WQ0004502_Monitoring - 08-2023_20230919

Monitoring Report Submittal
...................................................
Permit Number#* WQ0004502
Name of Facility:* Hillsborough United Church of Christ
Month: * August 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*
08.2023.pdf
PDF Only
177.91 KB
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
9/19/2023
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: 9/19/2023

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: August YEAR: 2023
FACILITY NAME: Hillsborough United Church of Christ COUNTY: Orange
Formulas:
Daily Loading (Inches) = [Volume Applied (gallons) x 0.1336 (cuble fee4galton) x 12 (Inchesffoot)) I [Area Sprayed (acres) x 43,560 (square feeflacre)) OR
= Volume Applied (gallons) I [Area Sprayed (acres) x 27,152 (gallonsfacreanch))
Maximum Hourly Loading (inches) = Daily Loading gnches)IRlme Irrigated(minufes) 160(m£nutesfioun)] Monthly Loading (Inches) - Sum or Daily Loadings finches)
12 Month Floating Total (Inches) = sum of this month's Monthly Loading (Inches) and previous 11 month's Monthly Loadings gnchas)
Average Weekly Loading (Inches) = [Monthly Loading (inahesfmonth)] Number efdays in the month (daWmonth)] x 7 (days/weak)
Did Irrigation Occur At This Facility:
Yes: No;
Did Irrigation Occur On This Field:
Yes; 21 No: Q
D]d Irrigation Occur On This Field:
Yes: Lj 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
storage
lagoon
free-
board
PERMITTED YEARLY RATE
inches :
26
PERMITTED YEARLY RATE (inches):
Weather
code.
Temper-
atureat
application
PrecipAa-
tfon
Volume
Applied
Time
Irrigated
Dail Y
Loading
Maximum
Hourly
Y
Loading
Volume
Applied
Time
Irrigated
Dail Y
Loading
Maximum
Hourly
Y
Loading
(°F)
Inches
feet
gallons
mingles
inches
Inches
gallons
minutes
inches -
inches
1
2
3
Cl
76
0
2.75
0
0
0.00
#DIV101
4
5
6
7
8
9
10
41
Cl
88
0
2.5
0
0
0.00
#DIV10!
12
13
14
15
16
17
18
PC
77
0
2.25
7920
240
0.11
0.03
19
20
21
22
23
24
26
Cl
87
0
2.75
0
0
0.00
#DIVl01
28
27
28
29
3D
31
Cl
75
0
2.5
0
0
0.00
#DIV101
Total Gallons/Monthly
Loading (inches)
7920
0.11
0
0.00
12 Month Floating Total (inches)
2.33
Average Weekly Loading (Inches)
0.025316
0
. Weather Codes: C•clear, PC -partly cloudy, CI -cloudy, R-rain, Sn-snow, SI-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
Check Box if ORC Has Changed:
Phone: [phone]
PlITE OF OPERATOR IN RESPONSIBLE CHARGE)
SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (512003)

Page of _
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
Compliant ilf,
ly
1. The application rate(s) did not exceed the limit(s) specified the 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.
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)
YO
specified in the permit.
If the facility is non -compliant, please explain in the space beiow 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 ail 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 or kn ing violations." A►j
.James Gooch
ignatur of PeTucifiUe)*
eDate (Name of Signing Official -Please print or type)
Hillsbonited Church of Christ ORC for Spray and Wastewater
(Permlttee-Please print or type) (Position or Title)
200 Davis Rd.
Hillsborough NC 27278
(Permlttee Address)
919-732-9183 4/30/2021
(Phone Number) (Permit Exp. Date)
' It signed by other than the permilteB, delegation of signatory authority must be on file with the state per 15A NCAC 28.0506 (b)(2)(D).
DENR FORM NDAR-1 (6/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: WQ0004502 MONTH: August YEAR: 2023
FACILITY NAME: Hillsborough United Church of Christ COUNTY: Orange
•, ■ oPima■
,
■
.
.•(Flow)
Dally Rate
Into
Treatment
System
Operator In Responsible Charge (ORC): ,lames W Gooch Grade: IV
Check Box If ORC Has Changed: ❑ ORC Certification Number:
Certified Laboratories (1): Pace Analytical Services, LLC (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
Phone: [phone]
988035
OWTURE OF OPERATOR IN RESPONSIBLE CHARGE)
HIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
Facilit S� tatus:
Please answer the following question: compliant Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? Y
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 sheets if necessary.
4 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, includin the possibility of fines and imprisonment for knowing violations."
fz� James Gooch
Ignature of rmittee)* Date (Name of Signing official -Please print or type)
ORC Spray and Wastewater
Hillsboro, h United Church of Christ Title)
(Permittee-Please print or type)
200 Davis Rd.
Hilisborough NC 27278
(Permittee Address)
{Positron or
919-732-9183 4/30/2021
(Phone Number) (Permit Exp. Date)
Parameter Codes:
31504 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
31002 Arsenic
00094 Conductivity
00630 NO2&NO3
oo931 SAR
31022 Boron
00620 NO3
00745 Sulfide
D0310 BOBS
01042 Cap er
00300 Dissolved oxygen
00556 Oil Grease
70295 TDS
01027 Cadmium
31616 Fecal Coliform
WQO9 PAN (Plant Available
o096 5 7KN el
D0916 Calcium
00400 W
o0940 Chloride
01051 Lead
32730 Phenols
0o66o TOG
50060 Chlorine, Total
00927 Magnesium
00665 Phosphorus, Total
00076 TSS/r:
Residual
71900 Mercury
00937 Potassium
0i
01034 Chromium
00610 NH3asN
00545 Settleable Matter
o1092inc Zinc
00340 COD
01067 Nickel
Parameter Code assistance may be obtained by calling the Water Quality Compliance/Enforcement Unit at [phone] ext. 529.
to be reported as a GEOMETRIC mean. Use only the units designated in the reaortina
The monthly average for Fecal Coliform is
facility's permit for reporting data.
" tion of signatory authority must be on fife with the state per 15A NCAC 26.0606 (b)(2)(1)).
If signed by other than the permittee, delega
DENR FORM NDMR-1 (512003)