, K-ram, an -snow, al -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
1617 Mail Service Center
RALEIGH, NC 27699-1617
i
(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 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 Iiant 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.
0
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.
"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."
(2,yl ,L az;Z�a,,� 9/30/21
(Signature of Permittee)* Date
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)
O RC
(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 213.0506 (b)(2)(D).
DENR FORM NDAR-1 (5/2003)