WQ0004502_Monitoring - 01-2023_20230712

Monitoring Report Submittal
...................................................
Permit Number#* WQ0004502
Name of Facility:* Hillsborough United Church of Christ
Month: * January Year: * 2023
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
[e-mail]
Christy Gracia
Reviewer: Wanda.Gerald
Upload Document*
January 2023.pdf
PDF Only
166.77KB
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
7/12/2023
This will be filled in automatically

Is the project number correct?* W00004502
Is the monitoring report accepted?* Yes NO
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 7/18/2023

Page _____ of
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0004502
MONTH: January YEAR: 2023
FACILITY NAME: Hillsborough United Church of Christ COUNTY: Orange
Formulas:
Daily Loading (inches) =(Volume Applied (gallons)x0.1336(cublafeatlgallon)x12(inchosMwl)I!(Area Sprayed (acres) x43,560(spuerefeetlacro)l OR
= Volume Applied (gallons) I (Area Sprayed (acres) x 27,152 (gallonslacre-Inch)I
Maximum Hourly Loadinfil(inches) =€laity Loading(inches)I rTime irrigated (minutes) 160(minuteslhour)l Monthly Loading (inches) =Sum of Daly Loadings Crichoa)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Landings Cinches,
Average Weekiv Loading (inches) _ €Monthly Load'um Cnchealmonthl l Number of days in the month idayslmonthll x7 (deyshyeek)
old Irrigation Occur At This Facility:
Yes: P1 No:
Did Irrigation Occur On This Field:
Yes: ❑+ No: []
Did Irrigation Occur On This Field:
Yes: j] No: [J
FIELD NUMBER:
1
FIELD NUMBER:
AREA SPRAYED (acres)-
2.6
AREA SPRAYED (acres):
COVER CROP:
Deciduous -Conifer
COVER CROP:
PERMITTED HOURLY RATE (inches):
PERMITTED HOURLY RATE (inches):
D
A
T
E
WEATHER CONDITIONS
storage,Maximum
Lagoon
Free-
board
PERMITTED YEARLY RATE (inches):
26
PERMITTED YEARLY RATE (inches):
Weather
Code
Temper•
afore at
a pilcatton
Prec€pifa•
Una
Volume
I Applied
Time
Irrigated
Daily
Loading
Hourly
Loading
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
(°F)
Inches
tact
I gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
2
3
4
5
6
C
48
0
2.25
8520
240
0.12
0.03
7
B
9
10
11
12
13
CL
50
0
2.75
D
0
0.00
#DIV/O!
14
15
16
17
10
19
20
PC
52
0
2.5
0
0
0.00
#DIV/O!
21
22
23
24
25
26
27
PC
36
0
2.25
8520
240
0.12
0.03
23
29
30
31
Total Gallons/Monthly Loading (inches)
17040
0.24
0
0.00
12 Month Floating Total (inches)
2.34
Average Weekly Loading (inches)
0.054467
0
• Weather Codes: Cclear, PC -partly cloudy, CI -cloudy, R-rain, Snsnow, Si -sleet
Spray irrigation Operator in Responsible Charge (ORC): James W Gooch
ORC Certification Number: SI 987567 Check Box if ORC Has Changed:
Mail ORIGINAL and TWO COPIES It¢_
ATTN: Non -Discharge Compliance Unit
DENR �-, J4"
Division of Water Quality (SIGNAr OF OPE TO R P r9
1617 Mail Service Center BY T GNATURE, I CERTIFY THA THIS
RALEIGH, NC 27699-1617 TO EST OF MY KNOWLEDGE.
Phone: [phone]
0
LE CHARGE)
REPORT IS ACCURATE AND COMPLETE
DENR FORM NDAR-1 (512003)

rpaae
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
acuity 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 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,
jY i
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
0
3. A suitable vegetative cover was maintained on the sites) in accordance with the permit.
a
4. All buffer zones as specified in the permit were maintained during each application.
S. The freeboard In the treatment and/or storage lagoon(s) was not less than the iimlt(s)
I I
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 property 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."
(SigtfRu'iFe'WPerrdittilbT Date
Hillsborough United Church of Christ
(Permittee-Please print or type)
200 Davis Rd.
Hillsborough NC_27278
(Permittee Address)
Russell Kno
(Name of Stirling Official -Please print or type)
Chair of Trustees
(Position or Title)
919-732-9183 4/3012021
(Phone Number) (Permit Exp. Date)
• It signed by other than the permiftee, delegation of signatory authority must be on file with the stale per 15A NCAC 26.0506 (b)(2)(D),
DENR FORM NDAR•1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
PERMIT NUMBER:
W Q0004502
FACILITY NAME: Hillsborough United Church of Christ
MONTH:January YEAR: 2023
COUNTY: Orange
Flow MonitoringPoint: Effluent: Influent: =_
Parameter Monitoring Point: Effluent: ❑ Influent: R] Surface Water (SW): ❑
SW CodaIName:
Was There
Effluent Flow For This Month Generated At
This Facility: Yes: Ll No:
D
A
T
E
Operator
Arrival
Time
2400
Clock
Operator
Time On
Site
ORC
on
Site?
50050
OD400
50060
00340
00610
00530
31616
665
625
630
600
Daily Rate
(Flow) Into
Treatment
System
PH
Residual
Chlorine
SOD-5
20"C
NH3-N
TSS
Fecal
Coliform
(Geo-metric
Meare)
TOT
Phos
TKN
NO2-
No3
TOT N
C Calc
HRS
YfN
GALLONS
uNrrS
UG(L
MOIL
MGJL
MG/L
/100ML
MGIL
MG/L
MG/L
MG/L
1
185
2
185
3
185
4
185
5
185
6
9:12
1 0.75
Y
185
6.6
0
7
290
a
290
9
290
10
290
11
290
12
290
13
11:02
0.25
Y
290
14
280
1s
280
16
280
171
280
18
280
19
280
20
9:35
0.25
Y
280
21
295
22
295
23
295
24
295
25
295
26
295
27
9A 0
0.75
Y
295
6.7
0
281
1
1
228
228
J29
30
228
31
228
Average
260.5484
0
MUM!
#DIVIO!
####
Daily Maximum
295
6.7
0
0
0
0
0
0
0
0
0
Daily Minimum
1851
6.6
0
0
0
0
0
01
0
0
0
Monthly Limits)
0.00156
Composite (C)1 Grab (G)
Operator in Responsible Charge (ORC):
Check Box if ORC Has Changed:
Certified Laboratories (1):
Person(s) Collecting Samples:
Mail ORIGINAL and TWO COPIES to:
7
James W Gooch Grade: IV Phone: [phone]
ORC Certification Number: 988035
ATTN: Non -Discharge Compliance Unit (Sli
DENR BY
-Division of Water Quality AN
1617 Mail Service Center
RALEIGH, NC 27699-1617
(2):
OF OPEKATOR�IPPRESPONSIBLE CHARGE)
URE IAT, I CERT THAT THIS REPORT IS ACCURATE
:TE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (5/2003)

Page of
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Please answer the following question.
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements?
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.
1 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."
_ Russell Knop
F(%5'afLrrd16f P rmlt Date (Name of Signing Official -Please print or type)
Hillsborough United Church of Christ Chair of Trustees
(Permittee-Please print or type) (Position or Title)
200 Davis Rd.
Hillsborough NC 27278
(Permittee Address)
Parameter Codes:
919-732-9183 4/30/2021
(Phone Number) (Permit Exp. Date)
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
011-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
TSSITSR
01034
Chromium
00610
NH3asN
00937
Potasslum
00076
Turbidity
00340
COD
01067
Nickel
00545
Settleable Matter
01092
Zinc
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 re ortin
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)