WQ0004502_Monitoring - 08-2024_20240913

Monitoring Report Submittal
...................................................
Permit Number#* WQ0004502
Name of Facility:* Hillsborough United Church of Christ
Month: * August 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*
08.2024.pdf
PDF Only
168.87KB
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
9/13/2024
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: 9/17/2024

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: August YEAR: 2024
FACILITY NAME: Hillsborough United Church of Christ COUNTY: Orange
Formulas:
Dally Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 Qnchesfloot)) /(Area Sprayed (acres) x 43,560 (square feeVacre)) OR
= Volume Applied (getlons) /[Area Sprayed (aces) x 27,162 (gallonslacre-inch))
Maximum Hourly Loading (inches) =Daily Loading (inches)/1Time Irrigated(minutes) 160(minWeslitour)) Monthly Leading (inches) = Sum Orally Loadings (hnches)
12 Month Floating Total (inches) = Somaf this month's Monthly Loading (inches) and previous I I month's Monthlyloadi gs Qnches)
Average Weekly Loading (inches) -[Monthly Lcoding(mcheWmonih)1Numberofdeyslnthe month dayslmonih))x7(daysNroOR)
Did Irrigation occur At This Facility:
Yes: No: Ej
Did Irrigation Occur On This Field:
Yes: 0 No: Lj
Did Irrigation Occur On This Field:
Yes: E3 No:
FIELD NUMBER:
1
FIELD NUMBER:
AREA SPRAYED facres):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
inches :
Weather
Code'
Temper-
store at
application
Predplta-
tion
Volume
Applied
Time
Irrigated
Dail Y
Loading
Maximum
Hourly
Y
Loading
Volume
Appiled
Time
Irrl ated
Dolly
Loading
Maximum
Hour{ Y
Loading
ff)
Inches
feet
gallons
minutes
inches
Inches
gallons
minutes
Inches
inches
1
2
3
4
5
PC
78
0
2.25
9900
300
0.14
0.03
6
7
8
9
10
11
12
13
14
15
C
76
0
2.25
9900
300
0,14
0M
18
17
18
19
20
21
22
C
72
0
2.5
7920
240
0.11
0.03
23
24
25
26
27
28
29
C
95
0
2.75
0
0
0.00
#DIV101
30
31
Total Gallons/Monthly Loading (inches)
27720
0.39
0
0.00
12 Month Floating Total (inches)
2.93
Average Weekly Loading (inches)
1
1
0.088605
1
1
0
. Weather Codes: C-clear, PC -partly cloudy, CI -cloudy, R-rain, Sn-snow, Sl-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: D
,MATURE OW01"ERATOP 19, ESPONSIBLE CRARGE)
THIS SIGNATURE, I CE T l THAT THIS REPORT IS ACCURATE AND COMPLETE
THE 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 the
Compliant Y N)
ly
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).
IY
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.
YD
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."
ignature of P ittee)* Date
Hillsborough United Church of Christ
(Permittee-Please print or type)
200 Davis Rd.
Hillsborough NC 27278
(Permittee Address)
James Gooch
(Name of Signing Official -Please print or type)
ORC for Spray and Wastewater
(Position or Title)
919-732-9183 4/30/2021
(Phone Number) (Permit Exp. Date)
* If slgned by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 26.0505 (b)(2)(D),
DENR FORM NDAR-1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: WQ0004602 MONTH: August YEAR: 2024
FACILITY NAME: Hillsborough United Church of Christ COUNTY: _ Orange
Flow Monitoring Point: Effluent: ❑ Influent:
Parameter Monitoring Point: Effluent: ❑ Influent: Surface Water (SW): ❑
SW Code/Name:
Was There Effluent Flow For This Month Generated At This Facili : Yes: ❑ No: ❑
D
A
T
E
operator
Arrival
Time
240D
Clock
operator
Time on
site
ORC
on
Site?
60050
00400
50060
00310
00610
oo630
1 31616
666
625
630
600
620
Daily Rate
(Flow) Into
Treatment
System
pH
Residual
Chlorine
BOD-5
20°C
NH3-N
TSS
Fecat
Colifonn
(Geo-metric
Mean')
TOT
Phos
TKN
NO2-
No3
TOT N
C Cale
HRS
YIN
GALLONS
UNITS
UGIL
MGIL
MGIL
MGIL
1100ML
MGIL
MGIL
MGIL
MGIL
1
415
2
415
3
415
4
415
6
9:40
0.75
Y
415
6.6
0
6
411
7
411
8
411
9
411
10
411
11
411
12
9:05
0.75
N
411
6.5
0
2.4
3.4
ND
47.1
1
3.8
0.17
4
4
13
411
14
411
15
9:38
0.75
Y
411
6.5
0
16
428
17
428
18
428
19
428
20
428
21
428
22
11:48
0.75
Y
428
6.6
0
23
1
425
24
425
25
425
26
425
27
425
28
425
29
15:20
0.25 1
Y
425
301
1
440
311
1
F
440
Average
420.5161
0
2.41
3.4
###t#
47.1
1
3.8
0.17
4
Daily Maximum
440
6.6
0
2.4
3.4
0
47.1
1
3.8
0.17
4
Daily Minimum 1
411
6.5
0
2.4
3.4
0
47.1
1
3.8
0.17
4
Monthly Limit(s) 1
0,00156
Composite (C) I Grab G
Operator in Responsible Charge (ORC):
Check Box if ORC Has Changed: ❑
James W Gooch Grade: IV
ORC Certification Number:
Certified Laboratories (1): Pace Analytical Services (2):
Person(s) Collecting Samples: Tyler Collier
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit (SII
DENR BY
Division of Water Quality AN.
1617 Mail Service Center
RALEIGH, NC 27699-1617
Phone: [phone]
988035
VRE OF OPERATOR IN RESPONSIBLE CHARGE)
SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
VIPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-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?
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 taw, 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, includipg the passibility of fines and imprisonment for knowing violations."
James W Gooch
of P rmittee)* Date (Name of Signing Official -Please print or type)
Hillsborough United Church of Christ_
(Permittee-Please print or type)
Hillsborough NC 27278
(Permittee Address)
Parameter Codes:
ORC for Spray and Wastewater
(Position or Title)
919-732-9183 4/30/2021
(Phone Number) (Permit Exp. Date)
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
00746 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556 Oil -Grease
70295 TDS
00916 Calcium
31616 Fecal Coliform
W009 PAN Plant Available)
OOD10 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
Residual
0D927 Magnesium
32730 Phonols
OD680 TOG
71900 Mercury
00665 Phos horus, Total
00530 TSS/TSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 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 (512003)