WQ0004502_Monitoring - 05-2024_20240619

Monitoring Report Submittal
...................................................
Permit Number#* WQ0004502
Name of Facility:* Hillsborough United Church of Christ
Month: * May Year: * 2024
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Upload Document*
05.2024.pdf
PDF Only
2.45MB
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Hillsborough United Church of Christ
Reviewer: Wanda.Gerald
6/19/2024
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: 7/3/2024

NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: WQ0004502 MONTH: May YEAR: 2024
FACILITY NAME: Hillsborough United Church of Christ COUNTY: _ Orange
Monitoring •. ■
Parameter Monitoring Point: Effluent: Influent: 14Tr1rV M-11IFT &iA
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Operator in Responsible Charge (ORC): James W Gooch Grade: IV Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 988035
Certified Laboratories (1): Pace Analytical Services (2):
Person(s) Collecting Samples: Tyler Collier
Mail ORIGINAL and TWO COPIES to: �/ G
ATTN: Non -Discharge Compliance Unit (SIGNASJJRE OF OPERA-rORP I2SPbNSIBLE CH RGE)
DENR BYJT S SIGNATURE, I CERT11 Y THAT THIS REPORT IS ACCURATE
Division of Water Quality A D COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
DENR FORM NOMR-1 (5/2003)

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? 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
false information, including the ossibility f fines and imprisonment for knowing violations."
fe 1,7 h James W Gooch
(Si atur of Permittee D (Name of Signing Official -Please print or type)
Hillsborough Unred 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 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556 Oil -Grease
70295 TDS
00916 Calcium
31616 Fecal Cot€form
W009 PAN (Plant Available)
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50D60 Chlorine, Total
Residual
OD927 Magnesium
32730 Phenols
006BO TOC
71900 MercuryOD665
Phosphorus, Total
00530 TSSITSR
01034 Chromium
00610 NH3asN
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. 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 fife with the state per 16A NCAC 2B.0506 (b)(2)(D).
DENR FORM NDMR-1 (512003)

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:
YEAR: 2024
FACILITY NAME: Hillsborough United Church of Christ COUNTY: Orange
Formulas:
Daily Loading (inches) =(Volume Applied (gallans)x0.1336(cubic feeggallon)x 12(incheslfool)l/larva Splayed (acres) x 43,560(square feetlacre)t OR
= Volume Applied (gallons) /IArea Sprayed (acres) x 27,152 (gagonslacrednch))
Maximum Hourly Loading (inches) =Dairy Loading (inches)/[Time Irrigated (minutes) 160(miautasrhour)) Month! Loading inches =sumof Oai Load
Y g (inches) Ty krgs Qnches)
12 Month Floating Total (Inches) - Sum of this months Monthly Loading (inches) and previous 11 monWs Monthly loadings (inches)
Average Weekly Loading (inches) =[Monthly Loading (inches!month)/Number ordays In the month(days/monthltx 7 Nays&eekl
Did Irrigation occur At This Facility:
Yes: + No:
Did Irrigation Occur On This Field:
Yes: 0 No: El
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
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.appOcagon
Temper-
atureat
Precipita-
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
6
6
CI
70
0
2.6
0
0
0.00
#DIV/OI
7
8
9
10
11
12
13
Cl
74
0
2.4
0
0
0.00
#DIV/o!
14
16
16
17
18
19
20
PC
66
0
2.25
7920
240
0.11
0.03
21
22
23
24
25
26
27
28
CI
84
0
2.75
0
0
0.00 1
#DIV/O!
2911
30
31
Total Gallons/Monthly Loading
(inches)
7920
0.11
0
0.00
12 Month Floating Total (Inches)
2.62
Average Weekly Loading (inches)
0.025316
0
weather Codes: C-clear, PC -partly cloudy, CI -cloudy, R-rain, Snsnow, St -sleet
Spray Irrigation Operator in Responsible Charge (ORC): James W Gooch
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
Phone: [phone]
Check Box if ORC Has Changed: ❑
"c" /,-I
(SIG R OF OP R IN E NSIBLE CHAR E)
BrXIS SIGNATURE, I CERTIFY AT THIS REPORT IS ACCURATE AND COMPLETE
HE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (5r2003)

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: it a requirement does not apply to your facility put (NA) in the
compliant box. )
in the
Com liant Y N)
Y
1. The application rate(s) did not exceed the limit(s) specified permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
YO
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
[Y
4. Alt 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)
0
specified in the permit.
If the facility is non-compllant, 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 pen ties for submitting false information, including the possibility of fines
and imprisonment for knowing violati S."
/ James Gooch
ate (Name of Signing Official -Please print or type)
S ure of Permit ee)*
Hillsborough United Church of Christ ORC for Spray and Wastewater
(Permittee-Please print or type) (Position or Title)
949-732-9183
200 Davis Rd. (Phone Number)
Hillsborough NC 27278
(Permittee Address)
4/30/2021
(Permit Exp. Date)
* if signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 28.0506 (b)(2)(D).
DENR FORM NDARA (5/2003)