WQ0004502_Monitoring - 04-2023_20230712

Monitoring Report Submittal
Permit Number#* WQ0004502
Name of Facility:* Hillsborough United Church of Christ
Month: * April 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*
April 2023.pdf
PDF Only
170.85KB
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: April YEAR: 2023
FACILITY NAME: Hillsborough United Church of Christ COUNTY: _ Orange
Flow Monitoring Point: Effluent: ❑ Influent:
Parameter Monitoring Point: Effluent: ❑ Influent: 0 Surface Water (SW): ❑
SW Code/Name:
Was There
Effluent Flow For This Month Generated At This Facility: Yes: U No: Lj
50050
00400
50060
00310
00610
00530
1 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
BOOS
20°C
NH3•N
TSS
Fecal
Colitorm
(Geo•metr c
Mean')
TOT
Phos
TKN
NO2-
No3
TOT N
C Cale
HRS
YIN
GALLONS
UNrrS
UGIL
MG1L
MGIL
MGIL
1100ML
MGlL
MGIL
MGIL
MGIL
1
307
2
307
3
307
4
9:46
0.75
Y
307
6.5
0
5
320
6
320
7
320
8
320
9
320
1 o
9:45
0.25
Y
320
11
355
12
355
13
355
14
355
151
1 355
161
1
1 355
17110:481
0.25
Y
355
18
307
19
307
20
307
21
307
22
307
23
307
24
13:00
0.5
N
307
6.2
32.4
2.7
11.7
140
1.6
5.3
1.3
4.9
25
8:57
0.75
Y
307
6.3
0
26
297
27
297
28
297
29
297
30
297
31
Average
319.1333
0
32.4
2.7
11.71
140
1.6
5.3
1.3
4.9
Daily Maximum
355
6.5
0
32.4
2.7
11.7
140
1.6
5.3
1.3
4.9
Daily Minimum
297
6.2
0
32.4
2.7
11.7
140
1.6
5.3
1.3
4.9
Monthly Limit(s)
0.00156
Composite (C) I Grab (G)
Operator in Responsible Charge (ORC)
James W Gooch Grade: IV Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number:
Certified Laboratories (1): Pace Analytical (2):
Person(s) Collecting Samples: Tyler Collier
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
988035
HIS SIGNATURE,? CERTIFY THAT THIS REPORT IS ACCURATE
COMPLETE 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
f information, including the possibility of fines and imprisonment for knowing violations."
ussct
(Sig A40 Pe 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. 919-732-9183
(Phone Number)
Hillsborough NC 27278
(Permittee Address)
Parameter Codes:
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 B0135
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556 Olt -Grease
70295 TDS
00916 Calcium
31616 Fecal Coilform
WQ09 PAN (Plant Available)
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
006' TKN
50060 Chlorine, Total
Residual
00927 Magnesium
32730 Phenols
00680 Toc
71900 Mercury00665
Phosphorus, Total
00530 TSSrrSR
01034 Chromium
00810 NH3asN
00937 Potassium
00076 Tuadlty
00340 COD
01067 Nickel
1 00545 Settleable Matter
i 01092 Zinc
4/30/2021
(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
facill 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: W00004502
MONTH: _ April_
YEAR: 2023
FACILITY NAME: Hillsborough United Church Of Christ COUNTY: _ Orange
Formulas:
Daily Loading(Inches) =[Volume Applied (gallons)x0,1336(cuWlafeeilgalon)x12(InchasKeot)il[Area Sprayed (acres) K43,560(square feel/acre)l OR
= Volume Applied (gallons) l (Area Sprayed (acres) x 27,152 Igaflonslacre-inch))
Maximum Hourly Loading (inches) =Daly Loading (inches)l(Tlma Irrigated (minutes) 160(minutesemut)I Monthly Loading (inches) = Sum of Daly Loadings (inches),
12 Month Floating Total (inches) = Sum of this month's Monthly Loadhg (Inches) and previous I month's Monthly Loadings (inches)
Average Week Loading inches =(Monthly Loading(inches/month) l Number of days in the month (dayslraouth)jx7(daysfvreek)
Did lniggdon Pcmir AtThls Facility:
Yes: Q No: ❑
Did Irrigation Occur On This Field:
Yes. [21 No: ❑
Did Irrigation Occur On This Field:
Yes: ❑ No; ❑
FIELD NUMBER: 1
FIELD NUMBER:
AREA SPRAYED (acres); 2.6
AREA SPRAYED (acres):
COVER CROP: Deciduous -Conifer
COVERCROP:
PERMITTED HOURLY RATE (Inchas);j
PERMITTED HOURLY RATE (inches):
D
A
T
E
WEATHER CONDITIONS
Storage
Lagoon
Frea•
board
PERMriTEO
YEARLY RATE
(inches):
26
PERMITTED YEARLY RATE
(inches):
Weather
Code`
Temper-
atureat
application
areclpna•
don
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
lied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
(°F)
inches
feet
gallons
minutes
Inches
inches
gallons
minutes
inches
inches
1
2
3
4
C
72
0
2.5
7920
240
0,11
0.03
5
6
7
8
8
10
C
55
0
2.25
0
0
0.00
#DIV/0!
11
12
13
14
15
16
17
PC
65
0
2.5
0
0
0.00
1 #DIV101
18
19
20
21
22
23
24
25
C
56
0
2,75 1
7920
240
0.11
0.03
26
27
28
29
30
31
Total GalionsfMonthly
Loading (inches)
15840
0.22
0
0.00
12 Month Floating Total (inches)l
2.28
Average Weekly Loading (inches}
0-052319 1
0
Weather Codes; Clear, PC -partly cloudy, CI -cloudy, R-rain, Sn-snow, SI-steet
Spray Irrigation Operator in Responsible Charge (ORC): James W Gooch Phone: [phone]
ORC Certification Number: SI 9B7567 Check Box If ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality (SI RE OF O TO PONSI CHARGE)
1617 Mail Service Center IS SIGNATURE, I CEOIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
RALEIGH, NC 27699-1617 THE BEST OF MY KNOWLEDGE.
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. )
Compliant Bent Y N)
1. The application rate(s) did not exceed the limits) specified in the permit.
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.
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 -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 actlon(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
imprisonment for knowing violations."
sseJ Kr? nv
(Sign re o ermitt )` Date (Name of Signing Official -A ease print or type)
Hillshorou h United Church of Christ Chair of Trustees
(Permittee-Please print or type) (Position or Title)
Davis Rd.
Hillsborough NC 27278
(Permittee Address)
919-732-9183 4r3012021
(Phone Number) (Permit Exp. Date)
° If signed by other than the permittee, delegation of signatory authority must be on file with the stale per i5A NCAC 28.0506 (b)(2)(1)).
DENR FORM NDAR-t (612003)