WQ0004502_Monitoring - 03-2023_20230712

Monitoring Report Submittal
Permit Number#* WQ0004502
Name of Facility:* Hillsborough United Church of Christ
Month: * March Year: * 2023
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Upload Document*
March 2023.pdf
PDF Only
170.05KB
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Christy Gracia
cl?'"4Otrf Ftl"10-
Reviewer: Wanda.Gerald
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

NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: WQ0004502 MONTH: March YEAR: 2023
FACILITY NAME: Hillsborough United Church of Christ COUNTY: Orange
Flow Monitoring Point: Effluent: ❑ Influent: 0
Parameter Monitoring Point: Effluent: ❑ Influent: M Surface Water (SW): ❑
SW CodelName:
Was There Effluent Flow For This Month Generated At This Facility: Yes: LJ No: Lj
50050
00400
50060
00310
00610
00530
31616
665
625
630
600
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
SOD-5
20°C
NH3-N
TSS
Fecal
Coliform
(Gen-meldc
Mean.)
TOT
Phos
TKN
NO2-
No3
TOT N
C Calc
HRS
YIN
GALLONS
UNITS
UGIL
VIGIL
MGIL
MGIL
1100ML
MOIL
MOIL
MOIL
MOIL
1
335
2
335
3
335
4
335
5
335
6
335
7
10:05
0.25
Y
335
8
310
9
310
10
310
11
310
12
310
13
11:55
0.75
Y
310
1 6.7
0
14
376
15
376
16
376
17
376
18
376
19
376
20
376
21
376
22
376
23
10.14
0.25
Y
376
24
1
270
25
270
26
270
27
270
28
270
29
270
30
270
31
10.29
0.75
Y
270
6.8
0
Average
326.6129
0
#####
## ##
#####
#NUMI
#tiFlkfl#
#DIV/O!
###
##1# #
Daily Maximum
376
6.8
0
0
0
0
0
0
0
0
0
Daily Minimum
270
6.7
0
0
0
0
0
0
0
0
0
Monthly Limit(s)
0.00156
Composite (C) ! Grab (G
Operator in Responsible Charge (ORC): James W Gooch Grade: IV Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 988035
Certified Laboratories (1):
Person(s) Collecting Samples:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
`617 Mail Service Center
RALEIGH, NC 27699-1617
(2):
E OF OPERATORr RESPONSIBLE CHARGE)
3NATURE, I CER IFY THAT THIS REPORT IS ACCURATE
LETE 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? 0
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."
l?ussell �Y)ap
(Signa ure of Pefrbe)* Date (Name of Signing Offi ial-Please print or type)
Hillsborough United Church of Christ
(Permittee-Please print or type)
200 Davis Rd.
Hiilsborou h NC 27278
(Permittee Address)
Parameter Codes:
Chair of Trustees
(Position or Title)
919-732-9183
(Phone Number)
01002 Arsenic
31604 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 OII-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 Magneslum
32730 Phenols
00680 TOG
71900 Mercury
00665 Phosphorus, Total
00530 TSS/TSR
0i034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
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 desi nated 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)

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: March YEAR: 2023
FACILITY NAME: _ _ _ Hillsborough United Church of Christ COUNTY: Orange
Formulas:
Daily Loading (inches) _ [Volume Applied (gallons) xD.1336 (cubic feet/gallon) x 12 lincheslfoot)I! [Area Sprayed (saes) x43,560 (square feetfecre)) OR
= Volume Applied (gallons) I [Area Sprayed (acres) x 27,152 (gailonslacre-inch))
Maximum Hourly Loading( inches) =Daily Loading (Inches)I rrime Irrigated (minutes) 160(minutoslitour)) Monthty Loading(inches) = Sum of Deily Loadings(inches)
12 Month Floating Total (inches) = Sum of (his month's Monthly Loading (Inches) and previous it month's Monthly Loadings (inches,
Average Weekly Loading (inches) =(Monthly Leading (inchesimonth)I Numberofdaysfn the month (daysfmonth)Ix7(dayslaneek)
Did Irrigation Peaur ALThis Facility:
Yes: Q No: ❑
Did Irrigation Occur On This Field:
Yes: 2 No: ❑
Did Irrigation Occur On This Field:
Yes: E-1 No: ❑
FIELD NUMBER:
1
FIELD NUMBER:
AREA SPRAYED (acres):
2.6
AREA SPRAYED (acres).
COVERCROP:
Deciduous -Conifer
COVER CROP.
PERMITTED HOURLY RATE (inchms).j
PERMITTED HOURLY RATE (inches):
D
A
T
E
WEATHER CONDITIONS
Storage
lagoon
Free.
boars
PERMITTED
YEARLY RATE (inches):
26
PERMITTED YEARLY RATE (inches):
weather
coae
Tamper-
atureat
application
Pmctp(ta•
tfon
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
Applied
Time
irrigated
Daily
Loading
Maximum
Hourly
Loading
(IF)
inches
feat
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
2
3
4
5
6
7
PC
72
0
2.5
0
0
0.00
#DIV/01
a
9
10
11
12
13
CL
44
0
2.5
7920
240
0.11
0.03
14
1s
16
17
18
19
20
21
22
23
CL
58
0
2.25
1 0
0
0.00
4DIWO1
24
25
26
27
28
29
30
31
CL
52
0 1
2.5
7920
2400
0.11
0.00
Total Gallons/Monthly Loading (inches)
15840
0.22
0
0.00
12 Month Floating Total (inches)
2.30
Average Weekly Loading (inches)
0.050631
0
' Weather Codes: C-clear, PC -partly cloudy, Cl-cloudy, R-rain, Sn-snow, Sl-sleet
Spray Irrigation Operator in Responsible Charge (ORC): James W Gooch Phone:
ORC Certification Number: SI 987567 Check Box if ORC Has Changed: ❑
919-815-0257
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR '5L '111-LA
Division of Water Quality (St of o I NSIBLE CHARGE)
1617 Mail Service Center 7H SIGNATURE, I CER THAT THIS REPORT IS ACCURATE AND COMPLETE
RALEIGH, NC 27694-1617 O E BEST OF MY KNO EDGE.
DENR FORM NDAR-1 (512003)

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. )
Com Uent ,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). 0
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit. l'
4. All buffer zones as specified in the permit were maintained during each application.
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-com liant, 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 shoots 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."
3• ,el 1 A /)Op
(Signat r mitt a Date (Name of Signing Official -Please print or type)
2Hillsborough United Church of Christ Chair of Trustees
(Permittee-Please print or type) (Position or Title)
200 Davis Rd.
Hillsborough NC 27278
(Permittee Address)
919-732-91133 4130/2021
(Phone Number) (Permit Exp. Date)
* If signed by other than the permitlee, delegation of signatory authority must be on file with the state per 15A NCAC 26.0506 (b)(2)(D).
DENR FORM NDAR-1 (512003)