WQ0004502_Monitoring - 12-2023_20240109

Monitoring Report Submittal
...................................................
Permit Number#* WQ0004502
Name of Facility:* Hillsborough United Church of Christ
Month: * December 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*
12.2023.pdf
PDF Only
174.7KB
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
1 /9/2024
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: 1/9/2024

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: December YEAR: 2023
FACILITY NAME: Hillsborough United Church of Christ COUNTY: Orange
Formulas;
Daily Loading (inches) = (Volume Applied (gallons) x 0.1336 (cubic feettgallon) x 12 OnchesRoo,Q) I lArea Sprayed (acres) x 43,560 (square feevacre)l OR
= Volume Applied (gallons) I (Area Sprayed (acres) x 27,152 (gallons/acre-Inch))
Maximum Hourly Loading (inches) =Daily Loading (inches)1(iima Irrigated(m)nules) 160(minutesrhour)I Monthly Loading(Inches) =Sum of Dalty Loadings(inches)
12 Month Floating Total (Inches) = Sum of this month's Monthly Loading Cinches) and previous 11 monlh's Monthly Loadings (inches)
Average Weekly Loading (inches] = [Monthly Loading (inches/month) f Number efdays In the month (da"finonth)l x I MaysAveek)
Did Irrigation Occur At This Facility:
Yes: No; 0
Did Irrigation Occur On This Field:
Yes: + No:
Did Irrigation Occur On This Field:
Yes: El No:
FIELD NUMBER:1
FIELD NUMBER:
AREA SPRAYED (acros);j
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-
atuMat
application
precipha•
tion
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
{'F)
Inches
feet
gallons
minutes
Inches
inches
gallons
minutes
Inches
inches
1
2
3
4
Cl
54
0
2.25
7920
240
0.11
0.03
5
6
7
8
9
10
11
12
13
14
C
50
0
2.25
7920
240
0.11
0.03
15
i6
17
18
19
C
38
0
2.25
7920
240
0.11
0.03
20
21
22
23
24
26
26
CI
60
0
2.5
0
0
0.00
#DIV101
27
28
28
30
31
Total Gallons/Monthly
Loading (inches)
23760
0.34
0
0-00
12
Month Floating Total (inches)
2.52
Average Weekly Loading (inches)
0.075947
0
Weather Codes: C-clear, PC -partly cloudy, CI -cloudy, R-raln, Sn-snow, SI-slaet
Spray Irrigation Operator in Responsible Charge (ORC):
ORC Certification Number: SI 987567
Mall 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: -
OF
BEST OF MY
THAT THIS REPORT IS ACCURATE AND COMPLETE
DENR FORM NOAR-1 (512003)

Page -of _
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITES)
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 the
C�.o,m liant Y N)
1. The application rate(s) did not exceed the limit(s) specified permit.
I? J
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.
A. All buffer zones as specified in the permit were maintained during each application.
C
S. 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 signif nt penalties for submitting false information, including the possibility of fines
and imprisonment for knowingyioJations
re of
or
200 Davis Rd.
r James Gooch
Nte (Name of Signing Official -Please print or type)
Hillsborough NC 27278 _
(Permittee Address)
ORG for Spray and Wastewater
(Position or Title)
919-732-9183 4l30/2021
(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)(D).
DENR FORM NDAR-1 (512003)

I
i
NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: WQ0004502 MONTH: December YEAR: 2023
FACILITY NAME: Hillsborough United Church of Christ_ COUNTY: Orange
n*M��gw]RM�mp111111111111111FRIMITOFIRIZ9EMMEJ
SW Code/Name:
■
., ..
Daily
.
Treatment
System
:..
_
•
•
Dally Maximum
Dally Minimum
Operator in Responsible Charge (ORC):
Check Box if ORC Has Changed:
❑■
James W Gooch Grade:
ORC Certification Number:
Certified Laboratories (1): Pace Analytical (2):
Person(s) Collecting Samples: Tvler 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
IV Phone: [phone]
988035
MATURE OF OPER111PR IN RESPONSIBLE CHARGE)
HIS SIGNATURE, I qARTIFY THAT THIS REPORT IS ACCURATE
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 Y,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, inclu ing the possibility of fines and imprisonment for knowing violations."
J James W Gooch
( naiurelofPer ttee)* 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.
Hillsborough NC 27278
(Permittee Address)
Parameter Codes:
919-732-9183
(Phone Number)
01002 Arsenic
31604 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 N02003
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
OD745 Sulfide
01027 Cadmium
00300 Dissolved Oxy en
00556 Oit-Grease
70295 TDS
00916 Calcium
31616 Fecal Coliform
W009 PAN Plant Available)
00010 Temperature
00940 Chloride
o1051 lead
00400 PH
00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
32730 Phenols
00680 TOC
71900 Mercury
00665 Phosphorus, Total
00530 TSSfrSR
01034 Chromium
00 NH3asN
061
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Metter
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. 629.
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 16A NCAC 2B.0506 (b)(2)(D).
DENR FORM NDMR-1 (5/2003)