WQ0004502_Monitoring - 02-2023_20230712

Monitoring Report Submittal
...................................................
Permit Number#* WQ0004502
Name of Facility:* Hillsborough United Church of Christ
Month: * February 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*
February 2023.pdf
PDF Only
169.64KB
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: February,YEAR: 2023
FACILITY NAME: Hillsborough United Church of Christ COUNTY: Orange
Formulas;
Daily Loading (inches) =lVolumo Applied (gallons) x 0.1338 (cubic feellgallon)x12(inchesffoot)]I[Area Sprayed(ecres) x 43,560(square feoyacre)) OR
= Volume Applied (gallons)! (Area Sprayed (acres) x27,152 (gallonsracro-Inch))
Maximum Hourly Loading (inches) =Dally Loading (inches)I[Time Irrigated (minutes)!60(mhutealhour)I Monthly Loading(Inches) = Sum of Daly 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 (incheslmonth) f Number of days in the month (daWmonthllx7 (dayshveek)
Did Irrigation Occur At This Facility:
Yes: 0 No: Q
Did Irrigation Occur On This Field:
Yes: []+ Ho: [_1
Did Irrigation Occur On This Field:
Yes: [I No: ❑
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
Sraraga
Lagoon
F—.
board
PERMITTED YEARLY RATE (inches).
26
PERMITTED YEARLY RATE (inches).
weather
coda•
Temper-
aturea!
applicaflan
Preclpna.
non
Volume
lied
Time
irrl ated
Daily
Loadin
Maximum
Hourly
Loadin
Volume
lied
Time
Inl at
Daily
Loading
Maximum
Hourly
Loading
(°F)
inches
feel
gallons
minutes
inches
inches
gallons
minutes
inches
Inches
1
2
3
4
5
6
7
CL
44
0
2.25
7920
240
0.11
0.03
8
9
10
11
12
13
14
C
60
0
2.75
0
0
0.00
#DIV/0!
15
16
17
18
19
20
21
CL
58
0
2.5
0
0
0.00
#D!V/0!
22
23
24
25
26
27
28
CL
66
0
2.25
7920
240
0.11
0.03
29
30
31
Total Gallons/Monthly Loading (inches)
15840
0.22
0
0.00
12 Month Floating Total (inches)
2.32
Average Weekly Loading (Inches)
0.050631
0
Weather Codes: C-clear, PC -partly cloudy, Cl-cloudy, Rain, Sn-snow, Sl sleet
Spray Irrigation Operator in Responsible Charge (ORC): James W Gooch Phone: [phone]
ORC Certification Number: SI 987567 Check Box if ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality (SIGNAT (rz F OPERAT R IN R N (BLE CHARGE)
1617 Mail Service Center BY THI I ATURE, I CERTIFY T T THIS REPORT IS ACCURATE AND COMPLETE
RALEIGH, NC 27699-1617 TO TH ST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (5/2003)

Page
NON -DISCHARGE APPLICATION REPORT
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 facility put (NA) in the
compliant box. )
in the
Com Ilant (YN)
Y
1. The application rate(s) did not exceed the limit(s) specified 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.
0
4. All buffer zones as specified in the permit were maintained during each application.
S. The freeboard In the treatment andlor storage lagoon(s) was not less than the limit(s)
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 actions) 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."
Russell Knou
2'(sig2a u e of er ittee)` Date (Name of Signing Official -Please print or type)
Hillshoroa h United Church of Christ Chair of Trustees
(Permittee-Please print or type) (Position or Title)
200 Davis Rd.
Hillsborough NC 27278
(Permittee Address)
919-732-9183 4/3012021
(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.0500 (b)(2)(0).
OENR FORM NOAR-1 (512003)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
PERMIT NUMBER:
W 00004502
FACILITY NAME: Hillsborough United Church of Christ
MONTH: February YEAR: 2023
COUNTY: Orange
Flow Monitoring Point: Effluent: 11 Influent: RI
Parameter Monitoring Point: Effluent: ❑ Influent: IA Surface Water (SW): ❑
SW Code]Name:
Was There
Effluent Flow For This Month Generated At
This Facility: Yes: ❑ No: LJ
50050
00400
50060
00310
00610
00530
31616
665
625
630
600
D
A
T
E
Operator
Arrivar
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
Feral
Wife"
)Geo_metria
Mean')
TOT
Phos
TKN
NO2-
No3
TOT N
C Cale
HRS
YIN
GALLONS
UNITS
UGIL
MGIL
MGM.
MG/L
MOW
MGIL
MGIL
MG)L
MG/L
1
243
2
243
31
1
243
4
243
5
243
s
1
243
7
10:05
0.75
Y
243
6.7
0
8
306
91
1
306
10
306
11
306
12
306
13
306
14
11:22
O.25
Y
306
151
319
16
319
17
319
16
1
319
19
319
20
319
211
10:11
0.25
Y
319
221
321
231
321
24
1
321
25
321
26
321
27
321
28
10.48
0.75
Y
321
6.8
0
29
301
31
Average
297.25
0
#####
###F#
#NUM!
#W#
#DIV/O!
Daily Maximum
321
6.8
0
0
0
0
0
0
0
0
0
Daily Minimum
243
6.7
0
0
0
0
0
01
0
0
0
Monthly Limit(s)
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:
James W Gooch Grade: IV
ORC Certification Number:
ATTN: Non -Discharge Compliance Unit (SI,
DENR BY
Division of Water Quality AEI
1617 Mail Service Center
RALEIGH, NC 27699-1617
(2):
Phone: [phone]
988035
PRE OF OPERATOMN RESPONSIBLE CHARGE)
SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
NPLETE TO THE HEST 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."
� nap
( ignature of mi a Date (Name of Signing Official- ease 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
(Phone Number)
01002 Arsenic
31504 Conform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 conductivity
00630 NOM03
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556 Oil•Gfease
70295 TDS
00916 Calcium
31616 Fecal Collforrn
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 Mercu
00665 Phosphorus, Total
00530 TSSrFSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00546 Settleable Mader
01092 Zinc
4/30/2021
(Permit Exp. Date)
Parameter Code assistance may be obtained by calling the Water Quality CompliancelEnforcement 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 reportingi
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 26.0506 (b)(2)(D).
DENR FORM NDMR-1 (5/2003)