WQ0004502_Monitoring - 05-2023_20230712

Monitoring Report Submittal
Permit Number#* WQ0004502
Name of Facility:* Hillsborough United Church of Christ
Month: * May 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*
May 2023.pdf
PDF Only
170.3 KB
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: May YEAR: 2023
FACILITY NAME: _ Hillsborough United Church of Christ COUNTY: Orange
Flow Monitoring Point: Effluent: ❑ Influent: 121
Parameter Monitoring Point: Effluent: ❑ Influent: R1 Surface Water (SW): ❑
SW Code/Name:
Was There Effluent Flow For This Month Generated At
This Facility: Yes: Lj No:
D
A
T
E
Operator
Arrival
Time
2400
Clock
operator
nme on
Site
ORC
on
Site?
50050
00400
50060
00310
00610
00530
1 31616
665
625
630
600
Dally Rate
(Flow) Into
Treatment
System
pH
Residual
Chlorine
BOD-5
20°C
NH3-N
TSS
Fecal
Coliform
(Geo-metric
Mean')
TOT
Phos
TKN
NO2-
No3
TOT N
C Calc
HRS
YIN
GALLONS
UNITS
UGIL
MGIL
MGIL
MGJL
1100ML
MGIL
MGIL
MGIL
MGlL
1
297
2
11:25
0.25
Y
297
3
374
4
374
5
374
6
374
7
374
8
374
9
8:28
0.75
Y
374
6.5
0
10
420
11
1
420
12
420
13
420
14
420
15
420
16
420
17
420
18
10:44
0.25
Y
420
19
381
20
381
21
381
221
381
23
381
24
381
25
381
26
9:35
0.75
Y
381
6.6 1
0
27
273
281
1
273
29
273
30
LL
273
31
273
Average
367.9032
1
0
# I#####
####tt
#NUM!
#DIV/0!
Daily Maximum
420
6.6
0
0
0
0
0
0
0
0
0
Daily Minimum
273
6.5
0
0
0
0
0
0
0
0
0
Monthly Limit(s)
0.00156
Composite (C) I 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:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
James W Gooch
Grade: IV Phone: [phone]
❑ ORC Certification Number: 988035
(2):
OPERArTOR IN FSPONSIBLE CHARGE)
JRE, I CERTI THAT THIS REPORT IS ACCURATE
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.
"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
"information, ng the possibility of fines and imprisonment for knowing violations."
RU55ell �nnD Date (Name of Signing Official -Please print or type)
Hillsborou h united Church of Christ Chair of Trustees
(Permittee-Please print or type) (Position or Title)
200 Davis Rd.
919-732-9183 4/30/2021
(Phone Number) (Permit Exp. Date)
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
60135
01042
Copper
00620
NO3
00745
Sulfide
o1027
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
Residual71900
Chlorine, Totalr01067
00927
Magnesium
32730
Phenots
006a0
TOG
Mercury
00665 Phosphorus. Total
00630
TSSITSR
01034
Chromlum
00610
NH3asN
00937
Potassium
00076
Turbidity
00340
COD
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 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 213.0506 (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: _ May YEAR: 2023
FACILITY NAME: Hillsborough united Church Of Christ COUNTY: Orange
Formulas:
Daily Loading (inches) =[Volume Applied (gallons)x0.1336(cubic feedgollon)x12(inchestfoot)]f]AreaSprayed [acres)x43,560(square feogacre)] OR
=Volume Applied (gallons) I [Area Sprayed (acres) x 27,152 (gallonslacreanch))
Maximum Hourly Loading (inches) =Dalyioading(inchos)f(Tlmo Irrigated(minutes)/ 60(minutesrnour)I Monthly Loading (inches) = Sum of Daly Loadings (inches)
12 Month Floating Total (inches) = Sum of this months. Monthly Loading (Inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = tMonthly Loading(inchesrmonthil Numberof days in the month(days(month)l x 7(daysAveek)
Did Irrigation O--w At This Facility:
Yes: Q No: ❑
Did Irrigation Occur On This Field:
Yes: EI 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 (Inches):
PERMITTED HOURLY RATE (inches):
D
A
T
E
WEATHER CONDITIONS
Storage
Lagoon
Free.
board
PERMITTED
YEARLY RATE
(inches):
26
PERMITTED YEARLY RATE
(inches):
Weather
coda'
Tampery
atureat
appOcation
Predpita•
tfon
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
z
PC
68
0
2.5
0
0
0.00
#DIV/01
3
4
5
6
7
8
9
CL
74
1 0
2.25
7920
240
0.11
0.03
10
11
12
13
14
15
16
17
18
CL
68
0
2.75
0
0
0.00
#DIV101
19
20
21
22
23
24
25
26
CL
66
0
2.5
7920
240
0.11
0.03
27
28
29
30
31
Total GallonslMonlhly
Loading
(inches)
15840
0.22
0
0.00
12 Month Floating Total (inches)
2,38
Average Weekly Loading (inches)
0.050631 1
0
Weather Codes: C-clear, PC -partly cloudy, Clcioudy, Rain, Su -snow, 31-sleet
Spray Irrigation Operator in Responsible Charge (ORC):
ORC Certification Number: SI 987567
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
James W Gooch
Phone: [phone]
-Check Box if ORC Has Changed: ❑
Is[ RE OF OPERATOR IN PONSIBLE ARGE)
PY IS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (5I2003)

Pageof
NON -DISCHARGE AI'FLiCATiON' 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. )
Rant Y Com ,N)
1. The application rate(s) did not exceed the Ilmit(s) specified In the permit. Y
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. l� i
A. 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)�
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."
5
(Signa u e o ermittee)* Date
/l
Niilsborou h United hurch of Christ
(Permittee-Please print or type)
200 Davis
_ Hillsborough NC 27278
(Permittee Address)
7&ssie. .
(Name of Signing Official -PI ase print ar type)
Chair of Trustees
(Position or Title)
918-732-8183 V3012021
(Phone Number) (Permit Exp. Date)
. If signed by other than the permiuee, delegation of signatory authority must be on file with the state per 15A NCAC 28.0505 (b)(2)(1)►.
DENR FORM NDAR-1 (512003)