WQ0004502_Monitoring - 10-2023_20231130

Monitoring Report Submittal
...................................................
Permit Number#* WQ0004502
Name of Facility:* Hillsborough United Church of Christ
Month: * October 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*
10.2023.pdf
PDF Only
182.86KB
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
11 /30/2023
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: 12/11/2023

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
PERMIT NUMBER: WQ0004502
FACILITY NAME: Hillsborough United Church of Christ
MONTH: October
YEAR: 2023
COUNTY: Orange
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Operator In Responsible Charge (ORC):
Check Box if ORC Has Changed: U
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, INC 27699-1617
James W Gooch
Grade: IV Phone: [phone]
ORC Certification Number: 988035
(2):
kSANATURE OF OVERATOR IN RESPONSIBLE CHARGE)
Y THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (512003)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
Facility Status:
Please answer the following question:
Compliant iY,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? �_ Y
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 tV possibility of fines and imprisonment for knowing violations."
®/z 11—::, ll James W Gooch
{ nature df Pe ittee)* Date (Name of Signing Official -Please print or type)
Hillsborough United Church of Christ ORC for Spray and Wastewater
(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 CoNform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
00746 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556 011-Grease
70295 TOS
00916 Calcium
31616 Fecal Coliform
WQ09 PAN (Plan( Available)
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
Residual
1 00927 Ma nesium
32730 Phenols
00680 TOG
11900 Marcu
00665 Phosphorus, Total
00530 TSS/TSR
01034 Chromium
00610 NH3asN
EJ
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 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
€a(Aitv's nermitfor 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 tb)(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: October YEAR: 2023
FACILITY NAME: Hillsborough United Church of Christ COUNTY: Orange
Formulas:
Daily Loading (inches) -(Volume Applied (gallons) x 0.1336 (cubic feetlgallon) x 12 (incheslfoot)] I (Area Sprayed (acres) x 43,560 (square feetlacre)] OR
-Volume Applied (gallons)! [Area Sprayed (acres) x27,152 (gailonslactoanch)]
Maximum Hourly Loading (inches) = Daily Loading (inches)I ]Time irrigated (minutes)160 (minutesibour)] Monthly Loading (Inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (Inches) = Sum of this montWs Monthly Loading (Inches) and previous 11 monlh's Monthly Loadings (inches)
Average Weekly Loading(Inchest s[Monthly Loadin(inchesfmonth)l Number ofdays in the month fdaysrmonlhll x 7 fdaysNreek)
Did Irrigation 0-cur At This Facility:
Yes: + No:
Did Irrigation Occur On This Field:
Yes: + No:
Did Irrigation Occur On This Field:
Yes: D No: Ll
FIELD NUMBER:
1 1
FIELD NUMBER:
AREA SPRAYED (acres):
1 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 finches
weather
code
Temper-
aiure at
application
prectpha•
tton
Volume
Applied
Time
Irrigated
Daily
LoadingLoadingApplied
Maximum
Hourly
Volume
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
(°F)
inches
feet
gallons
minutes
inches
Inches
gallons
minutes
inches
Inches
1
2
3
C
78
0
2.5
0
0
0.00
#DIV/01
4
5
6
7
6
9
10
CL
68
0
2.25
7920
240
0.11
0.03
11
12
13
141
16
16
17
CL
66
0
2.75
0
0
0.00
#DIV/01
18
19
20
21
22
23
24
C
70
0
2.5
0
0
0.00
#DIV/01
26
26
27
26
29
30
311
CL
52
0
2.4
0
0
0.00
#DIV/01
Total GallonslMonthly Loading (inches)
7920
0.11
0
0.00
12 Month Floating Total (inches)
2.36
Average Weekly Loading (inches)
0.025316
0
Bather Codes: C-clear, PC -partly cloudy, CI -cloudy, R-raln, Sn-snow, SI-sleet
Spray Irrigation Operator In Responsible Charge (ORC): James W Gooch Phone: [phone]
ORC Certification Number: SI 987567 Check Box If ORC Has Changed: ❑
Mall ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality (S N OREOF P RAT SONS - CHARGE)
1617 Mail Service Center Y IS SIGNATURE, I C TEFY THAT THIS REPORT IS ACCURATE AND COMPLETE
RALEIGH, NC 27699.1617 THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-t (5/2003)

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. )
Compliant Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit,
ly
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the slte(s) in accordance with the permit.
0
4. All buffer zones as specified in the permit were maintained during each application.
fY
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 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 kno in violatio
James Gooch
1 ature of ermi ) Dafe (Name of Signing Official -Please print or type)
Hillsborough United Church of Christ ORC for Spray and Wastewater
(Permittee-Please print or type) (Position or Title)
20G Davis Rd.
Hillsborough NC 27278
(Permittee Address)
919-732-9183 41301202t
(Phone Number) (Permit Exp. Date)
' If signed by other than the permittee, delegation of signatory authority must be on file with the state per 16A NCAC 28.0506 (b)(2)(0).
DENR FORM NDAR-1 (512003)